Medicare Program; Hospice Wage Index for Fiscal Year 2006, 57174-57177 [05-19609]

Download as PDF 57174 Federal Register / Vol. 70, No. 189 / Friday, September 30, 2005 / Rules and Regulations notice and comment process is impracticable, unnecessary, or contrary to the public interest and incorporates a statement of the finding and the reasons for it into the notice issued. The policies and payment methodology expressed in the FY 2006 final rule (70 FR 47880) have previously been subjected to notice and comment procedures. This correction notice merely provides technical corrections to the FY 2006 final rule that was promulgated through notice and comment rulemaking, and does not make substantive changes to the policies or payment methodology that were expressed in the final rule. For example, this notice corrects typographical errors and typesetting errors, revises inaccurate tabular data due to inadvertently neglecting to apply any rural adjustment amount to estimated payments for four IRFs in conformance with the hold harmless policy, updates the narrative to reflect the correct tabular data, corrects some estimated dollar impacts due to inadvertently computing the estimates using the incorrect standard payment conversion factor, and makes clarifications to the preamble text. Therefore, we find it unnecessary to undertake further notice and comment procedures with respect to this correction notice. We also believe it is in the public interest to waive notice and comment procedures and the 30-day delay in effective date for this notice. This correction notice is intended to ensure that the FY 2006 final rule accurately reflects the policies expressed in the final rule, and that the correct information is made available to the public prior to October 1, 2005, the date on which the final rule becomes effective. For the reasons stated above, we find that both notice and comment and the 30-day delay in effective date for this correction notice are unnecessary and impracticable, and that it is in the public interest to make this notice effective in conjunction with the final rule to which the corrections apply (and would be contrary to the public interest to do otherwise). Therefore, we find good cause to waive notice and comment procedures and the 30-day CBSA code 10420 ..... Wage Index 1 0.9604 (Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance; and Program No. 93.774, Medicare—Supplementary Medical Insurance Program) Dated: September 27, 2005. Ann C. Agnew, Executive Secretary to the Department. [FR Doc. 05–19610 Filed 9–29–05; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Part 418 [CMS–1286–CN] RIN 0938–AN89 Medicare Program; Hospice Wage Index for Fiscal Year 2006 Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Final rule, correction. AGENCY: SUMMARY: This document corrects technical errors that appeared in the final rule published in the Federal Register on August 4, 2005, entitled ‘‘Hospice Wage Index for Fiscal Year 2006.’’ This document is effective on October 1, 2005, the effective date of the provisions of the final rule. EFFECTIVE DATE: This notice is effective on October 1, 2005. FOR FURTHER INFORMATION CONTACT: Terri Deutsch, (410) 786–9462. SUPPLEMENTARY INFORMATION: I. Background Federal Register Doc. 05–15290 of August 4, 2005 (70 FR 45130), entitled ‘‘Hospice Wage Index for Fiscal Year 2006,’’ includes errors that are identified and corrected in the ‘‘Correction of Errors’’ section below. The errors in this correcting notice are effective as if they had been included in the document published on August 4, 2005. Accordingly, the corrections are effective on October 1, 2005, the effective date of the provisions of the August 4, 2005 final rule. II. Summary of the Corrections to the August 4, 2005 Final Rule In the August 4, 2005 final rule, on pages 45146 through 45167, we published an Addendum. In Table A of the addendum, we published the updated urban and rural wage index values for hospices utilizing the CoreBased Statistical Areas (CBSA) designations. To ensure that hospice providers were able to identify their current wage index, Table A contains the CBSA code, CBSA wage index, CBSA county name, and the current MSA designation. There are typographical errors in the wage indexes listed in the table that were as a result of formatting the columns. In addition, in several sections throughout the table (that is, for the CBSA county names located in the urban areas of Gainesville, FL; Newark Union, NJ–PA; Waterloo-Cedar Falls, LA; and Wilmington, DE–MD–NJ), we inadvertently omitted the asterisk that corresponds to the footnotes that appear at the end of the table. This correction notice is consistent with the published hospice wage index values that will be used to make payment as of October 1, 2005. In section III of this notice, we provide a description of the errors and the changes being made to correct the errors. Thus, for clarity, we will republish only the section of the table that contains errors. III. Correction of Errors In Federal Register Doc. 05–15290 of August 4, 2005 (70 FR 45130), we are making the following corrections to Table A—Hospice Wage Index for Urban Areas by CBSA: I § 418.304 [Corrected] 1. On page 45146, in the third column, in lines 15 and 16, for CBSA code 10420, indent the CBSA county name for ‘‘Portage, OH’’ and ‘‘Summit, OH’’ to follow the format of the table. The CBSA code for 10420 should read as follows: I Urban area (constituent counties or county equivalents) 2 Akron, OH ....................................................................................................................................................... Portage, OH Summit, OH 2. On page 45150, in the third column, in lines 25 through 27, for CBSA code I VerDate Aug<31>2005 delay in effective date for this correction notice. 