{"abstract":"This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2014 to implement applicable statutory requirements and changes arising from our continuing experience with these systems. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. In addition, this final rule with comment period updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program, the ASC Quality Reporting (ASCQR) Program, and the Hospital Value-Based Purchasing (VBP) Program. In the final rules in this document, we are finalizing changes to the conditions for coverage (CfCs) for organ procurement organizations (OPOs); revisions to the Quality Improvement Organization (QIO) regulations; changes to the Medicare fee-for-service Electronic Health Record (EHR) Incentive Program; and changes relating to provider reimbursement determinations and appeals.","action":"Final rule with comment period and final 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"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2013/12/10/2013-28737.html","cfr_references":[{"chapter":null,"citation_url":null,"part":405,"title":42},{"chapter":null,"citation_url":null,"part":410,"title":42},{"chapter":null,"citation_url":null,"part":412,"title":42},{"chapter":null,"citation_url":null,"part":419,"title":42},{"chapter":null,"citation_url":null,"part":475,"title":42},{"chapter":null,"citation_url":null,"part":476,"title":42},{"chapter":null,"citation_url":null,"part":486,"title":42},{"chapter":null,"citation_url":null,"part":495,"title":42}],"citation":"78 FR 74826","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective Dates: The final rule with comment period and final rules in this document are effective on January 1, 2014, with the exception of 42 CFR 412.167; 42 CFR 486.316 and 486.318; 42 CFR 475.1 and 475.100 through 475.107; and 42 CFR 495.4 and 495.104, which are effective on January 27, 2014.","disposition_notes":null,"docket_ids":["CMS-1601-FC"],"dockets":[],"document_number":"2013-28737","effective_on":null,"end_page":75200,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2013/12/10/2013-28737.xml","html_url":"https://www.federalregister.gov/documents/2013/12/10/2013-28737/medicare-and-medicaid-programs-hospital-outpatient-prospective-payment-and-ambulatory-surgical","images":{"ER10DE13.346":{"original_size":"https://img.federalregister.gov/ER10DE13.346/ER10DE13.346_original_size.png"},"ER10DE13.347":{"original_size":"https://img.federalregister.gov/ER10DE13.347/ER10DE13.347_original_size.png"},"ER10DE13.344":{"original_size":"https://img.federalregister.gov/ER10DE13.344/ER10DE13.344_original_size.png"},"ER10DE13.345":{"original_size":"https://img.federalregister.gov/ER10DE13.345/ER10DE13.345_original_size.png"},"ER10DE13.342":{"original_size":"https://img.federalregister.gov/ER10DE13.342/ER10DE13.342_original_size.png"},"ER10DE13.343":{"original_size":"https://img.federalregister.gov/ER10DE13.343/ER10DE13.343_original_size.png"},"ER10DE13.340":{"original_size":"https://img.federalregister.gov/ER10DE13.340/ER10DE13.340_original_size.png"},"ER10DE13.341":{"original_size":"https://img.federalregister.gov/ER10DE13.341/ER10DE13.341_original_size.png"},"ER10DE13.348":{"original_size":"https://img.federalregister.gov/ER10DE13.348/ER10DE13.348_original_size.png"},"ER10DE13.349":{"original_size":"https://img.federalregister.gov/ER10DE13.349/ER10DE13.349_original_size.png"},"ER10DE13.294":{"original_size":"https://img.federalregister.gov/ER10DE13.294/ER10DE13.294_original_size.png"},"ER10DE13.295":{"original_size":"https://img.federalregister.gov/ER10DE13.295/ER10DE13.295_original_size.png"},"ER10DE13.292":{"original_size":"https://img.federalregister.gov/ER10DE13.292/ER10DE13.292_original_size.png"},"ER10DE13.290":{"original_size":"https://img.federalregister.gov/ER10DE13.290/ER10DE13.290_original_size.png"},"ER10DE13.291":{"original_size":"https://img.federalregister.gov/ER10DE13.291/ER10DE13.291_original_size.png"},"ER10DE13.335":{"original_size":"https://img.federalregister.gov/ER10DE13.335/ER10DE13.335_original_size.png"},"ER10DE13.336":{"original_size":"https://img.federalregister.gov/ER10DE13.336/ER10DE13.336_original_size.png"},"ER10DE13.333":{"original_size":"https://img.federalregister.gov/ER10DE13.333/ER10DE13.333_original_size.png"},"ER10DE13.334":{"original_size":"https://img.federalregister.gov/ER10DE13.334/ER10DE13.334_original_size.png"},"ER10DE13.298":{"original_size":"https://img.federalregister.gov/ER10DE13.298/ER10DE13.298_original_size.png"},"ER10DE13.331":{"original_size":"https://img.federalregister.gov/ER10DE13.331/ER10DE13.331_original_size.png"},"ER10DE13.299":{"original_size":"https://img.federalregister.gov/ER10DE13.299/ER10DE13.299_original_size.png"},"ER10DE13.332":{"original_size":"https://img.federalregister.gov/ER10DE13.332/ER10DE13.332_original_size.png"},"ER10DE13.296":{"original_size":"https://img.federalregister.gov/ER10DE13.296/ER10DE13.296_original_size.png"},"ER10DE13.297":{"original_size":"https://img.federalregister.gov/ER10DE13.297/ER10DE13.297_original_size.png"},"ER10DE13.330":{"original_size":"https://img.federalregister.gov/ER10DE13.330/ER10DE13.330_original_size.png"},"ER10DE13.339":{"original_size":"https://img.federalregister.gov/ER10DE13.339/ER10DE13.339_original_size.png"},"ER10DE13.337":{"original_size":"https://img.federalregister.gov/ER10DE13.337/ER10DE13.337_original_size.png"},"ER10DE13.338":{"original_size":"https://img.federalregister.gov/ER10DE13.338/ER10DE13.338_original_size.png"},"ER10DE13.283":{"original_size":"https://img.federalregister.gov/ER10DE13.283/ER10DE13.283_original_size.png"},"ER10DE13.284":{"original_size":"https://img.federalregister.gov/ER10DE13.284/ER10DE13.284_original_size.png"},"ER10DE13.281":{