{"abstract":"We are proposing to revise the Medicare hospital inpatient prospective payment systems for operating costs and capital-related costs to implement changes arising from our continuing experience with the systems. In addition, in the addendum to this proposed rule, we are describing proposed changes in the amounts and factors necessary to determine rates for Medicare hospital inpatient services for operating costs and capital-related costs. These changes would be applicable to discharges occurring on or after October 1, 1999. We also are setting forth proposed rate-of-increase limits as well as proposed policy changes for hospitals and hospital units excluded from the prospective payment systems. Finally, we are proposing changes to the policies governing payment to hospitals for the direct costs of graduate medical education.","action":"Proposed 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/1999/05/07/99-11200.html","cfr_references":[{"chapter":null,"citation_url":null,"part":412,"title":42},{"chapter":null,"citation_url":null,"part":413,"title":42},{"chapter":null,"citation_url":null,"part":483,"title":42},{"chapter":null,"citation_url":null,"part":485,"title":42}],"citation":"64 FR 24716","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Comments will be considered if received at the appropriate","disposition_notes":null,"docket_ids":["HCFA-1053-P"],"dockets":[],"document_number":"99-11200","effective_on":null,"end_page":24854,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":null,"html_url":"https://www.federalregister.gov/documents/1999/05/07/99-11200/medicare-program-changes-to-the-hospital-inpatient-prospective-payment-systems-and-fiscal-year-2000","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/99-11200?publication_date=1999-05-07","mods_url":"https://www.govinfo.gov/metadata/granule/FR-1999-05-07/99-11200/mods.xml","not_received_for_publication":null,"page_length":139,"page_views":{"count":364,"last_updated":"2026-10-24 00:15:05 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-1999-05-07/pdf/99-11200.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"1999-05-07","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/1999/05/07/99-11200.txt","regulation_id_number_info":{"0938-AJ50":null},"regulation_id_numbers":["0938-AJ50"],"regulations_dot_gov_info":{"checked_regulationsdotgov_at":"2011-09-21T04:11:06Z"},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":24716,"subtype":null,"title":"Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2000 Rates","toc_doc":null,"toc_subject":null,"topics":[],"type":"Proposed Rule","volume":64}