The following is added to the Summary of Statement of Estimated Regulatory Cost.
SUMMARY OF STATEMENT OF ESTIMATED REGULATORY COST: The agency has determined that this rule will have an impact on small business. A SERC has been prepared by the agency.
Any person who wishes to provide information regarding the statement of estimated regulatory costs or to provide a proposal for a lower cost regulatory alternative must do so in writing within 21 days of this notice. There are 319 freestanding dialysis clinics that are affected by the rules. Reducing the composite rate of hemodialysis from $125.00 to $95.00 causes a reduction of $865,130 from the General Revenue Fund, $1,077,236.00 from the Medical Care Trust Fund, and $3,644.00 from the Refugee Assistance Trust Fund.