"original_size":"https://img.federalregister.gov/ER10DE13.281/ER10DE13.281_original_size.png"},"ER10DE13.282":{"original_size":"https://img.federalregister.gov/ER10DE13.282/ER10DE13.282_original_size.png"},"ER10DE13.280":{"original_size":"https://img.federalregister.gov/ER10DE13.280/ER10DE13.280_original_size.png"},"ER10DE13.324":{"original_size":"https://img.federalregister.gov/ER10DE13.324/ER10DE13.324_original_size.png"},"ER10DE13.325":{"original_size":"https://img.federalregister.gov/ER10DE13.325/ER10DE13.325_original_size.png"},"ER10DE13.289":{"original_size":"https://img.federalregister.gov/ER10DE13.289/ER10DE13.289_original_size.png"},"ER10DE13.322":{"original_size":"https://img.federalregister.gov/ER10DE13.322/ER10DE13.322_original_size.png"},"ER10DE13.323":{"original_size":"https://img.federalregister.gov/ER10DE13.323/ER10DE13.323_original_size.png"},"ER10DE13.287":{"original_size":"https://img.federalregister.gov/ER10DE13.287/ER10DE13.287_original_size.png"},"ER10DE13.320":{"original_size":"https://img.federalregister.gov/ER10DE13.320/ER10DE13.320_original_size.png"},"ER10DE13.288":{"original_size":"https://img.federalregister.gov/ER10DE13.288/ER10DE13.288_original_size.png"},"ER10DE13.285":{"original_size":"https://img.federalregister.gov/ER10DE13.285/ER10DE13.285_original_size.png"},"ER10DE13.286":{"original_size":"https://img.federalregister.gov/ER10DE13.286/ER10DE13.286_original_size.png"},"ER10DE13.328":{"original_size":"https://img.federalregister.gov/ER10DE13.328/ER10DE13.328_original_size.png"},"ER10DE13.329":{"original_size":"https://img.federalregister.gov/ER10DE13.329/ER10DE13.329_original_size.png"},"ER10DE13.326":{"original_size":"https://img.federalregister.gov/ER10DE13.326/ER10DE13.326_original_size.png"},"ER10DE13.327":{"original_size":"https://img.federalregister.gov/ER10DE13.327/ER10DE13.327_original_size.png"},"ER10DE13.272":{"original_size":"https://img.federalregister.gov/ER10DE13.272/ER10DE13.272_original_size.png"},"ER10DE13.273":{"original_size":"https://img.federalregister.gov/ER10DE13.273/ER10DE13.273_original_size.png"},"ER10DE13.270":{"original_size":"https://img.federalregister.gov/ER10DE13.270/ER10DE13.270_original_size.png"},"ER10DE13.271":{"original_size":"https://img.federalregister.gov/ER10DE13.271/ER10DE13.271_original_size.png"},"ER10DE13.313":{"original_size":"https://img.federalregister.gov/ER10DE13.313/ER10DE13.313_original_size.png"},"ER10DE13.314":{"original_size":"https://img.federalregister.gov/ER10DE13.314/ER10DE13.314_original_size.png"},"ER10DE13.278":{"original_size":"https://img.federalregister.gov/ER10DE13.278/ER10DE13.278_original_size.png"},"ER10DE13.311":{"original_size":"https://img.federalregister.gov/ER10DE13.311/ER10DE13.311_original_size.png"},"ER10DE13.279":{"original_size":"https://img.federalregister.gov/ER10DE13.279/ER10DE13.279_original_size.png"},"ER10DE13.312":{"original_size":"https://img.federalregister.gov/ER10DE13.312/ER10DE13.312_original_size.png"},"ER10DE13.276":{"original_size":"https://img.federalregister.gov/ER10DE13.276/ER10DE13.276_original_size.png"},"ER10DE13.277":{"original_size":"https://img.federalregister.gov/ER10DE13.277/ER10DE13.277_original_size.png"},"ER10DE13.274":{"original_size":"https://img.federalregister.gov/ER10DE13.274/ER10DE13.274_original_size.png"},"ER10DE13.275":{"original_size":"https://img.federalregister.gov/ER10DE13.275/ER10DE13.275_original_size.png"},"ER10DE13.319":{"original_size":"https://img.federalregister.gov/ER10DE13.319/ER10DE13.319_original_size.png"},"ER10DE13.317":{"original_size":"https://img.federalregister.gov/ER10DE13.317/ER10DE13.317_original_size.png"},"ER10DE13.318":{"original_size":"https://img.federalregister.gov/ER10DE13.318/ER10DE13.318_original_size.png"},"ER10DE13.315":{"original_size":"https://img.federalregister.gov/ER10DE13.315/ER10DE13.315_original_size.png"},"ER10DE13.316":{"original_size":"https://img.federalregister.gov/ER10DE13.316/ER10DE13.316_original_size.png"},"ER10DE13.262":{"original_size":"https://img.federalregister.gov/ER10DE13.262/ER10DE13.262_original_size.png"},"ER10DE13.261":{"original_size":"https://img.federalregister.gov/ER10DE13.261/ER10DE13.261_original_size.png"},"ER10DE13.268":{"original_size":"https://img.federalregister.gov/ER10DE13.268/ER10DE13.268_original_size.png"},"ER10DE13.302":{"original_size":"https://img.federalregister.gov/ER10DE13.302/ER10DE13.302_original_size.png"},"ER10DE13.267":{"original_size":"https://img.federalregister.gov/ER10DE13.267/ER10DE13.267_original_size.png"},"ER10DE13.303":{"original_size":"https://img.federalregister.gov/ER10DE13.303/ER10DE13.303_original_size.png"},"ER10DE13.300":{"original_size":"https://img.federalregister.gov/ER10DE13.300/ER10DE13.300_original_size.png"},"ER10DE13.269":{"original_size":"https://img.federalregister.gov/ER10DE13.269/ER10DE13.269_original_size.png"},"ER10DE13.301":{"original_size":"https://img.federalregister.gov/ER10DE13.301/ER10DE13.301_original_size.png"},"ER10DE13.264":{"original_size":"https://img.federalregister.gov/ER10DE13.264/ER10DE13.264_original_size.png"},"ER10DE13.263":{"original_size":"https://img.federalregister.gov/ER10DE13.263/ER10DE13.263_original_size.png"},"ER10DE13.266":{"original_size":"https://img.federalregister.gov/ER10DE13.266/ER10DE13.266_original_size.png"},"ER10DE13.265":{"original_size":"https://img.federalregister.gov/ER10DE13.265/ER10DE13.265_original_size.png"},"ER10DE13.308":{"original_size":"https://img.federalregister.gov/ER10DE13.308/ER10DE13.308_original_size.png"},"ER10DE13.309":{"original_size":"https://img.federalregister.gov/ER10DE13.309/ER10DE13.309_original_size.png"},"ER10DE13.306":{"original_size":"https://img.federalregister.gov/ER10DE13.306/ER10DE13.306_original_