Prohibition on Funding of Unlawful Internet Gambling, 69382-69411 [E8-27181]
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69382
Federal Register / Vol. 73, No. 223 / Tuesday, November 18, 2008 / Rules and Regulations
Baressi, Financial Services Project
Leader (202/452–3959), Division of
Reserve Bank Operations and Payment
Systems; for users of
Telecommunication Devices for the Deaf
(TDD) only, contact 202/263–4869.
Treasury: Charles Klingman, Director,
Office of Critical Infrastructure
Protection and Compliance Policy; or
Steven D. Laughton, Senior Counsel,
Office of the Assistant General Counsel
(Banking & Finance), 202/622–9209.
SUPPLEMENTARY INFORMATION:
FEDERAL RESERVE SYSTEM
12 CFR Part 233
[Regulation GG; Docket No. R–1298]
DEPARTMENT OF THE TREASURY
31 CFR Part 132
RIN 1505–AB78
Prohibition on Funding of Unlawful
Internet Gambling
Board of Governors of the
Federal Reserve System and
Departmental Offices, Department of the
Treasury.
ACTION: Final rule.
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AGENCIES:
SUMMARY: This document is published
jointly by the Departmental Offices of
the Department of the Treasury (the
‘‘Treasury’’) and the Board of Governors
of the Federal Reserve System (the
‘‘Board’’) (collectively, the ‘‘Agencies’’)
to adopt a final rule to implement
applicable provisions of the Unlawful
Internet Gambling Enforcement Act of
2006 (the ‘‘Act’’). The final rule sets out
definitions for terms used in the
regulation; designates payment systems
that could be used by participants in
connection with, or to facilitate, a
restricted transaction; exempts certain
participants in certain designated
payment systems from the requirement
of the regulation; requires the
participants performing non-exempt
functions in a designated payment
system to establish and implement
policies and procedures reasonably
designed to prevent or prohibit
restricted transactions, such as by
identifying and blocking such
transactions; provides non-exclusive
examples of policies and procedures for
non-exempt participants in each
designated payment system; and sets
out the regulatory enforcement
framework. In developing this rule, the
Agencies have consulted with the
Department of Justice, as required by the
Act, and have taken into consideration
all comments received on the proposed
rule issued in October 2007.
DATES: Final rule is effective January 19,
2009. The incorporation by reference of
the publication listed in the final rule is
approved by the Director of the Federal
Register as of January 19, 2009.
However, compliance by non-exempt
participants in designated payment
systems is not required until December
1, 2009.
FOR FURTHER INFORMATION CONTACT:
Board: Christopher W. Clubb, Senior
Counsel (202/452–3904), Legal Division;
Jeffrey S. Yeganeh, Manager, or Joseph
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I. Background
Unlawful Internet Gambling
Enforcement Act
The Act prohibits any person engaged
in the business of betting or wagering
(as defined in the Act) from knowingly
accepting payments in connection with
the participation of another person in
unlawful Internet gambling. Such
transactions are termed ‘‘restricted
transactions.’’ The Act generally defines
‘‘unlawful Internet gambling’’ as
placing, receiving, or otherwise
knowingly transmitting a bet or wager
by any means which involves the use,
at least in part, of the Internet where
such bet or wager is unlawful under any
applicable Federal or State law in the
State or Tribal lands in which the bet or
wager is initiated, received, or otherwise
made. The Act states that its provisions
should not be construed to alter, limit,
or extend any Federal or State law or
Tribal-State compact prohibiting,
permitting, or regulating gambling
within the United States.1 The Act does
not spell out which activities are legal
and which are illegal, but rather relies
on the underlying substantive Federal
and State laws.2
The Act requires the Agencies (in
consultation with the U.S. Attorney
General) to designate payment systems
that could be utilized in connection
with or to facilitate restricted
transactions. Such a designation makes
the payment system, and financial
transaction providers participating in
the system, subject to the requirements
of the regulations. The Act further
requires the Agencies (in consultation
with the U.S. Attorney General) to
prescribe regulations requiring
designated payment systems and
financial transaction providers
participating in each designated
payment system to establish policies
and procedures reasonably designed to
identify and block or otherwise prevent
or prohibit restricted transactions. The
regulations must identify types of
1 31
U.S.C. 5361(b).
H. Rep. No. 109–412 (pt. 1) p. 10.
2 See
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policies and procedures that would be
deemed to be reasonably designed to
achieve this objective, including nonexclusive examples. The Act also
requires the Agencies to exempt certain
restricted transactions or designated
payment systems from any requirement
imposed by the regulations if the
Agencies jointly determine that it is not
reasonably practical to identify and
block, or otherwise prevent or prohibit
the acceptance of, such transactions.
Overview of the Proposed Rule
In October 2007, the Agencies jointly
issued, and requested public comment
on, a Notice of Proposed Rulemaking
(‘‘NPRM’’) to implement the Act.3 The
proposed rule provided definitions of
terms used in the regulation, many of
which followed or referred to
definitions set out in the Act or other
existing regulatory or statutory
definitions. The proposed rule did not
attempt to further define gamblingrelated terms because the Act itself does
not specify which gambling activities
are legal or illegal and relies on
prohibitions contained in statutes that
are not under the jurisdiction of the
Agencies. Application of some of the
terms used in the Act may depend
significantly on the facts of specific
transactions such that general regulatory
definitions would not be appropriate.
The proposed rule designated the
following payment systems as payment
systems that could be used in
connection with unlawful Internet
gambling transactions restricted by the
Act: Automated clearing house systems;
card systems; check collection systems;
money transmitting businesses; and
wire transfer systems. The proposed
rule required participants in these
designated payment systems to establish
and implement written policies and
procedures reasonably designed to
identify and block or otherwise prevent
or prohibit transactions in connection
with unlawful Internet gambling.
The proposed rule also exempted
from the requirements to establish such
policies and procedures all participants
in the automated clearing house
systems, check collection systems, and
wire transfer systems, except for the
participant that possesses the customer
relationship with the Internet gambling
business (and certain participants that
receive certain cross-border transactions
from, or send certain such transactions
to, foreign payment service providers)
because the Agencies believed that it
was not reasonably practical for those
participants to identify and block, or
otherwise prevent or prohibit, unlawful
3 72
FR 56680 (Oct. 4, 2007).
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Internet gambling transactions restricted
by the Act. The Agencies intended that
the participant with the customer
relationship with the Internet gambling
business would have the responsibility
in the ACH systems, check collection
systems, or wire transfer systems to
prevent or prohibit restricted
transactions from being credited to the
account of the gambling business
through that particular payment system.
Finally, the proposed rule described
types of policies and procedures that
non-exempt participants in each type of
designated payment system could adopt
in order to comply with the Act and
included non-exclusive examples of
policies and procedures that would be
deemed to be reasonably designed to
prevent or prohibit restricted
transactions. The non-exclusive
examples included special procedures
for cross-border transactions in ACH
systems, check collection systems, and
wire transfer systems.
The Agencies requested comment on
all aspects of the proposed rule, as well
as detailed questions regarding specific
aspects of the rule within each section.
Overview of Public Comments
The Agencies received comments
from about 225 members of the public,
including approximately 125
consumers, 40 depository institutions
and associations thereof, 20 gamblingrelated entities, 10 public-policy
advocacy groups, 10 payment system
operators and money transmitters, and
20 others, including Federal agencies
and members of Congress.4 In addition
to the following overview, specific
comments are discussed in more detail
in the portions of the section-by-section
analysis that describe particular
provisions.
Comments related to the Act. About
65 commenters directly addressed the
Act itself. Of these, approximately 35
commenters, almost all consumers,
expressed disapproval of the Act.
Consumers generally thought that the
Act represents an inappropriate
governmental intrusion into the
personal choices that individuals make
and that the government should not
devote resources attempting to prevent
Internet gambling. A portion of these
commenters further noted that the
government might wish to legalize,
regulate, and tax Internet gambling,
thereby helping provide appropriate
safeguards and protections for
consumers while also potentially
4 The comment letters and conference call
summaries cited herein are available on the Board’s
public Web site at: https://www.federalreserve.gov/
generalinfo/foia/
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increasing the government’s revenues.
Conversely, about 20 commenters, about
evenly split between consumers and
public-policy advocacy groups,
expressed support for the Act on the
grounds that gambling causes harm.
These commenters noted that gambling
via the Internet is of particular concern
because it is anonymous and can be
done within the home at any time of day
or night. Additionally, about 10
commenters expressed concern that the
Act will exacerbate the U.S.’s
difficulties with the World Trade
Organization (WTO) related to Internet
gambling, and suggested that the
Agencies refrain from implementing the
Act until the related WTO matter is
resolved.5 The Agencies believe that
these comments relate to the public
policy issue of the merits of the Act
itself and are outside the rulemaking
process. The Agencies’ duty is to carry
out their responsibilities to promulgate
implementing regulations required by
the Act and that is the focus of this
rulemaking.
Comments related to the proposed
rule. About 20 commenters, almost all
of them depository institutions and
associations of depository institutions,
noted that notwithstanding the
Agencies’ efforts to craft a reasonable
rule, the proposed regulation would be
unduly burdensome and would result in
compliance costs greater than any
offsetting societal benefit. Several of
these commenters stated that the rule
would adversely affect the
competitiveness of the U.S. payments
system, and that the Agencies should be
cognizant of the potential for the Act
and similar laws to cumulatively cause
capital flight and erode the U.S. dollar’s
status as the world’s reserve currency.
More broadly, these commenters also
questioned whether the payments
system is the appropriate mechanism by
which to enforce prohibitions on
Internet gambling. Some of these
commenters argued that the
responsibility for enforcing gambling
laws should lie with Federal and State
law enforcement authorities and that,
operationally, the preferable way to
prevent unlawful Internet gambling may
be for the government to work with
telecommunications providers to
impede gambling Web sites’ access to
the Internet.
About 50 commenters, primarily
consumers and gambling-related
entities, expressed concern regarding
the rule’s applicability to poker and
similar games. These commenters
referred to the definition of ‘‘bet or
5 See, e.g., comment letter from David S. Orkin
(Dec. 2, 2007) p. 1.
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wager,’’ and argued that poker is a game
predominantly of skill and should be
excluded from the scope of the
definition.
About 30 commenters, primarily
depository institutions and associations
thereof, as well as a few members of
Congress and gambling-related entities,
expressed concern regarding the
proposed rule’s definition of ‘‘unlawful
Internet gambling.’’ Banks stated that
the definition’s lack of specificity would
result in higher costs associated with
complying with the rule. Some members
of Congress and gambling-related
interests found the vagueness of the
definition to be so problematic as to
raise free-speech, fundamental-fairness,
and Administrative Procedure Act
concerns.
About 40 commenters responded to
the Agencies’ request for comment on
whether to incorporate within the rule
a list of unlawful Internet gambling
businesses. About 35 commenters of
various types—depository institutions
and associations thereof, payment
system operators and money
transmitters, as well as public-policy
groups—expressed support for such a
list, generally on the grounds that it
would reduce the cost of complying
with the rule, but some of these
commenters noted that the list might
not prevent restricted transactions.
About five commenters, all of which
were payment system participants or
associations thereof, opposed a list on
the grounds that it would not be
effective.
II. Final Rule
Overview
After carefully considering the
comments, the Agencies have adopted a
final rule to implement the Act. In
accordance with the Act, the Agencies
have consulted with the Department of
Justice during the development of the
final rule. The Agencies also conducted
further outreach to gather information
on the issues raised in the public
comments.
The final rule shares some
fundamental characteristics with the
approach presented in the proposed
rule. First, for example, the final rule
retains the focus on a due diligence
process in establishing and maintaining
a commercial customer relationship as
the core policy and procedure that the
participants in designated payment
systems other than card systems can
choose to prevent or prohibit restricted
transactions. As noted in the proposal,
card systems are the only designated
payment systems that use a merchant
and transaction coding framework that
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permits participants to identify and
block, during processing, transactions
with indicia of being restricted
transactions. The other designated
payment systems could choose to
conduct due diligence in accountopening procedures designed to ensure
that the commercial customer does not
originate or receive restricted
transactions through the customer
relationship. The final rule also
continues to place the responsibility for
such due diligence on the participant
that is establishing or maintaining the
customer relationship with the
commercial customer. In response to
comments on the proposed rule, as
discussed in more detail below, a new
subsection ll.6(b) of the final rule
provides additional guidance on due
diligence steps participants can take for
commercial customers to have
reasonably designed policies and
procedures to prevent or prohibit
restricted transactions.
The Act requires the Agencies to
provide non-exclusive examples of
reasonably designed policies and
procedures to prevent restricted
transactions, rather than establishing an
absolute prohibition on processing any
restricted transactions. The Agencies
recognize the challenge that participants
in designated payments systems will
face in trying to prevent restricted
transactions without unduly burdening
their processing of lawful transactions,
which make up the vast majority of
payments processed. The Agencies
believe that flexible, risk-based due
diligence procedures at account
opening, such as those set out in the
final rule, present the best option for
balancing these two interests.
Similar to the proposed rule, the final
rule does not contemplate that the
Agencies, other government agencies, or
any other entity will establish or
publish a list of businesses known to be
involved in unlawful Internet gambling.
Although the Act does not require
creation of a list of unlawful Internet
gambling businesses, some commenters
have suggested that the Agencies should
create such a list and make it available
to designated payment systems and
their participants in order to permit
them to block payments destined to
those entities.6
After carefully considering the public
comments on this issue, the Agencies
have concluded that such a list would
not be effective or efficient. The first
step in including a business on such a
6 See, e.g., comment letter from Members of
Congress of the United States (Sen. Kyl et al.) (Dec.
12, 2007) (hereinafter ‘‘Kyl letter’’) p. 2. See also H.
Rep. No. 109–412, Part 1, p. 11.
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list would be to ensure that the
particular business was, in fact, engaged
in activities deemed to be unlawful
Internet gambling under the Act. The
Act, however, does not set out the
precise activities that are covered by the
term, but refers to activities that are
unlawful under other Federal or State
gambling laws for such determinations.
Creating such a list would require the
Agencies to formally interpret those
laws that are written and enforced by
other entities, such as State legislatures
and law enforcement agencies.
Accordingly, interpretations by the
Agencies in these areas may not be
determinative in defining the Act’s legal
coverage and could set up conflicts or
confusion with interpretations by the
entities that actually enforce those laws.
In addition, the Agencies do not believe
that a list of businesses that engage in
unlawful Internet gambling would
necessarily be effective or efficient in
preventing unlawful activity because
the payment transactions would not
necessarily be made payable to the
business’s listed name.7 Even where the
business’s listed name is used on the
transaction, some payment systems do
not process the transaction based on the
payee name.8 Also, to the extent that
Internet gambling businesses can change
their payments information with
relative ease and speed, such a list
would be outdated quickly. Finally, the
Agencies believe that appropriate due
diligence conducted by participants
opening accounts would be the most
effective method for preventing
unlawful Internet gambling businesses
from gaining access to the payment
system directly through U.S. accounts.
The suggested due diligence procedures
discussed in this final rule are designed
to target that relationship.
Moreover, the Act already provides
for a course of action if government
entities are aware of an unlawful
Internet gambling Web site. The Act
provides a procedure pursuant to which
the U.S. Attorney General, State
attorneys general, or other appropriate
State officials may institute proceedings
to have an unlawful Internet gambling
Web site removed by the interactive
computer service that provides access to
that Web site.9 Accordingly, if
government entities are aware of an
7 See, e.g., comment letter from MoneyGram Int’l
(Dec. 11, 2007) (herein ‘‘neyGram letter’’) p.3
(Internet gambling Web sites may direct payments
to an individual, rather than the business’s
corporate name, and change these names
frequently).
8 For example, the automated processing
equipment used to clear checks does not read the
payee line on a typical consumer check.
9 31 U.S.C. 5365(c).
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unlawful Internet gambling Web site,
the procedure provided by the Act for
denying access to the Web site in its
entirety could be used, rather than
permitting access to the unlawful
Internet gambling Web site to continue
without interruption, while relying on
the designated payment systems and
their participants to block every
transaction destined for the Internet
gambling business operating the Web
site.
Finally, the final rule, like the
proposed rule, does not define
‘‘unlawful Internet gambling’’ beyond
the Act’s definition. Numerous
commenters addressed the
implementation and compliance
problems created by the Act’s definition
of ‘‘unlawful Internet gambling’’ and
requested that the Agencies provide
greater clarity regarding this term.10 The
Agencies carefully considered these
comments, as well as the challenges of
creating a regulatory definition of a term
encompassing the various Federal and
State laws affecting Internet gambling.
After consulting with the Department of
Justice and representatives from the
offices of several State attorneys general
regarding this issue, the Agencies have
determined that a single, regulatory
definition of ‘‘unlawful Internet
gambling’’ would not be practical.11 The
Act’s definition of ‘‘unlawful Internet
gambling’’ relies on underlying Federal
and State gambling laws. The States
have taken different approaches to the
regulation of gambling within their
jurisdictions and the structure of State
gambling law varies widely, as do the
activities that are permitted in each
State. Accordingly, the underlying
patchwork legal framework does not
lend itself to a single regulatory
definition of ‘‘unlawful Internet
gambling.’’ The Agencies have
attempted to address the payments
industry’s desire for more certainty that
would result from a precise regulatory
definition of ‘‘unlawful Internet
gambling’’ through the due diligence
guidance provided in ll.6(b). The
suggested due diligence process relies
on State regulation of Internet gambling
and imposes the burden of proof of
legality of Internet gambling activities
on the gambling business, rather than
the designated payment systems and
their participants.
As discussed in detail below, the
Agencies have modified the rules in
various respects in response to the
10 See, e.g., comment letter from the American
Bankers Association (Dec. 12, 2007) (hereinafter
‘‘ABA letter’’), pp. 5–6.
11 See summary of conference call with
representatives of various State Attorneys General
(call date July 9, 2008) p. 1.
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comments received. Identical sets of the
final rules are being adopted by the
Board, to be published in Title 12 of the
Code of Federal Regulations, and by the
Treasury, to be published in Title 31 of
the Code of Federal Regulations.12 The
section numbers used in the analysis
below have not changed from the
proposed rule, but the subsection
numbers may have changed because
subsections have been added, deleted,
or rearranged in response to public
comments.
Effective Date
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In the NPRM, the Agencies proposed
that the final rule should take effect six
months after the joint final rule was
published, and requested comment on
whether this period was reasonable.
Some commenters, representing
members of Congress, sports leagues, or
gambling-related entities, suggested that
six months was either an adequate
implementation period or was too long.
One or more of these commenters stated
that they did not understand why
participants would not be able to
implement the final rule promptly,
expressed concern about the harm a
delayed effective date would have on
certain gambling interests, and
referenced the statutory deadline for the
promulgation of a rule.13 Most
commenters representing the financial
industry suggested that this period was
insufficient for financial transaction
providers to develop and implement the
necessary policies and procedures. In
designated payment systems with
operators, such as the ACH systems and
the card systems, commenters were
concerned that participants would have
to wait until the operators developed
and announced their policies and
procedures before developing their own
policies and procedures.14 These
commenters suggested various periods
for an adequate implementation period,
ranging from 12 months to 24 months.
The Agencies have reviewed these
comments and the concerns expressed
about a delayed effective date, as well
as the reasons given for the need for
additional time. In response, the
12 The final rules adopted by the Board and the
Treasury within their respective titles of the Code
of Federal Regulations (12 CFR Part 233 for the
Board and 31 CFR Part 132 for the Treasury) are
identically numbered from § ll.1 to § ll.7. For
ease of reference, the single set of final rules
adopted by each Agency is referred to in this release
as Section ll, excluding title and part
designations. A similar format is used to refer to the
single set of proposed rules issued by the Agencies.
13 See, e.g., Kyl letter, supra note 6, at 2.
14 See, e.g., comment letter from The Clearing
House Assoc. LLC and its affiliates, The Clearing
House Payments Co. LLC (Dec. 12, 2007)
(hereinafter ‘‘The Clearing House letter’’) p. 14.
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Agencies have decided to make the final
rule effective approximately 60 days
from the date of publication of the final
rule in the Federal Register, and to
establish a compliance date
approximately 12 months from
publication of the final rule.15
Given the changes in the nonexclusive examples of policies and
procedures which, if followed, would
result in a reduction of compliance
burden from the proposed rule to the
final rule, the Agencies believe that nonexempt participants in designated
payment systems certainly should not
require more than 12 months to design
and implement the necessary policies
and procedures.16 The Agencies also
believe, however, that the commenters
have adequately demonstrated that six
months may not be sufficient time for
complying with the final rule.
Accordingly, the final rule includes a
compliance date of December 1, 2009,
approximately 12 months from the date
of publication of the final rule in the
Federal Register.
Section-by-Section Analysis
§ ll.1 Authority, Purpose, and
Incorporation by Reference
The Agencies did not receive any
comments that explicitly requested
changes to this section; however, the
final rule does include three changes.
First, subsection ll.1(a) has been
revised to clarify that the final rule,
consistent with the Act, is not intended
to affect or interpret the interaction
between existing Federal or State
statutes, such as the Interstate
Horseracing Act of 1978 (15 U.S.C. 3001
et seq.) (IHA), and other Federal
statutes. Specifically, as set out in
subsection ll.1(a), the Act states that
none of its provisions shall be construed
as altering, limiting, or extending any
Federal or State law or Tribal-State
compact prohibiting, permitting, or
regulating gambling within the United
States.17 In addition, the Act states that
its provisions are not intended to
change the existing relationship
between the IHA and other Federal
statutes in effect on October 13, 2006,
15 The ‘‘effective date’’ is the date that the
regulation affects or is added to the Code of Federal
Regulations. The ‘‘compliance date’’ is the date that
regulated entities must be in compliance with the
regulation. National Archives and Records
Administration, Federal Register Document
Drafting Handbook, pp. 2–10 and 2–11 (Oct. 1998
rev.).
16 For example, the Agencies believe that the
shifting of the burden of establishing whether an
Internet gambling business is engaged in restricted
transactions from the financial transaction
providers to the Internet gambling businesses will
minimize burden for participants.
17 31 U.S.C. 5361(b).
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the date of the Act’s enactment, and are
not intended to resolve any existing
disagreements over how to interpret the
relationship between the IHA and other
Federal statutes.18 The final rule is
intended to be consistent with these
provisions and should not be construed
to affect or interpret the interaction
between the various underlying Federal
and State statutes or Tribal-State
compacts.
Second, a new subsection ll.1(c)
has been added and states that
requirements for the collection of
information in the final rule have been
approved under the Paperwork
Reduction Act for the Department of the
Treasury by the Office of Management
and Budget (OMB) and by the Board
pursuant to authority delegated to the
Board by OMB. Finally, the reference to
the automated clearing house rules
incorporated by reference into the final
rule has been updated to reflect the
2008 rules published by the National
Automated Clearing House Association
(NACHA). For purposes of this final
rule, there are no material differences
between the 2008 NACHA rules and the
2007 NACHA rules that were
incorporated by reference in the
proposed rule. The Agencies will
continue to update the reference to new
rules issued by NACHA as appropriate
if there are changes in the rules that are
material to application of the final rule.
§ ll.2 Definitions
In general. In response to comments,
the final rule contains several new or
modified defined terms. As an initial
matter, lead-in language for the entirety
of § ll.2 was added to clarify that the
definitions set out in the final rule are
intended for use only with respect to the
final rule and are not intended to be
used in other contexts.
§ ll.2(a) Actual knowledge. The
proposed rule included examples of
remedial actions that a non-exempt
participant could choose to take if it
‘‘becomes aware’’ that a commercial
customer received restricted
transactions through the participant’s
facilities or a foreign counterparty ‘‘is
found to have’’ processed restricted
transactions through the participant’s
facilities. Commenters objected to these
terms as too vague to provide a basis for
compliance programs and suggested that
they should be replaced with more
precise terms that could be
implemented by compliance personnel
and examined by regulators.19 In
18 31
U.S.C. 5362(10)(D)(iii).
e.g., comment letter from Wells Fargo &
Company (Dec. 12, 2007) (hereinafter ‘‘Wells Fargo
letter’’), pp. 15–16.
19 See,
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response to these comments, a new
definition for the term ‘‘actual
knowledge’’ was added for use in the
remedial action provisions of § ll.6.
As described in more detail below, the
Agencies revised the remedial action
examples to include an ‘‘actual
knowledge’’ standard similar to what
some commenters suggested.20 As used
in the final rule, the term ‘‘actual
knowledge’’ includes information
regarding a particular transaction or
commercial customer that is known by
or brought to the attention of
compliance personnel of the participant
responsible for that transaction or
customer (which may be below officer
level) or any officer of the participant.
The Agencies expect that an employee
at the officer level of a participant
should be responsible for forwarding the
information to the proper personnel
within the organization.
§ ll.2(c) Bet or wager. The proposed
rule contained a definition of the term
‘‘bet or wager’’ which followed the
definition for that term contained in the
Act.21 Specifically, the proposed rule
defined the term, in pertinent part, to
mean the staking or risking by any
person of something of value upon the
outcome of, among other things, ‘‘a
game subject to chance, upon an
agreement or understanding that the
person or another person will receive
something of value in the event of a
certain outcome.’’ 22 Similar to the Act,
the proposed rule did not define
gambling-related terms such as ‘‘game
subject to chance.’’ The Agencies
explained in the proposed rule that it
was their preliminary view that issues
regarding the scope of gambling-related
terms should be resolved by reference to
the underlying substantive State and
Federal gambling laws and not by a
general regulatory definition. The
Agencies received about 40 comments
related to the meaning of the term
‘‘game subject to chance.’’
Commenters requested that the
Agencies clarify that Congress did not
intend for the Act to block lawful
gaming transactions such as skill games,
that the definition of ‘‘unlawful Internet
gambling’’ does not include skill games,
and that the system designed to stop the
flow of funds to unlawful Internet
gambling operations does not include
businesses operating skill games on the
Internet.23 Commenters also suggested
application of a dominant factor test as
20 Id.
at 21–22.
U.S.C. 5362(1).
22 NPRM, 72 FR at 56695.
23 See e.g., comment letter from the Interactive
Skill Games Association (Dec. 12, 2007), pp. 1 and
3.
21 31
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a means of distinguishing a skill game
from a game subject to chance.24
Commenters asserted that, under the
dominant factor test, a game whose
outcome is determined predominantly
by chance would be a game subject to
chance, and a game whose outcome is
determined predominantly by skill
would be a skill game not covered by
the Act or the regulation.25 Commenters
also stated that ‘‘subject to chance’’ is
meant to cover games like roulette or
slots where persons bet against the
‘‘house’’ and success is determined
entirely by chance as opposed to games
where individuals compete against one
another with success over time being
determined by skill.26 Commenters also
asserted that poker is a game of skill and
not of chance.27 Other commenters
asserted that games like traditional
poker and bridge are games subject to
chance based on the ‘‘luck of the draw’’
via the random shuffling and dealing of
cards.28 These commenters asserted that
unlike traditional poker and bridge,
games like duplicate poker and
duplicate bridge are skill games,
because the luck of the draw is
completely eliminated.
The Agencies believe that the
characterization of each of the activities
discussed above depends on the specific
facts and circumstances. As noted
above, the Agencies believe that
questions regarding what constitutes
unlawful Internet gambling should be
resolved pursuant to the applicable
Federal and State gambling laws. While
there may be some games or contests
conducted over the Internet that are not
‘‘games subject to chance’’ and, thus,
not subject to the Act and the final rule,
the Agencies believe that such issues are
more appropriately resolved pursuant to
the various underlying gambling laws
than with a single regulatory definition.
The Agencies note, however, that a
careful reading of the statutory language
of the Act may be instructive in
discerning Congressional intent
regarding what constitutes a ‘‘game
subject to chance.’’ The Act defines the
term ‘‘bet or wager’’ as including a
‘‘game subject to chance.’’ 29 However,
the Act also defines the term ‘‘bet or
wager’’ as including the purchase of a
chance or opportunity to win a lottery
24 See e.g., comment letter from the Poker Players
Alliance (Dec. 12, 2007) (hereinafter ‘‘PPA letter’’),
p. 2.
25 Id.
26 See e.g., comment letter from Daniel W.
Johnson (Oct. 16, 2007), p. 1.
27 See e.g., PPA letter, supra note 24, at 2.
28 See e.g., comment letter from Nelson Mullins
Riley & Scarborough LLP (Dec. 12, 2007)
(hereinafter ‘‘Nelson Mullins letter’’) pp. 2–3.
29 31 U.S.C. 5362(1)(A).
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or other prize (which opportunity to
win is predominantly subject to
chance).’’ 30 The fact that Congress used
‘‘subject to chance’’ in one paragraph
and ‘‘predominantly subject to chance’’
in the next paragraph in the same
subsection suggests that Congress
intended the element of chance in
‘‘game subject to chance’’ to be less than
predominant. The Agencies believe that
if Congress had intended chance to be
the predominant factor in determining
the outcome of a ‘‘game subject to
chance,’’ Congress would have inserted
the word ‘‘predominantly’’ as it did
subsequently in the same section.
Therefore, even if chance is not the
predominant factor in the outcome of a
game, but was still a significant factor,
the game could still be deemed to be a
‘‘game subject to chance’’ under a plain
reading of the Act.
