Title 42 — The Public Health and WelfareRelease 119-73

§1320d–3 Timetables for adoption of standards

Title 42 › Chapter CHAPTER 7— - SOCIAL SECURITY › Subchapter SUBCHAPTER XI— - GENERAL PROVISIONS, PEER REVIEW, AND ADMINISTRATIVE SIMPLIFICATION › Part Part C— - Administrative Simplification › § 1320d–3

Last updated Apr 6, 2026|Official source

Summary

The Secretary must put the standards required by section 1320d–2 into effect within 18 months after August 21, 1996. Rules about claims attachments must be adopted within 30 months after August 21, 1996. The Secretary must review the standards, but no more often than once every 12 months, and can make changes when needed. Any change must be done in a way that keeps disruption and costs low. A new standard cannot be changed during its first 12 months unless the change is needed to allow people to comply. For code sets, the Secretary must have routine procedures to maintain, test, improve, and expand them. If a code set is changed, it must include instructions for converting old coded data so its meaning is kept, and the change must be made to keep disruption and costs low.

Full Legal Text

Title 42, §1320d–3

The Public Health and Welfare — Source: USLM XML via OLRC

(a)The Secretary shall carry out section 1320d–2 of this title not later than 18 months after August 21, 1996, except that standards relating to claims attachments shall be adopted not later than 30 months after August 21, 1996.

(b)(1)Except as provided in paragraph (2), the Secretary shall review the standards adopted under section 1320d–2 of this title, and shall adopt modifications to the standards (including additions to the standards), as determined appropriate, but not more frequently than once every 12 months. Any addition or modification to a standard shall be completed in a manner which minimizes the disruption and cost of compliance.

(2)(A)Except with respect to additions and modifications to code sets under subparagraph (B), the Secretary may not adopt any modification to a standard adopted under this part during the 12-month period beginning on the date the standard is initially adopted, unless the Secretary determines that the modification is necessary in order to permit compliance with the standard.

(B)(i)The Secretary shall ensure that procedures exist for the routine maintenance, testing, enhancement, and expansion of code sets.

(ii)If a code set is modified under this subsection, the modified code set shall include instructions on how data elements of health information that were encoded prior to the modification may be converted or translated so as to preserve the informational value of the data elements that existed before the modification. Any modification to a code set under this subsection shall be implemented in a manner that minimizes the disruption and cost of complying with such modification.

Reference

Citations & Metadata

Citation

42 U.S.C. § 1320d–3

Title 42 — The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73