size.png"},"ER10DE13.307":{"original_size":"https://img.federalregister.gov/ER10DE13.307/ER10DE13.307_original_size.png"},"ER10DE13.304":{"original_size":"https://img.federalregister.gov/ER10DE13.304/ER10DE13.304_original_size.png"},"ER10DE13.371":{"original_size":"https://img.federalregister.gov/ER10DE13.371/ER10DE13.371_original_size.png"},"ER10DE13.372":{"original_size":"https://img.federalregister.gov/ER10DE13.372/ER10DE13.372_original_size.png"},"ER10DE13.370":{"original_size":"https://img.federalregister.gov/ER10DE13.370/ER10DE13.370_original_size.png"},"ER10DE13.375":{"original_size":"https://img.federalregister.gov/ER10DE13.375/ER10DE13.375_original_size.png"},"ER10DE13.376":{"original_size":"https://img.federalregister.gov/ER10DE13.376/ER10DE13.376_original_size.png"},"ER10DE13.373":{"original_size":"https://img.federalregister.gov/ER10DE13.373/ER10DE13.373_original_size.png"},"ER10DE13.374":{"original_size":"https://img.federalregister.gov/ER10DE13.374/ER10DE13.374_original_size.png"},"ER10DE13.360":{"original_size":"https://img.federalregister.gov/ER10DE13.360/ER10DE13.360_original_size.png"},"ER10DE13.361":{"original_size":"https://img.federalregister.gov/ER10DE13.361/ER10DE13.361_original_size.png"},"ER10DE13.368":{"original_size":"https://img.federalregister.gov/ER10DE13.368/ER10DE13.368_original_size.png"},"ER10DE13.369":{"original_size":"https://img.federalregister.gov/ER10DE13.369/ER10DE13.369_original_size.png"},"ER10DE13.366":{"original_size":"https://img.federalregister.gov/ER10DE13.366/ER10DE13.366_original_size.png"},"ER10DE13.367":{"original_size":"https://img.federalregister.gov/ER10DE13.367/ER10DE13.367_original_size.png"},"ER10DE13.364":{"original_size":"https://img.federalregister.gov/ER10DE13.364/ER10DE13.364_original_size.png"},"ER10DE13.365":{"original_size":"https://img.federalregister.gov/ER10DE13.365/ER10DE13.365_original_size.png"},"ER10DE13.362":{"original_size":"https://img.federalregister.gov/ER10DE13.362/ER10DE13.362_original_size.png"},"ER10DE13.363":{"original_size":"https://img.federalregister.gov/ER10DE13.363/ER10DE13.363_original_size.png"},"ER10DE13.350":{"original_size":"https://img.federalregister.gov/ER10DE13.350/ER10DE13.350_original_size.png"},"ER10DE13.357":{"original_size":"https://img.federalregister.gov/ER10DE13.357/ER10DE13.357_original_size.png"},"ER10DE13.358":{"original_size":"https://img.federalregister.gov/ER10DE13.358/ER10DE13.358_original_size.png"},"ER10DE13.355":{"original_size":"https://img.federalregister.gov/ER10DE13.355/ER10DE13.355_original_size.png"},"ER10DE13.356":{"original_size":"https://img.federalregister.gov/ER10DE13.356/ER10DE13.356_original_size.png"},"ER10DE13.353":{"original_size":"https://img.federalregister.gov/ER10DE13.353/ER10DE13.353_original_size.png"},"ER10DE13.354":{"original_size":"https://img.federalregister.gov/ER10DE13.354/ER10DE13.354_original_size.png"},"ER10DE13.351":{"original_size":"https://img.federalregister.gov/ER10DE13.351/ER10DE13.351_original_size.png"},"ER10DE13.352":{"original_size":"https://img.federalregister.gov/ER10DE13.352/ER10DE13.352_original_size.png"},"ER10DE13.359":{"original_size":"https://img.federalregister.gov/ER10DE13.359/ER10DE13.359_original_size.png"}},"images_metadata":{"ER10DE13.346":{"original_size":{"identifier":"ER10DE13.346","content_type":"image/png","size":86301,"width":3687,"sha":"24945923f2ca9b95f3a1f5f19c995b0d","url":"https://img.federalregister.gov/ER10DE13.346/ER10DE13.346_original_size.png","height":1627}},"ER10DE13.347":{"original_size":{"identifier":"ER10DE13.347","content_type":"image/png","size":76397,"width":3654,"sha":"a2e725a598a3331598f46acf1f93e295","url":"https://img.federalregister.gov/ER10DE13.347/ER10DE13.347_original_size.png","height":1762}},"ER10DE13.344":{"original_size":{"identifier":"ER10DE13.344","content_type":"image/png","size":78008,"width":3609,"sha":"d858906fec583cb91d6fa0b73e94fa54","url":"https://img.federalregister.gov/ER10DE13.344/ER10DE13.344_original_size.png","height":1746}},"ER10DE13.345":{"original_size":{"identifier":"ER10DE13.345","content_type":"image/png","size":92346,"width":3609,"sha":"3be75afcfe7ebd27a58995ffb01a226d","url":"https://img.federalregister.gov/ER10DE13.345/ER10DE13.345_original_size.png","height":2544}},"ER10DE13.342":{"original_size":{"identifier":"ER10DE13.342","content_type":"image/png","size":66900,"width":3605,"sha":"2b182df4e92ce35c9c00624425e7b8cb","url":"https://img.federalregister.gov/ER10DE13.342/ER10DE13.342_original_size.png","height":1224}},"ER10DE13.343":{"original_size":{"identifier":"ER10DE13.343","content_type":"image/png","size":132675,"width":3694,"sha":"c6ed0a23de9a17acf8cb3926fb67dbff","url":"https://img.federalregister.gov/ER10DE13.343/ER10DE13.343_original_size.png","height":3434}},"ER10DE13.340":{"original_size":{"identifier":"ER10DE13.340","content_type":"image/png","size":200339,"width":3682,"sha":"ddc3f4a8613a4dede8b4b3006a93997a","url":"https://img.federalregister.gov/ER10DE13.340/ER10DE13.340_original_size.png","height":3999}},"ER10DE13.341":{"original_size":{"identifier":"ER10DE13.341","content_type":"image/png","size":248106,"width":3605,"sha":"4369cc087055dbbba4820cf05459f1fc","url":"https://img.federalregister.gov/ER10DE13.341/ER10DE13.341_original_size.png","height":5353}},"ER10DE13.348":{"original_size":{"identifier":"ER10DE13.348","content_type":"image/png","size":116235,"width":3654,"sha":"7e91192c59e57338d8dfca97a56d60aa","url":"https://img.federalregister.gov/ER10DE13.348/ER10DE13.348_original_size.png","height":2363}},"ER10DE13.349":{"original_size":{"identifier":"ER10DE13.349","content_type":"image/png","size":59731,"width":3694,"sha":"d6685ba0222dab80e9a0989e45afff38","url":"https://img.federalregister.gov/ER