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GAO-16-778R 1 (2016-07-06)

handle is hein.gao/gaobadsjj0001 and id is 1 raw text is: 



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


B-328220


July 6, 2016

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

The Honorable Fred Upton
Chairman
The Honorable Frank Pallone, Jr.
Ranking Member
Committee on Energy and Commerce
House of Representatives

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; Medicare Clinical Diagnostic Laboratory Tests Payment System

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; Medicare Clinical Diagnostic Laboratory
Tests Payment System (RIN: 0938-AS33). We received the rule on June 21, 2016. It was
published in the Federal Register as a final rule on June 23, 2016. 81 Fed. Reg. 41,036.

The final rule implements requirements of section 216 of the Protecting Access to Medicare Act
of 2014 (PAMA), which significantly revises the Medicare payment system for clinical diagnostic
laboratory tests. This final rule also announces an implementation date of January 1, 2018, for
the private payor rate-based fee schedule required by PAMA.

Enclosed is our assessment of CMS's compliance with the procedural steps required by section
801 (a)(1)(B)(i) through (iv) of title 5 with respect to the rule. Our review of the procedural steps
taken indicates that CMS complied with the applicable requirements.


GAO-1 6-778R

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