15:28 Sep 29, 2005 Jkt 205001 17420, move the CBSA county name for ‘‘Cleveland, TN’’ to line-up with the PO 00000 Frm 00054 Fmt 4700 Sfmt 4700 MSA code 0080 column and indent the CBSA county E:\FR\FM\30SER1.SGM 30SER1 Federal Register / Vol. 70, No. 189 / Friday, September 30, 2005 / Rules and Regulations names for ‘‘Bradley, TN’’ and ‘‘Polk, TN’’ to follow the format of the table. CBSA Code The CBSA code for 17420 should read as follows: Wage Index 1 17420 ..... 0.8337 Urban area (constituent counties or county equivalents) 2 Cleveland, TN ................................................................................................................................................. Bradley, TN Polk, TN 3. On page 45151— A. In the second column, in the 12th entry, for CBSA code 19340, move the wage index value ‘‘0.9076’’ from the CBSA county name Rock Island, IL* to ‘‘Mercer, IL*.’’ I B. In the second column, in the 15th entry for CBSA code 19380, move the I I wage index value ‘‘0.9579’’ from the CBSA county name Miami, OH* to ‘‘Prebele, OH*.’’ I C. In the third column, in the 14th line from the bottom, for CBSA code 19780, remove the figure from in front of the word ‘‘Madison.’’ In addition, indent the CBSA county name for Wage index 1 Urban area (constituents counties or country equivalents) 2 19340 ..... .................. 0.9305 Davenport-Moline-Rock Island, IA-IL. Henry, IL* ..................................................................................................................................................... Rock Island, IL* ........................................................................................................................................... Scott, IA* ...................................................................................................................................................... Mercer, IL* ................................................................................................................................................... * * * * Urban area (constitutent counties or county equivalents) 2 19380 ..... .................. 0.9829 Dayton, OH. .................................................................................................................................................... Greene, OH* ................................................................................................................................................ Miami, OH* .................................................................................................................................................. Montgomery, OH* ........................................................................................................................................ Preble, OH* ................................................................................................................................................. * * * MSA code Wage index 1 Urban area (constitutent counties or county equivalents) 2 19780 ..... .................. 0.9828 Des Moines, IA*. Dallas, IA* .................................................................................................................................................... Polk, IA* ....................................................................................................................................................... Warren, IA* .................................................................................................................................................. Guthrie, IA* .................................................................................................................................................. Madison, IA* ................................................................................................................................................ 4. On page 45152, in the third column— I A. In line 14, for the CBSA code 20764, format the CBSA county name for ‘‘Ocean, NJ*’’ to line-up with the CBSA county name ‘‘Monmouth, NJ*.’’ I B. In the 10th line from the bottom, for CBSA code 22500, remove the asterisk from the CBSA county name for ‘‘Florence, SC.’’ I C. In the 8th and 9th lines from the bottom, for CBSA code 22500, add an asterisk to the CBSA county name for I MSA code Wage index 1 Urban area (constituent counties or county equivalents) 2 20764 ..... .................. 1.1930 Edison, NJ. Middlesex, NJ* ............................................................................................................................................. Somerset, NJ* ............................................................................................................................................. Monmouth, NJ* ............................................................................................................................................ Ocean, NJ* .................................................................................................................................................. VerDate Aug<31>2005 15:28 Sep 29, 2005 Jkt 205001 PO 00000 Frm 00055 Fmt 4700 Sfmt 4700 2120 2120 2120 16 16 ‘‘Florence, SC’’ and indent the CBSA county names for ‘‘Darlington, SC* and Florence, SC’’ to follow the format of the table. The table for CBSA code 20764 and 22500 should read as follows: CBSA code 1.1680 2000 2000 2000 36 * CBSA code 0.9449 1960 1960 1960 14 * Wage index 1 * 44 MSA code CBSA code 0.9579 MSA code ‘‘Madison, IA*,’’ to follow the format of the table. The table for CBSA codes 19340, 19380, and 19780 should read as follows: CBSA code 0.9076 57175 E:\FR\FM\30SER1.SGM MSA code 30SER1 5015 5015 5190 5190 57176 * * Federal Register / Vol. 70, No. 189 / Friday, September 30, 2005 / Rules and Regulations * * * CBSA code Wage index 1 Urban area (constituent counties or county equivalents) 2 22500 ..... .................. 