Adequacy Status of the Submitted 2009 PM2.5, 69883-69884 [2010-28658]
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Federal Register / Vol. 75, No. 220 / Tuesday, November 16, 2010 / Rules and Regulations
Dated: November 9, 2010.
Robert C. McFetridge,
Director of Regulation Policy and
Management, Office of the General Counsel.
For the reasons stated in the preamble,
the Department of Veterans Affairs
amends 38 CFR part 17 as follows:
■
PART 17—MEDICAL
1. Revise the authority citation for part
17 to read as follows:
■
Authority: 38 U.S.C. 501, and as noted in
specific sections.
■
2. Revise § 17.106 to read as follows:
jlentini on DSKJ8SOYB1PROD with RULES
§ 17.106 VA response to disruptive
behavior of patients.
(a) Definition. For the purposes of this
section:
VA medical facility means VA
medical centers, outpatient clinics, and
domiciliaries.
(b) Response to disruptive patients.
The time, place, and/or manner of the
provision of a patient’s medical care
may be restricted by written order of the
Chief of Staff of the VA Medical Center
of jurisdiction or his or her designee if:
(1) The Chief of Staff or designee
determines pursuant to paragraph (c) of
this section that the patient’s behavior at
a VA medical facility has jeopardized or
could jeopardize the health or safety of
other patients, VA staff, or guests at the
facility, or otherwise interfere with the
delivery of safe medical care to another
patient at the facility;
(2) The order is narrowly tailored to
address the patient’s disruptive
behavior and avoid undue interference
with the patient’s care;
(3) The order is signed by the Chief of
Staff or designee, and a copy is entered
into the patient’s permanent medical
record;
(4) The patient receives a copy of the
order and written notice of the
procedure for appealing the order to the
Network Director of jurisdiction as soon
as possible after issuance; and
(5) The order contains an effective
date and any appropriate limits on the
duration of or conditions for continuing
the restrictions. The Chief of Staff or
designee may order restrictions for a
definite period or until the conditions
for removing conditions specified in the
order are satisfied. Unless otherwise
stated, the restrictions imposed by an
order will take effect upon issuance by
the Chief of Staff or designee. Any order
issued by the Chief of Staff or designee
shall include a summary of the
pertinent facts and the bases for the
Chief of Staff’s or designee’s
determination regarding the need for
restrictions.
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16:46 Nov 15, 2010
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(c) Evaluation of disruptive behavior.
In making determinations under
paragraph (b) of this section, the Chief
of Staff or designee must consider all
pertinent facts, including any prior
counseling of the patient regarding his
or her disruptive behavior or any
pattern of such behavior, and whether
the disruptive behavior is a result of the
patient’s individual fears, preferences,
or perceived needs. A patient’s
disruptive behavior must be assessed in
connection with VA’s duty to provide
good quality care, including care
designed to reduce or otherwise
clinically address the patient’s behavior.
(d) Restrictions. The restrictions on
care imposed under this section may
include but are not limited to:
(1) Specifying the hours in which
nonemergent outpatient care will be
provided;
(2) Arranging for medical and any
other services to be provided in a
particular patient care area (e.g., private
exam room near an exit);
(3) Arranging for medical and any
other services to be provided at a
specific site of care;
(4) Specifying the health care
provider, and related personnel, who
will be involved with the patient’s care;
(5) Requiring police escort; or
(6) Authorizing VA providers to
terminate an encounter immediately if
certain behaviors occur.
(e) Review of restrictions. The patient
may request the Network Director’s
review of any order issued under this
section within 30 days of the effective
date of the order by submitting a written
request to the Chief of Staff. The Chief
of Staff shall forward the order and the
patient’s request to the Network Director
for a final decision. The Network
Director shall issue a final decision on
this matter within 30 days. VA will
enforce the order while it is under
review by the Network Director. The
Chief of Staff will provide the patient
who made the request written notice of
the Network Director’s final decision.
Note to § 17.106: Although VA may restrict
the time, place, and/or manner of care under
this section, VA will continue to offer the full
range of needed medical care to which a
patient is eligible under title 38 of the United
States Code or Code of Federal Regulations.
Patients have the right to accept or refuse
treatments or procedures, and such refusal by
a patient is not a basis for restricting the
provision of care under this section.
