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ehr onc final certification - Department of Health Care Services

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In response to the Interim Final Rule, some commenters chose to raise issues that<br />

are beyond the scope <strong>of</strong> our proposals. We do not summarize or respond to those<br />

comments in this <strong>final</strong> rule.<br />

IV. Collection <strong>of</strong> Information Requirements<br />

This <strong>final</strong> rule contains no new information collection requirements subject to<br />

review by the OMB under the Paperwork Reduction Act (PRA).<br />

V. Regulatory Impact Analysis<br />

A. Introduction<br />

We have examined the impacts <strong>of</strong> this <strong>final</strong> rule as required by Executive Order<br />

12866 on Regulatory Planning and Review (September 30, 1993, as further amended),<br />

the Regulatory Flexibility Act (RFA) (5 U.S.C. 601 et seq.), section 202 <strong>of</strong> the Unfunded<br />

Mandates Reform Act <strong>of</strong> 1995 (2 U.S.C. 1532) (UMRA), Executive Order 13132 on<br />

Federalism (August 4, 1999), and the Congressional Review Act (5 U.S.C. 804(2)).<br />

Executive Order 12866 directs agencies to assess all costs and benefits<br />

<strong>of</strong> available regulatory alternatives and, if regulation is necessary, to select regulatory<br />

approaches that maximize net benefits (including potential economic, environmental,<br />

public health and safety effects, distributive impacts, and equity). A regulatory impact<br />

analysis (RIA) must be prepared for major rules with economically significant effects<br />

($100 million or more in any one year). We have determined that this <strong>final</strong> rule is not an<br />

economically significant rule because we estimate that the costs to prepare Complete<br />

EHRs and EHR Modules to be tested and certified will be less than $100 million per<br />

year. Nevertheless, because <strong>of</strong> the public interest in this <strong>final</strong> rule, we have prepared an<br />

RIA that to the best <strong>of</strong> our ability presents the costs and benefits <strong>of</strong> the <strong>final</strong> rule.<br />

Page 186 <strong>of</strong> 228

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