0.9267 0.9436 Florence, SC. Darlington, SC* ............................................................................................................................................ Florence, SC* .............................................................................................................................................. 5. On page 45153, in the third column, for CBSA code 23540, add an asterisk to I the CBSA county name for ‘‘Alachua, FL’’ and ‘‘Gilchrist, FL.’’ MSA code 42 2655 The table for CBSA code 23540 should read as follows: CBSA code Wage index 1 Urban area (constituent counties or county equivalents) 2 23540 ..... .................. 0.9642 1.0033 Gainesville, FL. Alachua, FL* ................................................................................................................................................ Gilchrist, FL* ................................................................................................................................................ 6. On page 45154, in the third column, in the 16th line from the bottom, for CBSA code 26580, indent the CBSA I CBSA code county name for ‘‘Boyd, KY’’ to follow the format of the table. Wage index 1 26580 ..... 1.0144 MSA code 2900 10 The table for CBSA code 26580 should read as follows: Urban area (constituent counties or county equivalents) 2 MSA code Huntington-Ashland, WV-KY-OH .................................................................................................................... Boyd, KY. Cabell, WV. Greenup, KY. Lawrence, OH. Wayne, WV. 7. On page 45159, in the third column, in lines 19 through 24, for CBSA code 35084, add an asterisk to the CBSA I county name for ‘‘Pike, PA’’, ‘‘Essex, NJ,’’ ‘‘Morris, NJ,’’ ‘‘Sussex, NJ,’’ ‘‘Union, NJ,’’ and ‘‘Hunterdon, NJ.’’ 3400 The table for CBSA code 35084 should read as follows: CBSA code Wage index 1 Urban area (constituent counties or county equivalents) 2 35084 .................. 1.2122 1.2363 Newark-Union, NJ-PA. Pike, PA* ..................................................................................................................................................... Essex, NJ* ................................................................................................................................................... Morris, NJ* ................................................................................................................................................... Sussex, NJ* ................................................................................................................................................. Union, NJ* ................................................................................................................................................... Hunterdon, NJ* ............................................................................................................................................ 1.2223 8. On page 45160— A. In the first column, in the first entry from the bottom, for CBSA code 1.0183, remove the CBSA code ‘‘1.0183’’ I I and add in its place the CBSA code ‘‘38540.’’ I B. In the second column, in the first entry from the bottom, in the wage index column, add the wage index value MSA code 5660 5640 5640 5640 5640 5015 ‘‘1.0183’’ to the CBSA county name ‘‘Power, ID*.’’ The table for CBSA code 38540 should read as follows: CBSA code Wage index 1 Urban area (constituent counties or county equivalents) 2 38540 ..... .................. 0.9773 1.0183 Pocatello, ID.. Bannock, ID* ................................................................................................................................................ Power, ID* ................................................................................................................................................... 9. On page 45166, in the third column, in the 6th through 9th lines from the bottom, for CBSA code 47940, add an I VerDate Aug<31>2005 15:28 Sep 29, 2005 Jkt 205001 asterisk to the CBSA county names for ‘‘Black Hawk, IA,’’ ‘‘Bremer, IA’’, and ‘‘Grundy, IA.’’ PO 00000 Frm 00056 Fmt 4700 Sfmt 4700 MSA code The table for CBSA code 47940 should read as follows: E:\FR\FM\30SER1.SGM 30SER1 6340 13 Federal Register / Vol. 70, No. 189 / Friday, September 30, 2005 / Rules and Regulations CBSA code Wage index 1 Urban area (constituent counties or county equivalents) 2 47940 ..... .................. 0.9157 0.9113 57177 Waterloo-Cedar Falls, IA. Black Hawk, IA * .......................................................................................................................................... Bremer, IA * ................................................................................................................................................. Grundy, IA * ................................................................................................................................................. 