Cost-Based and Interagency Billing Rates for Medical Care or Services Provided by the Department of Veterans Affairs, 66866-66868 [05-21933]

Download as PDF 66866 Federal Register / Vol. 70, No. 212 / Thursday, November 3, 2005 / Notices organizational and personnel matters that relate solely to internal personnel rules and practices of ACNW, and information the release of which would constitute a clearly unwarranted invasion of personal privacy. The agenda for the subject meeting shall be as follows: Wednesday, November 16, 2005—8 a.m.–9:30 a.m. The Committee will discuss proposed ACNW activities and related matters. The purpose of this meeting is to gather information, analyze relevant issues and facts, and formulate proposed positions and actions, as appropriate, for deliberation by the full Committee. Members of the public desiring to provide oral statements and/or written comments should notify the Designated Federal Official, Ms. Sharon A. Steele (Telephone: 301/415–6805) between 8 a.m. and 5:15 p.m. (ET) five days prior to the meeting, if possible, so that appropriate arrangements can be made. Electronic recordings will be permitted only during those portions of the meeting that are open to the public. Further information regarding this meeting can be obtained by contacting the Designated Federal Official between 8:30 a.m. and 5:15 p.m. (ET). Persons planning to attend this meeting are urged to contact the above named individual at least two working days prior to the meeting to be advised of any potential changes in the agenda. Dated: October 26, 2005. Michael L. Scott, Branch Chief, ACRS/ACNW. [FR Doc. E5–6088 Filed 11–2–05; 8:45 am] BILLING CODE 7590–01–P OFFICE OF MANAGEMENT AND BUDGET DEPARTMENT OF VETERANS AFFAIRS Cost-Based and Interagency Billing Rates for Medical Care or Services Provided by the Department of Veterans Affairs Office of Management and Budget, Executive Office of the AGENCIES: VerDate Aug<31>2005 18:27 Nov 02, 2005 Jkt 208001 President and the Department of Veterans Affairs. ACTION: Notice. SUMMARY: This document provides costbased and interagency billing rates for medical care or services provided by the Department of Veterans Affairs (VA): (a) In error or on tentative eligibility; (b) In a medical emergency; (c) To pensioners of allied nations; (d) For research purposes in circumstances under which VA medical care appropriation is to be reimbursed by VA research appropriation; and (e) To beneficiaries of the Department of Defense or other Federal agencies, when the care or service provided is not covered by an applicable sharing agreement. The rates contained in this notice do not apply to sharing agreements between VA and Department of Defense unless otherwise stated. In addition, until such time as charges for outpatient dental care and prescription drugs are implemented under the provisions of 38 CFR 17.101, the applicable cost-based billing rates provided in this notice will be used for collection or recovery by VA for outpatient dental care and prescription drugs provided under circumstances covered by that section. This notice is issued jointly by the Office of Management and Budget and the Department of Veterans Affairs. EFFECTIVE DATE: The rates set forth herein are effective November 3, 2005 and until further notice. FOR FURTHER INFORMATION CONTACT: Romona Greene, Chief Business Office (168), Veterans Health Administration, Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 254–0361. (This is not a toll-free number.) SUPPLEMENTARY INFORMATION: VA’s medical regulations at 38 CFR 17.102(h) set forth a methodology for computing rates for medical care or services provided by VA: (a) In error or on tentative eligibility; (b) In a medical emergency; (c) To pensioners of allied nations; (d) For research purposes in circumstances under which VA medical PO 00000 Frm 00051 Fmt 4703 Sfmt 4703 care appropriation is to be reimbursed by VA research appropriation; and (e) To beneficiaries of the Department of Defense or other Federal agencies, when the care or service provided is not covered by an applicable sharing agreement. The rates contained in this notice do not apply to sharing agreements between VA and Department of Defense unless otherwise stated. Two