{"abstract":"This final rule addresses any undue regulatory impact and burden of the physician self-referral law. This final rule is being issued in conjunction with the Centers for Medicare & Medicaid Services' (CMS) Patients over Paperwork initiative and the Department of Health and Human Services' (the Department or HHS) Regulatory Sprint to Coordinated Care. This final rule establishes exceptions to the physician self-referral law for certain value-based compensation arrangements between or among physicians, providers, and suppliers. It also establishes a new exception for certain arrangements under which a physician receives limited remuneration for items or services actually provided by the physician; establishes a new exception for donations of cybersecurity technology and related services; and amends the existing exception for electronic health records (EHR) items and services. This final rule also provides critically necessary guidance for physicians and health care providers and suppliers whose financial relationships are governed by the physician self-referral statute and regulations.","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/2020/12/02/2020-26140.html","cfr_references":[{"chapter":null,"citation_url":null,"part":411,"title":42}],"citation":"85 FR 77492","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective on January 19, 2021, except for amendment number 3, which further amends section 411.352(i), which is effective January 1, 2022.","disposition_notes":null,"docket_ids":["CMS-1720-F"],"dockets":[],"document_number":"2020-26140","effective_on":"2021-01-19","end_page":77682,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2020/12/02/2020-26140.xml","html_url":"https://www.federalregister.gov/documents/2020/12/02/2020-26140/medicare-program-modernizing-and-clarifying-the-physician-self-referral-regulations","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2020-26140?publication_date=2020-12-02","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2020-12-02/2020-26140/mods.xml","not_received_for_publication":null,"page_length":191,"page_views":{"count":51153,"last_updated":"2026-04-04 18:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2020-12-02/pdf/2020-26140.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2020-26140.pdf?1605907653","publication_date":"2020-12-02","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2020/12/02/2020-26140.txt","regulation_id_number_info":{"0938-AT64":{"issue":"202004","html_url":"https://www.federalregister.gov/regulations/0938-AT64/modernizing-and-clarifying-the-physician-self-referral-regulations-cms-1720-","title":"Modernizing and Clarifying the Physician Self-Referral Regulations (CMS-1720)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=202004&RIN=0938-AT64&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AT64"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AT64/modernizing-and-clarifying-the-physician-self-referral-regulations-cms-1720-","title":"Modernizing and Clarifying the Physician Self-Referral Regulations (CMS-1720)"},"comments_count":0,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2018-0082","supporting_documents_count":0,"docket_id":"CMS-2018-0082","document_id":"CMS-2018-0082-0756","regulation_id_number":"0938-AT64","title":"Medicare Program; Physician Self­-Referral Rulemaking Documents","checked_regulationsdotgov_at":"2020-12-04T04:30:12Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":77492,"subtype":null,"title":"Medicare Program; Modernizing and Clarifying the Physician Self-Referral Regulations","toc_doc":"Modernizing and Clarifying the Physician Self-Referral Regulations","toc_subject":"Medicare Program:\n","topics":["Diseases","Medicare","Reporting and recordkeeping requirements"],"type":"Rule","volume":85}