10DE13.349/ER10DE13.349_original_size.png","height":1372}},"ER10DE13.294":{"original_size":{"identifier":"ER10DE13.294","content_type":"image/png","size":165328,"width":3832,"sha":"ee32b17784e517b9922a851436b072d4","url":"https://img.federalregister.gov/ER10DE13.294/ER10DE13.294_original_size.png","height":5333}},"ER10DE13.295":{"original_size":{"identifier":"ER10DE13.295","content_type":"image/png","size":212978,"width":3832,"sha":"c28307e45685d0e96f356f3b0100ba66","url":"https://img.federalregister.gov/ER10DE13.295/ER10DE13.295_original_size.png","height":4639}},"ER10DE13.292":{"original_size":{"identifier":"ER10DE13.292","content_type":"image/png","size":214258,"width":3732,"sha":"ac74cc4a299ebde775a232e504cafc05","url":"https://img.federalregister.gov/ER10DE13.292/ER10DE13.292_original_size.png","height":5333}},"ER10DE13.290":{"original_size":{"identifier":"ER10DE13.290","content_type":"image/png","size":199283,"width":3732,"sha":"a72b7b46bd577db5cfeae84a076e7ece","url":"https://img.federalregister.gov/ER10DE13.290/ER10DE13.290_original_size.png","height":5333}},"ER10DE13.291":{"original_size":{"identifier":"ER10DE13.291","content_type":"image/png","size":205999,"width":3732,"sha":"2d4ce1503414a11d116408863d812907","url":"https://img.federalregister.gov/ER10DE13.291/ER10DE13.291_original_size.png","height":5333}},"ER10DE13.335":{"original_size":{"identifier":"ER10DE13.335","content_type":"image/png","size":60131,"width":3258,"sha":"dfce6d95663c7c5ae6b199235c72baa9","url":"https://img.federalregister.gov/ER10DE13.335/ER10DE13.335_original_size.png","height":2304}},"ER10DE13.336":{"original_size":{"identifier":"ER10DE13.336","content_type":"image/png","size":289731,"width":3606,"sha":"ef18532bb7e02f29584b02c9b390457e","url":"https://img.federalregister.gov/ER10DE13.336/ER10DE13.336_original_size.png","height":5333}},"ER10DE13.333":{"original_size":{"identifier":"ER10DE13.333","content_type":"image/png","size":127098,"width":3490,"sha":"479144d988e7ee569ce29fff814e977f","url":"https://img.federalregister.gov/ER10DE13.333/ER10DE13.333_original_size.png","height":3165}},"ER10DE13.334":{"original_size":{"identifier":"ER10DE13.334","content_type":"image/png","size":221981,"width":3342,"sha":"b517006204fc9305d5c5511ae66cfe34","url":"https://img.federalregister.gov/ER10DE13.334/ER10DE13.334_original_size.png","height":4609}},"ER10DE13.298":{"original_size":{"identifier":"ER10DE13.298","content_type":"image/png","size":213657,"width":3805,"sha":"f6974d926d23cfed43a1a83d7acd4d54","url":"https://img.federalregister.gov/ER10DE13.298/ER10DE13.298_original_size.png","height":5333}},"ER10DE13.331":{"original_size":{"identifier":"ER10DE13.331","content_type":"image/png","size":148073,"width":3524,"sha":"296711b62dfae8986702e63f98ba64c2","url":"https://img.federalregister.gov/ER10DE13.331/ER10DE13.331_original_size.png","height":3469}},"ER10DE13.299":{"original_size":{"identifier":"ER10DE13.299","content_type":"image/png","size":197948,"width":3805,"sha":"574f0e2a47686a76552e828814d79965","url":"https://img.federalregister.gov/ER10DE13.299/ER10DE13.299_original_size.png","height":5333}},"ER10DE13.332":{"original_size":{"identifier":"ER10DE13.332","content_type":"image/png","size":270517,"width":3724,"sha":"0c56cd0ca2067b6636a5a658f38098a1","url":"https://img.federalregister.gov/ER10DE13.332/ER10DE13.332_original_size.png","height":4934}},"ER10DE13.296":{"original_size":{"identifier":"ER10DE13.296","content_type":"image/png","size":197170,"width":3805,"sha":"9191c109bfb467f0348161c88be9682d","url":"https://img.federalregister.gov/ER10DE13.296/ER10DE13.296_original_size.png","height":5333}},"ER10DE13.297":{"original_size":{"identifier":"ER10DE13.297","content_type":"image/png","size":182314,"width":3805,"sha":"3c8dc7b0b62e43e5050ee39bad8d1f11","url":"https://img.federalregister.gov/ER10DE13.297/ER10DE13.297_original_size.png","height":5333}},"ER10DE13.330":{"original_size":{"identifier":"ER10DE13.330","content_type":"image/png","size":198902,"width":3552,"sha":"9a71f9ff4641d576cb89aa010bc33780","url":"https://img.federalregister.gov/ER10DE13.330/ER10DE13.330_original_size.png","height":5333}},"ER10DE13.339":{"original_size":{"identifier":"ER10DE13.339","content_type":"image/png","size":178948,"width":3762,"sha":"441ddd4a0c92c1e0ce9db7f6821581ca","url":"https://img.federalregister.gov/ER10DE13.339/ER10DE13.339_original_size.png","height":4078}},"ER10DE13.337":{"original_size":{"identifier":"ER10DE13.337","content_type":"image/png","size":299309,"width":3606,"sha":"404250e5e79693be8a1bb309a4b3308a","url":"https://img.federalregister.gov/ER10DE13.337/ER10DE13.337_original_size.png","height":5333}},"ER10DE13.338":{"original_size":{"identifier":"ER10DE13.338","content_type":"image/png","size":69994,"width":3606,"sha":"f7f48f8af7a2015932959a09424a603b","url":"https://img.federalregister.gov/ER10DE13.338/ER10DE13.338_original_size.png","height":1432}},"ER10DE13.283":{"original_size":{"identifier":"ER10DE13.283","content_type":"image/png","size":207223,"width":3732,"sha":"b2c3fdc12d23d48104bdb9daabdd4040","url":"https://img.federalregister.gov/ER10DE13.283/ER10DE13.283_original_size.png","height":5333}},"ER10DE13.284":{"original_size":{"identifier":"ER10DE13.284","content_type":"image/png","size":200750,"width":3732,"sha":"c5b515de13c7f5cb34ed5891743702b2","url":"https://img.federalregister.gov/ER10DE13.284/ER10DE13.284_original_size.png","height":5333}},"ER10DE13.281":{"original_size":{"identifier":"ER10DE13.281","content_type":"image/png","size":198919,"width":3732,"sha":"3c585ae14ee60e27fa34868c55d8f009","url":"https://img.federalregister.gov/ER10DE13.281/ER10DE13.281_original_size.png","height":5333}},"ER10DE13.282":{"original_size":{"identifier":"ER10DE13