{"abstract":"This final rule implements requirements of section 216 of the Protecting Access to Medicare Act of 2014 (PAMA), which significantly revises the Medicare payment system for clinical diagnostic laboratory tests. This final rule also announces an implementation date of January 1, 2018 for the private payor rate-based fee schedule required by PAMA.","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"},{"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/2016/06/23/2016-14531.html","cfr_references":[{"chapter":null,"citation_url":null,"part":414,"title":42}],"citation":"81 FR 41036","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective on August 22, 2016.","disposition_notes":null,"docket_ids":["CMS-1621-F"],"dockets":[],"document_number":"2016-14531","effective_on":"2016-08-22","end_page":41101,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2016/06/23/2016-14531.xml","html_url":"https://www.federalregister.gov/documents/2016/06/23/2016-14531/medicare-program-medicare-clinical-diagnostic-laboratory-tests-payment-system","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2016-14531?publication_date=2016-06-23","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2016-06-23/2016-14531/mods.xml","not_received_for_publication":null,"page_length":66,"page_views":{"count":29105,"last_updated":"2026-07-26 00:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2016-06-23/pdf/2016-14531.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2016-14531.pdf?1466194535","publication_date":"2016-06-23","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2016/06/23/2016-14531.txt","regulation_id_number_info":{"0938-AS33":{"issue":"201510","html_url":"https://www.federalregister.gov/regulations/0938-AS33/medicare-clinical-diagnostic-laboratory-test-payment-system-cms-1621-f-","title":"Medicare Clinical Diagnostic Laboratory Test Payment System (CMS-1621-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201510&RIN=0938-AS33&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AS33"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AS33/medicare-clinical-diagnostic-laboratory-test-payment-system-cms-1621-f-","title":"Medicare Clinical Diagnostic Laboratory Test Payment System (CMS-1621-F)"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2015-0109","supporting_documents_count":0,"docket_id":"CMS-2015-0109","regulation_id_number":"0938-AS33","title":"Medicare Clinical Diagnostic Laboratory Test Payment System CMS-1621-P","checked_regulationsdotgov_at":"2016-07-13T06:00:13Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":41036,"subtype":null,"title":"Medicare Program; Medicare Clinical Diagnostic Laboratory Tests Payment System","toc_doc":"Medicare Clinical Diagnostic Laboratory Tests Payment System","toc_subject":"Medicare Program:","topics":["Administrative practice and procedure","Health facilities","Health professions","Kidney diseases","Medicare","Reporting and recordkeeping requirements"],"type":"Rule","volume":81}