---
kind: "section"
citation: "42 U.S.C. § 1320d–3"
title: "42"
title_heading: "The Public Health and Welfare"
number: "1320d–3"
heading: "Timetables for adoption of standards"
release: "119-102"
url: "https://uscodex.org/usc/42/1320d-3"
units:
  - "Chapter 7 — Social Security"
  - "Subchapter XI — General Provisions, Peer Review, and Administrative Simplification"
  - "Part C — Administrative Simplification"
---

# §1320d–3. Timetables for adoption of standards

- (a) **Initial standards—** The [Secretary](/usc/42/1301.md?p=a-6) shall carry out [section 1320d–2 of this title](/usc/42/1320d–2.md) not later than 18 months after August 21, 1996, except that [standards](/usc/42/1320d.md?p=7) relating to [claims](/usc/42/1320a–7a.md?p=i-2) 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)](#b-2), the [Secretary](/usc/42/1301.md?p=a-6) shall review the [standards](/usc/42/1320d.md?p=7) adopted under [section 1320d–2 of this title](/usc/42/1320d–2.md), and shall adopt [modifications](/usc/42/7501.md?p=4) to the [standards](/usc/42/1320d.md?p=7) ([including](/usc/42/1301.md?p=b) additions to the [standards](/usc/42/1320d.md?p=7)), as determined appropriate, but not more frequently than once every 12 months. Any addition or [modification](/usc/42/7501.md?p=4) to a [standard](/usc/42/1320d.md?p=7) 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](/usc/42/7501.md?p=4) to [code sets](/usc/42/1320d.md?p=1) under [subparagraph (B)](#b-2-B), the [Secretary](/usc/42/1301.md?p=a-6) may not adopt any [modification](/usc/42/7501.md?p=4) to a [standard](/usc/42/1320d.md?p=7) adopted under this part during the 12-month period beginning on the date the [standard](/usc/42/1320d.md?p=7) is initially adopted, unless the [Secretary](/usc/42/1301.md?p=a-6) determines that the [modification](/usc/42/7501.md?p=4) is necessary in order to permit compliance with the [standard](/usc/42/1320d.md?p=7).
    - (B) **Additions and modifications to code sets—**
      - (i) **In general—** The [Secretary](/usc/42/1301.md?p=a-6) shall ensure that procedures exist for the routine maintenance, testing, enhancement, and expansion of [code sets](/usc/42/1320d.md?p=1).
      - (ii) **Additional rules—** If a [code set](/usc/42/1320d.md?p=1) is [modified](/usc/42/7501.md?p=4) under this subsection, the modified [code set](/usc/42/1320d.md?p=1) shall include instructions on how data elements of [health information](/usc/42/1320d.md?p=4) that were encoded prior to the [modification](/usc/42/7501.md?p=4) may be converted or translated so as to preserve the informational value of the data elements that existed before the [modification](/usc/42/7501.md?p=4). Any [modification](/usc/42/7501.md?p=4) to a [code set](/usc/42/1320d.md?p=1) under this subsection shall be implemented in a manner that minimizes the disruption and cost of complying with such [modification](/usc/42/7501.md?p=4).

## Source credit

(Aug. 14, 1935, ch. 531, title XI, § 1174, as added Pub. L. 104–191, title II, § 262(a), Aug. 21, 1996, 110 Stat. 2026.)