.282","content_type":"image/png","size":201564,"width":3732,"sha":"cf56a0ae3bd453724d52fbb34dc42ada","url":"https://img.federalregister.gov/ER10DE13.282/ER10DE13.282_original_size.png","height":5333}},"ER10DE13.280":{"original_size":{"identifier":"ER10DE13.280","content_type":"image/png","size":227960,"width":4333,"sha":"2ff405be60d3d50a28a57c06d2439f20","url":"https://img.federalregister.gov/ER10DE13.280/ER10DE13.280_original_size.png","height":3818}},"ER10DE13.324":{"original_size":{"identifier":"ER10DE13.324","content_type":"image/png","size":105344,"width":3694,"sha":"790539ce30fc3f382f4bf0b14ab76747","url":"https://img.federalregister.gov/ER10DE13.324/ER10DE13.324_original_size.png","height":2428}},"ER10DE13.325":{"original_size":{"identifier":"ER10DE13.325","content_type":"image/png","size":228976,"width":3968,"sha":"b77e8f4aa508c64ba09863866f72f9a9","url":"https://img.federalregister.gov/ER10DE13.325/ER10DE13.325_original_size.png","height":5333}},"ER10DE13.289":{"original_size":{"identifier":"ER10DE13.289","content_type":"image/png","size":211163,"width":3732,"sha":"4205b0085a3c2600a8598d0cc8addb81","url":"https://img.federalregister.gov/ER10DE13.289/ER10DE13.289_original_size.png","height":5333}},"ER10DE13.322":{"original_size":{"identifier":"ER10DE13.322","content_type":"image/png","size":160204,"width":3860,"sha":"bd74666cc5ef909b41950e3b36737245","url":"https://img.federalregister.gov/ER10DE13.322/ER10DE13.322_original_size.png","height":3219}},"ER10DE13.323":{"original_size":{"identifier":"ER10DE13.323","content_type":"image/png","size":67452,"width":3694,"sha":"3349b371fdddfdfc53a837277564e517","url":"https://img.federalregister.gov/ER10DE13.323/ER10DE13.323_original_size.png","height":1713}},"ER10DE13.287":{"original_size":{"identifier":"ER10DE13.287","content_type":"image/png","size":199964,"width":3732,"sha":"46272da6eb716dcb800395cf7ad3f0b3","url":"https://img.federalregister.gov/ER10DE13.287/ER10DE13.287_original_size.png","height":5333}},"ER10DE13.320":{"original_size":{"identifier":"ER10DE13.320","content_type":"image/png","size":200141,"width":3893,"sha":"4cb9fb248aeae9c2e61ec7bf535852ab","url":"https://img.federalregister.gov/ER10DE13.320/ER10DE13.320_original_size.png","height":4056}},"ER10DE13.288":{"original_size":{"identifier":"ER10DE13.288","content_type":"image/png","size":211452,"width":3732,"sha":"df95ff731cdbecb7ee63770f32a697c8","url":"https://img.federalregister.gov/ER10DE13.288/ER10DE13.288_original_size.png","height":5333}},"ER10DE13.285":{"original_size":{"identifier":"ER10DE13.285","content_type":"image/png","size":193649,"width":3732,"sha":"c1fdb4f744d9318ddb925f4eaf084909","url":"https://img.federalregister.gov/ER10DE13.285/ER10DE13.285_original_size.png","height":5333}},"ER10DE13.286":{"original_size":{"identifier":"ER10DE13.286","content_type":"image/png","size":195200,"width":3732,"sha":"cd14ea5fb013bc69393b803ef5e7c776","url":"https://img.federalregister.gov/ER10DE13.286/ER10DE13.286_original_size.png","height":5333}},"ER10DE13.328":{"original_size":{"identifier":"ER10DE13.328","content_type":"image/png","size":226010,"width":3789,"sha":"c02ddf0257133c3e3baeb8f495e4739b","url":"https://img.federalregister.gov/ER10DE13.328/ER10DE13.328_original_size.png","height":5333}},"ER10DE13.329":{"original_size":{"identifier":"ER10DE13.329","content_type":"image/png","size":256926,"width":3682,"sha":"de278661555f5f2ca8dbae6e3b4d877b","url":"https://img.federalregister.gov/ER10DE13.329/ER10DE13.329_original_size.png","height":5333}},"ER10DE13.326":{"original_size":{"identifier":"ER10DE13.326","content_type":"image/png","size":81006,"width":4064,"sha":"507dfbe22d6d00448bb1f218934548ad","url":"https://img.federalregister.gov/ER10DE13.326/ER10DE13.326_original_size.png","height":1550}},"ER10DE13.327":{"original_size":{"identifier":"ER10DE13.327","content_type":"image/png","size":156321,"width":3755,"sha":"e6025d4cd9d2d0e284ee0918a964d8c3","url":"https://img.federalregister.gov/ER10DE13.327/ER10DE13.327_original_size.png","height":3800}},"ER10DE13.272":{"original_size":{"identifier":"ER10DE13.272","content_type":"image/png","size":296681,"width":4333,"sha":"70167c4f7bcb2c46a625f34089fa7f9d","url":"https://img.federalregister.gov/ER10DE13.272/ER10DE13.272_original_size.png","height":5143}},"ER10DE13.273":{"original_size":{"identifier":"ER10DE13.273","content_type":"image/png","size":273578,"width":4333,"sha":"55b1e80cfee2021bd20ffda9bae48585","url":"https://img.federalregister.gov/ER10DE13.273/ER10DE13.273_original_size.png","height":5241}},"ER10DE13.270":{"original_size":{"identifier":"ER10DE13.270","content_type":"image/png","size":296954,"width":4333,"sha":"a82a0617a7daa21cb5d954e2f97516cd","url":"https://img.federalregister.gov/ER10DE13.270/ER10DE13.270_original_size.png","height":5095}},"ER10DE13.271":{"original_size":{"identifier":"ER10DE13.271","content_type":"image/png","size":273917,"width":4333,"sha":"11acfea3138c86918837e8ea76cbbb91","url":"https://img.federalregister.gov/ER10DE13.271/ER10DE13.271_original_size.png","height":5135}},"ER10DE13.313":{"original_size":{"identifier":"ER10DE13.313","content_type":"image/png","size":237594,"width":3905,"sha":"c0fb616d4b79ef6f3e82f16d5848b668","url":"https://img.federalregister.gov/ER10DE13.313/ER10DE13.313_original_size.png","height":5333}},"ER10DE13.314":{"original_size":{"identifier":"ER10DE13.314","content_type":"image/png","size":275329,"width":3827,"sha":"952cd79a4bdd61f44358220dd82ec366","url":"https://img.federalregister.gov/ER10DE13.314/ER10DE13.314_original_size.png","height":5333}},"ER10DE13.278":{"original_size":{"identifier":"ER10DE13.278","content_type":"image/png","size":282692,"width":4333,"sha":"64072e043f2768c8fbaebbd356f4e943","url":"https://