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B-331467 1 (2019-10-11)

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


B-331467


October 11, 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

The Honorable Richard Neal
Chairman
The Honorable Kevin Brady
Ranking Member
Committee on Ways and Means
House of Representatives

Subject: Department of Health and Human Services, Centers for Medicare & Medicaid Services:
        Medicare and Medicaid Programs; Revisions to Requirements for Discharge Planning
        for Hospitals, Critical Access Hospitals, and Home Health Agencies, and Hospital and
        Critical Access Hospital Changes to Promote Innovation, Flexibility, and Improvement in
        Patient Care

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 and Medicaid Programs; Revisions to
Requirements for Discharge Planning for Hospitals, Critical Access Hospitals, and Home Health
Agencies, and Hospital and Critical Access Hospital Changes to Promote Innovation, Flexibility,
and Improvement in Patient Care (RIN: 0938-AS59). We received the rule on October 1, 2019.
It was published in the Federal Register as a final rule on September 30, 2019. 84 Fed. Reg.
51836. The effective date of the rule is November 29, 2019.

According to CMS, the rule empowers patients to be active participants in the discharge
planning process and complements efforts around interoperability that focus on the seamless
exchange of patient information between health care settings by revising the discharge planning
requirements that hospitals (including short-term acute-care hospitals, long-term care hospitals,
rehabilitation hospitals, psychiatric hospitals, children's hospitals, and cancer hospitals), critical
access hospitals, and home health agencies must meet in order to participate in the Medicare

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