One commenter suggested that the
Agencies consider developing a
procedural mechanism by which
Internet gambling businesses may apply
for and obtain a certification from the
Agencies that the Internet gambling
businesses are engaged in lawful
Internet gambling under applicable
Federal and/or State law.31 The
Agencies have decided against
implementing such a certification
process. Instead, the nonexclusive
policies and procedures contained in
the final rule and discussed further
below provide for an analogous
procedural mechanism whereby the
responsibility of determining which
gambling activities are lawful is retained
with the authorities enforcing the
underlying gambling laws. Specifically,
participants in designated payment
systems may choose to follow the due
diligence process in § ll.6(b) of the
final rule’s non-exclusive examples
whereby they can rely on licenses
issued by the appropriate gambling
authorities as evidence that a
commercial customer’s Internet
gambling activities are lawful. If a
commercial customer does not have
such a license, the participant may
request that the unlicensed Internet
gambling business provide a reasoned
legal opinion that it does not engage in
restricted transactions. If a participant
has questions or concerns regarding the
reasoned legal opinion, it should verify
(or have the commercial customer
verify) the conclusions presented in the
reasoned legal opinion with the
appropriate licensing authority.
§ ll.2(d) Block. A new definition for
the term ‘‘block’’ was added to the final
30 31
U.S.C. 5362(1)(B) (emphasis added).
Mullins letter, supra note 28, at 2 and
31 Nelson
6.
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rule in response to comments that
suggested that there was confusion
among participants over the meaning of
the term.32 This term is used in the Act
and the proposed rule imported it from
the statutory language. As defined in the
final rule, the term ‘‘block’’ means to
reject a transaction before or during
processing and is not intended to
require freezing the funds. The funds
would remain in or be returned to the
original account and could be accessed
by the accountholder for other purposes.
§ ll.2(f) Card system. The final rule
includes revisions to the definition of
‘‘card system’’ included in the proposed
rule in response to a comment that
requested that the definition be clarified
to cover both a card system model in
which the merchant acquirer, the card
network, and the card issuer are
separate entities, as well as a model in
which one company (such as American
Express) owns the card processing
network and is responsible for two or
more major functions involved in
issuing cards and acquiring merchants
to accept the cards.33 The NPRM
discussed both card system models and
the proposed rule made no distinction
between the two.34 In order to remove
any ambiguity, the final rule clarifies
that both models are covered by the
term ‘‘card system’’ in the final rule.
§ ll.2(i) Commercial customer. A
new definition for the term ‘‘commercial
customer’’ was added to the final rule in
response to comments that suggested
that the final rule should clarify that the
regulation was focused on due diligence
procedures relating to commercial
customers, rather than consumer
accounts.35 As noted above, other than
for payment systems with a transaction
coding functionality, the Agencies are
suggesting that the efforts of participants
in designated payment systems be
focused on preventing restricted
transactions primarily through due
diligence on commercial customers. The
Agencies have revised the provisions of
the regulation to provide more clarity on
this point. To facilitate this, a definition
of the term ‘‘commercial customer’’ was
added to the final rule.
§ ll.2(o) Foreign banking office. A
new definition of the term ‘‘foreign
banking office’’ was included in the
final rule for use in the remedial action
provisions in § ll.6 for cross-border
transactions. The definition clarifies
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32 See,
e.g., The Clearing House letter, supra note
14, at 13.
33 See, e.g., comment letter from Bank of America
(Dec. 12, 2007) pp. 2–3.
34 NPRM, 72 FR 56680, 56684 n.10.
35 See, e.g., comment letter from Howrey, LLP, on
behalf of The Money Services Round Table (Dec. 6,
2007) (hereinafter ‘‘TMSRT letter’’) pp. 5–6.
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that a foreign office of a U.S. bank and
a non-U.S. office of a foreign banking
organization are both considered a
‘‘foreign banking office’’ for purposes of
the final rule. The non-exclusive
examples of reasonably designed
policies and procedures include special
provisions with respect to transactions
and relationships between a U.S. office
of a participant in a designated payment
system and a foreign banking office. The
new term for ‘‘foreign banking office’’
was included to facilitate those
provisions.
§ ll.2(r) Internet gambling business.
The final rule includes a new definition
of the term ‘‘Internet gambling
business’’ to facilitate use of the
expanded example of due diligence of
commercial customers. (Under the due
diligence example, a participant would
assess the risk of a customer being
engaged in an ‘‘Internet gambling
business’’ and would take certain steps
based on that assessment.) The term
contains elements of the Act’s definition
of the term ‘‘unlawful Internet
gambling,’’ but includes both lawful and
unlawful activities. The new term
excludes the customary activities of a
financial transaction provider, or any
interactive computer service or
telecommunications service, similar to
the Act’s exclusions from the term
‘‘business of betting or wagering.’’
§ ll.2(v) Operator. Some
commenters requested clarification of
the exemptions and responsibilities of
different participants in a payment
system under the examples of
reasonably designed policies and
procedures to prevent restricted
transactions.36 The final rule defines the
term ‘‘operator’’ of a designated
payment system to mean an entity that
provides centralized clearing and
delivery services between participants
in the designated payment system and
maintains the operational framework for
the system and includes an ACH
operator as defined in the NACHA rules.
This definition works in conjunction
with the clarifying changes to the
exemptions and revisions, discussed
below. For example, the operator of a
money transmitting business is
responsible for establishing the policies
and procedures, while in an ACH
system, the operator is generally granted
an exemption.
§ ll.2(x) Reasoned legal opinion.
The final rule includes a new definition
for the term ‘‘reasoned legal opinion’’ to
facilitate use of the expanded due
diligence guidance that has been added
to § ll.6(b). As explained in more
detail below, in certain situations, a
36 See,
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69387
participant may ask a commercial
customer for a ‘‘reasoned legal opinion’’
that its Internet gambling business does
not involve restricted transactions. The
Agencies added this term to provide
more guidance on the type of legal
opinion that would be considered
adequate. The definition is based in part
on the American Bar Association
standards for a legal opinion.37
§ ll.2(y) Restricted transaction.
Several commenters asked the Agencies
to clarify that the definition of
‘‘restricted transaction’’ would not
apply to funds going to a consumer (i.e.,
a gambler), as opposed to funds going to
a commercial customer (i.e., an Internet
gambling business).38 The Act defines
‘‘restricted transaction’’ in § 5362(7) as
‘‘any transaction * * * which the
recipient is prohibited from accepting
under section 5363.’’ In turn, § 5363
provides that ‘‘[n]o person engaged in
the business of betting or wagering may
knowingly accept’’ a payment ‘‘in
connection with the participation of
another person in unlawful Internet
gambling.’’ Under the final rule, the
term ‘‘restricted transaction’’ would not
include funds going to a gambler, and
would only include funds going to an
Internet gambling business.
§ ll.2(aa) Third party processor. A
new definition for the term ‘‘third party
processor’’ was added to the final rule
in response to comments that suggested
the final rule should clarify the
responsibilities of processors under the
Act.39 The new definition clarifies that
a processor with a direct customer
relationship with the originator of a
debit transfer transaction or the receiver
of a credit transfer transaction, and
which acts as an intermediary between
the originator (or receiver) and the
depository institution is a ‘‘third party
processor’’ and covered by the
regulation. A processor providing backoffice support to a depository institution
is not covered by the final rule, but the
depository institution should ensure
that such a processor complies with the
depository institution’s policies. The
term ‘‘third party processor’’ has also
been added to the definition of
‘‘participant in a designated payment
system’’ and, as discussed in § ll.6,
‘‘third party processors’’ are responsible
for establishing reasonably designed
37 See ‘‘Third-Party Legal Opinion Report,
Including the Legal Opinion Accord, of the Section
of Business Law,’’ American Bar Association, 47
Bus. Law. 167 (1991).
38 See, e.g., comment letter from the National
Automated Clearing House Association (Dec. 13,
2007) (hereinafter ‘‘NACHA letter’’), p. 2.
39 See, e.g., comment letter from U.S. Central
Federal Credit Union (Dec. 6, 2007) p. 3.
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policies and procedures in certain
circumstances.
§ ll.3 Designated Payment Systems
The final rule’s list of designated
payment systems subject to the
regulation differs from the list presented
in the proposed rule only with respect
to the designation for money
transmitting businesses. The proposed
rule included the definitions of ‘‘money
transmitting business’’ and ‘‘money
transmitting service’’ set out in the Act.
The proposed rule designated ‘‘money
transmitting businesses’’ as payment
systems subject to the regulation.
Commenters noted that, as defined in
the Act, ‘‘money transmitting business’’
included check cashers, currency
exchangers or entities which issue or
redeem money orders or travelers
checks.40 For purposes of the Act, the
Agencies do not believe that entities
should be brought under the final rule’s
designation of ‘‘money transmitting
business’’ and become subject to the
final rule’s provisions solely by virtue of
engaging in check cashing, currency
exchange, or the issuance or redemption
of money orders, travelers’ checks, and
other similar instruments. Such
activities could not be used for Internet
gambling on an efficient basis.
Accordingly, in order to address this
comment, the Agencies revised the
designation to read money transmitting
businesses solely to the extent that they
‘‘engage in the transmission of funds,
which does not include check cashing,
currency exchange, or the issuance or
redemption of money orders, travelers’
checks, and other similar instruments.’’
Entities that would be included in the
statutory term ‘‘money transmitting
business’’ solely by virtue of engaging in
check cashing, currency exchange, or
the issuance or redemption of money
orders, travelers’ checks, and other
similar instruments, but without
engaging in the transmission of funds,
would not be a participant in a
designated payment system under the
final rule.
After reviewing comments and
conducting further outreach, the
Agencies have also revised the
designation to include only those
money transmitting businesses that
engage in the transmission of funds and
permit customers to initiate money
transmission transactions remotely from
a location other than a physical office of
the money transmitting business.41
Money transmitting businesses that
require senders to come to a physical
office location to initiate transactions
would not be attractive payment
arrangements through which Internet
businesses, including Internet gambling
businesses, could obtain payments from
the general public. The Agencies do not
believe that such arrangements could
reasonably be used for Internet gambling
on a scale that would be useful or
efficient for the Internet gambling
business due to their lack of broad
public accessibility. The Agencies
believe that money transmitting
businesses that do not permit remote
initiation of transactions, such as
through a website, are primarily focused
on serving a narrow population or
geographic area, such as would be the
case in arrangements where a particular
population in the United States is
sending money to relatives in their
home country.
A few commenters cited ‘‘900number’’ payment schemes, and, while
not providing any information regarding
how these schemes work, requested that
the Agencies look into them and ensure
they are covered by the regulation as
appropriate.42 The Agencies have
researched these schemes and believe
that the schemes would fit the Act’s and
rule’s definition of a money transmitting
business if located within the United
States. Operators of the 900-number
schemes appear to use either a card
payment or an ACH debit to obtain
funds from the payor (the caller) and,
separately, to use either a check or an
ACH credit to send funds to the payee
(the merchant that subscribes to the 900number service, i.e., the entity receiving
the 900-number call). The model
appears analogous to that employed by
PayPal (which identifies itself as a
money transmitting service, and has
obtained numerous Federal and State
licenses in that regard), except that the
operator of the 900-number scheme uses
the phone network instead of the
Internet for communications purposes,
and uses phone numbers instead of
email addresses to identify payors and
payees using the system. Accordingly,
such schemes located in the United
States would be included in the money
transmitting business designated
payment system set forth in § ll.3(d)
of the rule, and non-exempt participants
in these systems, such as the operator,
would be expected to adopt policies and
procedures reasonably designed to
prevent or prohibit restricted
40 E.g., TMSRT letter, supra note 35, at 2; see also
Wells Fargo letter, supra note 19, at 24–25.
41 See summary of conference call with The
National Money Transmitters Assoc. (call date June
3, 2008) (hereinafter ‘‘NMTA call summary’’), p. 1.
42 See, e.g., comment letter from the National
Football League, Major League Baseball, National
Basketball Association, National Hockey League,
and National Collegiate Athletic Association (Dec.
12, 2007) (hereinafter ‘‘NFL letter’’), p. 5.
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transactions if located in the United
States.
§ ll.4
Exemptions
In general. Under the proposed rule,
in designated payment systems other
than card systems, the primary
responsibility for establishing
reasonably designed policies and
procedures to prevent restricted
transactions was placed on the
participant that established and
maintained the customer relationship
with the commercial recipient of the
funds (i.e., the Internet gambling
business). The proposed rule provided
exemptions for other specified
participants in the ACH, check clearing,
and wire transfer systems. Commenters
noted that, while listing the exempt
participants in each designated payment
system may be the functional equivalent
of exempting all participants except for
the participant with the customer
relationship with the Internet gambling
business, it could define the exempt
participants too narrowly.43 In a
payment transaction, there may be
numerous intermediary servicers that do
not have access to information on the
commercial recipient and should be
exempted. In addition, as commenters
noted, as payment systems evolve, new
intermediary participants could enter
the transaction stream, but not be
exempted because they were not
specifically listed in § ll.4.
Commenters recommended reworking
the text of § ll.4 to make it clear that
all participants in designated payment
systems are exempt, except for the
participant that possesses the customer
relationship with the Internet gambling
business. In response to these
comments, § ll.4 has been revised to
exempt every participant in a
designated payment system, except the
participants that have specific
responsibilities in the non-exclusive
examples in § ll.6, which, in most
cases, will be the participant with the
relationship with the commercial
customer.44 Various participants would
43 See,
e.g., ABA letter, supra note 10, at 3.
commenters suggested that even an
exempt participant should be required to block a
transaction in cases where the participant has
actual knowledge that it is a restricted transaction.
E.g., NFL letter, supra note 42, at 5. In an automated
payment system, it is unclear how an exempt
participant would have actual knowledge that a
particular transaction is a restricted transaction
while in process. In addition, the final rule
expressly states that it does not modify any
requirement imposed on a participant by other
applicable law or regulation to file a suspicious
activity report to the appropriate authorities. If any
participant suspects that a customer is processing
illegal transactions, including restricted
transactions, through the participant’s facilities, the
44 Some
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have responsibilities under the nonexclusive examples for card systems in
§ ll.6 if card systems and their
participants choose to adopt them.
§ ll.4(a), (b), and (d) Exemptions
for ACH, check, and wire systems. Some
commenters suggested that the final rule
should provide a blanket exemption for
ACH, check collection, and wire transfer
systems in their entirety because these
systems, unlike card systems, do not
have the functionality necessary to code
transactions and merchants.45 While
such an approach would certainly
reduce the burden of the rule, it would
substantially undermine the efficacy of
the rule and the Act. Moreover, the final
rule’s non-exclusive examples for ACH,
check collection, and wire transfer
systems do not contemplate that nonexempt participants would identify
individual transactions as restricted
transactions. Rather, the final rule’s
non-exclusive examples contemplate
that a participant would conduct riskbased due diligence of commercial
customers at account opening, and
when it has actual knowledge that a
commercial customer is engaged in an
Internet gambling business, to
determine the risk the commercial
customer presents of engaging in
restricted transactions.46 The Agencies
believe that this approach is reasonably
practical for non-exempt participants in
the ACH, check collection, and wire
transfer systems and, accordingly, that a
blanket exemption for these systems in
their entirety would not be appropriate
under the Act.
Some commenters suggested
exempting all U.S. participants
processing cross-border transactions,
because these participants do not have
a direct customer relationship with
Internet gambling businesses located
abroad.47 The final rule exempts U.S.
participants processing outbound crossborder credit transactions (i.e., ACH
credits and wire transfers) because there
are no reasonably practical steps that a
U.S. participant could take to prevent
participant should file a suspicious activity report
with the appropriate authorities.
45 E.g., comment letter from Manufacturers and
Traders Trust Co. (M&T Bank) (Dec. 11, 2007)
(hereinafter ‘‘M&T Bank letter’’), p. 4. Some
commenters similarly suggested that ACH, check
collection, and wire transfer systems should not be
listed as designated payment systems for similar
reasons. See, e.g., Wells Fargo letter, supra note 19,
at 7.
46 One commenter acknowledged that a bank
could perhaps identify customers engaged in illegal
Internet gambling by conducting enhanced due
diligence at account opening, but stated that having
to conduct enhanced due diligence at each account
opening would be a significant burden on banks
and customers alike. See comment letter from
Compass Bank (Dec. 6, 2007), pp. 4–5.
47 See e.g., ABA letter, supra note 10 at 4.
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their consumer customers from sending
restricted transactions cross-border.48
Specifically, the automated systems
associated with ACH credit and wire
transfers do not typically include
information that would allow U.S.
participants to identify and block
restricted transactions. The Agencies
also considered a process described in
the NPRM that would involve customers
describing the nature of the transaction
and/or stating whether the transaction
involves Internet gambling. However,
the Agencies determined that such a
process would be unduly burdensome
for U.S. participants with little
corresponding benefit because U.S.
customers may mischaracterize the
nature of the transaction and the
participant would generally be unable to
determine whether the customer’s
characterization of the transaction is
accurate. As discussed in greater detail
below, however, the final rule does not
exempt U.S. participants receiving
cross-border debit transactions (i.e.,
ACH debits and check collections).
Also, there are no exemptions for crossborder transactions in card systems.
Exemptions for certain card systems.
One commenter suggested that the final
rule should exempt gift cards entirely
from the regulation and exempt storedvalue cards or, at a minimum, exempt
stored value cards below a threshold
amount.49 The commenter stated that
such cards have not previously been
subject to government regulation and
such card systems do not have policies
and procedures in place to track or limit
the type of use of the card by the
purchaser.50 The commenter also stated
that the burden of imposing a new
regulation on entities acting as a card
system operator, a merchant acquirer, or
a card issuer is likely to be substantial.
The Agencies considered this comment,
but determined that the concerns were
48 The final rule does not exempt the operator of
a money transmitting business with respect to
cross-border transactions, another form of credit
transaction, because the operator of the system
typically signs up commercial customers and can
perform due diligence on those customers.
49 See comment letter from Alston & Bird LLP
(Dec. 12, 2007) (hereinafter ‘‘Alston & Bird letter’’),
pp. 14–17.
50 The commenter also questions whether the
proposed rule required issuers, seller, and
redeemers of gift cards to have reasonably designed
policies and procedures to prevent restricted
transactions. Id. at 15. As explained above, the only
participants in card systems that are contemplated
by the final rule’s non-exclusive examples to have
policies and procedures are the operator, card
issuer, third-party processor, and merchant
acquirer. Retailers that may sell pre-paid gift cards
or stored value products of other issuers, such as
grocery stores or convenience stores that sell gift
cards for book stores, are not participants in a
designated payment system, as defined by the final
rule, and thus are not covered by the final rule.
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69389
addressed by the final rule. The final
rule’s non-exclusive examples for card
systems are based on coding frameworks
that have already been instituted by the
operators of the major ‘‘open’’ card
systems, such as Visa, MasterCard, and
American Express. If a card system is a
‘‘closed loop’’ system, the cards can
only be used at the merchants belonging
to the ‘‘closed loop’’ system. So long as
Internet gambling businesses cannot
accept these cards, the burden of this
rule would be minimal, although the
non-exempt participants in these
systems would still have to comply with
the rule’s requirement to have
reasonably designed policies and
procedures in place. Accordingly, the
Agencies determined that a blanket
exemption for stored value products and
gift cards was not appropriate.
Another commenter questioned the
application of the proposed rule to cobranded cards, where a depository
institution issues the card, but a nondepository institution, such as a
securities firm, has its name on the
card.51 According to the commenter, the
cards are usually issued to customers of
the non-depository institution, but, in
some co-branded card arrangements, the
non-depository institution may assist
the card issuer in certain aspects of the
program, such as performing subaccounting, issuing statements and
providing authorization services, under
a servicing contract with the card issuer.
The commenter argued that a securities
firm should not be regarded as a
participant in the card system simply
because its name appears on the card or
the securities firm provides services to
the card issuer in support of the
program. The Agencies believe that the
final rule’s non-exclusive examples for
card systems address these types of
situations. The non-exclusive examples
for card systems contemplate the
implementation of a code system, such
as transaction codes and merchant/
business category codes to accompany
the authorization request for a
transaction. The code system should
provide the operational functionality to
enable the card system operator or the
card issuer to reasonably identify and
deny authorization for a transaction that
the coding procedure indicates may be
a restricted transaction.
With respect to the commenter’s
question regarding the responsibilities
of the co-branding securities firm under
the non-exclusive examples for card
systems in § ll.6, the answer would
depend on the facts presented. If the
51 Comment letter from the Securities Industry
and Financial Markets Association (Dec. 12, 2007),
pp. 3–4.
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card issuing bank receives the
transaction authorization request with
the required codes, it should implement
its policies and procedures to deny
authorization for a transaction with
codes that indicate it may be a restricted
transaction, without any involvement by
the non-depository institution with its
name on the card. If the card issuing
bank has contracted with the cobranding non-depository institution to
process authorization requests, the card
issuing bank is responsible for ensuring
that the co-branding non-depository
institution is properly following the
card issuing bank’s policies and
procedures regarding restricted
transactions.
§ ll.4(c) Money transmitting
business. The proposed rule did not
contain any exemptions for participants
in a money transmitting business.
Commenters suggested that ‘‘send’’
agents of money transmitting businesses
should be exempted from the rule’s
requirements because, like the
originating institution in an ACH credit
or a wire transfer, the ‘‘send’’ agent does
not have a direct relationship with the
commercial customer receiving the
funds transmission and would not be in
a position to collect information to
identify restricted transactions.52 In
response to these comments, the
Agencies have determined to exempt all
send agents in a money transmitting
business. In fact, the final rule includes
an exemption for all participants in a
money transmitting business, except for
the operator. If an entity acted as both
a send agent and the operator in a
money transmitting business, the entity
would not be exempted from the final
rule by virtue of acting as the operator.
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§ ll.5 Policies and Procedures
Required
§ ll.5 Section title. In the
proposed rule, the title of § ll.5 was
‘‘Processing of restricted transactions
prohibited.’’ One commenter suggested
that the title of § ll.5 in the proposed
rule be revised to more accurately
reflect what the section actually does.53
In fact, the requirement in § ll.5 is to
establish and implement reasonably
designed policies and procedures to
identify and block or otherwise prevent
or prohibit restricted transactions, rather
than impose a strict liability standard.
The title of § ll.5 in the final rule has
been revised accordingly to read
‘‘Policies and procedures required.’’
e.g., TMSRT letter, supra note 35, at 3.
e.g., comment letter from MasterCard
Worldwide (Dec. 12, 2007) (hereinafter ‘‘MasterCard
letter’’) p. 2.
§ ll.5(b) Reliance on system
policies and procedures. The proposed
rule incorporated the Act’s provisions
permitting a participant in a designated
payment system to comply with the
Act’s requirement to establish policies
and procedures by relying on and
complying with the policies and
procedures of the designated payment
system if the system’s policies and
procedures complied with the
requirements of the regulation. This
would likely be applicable to operatordriven systems, such as card systems.
The Act does not indicate how a
participant is to determine whether a
system’s policies and procedures
comply with the regulation, and yet,
makes such a determination a
requirement for compliance under this
provision. Commenters noted the
significant problems and burden that
would be imposed on participants in
determining whether a system’s policies
and procedures complied with the
regulation in order to rely on them.54
In response to these comments and to
provide participants with a bright-line
standard for knowing when they could
rely on this provision for compliance
with the regulation, the Agencies
revised the rule to expressly permit
participants in a designated payment
system to rely on a written statement or
notice by the operator of the designated
payment system to its participants that
states that the operator has designed or
structured its policies and procedures to
comply with the regulation. Such a
statement or notice will be deemed to
provide a justifiable basis for the
participant to assume that the system’s
policies and procedures comply with
the requirements of the final rule, unless
and until the participant is notified
otherwise by the Federal agency that has
enforcement authority over that
participant under § ll.7. The Agencies
anticipate that such a statement or
notice will provide a common
understanding for all parties (i.e., the
system operator, the other participants,
and the regulator) that the Federal
functional regulators will review the
operator’s policies and procedures and
that the participants, many of which
may be small businesses, will not be
criticized by the regulators if they
comply with the operator’s policies and
procedures, even though the regulators
may subsequently deem the operator’s
policies and procedures to be deficient.
If, upon review, the regulators
determine that the operator’s policies
and procedures are deficient under the
52 See,
53 See,
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54 See, e.g., comment letter from the Office of the
Comptroller of the Currency (Dec. 12, 2007)
(hereinafter ‘‘Comptroller letter’’) pp. 2–3.
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regulation, the Agencies expect that the
regulators will work with the operator to
correct the deficiency. If the operator is
unable or unwilling to correct the
deficiency, the Agencies expect that the
regulators or the system operator would
notify the participants that they can no
longer rely on the operator’s policies
and procedures.
§ ll.5(d) Liability protection. As
noted in the NPRM, the proposed rule
imported the Act’s provisions protecting
persons from liability for identifying
and blocking, preventing or prohibiting
the acceptance of its products or
services in connection with a
transaction, or otherwise refusing to
honor a transaction if (i) the transaction
is a restricted transaction, (ii) such
person reasonably believed the
transaction to be a restricted transaction,
or (iii) the person is a participant in a
designated payment system and
prevented the transaction in reliance on
the policies and procedures of a
designated payment system, in an effort
to comply with the regulation. Some
commenters suggested that the final rule
expand these provisions to provide
protection from liability in specific
scenarios.55 The Agencies considered
these comments, but do not believe that
expanding the liability protections in
the regulation is appropriate. The Act’s
liability protection provisions address
liability to a counterparty that may arise
under other statutes (such as State
commercial laws) from the failure of a
participant in a designated payment
system to complete a transaction. The
Agencies do not believe that the Act
authorizes them to expand or modify, by
regulation, the scope of the protection
from liability that the Act itself provides
with respect to these other statutes.56
The liability protection provisions in
the final rule are limited to application
of the final rule. The scope of the Act’s
liability protection with respect to other
statutes should be determined by the
entities that enforce those statutes.
Accordingly, the final rule retains the
scope of the liability protection
provisions from the proposed rule.
§ ll.5(e) Overblocking. The Act
requires that the Agencies ensure that
transactions in connection with any
55 See, e.g., comment letter from First Data
Corporation (Dec. 12, 2007) p. 3.
56 A commenter also requested that the Agencies
include the Act’s liability protection provisions
verbatim from the statutory language. See
MasterCard letter, supra note 53, at 3. The
commenter was unclear as to whether the liability
protection in the proposed rule matched the
breadth of content of the Act’s provision. As noted
above, the Agencies intended to import the Act’s
liability protections from the Act and only modified
the language for grammatical purposes to insert into
the regulation.
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activity excluded from the Act’s
definition of ‘‘unlawful Internet
gambling’’ are not blocked or otherwise
prevented or prohibited by the
prescribed regulations (the
‘‘overblocking provision’’).57 As noted
in the NPRM, the proposed rule
implemented this provision by making
clear that nothing in the regulation
requires or is intended to suggest that
participants should block or otherwise
prevent or prohibit any transaction in
connection with any activity that is
excluded from the definition of
‘‘unlawful Internet gambling’’ in the
Act. In the NPRM, the Agencies noted
that they believed that the Act does not
provide the Agencies with the authority
to require designated payment systems
or participants therein to process any
gambling transactions if the system or
participant decides for business reasons
not to process such transactions.
Some commenters agreed with the
Agencies’ approach to the overblocking
provision presented in the proposed
rule.58 One commenter noted that any
regulation that would require
participants in designated payment
systems to process certain types of
transactions would ‘‘significantly alter
the business practices of many financial
transaction providers—including the
issuers of significant numbers of
payment cards who currently routinely
decline authorization for all transactions
on U.S.-issued cards coded as Internet
gambling transactions.’’ 59 Conversely,
some commenters representing
gambling interests argued that the final
rule should clarify that transactions
related to interstate pari-mutuel
wagering are not unlawful and need not
be blocked.60 Some commenters
suggested that the final rule should
require designated payment systems to
create a new merchant category code
specifically for gambling transactions
that are not prohibited by the Act.61
The Agencies continue to believe that
the Act does not provide them with the
authority to require designated payment
systems or participants therein to
engage in any particular line of business
or process any particular transactions.62
57 31
U.S.C. 5364(b)(4).
e.g., comment letter from Visa U.S.A. Inc.
(Dec. 12, 2007) (hereinafter ‘‘Visa letter’’) p. 3; see
also ABA letter, supra note 10, at 5.
59 See MasterCard letter, supra note 53, at 4.
60 See, e.g., comment letter from American
Greyhound Racing, Inc. (Nov. 26, 2007), p. 2.
61 See, e.g., comment letter from the National
Thoroughbred Racing Association (Dec. 11, 2007),
p. 2.
62 A principle of statutory construction is that a
statute ought to be construed so that, if it can be
prevented, no clause, sentence, or word shall be
superfluous, void, or insignificant. As noted above,
§ 5364(b)(4) of the Act directs the Agencies to
While card system operators certainly
may create new merchant category
codes that are useful for specific
transactions and industries, that is a
business decision that those operators
must make. Accordingly, the Agencies
continue to believe that the proposed
rule’s language adequately addressed
the Act’s overblocking provision and
that language has been retained in the
final rule.
§ ll.5(g) U.S. offices. Some
commenters requested that the Agencies
clarify that the scope of any final rule
is limited to United States offices of
participants in designated payment
systems.63 The Agencies believe that the
Act’s restrictions apply only to
transactions that are unlawful under
applicable U.S. Federal or State law.
The Act’s definition of ‘‘unlawful
Internet gambling’’ clearly states that it
refers to a bet or wager that ‘‘is unlawful
under any applicable Federal or State
law in the State or Tribal land in which
the bet or wager is initiated, received, or
otherwise made.’’ 64 Transactions that
are wholly outside the United States
(i.e., when all parties and financial
transaction providers to the transaction
are outside the United States) would not
violate such laws. As discussed below,
while the Agencies expect U.S.
participants to implement policies and
procedures for certain cross-border
transactions, the responsibility for
implementing those policies and
procedures would fall on the U.S.
institution that handles the cross-border
transaction. In order to provide the
clarification requested by the comments,
the final rule includes a new § ll.5(g)
that states that the regulation’s
requirement to establish and implement
reasonably designed policies and
procedures applies only to the U.S.
offices of participants in designated
payment systems.
