{"abstract":"This interim final rule with comment period implements, or conforms the regulations to, certain statutory provisions relating to Medicare payments to hospitals for inpatient services that are contained in the Medicare, Medicaid, and State Children's Health Insurance Program Balanced Budget Refinement Act of 1999 (Public Law 106-113). These provisions relate to reclassification of hospitals from urban to rural status, reclassification of certain hospitals for purposes of payment during Federal fiscal year 2000, critical access hospitals, payments to hospitals excluded from the hospital inpatient prospective payment system, and payments for indirect and direct graduate medical education costs. Many of the provisions of Public Law 106-113 modify changes to the Social Security Act made by the Balanced Budget Act of 1997 (P.L. 105- 33). These provisions are already in effect in accordance with Public Law 106-113.","action":"Interim final rule with comment period.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Health Care Financing Administration","name":"Health Care Finance Administration","id":559,"url":"https://www.federalregister.gov/agencies/health-care-finance-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/559","parent_id":221,"slug":"health-care-finance-administration"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2000/08/01/00-19107.html","cfr_references":[{"chapter":null,"citation_url":null,"part":410,"title":42},{"chapter":null,"citation_url":null,"part":412,"title":42},{"chapter":null,"citation_url":null,"part":413,"title":42},{"chapter":null,"citation_url":null,"part":482,"title":42},{"chapter":null,"citation_url":null,"part":485,"title":42}],"citation":"65 FR 47026","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective Date: This interim final rule with comment period is effective on August 1, 2000.","disposition_notes":null,"docket_ids":["HCFA-1131-IFC"],"dockets":[],"document_number":"00-19107","effective_on":null,"end_page":47054,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2000/08/01/00-19107.xml","html_url":"https://www.federalregister.gov/documents/2000/08/01/00-19107/medicare-program-provisions-of-the-balanced-budget-refinement-act-of-1999-hospital-inpatient","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/00-19107?publication_date=2000-08-01","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2000-08-01/00-19107/mods.xml","not_received_for_publication":null,"page_length":29,"page_views":{"count":2668,"last_updated":"2026-07-27 08:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2000-08-01/pdf/00-19107.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2000-08-01","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2000/08/01/00-19107.txt","regulation_id_number_info":{"0938-AK20":null},"regulation_id_numbers":["0938-AK20"],"regulations_dot_gov_info":{},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":47026,"subtype":null,"title":"Medicare Program; Provisions of the Balanced Budget Refinement Act of 1999; Hospital Inpatient Payments and Rates and Costs of Graduate Medical Education","toc_doc":"Hospital inpatient payments and graduate medical education rates and costs; Balanced Budget Refinement Act provisions","toc_subject":"Medicare:","topics":["Administrative practice and procedure","Grant programs-health","Health facilities","Health professions","Hospitals","Kidney diseases","Laboratories","Medicaid","Medicare","Puerto Rico","Reporting and recordkeeping requirements","Rural areas","X-rays"],"type":"Rule","volume":65}