On June 30, 2009, CMS published a final rule rescinding three controversial Bush Administration Medicaid rules that also had been blocked by Congress. Specifically, CMS is withdrawing: a December 28, 2007 final rule regarding Medicaid payment for the costs of certain school-based administrative and transportation activities; a November 7, 2008 final rule clarifying the definition of Medicaid outpatient hospital services; and certain provisions of a December 4, 2007 interim final rule with comment period on optional state case management services. In rescinding the rules, CMS cites concerns about “the potential restrictions on services available to beneficiaries and the lack of clear evidence demonstrating that the approaches taken in the regulations are warranted.” The rule is effective July 1, 2009.