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Current Kidney Care Federal Regulatory Issues

The Center for Medicare and Medicaid Services (CMS) is required to provide the opportunity for public participation in the rulemaking process. This allows individuals and organizations to contribute their expertise, perspectives, and concerns, which help shape the final regulations.

 We will post opportunities to submit comments to CMS here as they become available.

Listen to this KidneyTalk Podcast: Clinical Quality – How CMS Measures Quality Care for People on Dialysis

Centers for Medicare and Medicaid Services (CMS) implements quality initiatives for Medicare beneficiaries on dialysis. CMS uses these measures to see how the dialysis facility is performing. Dawn Curtis, VP of Clinical Quality, Fresenius Medical Care and Lori discuss the measures dialysis clinics look at and how the kidney care team uses them as a benchmark to provide adequate care for people on dialysis.

There are no CMS Kidney Care rules taking comments at this time. We will post opportunities to submit comments here as they become available.

1. Publication of Proposed Rules: When CMS intends to create or amend a regulation, it publishes a Notice of Proposed Rulemaking (NPRM) in the Federal Register, which outlines the proposed changes or new regulations.

2. Public Comment Period: The comment period varies but is typically around 30 to 60 days. CMS encourages stakeholders, including individuals, organizations, and other interested parties, to provide their feedback during this time.

3. Submitting Comments: Commenters have the option to submit their feedback through various means, including electronic submissions via the Federal eRulemaking Portal, mailing a physical copy, or hand-delivering comments to CMS. It is important to note that not all proposed rules receive significant public comments, so it’s important to speak up.

4. Review: After the comment period closes, CMS reviews all the received comments. They carefully consider the input provided and take it into account when developing the final rule.

5. Final Rule Publication: Once CMS has evaluated the comments and finalized the regulations, they are published as a Final Rule in the Federal Register.

The Center for Medicare and Medicaid Services (CMS) is required to provide the opportunity for public participation in the rulemaking process. This allows individuals and organizations to contribute their expertise, perspectives, and concerns, which help shape the final regulations.

ESRD Prospective Payment System is Putting People with Kidney Failure at Risk. Blog post by RSN Founder and President Lori Hartwell. Click here to learn more.

Comments are due by August 25, 2023. Click here to submit your comments.

1. Publication of Proposed Rules: When CMS intends to create or amend a regulation, it publishes a Notice of Proposed Rulemaking (NPRM) in the Federal Register, which outlines the proposed changes or new regulations.

2. Public Comment Period: The comment period varies but is typically around 30 to 60 days. CMS encourages stakeholders, including individuals, organizations, and other interested parties, to provide their feedback during this time.

3. Submitting Comments: Commenters have the option to submit their feedback through various means, including electronic submissions via the Federal eRulemaking Portal, mailing a physical copy, or hand-delivering comments to CMS. It is important to note that not all proposed rules receive significant public comments, so it’s important to speak up.

4. Review: After the comment period closes, CMS reviews all the received comments. They carefully consider the input provided and take it into account when developing the final rule.

5. Final Rule Publication: Once CMS has evaluated the comments and finalized the regulations, they are published as a Final Rule in the Federal Register.

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