Cost-Based and Interagency Billing Rates for Medical Care or Services Provided by the Department of Veterans Affairs, 66866-66868 [05-21933]
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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:
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18:27 Nov 02, 2005
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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
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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
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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 (https://
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
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]]>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
