Notice of Intent to Prepare an Environmental Impact Statement for the Calexico West Port of Entry Expansion/Renovation, Calexico, California, 9825-9826 [E6-2694]
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hsrobinson on PROD1PC70 with NOTICES
Federal Register / Vol. 71, No. 38 / Monday, February 27, 2006 / Notices
to raise fees they receive from health
plans.
The proposed order’s specific
provisions are as follows:
Paragraph II.A prohibits HAL from
entering into or facilitating any
agreement between or among any
physicians: (1) To negotiate with payors
on any physician’s behalf; (2) to deal,
not to deal, or threaten not to deal with
payors; (3) on what terms to deal with
any payor; or (4) not to deal
individually with any payor, or to deal
with any payor only through an
arrangement involving HAL.
Other parts of Paragraph II reinforce
these general prohibitions. Paragraph
II.B prohibits HAL from facilitating
exchanges of information between
physicians concerning whether, or on
what terms, to contract with a payor.
Paragraph II.C bars attempts to engage in
any action prohibited by Paragraph II.A
or II.B, and Paragraph II.D proscribes
HAL from inducing anyone to engage in
any action prohibited by Paragraphs II.A
through II.C.
As in other Commission orders
addressing providers’ collective
bargaining with health care purchasers,
certain kinds of agreements are
excluded from the general bar on joint
negotiations. HAL would not be
precluded from engaging in conduct
that is reasonably necessary to form or
participate in legitimate joint
contracting arrangements among
competing physicians in a ‘‘qualified
risk-sharing joint arrangement’’ or a
‘‘qualified clinically-integrated joint
arrangement.’’ The arrangement,
however, must not facilitate the refusal
of, or restrict, physicians in contracting
with payors outside of the arrangement.
As defined in the proposed order, a
‘‘qualified risk-sharing joint
arrangement’’ possesses two key
characteristics. First, all physician
participants must share substantial
financial risk through the arrangement,
such that the arrangement creates
incentives for the physician participants
jointly to control costs and improve
quality by managing the provision of
services. Second, any agreement
concerning reimbursement or other
terms or conditions of dealing must be
reasonably necessary to obtain
significant efficiencies through the joint
arrangement.
A ‘‘qualified clinically-integrated joint
arrangement,’’ on the other hand, need
not involve any sharing of financial risk.
Instead, as defined in the proposed
order, physician participants must
participate in active and ongoing
programs to evaluate and modify their
clinical practice patterns in order to
control costs and ensure the quality of
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Jkt 208001
services provided, and the arrangement
must create a high degree of
interdependence and cooperation
among physicians. As with qualified
risk-sharing arrangements, any
agreement concerning price or other
terms of dealing must be reasonably
necessary to achieve the efficiency goals
of the joint arrangement.
Paragraph III, for three years, requires
HAL to notify the Commission before
entering into any arrangement to act as
a messenger, or as an agent on behalf of
any physicians, with payors regarding
contracts. Paragraph III also sets out the
information necessary to make the
notification complete.
Paragraph IV, for three years, requires
HAL to notify the Commission before
participating in contracting with health
plans on behalf of a qualified risksharing joint arrangement, or a qualified
clinically-integrated joint arrangement.
The contracting discussions that trigger
the notice provision may be either
among physicians, or between HAL and
health plans. Paragraph IV also sets out
the information necessary to satisfy the
notification requirement.
Paragraph V requires HAL to
distribute the complaint and order to all
physicians who have participated in
HAL, and to payors that negotiated
contracts with HAL or indicated an
interest in contracting with HAL.
Paragraph V.D requires HAL, at any
payor’s request and without penalty, or,
at the latest, within one year after the
order is made final, to terminate its
current contracts with respect to
providing physician services. Paragraph
V.D also allows any contract currently
in effect to be extended, upon mutual
consent of HAL and the contracted
payor, to any date no later than one year
from when the order became final. This
extension allows both parties to
negotiate a termination date that would
equitably enable them to prepare for the
impending contract termination.
Paragraph V.E requires HAL to
distribute payor requests for contract
termination to all physicians who
participate in HAL.
Paragraphs VI, VII, and VIII of the
proposed order impose various
obligations on HAL to report or provide
access to information to the Commission
to facilitate monitoring HAL’s
compliance with the order.
The proposed order will expire in 20
years.
The purpose of this analysis is to
facilitate public comment on the
proposed order. It is not intended to
constitute an official interpretation of
the proposed order to modify its terms
in any way.
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9825
By direction of the Commission.
Donald S. Clark,
Secretary.