(Authority: 38 U.S.C. 501, 901, 1721)
[FR Doc. 2010–28711 Filed 11–15–10; 8:45 am]
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69883
ENVIRONMENTAL PROTECTION
AGENCY
40 CFR Part 52
[Docket No. EPA–R02–OAR–2010–0872;
FRL–9225–8]
Adequacy Status of the Submitted
2009 PM2.5 Motor Vehicle Emission
Budgets for Transportation Conformity
Purposes for the New York Portions of
New York-Northern New Jersey-Long
Island, NY-NJ-CT PM2.5 Nonattainment
Area; New York
Environmental Protection
Agency (EPA).
ACTION: Finding of adequacy.
AGENCY:
In this document, EPA is
notifying the public that it has found the
motor vehicle emissions budgets for
PM2.5 and NOX in the submitted
attainment demonstration state
implementation plans for the New York
portion of the New York-Northern New
Jersey-Long Island, NY-NJ-CT PM2.5
nonattainment area to be adequate for
transportation conformity purposes. The
transportation conformity rule requires
that the EPA conduct a public process
and make an affirmative decision on the
adequacy of budgets before they can be
used by metropolitan planning
organizations in conformity
determinations. As a result of our
finding, the New York Metropolitan
Transportation Council (excluding
Putnam County) and the Orange County
Transportation Council must use the
new 2009 PM2.5 budgets for future
transportation conformity
determinations.
SUMMARY:
This finding is effective
December 1, 2010.
DATES:
FOR FURTHER INFORMATION CONTACT:
Melanie Zeman, Air Programs Branch,
Environmental Protection Agency—
Region 2, 290 Broadway, 25th Floor,
New York, New York 10007–1866, (212)
637–4022, zeman.melanie@epa.gov.
The finding and the response to
comments will be available at EPA’s
conformity Web site: https://
www.epa.gov/otaq/stateresources/
transconf/adequacy.htm.
SUPPLEMENTARY INFORMATION:
Background
On October 27, 2009, the State of New
York submitted an attainment
demonstration state implementation
plan to EPA for the New York portion
of the New York-Northern New JerseyLong Island, NY-NJ-CT PM2.5
nonattainment area. The purpose of
New York State’s submittal was to
demonstrate the State’s progress toward
E:\FR\FM\16NOR1.SGM
16NOR1
jlentini on DSKJ8SOYB1PROD with RULES
69884
Federal Register / Vol. 75, No. 220 / Tuesday, November 16, 2010 / Rules and Regulations
attaining the 1997 PM2.5 National
Ambient Air Quality Standard (62 FR
38652, July 18, 1997). New York State’s
submittal included motor vehicle
emissions budgets (‘‘budgets’’) for 2009
for use by the State’s metropolitan
planning organizations in making
transportation conformity
determinations. On January 19, 2010,
EPA posted the availability of the
budgets on our Web site for the purpose
of soliciting public comments. The
comment period closed on February 18,
2010, and we received no comments.
Today’s notice is simply an
announcement of a finding that we have
already made. EPA Region 2 sent a letter
to New York State on October 15, 2010,
stating that the 2009 motor vehicle
emissions budgets in New York’s SIP for
the New York portion of the New YorkNorthern New Jersey-Long Island, NY–
NJ–CT PM2.5 nonattainment area are
adequate because they are consistent
with the required attainment
demonstration.
Transportation conformity is required
by section 176(c) of the Clean Air Act.
EPA’s conformity rule requires that
transportation plans, programs, and
projects conform to SIPs and establishes
the criteria and procedures for
determining whether or not they
conform. Conformity to a SIP means that
transportation activities will not
produce new air quality violations,
worsen existing violations, or delay
timely attainment of the National
Ambient Air Quality Standards.
The criteria by which we determine
whether a SIP’s motor vehicle emission
budgets are adequate for conformity
purposes are outlined in 40 CFR
93.118(e)(4). Please note that an
adequacy review is separate from EPA’s
completeness review, and it also should
not be used to prejudge EPA’s ultimate
approval of the SIP. Even if we find a
budget adequate, the SIP could later be
disapproved.