§ ll.6
Non-Exclusive Examples
Several commenters suggested that
the final rule should clarify the
Agencies’ intent that the non-exclusive
examples provided in the proposed rule
were focused on relationships with
commercial customers and not with
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58 See,
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ensure that transactions excluded from the Act’s
definition of ‘‘unlawful Internet gambling’’ are not
blocked or otherwise prevented or prohibited ‘‘by
the prescribed regulations.’’ To interpret that
provision as a requirement that designated payment
systems and participants therein must process all
transactions excluded from the definition of
‘‘unlawful Internet gambling,’’ even though they
have made business decisions not to process such
transactions, would render the words ‘‘by the
prescribed regulations’’ meaningless.
63 See, e.g., Visa letter, supra note 58, at 4.
64 31 U.S.C. 5362(10).
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69391
respect to consumer accounts.65 The
Agencies recognize the problems with
designing and implementing procedures
focused on consumer accounts. For
example, except for card systems, a
participant would generally not know
the purpose of a consumer transaction
and often the payee information on a
transaction, such as a check, is not in
automated form. In response to the
comments requesting clarification on
this point, as a general matter, the nonexclusive examples in § ll.6 have
been revised to make it clear in each
instance that the policies and
procedures to be implemented to
prevent restricted transactions are with
respect to commercial customer
accounts only.
§ ll.6(b) Due diligence. As noted
above and in the NPRM, most
designated payment systems do not use
formats that would permit participants
to identify and block restricted
transactions during payment
processing.66 Accordingly, the proposed
rule adopted the approach of using
flexible, risk-based due diligence in the
participants’ account-opening and
account-maintenance procedures for
commercial customers to reduce the risk
that the commercial customer would
originate or receive restricted
transactions through its commercial
relationship with the participant. The
proposed rule also suggested that
participants could include as a term of
a commercial customer agreement that
the customer may not engage in
restricted transactions.
Commenters raised several issues
regarding these provisions. Commenters
expressed concern that the guidance
provided was not detailed enough.67
Commenters requested that the flexible
risk-based due diligence approach
described in the preamble to the NPRM
be included in the final rule to facilitate
participant compliance.68 Commenters
also expressed concerns with including
a term in a commercial customer
agreement prohibiting restricted
transactions because the commercial
customer may not have the information
necessary to determine whether a
transaction is a restricted transaction.
These commenters stated that revising
millions of commercial customer
agreements to include such a provision
would be burdensome and
65 See,
66 See,
e.g., ABA letter, supra note 10, at 4.
e.g., Wells Fargo letter, supra note 19, at
8.
67 See, e.g., comment letter from Branch Banking
and Trust Company (Dec. 12, 2007) (hereinafter
‘‘BB&T letter’’), p. 2.
68 See, e.g., comment letter from the Independent
Community Bankers of America (Dec. 12, 2007)
(hereinafter ‘‘ICBA letter’’), p. 8.
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impractical.69 Commenters suggested
that commercial customers engaged in
an Internet gambling business should
demonstrate to their financial
transaction providers that the
commercial customers are not engaged
in unlawful Internet gambling in order
to shift the burden of distinguishing
lawful from unlawful Internet gambling
from the financial transaction providers
to the Internet gambling businesses.70
In order to provide more guidance on
the due diligence procedures that the
Agencies would deem reasonably
designed, the final rule includes a new
§ ll.6(b) that sets out a specific
process that a non-exempt participant
could choose to follow to conduct
adequate due diligence of commercial
customers with respect to the risk of
unlawful Internet gambling. The nonexclusive examples for each designated
payment system include a reference to
the general due diligence provisions in
this new section. The Agencies also
believe that this due diligence process
will help alleviate some of the concerns
regarding the Act’s definition of
‘‘unlawful Internet gambling.’’ While
the process set out in § ll.6(b) may
still require some judgment on the part
of participants opening new accounts
for commercial customers, the process
would leave the primary responsibility
for determining what is lawful and
unlawful gambling activity with the
State gambling commissions and other
gambling licensing authorities.
As noted in the NPRM, the Agencies
anticipate that participants could
choose to use a flexible, risk-based
approach in their due diligence
procedures in that the level of due
diligence performed would match the
level of risk posed by the commercial
customer, and new § ll.6(b) includes
specific references to this type of
approach. In addition, the most efficient
way for participants to implement the
due diligence procedures would be to
incorporate them into existing accountopening due diligence procedures (such
as those required of depository
institutions under Federal banking
agencies’ anti-money laundering
compliance program requirements).71
As set out in new § ll.6(b), the
participant could choose to conduct due
diligence at account opening and
determine the risk of a commercial
customer engaging in an Internet
gambling business. The participant
should have a basic understanding of a
e.g., MasterCard letter, supra note 53, at 6.
NFL letter, supra note 42, at 3; see also
undated comment letter from Members of Congress
of the United States (Rep. Pitts et al.) p. 1.
71 See, e.g., 12 CFR 208.63.
new commercial customer’s business,
based on normal account-opening
procedures. The vast majority of
commercial customers will not have any
involvement in an Internet gambling
business. If, based on its initial due
diligence, the participant determines
that the prospective commercial
customer presents only a minimal risk
of engaging in an Internet gambling
business, the participant could open the
account for the commercial customer
without further action under § ll.6(b).
One commenter suggested that the
Agencies consider whether there are
low-risk relationships for which due
diligence would not be necessary.72
New subsection ll.6(b)(4) states that a
participant may deem the following
commercial customers as presenting a
minimal risk of engaging in an Internet
gambling business without further
investigation: (i) Entities that are
directly supervised by the Federal
functional regulators that are
responsible for enforcing the Act; and
(ii) agencies, departments, or divisions
of the Federal government or a State
government. With respect to supervised
entities, the Federal functional
regulators already review the activities
of such entities and additional due
diligence by participants in designated
payment systems would be redundant.73
With respect to the activities of the
Federal or State governments,
participants should be able to assume
that their activities are lawful.
Depository institutions that are nonexempt participants in designated
payment systems and have commercial
customers that are money transmitting
businesses should apply their due
diligence procedures to those
customers. However, under the final
rule, the money transmitting businesses
would themselves be responsible for
implementing their own policies and
procedures with respect to their
commercial customers. The depository
institutions providing financial
transaction services to the money
transmitting businesses would not be
responsible for assessing the risk that
the money transmitting business’s
commercial customers engage in an
Internet gambling business.
Under § ll.6(b), the Agencies
contemplate that a U.S. participant
establishing a correspondent account for
a foreign respondent would conduct
appropriate, risk-based due diligence on
the foreign respondent as a commercial
customer to determine the risk the
foreign respondent presents of engaging
in an Internet gambling business. The
Agencies expect that a participant
would likely choose to incorporate such
due diligence in its normal
correspondent account opening
procedures.74 For the purposes of the
final rule, the Agencies would not
expect U.S. participants to conduct due
diligence on its foreign respondent’s
commercial customers. If a U.S.
participant obtained actual knowledge
that a foreign respondent’s commercial
customer processed restricted
transaction through the U.S.
participant’s facilities, the Agencies
expect that the U.S. participant would
follow the applicable procedures for
cross-border transactions discussed
below.
If the commercial customer’s
description of its business or other
factors cause the participant to suspect
that it may present more than a minimal
risk of engaging in an Internet gambling
business (for example, the commercial
customer offers games or contests over
the Internet), the participant should ask
for further documentation from the
commercial customer. Certification from
the commercial customer that it does
not engage in an Internet gambling
business would address factual
questions regarding the commercial
customer’s business. If the commercial
customer engages in an Internet
gambling business, the participant
should obtain further documentation to
show that the Internet gambling
business is lawful. The non-exclusive
policies and procedures also provide for
a participant to obtain a written
commitment from a commercial
customer to notify the participant of any
changes in its legal authority to engage
in its Internet gambling business. If a
commercial customer has a license that
expressly authorizes the customer to
engage in the Internet gambling business
issued by the appropriate State or Tribal
authority, the participant should be able
to rely on that State agency’s ability to
implement its own gambling laws in a
manner that does not violate the law of
another State or Federal law.
If the commercial customer does not
have such a license, the Agencies expect
that the participant would obtain from
the commercial customer a reasoned
legal opinion by the customer’s counsel
that demonstrates that the commercial
customer’s Internet gambling business
does not involve restricted transactions.
If a participant has questions regarding
69 See,
70 See
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72 See
Comptroller letter, supra note 54, at 2.
a general discussion in this regard, see the
comment letter from The Depository Trust &
Clearing Corporation (Dec. 10, 2007).
73 For
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74 Many U.S. institutions are already required to
conduct due diligence of foreign financial
institutions pursuant to Section 312 of the USA
PATRIOT Act. 31 U.S.C. 5318(i); 31 CFR 103.176.
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the permissibility of a commercial
customer’s activities, the participant
should consult with (or have the
commercial customer obtain
confirmation from) the applicable
licensing authority.75 In addition, the
suggested due diligence process in
§ ll.6(b) includes a third-party
certification that the commercial
customer’s systems for engaging in the
Internet gambling business are
reasonably designed to ensure that the
commercial customer’s Internet
gambling business will remain within
the licensed or otherwise lawful limits,
including with respect to age and
location verification.
The Agencies expect that this
provision will not only provide
additional guidance to participants on
an adequate due diligence process, but
also will permit the entities that license
gambling activities to retain the primary
responsibility for determining which
activities are permissible under U.S.
law. The Agencies have designed the
example of due diligence procedures to
enable designated payment systems and
their participants to rely on government
licensing and enforcement agencies to
determine whether a commercial
customer’s Internet gambling activities
are lawful rather than trying to make
that determination themselves. The
designated payment systems and their
participants should, however, obtain
appropriate documentation from those
entities regarding the legality of the
Internet gambling activities of its
prospective commercial customers.
The final rule retains the concept that
participants in designated payment
systems could communicate to their
commercial customers that restricted
transactions are prohibited. However,
rather than suggesting that the only way
to accomplish this goal is to include
such a prohibition in the commercial
customer agreement, the final rule
provides that a participant could notify
all of its commercial customers that
restricted transactions are prohibited
through a term in the commercial
customer agreement, a simple notice
sent to the customer, or through some
other method.
§ ll.6(d) and (f) Monitoring the
Internet. As an example of reasonably
designed policies and procedures for
card systems and money transmitting
businesses, the proposed rule included
monitoring the Internet to detect
75 The receipt of a reasoned legal opinion
pursuant to a due diligence process under
§ .ll6(b) is solely for purposes of compliance with
implementing regulations under the Act and does
not necessarily constitute compliance with, or
provide protection from liability under, any other
applicable Federal or State laws.
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unauthorized use of the relevant
designated payment system, including
its trademarks.76 The Agencies’ intent
with this example was to incorporate
the existing practice of some
participants in designated payment
systems to proactively search (or retain
a contractor to search) the Internet for
unauthorized use of their trademarks,
including by Internet gambling Web
sites.77 When unauthorized use of a
trademark was discovered, the payment
system or participant could choose to
take steps to seek its removal from the
gambling Web site, including legal
action if available.
While some payment industry
commenters recognized the value of
monitoring the Internet for abuse of
trademarks, they also reported that
reasonable efforts to protect their
trademarks are not always successful.78
In addition, payment industry
commenters objected to the proposed
rule converting the right to protect a
trademark ‘‘into an obligation under the
Act.’’ 79 Commenters noted that legal
action to protect trademarks can be
costly and ultimately unsuccessful and
criticized the proposed rule because it
implied that such action was required.80
The Agencies believe that monitoring
the Internet for unauthorized use of a
payment system’s trademark by Internet
gambling businesses is a good practice
and can be useful in preventing
restricted transactions. However, the
Agencies agree that designated payment
systems and their participants should
make a business decision on whether to
pursue this activity and how to respond
to discovered unauthorized use of their
trademarks. Accordingly, in order to
avoid confusion, the Agencies have
deleted from the final rule the language
regarding monitoring the Internet for
unauthorized use of trademarks of
designated payment systems or nonexempt participants. Of course, the
examples in the rule are non-exclusive,
76 Monitoring the Internet for unauthorized use of
a trademark is distinct from monitoring and
analyzing payment patterns to detect suspicious
patterns of payments to a recipient. Monitoring and
analyzing payment patterns continues to be
included in the non-exclusive examples for card
systems and money transmitting businesses.
77 See, e.g., MoneyGram letter, supra note 7, at 2.
78 Id.
79 See comment letter from PayPal (Dec. 12,
2007), p. 2; see also MasterCard letter, supra note
53, at 8.
80 See PayPal letter, supra note 79, at 2 and
MasterCard letter, supra note 53, at 8. None of the
rule’s examples of reasonably designed policies and
procedures are ‘‘required.’’ As noted in § ll.6(a)
of both the proposed rule and the final rule, the
examples provided in § ll.6 are non-exclusive
and designated payment systems and participants
therein are permitted to design and implement
policies and procedures that may be different than
the examples.
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69393
and a system or participant may choose
to include trademark monitoring in its
policies and procedures where
appropriate.
§ ll.6(c), (d) and (f) Fines. In the
non-exclusive examples of reasonably
designed policies and procedures for
ACH systems, card systems, and money
transmitting businesses, the proposed
rule included the imposition of fines if
the participant becomes aware that
restricted transactions had been
processed. The Agencies’ intent in
including this provision was to suggest
imposing fines on participants that
violated system rules regarding
unlawful Internet gambling.81 The
proposed rule did not, however,
adequately explain the specific
functions that should be carried out by
specific participants in a system,
including how fines should be imposed.
The lack of specificity caused some
confusion among commenters who
suggested that the provision be dropped
or that the terminology be revised.82 In
the final rule, as a general matter, the
Agencies have attempted to provide
greater clarity to the specific procedures
in the non-exclusive examples that are
intended to apply to particular parties
in the designated payment system. With
respect to fines, the Agencies have
deleted this provision from the final
rule as potentially confusing, given the
different relationships between parties
within each designated payment system.
As the examples in the rule are nonexclusive, a system or participant may
choose to include fines in its policies
and procedures where appropriate.
§ ll.6(d) Card system examples.
The proposed rule included as part of
its non-exclusive examples of
reasonably designed policies and
procedures for card systems due
diligence in establishing commercial
customer accounts designed to ensure
that the merchant will not receive
restricted transaction through the card
system, similar to provisions included
in the non-exclusive examples for the
other designated payment systems. The
proposed rule’s card system examples
also included establishing transaction
codes and merchant/business category
codes that accompany the authorization
request for a transaction and creating
the operational functionality to enable
the card system or the card user to
identify and deny authorization for a
restricted transaction. One card system
commenter suggested that card systems
81 See, e.g., National Automated Clearing House
Association, 2007 ACH Rules, Operating Rules
Appendix XI (The National System of Fines).
82 See, e.g., The Clearing House letter, supra note
14, at 11.
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should be permitted to comply with the
Act through the use of either due
diligence on merchants or coding to
identify and block restricted
transactions, but not necessarily both.83
The commenter cited the language of
the Act that specifically identifies
policies and procedures that allow a
designated payment system and its
participants ‘‘to identify restricted
transactions by means of codes in
authorization messages or by other
means’’ and to block such transactions,
as one of the acceptable ways that a
payment system can comply with the
Act.84
The Agencies expect that a coding
system to identify and block restricted
transactions will be the method of
choice for the vast majority of card
system participants to comply with the
Act. In addition, the Agencies note that
most Internet gambling businesses that
use card systems for funding do so
through non-U.S. merchant acquirers
that are not subject to the Act or the
final rule and likely would not conduct
due diligence regarding Internet
gambling on their merchants. However,
the final rule retains a due diligence
example for closed loop card systems in
the United States where the card can
only be used for a single merchant or a
limited group of identified merchants,
such as merchants operating in a
particular shopping mall. Section
ll.6(d) includes both the coding and
due diligence examples for card systems
as alternatives and contemplates that a
card system and its participants could
adopt either approach. Moreover, it is
important to note that the examples in
§ ll.6 are non-exclusive and a card
system could adopt policies and
procedures other than the coding and
due diligence examples presented and
still comply with the final rule’s
requirement to adopt reasonably
designed policies and procedures to
prevent or prohibit restricted
transactions.
In addition, some commenters
suggested that the final rule’s nonexclusive examples should include a
provision by which credit card
companies would create a particular
merchant category code that would be
limited to those types of Internet
gambling that are specifically excluded
from the definition of the term
‘‘unlawful Internet gambling’’ in
§ ll.2(cc)—intrastate transactions,
intratribal transactions, and any activity
that may be allowed under the Interstate
83 See
84 See
Visa letter, supra note 58, at 2.
31 U.S.C. 5364(a).
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Horseracing Act.85 While card system
operators may choose to create new
codes for such transactions, the
Agencies believe that the establishment
of codes for particular merchant
transactions is a business decision for
the card system operators and their
participants. Accordingly, the final rule
does not specify the establishment of
such codes in the coding example for
card systems.
§ ll.6(c) and (e) Cross-border
transactions. For the reasons discussed
in the NPRM and above, the Agencies
believe that it is very difficult, if not
impossible, for a participant in the
designated payment systems (other than
card systems) to identify restricted
transactions while they are being
processed. As a result, the Agencies
determined that the most efficient way
to implement the Act for the systems
other than card systems was through
adequate due diligence by participants
when opening accounts for commercial
customers to reduce the risk that a
commercial customer will introduce
restricted transactions into the payment
system in the first place.
With respect to cross-border
transactions, however, the institution
that opens the account for an Internet
gambling business likely will be located
outside the United States and not be
subject to the Act. Accordingly, no U.S.
participant would be able to conduct
due diligence at account opening for the
foreign commercial customer. The
proposed rule provided examples of
special procedures for participants in
ACH, check collection, and wire transfer
systems that received cross-border
transactions from foreign counterparties,
such as including as a term in its
agreement with a foreign counterparty a
requirement that the foreign
counterparty have reasonably designed
policies and procedures in place to
ensure that the commercial relationship
would not be used to process restricted
transactions.86
Commenters objected to the crossborder examples in the proposed rule on
numerous grounds.87 Some commenters
stated that including a term in
agreements with foreign banks regarding
restricted transactions was not
practicable because it was unrealistic to
expect foreign institutions to be willing
85 See, e.g., comment letter from the American
Horse Council (Dec. 12, 2007), pp. 3–4; see also
comment letter from the North American
Association of State & Provincial Lotteries (Dec. 11,
2007), p 3.
86 The Agencies do not believe that special crossborder procedures are necessary for card systems,
which generally have the same coding system for
transactions regardless of where they are initiated.
87 See, e.g., ABA letter, supra note 10, at 7.
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or able to make specific representations
with respect to restricted transactions,
given the uncertain definition of
‘‘unlawful Internet gambling.’’ 88 In
addition, commenters noted that the
foreign correspondent with which the
U.S. participant has a contractual
relationship may itself be a
correspondent several steps removed
from the institution that has the
customer relationship with the Internet
gambling business and that it would be
unrealistic to expect a provision in the
cross-border agreement would be able to
prevent restricted transactions.89
Commenters suggested that cross-border
transactions conducted through
correspondent relationships be entirely
exempt from the regulation, or that
notice to customers that the relevant
payment system may not be used to
engage in restricted transactions should
be deemed a reasonably designed policy
and procedure.90
The comment letters illustrated many
of the challenges in identifying and
preventing particular types of
transactions in the modern, global
payment system. The Agencies agree
that, with the complex framework of
gambling laws in the United States,
institutions in other countries will not
reasonably be able to determine which
transactions are unlawful under
applicable U.S. law. Moreover, given the
numerous intermediaries involved with
a typical cross-border payment
transaction, there will likely be many
cases where the foreign correspondent
from which a U.S. participant receives
a cross-border debit transaction does not
have a customer relationship with the
Internet gambling business.
In response to the comments on the
various cross-border transaction
provisions, the Agencies have made
revisions to the cross-border provisions
in the final rule. First, the final rule
contains non-exclusive examples with
respect only to cross-border debit
transactions (i.e., ACH debits and check
collections) because there are no
reasonably practical steps that a foreign
counterparty could take to prevent a
U.S. institution from sending a
restricted transaction to the foreign
counterparty, short of severing the
relationship altogether. Second, the
final rule contemplates that if a U.S.
participant is notified by a U.S.
government entity (such as its regulator
or law enforcement) that it has been sent
cross-border restricted transactions by a
88 See, e.g., The Clearing House letter, supra note
14, at 9.
89 See, e.g., ABA letter, supra note 10, at 8.
90 Id.; see also The Clearing House letter, supra
note 14, at 9.
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particular foreign respondent, the
participant would be expected to notify
its foreign respondent of the restricted
transaction.91 The Agencies have
included a model notice in the
appendix to the regulation.
§ ll.6 Remedial Action
Commenters urged the Agencies to
provide more detailed guidance as to
when non-exempt participants should
take remedial action against their
commercial customers for processing
restricted transactions. These
commenters stated that the proposed
rule gave no specifics about what types
of penalties are appropriate under
particular circumstances.92 The
Agencies considered these comments
and determined that a non-exempt
participant’s decision on when to deny
a commercial customer access to a
particular payment system or when to
close the account of such customer for
processing restricted transactions is factspecific and a matter of business
judgment. As a result, the final rule does
not contain thresholds specifying when
it would be appropriate to take certain
types of remedial action. When
restricted transactions are discovered,
the Agencies expect that a participant’s
regulator will review the remedial
actions taken by the participant and
come to a judgment as to whether the
participant took appropriate action
under the circumstances.
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§ ll.7 Regulatory Enforcement
The proposed rule essentially
reiterated the regulatory enforcement
framework from the Act. Some
commenters urged that the financial
regulators develop a uniform approach
for enforcing the rule.93 The Act does
not modify the statutory enforcement
mechanisms of the agencies charged
with enforcing the Act with respect to
the institutions that are within their
jurisdiction. The Federal agencies
charged with regulatory enforcement
authority for the final rule have different
enforcement authorities and use
different regulatory tools for fulfilling
their supervisory responsibilities, so the
Agencies do not believe that it is
appropriate to mandate a particular
uniform regulatory enforcement
91 The Agencies expect that the notice would
contain enough detail (including identifying
intermediaries) to permit the U.S. participant to
describe the transaction’s path to its foreign
counterparty.
92 See e.g., NFL letter, supra note 42, at 4; see also
comment letter from Christian Coalition of America
(Dec. 7, 2007), p.2.
93 See, e.g., comment letter from Credit Union
National Association (Dec. 12, 2007) p. 5; see also
comment letter from The Financial Services
Roundtable and BITS (Dec. 12, 2007), pp. 6–7.
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approach in the final rule. Moreover, the
Board expects that examiner guidance
will be developed among the Federal
depository institution regulatory
agencies responsible for enforcing the
final rule, however, that process would
occur separately from this rulemaking.
Another commenter noted that the
Act’s regulatory enforcement framework
reflected in the proposed rule would
subject money service businesses
(MSBs) to the jurisdiction of two
different agencies—the Federal Trade
Commission for enforcement of the Act
and the Internal Revenue Service, which
elsewhere has been delegated authority
to examine for compliance with the
Bank Secrecy Act (BSA).94 The
commenter suggested that the Agencies
could determine that MSBs should be
subject to the authority of only one
regulator. The Agencies do not believe
that the Act provides the Agencies with
the authority to modify the regulatory
authority of Federal agencies pursuant
to the Act or any other statute.
After considering the public
comments received on the proposed
rule, the Agencies have not modified
§ ll.7 from the proposed rule, other
than technical conforming changes.
III. Administrative Law Matters
A. Executive Order 12866
It has been determined that this
regulation is an economically significant
regulatory action as defined in section
3(f)(1) of E.O. 12866, as amended.
Accordingly, this final rule has been
reviewed by the Office of Management
and Budget. The reasons for this
determination are explained in more
detail in the Small Business Regulatory
Enforcement Fairness Act Section B.
The Regulatory Assessment prepared by
the Treasury for this regulation is
provided below.
1. Description of Need for the
Regulatory Action
The rulemaking is required by the
Act, the applicable provisions of which
are designed to interdict the flow of
funds from gamblers to unlawful
Internet gambling businesses. To
accomplish this, the Act requires the
Agencies, in consultation with the U.S.
Attorney General, to jointly prescribe
regulations requiring designated
payment systems (and their
participants) to establish policies and
procedures that are reasonably designed
to identify and block or otherwise
94 See Alston & Bird letter, supra note 49, at 23.
See also, 31 CFR 103.56(b)(8) where the regulations
of the Financial Crimes Enforcement Network
(‘‘FinCEN’’) clarify the examination authority of the
IRS.
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prevent or prohibit unlawful Internet
gambling transactions restricted by the
Act.
In accordance with the Act, section 3
of the final rule designates five payment
systems that could be used in
connection with, or to facilitate,
unlawful Internet gambling transactions.
The five designated payment systems
are the same payment systems
designated in the proposed rule, except
that the Agencies have narrowed the
designation of money transmitting
businesses to cover only those money
transmitting businesses that permit their
customers to initiate fund transfers
remotely from a location other than a
physical office of the money
transmitting business. As explained
above, the Agencies’ view is that money
transmitting businesses that do not
permit their customers to initiate remote
funds transfers, such as through a Web
site, could not reasonably be used for
Internet gambling because of the lack of
broad public accessibility. The Agencies
believe that the narrowing of the money
transmitting business designation will
significantly reduce the number of
money transmitting businesses affected
by the final rule. The Agencies
estimated in the proposed rule that the
number of money transmitting
businesses affected would be 253,208.
The Agencies estimate that the number
of money transmitting businesses
affected by the final rule with the
narrower designation and with the
exemption described below will be 16,
resulting in an estimated reduction of
253,192 money transmitting businesses
affected by the final rule.
In accordance with the Act, section 5
of the final rule requires designated
payment systems and participants in
those designated payment systems to
establish and implement written
policies and procedures reasonably
designed to identify and block or
otherwise prevent or prohibit unlawful
Internet gambling transactions restricted
by the Act. In accordance with the Act,
section 4 of the final rule exempts
certain participants in designated
payment systems from the requirement
to establish and implement policies and
procedures, because the Agencies
believe that it is not reasonably practical
for those participants to identify and
block or otherwise prevent or prohibit
unlawful Internet gambling transactions
restricted by the Act. As explained
earlier, the Agencies have expanded the
exemptions in the final rule. For
example, the proposed rule did not
contain any exemptions for money
transmitting businesses. At least one
commenter recommended that the
Agencies exempt ‘‘send’’ agents of
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money transmitting businesses by
analogizing such ‘‘send’’ agents to the
originating depository institutions for
ACH credit and wire transfers which the
Agencies exempted in the proposed
rule. The final rule exempts all
participants in money transmitting
businesses, including ‘‘send’’ agents,
except for the operator. In accordance
with the Act, section 6 of the final rule
contains a ‘‘safe harbor’’ provision by
including non-exclusive examples of
policies and procedures which would
be deemed to be reasonably designed to
identify and block or otherwise prevent
or prohibit unlawful Internet gambling
transactions restricted by the Act.
2. Assessment of Potential Benefits and
Costs
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a. Potential Benefits
Congress determined that Internet
gambling is a growing cause of debt
collection problems for insured
depository institutions and the
consumer credit industry.95 Further,
Congress determined that there is a need
for new mechanisms for enforcing
Internet gambling laws because
traditional law enforcement
mechanisms are often inadequate for
enforcing gambling prohibitions or
regulations on the Internet, especially
where such gambling crosses State or
national borders.96 Section 5 of the final
rule addresses this by requiring
participants in designated payment
systems, which include insured
depository institutions and other
participants in the consumer credit
industry, to establish and implement
reasonably designed policies and
procedures to identify and block or
otherwise prevent or prohibit unlawful
Internet gambling transactions in order
to stop the flow of funds to unlawful
Internet gambling businesses. This
funds flow interdiction is designed not
only to inhibit the accumulation of
consumer debt but also to reduce debt
collection problems for insured
depository institutions and the
consumer credit industry. Treasury
believes that the reduction of debt
collection problems through the final
rule’s funds flow interdiction process
will yield important benefits for insured
depository institutions and consumers
given the recent turmoil in the financial
markets that is causing liquidity
problems for insured depository
institutions and constraining the
availability of consumer credit.
Moreover, the final rule carries out the
Act’s goal of implementing new
95 31
96 31
U.S.C. 5361(a)(3).
U.S.C. 5361(a)(4).
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mechanisms for enforcing Internet
gambling laws. The final rule will likely
provide other benefits. Specifically, the
final rule could restrict excesses related
to unlawful Internet gambling by
underage or compulsive gamblers.
b. Potential Costs
Treasury believes that the costs of
implementing the Act and the final rule
are lower than they would be if the Act
and the final rule were to require a
prescriptive, one-size-fits-all approach
with regard to regulated entities. First,
section 5 of the final rule provides that
a financial transaction provider shall be
considered to be in compliance with the
regulation if it relies on and complies
with the written policies and
procedures of the designated payment
system of which it is a participant. This
means that the regulated entities will
not be required to establish their own
policies and procedures but can instead
follow the policies and procedures of
the designated payment system, thereby
resulting in lower costs. Based on public
comments received, the Agencies have
made it easier for regulated entities to
choose to follow the policies and
procedures of a designated payment
system. Specifically, the proposed rule
incorporated the Act’s provision
permitting regulated entities to rely on
the policies and procedures of a
designated payment system if the
system’s policies and procedures
comply with the requirements of the
regulation. In their comments, regulated
entities expressed concern about the
significant burden that would be
imposed on them in determining
whether a designated payment system’s
policies and procedures complied with
the regulation, particularly when the
payment system has thousands of
participants and no single participant
has any significant leverage with the
payment system.97 In order to eliminate
this burden and the associated costs, the
final rule specifically states that
regulated entities may rely on and treat
as conclusive evidence a written
statement or notice from a designated
payment system that the system’s
policies and procedures comply with
the final rule, unless such regulated
entities are specifically notified
otherwise by the appropriate Federal
agency.
