{"abstract":"The Centers for Disease Control and Prevention (CDC), within the Department of Health and Human Services (HHS), is issuing this final rule (FR) to amend its regulations governing medical examinations that aliens must undergo before they may be admitted to the United States. Based on public comment received, HHS/CDC did not make changes from the NPRM published on June 23, 2015. Accordingly, this FR will: Revise the definition of communicable disease of public health significance by removing chancroid, granuloma inguinale, and lymphogranuloma venereum as inadmissible health-related conditions for aliens seeking admission to the United States; update the notification of the health-related grounds of inadmissibility to include proof of vaccinations to align with existing requirements established by the Immigration and Nationality Act (INA); revise the definitions and evaluation criteria for mental disorders, drug abuse and drug addiction; clarify and revise the evaluation requirements for tuberculosis; clarify and revise the process for the HHS/CDC-appointed medical review board that convenes to reexamine the determination of a Class A medical condition based on an appeal; and update the titles and designations of federal agencies within the text of the regulation.","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/2016/01/26/2016-01418.html","cfr_references":[{"chapter":null,"citation_url":null,"part":34,"title":42}],"citation":"81 FR 4191","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"This rule is effective March 28, 2016.","disposition_notes":null,"docket_ids":["Docket No. CDC-2015-0045"],"dockets":[],"document_number":"2016-01418","effective_on":"2016-03-28","end_page":4206,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2016/01/26/2016-01418.xml","html_url":"https://www.federalregister.gov/documents/2016/01/26/2016-01418/medical-examination-of-aliens-revisions-to-medical-screening-process","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2016-01418?publication_date=2016-01-26","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2016-01-26/2016-01418/mods.xml","not_received_for_publication":null,"page_length":16,"page_views":{"count":6081,"last_updated":"2026-04-10 06:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2016-01-26/pdf/2016-01418.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2016-01418.pdf?1453729568","publication_date":"2016-01-26","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2016/01/26/2016-01418.txt","regulation_id_number_info":{"0920-AA28":{"issue":"201510","html_url":"https://www.federalregister.gov/regulations/0920-AA28/medical-examination-of-aliens","title":"Medical Examination of Aliens","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201510&RIN=0920-AA28&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0920-AA28"],"regulations_dot_gov_info":{"supporting_documents":[{"title":"Select Agent: Determination that Vaccine Strain, TC-83(A3G) of Venezuelan Equine Encephalitis Virus is a Regulated Strain of VEEV","document_id":"CDC_FRDOC_0001-0125"},{"title":"Order Suspending Introduction of Persons from a Country Where a Communicable Disease Exists","document_id":"CDC_FRDOC_0001-0118"},{"title":"World Trade Center Health Program: Petition 025-Parkinson's Disease and Parkinsonism, Including Heavy Metal-Induced Parkinsonism; Finding of Insufficient Evidence","document_id":"CDC_FRDOC_0001-0116"},{"title":"Guidelines for Determining the Probability of Causation Under the Energy Employees Occupational Illness Compensation Program Act","document_id":"CDC_FRDOC_0001-0109"},{"title":"World Trade Center Health Program: Petition 021-Deep Vein Thrombosis and Pulmonary Embolism; Finding of Insufficient Evidence","document_id":"CDC_FRDOC_0001-0107"},{"title":"World Trade Center Health Program: Petition 018-Hypertension; Finding of Insufficient Evidence","document_id":"CDC_FRDOC_0001-0103"},{"title":"Possession, Use, and Transfer of Select Agents and Toxins: Addition of Certain Influenza Virus Strains to the List of Select Agents and Toxins","document_id":"CDC_FRDOC_0001-0101"},{"title":"Foreign Quarantine Regulations, Proposed Revision of HHS/CDC Animal Importation Regulations","document_id":"CDC_FRDOC_0001-0099"},{"title":"Possession, Use, and Transfer of Select Agents and Toxins-Addition of Bacillus Cereus Biovar Anthracis to HHS List of Select Agents and Toxins","document_id":"CDC_FRDOC_0001-0096"},{"title":"Control of Communicable Diseases; Delay of Effective Date","document_id":"CDC_FRDOC_0001-0093"}],"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CDC_FRDOC_0001","supporting_documents_count":0,"docket_id":"CDC_FRDOC_0001","regulation_id_number":null,"title":"Recently Posted CDC Rules and Notices.","checked_regulationsdotgov_at":"2016-02-15T06:00:12Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":4191,"subtype":null,"title":"Medical Examination of Aliens-Revisions to Medical Screening Process","toc_doc":"Medical Screening Process","toc_subject":"Medical Examination of Aliens:","topics":["Aliens","Health care","Passports and visas","Public health"],"type":"Rule","volume":81}