<?xml version="1.0" encoding="UTF-8"?><mods xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://www.loc.gov/mods/v3" version="3.3" xsi:schemaLocation="http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-3.xsd" ID="id-2022-14513">
    <name type="corporate">
        <namePart>United States Government Publishing Office</namePart>
        <role>
            <roleTerm authority="marcrelator" type="text">publisher</roleTerm>
            <roleTerm authority="marcrelator" type="code">pbl</roleTerm>
        </role>
        <role>
            <roleTerm authority="marcrelator" type="text">distributor</roleTerm>
            <roleTerm authority="marcrelator" type="code">dst</roleTerm>
        </role>
    </name>
    <name type="corporate">
        <namePart>United States</namePart>
        <namePart>National Archives and Records Administration</namePart>
        <namePart>Office of the Federal Register</namePart>
        <role>
            <roleTerm authority="marcrelator" type="text">author</roleTerm>
            <roleTerm authority="marcrelator" type="code">aut</roleTerm>
        </role>
        <description>Government Organization</description>
    </name>
    <typeOfResource>text</typeOfResource>
    <genre authority="marcgt">government publication</genre>
    <language>
        <languageTerm type="code" authority="iso639-2b">eng</languageTerm>
    </language>
    <extension>
        <collectionCode>FR</collectionCode>
        <category>Regulatory Information</category>
        <waisDatabaseName>2022_register</waisDatabaseName>
        <branch>executive</branch>
        <dateIngested>2022-07-09</dateIngested>
    </extension>
    <genre authority="marcgt">article</genre>
    <titleInfo>
        <title>Clinical Laboratory Improvement Amendments of 1988 (CLIA) Proficiency Testing Regulations Related to Analytes and Acceptable Performance</title>
        <partNumber>Part II</partNumber>
        <partName>Rules and Regulations</partName>
    </titleInfo>
    <relatedItem type="otherFormat" xlink:href="https://www.govinfo.gov/content/pkg/FR-2022-07-11/html/2022-14513.htm">
        <identifier type="FDsys Unique ID">D09002ee1c7a33a8c</identifier>
    </relatedItem>
    <relatedItem type="otherFormat" xlink:href="https://www.govinfo.gov/content/pkg/FR-2022-07-11/pdf/2022-14513.pdf">
        <identifier type="FDsys Unique ID">D09002ee1c7a33ba3</identifier>
    </relatedItem>
    <name type="corporate">
        <namePart>United States</namePart>
        <namePart>Department of Health and Human Services</namePart>
        <role>
            <roleTerm authority="marcrelator" type="text">originator</roleTerm>
            <roleTerm authority="marcrelator" type="code">org</roleTerm>
        </role>
        <description>United States Government Agency or Subagency</description>
    </name>
    <name type="corporate">
        <namePart>United States</namePart>
        <namePart>Centers for Medicare &amp; Medicaid Services</namePart>
        <role>
            <roleTerm authority="marcrelator" type="text">originator</roleTerm>
            <roleTerm authority="marcrelator" type="code">org</roleTerm>
        </role>
        <description>United States Government Agency or Subagency</description>
    </name>
    <abstract>This final rule updates proficiency testing (PT) regulations under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) to address current analytes (that is, substances or constituents for which the laboratory conducts testing) and newer technologies. This final rule also makes technical changes to PT referral regulations to better align them with the CLIA statute.</abstract>
