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B-332186 1 (2020-05-26)

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G      A             U.S. GOVERNMENT ACCOUNTABILITY OFFICE
441 G St. N.W.
Washington, DC 20548


B-332186


May 26, 2020

The Honorable Chuck Grassley
Chairman
The Honorable Ron Wyden
Ranking Member
Committee on Finance
United States Senate

The Honorable Frank Pallone, Jr.
Chairman
The Honorable Greg Walden
Ranking Member
Committee on Energy and Commerce
House of Representatives

The Honorable Richard Neal
Chairman
The Honorable Kevin Brady
Ranking Member
Committee on Ways and Means
House of Representatives

Subject: Department of Health and Human Services, Centers for Medicare & Medicaid Services,
        Office of the Secretary: Medicare and Medicaid Programs, Basic Health Program, and
        Exchanges; Additional Policy and Regulatory Revisions in Response to the CO VID-19
        Public Health Emergency and Delay of Certain Reporting Requirements for the Skilled
        Nursing Facility Quality Reporting Program

Pursuant to section 801 (a)(2)(A) of title 5, United States Code, this is our report on a major rule
promulgated by the Department of Health and Human Services (HHS), Centers for Medicare &
Medicaid Services (CMS), Office of the Secretary entitled Medicare and Medicaid Programs,
Basic Health Program, and Exchanges; Additional Policy and Regulatory Revisions in
Response to the COVID-19 Public Health Emergency and Delay of Certain Reporting
Requirements for the Skilled Nursing Facility Quality Reporting Program (RIN: 0938-AU32).
We received the rule on May 11, 2020. It was published in the Federal Register as an interim
final rule with comment period on May 8, 2020. 85 Fed. Reg. 27550. The effective date of the
rule is May 8, 2020. The applicability date of the rule is March 1, 2020, or January 27, 2020, or
as otherwise specified.

According to CMS, this interim final rule revises existing regulations to offer health care
providers and suppliers additional flexibilities in furnishing services to combat the COVID-19
pandemic, and implements new regulations in response to recent legislation including the
Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020, the Families