{"abstract":"This final rule reforms Medicare regulations that are identified as unnecessary, obsolete, or excessively burdensome on health care providers and suppliers. This final rule also increases the ability of health care professionals to devote resources to improving patient care by eliminating or reducing requirements that impede quality patient care or that divert resources away from furnishing high quality patient care. Additionally, this rule updates fire safety standards for Medicare and Medicaid participating End-Stage Renal Disease (ESRD) facilities by adopting the 2012 edition of the Life Safety Code and the 2012 edition of the Health Care Facilities Code. Finally, this final rule updates the requirements that hospitals and Critical Access Hospitals (CAHs) must meet to participate in the Medicare and Medicaid programs. These requirements are intended to conform to current standards of practice and support improvements in quality of care, reduce barriers to care, and reduce some issues that may exacerbate workforce shortage concerns.","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/2019/09/30/2019-20736.html","cfr_references":[{"chapter":null,"citation_url":null,"part":403,"title":42},{"chapter":null,"citation_url":null,"part":416,"title":42},{"chapter":null,"citation_url":null,"part":418,"title":42},{"chapter":null,"citation_url":null,"part":441,"title":42},{"chapter":null,"citation_url":null,"part":460,"title":42},{"chapter":null,"citation_url":null,"part":482,"title":42},{"chapter":null,"citation_url":null,"part":483,"title":42},{"chapter":null,"citation_url":null,"part":484,"title":42},{"chapter":null,"citation_url":null,"part":485,"title":42},{"chapter":null,"citation_url":null,"part":486,"title":42},{"chapter":null,"citation_url":null,"part":488,"title":42},{"chapter":null,"citation_url":null,"part":491,"title":42},{"chapter":null,"citation_url":null,"part":494,"title":42}],"citation":"84 FR 51732","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective date: These regulations are effective on November 29, 2019. The incorporation by reference of certain publications listed in the rule is approved by the Director of the Federal Register as of November 29, 2019.","disposition_notes":null,"docket_ids":["CMS-3346-F","CMS-3334-F","CMS-3295-F"],"dockets":[],"document_number":"2019-20736","effective_on":"2019-11-29","end_page":51834,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2019/09/30/2019-20736.xml","html_url":"https://www.federalregister.gov/documents/2019/09/30/2019-20736/medicare-and-medicaid-programs-regulatory-provisions-to-promote-program-efficiency-transparency-and","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2019-20736?publication_date=2019-09-30","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2019-09-30/2019-20736/mods.xml","not_received_for_publication":null,"page_length":103,"page_views":{"count":63090,"last_updated":"2026-07-27 02:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2019-09-30/pdf/2019-20736.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2019-20736.pdf?1569424517","publication_date":"2019-09-30","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2019/09/30/2019-20736.txt","regulation_id_number_info":{"0938-AT23":{"issue":"201810","html_url":"https://www.federalregister.gov/regulations/0938-AT23/regulatory-provisions-to-promote-program-efficiency-transparency-and-burden-reduction-cms-3346-f-","title":"Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction (CMS-3346-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201810&RIN=0938-AT23&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AT23"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AT23/regulatory-provisions-to-promote-program-efficiency-transparency-and-burden-reduction-cms-3346-f-","title":"Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction (CMS-3346-F)"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2018-0106","supporting_documents_count":0,"docket_id":"CMS-2018-0106","regulation_id_number":"0938-AT23","title":"Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction (CoPs) CMS-3346-P","checked_regulationsdotgov_at":"2019-10-11T03:00:08Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":51732,"subtype":null,"title":"Medicare and Medicaid Programs; Regulatory Provisions To Promote Program Efficiency, Transparency, and Burden Reduction; Fire Safety Requirements for Certain Dialysis Facilities; Hospital and Critical Access Hospital (CAH) Changes To Promote Innovation, Flexibility, and Improvement in Patient Care","toc_doc":"Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction; Fire Safety Requirements for Certain Dialysis Facilities; Hospital and Critical Access Hospital Changes to Promote Innovation, Flexibility, and Improvement in Patient Care","toc_subject":"Medicare and Medicaid Programs:","topics":["Administrative practice and procedure","Aged","Diseases","Family planning","Grant programs-health","Health care","Health facilities","Health insurance","Health professions","Health records","Hospice care","Hospitals","Incorporation by reference","Infants and children","Intergovernmental relations","Medicaid","Medicare","Nursing homes","Nutrition","Penalties","Reporting and recordkeeping requirements","Safety","X-rays"],"type":"Rule","volume":84}