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B-332733 1 (2020-11-24)

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


B-332733

November  24, 2020

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; CY 2021 Inpatient Hospital Deductible and Hospital and Extended
        Care Services Coinsurance Amounts

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; CY 2021 Inpatient Hospital Deductible
and Hospital and Extended Care Services Coinsurance Amounts (RIN: 0938-AU14). We
received this notice on November 13, 2020. It was published in the Federal Register as a notice
on November  12, 2020. 85 Fed. Reg. 71916. The effective date of the rule is January 1, 2021.

According to CMS, this notice announces the inpatient hospital deductible and the hospital and
extended care services coinsurance amounts for services furnished in calendar year (CY) 2021
under Medicare's Hospital Insurance Program (Medicare Part A). CMS noted the Medicare
statute specifies the formulae used to determine these amounts. CMS states, for CY 2021, the
inpatient hospital deductible will be $1,484. According to CMS, the daily coinsurance amounts
for CY 2021 will be: $371 for the 61st through 90th day of hospitalization in a benefit period;
$742 for lifetime reserve days; and $185.50 for the 21st through 100th day of extended care
services in a skilled nursing facility in a benefit period.

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,

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