sets of rates are obtained via application of this methodology: CostBased Rates, for use for purposes (a) through (d), above, and Interagency Rates, for use for purpose (e), above. Government employee retirement benefits and return on fixed assets are not included in the Interagency Rates, and the Interagency Rates are not broken down into three components (Physician; Ancillary; and Nursing, Room, and Board), but in all other respects the Interagency Rates are the same as the Cost-Based Rates. When medical care or service is obtained at the expense of the Department of Veterans Affairs from a non-VA source under circumstances in which the Cost-Based or Interagency Rates would apply if the care or service had been provided by VA, then the charge for such care or service will be the actual amount paid by VA for that care or service. Inpatient charges will be at the per diem rates shown for the type of bed section or discrete treatment unit providing the care. Prescription Filled charge in lieu of the Outpatient Visit rate will be charged when the patient receives no service other than the Pharmacy outpatient service. This charge applies whether the patient receives the prescription in person or by mail. Current rates obtained via the above methodology are as follows: BILLING CODE 3110–01–P E:\FR\FM\03NON1.SGM 03NON1 Federal Register / Vol. 70, No. 212 / Thursday, November 3, 2005 / Notices 66867 VerDate Aug<31>2005 18:27 Nov 02, 2005 Jkt 208001 PO 00000 Frm 00052 Fmt 4703 Sfmt 4703 E:\FR\FM\03NON1.SGM 03NON1 EN03NO05.042</GPH> BILLING CODE 3110–01–C 66868 Federal Register / Vol. 70, No. 212 / Thursday, November 3, 2005 / Notices Beginning on the effective date indicated herein, these rates supersede those established by the Department of Veterans Affairs and by the Director of the Office of Management and Budget on January 7, 2004 (69 FR 1062). Approved: September 9, 2005. R. James Nicholson, Secretary of Veterans Affairs. Joshua B. Bolten, Director, Office of Management and Budget. [FR Doc. 05–21933 Filed 11–2–05; 8:45 am] BILLING CODE 3110–01–C SECURITIES AND EXCHANGE COMMISSION [Release No. 34–52686; File No. SR–Amex– 2005–099] Self-Regulatory Organizations; American Stock Exchange LLC; Notice of Filing and Immediate Effectiveness of a Proposed Rule Change and Amendment Nos. 1 and 2 Thereto Relating to the Adoption of a Cap on Certain Fees for Options on Indexes, Exchange Traded Fund Shares, and Trust Issued Receipts October 27, 2005. Pursuant to Section 19(b)(1) of the Securities Exchange Act of 1934 (‘‘Act’’) 1 and Rule 19b–4 thereunder,2 notice is hereby given that on September 30, 2005, the American Stock Exchange LLC (‘‘Amex’’ or ‘‘Exchange’’) filed with the Securities and Exchange Commission (‘‘Commission’’) the proposed rule change as described in Items I, II, and III below, which Items have been prepared by the Exchange. On October 17, 2005, the Exchange filed Amendment No. 1 to the proposed rule change.3 On October 21, 2005, the Exchange filed Amendment No. 2 to the proposed rule change.4 Amex has designated this proposal as one establishing or changing a due, fee, or other charge imposed by a selfregulatory organization pursuant to Section 19(b)(3)(A)(ii) of the Act 5 and Rule 19b–4(f)(2) thereunder,6 which renders the proposal effective upon filing with the Commission. The 1 15 U.S.C. 78s(b)(1). CFR 240.19b–4. 3 In Amendment No. 1, the Exchange made clarifying changes to the purpose and statutory basis sections of the proposal and made nonsubstantive changes to the text of the proposed rule change. 4 In Amendment No. 2, the Exchange made clarifying changes to the purpose and statutory basis sections of the proposal and non-substantive changes to the statutory basis section and the text of the proposed rule change. 5 15 U.S.C. 78s(b)(3)(A)(ii). 6 17 CFR 240.19b–4(f)(2). 