10. On page 45167, in the third column, in lines 22 through 24, for CBSA code 48864, add an asterisk to the I CBSA county names for ‘‘Cecil, MD’’, New Castle, DE,’’ and ‘‘Salem, NJ.’’ MSA code The table for CBSA code 48864 should read as follows: CBSA code Wage index 1 Urban area (constituent counties or county equivalents) 2 48864 ..... .................. 1.1757 Wilmington, DE-MD-NJ. Cecil, MD * ................................................................................................................................................... New Castle, DE * ......................................................................................................................................... Salem, NJ * .................................................................................................................................................. 1.1600 IV. Waiver of Proposed Rulemaking We ordinarily publish a notice of proposed rulemaking in the Federal Register to provide a period for public comment before the provisions of a rule take effect in accordance with section 553(b) of the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we can waive this notice and comment procedure if the Secretary finds, for good cause, that the notice and comment process is impracticable, unnecessary, or contrary to the public interest, and incorporate a statement of the finding and the reasons therefore in the notice. The revisions contained in this rule, correct formatting and typographical errors in various sections of a table. These corrections are necessary to ensure that the final rule accurately reflects the correct wage index value used to calculate payment to hospices. Since they are not substantive and merely technical, we find that public comments on these revisions are both unnecessary and impracticable. Therefore, we find good cause to waive notice and comment procedures. In addition, the Administrative Procedure Act (APA) normally requires a 30-day delay in the effective date of a final rule. Since this notice simply makes technical modifications to a final rule that has previously gone through notice-and-comment rulemaking and the corrections are only to formatting errors, we believe good cause also exists under the APA to waive the 30-day delay in the effective date. Thus, this notice is effective October 1, 2005. (Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance; and Program No. 93.774, Medicare—Supplementary Medical Insurance Program) VerDate Aug<31>2005 15:28 Sep 29, 2005 Jkt 205001 Dated: September 27, 2005. Ann C. Agnew, Executive Secretary to the Department. [FR Doc. 05–19609 Filed 9–29–05; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF THE INTERIOR 8920 16 16 MSA code 9160 9160 6160 law. The Act addresses the rights of lineal descendants, Indian tribes, and Native Hawaiian organizations to Native American human remains, funerary objects, sacred objects, and objects of cultural patrimony with which they are affiliated. The Act assigns implementation responsibilities to the Secretary of the Interior. Office of the Secretary Technical Amendment 43 CFR Part 10 Secretarial Order 3261 reassigns some of these implementation responsibilities to other positions in the Department of the Interior and National Park Service to ensure efficient and effective implementation of the statutory requirements. Pursuant to the Secretarial Order, the Assistant Secretary for Fish and Wildlife and Parks is responsible for issuing regulations to carry out the Act after consultation with the Assistant Secretary for Indian Affairs; granting extensions of inventory deadlines; awarding grants to assist in implementation of NAGPRA to Indian tribes, Native Hawaiian organizations, and museums. In consultation with the Office of the Solicitor, the Assistant Secretary for Fish and Wildlife and Parks is also responsible for executing provisions of the Act regarding civil penalties against museums that fail to comply with NAGPRA, including investigating allegations of failure to comply with NAGPRA requirements and developing and assessing civil penalties. The Manager, National NAGPRA Program, reporting to the National Park Service Director through the Associate Director for Cultural Resources, is responsible for managing the operations of the National NAGPRA Program and provides staff support to the Assistant Secretary for Fish and Wildlife and RIN 1024–AC84 Native American Graves Protection and Repatriation Act Regulations Department of the Interior. Final rule; Technical amendment. AGENCY: ACTION: SUMMARY: The Native American Graves Protection and Repatriation Act of 1990 (the Act) assigns responsibility for implementation to the Secretary of the Interior. Secretarial Order 3261 assigns some of these responsibilities to other positions in the Department of the Interior and National Park Service. This technical amendment amends the rule to be consistent with the new assignment of responsibilities. DATES: Effective September 30, 2005. FOR FURTHER INFORMATION CONTACT: Dr. Sherry Hutt, Manager, National NAGPRA Program, National Park Service, 1849 C Street NW., (2253), Washington, DC 20240, telephone (202) 354–1479, facsimile (202) 371–5197, email: Sherry_Hutt@nps.gov. SUPPLEMENTARY INFORMATION: Background On November 16, 1990, President George H.W. Bush signed the Native American Graves Protection and Repatriation Act of 1990 (the Act) into PO 00000 Frm 00057 Fmt 4700 Sfmt 4700 E:\FR\FM\30SER1.SGM 30SER1

