Health Care Financing Administration: Medicare Program--Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2001 Rates Page: 4 of 4

                                
These descriptions include the percent of the changes in payments per case due to
changes in the prospective payment system for operating costs.
(ii) Agency actions relevant to sections 202-205 of the Unfunded Mandates Reform
Act of 1995, 2 U.S.C.  1532-1535
The final rule does not impose either an intergovernmental or private sector mandate
of over $100 million per year, as defined in the Unfunded Mandates Reform Act of
1995.
(iii) Other relevant information or requirements under acts and executive orders
Administrative Procedure Act, 5 U.S.C.  551 et sea.
The final rule was issued using the notice and comment procedures contained in
5 U.S.C.  553 and section 1871(b) of the Social Security Act, 42 U.S.C.  1395hh(b).'
HCFA published a Notice of Proposed Rulemaking on May 5, 2000, in the Federal
Register (65 Fed. Reg. 26282). It received 290 pieces of correspondence containing
comments, which are summarized and responded to in the preamble to the final rule.
Paperwork Reduction Act, 44 U.S.C.  3501-3520
The final rule does not contain any information collections that are subject to review
by the Office of Management and Budget under the Paperwork Reduction Act.
Statutory authorization for the rule
The final rule was issued under the Secretary's broad authority to promulgate
regulations necessary for the efficient administration of the Medicare program,
contained primarily in sections 1102 and 1871 of the Social Security Act, 42 U.S.C.
 1302 and 1395hh. In addition, many of the rule provisions were mandated by the
Medicare, Medicaid, and State Children's Health Insurance Program Balanced
Budget Refinement Act of 1999 (Pub. L. 106-113, November 29, 1999).
Executive Order No. 12866
The final rule was determined to be an "economically significant" regulatory action
under Executive Order No. 12866 and was reviewed and approved by the Office of
Management and Budget.
'With exceptions not pertinent here, section 1871(b) states that before issuing any
final rule, the Secretary shall provide for notice of the proposed regulation in the
Federal Register and a comment period of at least 60 days.

GAO/OGC-00-56

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