img.federalregister.gov/ER10DE13.278/ER10DE13.278_original_size.png","height":5260}},"ER10DE13.311":{"original_size":{"identifier":"ER10DE13.311","content_type":"image/png","size":118938,"width":3650,"sha":"cd5295f699716a66ada10f2b14c165bd","url":"https://img.federalregister.gov/ER10DE13.311/ER10DE13.311_original_size.png","height":2831}},"ER10DE13.279":{"original_size":{"identifier":"ER10DE13.279","content_type":"image/png","size":287108,"width":4333,"sha":"9e1fb1fc9081b3a8990062a13940dd99","url":"https://img.federalregister.gov/ER10DE13.279/ER10DE13.279_original_size.png","height":5143}},"ER10DE13.312":{"original_size":{"identifier":"ER10DE13.312","content_type":"image/png","size":156583,"width":3868,"sha":"e6f205902c264e765be322789ffdcb3b","url":"https://img.federalregister.gov/ER10DE13.312/ER10DE13.312_original_size.png","height":3459}},"ER10DE13.276":{"original_size":{"identifier":"ER10DE13.276","content_type":"image/png","size":292466,"width":4333,"sha":"c3cb0a65caa0ae4f35ef879a402c50bf","url":"https://img.federalregister.gov/ER10DE13.276/ER10DE13.276_original_size.png","height":5143}},"ER10DE13.277":{"original_size":{"identifier":"ER10DE13.277","content_type":"image/png","size":276795,"width":4333,"sha":"6d3e4e41ed040381009c12b73c7eed7f","url":"https://img.federalregister.gov/ER10DE13.277/ER10DE13.277_original_size.png","height":5260}},"ER10DE13.274":{"original_size":{"identifier":"ER10DE13.274","content_type":"image/png","size":279416,"width":4333,"sha":"f5d364b86d1d0a6c8a7f5bff28227dfe","url":"https://img.federalregister.gov/ER10DE13.274/ER10DE13.274_original_size.png","height":5138}},"ER10DE13.275":{"original_size":{"identifier":"ER10DE13.275","content_type":"image/png","size":273750,"width":4333,"sha":"b46d4359325059e335e2221ce85a6096","url":"https://img.federalregister.gov/ER10DE13.275/ER10DE13.275_original_size.png","height":5257}},"ER10DE13.319":{"original_size":{"identifier":"ER10DE13.319","content_type":"image/png","size":222516,"width":3533,"sha":"e0a911078fd69f4a22e7c2f0d7ea6ac1","url":"https://img.federalregister.gov/ER10DE13.319/ER10DE13.319_original_size.png","height":4014}},"ER10DE13.317":{"original_size":{"identifier":"ER10DE13.317","content_type":"image/png","size":136163,"width":3700,"sha":"d4444cb88b133a15602d1c9a1d32b357","url":"https://img.federalregister.gov/ER10DE13.317/ER10DE13.317_original_size.png","height":2403}},"ER10DE13.318":{"original_size":{"identifier":"ER10DE13.318","content_type":"image/png","size":157622,"width":4013,"sha":"8d08d1592d0218ae2e4f4613eddc8418","url":"https://img.federalregister.gov/ER10DE13.318/ER10DE13.318_original_size.png","height":2949}},"ER10DE13.315":{"original_size":{"identifier":"ER10DE13.315","content_type":"image/png","size":256494,"width":3905,"sha":"284b49c5e536574ce1d2ea8e05aa6fbd","url":"https://img.federalregister.gov/ER10DE13.315/ER10DE13.315_original_size.png","height":5333}},"ER10DE13.316":{"original_size":{"identifier":"ER10DE13.316","content_type":"image/png","size":46009,"width":3905,"sha":"8d55a6279191775e54f13a197d78a103","url":"https://img.federalregister.gov/ER10DE13.316/ER10DE13.316_original_size.png","height":1048}},"ER10DE13.262":{"original_size":{"identifier":"ER10DE13.262","content_type":"image/png","size":263247,"width":3745,"sha":"aa61aff7db4b47014a1b45c0e5abde58","url":"https://img.federalregister.gov/ER10DE13.262/ER10DE13.262_original_size.png","height":5333}},"ER10DE13.261":{"original_size":{"identifier":"ER10DE13.261","content_type":"image/png","size":48965,"width":3411,"sha":"41982c7d89f0399a3bb0870b2e4572bf","url":"https://img.federalregister.gov/ER10DE13.261/ER10DE13.261_original_size.png","height":1469}},"ER10DE13.268":{"original_size":{"identifier":"ER10DE13.268","content_type":"image/png","size":305845,"width":3769,"sha":"09c9dd2db7179276e60fa22213d768eb","url":"https://img.federalregister.gov/ER10DE13.268/ER10DE13.268_original_size.png","height":5291}},"ER10DE13.302":{"original_size":{"identifier":"ER10DE13.302","content_type":"image/png","size":59060,"width":2975,"sha":"60061a6fdd29c92a7f3f6a32eb624944","url":"https://img.federalregister.gov/ER10DE13.302/ER10DE13.302_original_size.png","height":1556}},"ER10DE13.267":{"original_size":{"identifier":"ER10DE13.267","content_type":"image/png","size":306716,"width":3741,"sha":"b51d99da805d0a60b45c11d68a0b3047","url":"https://img.federalregister.gov/ER10DE13.267/ER10DE13.267_original_size.png","height":5333}},"ER10DE13.303":{"original_size":{"identifier":"ER10DE13.303","content_type":"image/png","size":317080,"width":3776,"sha":"52caa40c8c23e35d75f84c115b461091","url":"https://img.federalregister.gov/ER10DE13.303/ER10DE13.303_original_size.png","height":5333}},"ER10DE13.300":{"original_size":{"identifier":"ER10DE13.300","content_type":"image/png","size":62363,"width":3805,"sha":"5c344dc671a08b162dbec058fdc9c44a","url":"https://img.federalregister.gov/ER10DE13.300/ER10DE13.300_original_size.png","height":1361}},"ER10DE13.269":{"original_size":{"identifier":"ER10DE13.269","content_type":"image/png","size":98339,"width":3766,"sha":"6143f413c918c61b5c564604609545c5","url":"https://img.federalregister.gov/ER10DE13.269/ER10DE13.269_original_size.png","height":2208}},"ER10DE13.301":{"original_size":{"identifier":"ER10DE13.301","content_type":"image/png","size":211236,"width":2976,"sha":"9da1b25178936ccd63d9577c332268a1","url":"https://img.federalregister.gov/ER10DE13.301/ER10DE13.301_original_size.png","height":5333}},"ER10DE13.264":{"original_size":{"identifier":"ER10DE13.264","content_type":"image/png","size":237570,"width":3622,"sha":"db39928ff3e34667ba96e24042dd16a1","url":"https://img.federalregister.gov/ER10DE13.264/ER10DE13.264_original_size.png","height":4719}},"ER10DE13.263":{"original_size":