{"abstract":"The rules proposed below would revise a compliance alternative applicable to health care facilities with Hill-Burton uncompensated services obligations. The revised compliance alternative would provide a more flexible compliance standard for facilities that principally serve nonpaying patient populations by reducing the amount of time needed to qualify for certification under the alternative and by providing for a provisional certification, where a facility is unable to qualify for full certification. The rules proposed below would also provide a compliance alternative for obligated facilities with histories of uncompensated services deficits, to enable them to make up the deficits on a timely basis. These revisions would have the effect of making it easier for facilities with uncompensated services obligations to meet those obligations, while still ensuring the availability of uncompensated services to persons unable to pay.","action":"Proposed rules.","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"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2000/10/19/00-26738.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"124","title":42}],"citation":"65 FR 62976","comment_url":null,"comments_close_on":"2000-12-18","correction_of":null,"corrections":[],"dates":"To be considered, the agency must receive comments on this proposed rule on or before December 18, 2000.","disposition_notes":null,"docket_ids":[],"dockets":[],"document_number":"00-26738","effective_on":null,"end_page":62982,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2000/10/19/00-26738.xml","html_url":"https://www.federalregister.gov/documents/2000/10/19/00-26738/compliance-alternatives-for-provision-of-uncompensated-services","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/00-26738?publication_date=2000-10-19","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2000-10-19/00-26738/mods.xml","not_received_for_publication":null,"page_length":7,"page_views":{"count":70,"last_updated":"2026-10-25 02:15:05 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2000-10-19/pdf/00-26738.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2000-10-19","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2000/10/19/00-26738.txt","regulation_id_number_info":{"0906-AA52":{"issue":"200104","html_url":"https://www.federalregister.gov/regulations/0906-AA52/compliance-alternatives-for-provision-of-uncompensated-services","title":"Compliance Alternatives for Provision of Uncompensated Services","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=200104&RIN=0906-AA52&operation=OPERATION_EXPORT_XML","priority_category":"Substantive, Nonsignificant"}},"regulation_id_numbers":["0906-AA52"],"regulations_dot_gov_info":{},"regulations_dot_gov_url":null,"significant":false,"signing_date":null,"start_page":62976,"subtype":null,"title":"Compliance Alternatives for Provision of Uncompensated Services","toc_doc":"Uncompensated services; compliance alternatives","toc_subject":"Medical facility construction and modernization:","topics":["Grant programs-health","Health care","Health facilities","Loan programs-health","Reporting and recordkeeping requirements"],"type":"Proposed Rule","volume":65}