DHHS estimates some of the future costs of the proposed rule in Section E of the Preliminary Regulatory Impact Analysis of this document. The reported costs include costs incurred during the compliance period and up to 5 years after the effective date. The same section also includes some qualitative discussion of costs that would occur beyond that time period. Most of the costs of the proposed rule, however, would occur in the years immediately after the publication of a final rule. Future costs beyond the five year period will continue but will not be as great as the initial compliance costs.