eCFR Analyzer

Centers for Medicare & Medicaid Services (CMS)

2,704,813Words in 69 parts
7.8Restriction density (per 1,000 words)
18.1Reading grade
0.0%Unchanged since 2017
0Flagged parts
2026-11-03Last change

Section changes per year

From the eCFR versioner, for the parts that the agency owns now. Before 2017 is the baseline load.

Text and size

Sentences
30.8 words on average; 26.3% over 40 words; 23.8% passive; 15.2 cross-references per 1,000 words
Sentence types
definition 4.6% · prohibition 1.9% · paperwork 4.8% · obligation 14.1% · permission 8.0% · other 66.6%
Checksum
b05b14dd501d1d9d5fec5a441c59ef1cc7814ca6d12c9ec73e505be89b0f2206 changed since last refresh

Review candidates in this agency

RankPartWordsScore
1,247 42 CFR 482 CONDITIONS OF PARTICIPATION FOR HOSPITALS
High signals: Directive share +1.5 SD · Size +1.4 SD · Restriction density +1.4 SD
 30,479 0.49
1,627 42 CFR 483 REQUIREMENTS FOR STATES AND LONG TERM CARE FACILITIES
High signals: Size +2.0 SD
 63,561 0.38
2,244 42 CFR 435 ELIGIBILITY IN THE STATES, DISTRICT OF COLUMBIA, THE NORTHERN MARIANA ISLANDS, AND AMERICAN SAMOA
High signals: Size +2.1 SD · Reading grade +1.1 SD
 70,032 0.22
2,551 42 CFR 456 UTILIZATION CONTROL
High signals: Size +1.1 SD
 20,422 0.14
2,578 42 CFR 480 ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION INFORMATION
High signals: Paperwork share +1.6 SD
 7,192 0.14
2,809 42 CFR 431 STATE ORGANIZATION AND GENERAL ADMINISTRATION
High signals: Size +1.6 SD
 37,716 0.08
2,839 42 CFR 485 CONDITIONS OF PARTICIPATION: SPECIALIZED PROVIDERS
High signals: Size +1.9 SD
 51,457 0.07
2,952 42 CFR 418 HOSPICE CARE
High signals: Size +1.4 SD
 31,228 0.05
2,967 42 CFR 438 MANAGED CARE
High signals: Size +2.1 SD
 70,621 0.05
3,090 42 CFR 493 LABORATORY REQUIREMENTS
High signals: Size +2.1 SD
 67,453 0.02
3,232 42 CFR 441 SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC SERVICES
High signals: Size +1.9 SD
 53,082 -0.01
3,463 42 CFR 433 STATE FISCAL ADMINISTRATION
High signals: Size +1.4 SD
 31,676 -0.06
3,478 42 CFR 494 CONDITIONS FOR COVERAGE FOR END-STAGE RENAL DISEASE FACILITIES
High signals: none above 1 SD; ranked by the combined score
 11,956 -0.06
3,560 42 CFR 422 MEDICARE ADVANTAGE PROGRAM
High signals: Size +3.0 SD
 185,855 -0.08
3,604 42 CFR 405 FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED
High signals: Size +2.7 SD
 143,867 -0.09
3,615 42 CFR 437 MEDICAID QUALITY
High signals: Paperwork share +1.1 SD
 2,701 -0.09
3,673 42 CFR 436 ELIGIBILITY IN GUAM, PUERTO RICO, AND THE VIRGIN ISLANDS
High signals: Size +1.1 SD
 20,545 -0.11
3,778 42 CFR 423 VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT
High signals: Size +3.0 SD
 200,870 -0.13
3,815 42 CFR 457 ALLOTMENTS AND GRANTS TO STATES
High signals: Size +1.9 SD
 52,872 -0.14
3,825 42 CFR 403 SPECIAL PROGRAMS AND PROJECTS
High signals: Size +1.6 SD
 37,691 -0.14
3,942 42 CFR 447 PAYMENTS FOR SERVICES
High signals: Size +1.7 SD
 40,997 -0.17
3,956 42 CFR 414 PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
High signals: Size +2.8 SD
 161,033 -0.17
4,068 42 CFR 489 PROVIDER AGREEMENTS AND SUPPLIER APPROVAL
High signals: Size +1.1 SD
 22,662 -0.19
4,072 42 CFR 476 QUALITY IMPROVEMENT ORGANIZATION REVIEW
High signals: none above 1 SD; ranked by the combined score
 12,066 -0.20
4,079 42 CFR 600 ADMINISTRATION, ELIGIBILITY, ESSENTIAL HEALTH BENEFITS, PERFORMANCE STANDARDS, SERVICE DELIVERY REQUIREMENTS, PREMIUM AND COST SHARING, ALLOTMENTS, AND RECONCILATION
High signals: none above 1 SD; ranked by the combined score
 13,633 -0.20

Score: the mean of six signals, in standard deviations (SD). Across the CFR, the top 641 of 6,402 ranked parts (10%) get a flag for review; this list shows 25. A flag is not a finding.

Statutes behind the most text

  • 42 U.S.C. 1302: 2,562,114 words in 57 parts (94.7% of this agency's text)
  • 42 U.S.C. 263a: 215,976 words in 3 parts (8.0% of this agency's text)
  • 31 U.S.C. 3711: 143,867 words in 1 parts (5.3% of this agency's text)
  • 42 U.S.C. 405: 143,867 words in 1 parts (5.3% of this agency's text)
  • 31 U.S.C. 9701: 53,921 words in 1 parts (2.0% of this agency's text)
  • 42 U.S.C. 273: 33,603 words in 2 parts (1.2% of this agency's text)
  • 42 U.S.C. 1395w: 24,065 words in 2 parts (0.9% of this agency's text)
  • 42 U.S.C. 300gg: 13,633 words in 1 parts (0.5% of this agency's text)
  • 42 U.S.C. 1320b: 2,701 words in 1 parts (0.1% of this agency's text)
  • 42 U.S.C. 1396a: 2,701 words in 1 parts (0.1% of this agency's text)

From the authority notes. A citation is not proof that the statute requires the rule.

Largest parts

  • 42 CFR 423: VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT (200,870 words)
  • 42 CFR 422: MEDICARE ADVANTAGE PROGRAM (185,855 words)
  • 42 CFR 414: PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES (161,033 words)
  • 42 CFR 412: PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES (157,532 words)
  • 42 CFR 413: PRINCIPLES OF REASONABLE COST REIMBURSEMENT; PAYMENT FOR END-STAGE RENAL DISEASE SERVICES; PROSPECTIVELY DETERMINED PAYMENT RATES FOR SKILLED NURSING FACILITIES; PAYMENT FOR ACUTE KIDNEY INJURY DIALYSIS (146,414 words)
  • 42 CFR 405: FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED (143,867 words)
  • 42 CFR 512: STANDARD PROVISIONS FOR MANDATORY INNOVATION CENTER MODELS AND SPECIFIC PROVISIONS FOR CERTAIN MODELS (108,795 words)
  • 42 CFR 425: MEDICARE SHARED SAVINGS PROGRAM (95,090 words)
  • 42 CFR 438: MANAGED CARE (70,621 words)
  • 42 CFR 435: ELIGIBILITY IN THE STATES, DISTRICT OF COLUMBIA, THE NORTHERN MARIANA ISLANDS, AND AMERICAN SAMOA (70,032 words)

Reading grade and sentence types are approximate. Simple rules label each sentence; the first match wins.