Agencies

[Federal Register Volume 70, Number 189 (Friday, September 30, 2005)]
[Rules and Regulations]
[Pages 57174-57177]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-19609]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Part 418

[CMS-1286-CN]
RIN 0938-AN89


Medicare Program; Hospice Wage Index for Fiscal Year 2006

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Final rule, correction.

-----------------------------------------------------------------------

SUMMARY: This document corrects technical errors that appeared in the 
final rule published in the Federal Register on August 4, 2005, 
entitled ``Hospice Wage Index for Fiscal Year 2006.'' This document is 
effective on October 1, 2005, the effective date of the provisions of 
the final rule.

EFFECTIVE DATE: This notice is effective on October 1, 2005.

FOR FURTHER INFORMATION CONTACT: Terri Deutsch, (410) 786-9462.

SUPPLEMENTARY INFORMATION: 

I. Background

    Federal Register Doc. 05-15290 of August 4, 2005 (70 FR 45130), 
entitled ``Hospice Wage Index for Fiscal Year 2006,'' includes errors 
that are identified and corrected in the ``Correction of Errors'' 
section below. The errors in this correcting notice are effective as if 
they had been included in the document published on August 4, 2005. 
Accordingly, the corrections are effective on October 1, 2005, the 
effective date of the provisions of the August 4, 2005 final rule.

II. Summary of the Corrections to the August 4, 2005 Final Rule

    In the August 4, 2005 final rule, on pages 45146 through 45167, we 
published an Addendum. In Table A of the addendum, we published the 
updated urban and rural wage index values for hospices utilizing the 
Core-Based Statistical Areas (CBSA) designations. To ensure that 
hospice providers were able to identify their current wage index, Table 
A contains the CBSA code, CBSA wage index, CBSA county name, and the 
current MSA designation. There are typographical errors in the wage 
indexes listed in the table that were as a result of formatting the 
columns. In addition, in several sections throughout the table (that 
is, for the CBSA county names located in the urban areas of 
Gainesville, FL; Newark Union, NJ-PA; Waterloo-Cedar Falls, LA; and 
Wilmington, DE-MD-NJ), we inadvertently omitted the asterisk that 
corresponds to the footnotes that appear at the end of the table.
    This correction notice is consistent with the published hospice 
wage index values that will be used to make payment as of October 1, 
2005. In section III of this notice, we provide a description of the 
errors and the changes being made to correct the errors. Thus, for 
clarity, we will republish only the section of the table that contains 
errors.

