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GAO-15-244R 1 (2014-11-25)

handle is hein.gao/gaobadqtm0001 and id is 1 raw text is: 




G     A              U.S. GOVERNMENT ACCOUNTABILITY OFFICE
441 G St. N.W.
Washington, DC 20548


B-326413


November 25, 2014

The Honorable Ron Wyden
Chairman
The Honorable Orrin G. Hatch
Ranking Member
Committee on Finance
United States Senate

The Honorable Fred Upton
Chairman
The Honorable Henry Waxman
Ranking Member
Committee on Energy and Commerce
House of Representatives

The Honorable Dave Camp
Chairman
The Honorable Sander M. Levin
Ranking Member
Committee on Ways and Means
House of Representatives

Subject: Department of Health and Human Services, Centers for Medicare & Medicaid Services:
       Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule,
       Clinical Laboratory Fee Schedule, Access to Identifiable Data for the Center for
       Medicare and Medicaid Innovation Models & Other Revisions to Part B for CY 2015

Pursuant to section 801 (a)(2)(A) of title 5, United States Code, this is our report on a major rule
promulgated by the Department of Health and Human Services, Centers for Medicare &
Medicaid Services (CMS) entitled Medicare Program; Revisions to Payment Policies Under the
Physician Fee Schedule, Clinical Laboratory Fee Schedule, Access to Identifiable Data for the
Center for Medicare and Medicaid Innovation Models & Other Revisions to Part B for CY 2015
(RIN: 0938-AS12). We received the rule on October 31, 2014. It was published in the Federal
Register as a final rule with comment period on November 13, 2014. 79 Fed. Reg. 67,548.

The final rule with comment period addresses changes to the physician fee schedule and other
Medicare Part B payment policies to ensure that the payment systems are updated to reflect
changes in medical practice and the relative value of services, as well as changes in the statute.

The Congressional Review Act (CRA) requires a 60-day delay in the effective date of a major
rule from the date of publication in the Federal Register or receipt of the rule by Congress,
whichever is later. 5 U.S.C. 801(a)(3)(A). The final rule with comment period has an
announced effective date of January 1, 2015, except for certain amendments which are


GAO-1 5-244R

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