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B-331594 1 (2019-11-26)

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


B-331594


November  26, 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 Program: Changes to Hospital Outpatient Prospective Payment and
       Ambulatory Surgical Center Payment Systems and Quality Reporting Programs;
       Revisions of Organ Procurement Organizations Conditions of Coverage; Prior
       Authorization Process and Requirements for Certain Covered Outpatient Department
       Services; Potential Changes to the Laboratory Date of Service Policy; Changes to
       Grandfathered Children's Hospitals-Within-Hospitals; Notice of Closure of Two
       Teaching Hospitals and Opportunity To Apply for Available Slots

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: Changes to Hospital Outpatient
Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting
Programs; Revisions of Organ Procurement Organizations Conditions of Coverage; Prior
Authorization Process and Requirements for Certain Covered Outpatient Department Services;
Potential Changes to the Laboratory Date of Service Policy; Changes to Grandfathered
Children's Hospitals-Within-Hospitals; Notice of Closure of Two Teaching Hospitals and
Opportunity To Apply for Available Slots (RIN: 0938-AT74). We received the rule on
November  5, 2019. It was published in the Federal Register as a final rule with comment
period on November 12, 2019. 84 Fed. Reg. 61142. The effective date of the rule is January 1,
2020.

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