On December 16, 2010, CMS is hosting a Special Open Door forum on Section 3004 of the ACA, which directs the Secretary to establish Medicare quality reporting programs for long term care hospitals (LTCHs), inpatient rehabilitation facilities (IRFs), and hospice programs. Through the listening session, CMS is seeking to understand how provider experience with quality measures can inform the goals for the mandated quality measures. With regard to the timeline, the ACA requires that the quality measures be made available by 2012, with reporting on these measures expected to begin in FY 2013. For FY 2014 and each subsequent year, failure to submit required quality data will result in a 2% reduction in the annual payment update.