III. Correction of Errors

0
In Federal Register Doc. 05-15290 of August 4, 2005 (70 FR 45130), we 
are making the following corrections to Table A--Hospice Wage Index for 
Urban Areas by CBSA:


Sec.  418.304  [Corrected]

0
1. On page 45146, in the third column, in lines 15 and 16, for CBSA 
code 10420, indent the CBSA county name for ``Portage, OH'' and 
``Summit, OH'' to follow the format of the table.
    The CBSA code for 10420 should read as follows:

------------------------------------------------------------------------
                                   Urban area (constituent
     CBSA code       Wage Index       counties or county       MSA code
                          1             equivalents) 2
------------------------------------------------------------------------
10420..............      0.9604  Akron, OH..................        0080
                                  Portage, OH...............
                                  Summit, OH................
------------------------------------------------------------------------


0
2. On page 45150, in the third column, in lines 25 through 27, for CBSA 
code 17420, move the CBSA county name for ``Cleveland, TN'' to line-up 
with the column and indent the CBSA county

[[Page 57175]]

names for ``Bradley, TN'' and ``Polk, TN'' to follow the format of the 
table.
    The CBSA code for 17420 should read as follows:

------------------------------------------------------------------------
                                   Urban area (constituent
     CBSA Code       Wage Index       counties or county       MSA code
                          1             equivalents) 2
------------------------------------------------------------------------
17420..............      0.8337  Cleveland, TN..............          44
                                  Bradley, TN...............
                                  Polk, TN..................
------------------------------------------------------------------------


0
3. On page 45151--
0
A. In the second column, in the 12th entry, for CBSA code 19340, move 
the wage index value ``0.9076'' from the CBSA county name Rock Island, 
IL* to ``Mercer, IL*.''
0
B. In the second column, in the 15th entry for CBSA code 19380, move 
the wage index value ``0.9579'' from the CBSA county name Miami, OH* to 
``Prebele, OH*.''
0
C. In the third column, in the 14th line from the bottom, for CBSA code 
19780, remove the figure from in front of the word ``Madison.'' In 
addition, indent the CBSA county name for ``Madison, IA*,'' to follow 
the format of the table.
    The table for CBSA codes 19340, 19380, and 19780 should read as 
follows:

------------------------------------------------------------------------
                                  Urban area  (constituents
     CBSA code       Wage index      counties or country       MSA code
                         \1\           equivalents) \2\
------------------------------------------------------------------------
19340..............  ..........  Davenport-Moline-Rock
                                  Island, IA-IL.
                         0.9305   Henry, IL*................        1960
                                  Rock Island, IL*..........        1960
                                  Scott, IA*................        1960
                         0.9076   Mercer, IL*...............          14
------------------------------------------------------------------------

* * * * *

------------------------------------------------------------------------
                                  Urban area  (constitutent
     CBSA code       Wage index       counties or county       MSA code
                         \1\           equivalents) \2\
------------------------------------------------------------------------
19380..............  ..........  Dayton, OH.................  ..........
                         0.9829   Greene, OH*...............        2000
                                  Miami, OH*................        2000
                                  Montgomery, OH*...........        2000
                         0.9579   Preble, OH*...............          36
------------------------------------------------------------------------

