{"abstract":"This final rule modifies the Department of Health and Human Services (HHS) regulations for medical examinations of underground coal miners. Existing regulations established specifications for providing, interpreting, classifying, and submitting film-based roentgenograms (now commonly called chest radiographs or X-rays) of underground coal miners. The revised standards modify the requirements to permit the use of film-based radiography systems and add a parallel set of standards permitting the use of digital radiography systems. An additional amendment requires coal mine operators to provide the National Institute for Occupational Safety and Health (NIOSH) with employee rosters to assist the Coal Workers' Health Surveillance Program in improving participation by miners.","action":"Final rule.","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/2012/09/13/2012-22253.html","cfr_references":[{"chapter":null,"citation_url":null,"part":37,"title":42}],"citation":"77 FR 56718","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"This final rule is effective October 15, 2012. The incorporation by reference of certain publications listed in the rule is approved by the Director of the Federal Register as of October 15, 2012.","disposition_notes":null,"docket_ids":["Docket No. CDC-2011-0013","NIOSH-225"],"dockets":[],"document_number":"2012-22253","effective_on":"2012-10-15","end_page":56735,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2012/09/13/2012-22253.xml","html_url":"https://www.federalregister.gov/documents/2012/09/13/2012-22253/specifications-for-medical-examinations-of-underground-coal-miners","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2012-22253?publication_date=2012-09-13","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2012-09-13/2012-22253/mods.xml","not_received_for_publication":null,"page_length":18,"page_views":{"count":3048,"last_updated":"2026-07-27 10:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2012-09-13/pdf/2012-22253.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2012-22253.pdf?1347454614","publication_date":"2012-09-13","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2012/09/13/2012-22253.txt","regulation_id_number_info":{"0920-AA21":{"issue":"201110","html_url":"https://www.federalregister.gov/regulations/0920-AA21/amendments-to-specifications-for-medical-examinations-of-underground-coal-miners","title":"Amendments to Specifications for Medical Examinations of Underground Coal Miners","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201110&RIN=0920-AA21&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0920-AA21"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0920-AA21/amendments-to-specifications-for-medical-examinations-of-underground-coal-miners","title":"Amendments to Specifications for Medical Examinations of Underground Coal Miners"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CDC-2011-0013","supporting_documents_count":0,"docket_id":"CDC-2011-0013","regulation_id_number":"0920-AA21","title":"Specifications for Medical Examinations of Underground Coal Miners","checked_regulationsdotgov_at":"2012-10-03T08:13:03Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":56718,"subtype":null,"title":"Specifications for Medical Examinations of Underground Coal Miners","toc_doc":"Specifications for Medical Examinations of Underground Coal Miners","toc_subject":null,"topics":["Black lung benefits","Incorporation by reference","Lung diseases","Mine safety and health","Occupational safety and health","Workers' compensation","X-rays"],"type":"Rule","volume":77}