Final regulations for Stage 2 of the meaningful use program are being
reviewed by the White House Office of Management and Budget, a sign the rule is
The Centers for Medicare & Medicaid Services July 16 sent the final
Medicare and Medicaid Electronic Health Record Incentive Program--Stage 2 rule
to OMB. Regulatory review is considered one of the last steps of the rulemaking
CMS published the proposed rule March 7 (77 Fed. Reg. 13,698, March 7, 2012)
and public comments were due May 7 (see previous article).
In public comments, the American Medical Association and the American
Hospital Association told CMS the rules should be simplified and that the
timeline for the second phase of the EHR incentive program--slated to begin in
2014--should be extended (04 HITR 7, 5/21/12)(23 MCR 573, 5/18/12).
The Office of the National Coordinator for Health Information Technology also
on March 7 published a proposed companion rule that updates technical standards
and EHR certification criteria for Stage 2 of the incentive program (77 Fed.
Reg. 13,831, March 7, 2012)(see previous article). The final version of
that rule is not yet under review, according to the OMB website.
The proposed meaningful use rule from CMS is available at http://www.gpo.gov/fdsys/pkg/FR-2012-03-07/pdf/2012-4443.pdf.
The proposed standards and certification rule from ONC is available at http://www.gpo.gov/fdsys/pkg/FR-2012-03-07/pdf/2012-4430.pdf.