* * * * *

------------------------------------------------------------------------
                                  Urban area  (constitutent
     CBSA code       Wage index       counties or county       MSA code
                         \1\           equivalents) \2\
------------------------------------------------------------------------
19780..............  ..........  Des Moines, IA*............
                         0.9828   Dallas, IA*...............        2120
                                  Polk, IA*.................        2120
                                  Warren, IA*...............        2120
                         0.9449   Guthrie, IA*..............          16
                                  Madison, IA*..............          16
------------------------------------------------------------------------


0
4. On page 45152, in the third column--
0
A. In line 14, for the CBSA code 20764, format the CBSA county name for 
``Ocean, NJ*'' to line-up with the CBSA county name ``Monmouth, NJ*.''
0
B. In the 10th line from the bottom, for CBSA code 22500, remove the 
asterisk from the CBSA county name for ``Florence, SC.''
0
C. In the 8th and 9th lines from the bottom, for CBSA code 22500, add 
an asterisk to the CBSA county name for ``Florence, SC'' and indent the 
CBSA county names for ``Darlington, SC* and Florence, SC'' to follow 
the format of the table.
    The table for CBSA code 20764 and 22500 should read as follows:

------------------------------------------------------------------------
                                   Urban area  (constituent
     CBSA code       Wage index       counties or county       MSA code
                         \1\           equivalents) \2\
------------------------------------------------------------------------
20764..............  ..........  Edison, NJ.................
                         1.1930   Middlesex, NJ*............        5015
                                  Somerset, NJ*.............        5015
                         1.1680   Monmouth, NJ*.............        5190
                                  Ocean, NJ*................        5190
------------------------------------------------------------------------


[[Page 57176]]

* * * * *

------------------------------------------------------------------------
                                   Urban area  (constituent
     CBSA code       Wage index       counties or county       MSA code
                         \1\           equivalents) \2\
------------------------------------------------------------------------
22500..............  ..........  Florence, SC...............
                         0.9267   Darlington, SC*...........          42
                         0.9436   Florence, SC*.............        2655
------------------------------------------------------------------------


0
5. On page 45153, in the third column, for CBSA code 23540, add an 
asterisk to the CBSA county name for ``Alachua, FL'' and ``Gilchrist, 
FL.''
    The table for CBSA code 23540 should read as follows:

------------------------------------------------------------------------
                                   Urban area  (constituent
     CBSA code       Wage index       counties or county       MSA code
                         \1\           equivalents) \2\
------------------------------------------------------------------------
23540..............  ..........  Gainesville, FL............
                         0.9642   Alachua, FL*..............        2900
                         1.0033   Gilchrist, FL*............          10
------------------------------------------------------------------------


0
6. On page 45154, in the third column, in the 16th line from the 
bottom, for CBSA code 26580, indent the CBSA county name for ``Boyd, 
KY'' to follow the format of the table.
    The table for CBSA code 26580 should read as follows:

------------------------------------------------------------------------
                                   Urban area  (constituent
     CBSA code       Wage index       counties or county       MSA code
                         \1\           equivalents) \2\
------------------------------------------------------------------------
26580..............      1.0144  Huntington-Ashland, WV-KY-         3400
                                  OH.
                                  Boyd, KY..................
                                  Cabell, WV................
                                  Greenup, KY...............
                                  Lawrence, OH..............
                                  Wayne, WV.................
------------------------------------------------------------------------


0
7. On page 45159, in the third column, in lines 19 through 24, for CBSA 
code 35084, add an asterisk to the CBSA county name for ``Pike, PA'', 
``Essex, NJ,'' ``Morris, NJ,'' ``Sussex, NJ,'' ``Union, NJ,'' and 
``Hunterdon, NJ.''
    The table for CBSA code 35084 should read as follows:

------------------------------------------------------------------------
                                   Urban area  (constituent
     CBSA code       Wage index       counties or county       MSA code
                         \1\           equivalents) \2\
------------------------------------------------------------------------
  35084............  ..........  Newark-Union, NJ-PA........
                         1.2122   Pike, PA*.................        5660
                         1.2363   Essex, NJ*................        5640
                                  Morris, NJ*...............        5640
                                  Sussex, NJ*...............        5640
                                  Union, NJ*................        5640
                         1.2223   Hunterdon, NJ*............        5015
------------------------------------------------------------------------