[FR Doc. E6–2721 Filed 2–24–06; 8:45 am]
BILLING CODE 6750–01–P
GENERAL SERVICES
ADMINISTRATION
Notice of Intent to Prepare an
Environmental Impact Statement for
the Calexico West Port of Entry
Expansion/Renovation, Calexico,
California
Public Buildings Service, GSA
Notice of Intent to Prepare an
Environmental Impact Statement (EIS)
and Public Scoping Meeting
AGENCY:
ACTION:
SUMMARY: The General Services
Administration (GSA) announces its
intent to prepare an Environmental
Impact Statement (EIS) for the
expansion/renovation of the Calexico
West Port of Entry (POE), located in
Calexico, California. The purpose of the
expansion/renovation is to reduce traffic
congestion in Calexico and Mexicali city
centers caused by vehicles crossing the
border, to improve border security; and
to provide safe, secure, and efficient
operational areas for the public and
Federal employees. This facility serves
both vehicular and pedestrian traffic
into and out of the Mexican city of
Mexicali. The need for this expansion/
renovation derives from the substantial
increase in its use by international
travelers. The existing POE is not
equipped to process this increase within
an acceptable level of service consistent
with the Federal Inspection Service’s
minimum standards. Problems at the
current facility are mostly related to
inadequate space for inspection
operations, equipment, and personnel.
The facility also requires seismic
retrofitting.
The EIS will address potential
environmental impacts of the
alternatives for the proposed project
related to geology and soils, water
resources, land use, biological
resources, cultural resources, visual
resources, infrastructure, traffic, air
quality, noise, human health and safety,
socioeconomics, and environmental
justice. The existing contamination of
the New River and traffic congestion
have been identified as potential
environmental impacts. Information
regarding other potential environmental
impacts will be gathered during the
public scoping process.
DATES: The views and comments of the
public are necessary in determining the
E:\FR\FM\27FEN1.SGM
27FEN1
9826
Federal Register / Vol. 71, No. 38 / Monday, February 27, 2006 / Notices
scope and content of the environmental
analysis in connection with the
proposed project. A public scoping
meeting for the proposed project will be
held on Wednesday, March 8, 2006 from
3 to 6 p.m. at the Calexico City Hall, 608
Heber Avenue in Calexico, California.
Interested parties may attend to present
questions and concerns that they believe
should be addressed in the EIS.
Comments and questions can also be
submitted to the Point of Contact (see
the ADDRESS section below). Due to
time limits mandated by Federal law,
responses to scoping are requested no
later than 45 days after publication of
this notice. It is anticipated that the
Draft EIS will be available for public
review and comment in January of 2007.
Submit comments and
questions to Mr. Morris Angell, Regional
Environmental Quality Advisor, 450
Golden Gate Avenue, 3rd Floor East,
San Francisco, California, 94102, 415–
522–3473, morris.angell@gsa.gov.
ADDRESSES:
If
you require additional information
regarding the public scoping meeting or
the proposed project, or require special
assistance to attend the meeting, please
contact Morris Angell, GSA Regional
Environmental Quality Advisor, (see the
ADDRESS section above).
FOR FURTHER INFORMATION CONTACT:
GSA is
proposing two alternative actions: 1)
construct a new vehicle and pedestrian
inspection facility on the existing site
and federally owned vacant land
immediately to the west of the current
facility, and 2) a ‘‘no action’’ alternative.
Under the ‘‘no action’’ alternative, the
existing facilities and their operation
will remain unchanged.
SUPPLEMENTARY INFORMATION:
Dated: February 10, 2006.
Peter G. Stamison,
Regional Administrator, Public Buildings
Service, Pacific Rim Region.
clarity of the information to be
collected; and (d) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
or other forms of information
technology. Written comments should
be received within 60 days of this
notice.
Dated: February 10, 2006.
Jeffrey Neely,
Assistant Regional Administrator, Public
Buildings Service, Pacific Rim Region.
[FR Doc. E6–2694 Filed 2–24–06; 8:45 am]
Proposed Project
BILLING CODE 6820–YF–S
PHS Supplements to the Application
for Federal Assistance SF–424 (0920–
0428)—Revision—Office of the Director
(OD), Centers for Disease Control and
Prevention (CDC) is requesting a threeyear extension for continued use of the
Supplements to the Request for Federal
Assistance Application (SF–424).
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60Day–06–0428]
Proposed Data Collections Submitted
for Public Comment and
Recommendations
Background and Brief Description
The Checklist, Program Narrative, and
the Public Health System Impact
Statement (third party notification)
(PHSIS) are a part of the standard
application for State and local
governments and for private non-profit
and for-profit organizations when
applying for financial assistance from
PHS grant programs. The Checklist
assists applicants to ensure that they
have included all required information
necessary to process the application.
The Checklist data helps to reduce the
time required to process and review
grant applications, expediting the
issuance of grant awards. The PHSIS
Third Party Notification Form is used to
inform State and local health agencies of
community-based proposals submitted
by non-governmental applicants for
Federal funding.
There may be some revisions made to
one or more of the forms to allow the
respondents easy web-base access. This
should not affect the current burden.