    <identifier type="FR citation">87 FR 41194</identifier>
    <identifier type="uri">https://www.govinfo.gov/app/details/FR-2022-07-11/2022-14513</identifier>
    <identifier type="FR Doc No.">2022-14513</identifier>
    <identifier type="former granule identifier">fr11jy22-17</identifier>
    <identifier type="Regulation ID Number">RIN 0938-AT55</identifier>
    <identifier type="billing code">4120-01-P</identifier>
    <identifier type="department code">CMS-3355-F</identifier>
    <location>
        <url displayLabel="Content Detail" access="object in context">https://www.govinfo.gov/app/details/FR-2022-07-11/2022-14513</url>
        <url access="raw object" displayLabel="HTML rendition">https://www.govinfo.gov/content/pkg/FR-2022-07-11/html/2022-14513.htm</url>
        <url access="raw object" displayLabel="PDF rendition">https://www.govinfo.gov/content/pkg/FR-2022-07-11/pdf/2022-14513.pdf</url>
    </location>
    <subject>
        <topic>Administrative Practice and Procedure</topic>
        <topic>Grant Programs-Health</topic>
        <topic>Health Facilities</topic>
        <topic>Laboratories</topic>
        <topic>Medicaid</topic>
        <topic>Medicare</topic>
        <topic>Penalties</topic>
        <topic>Reporting and Recordkeeping Requirements</topic>
    </subject>
    <physicalDescription>
        <extent>49 p.</extent>
    </physicalDescription>
    <part type="Part II">
        <extent unit="pages">
            <start>41194</start>
            <end>41242</end>
        </extent>
    </part>
    <identifier type="preferred citation">87 FR 41194</identifier>
    <relatedItem type="isReferencedBy">
        <titleInfo>
            <title>Code of Federal Regulations</title>
            <partNumber>Title 42 Part 493</partNumber>
        </titleInfo>
        <identifier type="CFR citation">42 CFR Part  493</identifier>
    </relatedItem>
    <relatedItem type="isReferencedBy">
        <titleInfo>
            <title>Regulation Identification Number 0938-AT55</title>
        </titleInfo>
        <identifier type="regulation ID number">RIN 0938-AT55</identifier>
    </relatedItem>
    <extension>
        <searchTitle>Clinical Laboratory Improvement Amendments of 1988 (CLIA) Proficiency Testing Regulations Related to Analytes and Acceptable Performance; Federal Register Vol. 87, Issue </searchTitle>
        <granuleClass>RULE</granuleClass>
        <accessId>2022-14513</accessId>
        <partNumber>II</partNumber>
        <agency order="1">DEPARTMENT OF HEALTH AND HUMAN SERVICES</agency>
        <agency order="2">Centers for Medicare &amp; Medicaid Services</agency>
        <effectiveDate>2022-08-10</effectiveDate>
        <departmentDoc>CMS-3355-F</departmentDoc>
        <rin number="0938-AT55"/>
        <billingCode>4120-01-P</billingCode>
        <frDocNumber>2022-14513</frDocNumber>
        <action>Final rule.</action>
        <summary>This final rule updates proficiency testing (PT) regulations under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) to address current analytes (that is, substances or constituents for which the laboratory conducts testing) and newer technologies. This final rule also makes technical changes to PT referral regulations to better align them with the CLIA statute.</summary>
        <dates>Effective August 10, 2022, except for the amendments to Sec. Sec. 493.2 and 493.801 through 493.959 (amendatory instructions 2 and 5 through 21), which are effective July 11, 2024.</dates>
        <contact>Sarah Bennett, CMS, (410) 786-3531; or Nancy Anderson, CDC, (404) 498-2741.</contact>
        <cfr title="42">
                                    
