{"abstract":"We are revising the Medicare hospital inpatient prospective payment systems for operating costs and capital- related costs to implement necessary changes arising from our continuing experience with the systems. In addition, in the addendum to this final rule, we are describing changes in the amounts and factors necessary to determine prospective payment rates for Medicare hospital inpatient services for operating costs and capital-related costs. These changes are applicable to discharges occurring on or after October 1, 1996. We are also setting forth rate-of-increase limits as well as policy changes for hospitals and hospital units excluded from the prospective payment systems.","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":"Health Care Financing Administration","name":"Health Care Finance Administration","id":559,"url":"https://www.federalregister.gov/agencies/health-care-finance-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/559","parent_id":221,"slug":"health-care-finance-administration"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/1996/08/30/96-22145.html","cfr_references":[{"chapter":null,"citation_url":null,"part":null,"title":42},{"chapter":null,"citation_url":null,"part":"412","title":42},{"chapter":null,"citation_url":null,"part":"413","title":42},{"chapter":null,"citation_url":null,"part":"489","title":42}],"citation":"61 FR 46166","comment_url":null,"comments_close_on":"1996-10-29","correction_of":null,"corrections":[],"dates":"This rule is a major rule as defined in Title 5, United States Code, section 804(2). Pursuant to 5 U.S.C. section 801(a)(3), this rule may not take effect until 60 days after the report required by that section is submitted to the Congress, which is October 29, 1996. However, for purposes of the policy discussions in this document, we have assumed that the effective date of this final rule will be October 1, 1996, the earliest date by which this rule could take effect under 5 U.S.C. section 801 and the Medicare statute.","disposition_notes":null,"docket_ids":["BPD-847-F"],"dockets":[],"document_number":"96-22145","effective_on":null,"end_page":46328,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":null,"html_url":"https://www.federalregister.gov/documents/1996/08/30/96-22145/medicare-program-changes-to-the-hospital-inpatient-prospective-payment-systems-and-fiscal-year-1997","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/96-22145?publication_date=1996-08-30","mods_url":"https://www.govinfo.gov/metadata/granule/FR-1996-08-30/96-22145/mods.xml","not_received_for_publication":null,"page_length":163,"page_views":{"count":679,"last_updated":"2026-10-23 02:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-1996-08-30/pdf/96-22145.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"1996-08-30","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/1996/08/30/96-22145.txt","regulation_id_number_info":{"0938-AH34":{"issue":"199604","html_url":"https://www.federalregister.gov/regulations/0938-AH34/changes-to-the-hospital-inpatient-prospective-payment-system-and-fiscal-year-1997-rates-bpd-847-p-","title":"Changes to the Hospital Inpatient Prospective Payment System and Fiscal Year 1997 Rates (BPD-847-P)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=199604&RIN=0938-AH34&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0938-AH34"],"regulations_dot_gov_info":{"checked_regulationsdotgov_at":"2011-09-21T08:19:16Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":46166,"subtype":null,"title":"Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 1997 Rates","toc_doc":null,"toc_subject":null,"topics":[],"type":"Rule","volume":61}