2 17 VerDate Aug<31>2005 18:27 Nov 02, 2005 Jkt 208001 Commission is publishing this notice to solicit comments on the proposed rule change, as amended, from interested persons. I. Self-Regulatory Organization’s Statement of the Terms of Substance of the Proposed Rule Change Amex proposes to adopt a cap on fees for transactions in options on indexes, Exchange Traded Fund Shares (‘‘ETFs’’), and Trust Issued Receipts (‘‘TIRs’’). The text of the proposed rule change is available on Amex’s Web site (http:// www.amex.com), at Amex’s principal office, and at the Commission’s Public Reference Room. II. Self-Regulatory Organization’s Statement of the Purpose of, and Statutory Basis for, the Proposed Rule Change In its filing with the Commission, Amex included statements concerning the purpose of, and basis for, the proposed rule change, as amended, and discussed any comments it received on the proposal. The text of these statements may be examined at the places specified in Item IV below. The Exchange has prepared summaries, set forth in Sections A, B, and C below, of the most significant aspects of such statements. A. Self-Regulatory Organization’s Statement of the Purpose of, and the Statutory Basis for, the Proposed Rule Change 1. Purpose The Exchange proposes to put in place a cap on certain fees charged to members for customer transactions in options on indexes, ETFs, and TIRs that exceed certain volume levels.7 Specifically, the Exchange will provide a volume trade discount to members for customer transactions in the form of a cap on transaction, comparison, and floor brokerage fees in index, ETF, and TIR options. The fee cap will be applied on a trade-by-trade basis. Thus, for customer transactions in index, ETF, and TIR options of more than 2,000 contracts, the options transaction, comparison, and floor brokerage fees will be charged to the member on the first 2,000 contracts only. As the Exchange does not currently charge members the transaction, comparison, 7 Effective September 1, 2005, the Exchange began charging members a fee on customer transactions in ETF and TIR options. The three types of fees— transaction ($0.08), comparison ($0.04), and floor brokerage ($0.03)—result in a total fee on ETF and TIR options of $0.15 per contract side. See Securities Exchange Act Release No. 52493 (September 22, 2005), 70 FR 56941 (September 29, 2005). PO 00000 Frm 00053 Fmt 4703 Sfmt 4703 or floor brokerage fees for customer transactions in options on the Nasdaq 100 Shares (symbol: QQQQ), the fee cap being proposed herein will not be extended to options on that ETF. The purpose of this proposal is to help the Exchange remain competitive in these products by providing a large customer fee cap similar to those applied by other option exchanges to the trading of options on indexes, ETFs, and TIRs. The Exchange proposes that the fee cap proposed in this rule filing be effective on October 3, 2005. 2. Statutory Basis The Exchange believes that the proposed rule change is consistent with Section 6(b) of the Act 8 in general, and furthers the objectives of Section 6(b)(4) of the Act 9 in particular, in that it is designed to provide for the equitable allocation of reasonable dues, fees, and other charges among its members and issuers and other persons using its facilities. In particular, the Exchange believes that, since other options exchanges have applied similar large customer fee caps to the trading of options on indexes, ETFs, and TIRs, the proposed customer fee cap will help the Exchange to remain competitive. B. Self-Regulatory Organization’s Statement on Burden on Competition Amex does not believe that the proposed rule change will impose any burden on competition. C. Self-Regulatory Organization’s Statement on Comments on the Proposed Rule Change Received From Members, Participants or Others The Exchange did not solicit or receive any written comments with respect to the proposal. II. Date of Effectiveness of the Proposed Rule Change and Timing for Commission Action The foregoing proposed rule change, as amended, has been designated as a fee change pursuant to Section 19(b)(3)(A)(ii) of the Act 10 and Rule 19b–4(f)(2) 11 thereunder. Accordingly, the proposal is effective upon filing with the Commission. At any time within 60 days of the filing of the proposed rule change, the Commission may summarily abrogate such rule change if it appears to the Commission that such action is necessary or appropriate in the public interest, for the protection of investors, or otherwise 8 15 U.S.C. 78f(b). U.S.C. 78f(b)(4). 10 15 U.S.C. 78s(b)(3)(A)(ii). 11 17 CFR 240.19b–4(f)(2). 9 15 E:\FR\FM\03NON1.SGM 03NON1