Second, with regard to regulated
entities that choose to establish their
own policies and procedures, sections 5
and 6 of the final rule provide
maximum flexibility. Specifically, the
final rule contains neither design
97 See e.g., comment letter from The Huntington
National Bank (Dec. 12, 2007) p. 3.
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standards (such as requiring the use of
a specific technology) nor performance
standards but instead requires,
consistent with the Act, that the policies
and procedures be ‘‘reasonably
designed’’ to identify and block or
otherwise prevent or prohibit unlawful
Internet gambling. In addition, the final
rule expressly authorizes each regulated
entity to design and implement policies
and procedures that are ‘‘tailored to its
business,’’ which will enable it to craft
policies and procedures based on
individual circumstances. The
flexibility the final rule affords
regulated entities that establish their
own policies and procedures should
result in lower costs than if the final
rule took a prescriptive one-size-fits-all
approach.
Third, the ‘‘safe harbor’’ provision,
with its nonexclusive examples of
policies and procedures deemed to be
‘‘reasonably designed,’’ provides
regulated entities with specific guidance
on how to structure the policies and
procedures required by the Act and the
final rule. As a result, costs associated
with formulating policies and
procedures should be lower because the
safe harbor provision provides guidance
on how to so structure the policies and
procedures. The Agencies also revised
the nonexclusive due diligence
examples contained in section 6 of the
final rule to reduce potential costs for
regulated entities. Specifically, the
proposed rule contained nonexclusive
due diligence examples which generally
placed the burden of distinguishing
lawful versus unlawful Internet
gambling on regulated entities. As noted
earlier, public commenters suggested
that commercial customers engaged in
an Internet gambling business should
demonstrate to their financial
transaction providers that the
commercial customers are not engaged
in unlawful Internet gambling in order
to shift the burden of distinguishing
lawful versus unlawful Internet
gambling from regulated entities to the
Internet gambling businesses. Based on
these comments, the Agencies revised
the nonexclusive due diligence
examples contained in the final rule by
shifting the burden of distinguishing
lawful versus unlawful Internet
gambling from regulated entities to the
Internet gambling businesses. Treasury
believes that this shifting of the burden
will result in lower costs for regulated
entities that choose to follow the final
rule’s nonexclusive due diligence
examples.
Treasury received two comments
expressing concern that the Regulatory
Assessment in the proposed rule only
addressed the potential recordkeeping
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from the definition of the term
‘‘unlawful Internet gambling,’’
intrastate, intratribal, and intertribal
transactions.101 Because the final rule
does not alter these defined terms, it
avoids undue interference with State,
local, and tribal governments in the
exercise of governmental functions. In
addition, the final rule’s non-exclusive
due diligence examples contained in
§ ll.6 accord deference to State and
Tribal authorities. Specifically, the final
rule’s due diligence examples provide
that a regulated entity may accept as
evidence of a commercial customer’s
legal authority to engage in an Internet
gambling business, a license issued by
an appropriate State or Tribal authority
that expressly allows the regulated
entity’s commercial customer to engage
in the Internet gambling business.
3. Interference With State, Local, and
Tribal Governments
The Act does not alter State, local or
Tribal gaming law.100 The Act exempts
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costs on regulated entities but did not
include an analysis of the full potential
costs to participants to establish and
implement the policies and procedures,
including legal, management and
operational costs.98 In the proposed
rule, Treasury explained that it did not
have sufficient information to quantify
reliably the costs of developing specific
policies and procedures, and it solicited
information and comment on any costs
or compliance requirements. Because
the final rule provides maximum
flexibility to regulated entities that
establish their own policies and
procedures by allowing them to tailor
their policies and procedures to their
business, including the use of different
policies and procedures with respect to
different business lines or different parts
of the organization, Treasury does not
have sufficient information to quantify
reliably the costs of developing and
implementing specific policies and
procedures.
It is estimated that the recordkeeping
burden for regulated entities will be
approximately one million hours in
order to develop and establish the
policies and procedures required by the
Act and this final rule. Using a
reasonable estimate of average wages to
monetize the opportunity cost of this
time, which is explained in more detail
in the Paperwork Reduction Act section
below, yields a combined recordkeeping
burden of approximately $88.5 million.
We estimate this potential impact will
be born during the first year this rule is
in effect, in anticipation of the
compliance date 12 months after
publication of the final rule. In addition,
it is estimated that the recordkeeping
requirement required by the Act and the
final rule will take approximately 8
hours per recordkeeper per year to
maintain the policies and procedures
required by this rulemaking. It is
estimated that the total annual cost to
regulated entities to maintain the
policies and procedures will be
approximately $3,337,200.99
C. Unfunded Mandates Reform Act (Sec.
202, Pub. L. 104–4; 2 U.S.C. 1532)
Treasury has concluded this rule does
not contain a Federal mandate that may
result in the expenditure by State, local
and Tribal governments, in aggregate, or
by the private sector, of $100 million or
more (adjusted for inflation) in any one
year. The threshold after adjustment for
inflation is $130 million, using the most
98 See e.g., comment letter from the California and
Nevada Credit Union Leagues (Dec. 12, 2007) p.4.
99 This estimate is based on an estimate of 16,686
recordkeepers. The hourly cost of the individual
who would be responsible for maintaining the
policies and procedures is estimated to be $25 per
hour (which is an average based on data contained
in the U.S. Department of Labor, Bureau of Labor
Statistics’ occupational employment statistics for
office and administrative support occupations,
dated May 2007).
100 Specifically, the Act defines the term
‘‘unlawful Internet gambling’’ as a bet or wager,
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B. Small Business Regulatory
Enforcement Fairness Act of 1996
As discussed elsewhere, the total
recordkeeping costs alone imposed on
regulated entities exceed $88.5 million.
Treasury does not have adequate
information to quantify the impact of
other compliance requirements, such as
the implementation of any due diligence
policies and procedures for commercial
customers during the first year of this
rule. These unquantified costs that are
necessary to meet compliance
obligations include burdens related to
management, clerical, technical,
training, auditing, and legal expertise
that are necessary to implement the
policies and procedures set forth in this
final rule. Therefore, Treasury believes
it is reasonable to assume the total
compliance costs of this final rule will
exceed $100 million in the first year.
Considering the final rule’s quantified
and unquantified costs, and the fact that
costs are likely to constitute a major
increase in costs for an individual
industry (depository institutions), it is a
major rule as defined by section 804 of
the Small Business Regulatory
Enforcement Fairness Act of 1996.
current (2007) Implicit Price Deflator for
the Gross Domestic Product. However,
Treasury believes the analyses provided
in the Executive Order, Regulatory
Flexibility Act, and Paperwork
Reduction Act sections provide the
analysis required by the Unfunded
Mandates Reform Act.
D. Final Regulatory Flexibility Analysis
An initial regulatory flexibility
analysis (IRFA) was included in the
NPRM in accordance with the
Regulatory Flexibility Act (RFA).102 In
the IRFA, the Agencies specifically
solicited comment, including from
small entities, on whether the proposed
rule would have a significant economic
impact on a substantial number of small
entities. No small entities submitted
comments regarding quantification of
their projected costs. The Agencies
expect this rule to affect a number of
small entities; however, the direct cost
this rule imposes does not appear to
have a significant economic impact on
a substantial number of small entities,
within the meaning of the RFA.
Specifically, as discussed below, the
proposed rule estimated that
approximately 253,368 small entities
would be subject to the rule. The
Agencies estimate that the number of
small entities subject to the final rule
will be approximately 12,267 or less
than five percent of the total number of
small entities estimated in the proposed
rule. The Agencies thus believe that the
final rule will not affect a substantial
number of small entities. Moreover, as
noted below, in response to public
comments on the proposed rule and on
the IRFA, the Agencies have made a
number of changes in the final rule that
will reduce its economic impact. Even
though this rule does not appear to have
a significant economic impact on a
substantial number of small entities, the
Agencies have not formally certified the
rule as not having a ‘‘significant
economic impact on a substantial
number of small entities,’’ as provided
under section 605(b) of the RFA.
Instead, the Agencies have prepared a
Final Regulatory Flexibility Analysis as
described in the RFA, 5 U.S.C. 604.103
The RFA requires each FRFA to
contain:
• A succinct statement of the need for, and
objectives of, the rule;
• A summary of the significant issues
raised by the public comments in response to
102 5
which involves at least in part the use of the
Internet, where such bet or wager is unlawful under
any applicable Federal or State law in the State or
Tribal lands in which the bet or wager is initiated,
received, or otherwise made. 31 U.S.C. 5362(10)(A).
101 31 U.S.C. 5362(10)(B) and (C).
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U.S.C. 601 et seq.
promulgating a final rule, the RFA
requires agencies to prepare a FRFA unless the
agency finds that the final rule will not, if
promulgated, have a significant economic impact
on a substantial number of small entities. 5 U.S.C.
604(a) and 605(b).
103 When
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the initial regulatory flexibility analysis, a
summary of the assessment of the agency of
such issues, and a statement of any changes
made in the proposed rule as a result of such
comments;
• A description of and an estimate of the
number of small entities to which the rule
will apply or an explanation of why no such
estimate is available;
• A description of the projected reporting,
recordkeeping and other compliance
requirements of the rule, including an
estimate of the classes of small entities which
will be subject to the requirement and the
type of professional skills necessary for
preparation of the report or record; and
• A description of the steps the agency has
taken to minimize the significant economic
impact on small entities consistent with the
stated objectives of applicable statutes,
including a statement of the factual, policy,
and legal reasons for selecting the alternative
adopted in the final rule and why each one
of the other significant alternatives to the rule
considered by the agency which affect the
impact on small entities was rejected.104
1. Statement of the Need for, and
Objectives of, the Final Rule
The Agencies jointly are adopting this
final rule to implement the Act, as
required by the Act. As noted above, the
Act prohibits any person in the business
of betting or wagering (as defined in the
Act) from knowingly accepting
payments in connection with the
participation of another person in
unlawful Internet gambling. The Act
requires the Agencies jointly (in
consultation with the U.S. Attorney
General) to designate payment systems
that could be used in connection with,
or to facilitate, restricted transactions
and to prescribe regulations requiring
designated payment systems, and
financial transaction providers
participating in each designated
payment system, to establish policies
and procedures reasonably designed to
identify and block or otherwise prevent
or prohibit restricted transactions.105
The final rule sets out necessary
definitions, designates payment systems
that could be used in connection with
restricted transactions, exempts
participants performing certain
functions in designated payment
systems from the requirement imposed
by the final rule, provides nonexclusive
examples of policies and procedures
reasonably designed to identify and
block, or otherwise prevent and
prohibit, restricted transactions, and
reiterates the enforcement regime set out
in the Act for designated payment
systems and non-exempt participants
therein. The Agencies believe that the
final rule implements Congress’s
requirement that the Agencies prescribe
104 5
U.S.C. 604(a).
U.S.C. 5364(a).
105 31
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regulations that carry out the purposes
of the Act and provide guidance to
designated payment systems and
participants therein with respect to
policies and procedures reasonably
designed to identify and block, or
otherwise prevent or prohibit,
transactions in connection with
unlawful Internet gambling.
2. Significant Issues Raised by
Comments in Response to the IRFA
The Agencies have carefully
considered the comment letters received
in response to the proposed rule. The
preamble above provides a general
overview of the comments and the
preamble’s section-by-section analysis
discusses the significant issues raised by
the comments. The following is a
summary of significant issues raised by
commenters regarding the IRFA. The
Agencies also have considered the
comments received from small entities
and associations that represent such
small entities, even though the
comments did not specifically refer to
the RFA.
The Agencies received several
comments directly related to the IRFA,
including from the Office of Advocacy
(Advocacy) of the U.S. Small Business
Administration.106 The most common
concern expressed in these comments
was that the IRFA did not provide
sufficient information about the nature
of the impact of the proposed rule on
small entities or that the burdens were
not adequately estimated. Advocacy
stated that, while it appreciated the fact
that the Agencies may need to obtain
information on the impact on small
entities and commended the Agencies
for soliciting additional information
from the public, it was concerned that
the Agencies were not providing all
available information. Advocacy
referenced the Board’s ‘‘Supporting
Statement for Recordkeeping
Requirements’’ (Supporting Statement)
associated with the proposed rule that
was submitted to the Office of
Management and Budget and published
on the Board’s website. The Supporting
Statement included an estimate of the
proposed rule’s total recordkeeping cost
to the public of just under $20 million.
The Supporting Statement was created
in compliance with the Paperwork
Reduction Act (PRA), which requires a
specific, objectively supported estimate
106 E.g., comment letters were received from the
Office of Advocacy of the U.S. Small Business
Administration (Dec. 12, 2007) (hereinafter
‘‘Advocacy letter’’); the Center for Regulatory
Effectiveness (Nov. 15, 2007) (hereinafter ‘‘CRE
letter’’);, M&T Bank, supra note 45; TMSRT, supra
note 35; Alston & Bird, supra note 49;, and J.
Schmit, an individual (Dec. 8, 2007).
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of burden.107 Conversely, the RFA
authorizes agencies to provide general
descriptive statements of the effects of a
proposed rule, in lieu of a quantifiable
or numerical description, if
quantification is not practicable or
reliable.108 The Agencies stated in the
NPRM that they did not have sufficient
information to quantify reliably the
effects the Act and the proposed rule
would have on small entities. The
Agencies specifically requested public
comment on any costs, compliance
requirements, or changes in operating
procedures arising from the application
of the proposed rule and the extent to
which those costs, requirements, or
changes are in addition to, or different
from, those arising from the application
of the Act generally.109 Because of the
different standards contained in the
PRA and the RFA and the differing
types of costs assessed under these two
statutes, the Agencies did not believe
that Board’s PRA estimates constituted
a useful proxy for purposes of the RFA.
Accordingly, to avoid confusion by
providing inappropriate data, the
Agencies did not include the Board’s
PRA cost estimates in the IRFA.
Advocacy also expressed concern that
the Agencies did not put forward a
meaningful discussion of alternatives to
the proposed rule. The only actual
requirement in the proposed rule, which
is mandated by the Act, was that all
non-exempt participants in designated
payment systems establish and
implement policies and procedures
reasonably designed to identify and
block or otherwise prevent or prohibit
restricted transactions.110 The proposed
rule made clear that the examples of
reasonably designed policies and
procedures set out in § ll.6 are nonexclusive and that a participant in a
designated payment system may design
and use other policies and procedures
that are specific to its business and may
use different policies and procedures
with respect to different types of
restricted transactions. With respect to
the non-exclusive examples provided in
§ ll.6 of the proposed rule, the NPRM
went into considerable detail describing
how the Agencies anticipated that such
policies and procedures would operate,
including risk-based due diligence at
account opening and remedial actions if
a participant discovered that a customer
107 44 U.S.C. 3506(c)(1)(A)(iv) and 5 CFR
1320.8(a)(4).
108 5 U.S.C. 607.
109 NPRM, 72 FR at 56693.
110 This requirement is set out in § ll.5(a) of the
proposed rule and is required by section 5364(a) of
the Act.
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processed restricted transactions
through the participant’s facilities.
The NPRM went into detail in
discussing alternatives considered and
the reasoning behind the alternatives
selected for the proposed rule,
particularly with respect to exemptions
for certain participants in designated
payment systems and non-exclusive
examples of procedures for each
designated payment system. For
example, the NPRM discussed
alternatives that the Agencies included
in the proposed rule (such as due
diligence at account opening, remedial
action, and transaction coding), and
alternatives that the Agencies
considered but rejected for the proposed
rule (such as a list of unlawful Internet
gambling businesses). With respect to
small entities, the Agencies considered
exempting all small entities from
coverage of the rule.111 As noted in the
IRFA, the Agencies proposed that the
requirements in the proposed rule be
applicable to all entities subject to the
Act, as implemented, regardless of their
size because an exemption for small
entities would significantly diminish
the usefulness of the policies and
procedures required by the Act by
permitting unlawful Internet gambling
operations to evade the requirements by
using small financial transaction
providers.112
The Agencies also considered as a
significant alternative the use of
performance rather than design
standards and the simplification of
compliance requirements.113 As noted
in the NPRM, the proposed rule was
designed to provide maximum
flexibility. The Act does not contain
specific performance (much less design)
standards, but instead requires that the
policies and procedures be ‘‘reasonably
designed’’ to prevent or prohibit
unlawful Internet gambling. The
proposed rule preserved this flexibility.
In addition, the proposed rule
simplified compliance requirements by
expressly authorizing each regulated
entity to use policies and procedures
that are ‘‘specific to its business’’ to
enable it to efficiently tailor its policies
and procedures to its needs.114
The IRFA referred back to the
extensive discussion of alternatives in
111 See
5 U.S.C. 603(c)(4).
72 FR at 56693.
113 See 5 U.S.C. 603(c)(2) and (3).
114 Treasury noted in its discussion of Executive
Order 12866 in the NPRM that providing this
flexibility for regulated entities by allowing them to
tailor their policies and procedures to their
individual circumstances should result in lower
costs than if the Act and the proposed rule took a
prescriptive one-size-fits-all approach. NPRM, 72
FR at 56692.
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112 NPRM,
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the NPRM when it stated that ‘‘other
than as noted above’’ the Agencies were
unaware of any significant alternatives
to the proposed rule. Accordingly, the
Agencies believe that the IRFA
addressed this requirement of the RFA.
Advocacy also suggested that the
Agencies had not identified Federal
rules that duplicate, overlap, or conflict
with the proposed rule, as required by
the RFA. The IRFA expressly stated that
the Agencies had not identified any
Federal rules that duplicated,
overlapped, or conflicted with the
proposed rule. As with all other aspects
of the proposed rule, the Agencies
sought public comment regarding
whether any commenter believed there
were any Federal rules that duplicated,
overlapped, or conflicted with the
proposed rule. Advocacy apparently
interpreted these statements as an
attempt by the Agencies to shift the
obligation for identifying such rules to
small entities. The Agencies intended
its statement to mean that the Agencies
had researched the issue and found no
Federal rules that duplicated,
overlapped, or conflicted with the
proposed rule. Accordingly, the
Agencies believe that the IRFA
addressed this requirement of the RFA.
Advocacy also suggested that the
Agencies consider (i) exempting small
money transmitters from the proposed
rule and (ii) exempting the send agents
in a money transmitting business. As
noted above in the section-by-section
analysis, other commenters raised
similar issues and the Agencies have
made revisions in the final rule to
address these concerns, including
exempting all send agents in a money
transmitting business. However, the
Agencies decided against exempting all
small money transmitting businesses.
Specifically, the Agencies do not believe
that the Act’s standard for granting
exemptions would be met with regard to
such a wholesale exemption, and such
wholesale exemption would
substantially undermine the purpose of
the Act by allowing unlawful Internet
gambling businesses to evade the
restrictions contained in the Act and the
final rule by using small money
transmitting businesses.115
115 See 31 U.S.C. 5364(b)(3). As noted above, the
final rule does, however, include a revised
designation for money transmitting businesses as
including only those money transmitting businesses
that engage in the transmission of funds and permit
customers to initiate money transmission
transactions remotely from a location other than a
physical office of the money transmitting business
(such as through the Internet). The Agencies believe
that this designation revised along functional lines,
rather than by size, may also exclude a significant
number of small money transmitting businesses.
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Advocacy recommended that the
Agencies prepare a revised initial
regulatory flexibility analysis to address
its concerns. The Agencies believe that
the IRFA met the requirements of the
RFA and a revised initial regulatory
flexibility analysis is not warranted. In
addition, after considering this and
other comments, the Agencies
determined that the issues raised by
Advocacy have been addressed in the
final rule or would not be resolved by
an additional initial regulatory
flexibility analysis.
One commenter suggested that the
Agencies extend the comment period to
allow the Agencies to gather additional
information on the impact the proposed
rule would have on regulated small
entities, including through use of the
procedures described in the RFA, which
includes direct notification of interested
small entities.116 The commenter stated
that an extension of the comment period
is warranted because many small money
transmitting businesses may not be part
of a trade association that is familiar
with the federal regulatory process and
may not use English as their primary
language, so they are in particular need
of outreach. In the NPRM, the Agencies
stated that they anticipated contacting
trade groups representing participants
that qualify as small entities and
encouraging them to provide comments
during the comment period in order to
ascertain the costs imposed on regulated
small entities. Within a week of
publication of the proposed rule in the
Federal Register, Board staff sent
electronic notices to money transmitter
associations in over a dozen States,
including New York, New Jersey,
California, Illinois, Georgia, Florida,
Washington, Colorado and Ohio,
notifying them of the issuance of the
proposed rule and encouraging the
associations to provide comments on all
aspects of the proposed rule, but, in
particular, the costs that may be
imposed on small entities. A
commenter, which received one of the
electronic notices and which represents
small- and medium-sized money
transmitters, suggested that send agents
in money transmitting businesses
should be exempted and noted that
these send agents ‘‘are predominantly
small entities.’’ 117 As noted above, the
Agencies exempted send agents from
the requirement of the final rule. In
addition, under the final rule, the only
non-exempt participants in a money
transmitting business are the operators
that permit customers to initiate
116 See CRE letter, supra note 106, at 5–6. The
RFA section can be found at 5 U.S.C. 609.
117 See TMSRT letter, supra note 35 at 3–4.
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transmission of funds transactions
remotely from a location other than a
physical office of the money
transmitting business. The Agencies
believe that the public comment period
was sufficient and that further extension
of the comment period is not warranted.
One commenter stated that the
Agencies should determine how many
small entities will be affected by the
rule in connection with their
participation in card systems,
particularly gift card and stored-value
card systems.118 The number of small
entities involved with card systems that
would be subject to the final rule is
estimated below, but the Agencies do
not believe that attempting to break out
the number of small entities involved
specifically with gift cards or stored
value cards is relevant to the
analysis.119
Based on information the Agencies
had regarding the size of the entities
that commented, the Agencies have
identified only one comment letter
received from a depository institution
that qualifies as a ‘‘small entity’’ under
regulations promulgated by the U.S.
Small Business Administration
(SBA).120 The Agencies also received
comment letters from several trade
associations whose membership could
include small entities affected by the
rule.121 These comments raised issues
generally similar to those discussed
above in the section-by-section analysis,
such as defining gambling-related terms,
providing guidance on adequate due
diligence, creating a list of unlawful
Internet gambling businesses, and the
burden of modifying customer
agreements.
118 See
Alston & Bird letter, supra note 49, at 22–
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23.
119 Card systems basically operate the same way
for purposes of the Act and the rule, regardless of
whether the particular card involved is a credit
card, debit card, pre-paid card, or stored-value
product. With respect to implementing the final
rule’s non-exclusive examples for card systems, the
relevant entities are the card system operator,
merchant acquirer bank, and the card issuer bank.
Retailers that may sell pre-paid gift cards or storedvalue products, such as grocery stores or
convenience stores, are not participants in a
designated payment system, as defined by the final
rule, and thus are not covered by the final rule.
120 Comment letter from First National Bank of
Morgan (Nov. 30, 2007), which questioned the
public policy of imposing burden on participants in
designated payment systems to prevent Internet
gambling when other forms of gambling are
permitted, such as State lotteries and casinos. The
SBA size standards to define small business
concerns in credit intermediation and related
activities are located at 13 CFR 121.201 (subsector
522).
121 E.g., ICBA letter, supra note 67; comment
letter from the Consumer Bankers Assoc. (Dec. 12,
2007) (hereinafter ‘‘CBA letter’’).
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3. Description and estimate of classes of
small entities affected by the final rule
The majority of small non-exempt
participants in the five designated
payment systems (ACH systems, card
systems, check collection systems,
money transmitting businesses, and
wire transfer systems) that would be
affected by the rule are depository
institutions. Pursuant to the SBA size
standards defining small entities, a
commercial bank, savings association,
or credit union is considered a ‘‘small
entity’’ if it has assets of $175 million
or less.122 Based on call report data for
June 30, 2008, the Agencies estimate
that 4,564 small banks (out of a total of
7,699 banks), 412 small savings
associations (out of a total of 829), and
7,281 small credit unions (out of a total
of 8,136), for a total of 12,257 small
depository institutions, will be directly
affected by the final rule.123
Under the same SBA regulation, small
money transmitting businesses are those
with assets of $7.0 million or less. Based
in part on information obtained from a
Government Accountability Office
report, the Agencies estimate that there
are approximately 253,208 money
transmitting businesses in the United
States,124 and that 240,547 are small
entities as defined above.125 Section
ll.3(d) of the final rule states that
only those money transmitting
businesses that (1) engage in the
transmission of funds, which does not
include check cashing, currency
exchange, or the issuance or redemption
of money orders, travelers’ checks, and
other similar instruments; and (2)
permit customers to initiate
122 13
CFR 121.201.
report data include information submitted
by depository institutions on the following forms:
Consolidated Reports of Condition and Income for
a Bank with Domestic and Foreign Offices (FFIEC
Form 031) and Consolidated Reports of Condition
and Income for a Bank with Domestic Offices Only
(FFIEC Form 041), Thrift Financial Report (OTS
Form 1313), and NCUA Call Report (NCUA Form
5300).
124 U.S. Government Accountability Office, ‘‘Bank
Secrecy Act: FinCEN and IRS Need to Improve and
Better Coordinate Compliance and Data
Management Efforts,’’ GAO–07–212 (Dec. 2006).
The Agencies note that this report took information
from multiple studies, some of which focused on
the number of ‘‘money services businesses’’ subject
to FinCEN regulation. The term ‘‘money services
business,’’ by virtue of thresholds and other criteria
in FinCEN’s definition, applies to a different scope
of entities than does the statutory term ‘‘money
transmitting business.’’ See 31 CFR 103.11(uu).
125 The estimate of 240,547 small money
transmitting businesses is the same estimate that is
contained in the NPRM. The Agencies expressly
solicited comment in the NPRM on the number of
small entities to which the proposed rule would
apply. The Agencies did not receive any comments
during the comment period disputing the Agencies’
specific estimates and providing an explanation of
why the estimates were being disputed.
123 Call
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transmission of funds remotely from a
location other than a physical office of
the money transmitting business, would
be subject to the rule. Moreover,
§ ll.4(c) of the rule exempts all
participants in such a money
transmitting business, except for the
operator of the system.126 Accordingly,
only money transmitting business
operators that permit customers to
initiate transactions remotely must
establish and implement written
policies and procedures reasonably
designed to identify and block or
otherwise prevent or prohibit restricted
transactions.
Based on consultations with
representatives of the money
transmitting industry, the Agencies
believe that most small money
transmitting business operators do not
permit customers to initiate
transmissions of funds remotely from a
location other than a physical office of
the money transmitting business.127
Moreover, those operators that do
permit customers to initiate transactions
remotely—for example Western Union,
MoneyGram, and PayPal—generally
have asset sizes that are above the
‘‘small entity’’ definition under the SBA
regulations. As a result, the Agencies
estimate that of the estimated 240,547
small money transmitting businesses, no
more than 10 consist of operators that
permit customers to initiate
transmission of funds transactions
remotely. The Agencies thus estimate
that only 10 small money transmitting
business operators will be affected by
the final rule.
The Agencies thus estimate that
approximately 12,267 small entities will
be subject to the final rule. When
compared to the estimate contained in
the proposed rule of 253,368 small
entities, the Agencies believe that under
the final rule approximately 241,101
fewer small entities will have to comply
with the final rule.
4. Recordkeeping, Reporting and Other
Compliance Requirements
The extent to which small entities
will be affected by the final rule
depends on several variables, including
126 The proposed rule designated money
transmitting businesses as a payment system subject
to the rule and did not provide any exemptions for
participants in a money transmitting business.
127 See summary of conference call with the
National Money Transmitters Association (call date
June 3, 2007) (hereinafter ‘‘NMTA call summary’’)
p.1. (‘‘The business of most smaller [money
transmitter organizations] is person-to-person
remittances. Furthermore, most smaller MTOs do
not allow Internet-initiated transactions—a
customer is usually required to visit an agent
location in person in order to perform a
transaction.’’)
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which designated payment systems they
participate in, the composition of their
customer base, and whether the entities
are able to rely on policies and
procedures established and
implemented by the designated
payment system. The final rule (as
mandated by the Act) requires all nonexempt participants to establish and
implement written policies and
procedures reasonably designed to
identify and block or otherwise prevent
or prohibit restricted transactions. The
final rule contains non-exclusive
examples of reasonably designed
policies and procedures for participants
in each designated payment system;
however, the final rule expressly
permits non-exempt participants to
design and implement policies and
procedures tailored to their business
that may be different than the examples
provided in the final rule.
The Agencies believe that most small
entities participating in ACH systems,
card systems, check collection systems
and wire transfer systems will be small
depository institutions, including credit
unions. If a small depository institution
chooses to follow the final rule’s nonexclusive examples for ACH, check
collection, and wire transfer systems set
out in § ll.6, they should develop
policies and procedures for conducting
due diligence of commercial customers
to determine the risk the commercial
customer presents of engaging in an
Internet gambling business. The due
diligence examples in the final rule also
suggest that non-exempt participants
notify all commercial customers,
through the account agreement or other
means available, that restricted
transactions are prohibited from being
processed through the account or
relationship. Developing such
conforming policies and procedures
would likely require input from legal
counsel and management familiar with
the small entity’s existing accountopening, account maintenance and due
diligence procedures. The small entity’s
senior management also would likely
need to be involved in developing the
policies and procedures to ensure they
are compatible with the company’s
business plans.