            <part number="493"/>
                                    
            <subject>Administrative Practice and Procedure</subject>
                                    
            <subject>Grant Programs-Health</subject>
                                    
            <subject>Health Facilities</subject>
                                    
            <subject>Laboratories</subject>
                                    
            <subject>Medicaid</subject>
                                    
            <subject>Medicare</subject>
                                    
            <subject>Penalties</subject>
                                    
            <subject>Reporting and Recordkeeping Requirements</subject>
                                
        </cfr>
        <tocDoc>Clinical Laboratory Improvement Amendments Proficiency Testing Regulations Related to Analytes and Acceptable Performance, </tocDoc>
        <urlRef>http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfClia/Search.cfm</urlRef>
        <urlRef>https://truvenhealth.com/your-healthcare-focus/life-sciences/data_databases_and_online_toolsMarkets/Life-Sciences/Products/Data-Tools/MarketScan-Databases</urlRef>
        <urlRef>https://www.aacc.org/science-and-practice/annual-meeting-abstracts-archive</urlRef>
        <urlRef>https://www.aha.org/statistics/fast-facts-us-hospitals</urlRef>
        <urlRef>https://www.ahrq.gov/research/findings/nhqrdr/index.html</urlRef>
        <urlRef>https://www.bls.gov/oes/current/oes_nat.htm</urlRef>
        <urlRef>https://www.bls.gov/oes/tables.htm</urlRef>
        <urlRef>https://www.cdc.gov/labstandards/hs.html</urlRef>
        <urlRef>https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ClinicalLabFeeSched/Clinical-Laboratory-Fee-Schedule-Files</urlRef>
        <urlRef>https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-G/part-493#493.2</urlRef>
        <urlRef>https://www.guideline.gov/</urlRef>
        <urlRef>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4698806/</urlRef>
        <urlRef>https://www.thecommunityguide.org</urlRef>
        <urlRef>https://www.uspreventiveservicestaskforce.org/Page/Name/recommendations</urlRef>
    </extension>
    <relatedItem type="host" ID="P0b002ee1b66ae240" xlink:href="https://www.govinfo.gov/metadata/pkg/FR-2022-07-11/mods.xml">
        <titleInfo>
            <title>Federal Register</title>
            <partNumber>Vol. 87, no. 131</partNumber>
        </titleInfo>
        <originInfo>
            <publisher>Office of the Federal Register, National Archives and Records Administration</publisher>
            <dateIssued encoding="w3cdtf">2022-07-11</dateIssued>
            <issuance>continuing</issuance>
            <frequency>daily</frequency>
        </originInfo>
        <physicalDescription>
            <note type="source content type">deposited</note>
            <digitalOrigin>born digital</digitalOrigin>
            <extent>227 p.</extent>
        </physicalDescription>
        <tableOfContents xlink:href="https://www.govinfo.gov/app/frtoc/2022-07-11">    
		  Table of Contents: 
		</tableOfContents>
        <classification authority="sudocs">AE 2.7:</classification>
        <classification authority="sudocs">GS 4.107:</classification>
        <classification authority="sudocs">AE 2.106:</classification>
        <classification authority="lcc">KF70.A2</classification>
        <identifier type="uri">https://www.govinfo.gov/app/details/FR-2022-07-11</identifier>
        <identifier type="local">P0b002ee1b66ae240</identifier>
        <identifier type="issn">0097-6326</identifier>
        <identifier type="issn">0042-1219</identifier>
        <identifier type="issn">0364-1406</identifier>
        <identifier type="stock number">769-004-00000-9</identifier>
        <identifier type="ILS system id">000582072</identifier>
        <identifier type="former identifier">f:fr11jy22</identifier>
        <location>
            <url displayLabel="Content Detail" access="object in context">https://www.govinfo.gov/app/details/FR-2022-07-11</url>
            <url displayLabel="PDF rendition" access="raw object">https://www.govinfo.gov/content/pkg/FR-2022-07-11/pdf/FR-2022-07-11.pdf</url>
            <url displayLabel="XML rendition" access="raw object">https://www.govinfo.gov/content/pkg/FR-2022-07-11/xml/FR-2022-07-11.xml</url>
        </location>
        <accessCondition type="GPO scope determination">fdlp</accessCondition>
        <part type="issue">
            <extent unit="pages">
                <start>41025</start>
                <end>41242</end>
            </extent>
        </part>
        <recordInfo>
            <recordContentSource authority="marcorg">DGPO</recordContentSource>
            <recordCreationDate encoding="w3cdtf">2022-07-09</recordCreationDate>
            <recordChangeDate encoding="w3cdtf">2024-05-29</recordChangeDate>
            <recordIdentifier source="DGPO">FR-2022-07-11</recordIdentifier>
            <recordOrigin>machine generated</recordOrigin>
            <languageOfCataloging>
                <languageTerm type="code" authority="iso639-2b">eng</languageTerm>
            </languageOfCataloging>
        </recordInfo>
        <extension>
            <docClass>FR</docClass>
            <accessId>FR-2022-07-11</accessId>
            <volume>87</volume>
            <issue>131</issue>
        </extension>
    </relatedItem>
</mods>