We have described our process for
determining the adequacy of submitted
SIP budgets in 40 CFR 93.118(f). We
have followed this rule in making our
adequacy determination. The motor
vehicle emissions budgets being found
adequate today are listed in Table 1.
EPA’s finding will also be announced
on EPA’s conformity Web site: https://
www.epa.gov/otaq/stateresources/
transconf/adequacy.htm.
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16:46 Nov 15, 2010
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DATES: This direct final rule is effective
TABLE 1—2009 ATTAINMENT PM2.5
MOTOR VEHICLE EMISSIONS BUDG- on January 18, 2011 without further
notice, unless EPA receives relevant
ETS FOR NEW YORK
adverse comment by December 16,
2010. If EPA receives such comment,
EPA will publish a timely withdrawal in
Metropolitan Planning
NOX
PM2.5
the Federal Register informing the
Organization
public that this rule will not take effect.
NYMTC (excluding PutADDRESSES: Submit your comments,
nam County) and OCTC
1,750 77,571 identified by Docket ID No. EPA–R06–
OAR–2005–TX–0012, by one of the
List of Subjects in 40 CFR Part 52
following methods:
Environmental protection, Air
• www.regulations.gov: Follow the
pollution control, Incorporation by
on-line instructions for submitting
reference, Intergovernmental relations,
comments.
Nitrogen dioxide, Particulate matter,
• E-mail: Mr. Jeff Robinson at
Reporting and record keeping
robinson.jeffrey@epa.gov. Please also cc
requirements.
the person listed in the FOR FURTHER
INFORMATION CONTACT paragraph below.
Authority: 42 U.S.C. 7401–7671q.
• U.S. EPA Region 6 ‘‘Contact Us’’
Dated: October 29, 2010.
Web site: https://epa.gov/region6/
Judith A. Enck,
r6coment.htm. Please click on ‘‘6PD’’
Regional Administrator, Region 2.
(Multimedia) and select ‘‘Air’’ before
[FR Doc. 2010–28658 Filed 11–15–10; 8:45 am]
submitting comments.
BILLING CODE 6560–50–P
• Fax: Mr. Jeff Robinson, Chief, Air
Permits Section (6PD–R), at fax number
214–665–6762.
ENVIRONMENTAL PROTECTION
• Mail: Mr. Jeff Robinson, Chief, Air
AGENCY
Permits Section (6PD–R), Environmental
Protection Agency, 1445 Ross Avenue,
40 CFR Part 52
Suite 1200, Dallas, Texas 75202–2733.
[EPA–R06–OAR–2005–TX–0012; FRL–9226–
• Hand or Courier Delivery: Mr. Jeff
2]
Robinson, Chief, Air Permits Section
(6PD–R), Environmental Protection
Approval and Promulgation of
Agency, 1445 Ross Avenue, Suite 1200,
Implementation Plans; Texas;
Dallas, Texas 75202–2733. Such
Emissions Banking and Trading of
deliveries are accepted only between the
Allowances Program
hours of 8:30 a.m. and 4:30 p.m.
weekdays except for legal holidays.
AGENCY: Environmental Protection
Special arrangements should be made
Agency (EPA).
for deliveries of boxed information.
ACTION: Direct final rule.
Instructions: Direct your comments to
SUMMARY: EPA is taking a direct final
Docket ID No. EPA–R06–OAR–2005–
action to approve portions of four
TX–0012. EPA’s policy is that all
revisions to the Texas State
comments received will be included in
Implementation Plan (SIP) that create
the public docket without change and
and amend the Emissions Banking and
may be made available online at
Trading of Allowances (EBTA) Program. https://www.regulations.gov, including
The EBTA Program establishes a cap
any personal information provided,
and trade program to reduce emissions
unless the comment includes
of oxides of nitrogen (NOX) and sulfur
information claimed to be Confidential
dioxide (SO2) from participating electric Business Information (CBI) or other
generating facilities. The Texas
information the disclosure of which is
Commission on Environmental Quality
restricted by statute. Do not submit
(TCEQ) originally submitted the EBTA
information through https://www.
program to EPA as a SIP revision on
regulations.gov or e-mail, if you believe
January 3, 2000. Since that time, the
that it is CBI or otherwise protected
TCEQ has submitted SIP revisions for
from disclosure. The https://www.
