Title 42, The Public Health and WelfareRelease 119-110

§1320d–3 Timetables for Adoption of Standards

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

Last updated Sep 22, 2026|Official source

Summary

The Secretary must put the standards from section 1320d–2 into effect within 18 months after August 21, 1996. Standards about claims attachments must be put in place within 30 months after August 21, 1996. After that, the Secretary must review the standards and can add or change them, but no more often than once every 12 months. Changes must be made so they cause as little disruption and cost as possible. During the first 12 months after a standard is first adopted, the Secretary may not change it unless the change is needed to allow people to comply. For code sets (the lists of codes used for health data), the Secretary must have routine maintenance and testing procedures. If a code set is changed, it must include instructions to convert old coded data so the information is kept, and the change must also minimize disruption and cost.

Full Legal Text

Title 42, §1320d–3

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

(a)Initial standards

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)Additions and modifications to standards

(1)In general

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)Special rules

(A)First 12-month period

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)Additions and modifications to code sets

(i)In general

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

(ii)Additional rules

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

Sep 22, 2026

Release point: 119-110