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B-330280 1 (2018-08-17)

handle is hein.gao/gaobadvar0001 and id is 1 raw text is: G A O U.S. GOVERNMENT ACCOUNTABILITY OFFICE 441 G St. N.W. Washington, DC 20548 B-330280 August 17, 2018 The Honorable Orrin G. Hatch Chairman The Honorable Ron Wyden Ranking Member Committee on Finance United States Senate The Honorable Greg Walden Chairman The Honorable Frank Pallone, Jr. Ranking Member Committee on Energy and Commerce House of Representatives The Honorable Kevin Brady Chairman The Honorable Richard Neal Ranking Member Committee on Ways and Means House of Representatives Subject: Department of Health and Human Services, Centers for Medicare and Medicaid Services: Medicare Program; FY 2019 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements 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 and Medicaid Services (CMS) entitled Medicare Program; FY 2019 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements (RIN: 0938-AT26). We received the rule on August 2, 2018. It was published in the Federal Register as a final rule August 6, 2018. 83 Fed. Reg. 38,622. The effective date of the final rule is October 1, 2018. The final rule updates the hospice wage index, payment rates, and cap amount for fiscal year 2019. The rule also makes conforming changes to recognize physician assistants as designated hospice attending physicians effective January 1, 2019. Finally, the rule contains changes to the Hospice Quality Program. 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). It was published in the Federal Register on August 6, 2018. The rule has a stated effective date of October 1, 2018. Therefore, the final rule does not have the required 60-day delay in its effective date.

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