In addition to policies and procedures
for due diligence, the final rule’s nonexclusive examples also suggest
including remedial action procedures to
be followed in situations where the
participant has actual knowledge that a
commercial customer has processed
restricted transactions through the
participant’s facilities. Developing such
procedures would likely require input
from legal counsel and compliance
personnel to integrate these procedures
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into the institution’s existing
compliance program.
After the policies and procedures are
designed and in place, the Agencies
anticipate that the actual
implementation burden would be
shifted more toward the management,
clerical, and technical functions of the
institution that would be interfacing
directly with the commercial customers.
Training in the new policies and
procedures would be necessary for
customer relations staff. In addition,
involvement of audit and compliance
personnel would be necessary for audit
and testing of the new policies and
procedures. Legal counsel, management,
and compliance personnel may be
required to address issues that arise
with commercial customers that due
diligence indicates may be engaged in
an Internet gambling business.
The Agencies anticipate that a
depository institution that qualifies as a
small entity and participates in ACH,
check, and wire-transfer systems would
be able to establish and implement the
same due diligence policies and
procedures for commercial customers
across all three of those systems for
purposes of the final rule. The
institution will not need to establish
and implement separate policies and
procedures for each of these designated
payment systems. Additionally, credit
unions, which constitute the majority of
depository institutions that qualify as
small entities, generally have few, if
any, commercial customers because of
the nature of their business. The final
rule’s due diligence examples only
apply to commercial customers, so an
institution with few or no commercial
customer accounts would have
relatively minimal implementation
burden. Further, even if a depository
institution that qualifies as a small
entity does have such customers, the
vast majority of commercial customers
will not present more than a minimal
risk of engaging in an Internet gambling
business, so the due diligence burden
would be minimal.
A small entity that participates in a
card system and chooses to follow the
card system examples in the final rule
should largely be able to rely on the
policies and procedures established by
the operator of the card system, such as
Visa or MasterCard.128 In general, such
small depository institutions will rely
128 The Agencies have added a new § ll.5(c) to
the rule stating that a participant in a designated
payment system, such as a small depository
institution participating in a card system, may rely
on a written statement or notice by the operator of
that system that the system’s policies and
procedures comply with the requirements of this
rule.
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69401
on the transaction coding of the card
system to determine whether to
authorize or deny authorization for a
transaction that the card system’s
coding procedure indicates may be a
restricted transaction. Many small
depository institutions had already
made the business decision, prior to the
Act and this rule’s effective date, to
implement these processes, such that
this rule may impose only minimal
additional burden in this respect.
Moreover, a small depository institution
may agree to have the card system
operator or a third-party processor make
transaction authorization decisions on
its behalf as its agent. Following the
card system example in the final rule
may require a small entity participant to
seek input from legal counsel and
technical personnel familiar with the
coding framework and transaction
authorization process used by the card
system in which the small entity
participates, although, based on
comments received, the Agencies
believe that many card issuing banks
and card systems already have such
procedures in place.129
Small entities in money transmitting
businesses would, to a large extent, be
‘‘send’’ or ‘‘receive’’ agents that
participate in systems operated by
Western Union, MoneyGram, or similar
entities. The final rule provides
exemptions for all participants in a
money transmitting business, except for
the operator. The Agencies anticipate
that these exemptions will completely
eliminate the burden for such small
entities. In addition, the final rule
extends only to those money
transmitting business operators that
permit customers to initiate money
transmission transactions remotely from
a location other than a physical location
of the money transmitting business. As
noted earlier, the National Money
Transmitters Association (NMTA), a
trade association representing small- to
medium-sized money transmitting
organizations, indicated that most
smaller money transmitting
organizations do not allow Internetinitiated transactions and require a
customer to visit an agent location in
person in order to initiate a
transaction.130
For those few small money
transmitting business operators subject
to the final rule which choose to follow
the final rule’s examples, the operator
would need to design and implement
policies and procedures for conducting
due diligence on its commercial
129 See,
e.g., MasterCard letter, supra note 53, at
3.
130 NMTA
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customers at the establishment of the
account or relationship similar to the
due diligence described above for ACH,
check collection, and wire transfer
systems. The final rule’s examples also
suggest that the operator notify all
commercial customers, through the
account agreement or other means
available, that restricted transactions are
prohibited from being processed
through the account or relationship.
Developing such conforming policies
and procedures would likely require
input from legal counsel and
management as described above for
ACH, check collection, and wire transfer
systems. Implementation of due
diligence and remedial action policies
and procedures would also require
input from legal counsel, management,
technical, audit, and compliance
personnel similar to that required for
the ACH, check collection, and wire
transfer systems.
In addition, the final rule’s money
transmitting business examples suggest
that an operator’s policies and
procedures should include procedures
regarding ongoing monitoring or testing
to detect potential restricted
transactions, such as monitoring and
analyzing payment patterns to detect
suspicious payment volumes to any
recipient. Such procedures would likely
be facilitated by technical expertise and
software from an outside vendor;
however, the final rule’s examples do
not require using a vendor. In fact, the
NMTA indicated that the smallest
money transmitting organizations are
sometimes the best at spotting
anomalous transactions, even without
computers. The NMTA stated that such
businesses keep detailed records and
tend to know all of their customers, and
thus can quickly spot anomalous
transactions.131
5. Steps Taken To Minimize the
Economic Impact on Small Entities
As discussed in the preamble to this
final rule, the Agencies considered
many approaches to minimize the
burden of the rule on non-exempt
participants, including small entities,
while carrying out the mandates of the
Act. Consistent with the Act, the final
rule has been designed for maximum
flexibility with respect to non-exempt
participants, including small entities.
First, the final rule only requires nonexempt participants to establish and
implement reasonably designed policies
and procedures. The final rule does not
prescribe any design standards (such as
requiring the use of a specific
technology) or performance standards
131 NMTA
call summary, supra note 41, at 1–2.
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for such policies and procedures.
Second, the examples of reasonably
designed policies and procedures
provided in § ll.6 of the final rule are
non-exclusive and non-prescriptive.
Specifically, a non-exempt participant,
including a small entity, is permitted to
design and implement policies and
procedures tailored to its business that
may be different than the examples
provided in the final rule. Participants
may also tailor different policies and
procedures with respect to different
business lines or different parts of its
organization. Third, the Agencies have
made a number of changes in the final
rule in response to public comments on
the proposed rule in order to reduce the
burden the Act and the rule impose on
payment system participants, including
small entities.
The proposed rule designated money
transmitting businesses as a payment
system subject to the rule and did not
provide any exemptions for particular
participants in a money transmitting
business. Commenters suggested that
the Agencies consider exempting small
money transmitters or, at a minimum,
send agents of money transmitting
businesses from the rule.132 In addition,
commenters suggested that the
designation of money transmitting
businesses in the proposed rule was too
broad and included entities that were
not intended to be included by the
Act.133 As discussed above, the final
rule’s listing of money transmitting
businesses as a designated payment
system subject to the rule has been
narrowed to include only those money
transmitting businesses that (1) engage
in the transmission of funds, which
does not include check cashing,
currency exchange, or the issuance or
redemption of money orders, travelers’
checks, and other similar instruments;
and (2) permit customers to initiate
transmission of funds remotely from a
location other than a physical office of
the money transmitting business. Based
on comments from the NMTA, these
changes would exclude most small
money transmitting businesses.
Moreover, the final rule provides an
exemption for all participants in a
designated money transmitting business
except for the operator. As noted above,
the Agencies believe that almost all of
the estimated 240,547 small participants
in money transmitting businesses are
participants other than operators.
Accordingly, these small entities will
not be affected by the rule.
132 E.g. Advocacy letter, supra note 106 at 4; see
also TMSRT letter, supra note 35 at 3–4.
133 E.g., TMSRT letter, supra note 35 at 2.
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The proposed rule reiterated the Act’s
provision that permits participants in a
designated payment system to comply
with the rule’s requirement to establish
and implement reasonably designed
policies and procedures by relying on
and complying with the policies and
procedures of the designated payment
system if, among other things, such
policies and procedures complied with
the requirements of the proposed rule.
Commenters expressed concern,
however, with the value of this
provision if a participant was unsure
whether the designated payment
system’s policies and procedures
complied with the rule and the Act.134
This issue would be particularly
relevant to small entities that would be
more likely to be participants in a
designated payment system than an
operator and would be more likely to
take advantage of this authority to rely
on the system’s policies and procedures,
rather than incurring the cost of
designing and implementing their own
policies and procedures. The Agencies
addressed this concern in the final rule
by permitting a participant to rely on
the policies and procedures of its
designated payment system if the
operator of that system has stated to its
participants that the operator has
designed or structured the system’s
policies and procedures to comply with
the requirements of the final rule, unless
the participant is notified otherwise by
its Federal functional regulator or, in the
case of participants that are not directly
supervised by a Federal functional
regulator, the Federal Trade
Commission.
The proposed rule’s non-exclusive
examples also indicated that nonexempt participants in designated
payment systems should conduct due
diligence in ‘‘establishing or
maintaining’’ a commercial customer
relationship to ensure that the customer
does not process restricted transactions.
Commenters noted the significant
burden that would be imposed by
reviewing all of an institution’s existing
commercial customer accounts to
ensure that they did not process
restricted transactions.135 The final
rule’s examples for ACH, check
collection, and wire transfer systems
recommends that non-exempt
participants conduct due diligence at
the establishment of the commercial
account or relationship. If a non-exempt
participant has actual knowledge that an
existing commercial customer engages
in an Internet gambling business, the
final rule’s non-exclusive policies and
134 E.g.,
135 E.g.,
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BB&T letter, supra note 67, at 2.
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procedures suggest that the participant
conduct due diligence on that customer
similar to what is contemplated for new
customers. Commenters also suggested
that the final rule provide more
guidance on the due diligence that
would be deemed sufficient.136 In
response to these comments, the final
rule provides detailed steps that a
participant can choose to take to
conduct reasonable risk-based due
diligence as contemplated by the final
rule’s examples.
The proposed rule’s designated
payment system examples also
suggested including as a term of
commercial customer agreements that
the customer may not engage in
restricted transactions through the
participant’s facilities. Numerous
commenters stated that such a
requirement to modify existing
agreements would be unduly
burdensome.137 In addition,
commenters noted that typical customer
agreements already include a
prohibition against unlawful
transactions, so modifying the
agreement to specifically include
restricted transactions in this
prohibition would be unnecessary.138
Based on the comments, the final rule
does not contemplate that non-exempt
participants in designated payment
systems will modify their account
agreements with existing commercial
customers, but instead contemplates
that participants will notify commercial
customers that the participant’s
facilities may not be used to process
restricted transactions. Such notification
could be accomplished through a term
in the commercial customer agreements,
through a notice sent to the customer, or
through some other method.
The NPRM also set forth a proposed
effective date for the final rule of six
months after its publication. Many
commenters stated that this was
insufficient time to implement the rule.
A longer period would be particularly
relevant for small entities because they
would most likely be participants in a
designated payment system, rather than
an operator. Commenters stated that
designated payment systems must first
develop their policies and procedures
before participants will be able to
conform their policies and
procedures.139 As explained above in
the preamble, the Agencies have
136 See, e.g., comment letter from the State Dept.
Federal Credit Union (Dec. 13, 2007) p. 2.
137 See, e.g., comment letter from the Electronic
Check Clearing House Organization (Dec. 10, 2007)
p. 3.
138 See, e.g., The Clearing House letter, supra note
14, at 9.
139 See, e.g., NACHA letter, supra note 38, at 5.
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established a compliance date for the
final rule 12 months from its
publication. This longer period will give
small entities more time to establish and
implement policies and procedures
reasonably designed to identify and
block or otherwise prevent restricted
transactions, and may thereby reduce
small entities’ costs of complying with
the rule.
Commenters also recommended some
significant alternatives to approaches
adopted in the proposed rule that the
Agencies have not adopted in the final
rule. Some of these suggestions may
have reduced the burden imposed by
the rule on some small entities, but were
rejected by the Agencies for factual,
policy, or legal reasons. For example,
the final rule does not contemplate that
any government entity will create,
publish, and maintain a list of unlawful
Internet gambling businesses. Several
commenters indicated that such a list
would assist financial institutions in
identifying Internet gambling
operations.140 After carefully
considering this issue, including the
numerous comments both for and
against such a list, for the reasons
discussed at length above, the Agencies
have concluded that such a list would
not be effective or efficient. In addition,
the final rule’s non-exclusive due
diligence policies and procedures shift
the burden of distinguishing lawful
from unlawful Internet gambling from
participants in designated payment
systems to the Internet gambling
businesses.
Some commenters also suggested that
the Agencies exempt from the rule all
participants in the ACH, check, and
wire-transfer systems or exclude such
systems from the list of designated
payment systems.141 While such an
approach would reduce the burden of
the rule on small depository
institutions, it would also substantially
undermine the efficacy of the rule.
Section 5364(b)(3) of the Act states that
the Agencies shall exempt certain
restricted transactions or designated
payment systems from the rule if the
Agencies jointly find that it is not
reasonably practical to identify and
block or otherwise prevent or prohibit
restricted transactions. The Agencies
believe that it is reasonably practical for
participants in designated payment
systems, including small entities, to
implement certain policies and
procedures, such as those contained in
§ ll.6 of the final rule, that will
140 E.g.,
Wells Fargo letter, supra note 19, at 23–
24.
141 See,
e.g., M&T Bank letter, supra note 45, at
4.
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69403
constitute policies and procedures
reasonably designed to prevent or
prohibit restricted transactions.
Accordingly, the Agencies have
determined that blanket exemptions for
the ACH, check, and wire-transfer
systems would not be appropriate given
the standard for an exemption set forth
in section 5364(b)(3) of the Act.
E. Paperwork Reduction Act Analysis
In accordance with the Paperwork
Reduction Act of 1995 (44 U.S.C. 3506;
5 CFR 1320 Appendix A.1), the Board
has reviewed the final rule. The
collection of information contained in
the Treasury’s final rule has been
reviewed and approved by OMB in
accordance with the requirements of the
Paperwork Reduction Act of 1995 (44
U.S.C. 3507(d)). The Agencies may not
conduct or sponsor, and an organization
is not required to respond to, a
collection of information unless it
displays a currently valid OMB control
number. The OMB control numbers are
1505–0204 for the Treasury and 7100–
0317 for the Board.
The collection of information that is
required by this final rulemaking is
found in sections 5 and 6. This
collection of information is required by
section 802 of the Act, which requires
the Agencies to prescribe joint
regulations requiring each designated
payment system, and all participants in
such systems, to identify and block or
otherwise prevent or prohibit restricted
transactions through the establishment
of policies and procedures reasonably
designed to prevent or prohibit
restricted transactions. The final rule
implements this requirement by
requiring all non-exempt participants in
designated payment systems to establish
and implement written policies and
procedures reasonably designed to
identify and block or otherwise prevent
or prohibit restricted transactions.
The recordkeepers are businesses or
other for-profit and not-for-profit
organizations that include depository
institutions (commercial banks, savings
associations, and credit unions), thirdparty processors, and card system
operators, and money transmitting
business operators. The final rule does
not include a specific time period for
record retention; however, non-exempt
participants would be required to
maintain the policies and procedures for
a particular designated payment system
as long as they participate in that
system.
The Agencies collectively received
seven comment letters (from a law firm,
a depository institution, a member of
Congress, an individual, a government
agency, and two business/trade
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associations) that addressed the
paperwork issues. Five comment letters
specifically addressed the burden
estimates, one letter stated that the
Agencies could provide more rigorous
burden estimates, and one letter
questioned the Board’s monetized cost
to the public as provided in its OMB
Supporting Statement posted on the
Board’s public Web site. Broadly, all
commenters stated that the paperwork
burden estimates were too low;
therefore, the Agencies have
substantially increased the burden
estimates.
Additionally, some of these
commenters stated that the Agencies did
not adequately identify the number of
entities that would incur paperwork
burden under the rule.142 The Agencies
continue to believe that their
methodology for estimating the number
of regulated entities is generally
accurate. The Board’s and Treasury’s
burden estimates (as provided in each
Agency’s OMB supporting statements
for this rulemaking) each reflect only
about half of the rulemaking’s burden
on regulated entities. The Agencies have
agreed to split equally the total number
of recordkeepers not subject to
examination and supervision by either
the Board or the Treasury’s Office of the
Comptroller of the Currency and Office
of Thrift Supervision.
The final rule provides exemptions
for all participants in a money
transmitting business, except for the
operator. Small entities in money
transmitting businesses would, to a
large extent, be send or receive agents
that participate in systems operated by
Western Union, MoneyGram, or similar
entities. Accordingly, they are exempt
from the final rule and are not included
in the estimated number of
recordkeepers below. Also, the Agencies
clarified in the final rule that money
transmitting businesses are subject to
the rule solely to the extent they engage
in the transmission of funds, which
does not include check cashing,
currency exchange, or the issuance or
redemption of money orders, travelers’
checks, and other similar instruments.
This change would reduce the number
of money transmitting businesses that
are subject to the recordkeeping
requirements. Also, in the final rule, the
Agencies clarified that the requirement
to establish and implement written
policies and procedures applies only to
U.S. offices of participants in designated
payment systems.
Depository institutions are the
primary non-exempt participants for the
ACH, card, check collection, and wire
transfer systems subject to the rule.
Accordingly, non-exempt depository
institutions in such designated payment
systems would be subject to the
recordkeeping requirement of
establishing and implementing written
policies and procedures reasonably
designed to prevent or prohibit
restricted transactions to the extent that
they participate in such systems.
Respondent burden:
For the purpose of estimating burden
and accounting for it with OMB, the
total number of depository institutions
listed for each Agency includes the
number of entities regulated by the
Agency and half of the remaining
depository institutions and third-party
processors. Each Agency is also
accounting for the burden for half of the
card system operators and money
transmitting business operators to
which the Agencies estimate the final
rule applies.
Federal Reserve:
Estimated number of recordkeepers:
3,459 commercial banks, 4,068 credit
unions, 3 card system operators, and 8
money transmitting business operators.
Estimated average annual burden
hours per recordkeeper: One-time
burden 100 hours for commercial banks
and card system operators, 20 hours for
credit unions, and 120 hours for money
transmitting business operators.
Ongoing annual burden of 8 hours per
recordkeeper.
Estimated frequency: Annually.
Estimated total annual recordkeeping
burden: One-time burden, 428,520
hours and ongoing burden, 60,304
hours.
Treasury:
Estimated number of recordkeepers:
4,240 commercial banks, 829 savings
associations, 4,068 credit unions, 3 card
system operators, and 8 money
transmitting business operators.
Estimated average annual burden
hours per recordkeeper: One-time
burden of 100 hours for commercial
banks, savings associations and card
system operators; 20 hours for credit
unions; and 120 hours for money
transmitting business operators.
Ongoing annual burden of 8 hours per
recordkeeper.
Estimated frequency: Annually.
Estimated total annual recordkeeping
burden: One-time burden, 589,520
hours and ongoing burden, 73,184
hours.
Based on these estimates, the PRA
burden for regulated entities is
approximately one million hours:
Number of hours
spent
(one-time
burden)
Number of
recordkeepers
Treasury ............................................................................................................................
Federal Reserve ...............................................................................................................
9,148
7,538
Total PRA Burden Hours for All Regulated Entities .................................................
............................
143 varies
...........
...........
589,520
428,520
...........................
1,018,040
144 varies
mstockstill on PROD1PC66 with RULES3
The one-time burden imposed by the
Act requires non-exempt participants to
establish policies and procedures. The
Agencies estimate that this initial
burden will average 100 hours per
commercial bank, savings association,
and card system operator, 20 hours per
credit union, and 120 hours per money
transmitting business operator. The
Agencies also estimate that the ongoing
burden of maintaining the policies and
142 One commenter expressed concern
specifically regarding the number of entities
involved in stored value cards and gift cards that
would be subject to the rule’s recordkeeping
requirements. See Alston & Bird letter, supra note
49, at 23 With respect to implementing the final
rule’s non-exclusive examples for card systems, the
relevant entities are the card system operators,
merchant acquirers, and the card issuers. Retailers,
such as grocery stores or convenience stores, are not
participants in a designated payment system, as
defined by the final rule, by virtue of their selling
pre-paid gift cards or stored value products and
thus are not covered by the final rule.
143 The one-time burden hours for the 4,240
commercial banks, 829 savings associations, and 3
card system operators is 100 hours each. The onetime burden for 4,068 credit unions is 20 hours
each. The one-time burden for 8 money transmitting
business operators is 120 hours each.
144 The one-time burden hours for the 3,459
commercial banks and 3 card system operators is
100 hours each. The one-time burden for 4,068
credit unions is 20 hours each. The one-time
burden for 8 money transmitting business operators
is 120 hours each.
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procedures once they are established
will be 8 hours per recordkeeper.
The Agencies further estimate (as
provided in each Agency’s OMB
Supporting Statement) the total start-up
cost for the banking, card system, and
money transmitting industries to be
$88,518,578.145
The total estimated recordkeeping
cost for all regulated entities is over
$88.5 million:
IV. Statutory Authority
Pursuant to the authority set out in
the Act and particularly section 802
(codified at 31 U.S.C. 5361 et seq.), the
Board amends Chapter II of Title 12 of
the Code of Federal Regulations and the
Treasury amends Chapter I of Title 31
of the Code of Federal Regulations by
adding the common rules set out below.
Total PRA burden hours .....
Average adjusted rate of
avg. wage for recordkeeping .............................
Total PRA Cost to Regulated
Entities ..............................
List of Subjects
1,018,040
V. Text of Final Rules
12 CFR Part 233
Banks, Banking, Electronic funds
$88,518,578 transfers, Incorporation by reference,
Internet gambling, Payments,
Because the records would be
Recordkeeping.
maintained at the institutions and
31 CFR Part 132
notices are not provided to the
Agencies, no issue of confidentiality
Banks, Banking, Electronic funds
under the Freedom of Information Act
transfers, Incorporation by reference,
arises. The Agencies have a continuing
Internet gambling, Payments,
interest in the public’s opinion of our
Recordkeeping.
collections of information. At any time,
Federal Reserve System
comments regarding the burden
estimate, or any other aspect of this
Authority and Issuance
collection of information, including
suggestions for reducing the burden may ■ For the reasons set forth in the
preamble, the Board amends Title 12,
be sent to: Office of Critical
Chapter II of the Code of Federal
Infrastructure Protection and
Regulations by adding a new part 233 as
Compliance Policy, Department of the
set forth under Common Rules at the
Treasury, Main Treasury Building,
Room 1327, 1500 Pennsylvania Avenue, end of this document:
NW., Washington, DC 20220 ; Secretary,
PART 233—PROHIBITION ON
Board of Governors of the Federal
FUNDING OF UNLAWFUL INTERNET
Reserve System, 20th and C Streets,
NW., Washington, DC 20551; and to the GAMBLING (REGULATION GG)
Office of Management and Budget,
Sec.
Paperwork Reduction Project (1505–
233.1 Authority, purpose, and
0204 for Treasury or 7100–0317 for the
incorporation by reference.
233.2 Definitions.
Board), Washington, DC 20503.
$86.95
mstockstill on PROD1PC66 with RULES3
F. Plain Language
Each Federal banking agency, such as
the Board, is required to use plain
language in all proposed and final
rulemakings published after January 1,
2000. 12 U.S.C. 4809. In addition, in
1998, the President issued a
memorandum directing each agency in
the Executive branch, such as Treasury,
to use plain language for all new
proposed and final rulemaking
documents issued on or after January 1,
1999. The Agencies have sought to
present the final rule, to the extent
possible, in a simple and
straightforward manner.
145 Total cost to the banking, card system, and
money transmitting industries was estimated using
the following formula. Percent of staff time,
multiplied by annual burden hours, multiplied by
hourly rate: 20% Clerical @ $25, 25% Managerial
or Technical @ $55, 25% Senior Management @
$100, and 30% Legal Counsel @ $144. Hourly rate
estimates for each occupational group are averages
using data from the Bureau of Labor and Statistics,
Occupational Employment and Wages, news
release.
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233.3 Designated payment systems.
233.4 Exemptions.
233.5 Policies and procedures required.
233.6 Non-exclusive examples of policies
and procedures.
233.7 Regulatory enforcement.
Appendix A to Part 233—Model Notice
Authority: 31 U.S.C. 5364.
Department of the Treasury
Authority and Issuance
For the reasons set forth in the
preamble, Treasury amends Title 31,
Chapter I of the Code of Federal
Regulations by adding a new part 132 as
set forth under Common Rules at the
end of this document:
■
PART 132—PROHIBITION ON
FUNDING OF UNLAWFUL INTERNET
GAMBLING
Sec.
132.1 Authority, purpose, and
incorporation by reference.
132.2 Definitions.
132.3 Designated payment systems.
132.4 Exemptions.
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132.5 Policies and procedures required.
132.6 Non-exclusive examples of policies
and procedures.
132.7 Regulatory enforcement.
Appendix A to Part 132—Model Notice
Authority: 31 U.S.C. 321 and 5364.
Common Rules
The common rules added by the
Board as part 233 of Title 12, Chapter
II of the Code of Federal Regulations
and by Treasury as part 132 of Title 31,
Chapter I of the Code of Federal
Regulations follow:
§ ll.1 Authority, purpose, collection of
information, and incorporation by
reference.
(a) Authority. This part is issued
jointly by the Board of Governors of the
Federal Reserve System (Board) and the
Secretary of the Department of the
Treasury (Treasury) under section 802
of the Unlawful Internet Gambling
Enforcement Act of 2006 (Act) (enacted
as Title VIII of the Security and
Accountability For Every Port Act of
2006, Pub. L. No. 109–347, 120 Stat.
1884, and codified at 31 U.S.C. 5361–
5367). The Act states that none of its
provisions shall be construed as
altering, limiting, or extending any
Federal or State law or Tribal-State
compact prohibiting, permitting, or
regulating gambling within the United
States. See 31 U.S.C. 5361(b). In
addition, the Act states that its
provisions are not intended to change
which activities related to horseracing
may or may not be allowed under
Federal law, are not intended to change
the existing relationship between the
Interstate Horseracing Act of 1978 (IHA)
(15 U.S.C. 3001 et seq.) and other
Federal statutes in effect on October 13,
2006, the date of the Act’s enactment,
and are not intended to resolve any
existing disagreements over how to
interpret the relationship between the
IHA and other Federal statutes. See 31
U.S.C. 5362(10)(D)(iii). This part is
intended to be consistent with these
provisions.
(b) Purpose. The purpose of this part
is to issue implementing regulations as
required by the Act. The part sets out
necessary definitions, designates
payment systems subject to the
requirements of this part, exempts
certain participants in designated
payment systems from certain
requirements of this part, provides
nonexclusive examples of policies and
procedures reasonably designed to
identify and block, or otherwise prevent
and prohibit, restricted transactions,
and sets out the Federal entities that
have exclusive regulatory enforcement
authority with respect to the designated
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payments systems and non-exempt
participants therein.
(c) Collection of information. The
Office of Management and Budget
(OMB) has approved the collection of
information requirements in this part for
the Department of the Treasury and
assigned OMB control number 1505–
0204. The Board has approved the
collection of information requirements
in this part under the authority
delegated to the Board by OMB, and
assigned OMB control number 7100–
0317.
(d) Incorporation by reference—
relevant definitions from ACH rules.
(1) This part incorporates by reference
the relevant definitions of ACH terms as
published in the ‘‘2008 ACH Rules: A
Complete Guide to Rules & Regulations
Governing the ACH Network’’ (the
‘‘ACH Rules’’). The Director of the
Federal Register approves this
incorporation by reference in
accordance with 5 U.S.C. 552(a) and 1
CFR part 51. Copies of the ‘‘2008 ACH
Rules’’ are available from the National
Automated Clearing House Association,
Suite 100, 13450 Sunrise Valley Drive,
Herndon, Virginia 20171, https://
nacha.org, (703) 561–1100. Copies also
are available for public inspection at the
Department of Treasury Library, Room
1428, Main Treasury Building, 1500
Pennsylvania Avenue, NW.,
Washington, DC 20220, and the
National Archives and Records
Administration (NARA). Before visiting
the Treasury library, you must call (202)
622–0990 for an appointment. For
information on the availability of this
material at NARA, call (202) 741–6030,
or go to: https://www.archives.gov/
federal_register/
code_of_federal_regulations/
ibr_locations.html 20002.
(2) Any amendment to definitions of
the relevant ACH terms in the ACH
Rules shall not apply to this part unless
the Treasury and the Board jointly
accept such amendment by publishing
notice of acceptance of the amendment
to this part in the Federal Register. An
amendment to the definition of a
relevant ACH term in the ACH Rules
that is accepted by the Treasury and the
Board shall apply to this part on the
effective date of the rulemaking
specified by the Treasury and the Board
in the joint Federal Register notice
expressly accepting such amendment.
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§ ll.2
Definitions.
The following definitions apply solely
for purposes of this part:
(a) Actual knowledge with respect to
a transaction or commercial customer
means when a particular fact with
respect to that transaction or
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commercial customer is known by or
brought to the attention of:
(1) An individual in the organization
responsible for the organization’s
compliance function with respect to that
transaction or commercial customer; or
(2) An officer of the organization.
