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GAO-16-256R 1 (2015-11-24)

handle is hein.gao/gaobadrru0001 and id is 1 raw text is: ctAO U.S. GOVERNMENT ACCOUNTABILITY OFFICE 441 G St. N.W. Washington, DC 20548 B-327564 November 24, 2015 The Honorable Orrin G. Hatch Chairman The Honorable Ron Wyden Ranking Member Committee on Finance United States Senate The Honorable Kevin Brady 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; CY 2016 Inpatient Hospital Deductible and Hospital and Extended Care Services Coinsurance Amounts 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; CY 2016 Inpatient Hospital Deductible and Hospital and Extended Care Services Coinsurance Amounts (RIN: 0938-AS36). We received the rule on November 13, 2015. It was published in the Federal Register as a notice on November 16, 2015. 80 Fed. Reg. 70,808. The notice announces the inpatient hospital deductible and the hospital and extended care services coinsurance amounts for services furnished in calendar year (CY) 2016 under Medicare's Hospital Insurance Program (Medicare Part A). The Medicare statute specifies the formulae used to determine these amounts. For CY 2016, the inpatient hospital deductible will be $1,288. The daily coinsurance amounts for CY 2016 will be: (1) $322 for the 61st through 90th day of hospitalization in a benefit period; (2) $644 for lifetime reserve days; and (3) $161 for the 21st through 100th day of extended care services in a skilled nursing facility in a benefit period. 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). This notice has a stated effective date of January 1, 2016. The notice was received by Congress on November 13, 2015, and published in the Federal Register on November 16, 2015. 161 Cong. Rec. S8016 (Nov. 17, 2015); 80 Fed. Reg. 70,808. Therefore, this notice does not have a 60-day delay in effective date. The 60-day delay in effective date can be waived, however, if the agency finds for good cause that delay is impracticable, unnecessary, or contrary to the public interest, and the agency GAO-16-256R

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