About | HeinOnline Law Journal Library | HeinOnline Law Journal Library | HeinOnline
LOG IN
LOG IN

B-331465 1 (2019-10-16)

handle is hein.gao/gaobaeadv0001 and id is 1 raw text is: G U.S. GOVERNMENT ACCOUNTABILITY OFFICE 441 G St. N.W. Washington, DC 20548 B-331465 October 16, 2019 The Honorable Chuck Grassley Chairman The Honorable Ron Wyden Ranking Member Committee on Finance United States Senate The Honorable Frank Pallone, Jr. Chairman The Honorable Greg Walden Ranking Member Committee on Energy and Commerce House of Representatives Subject: Department of Health and Human Services, Centers for Medicare & Medicaid Services: Medicaid Program; State Disproportionate Share Hospital Allotment Reductions 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 Medicaid Program; State Disproportionate Share Hospital Allotment Reductions (RIN: 0938-AS63). The House of Representatives received the rule on September 25, 2019. 165 Cong. Rec. H8092 (daily ed. Oct. 4, 2019). The Congressional Record does not reflect the date of receipt by the Senate. We received the rule on October 1, 2019. It was published in the Federal Register as a final rule on September 25, 2019. 84 Fed. Reg. 50308. The effective date of the rule is November 25, 2019. This final rule establishes the Disproportionate Share Hospital (DSH) Health Reform Methodology (DHRM) for the 2020 fiscal year. It also defines total hospital cost and clarifies state data submission requirements. Under this rule CMS will use the total estimated Medicaid service expenditures in the calculation of the Low DSH Adjustment Factor. The rule adjusts the weighting of statutorily defined factors required to be included in the DHRM. Finally, this rule removes reference to certain fiscal years. 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. If you have any questions about this report or wish to contact GAO officials responsible for the evaluation work relating to the subject matter of the rule, please contact Janet Temko-Blinder, Assistant General Counsel, at (202) 512-7104. signed Shirley A. Jones Managing Associate General Counsel Enclosure cc: Calvin E. Dukes II Regulations Coordinator Department of Health and Human Services

What Is HeinOnline?

HeinOnline is a subscription-based resource containing thousands of academic and legal journals from inception; complete coverage of government documents such as U.S. Statutes at Large, U.S. Code, Federal Register, Code of Federal Regulations, U.S. Reports, and much more. Documents are image-based, fully searchable PDFs with the authority of print combined with the accessibility of a user-friendly and powerful database. For more information, request a quote or trial for your organization below.



Contact us for annual subscription options:

Contact Us

Already a HeinOnline Subscriber?

Log In

profiles profiles most