(b) Automated clearing house system
or ACH system means a funds transfer
system, primarily governed by the ACH
Rules, which provides for the clearing
and settlement of batched electronic
entries for participating financial
institutions. When referring to ACH
systems, the terms in this regulation
(such as ‘‘originating depository
financial institution,’’ ‘‘operator,’’
‘‘originating gateway operator,’’
‘‘receiving depository financial
institution,’’ ‘‘receiving gateway
operator,’’ and ‘‘third-party sender’’) are
defined as those terms are defined in the
ACH Rules.
(c) Bet or wager:
(1) Means the staking or risking by
any person of something of value upon
the outcome of a contest of others, a
sporting event, or a game subject to
chance, upon an agreement or
understanding that the person or
another person will receive something
of value in the event of a certain
outcome;
(2) Includes the purchase of a chance
or opportunity to win a lottery or other
prize (which opportunity to win is
predominantly subject to chance);
(3) Includes any scheme of a type
described in 28 U.S.C. 3702;
(4) Includes any instructions or
information pertaining to the
establishment or movement of funds by
the bettor or customer in, to, or from an
account with the business of betting or
wagering (which does not include the
activities of a financial transaction
provider, or any interactive computer
service or telecommunications service);
and
(5) Does not include—
(i) Any activity governed by the
securities laws (as that term is defined
in section 3(a)(47) of the Securities
Exchange Act of 1934 (15 U.S.C.
78c(a)(47)) for the purchase or sale of
securities (as that term is defined in
section 3(a)(10) of that act (15 U.S.C.
78c(a)(10));
(ii) Any transaction conducted on or
subject to the rules of a registered entity
or exempt board of trade under the
Commodity Exchange Act (7 U.S.C. 1 et
seq.);
(iii) Any over-the-counter derivative
instrument;
(iv) Any other transaction that—
(A) Is excluded or exempt from
regulation under the Commodity
Exchange Act (7 U.S.C. 1 et seq.); or
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(B) Is exempt from State gaming or
bucket shop laws under section 12(e) of
the Commodity Exchange Act (7 U.S.C.
16(e)) or section 28(a) of the Securities
Exchange Act of 1934 (15 U.S.C.
78bb(a));
(v) Any contract of indemnity or
guarantee;
(vi) Any contract for insurance;
(vii) Any deposit or other transaction
with an insured depository institution;
(viii) Participation in any game or
contest in which participants do not
stake or risk anything of value other
than—
(A) Personal efforts of the participants
in playing the game or contest or
obtaining access to the Internet; or
(B) Points or credits that the sponsor
of the game or contest provides to
participants free of charge and that can
be used or redeemed only for
participation in games or contests
offered by the sponsor; or
(ix) Participation in any fantasy or
simulation sports game or educational
game or contest in which (if the game
or contest involves a team or teams) no
fantasy or simulation sports team is
based on the current membership of an
actual team that is a member of an
amateur or professional sports
organization (as those terms are defined
in 28 U.S.C. 3701) and that meets the
following conditions:
(A) All prizes and awards offered to
winning participants are established
and made known to the participants in
advance of the game or contest and their
value is not determined by the number
of participants or the amount of any fees
paid by those participants.
(B) All winning outcomes reflect the
relative knowledge and skill of the
participants and are determined
predominantly by accumulated
statistical results of the performance of
individuals (athletes in the case of
sports events) in multiple real-world
sporting or other events.
(C) No winning outcome is based—
(1) On the score, point-spread, or any
performance or performances of any
single real-world team or any
combination of such teams, or
(2 ) Solely on any single performance
of an individual athlete in any single
real-world sporting or other event.
(d) Block means to reject a particular
transaction before or during processing,
but it does not require freezing or
otherwise prohibiting subsequent
transfers or transactions regarding the
proceeds or account.
(e) Card issuer means any person who
issues a credit card, debit card, pre-paid
card, or stored value card, or the agent
of such person with respect to such
card.
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(f) Card system means a system for
authorizing, clearing and settling
transactions in which credit cards, debit
cards, pre-paid cards, or stored value
cards (such cards being issued or
authorized by the operator of the
system), are used to purchase goods or
services or to obtain a cash advance.
The term includes systems both in
which the merchant acquirer, card
issuer, and system operator are separate
entities and in which more than one of
these roles are performed by the same
entity.
(g) Check clearing house means an
association of banks or other payors that
regularly exchange checks for collection
or return.
(h) Check collection system means an
interbank system for collecting,
presenting, returning, and settling for
checks or intrabank system for settling
for checks deposited in and drawn on
the same bank. When referring to check
collection systems, the terms in this
regulation (such as ‘‘paying bank,’’
‘‘collecting bank,’’ ‘‘depositary bank,’’
‘‘returning bank,’’ and ‘‘check’’) are
defined as those terms are defined in 12
CFR 229.2. For purposes of this part,
‘‘check’’ also includes an electronic
representation of a check that a bank
agrees to handle as a check.
(i) Commercial customer means a
person that is not a consumer and that
contracts with a non-exempt participant
in a designated payment system to
receive, or otherwise accesses, payment
transaction services through that nonexempt participant.
(j) Consumer means a natural person.
(k) Designated payment system means
a system listed in § ll.3.
(l) Electronic fund transfer has the
same meaning given the term in section
903 of the Electronic Fund Transfer Act
(15 U.S.C. 1693a), except that such term
includes transfers that would otherwise
be excluded under section 903(6)(E) of
that act (15 U.S.C. 1693a(6)(E)), and
includes any funds transfer covered by
Article 4A of the Uniform Commercial
Code, as in effect in any State.
(m) Financial institution means a
State or national bank, a State or Federal
savings and loan association, a mutual
savings bank, a State or Federal credit
union, or any other person that, directly
or indirectly, holds an account
belonging to a consumer. The term does
not include a casino, sports book, or
other business at or through which bets
or wagers may be placed or received.
(n) Financial transaction provider
means a creditor, credit card issuer,
financial institution, operator of a
terminal at which an electronic fund
transfer may be initiated, money
transmitting business, or international,
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national, regional, or local payment
network utilized to effect a credit
transaction, electronic fund transfer,
stored value product transaction, or
money transmitting service, or a
participant in such network, or other
participant in a designated payment
system.
(o) Foreign banking office means:
(1) Any non-U.S. office of a financial
institution; and
(2) Any non-U.S. office of a foreign
bank as described in 12 U.S.C. 3101(7).
(p) Interactive computer service
means any information service, system,
or access software provider that
provides or enables computer access by
multiple users to a computer server,
including specifically a service or
system that provides access to the
Internet and such systems operated or
services offered by libraries or
educational institutions.
(q) Internet means the international
computer network of interoperable
packet switched data networks.
(r) Internet gambling business means
the business of placing, receiving or
otherwise knowingly transmitting a bet
or wager by any means which involves
the use, at least in part, of the Internet,
but does not include the performance of
the customary activities of a financial
transaction provider, or any interactive
computer service or
telecommunications service.
(s) Intrastate transaction means
placing, receiving, or otherwise
transmitting a bet or wager where—
(1) The bet or wager is initiated and
received or otherwise made exclusively
within a single State;
(2) The bet or wager and the method
by which the bet or wager is initiated
and received or otherwise made is
expressly authorized by and placed in
accordance with the laws of such State,
and the State law or regulations
include—
(i) Age and location verification
requirements reasonably designed to
block access to minors and persons
located out of such State; and
(ii) Appropriate data security
standards to prevent unauthorized
access by any person whose age and
current location has not been verified in
accordance with such State’s law or
regulations; and
(3) The bet or wager does not violate
any provision of—
(i) The Interstate Horseracing Act of
1978 (15 U.S.C. 3001 et seq.);
(ii) 28 U.S.C. chapter 178
(professional and amateur sports
protection);
(iii) The Gambling Devices
Transportation Act (15 U.S.C. 1171 et
seq.); or
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(iv) The Indian Gaming Regulatory
Act (25 U.S.C. 2701 et seq.).
(t) Intratribal transaction means
placing, receiving or otherwise
transmitting a bet or wager where—
(1) The bet or wager is initiated and
received or otherwise made
exclusively—
(i) Within the Indian lands of a single
Indian tribe (as such terms are defined
under the Indian Gaming Regulatory Act
(25 U.S.C. 2703)); or
(ii) Between the Indian lands of two
or more Indian tribes to the extent that
intertribal gaming is authorized by the
Indian Gaming Regulatory Act (25
U.S.C. 2701 et seq.);
(2) The bet or wager and the method
by which the bet or wager is initiated
and received or otherwise made is
expressly authorized by and complies
with the requirements of—
(i) The applicable tribal ordinance or
resolution approved by the Chairman of
the National Indian Gaming
Commission; and
(ii) With respect to class III gaming,
the applicable Tribal-State compact;
(3) The applicable tribal ordinance or
resolution or Tribal-State compact
includes—
(i) Age and location verification
requirements reasonably designed to
block access to minors and persons
located out of the applicable Tribal
lands; and
(ii) Appropriate data security
standards to prevent unauthorized
access by any person whose age and
current location has not been verified in
accordance with the applicable tribal
ordinance or resolution or Tribal-State
Compact; and
(4) The bet or wager does not violate
any provision of—
(i) The Interstate Horseracing Act of
1978 (15 U.S.C. 3001 et seq.);
(ii) 28 U.S.C. chapter 178
(professional and amateur sports
protection);
(iii) The Gambling Devices
Transportation Act (15 U.S.C. 1171 et
seq.); or
(iv) The Indian Gaming Regulatory
Act (25 U.S.C. 2701 et seq.).
(u) Money transmitting business has
the meaning given the term in 31 U.S.C.
5330(d)(1) (determined without regard
to any regulations prescribed by the
Secretary of the Treasury thereunder).
(v) Operator of a designated payment
system means an entity that provides
centralized clearing and delivery
services between participants in the
designated payment system and
maintains the operational framework for
the system. In the case of an automated
clearinghouse system, the term
‘‘operator’’ has the same meaning as
provided in the ACH Rules.
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(w) Participant in a designated
payment system means an operator of a
designated payment system, a financial
transaction provider that is a member of,
or has contracted for financial
transaction services with, or is
otherwise participating in, a designated
payment system, or a third-party
processor. This term does not include a
customer of the financial transaction
provider, unless the customer is also a
financial transaction provider otherwise
participating in the designated payment
system on its own behalf.
(x) Reasoned legal opinion means a
written expression of professional
judgment by a State-licensed attorney
that addresses the facts of a particular
client’s business and the legality of the
client’s provision of its services to
relevant customers in the relevant
jurisdictions under applicable federal
and State law, and, in the case of
intratribal transactions, applicable tribal
ordinances, tribal resolutions, and
Tribal-State compacts. A written legal
opinion will not be considered
‘‘reasoned’’ if it does nothing more than
recite the facts and express a
conclusion.
(y) Restricted transaction means any
of the following transactions or
transmittals involving any credit, funds,
instrument, or proceeds that the Act
prohibits any person engaged in the
business of betting or wagering (which
does not include the activities of a
financial transaction provider, or any
interactive computer service or
telecommunications service) from
knowingly accepting, in connection
with the participation of another person
in unlawful Internet gambling—
(1) Credit, or the proceeds of credit,
extended to or on behalf of such other
person (including credit extended
through the use of a credit card);
(2) An electronic fund transfer, or
funds transmitted by or through a
money transmitting business, or the
proceeds of an electronic fund transfer
or money transmitting service, from or
on behalf of such other person; or
(3) Any check, draft, or similar
instrument that is drawn by or on behalf
of such other person and is drawn on or
payable at or through any financial
institution.
(z) State means any State of the
United States, the District of Columbia,
or any commonwealth, territory, or
other possession of the United States,
including the Commonwealth of Puerto
Rico, the Commonwealth of the
Northern Mariana Islands, American
Samoa, Guam, and the Virgin Islands.
(aa) Third-party processor means a
service provider that—
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(1) In the case of a debit transaction
payment, such as an ACH debit entry or
card system transaction, has a direct
relationship with the commercial
customer that is initiating the debit
transfer transaction and acts as an
intermediary between the commercial
customer and the first depository
institution to handle the transaction;
(2) In the case of a credit transaction
payment, such as an ACH credit entry,
has a direct relationship with the
commercial customer that is to receive
the proceeds of the credit transfer and
acts as an intermediary between the
commercial customer and the last
depository institution to handle the
transaction; and
(3) In the case of a cross-border ACH
debit or check collection transaction, is
the first service provider located within
the United States to receive the ACH
debit instructions or check for
collection.
(bb) Unlawful Internet gambling
means to place, receive, or otherwise
knowingly transmit a bet or wager by
any means which involves the use, at
least in part, of the Internet where such
bet or wager is unlawful under any
applicable Federal or State law in the
State or Tribal lands in which the bet or
wager is initiated, received, or otherwise
made. The term does not include
placing, receiving, or otherwise
transmitting a bet or wager that is
excluded from the definition of this
term by the Act as an intrastate
transaction or an intra-tribal transaction,
and does not include any activity that
is allowed under the Interstate
Horseracing Act of 1978 (15 U.S.C. 3001
et seq.; see § ll.1(a)). The intermediate
routing of electronic data shall not
determine the location or locations in
which a bet or wager is initiated,
received, or otherwise made.
(cc) Wire transfer system means a
system through which an unconditional
order to a bank to pay a fixed or
determinable amount of money to a
beneficiary upon receipt, or on a day
stated in the order, is transmitted by
electronic or other means through the
network, between banks, or on the
books of a bank. When referring to wire
transfer systems, the terms in this
regulation (such as ‘‘bank,’’ ‘‘originator’s
bank,’’ ‘‘beneficiary’s bank,’’ and
‘‘intermediary bank’’) are defined as
those terms are defined in 12 CFR part
210, appendix B.
§ ll.3
Designated payment systems.
The following payment systems could
be used by participants in connection
with, or to facilitate, a restricted
transaction:
(a) Automated clearing house systems;
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(b) Card systems;
(c) Check collection systems;
(d) Money transmitting businesses
solely to the extent they
(1) Engage in the transmission of
funds, which does not include check
cashing, currency exchange, or the
issuance or redemption of money
orders, travelers’ checks, and other
similar instruments; and
(2) Permit customers to initiate
transmission of funds transactions
remotely from a location other than a
physical office of the money
transmitting business; and
(e) Wire transfer systems.
§ ll.4
Exemptions.
(a) Automated clearing house systems.
The participants processing a particular
transaction through an automated
clearing house system are exempt from
this regulation’s requirements for
establishing written policies and
procedures reasonably designed to
prevent or prohibit restricted
transactions with respect to that
transaction, except for—
(1) The receiving depository financial
institution and any third-party
processor receiving the transaction on
behalf of the receiver in an ACH credit
transaction;
(2) The originating depository
financial institution and any third-party
processor initiating the transaction on
behalf of the originator in an ACH debit
transaction; and
(3) The receiving gateway operator
and any third-party processor that
receives instructions for an ACH debit
transaction directly from a foreign
sender (which could include a foreign
banking office, a foreign third-party
processor, or a foreign originating
gateway operator).
(b) Check collection systems. The
participants in a particular check
collection through a check collection
system are exempt from this regulation’s
requirements for establishing written
policies and procedures reasonably
designed to prevent or prohibit
restricted transactions with respect to
that check collection, except for the
depositary bank.
(c) Money transmitting businesses.
The participants in a money
transmitting business are exempt from
this regulation’s requirements for
establishing written policies and
procedures reasonably designed to
prevent or prohibit restricted
transactions, except for the operator.
(d) Wire transfer systems. The
participants in a particular wire transfer
through a wire transfer system are
exempt from this regulation’s
requirements for establishing written
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policies and procedures reasonably
designed to prevent or prohibit
restricted transactions with respect to
that transaction, except for the
beneficiary’s bank.
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§ ll.5
Policies and procedures required.
(a) All non-exempt participants in
designated payment systems shall
establish and implement written
policies and procedures reasonably
designed to identify and block or
otherwise prevent or prohibit restricted
transactions.
(b) A non-exempt financial
transaction provider participant in a
designated payment system shall be
considered to be in compliance with the
requirements of paragraph (a) of this
section if—
(1) It relies on and complies with the
written policies and procedures of the
designated payment system that are
reasonably designed to—
(i) Identify and block restricted
transactions; or
(ii) Otherwise prevent or prohibit the
acceptance of the products or services of
the designated payment system or
participant in connection with restricted
transactions; and
(2) Such policies and procedures of
the designated payment system comply
with the requirements of this part.
(c) For purposes of paragraph (b)(2) in
this section, a participant in a
designated payment system may rely on
a written statement or notice by the
operator of that designated payment
system to its participants that states that
the operator has designed or structured
the system’s policies and procedures for
identifying and blocking or otherwise
preventing or prohibiting restricted
transactions to comply with the
requirements of this part as conclusive
evidence that the system’s policies and
procedures comply with the
requirements of this part, unless the
participant is notified otherwise by its
Federal functional regulator or, in the
case of participants that are not directly
supervised by a Federal functional
regulator, the Federal Trade
Commission.
(d) As provided in the Act, a person
that identifies and blocks a transaction,
prevents or prohibits the acceptance of
its products or services in connection
with a transaction, or otherwise refuses
to honor a transaction, shall not be
liable to any party for such action if—
(1) The transaction is a restricted
transaction;
(2) Such person reasonably believes
the transaction to be a restricted
transaction; or
(3) The person is a participant in a
designated payment system and blocks
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or otherwise prevents the transaction in
reliance on the policies and procedures
of the designated payment system in an
effort to comply with this regulation.
(e) Nothing in this part requires or is
intended to suggest that designated
payment systems or participants therein
must or should block or otherwise
prevent or prohibit any transaction in
connection with any activity that is
excluded from the definition of
‘‘unlawful Internet gambling’’ in the Act
as an intrastate transaction, an
intratribal transaction, or a transaction
in connection with any activity that is
allowed under the Interstate
Horseracing Act of 1978 (15 U.S.C. 3001
et seq.; see § ll .1(a)).
(f) Nothing in this part modifies any
requirement imposed on a participant
by other applicable law or regulation to
file a suspicious activity report to the
appropriate authorities.
(g) The requirement of this part to
establish and implement written
policies and procedures applies only to
the U.S. offices of participants in
designated payment systems.
§ ll .6 Non-exclusive examples of
policies and procedures.
(a) In general. The examples of
policies and procedures to identify and
block or otherwise prevent or prohibit
restricted transactions set out in this
section are non-exclusive. In
establishing and implementing written
policies and procedures to identify and
block or otherwise prevent or prohibit
restricted transactions, a non-exempt
participant in a designated payment
system is permitted to design and
implement policies and procedures
tailored to its business that may be
different than the examples provided in
this section. In addition, non-exempt
participants may use different policies
and procedures with respect to different
business lines or different parts of the
organization.
(b) Due diligence. If a non-exempt
participant in a designated payment
system establishes and implements
procedures for due diligence of its
commercial customer accounts or
commercial customer relationships in
order to comply, in whole or in part,
with the requirements of this regulation,
those due diligence procedures will be
deemed to be reasonably designed to
identify and block or otherwise prevent
or prohibit restricted transactions if the
procedures include the steps set out in
paragraphs (b)(1), (b)(2), and (b)(3) of
this section and subject to paragraph
(b)(4) of this section.
(1) At the establishment of the
account or relationship, the participant
conducts due diligence of a commercial
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customer and its activities
commensurate with the participant’s
judgment of the risk of restricted
transactions presented by the customer’s
business.
(2) Based on its due diligence, the
participant makes a determination
regarding the risk the commercial
customer presents of engaging in an
Internet gambling business and follows
either paragraph (b)(2)(i) or (b)(2)(ii) of
this section.
(i) The participant determines that the
commercial customer presents a
minimal risk of engaging in an Internet
gambling business.
(ii) The participant cannot determine
that the commercial customer presents a
minimal risk of engaging in an Internet
gambling business, in which case it
obtains the documentation in either
paragraph (b)(2)(ii)(A) or (b)(2)(ii)(B) of
this section—
(A) Certification from the commercial
customer that it does not engage in an
Internet gambling business; or
(B) If the commercial customer does
engage in an Internet gambling business,
each of the following—
(1) Evidence of legal authority to
engage in the Internet gambling
business, such as—
(i) A copy of the commercial
customer’s license that expressly
authorizes the customer to engage in the
Internet gambling business issued by the
appropriate State or Tribal authority or,
if the commercial customer does not
have such a license, a reasoned legal
opinion that demonstrates that the
commercial customer’s Internet
gambling business does not involve
restricted transactions; and
(ii) A written commitment by the
commercial customer to notify the
participant of any changes in its legal
authority to engage in its Internet
gambling business.
(2) A third-party certification that the
commercial customer’s systems for
engaging in the Internet gambling
business are reasonably designed to
ensure that the commercial customer’s
Internet gambling business will remain
within the licensed or otherwise lawful
limits, including with respect to age and
location verification.
(3) The participant notifies all of its
commercial customers, through
provisions in the account or commercial
customer relationship agreement or
otherwise, that restricted transactions
are prohibited from being processed
through the account or relationship.
(4) With respect to the determination
in paragraph (b)(2)(i) of this section,
participants may deem the following
commercial customers to present a
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minimal risk of engaging in an Internet
gambling business—
(i) An entity that is directly
supervised by a Federal functional
regulator as set out in § ll .7(a); or
(ii) An agency, department, or
division of the Federal government or a
State government.
(c) Automated clearing house system
examples.
(1) The policies and procedures of the
originating depository financial
institution and any third party processor
in an ACH debit transaction, and the
receiving depository financial
institution and any third party processor
in an ACH credit transaction, are
deemed to be reasonably designed to
identify and block or otherwise prevent
or prohibit restricted transactions if
they—
(i) Address methods to conduct due
diligence in establishing a commercial
customer account or relationship as set
out in § ll .6(b);
(ii) Address methods to conduct due
diligence as set out in
§ ll .6(b)(2)(ii)(B) in the event that the
participant has actual knowledge that an
existing commercial customer of the
participant engages in an Internet
gambling business; and
(iii) Include procedures to be followed
with respect to a commercial customer
if the originating depository financial
institution or third-party processor has
actual knowledge that its commercial
customer has originated restricted
transactions as ACH debit transactions
or if the receiving depository financial
institution or third-party processor has
actual knowledge that its commercial
customer has received restricted
transactions as ACH credit transactions,
such as procedures that address—
(A) The circumstances under which
the commercial customer should not be
allowed to originate ACH debit
transactions or receive ACH credit
transactions; and
(B) The circumstances under which
the account should be closed.
(2) The policies and procedures of a
receiving gateway operator and thirdparty processor that receives
instructions to originate an ACH debit
transaction directly from a foreign
sender are deemed to be reasonably
designed to prevent or prohibit
restricted transactions if they include
procedures to be followed with respect
to a foreign sender if the receiving
gateway operator or third-party
processor has actual knowledge,
obtained through notification by a
government entity, such as law
enforcement or a regulatory agency, that
such instructions included instructions
for restricted transactions. Such
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procedures may address sending
notification to the foreign sender, such
as in the form of the notice contained in
appendix A to this part.
(d) Card system examples. The
policies and procedures of a card system
operator, a merchant acquirer, thirdparty processor, or a card issuer, are
deemed to be reasonably designed to
identify and block or otherwise prevent
or prohibit restricted transactions, if the
policies and procedures—
(1) Provide for either—
(i) Methods to conduct due
diligence—
(A) In establishing a commercial
customer account or relationship as set
out in § ll .6(b); and
(B) As set out in § ll .6(b)(2)(ii)(B)
in the event that the participant has
actual knowledge that an existing
commercial customer of the participant
engages in an Internet gambling
business; or
(ii) Implementation of a code system,
such as transaction codes and merchant/
business category codes, that are
required to accompany the
authorization request for a transaction,
including—
(A) The operational functionality to
enable the card system operator or the
card issuer to reasonably identify and
deny authorization for a transaction that
the coding procedure indicates may be
a restricted transaction; and
(B) Procedures for ongoing monitoring
or testing by the card system operator to
detect potential restricted transactions,
including—
(1) Conducting testing to ascertain
whether transaction authorization
requests are coded correctly; and
(2) Monitoring and analyzing payment
patterns to detect suspicious payment
volumes from a merchant customer; and
(2) For the card system operator,
merchant acquirer, or third-party
processor, include procedures to be
followed when the participant has
actual knowledge that a merchant has
received restricted transactions through
the card system, such as—
(i) The circumstances under which
the access to the card system for the
merchant, merchant acquirer, or thirdparty processor should be denied; and
(ii) The circumstances under which
the merchant account should be closed.
(e) Check collection system examples.
(1) The policies and procedures of a
depositary bank are deemed to be
reasonably designed to identify and
block or otherwise prevent or prohibit
restricted transactions, if they—
(i) Address methods for the depositary
bank to conduct due diligence in
establishing a commercial customer
account or relationship as set out in
§ ll .6(b);
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Frm 00030
Fmt 4701
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(ii) Address methods for the
depositary bank to conduct due
diligence as set out in
§ ll .6(b)(2)(ii)(B) in the event that the
depositary bank has actual knowledge
that an existing commercial customer
engages in an Internet gambling
business; and
(iii) Include procedures to be followed
if the depositary bank has actual
knowledge that a commercial customer
of the depositary bank has deposited
checks that are restricted transactions,
such as procedures that address—
(A) The circumstances under which
check collection services for the
customer should be denied; and
(B) The circumstances under which
the account should be closed.
(2) The policies and procedures of a
depositary bank that receives checks for
collection from a foreign banking office
are deemed to be reasonably designed to
identify and block or otherwise prevent
or prohibit restricted transactions if they
include procedures to be followed by
the depositary bank when it has actual
knowledge, obtained through
notification by a government entity,
such as law enforcement or a regulatory
agency, that a foreign banking office has
sent checks to the depositary bank that
are restricted transactions. Such
procedures may address sending
notification to the foreign banking
office, such as in the form of the notice
contained in the appendix to this part.
(f) Money transmitting business
examples. The policies and procedures
of an operator of a money transmitting
business are deemed to be reasonably
designed to identify and block or
otherwise prevent or prohibit restricted
transactions if they—
(1) Address methods for the operator
to conduct due diligence in establishing
a commercial customer relationship as
set out in § ll .6(b);
(2) Address methods for the operator
to conduct due diligence as set out in
§ ll .6(b)(2)(ii)(B) in the event that the
operator has actual knowledge that an
existing commercial customer engages
in an Internet gambling business;
(3) Include procedures regarding
ongoing monitoring or testing by the
operator to detect potential restricted
transactions, such as monitoring and
analyzing payment patterns to detect
suspicious payment volumes to any
recipient; and
(4) Include procedures when the
operator has actual knowledge that a
commercial customer of the operator
has received restricted transactions
through the money transmitting
business, that address—
(i) The circumstances under which
money transmitting services should be
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Federal Register / Vol. 73, No. 223 / Tuesday, November 18, 2008 / Rules and Regulations
mstockstill on PROD1PC66 with RULES3
denied to that commercial customer;
and
(ii) The circumstances under which
the commercial customer account
should be closed.
(g) Wire transfer system examples.
The policies and procedures of the
beneficiary’s bank in a wire transfer are
deemed to be reasonably designed to
identify and block or otherwise prevent
or prohibit restricted transactions if
they—
(1) Address methods for the
beneficiary’s bank to conduct due
diligence in establishing a commercial
customer account as set out in
§ ll .6(b);
(2) Address methods for the
beneficiary’s bank to conduct due
diligence as set out in
§ ll .6(b)(2)(ii)(B) in the event that the
beneficiary’s bank has actual knowledge
that an existing commercial customer of
the bank engages in an Internet
gambling business;
(3) Include procedures to be followed
if the beneficiary’s bank obtains actual
knowledge that a commercial customer
of the bank has received restricted
transactions through the wire transfer
system, such as procedures that address
(i) The circumstances under which
the beneficiary bank should deny wire
transfer services to the commercial
customer; and
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17:00 Nov 17, 2008
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(ii) The circumstances under which
the commercial customer account
should be closed.
§ ll .7
Regulatory enforcement.
The requirements under this part are
subject to the exclusive regulatory
enforcement of—
(a) The Federal functional regulators,
with respect to the designated payment
systems and participants therein that are
subject to the respective jurisdiction of
such regulators under section 505(a) of
the Gramm-Leach-Bliley Act (15 U.S.C.
6805(a)) and section 5g of the
Commodity Exchange Act (7 U.S.C. 7b–
2); and
(b) The Federal Trade Commission,
with respect to designated payment
systems and participants therein not
otherwise subject to the jurisdiction of
any Federal functional regulators
(including the Commission) as
described in paragraph (a) of this
section.
Appendix A to Part ll—Model Notice
[Date]
[Name of foreign sender or foreign banking
office]
[Address]
Re: U.S. Unlawful Internet Gambling
Enforcement Act Notice
Dear [Name of foreign counterparty]:
On [date], U.S. government officials
informed us that your institution processed
PO 00000
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69411
payments through our facilities for Internet
gambling transactions restricted by U.S. law
on [dates, recipients, and other relevant
information if available].
We provide this notice to comply with U.S.
Government regulations implementing the
Unlawful Internet Gambling Enforcement Act
of 2006 (Act), a U.S. federal law. Our policies
and procedures established in accordance
with those regulations provide that we will
notify a foreign counterparty if we learn that
the counterparty has processed payments
through our facilities for Internet gambling
transactions restricted by the Act. This notice
ensures that you are aware that we have
received information that your institution has
processed payments for Internet gambling
restricted by the Act.
The Act is codified in subchapter IV,
chapter 53, title 31 of the U.S. Code (31
U.S.C. 5361 et seq.). Implementing
regulations that duplicate one another can be
found at part 233 of title 12 of the U.S. Code
of Federal Regulations (12 CFR part 233) and
part 132 of title 31 of the U.S. Code of
Federal Regulations (31 CFR part 132).