There is no cost to the respondents
other than their time.
In compliance with the requirement
of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for
opportunity for public comment on
proposed data collection projects, the
Centers for Disease Control and
Prevention (CDC) will publish periodic
summaries of proposed projects. To
request more information on the
proposed projects or to obtain a copy of
the data collection plans and
instruments, call 404–639–5960 and
send comments to Seleda Perryman,
CDC Assistant Reports Clearance
Officer, 1600 Clifton Road, MS–D74,
Atlanta, GA 30333 or send an e-mail to
omb@cdc.gov.
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
ways to enhance the quality, utility, and
ESTIMATE OF ANNUALIZED BURDEN TABLE
Number of
respondents
Number of
responses/
respondent
Average
burden/
response (in
hrs.)
State and local health departments; non-profit and for-profit organizations ...
Total ..........................................................................................................
hsrobinson on PROD1PC70 with NOTICES
Respondents
7,457
........................
1
........................
5.7255
........................
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E:\FR\FM\27FEN1.SGM
27FEN1
Total burden
(in hrs.)
42,695
42,695
Agencies
[Federal Register Volume 71, Number 38 (Monday, February 27, 2006)]
[Notices]
[Pages 9825-9826]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-2694]
=======================================================================
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GENERAL SERVICES ADMINISTRATION
Notice of Intent to Prepare an Environmental Impact Statement for
the Calexico West Port of Entry Expansion/Renovation, Calexico,
California
AGENCY: Public Buildings Service, GSA
ACTION: Notice of Intent to Prepare an Environmental Impact Statement
(EIS) and Public Scoping Meeting
-----------------------------------------------------------------------
SUMMARY: The General Services Administration (GSA) announces its intent
to prepare an Environmental Impact Statement (EIS) for the expansion/
renovation of the Calexico West Port of Entry (POE), located in
Calexico, California. The purpose of the expansion/renovation is to
reduce traffic congestion in Calexico and Mexicali city centers caused
by vehicles crossing the border, to improve border security; and to
provide safe, secure, and efficient operational areas for the public
and Federal employees. This facility serves both vehicular and
pedestrian traffic into and out of the Mexican city of Mexicali. The
need for this expansion/renovation derives from the substantial
increase in its use by international travelers. The existing POE is not
equipped to process this increase within an acceptable level of service
consistent with the Federal Inspection Service's minimum standards.
Problems at the current facility are mostly related to inadequate space
for inspection operations, equipment, and personnel. The facility also
requires seismic retrofitting.
The EIS will address potential environmental impacts of the
alternatives for the proposed project related to geology and soils,
water resources, land use, biological resources, cultural resources,
visual resources, infrastructure, traffic, air quality, noise, human
health and safety, socioeconomics, and environmental justice. The
existing contamination of the New River and traffic congestion have
been identified as potential environmental impacts. Information
regarding other potential environmental impacts will be gathered during
the public scoping process.
DATES: The views and comments of the public are necessary in
determining the
[[Page 9826]]
scope and content of the environmental analysis in connection with the
proposed project. A public scoping meeting for the proposed project
will be held on Wednesday, March 8, 2006 from 3 to 6 p.m. at the
Calexico City Hall, 608 Heber Avenue in Calexico, California.
Interested parties may attend to present questions and concerns that
they believe should be addressed in the EIS. Comments and questions can
also be submitted to the Point of Contact (see the ADDRESS section
below). Due to time limits mandated by Federal law, responses to
scoping are requested no later than 45 days after publication of this
notice. It is anticipated that the Draft EIS will be available for
public review and comment in January of 2007.
ADDRESSES: Submit comments and questions to Mr. Morris Angell, Regional
Environmental Quality Advisor, 450 Golden Gate Avenue, 3rd Floor East,
San Francisco, California, 94102, 415-522-3473, morris.angell@gsa.gov.
FOR FURTHER INFORMATION CONTACT: If you require additional information
regarding the public scoping meeting or the proposed project, or
require special assistance to attend the meeting, please contact Morris
Angell, GSA Regional Environmental Quality Advisor, (see the ADDRESS
section above).
SUPPLEMENTARY INFORMATION: GSA is proposing two alternative actions: 1)
construct a new vehicle and pedestrian inspection facility on the
existing site and federally owned vacant land immediately to the west
of the current facility, and 2) a ``no action'' alternative. Under the
``no action'' alternative, the existing facilities and their operation
will remain unchanged.
Dated: February 10, 2006.
Peter G. Stamison,
Regional Administrator, Public Buildings Service, Pacific Rim Region.
Dated: February 10, 2006.
Jeffrey Neely,
Assistant Regional Administrator, Public Buildings Service, Pacific Rim
Region.
[FR Doc. E6-2694 Filed 2-24-06; 8:45 am]
BILLING CODE 6820-YF-S