{"abstract":"We are revising the Medicare hospital inpatient prospective payment systems for operating costs and capital-related costs to implement applicable statutory requirements, including section 4407 of the Balanced Budget Act of 1997 (BBA), as well as changes arising from our continuing experience with the systems. In addition, in the addendum to this final rule, we describe changes in the amounts and factors necessary to determine 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, 1998. We also set forth rate-of-increase limits as well as changes for hospitals and hospital units excluded from the prospective payment systems. Finally, we are implementing the provisions of section 4625 of the BBA concerning payment for the direct costs of graduate medical education.","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/1998/07/31/98-20459.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"405","title":42},{"chapter":null,"citation_url":null,"part":"412","title":42},{"chapter":null,"citation_url":null,"part":"413","title":42}],"citation":"63 FR 40954","comment_url":null,"comments_close_on":"1998-07-31","correction_of":null,"corrections":[],"dates":"The provisions of this final rule are effective October 1, 1998. 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)(1)(A), we are submitting a report to the Congress on this rule on July 31, 1998.","disposition_notes":null,"docket_ids":["HCFA-1003-F"],"dockets":[],"document_number":"98-20459","effective_on":"1998-10-01","end_page":41131,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":null,"html_url":"https://www.federalregister.gov/documents/1998/07/31/98-20459/medicare-program-changes-to-the-hospital-inpatient-prospective-payment-systems-and-fiscal-year-1999","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/98-20459?publication_date=1998-07-31","mods_url":"https://www.govinfo.gov/metadata/granule/FR-1998-07-31/98-20459/mods.xml","not_received_for_publication":null,"page_length":178,"page_views":{"count":779,"last_updated":"2026-08-25 22:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-1998-07-31/pdf/98-20459.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"1998-07-31","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/1998/07/31/98-20459.txt","regulation_id_number_info":{"0938-AI22":{"issue":"199804","html_url":"https://www.federalregister.gov/regulations/0938-AI22/changes-to-the-hospital-inpatient-prospective-payment-systems-and-fiscal-year-1999-rates-hcfa-1003-p","title":"Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 1999 Rates (HCFA-1003-P)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=199804&RIN=0938-AI22&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0938-AI22"],"regulations_dot_gov_info":{"checked_regulationsdotgov_at":"2011-09-21T08:00:08Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":40954,"subtype":null,"title":"Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 1999 Rates","toc_doc":null,"toc_subject":null,"topics":[],"type":"Rule","volume":63}