Agencies

[Federal Register Volume 70, Number 212 (Thursday, November 3, 2005)]
[Notices]
[Pages 66866-66868]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-21933]


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OFFICE OF MANAGEMENT AND BUDGET

DEPARTMENT OF VETERANS AFFAIRS


Cost-Based and Interagency Billing Rates for Medical Care or 
Services Provided by the Department of Veterans Affairs

AGENCIES: Office of Management and Budget, Executive Office of the 
President and the Department of Veterans Affairs.

ACTION: Notice.

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

SUMMARY: This document provides cost-based and interagency billing 
rates for medical care or services provided by the Department of 
Veterans Affairs (VA):
    (a) In error or on tentative eligibility;
    (b) In a medical emergency;
    (c) To pensioners of allied nations;
    (d) For research purposes in circumstances under which VA medical 
care appropriation is to be reimbursed by VA research appropriation; 
and
    (e) To beneficiaries of the Department of Defense or other Federal 
agencies, when the care or service provided is not covered by an 
applicable sharing agreement. The rates contained in this notice do not 
apply to sharing agreements between VA and Department of Defense unless 
otherwise stated.
    In addition, until such time as charges for outpatient dental care 
and prescription drugs are implemented under the provisions of 38 CFR 
17.101, the applicable cost-based billing rates provided in this notice 
will be used for collection or recovery by VA for outpatient dental 
care and prescription drugs provided under circumstances covered by 
that section.
    This notice is issued jointly by the Office of Management and 
Budget and the Department of Veterans Affairs.

EFFECTIVE DATE: The rates set forth herein are effective November 3, 
2005 and until further notice.

FOR FURTHER INFORMATION CONTACT: Romona Greene, Chief Business Office 
(168), Veterans Health Administration, Department of Veterans Affairs, 
810 Vermont Avenue, NW., Washington, DC 20420, (202) 254-0361. (This is 
not a toll-free number.)

SUPPLEMENTARY INFORMATION: VA's medical regulations at 38 CFR 17.102(h) 
set forth a methodology for computing rates for medical care or 
services provided by VA:
    (a) In error or on tentative eligibility;
    (b) In a medical emergency;
    (c) To pensioners of allied nations;
    (d) For research purposes in circumstances under which VA medical 
care appropriation is to be reimbursed by VA research appropriation; 
and
    (e) To beneficiaries of the Department of Defense or other Federal 
agencies, when the care or service provided is not covered by an 
applicable sharing agreement. The rates contained in this notice do not 
apply to sharing agreements between VA and Department of Defense unless 
otherwise stated.
    Two sets of rates are obtained via application of this methodology: 
Cost-Based Rates, for use for purposes (a) through (d), above, and 
Interagency Rates, for use for purpose (e), above. Government employee 
retirement benefits and return on fixed assets are not included in the 
Interagency Rates, and the Interagency Rates are not broken down into 
three components (Physician; Ancillary; and Nursing, Room, and Board), 
but in all other respects the Interagency Rates are the same as the 
Cost-Based Rates.
    When medical care or service is obtained at the expense of the 
Department of Veterans Affairs from a non-VA source under circumstances 
in which the Cost-Based or Interagency Rates would apply if the care or 
service had been provided by VA, then the charge for such care or 
service will be the actual amount paid by VA for that care or service.
    Inpatient charges will be at the per diem rates shown for the type 
of bed section or discrete treatment unit providing the care. 
Prescription Filled charge in lieu of the Outpatient Visit rate will be 
charged when the patient receives no service other than the Pharmacy 
outpatient service. This charge applies whether the patient receives 
the prescription in person or by mail.
    Current rates obtained via the above methodology are as follows:
BILLING CODE 3110-01-P

[[Page 66867]]

[GRAPHIC] [TIFF OMITTED] TN03NO05.042

BILLING CODE 3110-01-C

[[Page 66868]]

    Beginning on the effective date indicated herein, these rates 
supersede those established by the Department of Veterans Affairs and 
by the Director of the Office of Management and Budget on January 7, 
2004 (69 FR 1062).

    Approved: September 9, 2005.
R. James Nicholson,
Secretary of Veterans Affairs.
Joshua B. Bolten,
Director, Office of Management and Budget.
[FR Doc. 05-21933 Filed 11-2-05; 8:45 am]
BILLING CODE 3110-01-C