By order of the Board of Governors of the
Federal Reserve System, November 12, 2008.
Robert deV. Frierson,
Deputy Secretary of the Board.
Dated: November 10, 2008.
By the Department of the Treasury.
Taiya Smith,
Executive Secretary.
[FR Doc. E8–27181 Filed 11–12–08; 4:15 pm]
BILLING CODE 6210–01–P; 4810–25–P
E:\FR\FM\18NOR3.SGM
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Agencies
[Federal Register Volume 73, Number 223 (Tuesday, November 18, 2008)]
[Rules and Regulations]
[Pages 69382-69411]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-27181]
[[Page 68501]]
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Part II
Department of Health and Human Services
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Centers for Medicare & Medicaid Services
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42 CFR Parts 410, 416, and 419
Medicare Program: Changes to the Hospital Outpatient Prospective
Payment System and CY 2009 Payment Rates; Changes to the Ambulatory
Surgical Center Payment System and CY 2009 Payment Rates; Hospital
Conditions of Participation: Requirements for Approval and Re-Approval
of Transplant Centers To Perform Organ Transplants--Clarification of
Provider and Supplier Termination Policy Medicare and Medicaid
Programs: Changes to the Ambulatory Surgical Center Conditions for
Coverage; Final Rule
Federal Register / Vol. 73, No. 223 / Tuesday, November 18, 2008 /
Rules and Regulations
[[Page 68502]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 410, 416, and 419
[CMS-1404-FC; CMS-3887-F; CMS-3835-F-1]
RIN 0938-AP17; RIN 0938-AL80; RIN 0938-AH17
Medicare Program: Changes to the Hospital Outpatient Prospective
Payment System and CY 2009 Payment Rates; Changes to the Ambulatory
Surgical Center Payment System and CY 2009 Payment Rates; Hospital
Conditions of Participation: Requirements for Approval and Re-Approval
of Transplant Centers To Perform Organ Transplants--Clarification of
Provider and Supplier Termination Policy Medicare and Medicaid
Programs: Changes to the Ambulatory Surgical Center Conditions for
Coverage
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Final rule with comment period; final rules.
-----------------------------------------------------------------------
SUMMARY: This final rule with comment period revises the Medicare
hospital outpatient prospective payment system to implement applicable
statutory requirements and changes arising from our continuing
experience with this system, and to implement a number of changes made
by the Medicare Improvement for Patients and Providers Act of 2008. In
this final rule with comment period, we describe the changes to the
amounts and factors used to determine the payment rates for Medicare
hospital outpatient services paid under the prospective payment system.
These changes are applicable to services furnished on or after January
1, 2009.
In addition, this final rule with comment period updates the
revised Medicare ambulatory surgical center (ASC) payment system to
implement applicable statutory requirements and changes arising from
our continuing experience with this system. In this final rule with
comment period, we set forth the applicable relative payment weights
and amounts for services furnished in ASCs, specific HCPCS codes to
which these changes apply, and other pertinent ratesetting information
for the CY 2009 ASC payment system. These changes are applicable to
services furnished on or after January 1, 2009.
In this document, we are responding to public comments on a
proposed rule and finalizing updates to the ASC Conditions for Coverage
to reflect current ASC practices and new requirements in the conditions
to promote and protect patient health and safety.
Further, this final rule also clarifies policy statements included
in responses to public comments set forth in the preamble of the March
30, 2007 final rule regarding the Secretary's ability to terminate
Medicare providers and suppliers (that is, transplant centers) during
an appeal of a determination that affects participation in the Medicare
program.
DATES: Effective Dates: The provisions of this rule are effective
January 1, 2009, except for amendments to 42 CFR 416.2, 416.41 through
416.43, and 416.49 through 416.52 are effective on May 18, 2009. The
policy clarification set forth in section XVIII of the preamble of this
rule is effective December 18, 2008.
Comment Period: We will consider comments on the payment
classifications assigned to HCPCS codes identified in Addenda B, AA,
and BB to this final rule with comment period with the ``NI'' comment
indicator, and on other areas specified throughout this rule, received
at one of the addresses provided in the ADDRESSES section, no later
than 5 p.m. EST on December 29, 2008.
Application Deadline--New Class of New Technology Intraocular
Lenses: Request for review of applications for a new class of new
technology intraocular lenses must be received by 5 p.m. EST on March
2, 2009.
ADDRESSES: In commenting, please refer to file code CMS-1404-FC.
Because of staff and resource limitations, we cannot accept comments by
facsimile (FAX) transmission.
You may submit comments in one of four ways (no duplicates,
please):
1. Electronically. You may submit electronic comments on this
regulation to https://www.regulations.gov. Follow the instructions for
``Comment or Submission'' and enter the file code to find the document
accepting comments.
2. By regular mail. You may mail written comments (one original and
two copies) to the following address ONLY: Centers for Medicare &
Medicaid Services, Department of Health and Human Services, Attention:
CMS-1404-FC, P.O. Box 8013, Baltimore, MD 21244-1850.
Please allow sufficient time for mailed comments to be received
before the close of the comment period.
3. By express or overnight mail. You may send written comments (one
original and two copies) to the following address ONLY: Centers for
Medicare & Medicaid Services, Department of Health and Human Services,
Attention: CMS-1404-FC, Mail Stop C4-26-05, 7500 Security Boulevard,
Baltimore, MD 21244-1850.
4. By hand or courier. If you prefer, you may deliver (by hand or
courier) your written comments (one original and two copies) before the
close of the comment period to one of the following addresses:
a. Room 445-G, Hubert H. Humphrey Building, 200 Independence
Avenue, SW., Washington, DC 20201.
(Because access to the interior of the HHH Building is not readily
available to persons without Federal Government identification,
commenters are encouraged to leave their comments in the CMS drop slots
located in the main lobby of the building. A stamp-in clock is
available for persons wishing to retain a proof of filing by stamping
in and retaining an extra copy of the comments being filed.)
b. 7500 Security Boulevard, Baltimore, MD 21244-1850.
If you intend to deliver your comments to the Baltimore address,
please call the telephone number (410) 786-9994 in advance to schedule
your arrival with one of our staff members.
Comments mailed to the addresses indicated as appropriate for hand
or courier delivery may be delayed and received after the comment
period.
For information on viewing public comments, see the beginning of
the SUPPLEMENTARY INFORMATION section.
Applications for a new class of new technology intraocular lenses:
Requests for review of applications for a new class of new technology
intraocular lenses must be sent by regular mail to: ASC/NTIOL, Division
of Outpatient Care, Mailstop C4-05-17, Centers for Medicare & Medicaid
Services, 7500 Security Boulevard, Baltimore, MD 21244-1850.
FOR FURTHER INFORMATION CONTACT: Alberta Dwivedi, (410) 786-0378,
Hospital outpatient prospective payment issues.
Dana Burley, (410) 786-0378, Ambulatory surgical center issues.
Suzanne Asplen, (410) 786-4558, Partial hospitalization and
community mental health center issues.
Sheila Blackstock, (410) 786-3502, Reporting of quality data
issues.
Jacqueline Morgan, (410) 786-4282, Joan A. Moliki, (410) 786-5526,
Steve Miller, (410) 786-6656, and Jeannie Miller, (410) 786-3164,
Ambulatory
[[Page 68503]]
surgical center Conditions for Coverage issues.
Marcia Newton, (410) 786-5265, and Karen Tritz, (410) 786-8021,
Clarification of provider and supplier termination policy issues.
SUPPLEMENTARY INFORMATION:
Inspection of Public Comments: All comments received before the
close of the comment period are available for viewing by the public,
including any personally identifiable or confidential business
information that is included in a comment. We post all comments
received before the close of the comment period on the following Web
site as soon as possible after they have been received: https://
www.regulations.gov. Follow the search instructions on that Web site to
view public comments.
Comments received timely will also be available for public
inspection as they are received, generally beginning approximately 3
weeks after publication of a document, at the headquarters of the
Centers for Medicare & Medicaid Services, 7500 Security Boulevard,
Baltimore, MD 21244, on Monday through Friday of each week from 8:30
a.m. to 4 p.m. EST. To schedule an appointment to view public comments,
phone 1-800-743-3951.
Electronic Access
This Federal Register document is also available from the Federal
Register online database through GPO Access, a service of the U.S.
Government Printing Office. Free public access is available on a Wide
Area Information Server (WAIS) through the Internet and via
asynchronous dial-in. Internet users can access the database by using
the World Wide Web; the Superintendent of Documents' home page address
is https://www.gpoaccess.gov/, by using local WAIS client
software, or by telnet to swais.access.gpo.gov, then login as guest (no
password required). Dial-in users should use communications software
and modem to call (202) 512-1661; type swais, then login as guest (no
password required).
Alphabetical List of Acronyms Appearing in This Final Rule With Comment
Period
AAAASF American Association for Accreditation of Ambulatory Surgical
Facilities
AAAHC Accreditation Association for Ambulatory Health Care
ACEP American College of Emergency Physicians
AHA American Hospital Association
AHIMA American Health Information Management Association
AMA American Medical Association
AMP Average manufacturer price
AOA American Osteopathic Association
APC Ambulatory payment classification
ASC Ambulatory Surgical Center
ASP Average sales price
AWP Average wholesale price
BBA Balanced Budget Act of 1997, Public Law 105-33
BBRA Medicare, Medicaid, and SCHIP [State Children's Health
Insurance Program] Balanced Budget Refinement Act of 1999, Public
Law 106-113
BCA Blue Cross Association
BCBSA Blue Cross and Blue Shield Association
BIPA Medicare, Medicaid, and SCHIP Benefits Improvement and
Protection Act of 2000, Public Law 106-554
CAH Critical access hospital
CAP Competitive Acquisition Program
CBSA Core-Based Statistical Area
CCR Cost-to-charge ratio
CERT Comprehensive Error Rate Testing
CfC Condition for Coverage
CMHC Community mental health center
CMS Centers for Medicare & Medicaid Services
CoP Condition of participation
CORF Comprehensive outpatient rehabilitation facility
CPT [Physicians'] Current Procedural Terminology, Fourth Edition,
2007, copyrighted by the American Medical Association
CRNA Certified registered nurse anesthetist
CY Calendar year
DMEPOS Durable medical equipment, prosthetics, orthotics, and
supplies
DMERC Durable medical equipment regional carrier
DRA Deficit Reduction Act of 2005, Public Law 109-171
DSH Disproportionate share hospital
EACH Essential Access Community Hospital
E/M Evaluation and management
EPO Erythropoietin
ESRD End-stage renal disease
FACA Federal Advisory Committee Act, Public Law 92-463
FAR Federal Acquisition Regulations
FDA Food and Drug Administration
FFS Fee-for-service
FSS Federal Supply Schedule
FTE Full-time equivalent
FY Federal fiscal year
GAO Government Accountability Office
GME Graduate medical education
HCPCS Healthcare Common Procedure Coding System
HCRIS Hospital Cost Report Information System
HHA Home health agency
HIPAA Health Insurance Portability and Accountability Act of 1996,
Public Law 104-191
HOPD Hospital outpatient department
HOP QDRP Hospital Outpatient Quality Data Reporting Program
ICD-9-CM International Classification of Diseases, Ninth Edition,
Clinical Modification
IDE Investigational device exemption
IME Indirect medical education
I/OCE Integrated Outpatient Code Editor
IOL Intraocular lens
IPPE Initial preventive physical examination
IPPS [Hospital] Inpatient prospective payment system
IVIG Intravenous immune globulin
MAC Medicare Administrative Contractors
MedPAC Medicare Payment Advisory Commission
MDH Medicare-dependent, small rural hospital
MIEA-TRHCA Medicare Improvements and Extension Act under Division B,
Title I of the Tax Relief Health Care Act of 2006, Public Law 109-
432
MIPPA Medicare Improvements for Patients and Providers Act of 2008,
Public Law 110-275
MMA Medicare Prescription Drug, Improvement, and Modernization Act
of 2003, Public Law 108-173
MMSEA Medicare, Medicaid, and SCHIP Extension Act of 2007, Public
Law 110-173
MPFS Medicare Physician Fee Schedule
MSA Metropolitan Statistical Area
NCCI National Correct Coding Initiative
NCD National Coverage Determination
NTIOL New technology intraocular lens
OIG [HHS] Office of the Inspector General
OMB Office of Management and Budget
OPD [Hospital] Outpatient department
OPPS [Hospital] Outpatient prospective payment system
PHP Partial hospitalization program
PM Program memorandum
PPI Producer Price Index
PPS Prospective payment system
PPV Pneumococcal pneumonia vaccine
PRA Paperwork Reduction Act
QAPI Quality Assessment and Performance Improvement
QIO Quality Improvement Organization
RFA Regulatory Flexibility Act
RHQDAPU Reporting Hospital Quality Data for Annual Payment Update
[Program]
RHHI Regional home health intermediary
SBA Small Business Administration
SCH Sole community hospital
SDP Single Drug Pricer
SI Status indicator
TEFRA Tax Equity and Fiscal Responsibility Act of 1982, Public Law
97-248
TOPS Transitional outpatient payments
USPDI United States Pharmacopoeia Drug Information
WAC Wholesale acquisition cost
In this document, we address two payment systems under the Medicare
program: The hospital outpatient prospective payment system (OPPS) and
the revised ambulatory surgical center (ASC) payment system. The
provisions relating to the OPPS are included in sections I. through
XIV., XVI., XVII., and XIX. through XXIII. of this final rule with
comment period and in Addenda A, B, C (Addendum C is available on the
Internet only; we refer readers to section XIX. of this final rule with
comment period), D1, D2, E, L, and M to this final rule with comment
period. The provisions related to the revised ASC payment system are
included in sections XV. and XIX. through XXIII. of this final rule
with comment period and in Addenda AA, BB, DD1, DD2, and EE
[[Page 68504]]
to this final rule with comment period. (Addendum EE is available on
the Internet only; we refer readers to section XIX. of this final rule
with comment period.)
In this document, we also address changes to the ASC Conditions for
Coverage (CfCs). The provisions relating to the ASC CfCs are included
in sections XV., XIX., XX.B., and XXIII. of this document. In addition,
in this document, we clarify policy regarding the Secretary's ability
to terminate Medicare providers and suppliers (in this case, transplant
centers) during an appeal of a determination that affects participation
in the Medicare Program. This clarification is included in section
XVIII. of this document.
Table of Contents
I. Background for the OPPS
A. Legislative and Regulatory Authority for the Hospital
Outpatient Prospective Payment System
B. Excluded OPPS Services and Hospitals
C. Prior Rulemaking
D. APC Advisory Panel
1. Authority of the APC Panel
2. Establishment of the APC Panel
3. APC Panel Meetings and Organizational Structure
E. Provisions of the Medicare, Medicaid, and SCHIP Extension Act
of 2007
1. Increase in Physician Payment Update
2. Extended Expiration Date for Cost-Based OPPS Payment for
Brachytherapy Sources and Therapeutic Radiopharmaceuticals
3. Alternative Volume Weighting in Computation of Average Sales
Price (ASP) for Medicare Part B Drugs
4. Extended Expiration Date for Certain IPPS Wage Index
Geographic Reclassification and Special Exceptions
F. Provisions of the Medicare Improvements for Patients and
Providers Act of 2008
1. Improvements to Coverage of Preventive Services
2. Extended Expiration Date for Certain IPPS Wage Index
Geographic Reclassifications and Special Exceptions
3. Increase in Physician Payment Update
4. Extension of Expiration Date for Cost-Based OPPS Payment for
Brachytherapy and Therapeutic Radiopharmaceuticals
5. Extension and Expansion of the Medicare Hold Harmless
Provision Under the OPPS for Certain Hospitals
G. Summary of the Major Contents of the CY 2009 OPPS/ASC
Proposed Rule
1. Updates Affecting OPPS Payments
2. OPPS Ambulatory Payment Classification (APC) Group Policies
3. OPPS Payment for Devices
4. OPPS Payment for Drugs, Biologicals, and Radiopharmaceuticals
5. Estimate of OPPS Transitional Pass-Through Spending for
Drugs, Biologicals, Radiopharmaceuticals, and Devices
6. OPPS Payment for Brachytherapy Sources
7. OPPS Payment for Drug Administration Services
8. OPPS Payment for Hospital Outpatient Visits
9. Payment for Partial Hospitalization Services
10. Procedures That Will Be Paid Only as Inpatient Services
11. OPPS Nonrecurring Technical and Policy Clarifications
12. OPPS Payment Status and Comment Indicators
13. OPPS Policy and Payment Recommendations
14. Update of the Revised Ambulatory Surgical Center (ASC)
Payment System
15. Reporting Quality Data for Annual Payment Rate Updates
16. Healthcare-Associated Conditions
17. Regulatory Impact Analysis
H. Public Comments Received in Response to the CY 2009 OPPS/ASC
Proposed Rule
I. Public Comments Received in Response to the November 27, 2007
OPPS/ASC Final Rule With Comment Period
J. Proposed Rule on ASC Conditions for Coverage
K. Medicare Hospital Conditions of Participation: Requirements
for Approval and Re-Approval of Transplant Programs To Perform
Transplants--Clarification of Provider and Supplier Termination
Policy
II. Updates Affecting OPPS Payments
A. Recalibration of APC Relative Weights
1. Database Construction
a. Database Source and Methodology
b. Use of Single and Multiple Procedure Claims
c. Calculation of CCRs
(1) Development of the CCRs
(2) Charge Compression
2. Calculation of Median Costs
a. Claims Preparations
b. Splitting Claims and Creation of ``Pseudo'' Single Claims
(1) Splitting Claims
(2) Creation of ``Pseudo'' Single Claims
c. Completion of Claim Records and Median Cost Calculations
d. Calculation of Single Procedure APC Criteria-Based Median
Costs
(1) Device-Dependent APCs
(2) Blood and Blood Products
(3) Single Allergy Tests
(4) Echocardiography Services
(5) Nuclear Medicine Services
(6) Hyperbaric Oxygen Therapy
(7) Payment for Ancillary Outpatient Services When Patient
Expires (-CA Modifier)
e. Calculation of Composite APC Criteria-Based Median Costs
(1) Extended Assessment and Management Composite APCs (APCs 8002
and 8003)
(2) Low Dose Rate (LDR) Prostate Brachytherapy Composite APC
(APC 8001)
(3) Cardiac Electrophysiologic Evaluation and Ablation Composite
APC (APC 8000)
(4) Mental Health Services Composite APC (APC 0034)
(5) Multiple Imaging Composite APCs (APCs 8004, 8005, 8006,
8007, and 8008)
3. Calculation of OPPS Scaled Payment Weights
4. Changes to Packaged Services
a. Background
b. Service-Specific Packaging Issues
(1) Package Services Addressed by APC Panel Recommendations
(2) Intravenous Immune Globulin (IVIG) Preadministration-Related
Services
(3) Other Service-Specific Packaging Issues
B. Conversion Factor Update
C. Wage Index Changes
D. Statewide Average Default CCRs
E. OPPS Payments to Certain Rural and Other Hospitals
1. Hold Harmless Transitional Payment Changes Made by Public Law
110-275 (MIPPA)
2. Adjustment for Rural SCHs Implemented in CY 2006 Related to
Public Law 108-173 (MMA)
F. Hospital Outpatient Outlier Payments
1. Background
2. Outlier Calculation
3. Outlier Reconciliation
G. Calculation of an Adjusted Medicare Payment from the National
Unadjusted Medicare Payment
H. Beneficiary Copayments
1. Background
2. Copayment Policy
3. Calculation of an Adjusted Copayment Amount for an APC Group
III. OPPS Ambulatory Payment Classification (APC) Group Policies
A. OPPS Treatment of New HCPCS and CPT Codes
1. Treatment of New HCPCS Codes Included in the April and July
Quarterly OPPS Updates for CY 2008
2. Treatment of New Category I and III CPT Codes and Level II
HCPCS Codes
B. OPPS Changes--Variations Within APCs
1. Background
2. Application of the 2 Times Rule
3. Exceptions to the 2 Times Rule
C. New Technology APCs
1. Background
2. Movement of Procedures from New Technology APCs to Clinical
APCs
D. OPPS APC-Specific Policies
1. Apheresis and Stem Cell Processing Services
a. Low Density Lipoprotein (LDL) Apheresis (APC 0112)
b. Bone Marrow and Stem Cell Processing Services (APC 0393)
2. Genitourinary Procedures
a. Implant Injection for Vesicoureteral Reflex (APC 0163)
b. Laparoscopic Ablation of Renal Mass (APC 0132)
c. Percutaneous Renal Cryoablation (APC 0423)
d. Magnetic Resonance Guided Focused Ultrasound (MRgFus)
Ablation of Uterine Fibroids (APC 0067)
e. Prostatic Thermotherapy (APC 0429)
3. Nervous System Procedures
a. Magnetoencephalography (MEG) (APC 0067)
b. Chemodenervation (APC 0204)
4. Ocular Procedures
a. Suprachoroidal Delivery of Pharmacologic Agent (APC 0237)
b. Scanning Opthalmic Imaging (APC 0230)
5. Orthopedic Procedures
a. Closed Treatment Fracture of Finger/Toe/Trunk (APCs 0129,
0138, and 0139)
[[Page 68505]]
b. Arthroscopic and Other Orthopedic Procedures (APCs 0041 and
0042)
c. Surgical Wrist Procedures (APCs 0053 and 0054)
d. Intercarpal or Carpometacarpal Arthroplasty (APC 0047)
e. Insertion of Posterior Spinous Process Distraction Device
(APC 0052)
6. Radiation Therapy Services
a. Proton Beam Therapy (APCs 0664 and 0667)
b. Implantation of Interstitial Devices (APC 0310)
c. Stereotactic Radiosurgery (SRS) Treatment Delivery Services
(APCs 0065, 0066, and 0067)
7. Other Procedures and Services
a. Negative Pressure Wound Therapy (APC 0013)
b. Endovenous Ablation (APCs 0091 and 0092)
c. Unlisted Antigen Skin Testing (APC 0341)
d. Home International Normalized Ratio (INR) Monitoring (APC
0607)
e. Mental Health Services (APCs 0322, 0323, 0324, and 0325)
f. Trauma Response Associated With Hospital Critical Care
Services (APC 0618)
IV. OPPS Payment for Devices
A. Pass-Through Payments for Devices
1. Expiration of Transitional Pass-Through Payments for Certain
Devices
a. Background
b. Final Policy
2. Provisions for Reducing Transitional Pass-Through Payments To
Offset Costs Packaged Into APC Groups
a. Background
b. Final Policy
B. Adjustment to OPPS Payments for No Cost/Full Credit and
Partial Credit Devices
1. Background
2. APCs and Devices Subject to the Adjustment Policy
V. OPPS Payment Changes for Drugs, Biologicals, and
Radiopharmaceuticals
A. OPPS Transitional Pass-Through Payment for Additional Costs
of Drugs, Biologicals, and Radiopharmaceuticals
1. Background
2. Drugs and Biologicals With Expiring Pass-Through Status in CY
2008
3. Drugs, Biologicals, and Radiopharmaceuticals With New or
Continuing Pass-Through Status in CY 2009
4. Reduction of Transitional Pass-Through Payments for
Diagnostic Radiopharmaceuticals To Offset Costs Packaged Into APC
Groups
B. OPPS Payment for Drugs, Biologicals, and Radiopharmaceuticals
Without Pass-Through Status
1. Background
2. Criteria for Packaging Drugs, Biologicals, and
Radiopharmaceuticals
a. Background
b. Drugs, Biologicals, and Therapeutic Radiopharmaceuticals
c. Payment for Diagnostic Radiopharmaceuticals and Contrast
Agents
3. Payment for Drugs and Biologicals Without Pass-Through Status
That Are Not Packaged
a. Payment for Specified Covered Outpatient Drugs
b. Payment Policy
c. Payment for Blood Clotting Factors
4. Payment for Therapeutic Radiopharmaceuticals
a. Background
b. Payment Policy
5. Payment for Nonpass-Through Drugs, Biologicals, and
Radiopharmaceuticals With HCPCS Codes, but Without OPPS Hospital
Claims Data
VI. Estimate of OPPS Transitional Pass-Through Spending for Drugs,
Biologicals, Radiopharmaceuticals, and Devices
A. Background
B. Estimate of Pass-Through Spending
VII. OPPS Payment for Brachytherapy Sources
A. Background
B. OPPS Payment Policy
VIII. OPPS Payment for Drug Administration Services
A. Background
B. Coding and Payment for Drug Administration Services
IX. OPPS Payment for Hospital Outpatient Visits
A. Background
B. Policies for Hospital Outpatient Visits
1. Clinic Visits: New and Established Patient Visits
2. Emergency Department Visits
3. Visit Reporting Guidelines
X. Payment for Partial Hospitalization Services
A. Background
B. PHP APC Update
C. Policy Changes
1. Policy to Deny Payment for Low Intensity Days
2. Policy to Strengthen PHP Patient Eligibility
3. Partial Hospitalization Coding Update
D. Separate Threshold for Outlier Payments to CMHCs
XI. Procedures That Will Be Paid Only as Inpatient Procedures
A. Background
B. Changes to the Inpatient List
XII. OPPS Nonrecurring Technical and Policy Changes and
Clarifications
A. Physician Supervision of HOPD Services
B. Reporting of Pathology Services for Prostrate Saturation
Biopsy
C. Changes to the Initial Preventive Physical Examination (IPPE)
D. Reporting of Wound Care Services
E. Standardized Cognitive Performance Testing
XIII. OPPS Payment Status and Comment Indicators
A. OPPS Payment Status Indicator Definitions
1. Payment Status Indicators To Designate Services That Are Paid
Under the OPPS
2. Payment Status Indicators To Designate Services That Are Paid
Under a Payment System Other Than the OPPS
3. Payment Status Indicators To Designate Services That Are Not
Recognized Under the OPPS but That May Be Recognized by Other
Institutional Providers
4. Payment Status Indicators To Designate Services That Are Not
Payable by Medicare on Outpatient Claims
B. Comment Indicator Definitions
XIV. OPPS Policy and Payment Recommendations
A. Medicare Payment Advisory Commission (MedPAC) Recommendations
1. March 2008 Report
2. June 2007 Report
B. APC Panel Recommendations
C. OIG Recommendations
XV. Ambulatory Surgical Centers: Updates and Revisions to the
Ambulatory Surgical Center Conditions for Coverage and Updates to
the Revised Ambulatory Surgical Center Payment System
A. Legislative and Regulatory Authority for the ASC Conditions
for Coverage
B. Updates and Revisions to the ASC Conditions for Coverage
1. Background
2. Provisions of the Proposed and Final Regulations
a. Definitions (Sec. 416.2)
b. Specific Conditions for Coverage
(1) Condition for Coverage: Governing Body and Management (Sec.