{"identifier":"ER10DE13.263","content_type":"image/png","size":118202,"width":3718,"sha":"74be78f35bfe981d4b9d8a6d00a49aff","url":"https://img.federalregister.gov/ER10DE13.263/ER10DE13.263_original_size.png","height":2671}},"ER10DE13.266":{"original_size":{"identifier":"ER10DE13.266","content_type":"image/png","size":234243,"width":3686,"sha":"6b38ebf3c6c5bf1a3760fe497714e638","url":"https://img.federalregister.gov/ER10DE13.266/ER10DE13.266_original_size.png","height":4152}},"ER10DE13.265":{"original_size":{"identifier":"ER10DE13.265","content_type":"image/png","size":304035,"width":3686,"sha":"e03d6adc072530a1e1be042d667a59d0","url":"https://img.federalregister.gov/ER10DE13.265/ER10DE13.265_original_size.png","height":5313}},"ER10DE13.308":{"original_size":{"identifier":"ER10DE13.308","content_type":"image/png","size":211902,"width":2772,"sha":"efee54a92a12341fd8f9f19a8796e54a","url":"https://img.federalregister.gov/ER10DE13.308/ER10DE13.308_original_size.png","height":5333}},"ER10DE13.309":{"original_size":{"identifier":"ER10DE13.309","content_type":"image/png","size":184789,"width":2772,"sha":"357fc8a697dde79ed015a6e2f02987c8","url":"https://img.federalregister.gov/ER10DE13.309/ER10DE13.309_original_size.png","height":4669}},"ER10DE13.306":{"original_size":{"identifier":"ER10DE13.306","content_type":"image/png","size":163225,"width":3406,"sha":"207558fc1e6ab166bd7d8812342cbbe0","url":"https://img.federalregister.gov/ER10DE13.306/ER10DE13.306_original_size.png","height":4983}},"ER10DE13.307":{"original_size":{"identifier":"ER10DE13.307","content_type":"image/png","size":205029,"width":2766,"sha":"1e84847a29a01b946fb22bddd50b9276","url":"https://img.federalregister.gov/ER10DE13.307/ER10DE13.307_original_size.png","height":5333}},"ER10DE13.304":{"original_size":{"identifier":"ER10DE13.304","content_type":"image/png","size":253511,"width":3776,"sha":"951b6a141011d3fea65a02b87dc0b05d","url":"https://img.federalregister.gov/ER10DE13.304/ER10DE13.304_original_size.png","height":4149}},"ER10DE13.371":{"original_size":{"identifier":"ER10DE13.371","content_type":"image/png","size":247956,"width":3512,"sha":"94a2bdb92b1f7365092584b119c71aba","url":"https://img.federalregister.gov/ER10DE13.371/ER10DE13.371_original_size.png","height":5333}},"ER10DE13.372":{"original_size":{"identifier":"ER10DE13.372","content_type":"image/png","size":239980,"width":3512,"sha":"94b9806289fcfda62b85f098d4951bd7","url":"https://img.federalregister.gov/ER10DE13.372/ER10DE13.372_original_size.png","height":5333}},"ER10DE13.370":{"original_size":{"identifier":"ER10DE13.370","content_type":"image/png","size":212352,"width":3079,"sha":"d9245a69c16b4b391667ef78767fbc24","url":"https://img.federalregister.gov/ER10DE13.370/ER10DE13.370_original_size.png","height":5333}},"ER10DE13.375":{"original_size":{"identifier":"ER10DE13.375","content_type":"image/png","size":272522,"width":3725,"sha":"bdef96049ebc5a3ea3063e8e35e508ac","url":"https://img.federalregister.gov/ER10DE13.375/ER10DE13.375_original_size.png","height":5265}},"ER10DE13.376":{"original_size":{"identifier":"ER10DE13.376","content_type":"image/png","size":172245,"width":3577,"sha":"5812616e614210fe68b122fd27f38988","url":"https://img.federalregister.gov/ER10DE13.376/ER10DE13.376_original_size.png","height":3921}},"ER10DE13.373":{"original_size":{"identifier":"ER10DE13.373","content_type":"image/png","size":286433,"width":2888,"sha":"46d628c44b3bac88e5368ea58996de4a","url":"https://img.federalregister.gov/ER10DE13.373/ER10DE13.373_original_size.png","height":5333}},"ER10DE13.374":{"original_size":{"identifier":"ER10DE13.374","content_type":"image/png","size":116728,"width":3584,"sha":"3bf012022e4cba78ae263db3c53240f5","url":"https://img.federalregister.gov/ER10DE13.374/ER10DE13.374_original_size.png","height":2778}},"ER10DE13.360":{"original_size":{"identifier":"ER10DE13.360","content_type":"image/png","size":261187,"width":3706,"sha":"ead89b53969440d9ab1673165073394c","url":"https://img.federalregister.gov/ER10DE13.360/ER10DE13.360_original_size.png","height":5101}},"ER10DE13.361":{"original_size":{"identifier":"ER10DE13.361","content_type":"image/png","size":84068,"width":3733,"sha":"ce0af07574ea4ce75282f8e53a75b6d2","url":"https://img.federalregister.gov/ER10DE13.361/ER10DE13.361_original_size.png","height":880}},"ER10DE13.368":{"original_size":{"identifier":"ER10DE13.368","content_type":"image/png","size":65624,"width":3694,"sha":"69b49e9b49f69a0d7d629f1ef5485f36","url":"https://img.federalregister.gov/ER10DE13.368/ER10DE13.368_original_size.png","height":1309}},"ER10DE13.369":{"original_size":{"identifier":"ER10DE13.369","content_type":"image/png","size":172217,"width":3694,"sha":"020ed8621e063e52799d644f17141b11","url":"https://img.federalregister.gov/ER10DE13.369/ER10DE13.369_original_size.png","height":2829}},"ER10DE13.366":{"original_size":{"identifier":"ER10DE13.366","content_type":"image/png","size":34394,"width":3694,"sha":"25258f7c32edbc0998f04a750af5a344","url":"https://img.federalregister.gov/ER10DE13.366/ER10DE13.366_original_size.png","height":712}},"ER10DE13.367":{"original_size":{"identifier":"ER10DE13.367","content_type":"image/png","size":149807,"width":1954,"sha":"fd0abd92148ad7f3a94a94d3dd872280","url":"https://img.federalregister.gov/ER10DE13.367/ER10DE13.367_original_size.png","height":5333}},"ER10DE13.364":{"original_size":{"identifier":"ER10DE13.364","content_type":"image/png","size":114610,"width":3706,"sha":"390971c2b7ca749c3284b3f26af2f82d","url":"https://img.federalregister.gov/ER10DE13.364/ER10DE13.364_original_size.png","height":1578}},"ER10DE13.365":{"original_size":{"identifier":"ER10DE13.365","content_type":"image/png","size":175496,"width":3694,"sha":"bb704c7c72c60aaf1f7dcceece96