{"abstract":"The Department of Health and Human Services (\"the Department\" or \"HHS\") is committed to ensuring the civil rights of all individuals who access or seek to access health programs or activities of covered entities under Section 1557 of the Patient Protection and Affordable Care Act (\"ACA\"). After considering public comments, in this final rule, the Department revises its Section 1557 regulations, Title IX regulations, and specific regulations of the Centers for Medicare & Medicaid Services (\"CMS\") as proposed, with minor and primarily technical corrections. This will better comply with the mandates of Congress, address legal concerns, relieve billions of dollars in undue regulatory burdens, further substantive compliance, reduce confusion, and clarify the scope of Section 1557 in keeping with pre-existing civil rights statutes and regulations prohibiting discrimination on the basis of race, color, national origin, sex, age, and disability.","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 and 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"},{"raw_name":"Office of the Secretary"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2020/06/19/2020-11758.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"438","title":42},{"chapter":null,"citation_url":null,"part":"440","title":42},{"chapter":null,"citation_url":null,"part":"460","title":42},{"chapter":null,"citation_url":null,"part":"86","title":45},{"chapter":null,"citation_url":null,"part":"92","title":45},{"chapter":null,"citation_url":null,"part":"147","title":45},{"chapter":null,"citation_url":null,"part":"155","title":45},{"chapter":null,"citation_url":null,"part":"156","title":45}],"citation":"85 FR 37160","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"This rule is effective August 18, 2020.","disposition_notes":null,"docket_ids":[],"dockets":[],"document_number":"2020-11758","effective_on":"2020-08-18","end_page":37248,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2020/06/19/2020-11758.xml","html_url":"https://www.federalregister.gov/documents/2020/06/19/2020-11758/nondiscrimination-in-health-and-health-education-programs-or-activities-delegation-of-authority","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2020-11758?publication_date=2020-06-19","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2020-06-19/2020-11758/mods.xml","not_received_for_publication":null,"page_length":89,"page_views":{"count":88208,"last_updated":"2026-07-26 14:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2020-06-19/pdf/2020-11758.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2020-11758.pdf?1591992915","publication_date":"2020-06-19","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2020/06/19/2020-11758.txt","regulation_id_number_info":{"0945-AA11":{"issue":"202004","html_url":"https://www.federalregister.gov/regulations/0945-AA11/nondiscrimination-in-health-and-health-education-programs-or-activities-","title":"Nondiscrimination in Health and Health Education Programs or Activities ","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=202004&RIN=0945-AA11&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0945-AA11"],"regulations_dot_gov_info":{"supporting_documents":[],"comments_count":0,"agency_id":"HHS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=HHS-OS-2022-0008","supporting_documents_count":0,"docket_id":"HHS-OS-2022-0008","document_id":"HHS-OS-2022-0008-0581","regulation_id_number":null,"title":"HHS 2022 Archive","checked_regulationsdotgov_at":"2022-05-28T03:30:05Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":37160,"subtype":null,"title":"Nondiscrimination in Health and Health Education Programs or Activities, Delegation of Authority","toc_doc":"Delegation of Authority","toc_subject":"Nondiscrimination in Health and Health Education Programs or Activities:\n","topics":["Administrative practice and procedure","Advertising","Advisory committees","Aged","Brokers","Buildings and facilities","Civil rights","Colleges and universities","Consumer protection","Education","Education of individuals with disabilities","Educational facilities","Educational research","Educational study programs","Employment","Equal educational opportunity","Equal employment opportunity","Grant programs-education","Grant programs-health","Health care","Health facilities","Health insurance","Health maintenance organizations (HMO)","Health records","Hospitals","Individuals with disabilities","Investigations","Loan programs-health","Medicaid","Medicare","Organization and functions (Government agencies)","Public assistance programs","Religious discrimination","Reporting and recordkeeping requirements","Sex discrimination","State and local governments","Student aid","Sunshine Act","Technical assistance","Women","Youth"],"type":"Rule","volume":85}