416.41)
(2) Condition for Coverage: Quality Assessment and Performance
Improvement (QAPI) (Sec. 416.43)
(3) Condition for Coverage: Laboratory and Radiologic Services
(Sec. 416.49)
(4) Condition for Coverage: Patients Rights (Sec. 416.50)
(5) Condition for Coverage: Infection Control (Sec. 416.51)
(6) Condition for Coverage: Patient Admission, Assessment and
Discharge (Sec. 416.52)
c. Comments Outside the Scope of the Proposed Rule
C. Updates of the Revised ASC Payment System
1. Legislative Authority for the ASC Payment System
2. Prior Rulemaking
3. Policies Governing Changes to the Lists of Codes and Payment
Rates for ASC Covered Surgical Procedures and Covered Ancillary
Services
D. Treatment of New Codes
1. Treatment of New Category I and III CPT Codes and Level II
HCPCS Codes
2. Treatment of New Level II HCPCS Codes Implemented in April
and July 2008
E. Update to the List of ASC Covered Surgical Procedures and
Covered Ancillary Services
1. Covered Surgical Procedures
a. Additions to the List of ASC Covered Surgical Procedures
b. Covered Surgical Procedures Designated as Office-Based
(1) Background
(2) Changes to Covered Surgical Procedures Designated as Office-
Based for CY 2009
c. Covered Surgical Procedures Designated as Device-Intensive
(1) Background
(2) Changes to List of Covered Surgical Procedures Designated as
Device-Intensive for CY 2009
d. Surgical Procedures Removed from the OPPS Inpatient List for
CY 2009
[[Page 68506]]
2. Covered Ancillary Services
F. ASC Payment for Covered Surgical Procedures and Covered
Ancillary Services
1. Payment for Covered Surgical Procedures
a. Background
b. Update to ASC Covered Surgical Procedure Payment Rates for CY
2009
c. Adjustment to ASC Payments for No Cost/Full Credit and
Partial Credit Devices
2. Payment for Covered Ancillary Services
a. Background
b. Payment for Covered Ancillary Services for CY 2009
G. New Technology Intraocular Lenses (NTIOLs)
1. Background
2. NTIOL Application Process for Payment Adjustment
3. Classes of NTIOLs Approved and New Request for Payment
Adjustment
a. Background
b. Requests To Establish New NTIOL Class for CY 2009
4. Payment Adjustment
5. ASC Payment for Insertion of IOLs
6. Announcement of CY 2009 Deadline for Submitting Requests for
CMS Review of Appropriateness of ASC Payment for Insertion of an
NTIOL Following Cataract Surgery
H. ASC Payment and Comment Indicators
1. Background
2. ASC Payment and Comment Indicators
I. Calculation of the ASC Conversion Factor and ASC Payment
Rates
1. Background
2. Policy Regarding Calculation of the ASC Payment Rates
a. Updating the ASC Relative Payment Weights for CY 2009 and
Future Years
b. Updating the ASC Conversion Factor
3. Display of ASC Payment Rates
XVI. Reporting Quality Data for Annual Payment Rate Updates
A. Background
1. Reporting Hospital Outpatient Quality Data for Annual Payment
Update
2. Reporting ASC Quality Data for Annual Payment Update
3. Reporting Hospital Inpatient Quality Data for Annual Payment
Update
B. Hospital Outpatient Measures for CY 2009
C. Quality Measures for CY 2010 and Subsequent Calendar Years
and the Process To Update Measures
1. Quality Measures for CY 2010 Payment Determinations
2. Process for Updating Measures
3. Possible New Quality Measures for CY 2011 and Subsequent
Calendar Years
D. Payment Reduction for Hospitals That Fail To Meet the HOP
QDRP Requirements for the CY 2009 Payment Update
1. Background
2. Reduction of OPPS Payments for Hospitals That Fail To Meet
the HOP QDRP CY 2009 Payment Update Requirements
a. Calculation of Reduced National Unadjusted Payment Rates
b. Calculation of Reduced Minimum Unadjusted and National
Unadjusted Beneficiary Copayments
c. Treatment of Other Payment Adjustments
E. Requirements for HOPD Quality Data Reporting for CY 2010 and
Subsequent Calendar Years
1. Administrative Requirements
2. Data Collection and Submission Requirements
3. HOP QDRP Validation Requirements
a. Data Validation Requirements for CY 2010
b. Alternative Data Validation Approaches for CY 2011
F. Publication of HOP QDRP Data
G. HOP QDRP Reconsideration and Appeals Procedures
H. Reporting of ASC Quality Data
I. FY 2010 IPPS Quality Measures under the RHQDAPU Program
XVII. Healthcare-Associated Conditions
A. Background
B. Expanding the Principles of the IPPS Hospital-Acquired
Conditions Payment Provision to the OPPS
1. Criteria for Possible Candidate OPPS Conditions
2. Collaboration Process
3. Potential OPPS Healthcare-Associated Conditions
4. OPPS Infrastructure and Payment for Encounters Resulting in
Healthcare-Associated Conditions
XVIII. Medicare Hospital Conditions of Participation: Requirements
for Approval and Re-Approval of Transplant Programs To Perform
Transplants; Clarification of Provider and Supplier Termination
Policy
XIX. Files Available to the Public Via the Internet
A. Information in Addenda Related to the CY 2009 Hospital OPPS
B. Information in Addenda Related to the CY 2009 ASC Payment
System
XX. Collection of Information Requirements
A. Legislative Requirement for Solicitation of Comments
B. ASC Conditions for Coverage Collections
1. Condition for Coverage--Governing Body and Management (Sec.
416.41)
2. Condition for Coverage--Quality Assessment and Performance
Improvement (Sec. 416.43)
3. Condition for Coverage--Patient Rights (Sec. 416.50)
4. Condition for Coverage--Patient Admission, Assessment and
Discharge (Sec. 416.52)
5. Revisions to the CfCs on Infection Control in This Final Rule
(Sec. 416.51)
C. Associated Information Collections Not Specified in
Regulatory Text
XXI. Waiver of Proposed Rulemaking
XXII. Response to Comments
XXIII. Regulatory Impact Analysis
A. Overall Impact
1. Executive Order 12866
2. Regulatory Flexibility Act (RFA)
3. Small Rural Hospitals
4. Unfunded Mandates
5. Federalism
B. Effects of OPPS Changes in This Final Rule With Comment
Period
1. Alternatives Considered
a. Alternatives Considered for Payment of Multiple Imaging
Procedures
b. Alternatives Considered for the HOP QDRP Requirements for the
CY 2009 Payment Update
c. Alternatives Considered Regarding OPPS Cost Estimation for
Relative Payment Weights
2. Limitation of Our Analysis
3. Estimated Effects of This Final Rule With Comment Period on
Hospitals
4. Estimated Effects of This Final Rule With Comment Period on
CMHCs
5. Estimated Effects of This Final Rule With Comment Period on
Beneficiaries
6. Conclusion
7. Accounting Statement
C. Effects of ASC Payment System Changes in This Final Rule With
Comment Period
1. Alternatives Considered
a. Office-Based Procedures
b. Covered Surgical Procedures
2. Limitations of Our Analysis
3. Estimated Effects of This Final Rule With Comment Period on
ASCs
4. Estimated Effects of This Final Rule With Comment Period on
Beneficiaries
5. Conclusion
6. Accounting Statement
D. Effects of Final Requirements for Reporting of Quality Data
for Annual Hospital Payment Update
E. Effects of ASC Conditions for Coverage Changes in This Final
Rule
1. Effects on ASCs
a. Effects of the Governing Body and Management Provision
b. Effects of the QAPI Provision
c. Effects of the Laboratory and Radiologic Services Provision
d. Effects of the Patient Rights Provision
e. Effects of the Infection Control Provision
f. Effects of the Patient Admission, Assessment and Discharge
Provision
2. Alternatives Considered
a. Alternatives to the Governing Body and Management Provision
b. Alternatives to the QAPI Provision
c. Alternatives to the Patient Rights Provision
d. Alternatives to the Discharge Provision
3. Conclusion
F. Executive Order 12866
Regulation Text
Addenda
Addendum A--OPPS APCs for CY 2009
Addendum AA--ASC Covered Surgical Procedures for CY 2009
(Including Surgical Procedures for Which Payment Is Packaged)
Addendum B--OPPS Payment by HCPCS Code for CY 2009
Addendum BB--ASC Covered Ancillary Services Integral to Covered
Surgical Procedures for CY 2009 (Including Ancillary Services for
Which Payment Is Packaged)
Addendum D1--OPPS Payment Status Indicators
Addendum DD1--ASC Payment Indicators
Addendum D2--OPPS Comment Indicators
Addendum DD2--ASC Comment Indicators
Addendum E--HCPCS Codes That Would Be Paid Only as Inpatient
Procedures for CY 2009
[[Page 68507]]
Addendum EE--Surgical Procedures Excluded from Payment in ASCs
Addendum L--Out-Migration Adjustment
Addendum M--HCPCS Codes for Assignment to Composite APCs for CY
2009
I. Background for the OPPS
A. Legislative and Regulatory Authority for the Hospital Outpatient
Prospective Payment System
When the Medicare statute was originally enacted, Medicare payment
for hospital outpatient services was based on hospital-specific costs.
In an effort to ensure that Medicare and its beneficiaries pay
appropriately for services and to encourage more efficient delivery of
care, the Congress mandated replacement of the reasonable cost-based
payment methodology with a prospective payment system (PPS). The
Balanced Budget Act (BBA) of 1997 (Pub. L. 105-33) added section
1833(t) to the Social Security Act (the Act) authorizing implementation
of a PPS for hospital outpatient services.
The Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act
(BBRA) of 1999 (Pub. L. 106-113) made major changes in the hospital
outpatient prospective payment system (OPPS). The Medicare, Medicaid,
and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 (Pub.
L. 106-554) made further changes in the OPPS. The Medicare Prescription
Drug, Improvement, and Modernization Act (MMA) of 2003 (Pub. L. 108-
173) also amended Section 1833(t) of the Act. The Deficit Reduction Act
(DRA) of 2005 (Pub. L. 109-171), enacted on February 8, 2006, also made
additional changes in the OPPS. In addition, the Medicare Improvements
and Extension Act under Division B of Title I of the Tax Relief and
Health Care Act (MIEA-TRHCA) of 2006 (Pub. L. 109-432), enacted on
December 20, 2006, made further changes in the OPPS. Further, the
Medicare, Medicaid, and SCHIP Extension Act (MMSEA) of 2007 (Pub. L.
110-173), enacted on December 29, 2007, made additional changes in the
OPPS. We also note that the Medicare Improvements for Patients and
Providers Act (MIPPA) of 2008 (Pub. L. 110-275), enacted on July 15,
2008, made further changes to the OPPS. A discussion of these changes
related to the MMSEA are included in sections I.E., II.C., V., and VII.
of this final rule with comment period and those related to the MIPPA
are included in sections I.F., II.C., II.E.1., V., VII., and XII.C.
The OPPS was first implemented for services furnished on or after
August 1, 2000. Implementing regulations for the OPPS are located at 42
CFR Part 419.
Under the OPPS, we pay for hospital outpatient services on a rate-
per-service basis that varies according to the ambulatory payment
classification (APC) group to which the service is assigned. We use the
Healthcare Common Procedure Coding System (HCPCS) codes (which include
certain Current Procedural Terminology (CPT) codes) and descriptors to
identify and group the services within each APC group. The OPPS
includes payment for most hospital outpatient services, except those
identified in section I.B. of this final rule with comment period.
Section 1833(t)(1)(B)(ii) of the Act provides for Medicare payment
under the OPPS for hospital outpatient services designated by the
Secretary (which includes partial hospitalization services furnished by
community mental health centers (CMHCs)) and hospital outpatient
services that are furnished to inpatients who have exhausted their Part
A benefits, or who are otherwise not in a covered Part A stay. Section
611 of Public Law 108-173 added provisions for Medicare coverage for an
initial preventive physical examination, subject to the applicable
deductible and coinsurance, as an outpatient department service,
payable under the OPPS.
The OPPS rate is an unadjusted national payment amount that
includes the Medicare payment and the beneficiary copayment. This rate
is divided into a labor-related amount and a nonlabor-related amount.
The labor-related amount is adjusted for area wage differences using
the hospital inpatient wage index value for the locality in which the
hospital or CMHC is located.
All services and items within an APC group are comparable
clinically and with respect to resource use (section 1833(t)(2)(B) of
the Act). In accordance with section 1833(t)(2) of the Act, subject to
certain exceptions, services and items within an APC group cannot be
considered comparable with respect to the use of resources if the
highest median (or mean cost, if elected by the Secretary) for an item
or service in the APC group is more than 2 times greater than the
lowest median cost for an item or service within the same APC group
(referred to as the ``2 times rule''). In implementing this provision,
we generally use the median cost of the item or service assigned to an
APC group.
For new technology items and services, special payments under the
OPPS may be made in one of two ways. Section 1833(t)(6) of the Act
provides for temporary additional payments, which we refer to as
``transitional pass-through payments,'' for at least 2 but not more
than 3 years for certain drugs, biological agents, brachytherapy
devices used for the treatment of cancer, and categories of other
medical devices. For new technology services that are not eligible for
transitional pass-through payments, and for which we lack sufficient
data to appropriately assign them to a clinical APC group, we have
established special APC groups based on costs, which we refer to as New
Technology APCs. These New Technology APCs are designated by cost bands
which allow us to provide appropriate and consistent payment for
designated new procedures that are not yet reflected in our claims
data. Similar to pass-through payments, an assignment to a New
Technology APC is temporary; that is, we retain a service within a New
Technology APC until we acquire sufficient data to assign it to a
clinically appropriate APC group.
B. Excluded OPPS Services and Hospitals
Section 1833(t)(1)(B)(i) of the Act authorizes the Secretary to
designate the hospital outpatient services that are paid under the
OPPS. While most hospital outpatient services are payable under the
OPPS, section 1833(t)(1)(B)(iv) of the Act excludes payment for
ambulance, physical and occupational therapy, and speech-language
pathology services, for which payment is made under a fee schedule.
Section 614 of Public Law 108-173 amended section 1833(t)(1)(B)(iv) of
the Act to exclude payment for screening and diagnostic mammography
services from the OPPS. The Secretary exercised the authority granted
under the statute to also exclude from the OPPS those services that are
paid under fee schedules or other payment systems. Such excluded
services include, for example, the professional services of physicians
and nonphysician practitioners paid under the Medicare Physician Fee
Schedule (MPFS); laboratory services paid under the clinical diagnostic
laboratory fee schedule (CLFS); services for beneficiaries with end-
stage renal disease (ESRD) that are paid under the ESRD composite rate;
and services and procedures that require an inpatient stay that are
paid under the hospital inpatient prospective payment system (IPPS). We
set forth the services that are excluded from payment under the OPPS in
Sec. 419.22 of the regulations.
Under Sec. 419.20(b) of the regulations, we specify the types of
hospitals and entities that are excluded from payment under the OPPS.
These excluded entities include Maryland hospitals, but only for
services that are paid under a
[[Page 68508]]
cost containment waiver in accordance with section 1814(b)(3) of the
Act; critical access hospitals (CAHs); hospitals located outside of the
50 States, the District of Columbia, and Puerto Rico; and Indian Health
Service hospitals.
C. Prior Rulemaking
On April 7, 2000, we published in the Federal Register a final rule
with comment period (65 FR 18434) to implement a prospective payment
system for hospital outpatient services. The hospital OPPS was first
implemented for services furnished on or after August 1, 2000. Section
1833(t)(9) of the Act requires the Secretary to review certain
components of the OPPS, not less often than annually, and to revise the
groups, relative payment weights, and other adjustments that take into
account changes in medical practices, changes in technologies, and the
addition of new services, new cost data, and other relevant information
and factors.
Since initially implementing the OPPS, we have published final
rules in the Federal Register annually to implement statutory
requirements and changes arising from our continuing experience with
this system. We published in the Federal Register on November 27, 2007
the CY 2008 OPPS/ASC final rule with comment period (72 FR 66580). In
that final rule with comment period, we revised the OPPS to update the
payment weights and conversion factor for services payable under the CY
2008 OPPS on the basis of claims data from January 1, 2006, through
December 31, 2006, and to implement certain provisions of Public Law
108-173 and Public Law 109-171. In addition, we responded to public
comments received on the provisions of the November 26, 2006 final rule
with comment period (71 FR 67960) pertaining to the APC assignment of
HCPCS codes identified in Addendum B to that rule with the new interim
(NI) comment indicator; and public comments received on the August 2,
2007 OPPS/ASC proposed rule for CY 2008 (72 FR 42628).
Subsequent to publication of the CY 2008 OPPS/ASC final rule with
comment period, we published in the Federal Register on February 22,
2008, a correction notice (73 FR 9860) to correct certain technical
errors in the CY 2008 OPPS/ASC final rule with comment period.
On July 18, 2008, we issued in the Federal Register (73 FR 41416) a
proposed rule for the CY 2009 OPPS/ASC payment system to implement
statutory requirements and changes arising from our continuing
experience with both systems. Subsequent to issuance of the CY 2009
OPPS/ASC proposed rule, we published in the Federal Register on August
11, 2008 a correction notice (73 FR 46575) to replace Table 30 included
the CY 2009 OPPS/ASC proposed rule.
D. APC Advisory Panel
1. Authority of the APC Panel
Section 1833(t)(9)(A) of the Act, as amended by section 201(h) of
the BBRA, and redesignated by section 202(a)(2) of the BBRA, requires
that we consult with an outside panel of experts to review the clinical
integrity of the payment groups and their weights under the OPPS. The
Act further specifies that the panel will act in an advisory capacity.
The Advisory Panel on Ambulatory Payment Classification (APC) Groups
(the APC Panel), discussed under section I.D.2. of this final rule with
comment period, fulfills these requirements. The APC Panel is not
restricted to using data compiled by CMS, and it may use data collected
or developed by organizations outside the Department in conducting its
review.
2. Establishment of the APC Panel
On November 21, 2000, the Secretary signed the initial charter
establishing the APC Panel. This expert panel, which may be composed of
up to 15 representatives of providers (currently employed full-time,
not as consultants, in their respective areas of expertise) subject to
the OPPS, reviews clinical data and advises CMS about the clinical
integrity of the APC groups and their payment weights. The APC Panel is
technical in nature, and it is governed by the provisions of the
Federal Advisory Committee Act (FACA). Since its initial chartering,
the Secretary has renewed the APC Panel's charter three times: On
November 1, 2002; on November 1, 2004; and on November 21, 2006. The
current charter specifies, among other requirements, that the APC Panel
continues to be technical in nature; is governed by the provisions of
the FACA; may convene up to three meetings per year; has a Designated
Federal Officer (DFO); and is chaired by a Federal official designated
by the Secretary.
The current APC Panel membership and other information pertaining
to the APC Panel, including its charter, Federal Register notices,
membership, meeting dates, agenda topics, and meeting reports can be
viewed on the CMS Web site at: https://www.cms.hhs.gov/FACA/05_
AdvisoryPanelonAmbulatoryPaymentClassificationGroups.asp#TopOfPage.
3. APC Panel Meetings and Organizational Structure
The APC Panel first met on February 27, February 28, and March 1,
2001. Since the initial meeting, the APC Panel has held 15 subsequent
meetings, with the last meeting taking place on August 27 and 28, 2008.
Prior to each meeting, we publish a notice in the Federal Register to
announce the meeting and, when necessary, to solicit nominations for
APC Panel membership and to announce new members.
The APC Panel has established an operational structure that, in
part, includes the use of three subcommittees to facilitate its
required APC review process. At its March 2008 meeting, the APC Panel
recommended that the Observation and Visit Subcommittee's name be
changed to the ``Visits and Observation Subcommittee.'' As stated in
the CY 2009 OPPS/ASC proposed rule (73 FR 41421), we are accepting this
recommendation and are referring to the subcommittee by its new name,
as appropriate, throughout this final rule with comment period. Thus,
the three current subcommittees are the Data Subcommittee, the Visits
and Observation Subcommittee, and the Packaging Subcommittee. The Data
Subcommittee is responsible for studying the data issues confronting
the APC Panel and for recommending options for resolving them. The
Visits and Observation Subcommittee reviews and makes recommendations
to the APC Panel on all technical issues pertaining to observation
services and hospital outpatient visits paid under the OPPS (for
example, APC configurations and APC payment weights). The Packaging
Subcommittee studies and makes recommendations on issues pertaining to
services that are not separately payable under the OPPS, but whose
payments are bundled or packaged into APC payments. Each of these
subcommittees was established by a majority vote from the full APC
Panel during a scheduled APC Panel meeting, and their continuation as
subcommittees was last approved at the August 2008 APC Panel meeting.
At that meeting, the Panel recommended that the work of these three
subcommittees continue, and we are accepting that recommendation. All
subcommittee recommendations are discussed and voted upon by the full
APC Panel.
Discussions of the recommendations resulting from the APC Panel's
March and August 2008 meetings are included in the sections of this
final rule that are specific to each recommendation. For
[[Page 68509]]
discussions of earlier APC Panel meetings and recommendations, we refer
readers to previously published hospital OPPS final rules, the Web site
mentioned earlier in this section, or the FACA database at https://
fido.gov/facadatabase/public.asp.
During the comment period for the CY 2009 OPPS/ASC proposed rule,
we received several public comments regarding representation on the APC
Panel.
Comment: Several commenters requested that CMS include a designated
ASC representative on the APC Panel. The commenters believed that,
because the ASC payment system is based on the same APC groups and
relative payment weights as the OPPS, ASC representation on the APC
Panel would ensure input from representatives of all the care settings
providing surgical services whose payment groups and payment weights
are affected by the OPPS.
Response: We acknowledge that the revised ASC payment system
provides Medicare payment to ASCs for surgical procedures that is
based, in most cases, on the relative payment weights of the OPPS.
However, CMS is statutorily required to have an appropriate selection
of representatives of ``providers'' as members of the APC Panel.
Specifically, the current APC Panel charter requires that ``Each
Panel member must be employed full-time by a hospital, hospital system,
or other Medicare provider subject to payment under the OPPS,'' which
does not include ASCs because ASCs are not providers. We refer readers
to section 1833(t)(9)(A) of the Act and Sec. 400.202 of our
regulations for specific requirements and definitions. The charter must
comply with the statute, which does not include representatives of
suppliers on the APC Panel. However, we understand the concerns of
commenters regarding their interest in ASC input on the APC Panel now
that the ASC payment system is based on the OPPS relative payment
weights.
E. Provisions of the Medicare, Medicaid, and SCHIP Extension Act of
2007
The Medicare, Medicaid and SCHIP Extension Act (MMSEA) of 2007
(Pub. L. 110-173), enacted on December 29, 2007, includes the following
provisions that affect the OPPS and the revised ASC payment system:
1. Increase in Physician Payment Update
Section 101 of the MMSEA provided a 0.5 percent increase in the
physician payment update from January 1, 2008 through June 30, 2008;
revised the Physician Assistance and Quality Initiative Fund, and
extended through 2009 the physician quality reporting system. We refer
readers to section XV. of this final rule with comment period for
discussion of the effect of this provision on services paid under the
revised ASC payment system.
2. Extended Expiration Date for Cost-Based OPPS Payment for
Brachytherapy Sources and Therapeutic Radiopharmaceuticals
Section 106 of the MMSEA amended section 1833(t)(16)(C) of the Act,
as amended by section 107 of the MIEA-TRCHA, to extend for an
additional 6 months, through June 30, 2008, payment for brachytherapy
devices at hospitals' charges adjusted to costs and to mandate that the
same cost-based payment methodology apply to therapeutic
radiopharmaceuticals for the same extended payment period. We refer
readers to sections V.B.4. and VII. of this final rule with comment
period for discussion of this provision. We also note that section 142
of Public Law 110-275 further extended this provision, as discussed in
section I.F.4. of this final rule with comment period.
3. Alternative Volume Weighting in Computation of Average Sales Price
(ASP) for Medicare Part B Drugs
Section 112 of the MMSEA amended section 1847A(b) of the Act to
provide for application of alternative volume weighting in computing
the ASP for payment of Medicare Part B multiple source and single
source drugs furnished after April 1, 2008, and for a special rule,
beginning April 1, 2008, for payment of single source drugs or
biologicals treated as a multiple source drug. This provision is
discussed in section V. of this final rule with comment period.
4. Extended Expiration Date for Certain IPPS Wage Index Geographic
Reclassifications and Special Exceptions
Section 117 of the MMSEA extended through September 30, 2008, both
the reclassifications that were extended by section 106 of MIEA-TRCHA
as well as certain special exception wage indices referenced in the FY
2005 IPPS final rule (69 FR 49105 and 49107). We refer readers to
section II.C. of this final rule with comment for discussion of this
provision. We also note that section 124 of Public Law 110-275 further
extended this provision through September 30, 2009, as discussed under
section I.F.2. of this final rule with comment period.
F. Provisions of the Medicare Improvements for Patients and Providers
Act of 2008
The Medicare, Improvements for Patients and Providers Act (MIPPA)
of 2008 (Pub. L. 110-275), enacted on July 15, 2008, includes the
following provisions that affect the OPPS and the revised ASC payment
system:
1. Improvements to Coverage of Preventive Services
Section 101(b) of the MIPPA amended section 1861 of the Act, as
amended by section 114 of the MMSEA, to make several changes to the
Initial Preventive Physical Examination (IPPE) benefit, including
waiving the deductible and extending the period of eligibility for an
IPPE from 6 months to 12 months after the date of the beneficiary's
initial enrollment in Medicare Part B. Section 101(b) of the MIPPA also
removed the screening electrocardiagram (EKG) as a mandatory
requirement that is part of the IPPE and required that there be
education, counseling, and referral for an EKG, as appropriate, for a
once-in-a-lifetime screening EKG performed as a result of a referral
from an IPPE. The facility service for the screening EKG (tracing only)
is payable under the OPPS when it is the result of a referral from an
IPPE. The amendments apply to services furnished on or after January 1,
2009. We refer readers to section XII.C. of this final rule for
discussion of the HCPCS codes to be used for the IPPE and screening EKG
and the OPPS payment rates for services under this provision for CY
2009.
2. Extended Expiration Date for Certain IPPS Wage Index Geographic
Reclassifications and Special Exceptions
Section 124 of the MIPPA extended through September 30, 2009 the
hospital wage index reclassifications for hospitals reclassified under
section 508 of the MMA. MIPPA also extended through the last date of
the extension of the reclassifications under section 106(a) of the
MIEA-TRHCA certain special exception wage indices referenced in the FY
2005 IPPS final rule (69 FR 49105 and 49107) and that were extended by
section 117(a)(2) of the MMSEA. We refer readers to section II.C. of
this final rule with comment period for discussion of this provision.
3. Increase in Physician Payment Update
Section 131 of MIPPA increased the conversion factor by 1.1 percent
for CY 2009 and required that CY 2008 and CY 2009 payment updates have
no effect on payment rates for CY 2010 and subsequent years under the
MPFS. We
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refer readers to section XV.F. of this final rule with comment period
for discussion of the effect of this provision on payment for covered
office-based surgical procedures and covered ancillary services paid
under the ASC payment system.
4. Extension of Expiration Date for Cost-Based OPPS Payment for
Brachytherapy and Therapeutic Radiopharmaceuticals
Section 142 of the MIPPA amended section 1833(t)(16)(C) of the Act,
as amended by section 106(a) of the MMSEA, and further extended the
payment period for brachytherapy devices sources and therapeutic
radiopharmaceuticals based on hospital's charges adjusted to cost
through December 31, 2009. We refer readers to sections V.B.4. and VII.
of this final rule with comment period for discussions of this
provision. We also refer readers to section XV.F. of this final rule
with comment period for discussion of the effect of this provision on
covered ancillary services paid under the ASC payment system.
5. Extension and Expansion of the Medicare Hold Harmless Provision
Under the OPPS for Certain Hospitals
Section 147 of the MIPPA amended section 1833(t)(7)(D)(i) of the
Act by extending the hold harmless payments (85 percent of the
difference between the prospective payment system amount under the OPPS
and the pre-BBA amount) for covered OPD services furnished by rural
hospitals with 100 beds or less through December 31, 2009. It also
expanded the same hold harmless payments to SCHs with 100 beds or fewer
for covered OPD services furnished on or after January 1, 2009, and
before January 1, 2010. We refer readers to section II.E. of this final
rule with comment period for discussion of this provision.
G. Summary of the Major Contents of the CY 2009 OPPS/ASC Proposed Rule
A proposed rule appeared in the July 18, 2008 Federal Register (73
FR 41416) that set forth proposed changes to the Medicare hospital OPPS
for CY 2009 to implement statutory requirements and changes arising
from our continuing experience with the system and to implement certain
new statutory provisions. In addition, we proposed changes to the
revised Medicare ASC payment system for CY 2009, including updated
payment weights and covered ancillary services based on the proposed
OPPS update. Finally, we set forth proposed quality measures for the
Hospital Outpatient Quality Data Reporting Program (HOP QDRP) for
reporting quality data for annual payment rate updates for CY 2010 and
subsequent calendar years, the requirements for data collection and
submission for the annual payment update, and a proposed reduction in
the OPPS payment for hospitals that fail to meet the HOP QDRP
requirements for CY 2009, in accordance with the statutory requirement.
The following is a summary of the major changes included in the CY 2009
OPPS/ASC proposed rule:
1. Updates Affecting OPPS Payments
In section II. of the proposed rule, we set forth--
The methodology used to recalibrate the proposed APC
relative payment weights.
The proposed changes to packaged services.
The proposed update to the conversion factor used to
determine payment rates under the OPPS. In this section we set forth
changes in the amounts and factors for calculating the full annual
update increase to the conversion factor.
The proposed retention of our current policy to use the
IPPS wage indices to adjust, for geographic wage differences, the
portion of the OPPS payment rate and the copayment standardized amount
attributable to labor-related cost.
The proposed update of statewide average default CCRs.
The proposed application of hold harmless transitional
outpatient payments (TOPs) for certain small rural hospitals.
The proposed payment adjustment for rural SCHs.
The proposed calculation of the hospital outpatient
outlier payment.
The calculation of the proposed national unadjusted
Medicare OPPS payment.
The proposed beneficiary copayments for OPPS services.
2. OPPS Ambulatory Payment Classification (APC) Group Policies
In section III. of the proposed rule, we discussed the proposed
additions of new procedure codes to the APCs; our proposal to establish
a number of new APCs; and our analyses of Medicare claims data and
certain recommendations of the APC Panel. We also discussed the
application of the 2 times rule and proposed exceptions to it; proposed
changes to specific APCs; and proposed movement of procedures from New
Technology APCs to clinical APCs.
3. OPPS Payment for Devices
In section IV. of the proposed rule, we discussed proposed pass-
through payment for specific categories of devices and the proposed
adjustment for devices furnished at no cost or with partial or full
credit.
4. OPPS Payment Changes for Drugs, Biologicals, and
Radiopharmaceuticals
In section V. of the proposed rule, we discussed proposed CY 2009
OPPS payment for drugs, biologicals, and radiopharmaceuticals,
including the proposed payment for drugs, biologicals, and
radiopharmaceuticals with and without pass-through status.
5. Estimate of OPPS Transitional Pass-Through Spending for Drugs,
Biologicals, Radiopharmaceuticals, and Devices
In section VI. of the proposed rule, we discussed the estimate of
CY 2009 OPPS transitional pass-through spending for drugs, biologicals,
and devices.
6. OPPS Payment for Brachytherapy Sources
In section VII. of the proposed rule, we discussed our proposal
concerning coding and payment for brachytherapy sources.
7. OPPS Payment for Drug Administration Services
In section VIII. of the proposed rule, we set forth our proposed
policy concerning payment and coding for drug administration services.
8. OPPS Payment for Hospital Outpatient Visits
In section IX. of the proposed rule, we set forth our proposed
policies for the payment of clinic and emergency department visits and
critical care services based on claims paid under the OPPS.
9. Payment for Partial Hospitalization Services
In section X. of the proposed rule, we set forth our proposed
payment for partial hospitalization services, including the proposed
separate threshold for outlier payments for CMHCs.
10. Procedures That Will Be Paid Only as Inpatient Procedures
In section XI. of the proposed rule, we discussed the procedures
that we proposed to remove from the inpatient list and assign to APCs.
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11. OPPS Nonrecurring Technical and Policy Clarifications
I