CMS published the CY 2019 OPPS/ASC Final Rule in the Federal Register on November 21, 2018. Program updates can be found on pages 59140-59149 for the Hospital IQR Program and pages 59149–59154 for the PCHQR Program. CMS finalized the removal of the Communication About Pain questions from the HCAHPS survey for the Hospital IQR Program beginning with October 2019 discharges for the FY 2021 payment determination. In addition, all public reporting of these data will be discontinued. For the PCHQR Program, CMS will retain both the CAUTI and CLABSI measures. Public reporting of these data is being deferred as CMS works with measure developers to standardize definitions and methodologies.