Becker's Healthcare June 25, 2025
Patsy Newitt

Stark law compliance is becoming increasingly critical for physicians and healthcare organizations. In 2024 alone, CMS reported a record 314 self-disclosure settlements under the law, totaling more than $24.7 million.

Here is a year-by-year overview of significant Stark law changes since its inception in 1989, according to a blog post from healthcare management company 99MGMT.

1989: Congress enacts Stark law, initially targeting physician referrals for clinical laboratory services. The law officially takes effect on Jan. 1, 1992.

1993-1994: The scope expands to cover additional Designated Health Services, including radiology, physical therapy and other services. Some provisions are extended to Medicaid.

1997: The HHS secretary is granted authority to issue written advisory opinions on whether specific referral arrangements comply with the...

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