Joint waivers issued by the Centers for Medicare and Medicaid Services (CMS) and HHS Office of Inspector General (OIG) relating the application of the physician self-referral law, the Federal anti-kickback statute, and certain civil monetary penalties (CMP) law provisions for specified arrangements involving Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) are due to expire November 2, 2015. The waivers, which were published as an interim final rule in a November 2011, were originally set to expire last fall but CMS and OIG extended the waivers for an additional year. However, a new final rule on ACO MSSP waivers may be issued soon. On September 9, 2015, the White House Office of Management and Budget (OMB) received a Final Rule regarding MSSP Final Waivers (CMS-1439-; RIN 0938-AR30F) for regulatory review. According to the OMB’s website, review of the final rule is still pending.