ecb8","url":"https://img.federalregister.gov/ER10DE13.365/ER10DE13.365_original_size.png","height":3926}},"ER10DE13.362":{"original_size":{"identifier":"ER10DE13.362","content_type":"image/png","size":73059,"width":3694,"sha":"4edcf081b9e42939e95618752053de19","url":"https://img.federalregister.gov/ER10DE13.362/ER10DE13.362_original_size.png","height":1543}},"ER10DE13.363":{"original_size":{"identifier":"ER10DE13.363","content_type":"image/png","size":272877,"width":3706,"sha":"1f461e2d583e17e842c3c3aa50f12173","url":"https://img.federalregister.gov/ER10DE13.363/ER10DE13.363_original_size.png","height":5246}},"ER10DE13.350":{"original_size":{"identifier":"ER10DE13.350","content_type":"image/png","size":199192,"width":3451,"sha":"e96ade84fc27978e2d01504d704cc68f","url":"https://img.federalregister.gov/ER10DE13.350/ER10DE13.350_original_size.png","height":5333}},"ER10DE13.357":{"original_size":{"identifier":"ER10DE13.357","content_type":"image/png","size":298520,"width":3950,"sha":"e30c65aab3d5bc3749df8675850281ad","url":"https://img.federalregister.gov/ER10DE13.357/ER10DE13.357_original_size.png","height":5333}},"ER10DE13.358":{"original_size":{"identifier":"ER10DE13.358","content_type":"image/png","size":143266,"width":3950,"sha":"d57c82af24b491682c31d0ffc636b2ed","url":"https://img.federalregister.gov/ER10DE13.358/ER10DE13.358_original_size.png","height":2724}},"ER10DE13.355":{"original_size":{"identifier":"ER10DE13.355","content_type":"image/png","size":118124,"width":3694,"sha":"394471051b09e89aca1cb2c8e2aaf653","url":"https://img.federalregister.gov/ER10DE13.355/ER10DE13.355_original_size.png","height":2131}},"ER10DE13.356":{"original_size":{"identifier":"ER10DE13.356","content_type":"image/png","size":297525,"width":3950,"sha":"fd3cb64f69d03b5836cb36fe76f7f5d5","url":"https://img.federalregister.gov/ER10DE13.356/ER10DE13.356_original_size.png","height":5333}},"ER10DE13.353":{"original_size":{"identifier":"ER10DE13.353","content_type":"image/png","size":135520,"width":3653,"sha":"b40f30f46d0ab02225dfa2d61826ba9c","url":"https://img.federalregister.gov/ER10DE13.353/ER10DE13.353_original_size.png","height":2801}},"ER10DE13.354":{"original_size":{"identifier":"ER10DE13.354","content_type":"image/png","size":264023,"width":3654,"sha":"8e73cb45db0423de8d80b7cc996f3c67","url":"https://img.federalregister.gov/ER10DE13.354/ER10DE13.354_original_size.png","height":4943}},"ER10DE13.351":{"original_size":{"identifier":"ER10DE13.351","content_type":"image/png","size":125498,"width":3450,"sha":"fcf99aa40be799813fd5698c25e340b9","url":"https://img.federalregister.gov/ER10DE13.351/ER10DE13.351_original_size.png","height":3591}},"ER10DE13.352":{"original_size":{"identifier":"ER10DE13.352","content_type":"image/png","size":61825,"width":3721,"sha":"40c931a218388b660acce7e80d3e74f2","url":"https://img.federalregister.gov/ER10DE13.352/ER10DE13.352_original_size.png","height":1396}},"ER10DE13.359":{"original_size":{"identifier":"ER10DE13.359","content_type":"image/png","size":42032,"width":3694,"sha":"c7f3d4876fd8d0da5a5c63fd9e1409c0","url":"https://img.federalregister.gov/ER10DE13.359/ER10DE13.359_original_size.png","height":1048}}},"json_url":"https://www.federalregister.gov/api/v1/documents/2013-28737?publication_date=2013-12-10","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2013-12-10/2013-28737/mods.xml","not_received_for_publication":null,"page_length":375,"page_views":{"count":34627,"last_updated":"2026-07-27 06:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2013-12-10/pdf/2013-28737.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2013-28737.pdf?1385587633","publication_date":"2013-12-10","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2013/12/10/2013-28737.txt","regulation_id_number_info":{"0938-AR54":{"issue":"201304","html_url":"https://www.federalregister.gov/regulations/0938-AR54/changes-to-the-hospital-outpatient-prospective-payment-system-and-ambulatory-surgical-center-payment","title":"Changes to the Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System for CY 2014 (CMS-1601-P)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201304&RIN=0938-AR54&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AR54"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AR54/changes-to-the-hospital-outpatient-prospective-payment-system-and-ambulatory-surgical-center-payment","title":"Changes to the Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System for CY 2014 (CMS-1601-P)"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2013-0154","supporting_documents_count":0,"docket_id":"CMS-2013-0154","regulation_id_number":"0938-AR54","title":"CY 2014 Hospital Outpatient PPS Policy Changes and Payment Rates, and CY 2014 Ambulatory Surgical Center Payment System Policy Changes and Payment Rates CMS-1601-P","checked_regulationsdotgov_at":"2014-01-29T05:00:34Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":74826,"subtype":null,"title":"Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Hospital Value-Based Purchasing Program; Organ Procurement Organizations; Quality Improvement Organizations; Electronic Health Records (EHR) Incentive Program; Provider Reimbursement Determinations and Appeals","toc_doc":"Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems, etc.","toc_subject":"Medicare and Medicaid Programs:","topics":["Administrative practice and procedure","Computer technology","Grant programs-health","Health","Health care","Health facilities","Health insurance","Health professions","Health records","Hospitals","Kidney diseases","Laboratories","Medicaid","Medicare","Penalties","Privacy","Public health","Puerto Rico","Reporting and recordkeeping requirements","Rural areas","X-rays"],"type":"Rule","volume":78}