0
8. On page 45160--
0
A. In the first column, in the first entry from the bottom, for CBSA 
code 1.0183, remove the CBSA code ``1.0183'' and add in its place the 
CBSA code ``38540.''
0
B. In the second column, in the first entry from the bottom, in the 
wage index column, add the wage index value ``1.0183'' to the CBSA 
county name ``Power, ID*.''
    The table for CBSA code 38540 should read as follows:

------------------------------------------------------------------------
                                   Urban area  (constituent
     CBSA code       Wage index       counties or county       MSA code
                         \1\           equivalents) \2\
------------------------------------------------------------------------
38540..............  ..........  Pocatello, ID..............
                         0.9773   Bannock, ID*..............        6340
                         1.0183   Power, ID*................          13
------------------------------------------------------------------------


0
9. On page 45166, in the third column, in the 6th through 9th lines 
from the bottom, for CBSA code 47940, add an asterisk to the CBSA 
county names for ``Black Hawk, IA,'' ``Bremer, IA'', and ``Grundy, 
IA.''
    The table for CBSA code 47940 should read as follows:

[[Page 57177]]



------------------------------------------------------------------------
                                   Urban area  (constituent
     CBSA code       Wage index       counties or county       MSA code
                         \1\           equivalents) \2\
------------------------------------------------------------------------
47940..............  ..........  Waterloo-Cedar Falls, IA.
                         0.9157   Black Hawk, IA *..........        8920
                         0.9113   Bremer, IA *..............          16
                     ..........   Grundy, IA *..............          16
------------------------------------------------------------------------


0
10. On page 45167, in the third column, in lines 22 through 24, for 
CBSA code 48864, add an asterisk to the CBSA county names for ``Cecil, 
MD'', New Castle, DE,'' and ``Salem, NJ.''
    The table for CBSA code 48864 should read as follows:

------------------------------------------------------------------------
                                   Urban area  (constituent
     CBSA code       Wage index       counties or county       MSA code
                         \1\           equivalents) \2\
------------------------------------------------------------------------
48864..............  ..........  Wilmington, DE-MD-NJ.
                         1.1757   Cecil, MD *...............        9160
                                  New Castle, DE *..........        9160
                         1.1600   Salem, NJ *...............        6160
------------------------------------------------------------------------

IV. Waiver of Proposed Rulemaking

    We ordinarily publish a notice of proposed rulemaking in the 
Federal Register to provide a period for public comment before the 
provisions of a rule take effect in accordance with section 553(b) of 
the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we 
can waive this notice and comment procedure if the Secretary finds, for 
good cause, that the notice and comment process is impracticable, 
unnecessary, or contrary to the public interest, and incorporate a 
statement of the finding and the reasons therefore in the notice.
    The revisions contained in this rule, correct formatting and 
typographical errors in various sections of a table. These corrections 
are necessary to ensure that the final rule accurately reflects the 
correct wage index value used to calculate payment to hospices. Since 
they are not substantive and merely technical, we find that public 
comments on these revisions are both unnecessary and impracticable. 
Therefore, we find good cause to waive notice and comment procedures.
    In addition, the Administrative Procedure Act (APA) normally 
requires a 30-day delay in the effective date of a final rule. Since 
this notice simply makes technical modifications to a final rule that 
has previously gone through notice-and-comment rulemaking and the 
corrections are only to formatting errors, we believe good cause also 
exists under the APA to waive the 30-day delay in the effective date. 
Thus, this notice is effective October 1, 2005.

(Catalog of Federal Domestic Assistance Program No. 93.773, 
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)

    Dated: September 27, 2005.
Ann C. Agnew,
Executive Secretary to the Department.
[FR Doc. 05-19609 Filed 9-29-05; 8:45 am]
BILLING CODE 4120-01-P
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