{"abstract":"This final notice implements section 211(a)(2)(C) of the Public Law 106-113, the Medicare, Medicaid, and State Childrens Health Insurance Program Balanced Budget Refinement Act of 1999 (BBRA), that requires us to publish a notice in the Federal Register not later than 90 days after the date of enactment. This notice includes, based on the best available data, our determination of (1) allowed expenditures for physicians' services under the Medicare Supplementary Medical Insurance program (Part B) for both the 9-month period of April 1, 1999 through December 31, 1999, and for calendar year 1999, (2) estimated actual expenditures for Part B physicians' services in 1999, and (3) the sustainable growth rate (SGR) for calendar year 2000. This notice also discusses our plans for making available to the Medicare Payment Advisory Commission and the public, by March 1 of each year beginning with 2000, an estimate of the sustainable growth rate and the conversion factor for the next year and the data used in making this estimate, as required in section 211(a)(2)(A) of the BBRA.","action":"Final notice.","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/2000/04/10/00-8708.html","cfr_references":[],"citation":"65 FR 19000","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"The provisions of this notice are effective April 10, 2000.","disposition_notes":null,"docket_ids":["HCFA-1110-FN"],"dockets":[],"document_number":"00-8708","effective_on":"2000-04-10","end_page":19006,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2000/04/10/00-8708.xml","html_url":"https://www.federalregister.gov/documents/2000/04/10/00-8708/medicare-program-sustainable-growth-rate-for-the-year-2000","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/00-8708?publication_date=2000-04-10","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2000-04-10/00-8708/mods.xml","not_received_for_publication":null,"page_length":7,"page_views":{"count":52,"last_updated":"2026-04-08 20:15:06 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2000-04-10/pdf/00-8708.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2000-04-10","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2000/04/10/00-8708.txt","regulation_id_number_info":{"0938-AJ90":null},"regulation_id_numbers":["0938-AJ90"],"regulations_dot_gov_info":{},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":19000,"subtype":null,"title":"Medicare Program; Sustainable Growth Rate for the Year 2000","toc_doc":null,"toc_subject":null,"topics":[],"type":"Notice","volume":65}