the EBTA Program on September 11,
regulations.gov website is an
2000; July 15, 2002; and October 24,
‘‘anonymous access’’ system, which
2006. EPA has determined that these
means that EPA will not know your
changes to the Texas SIP comply with
identity or contact information unless
the Federal Clean Air Act (the Act or
you provide it in the body of your
CAA) and EPA regulations, are
comment. If you send an e-mail
consistent with EPA policies, and will
comment directly to EPA without going
improve air quality. This action is being through https://www.regulations.gov,
taken under section 110 and parts C and your e-mail address will be
D of the Act.
automatically captured and included as
PO 00000
[Tons per year]
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16NOR1
Agencies
[Federal Register Volume 75, Number 220 (Tuesday, November 16, 2010)]
[Rules and Regulations]
[Pages 69883-69884]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-28658]
=======================================================================
-----------------------------------------------------------------------
ENVIRONMENTAL PROTECTION AGENCY
40 CFR Part 52
[Docket No. EPA-R02-OAR-2010-0872; FRL-9225-8]
Adequacy Status of the Submitted 2009 PM2.5 Motor
Vehicle Emission Budgets for Transportation Conformity Purposes for the
New York Portions of New York-Northern New Jersey-Long Island, NY-NJ-CT
PM2.5 Nonattainment Area; New York
AGENCY: Environmental Protection Agency (EPA).
ACTION: Finding of adequacy.
-----------------------------------------------------------------------
SUMMARY: In this document, EPA is notifying the public that it has
found the motor vehicle emissions budgets for PM2.5 and
NOX in the submitted attainment demonstration state
implementation plans for the New York portion of the New York-Northern
New Jersey-Long Island, NY-NJ-CT PM2.5 nonattainment area to
be adequate for transportation conformity purposes. The transportation
conformity rule requires that the EPA conduct a public process and make
an affirmative decision on the adequacy of budgets before they can be
used by metropolitan planning organizations in conformity
determinations. As a result of our finding, the New York Metropolitan
Transportation Council (excluding Putnam County) and the Orange County
Transportation Council must use the new 2009 PM2.5 budgets
for future transportation conformity determinations.
DATES: This finding is effective December 1, 2010.
FOR FURTHER INFORMATION CONTACT: Melanie Zeman, Air Programs Branch,
Environmental Protection Agency--Region 2, 290 Broadway, 25th Floor,
New York, New York 10007-1866, (212) 637-4022, zeman.melanie@epa.gov.
The finding and the response to comments will be available at EPA's
conformity Web site: https://www.epa.gov/otaq/stateresources/transconf/adequacy.htm.
SUPPLEMENTARY INFORMATION:
Background
On October 27, 2009, the State of New York submitted an attainment
demonstration state implementation plan to EPA for the New York portion
of the New York-Northern New Jersey-Long Island, NY-NJ-CT
PM2.5 nonattainment area. The purpose of New York State's
submittal was to demonstrate the State's progress toward
[[Page 69884]]
attaining the 1997 PM2.5 National Ambient Air Quality
Standard (62 FR 38652, July 18, 1997). New York State's submittal
included motor vehicle emissions budgets (``budgets'') for 2009 for use
by the State's metropolitan planning organizations in making
transportation conformity determinations. On January 19, 2010, EPA
posted the availability of the budgets on our Web site for the purpose
of soliciting public comments. The comment period closed on February
18, 2010, and we received no comments.
Today's notice is simply an announcement of a finding that we have
already made. EPA Region 2 sent a letter to New York State on October
15, 2010, stating that the 2009 motor vehicle emissions budgets in New
York's SIP for the New York portion of the New York-Northern New
Jersey-Long Island, NY-NJ-CT PM2.5 nonattainment area are
adequate because they are consistent with the required attainment
demonstration.
Transportation conformity is required by section 176(c) of the
Clean Air Act. EPA's conformity rule requires that transportation
plans, programs, and projects conform to SIPs and establishes the
criteria and procedures for determining whether or not they conform.
Conformity to a SIP means that transportation activities will not
produce new air quality violations, worsen existing violations, or
delay timely attainment of the National Ambient Air Quality Standards.
The criteria by which we determine whether a SIP's motor vehicle
emission budgets are adequate for conformity purposes are outlined in
40 CFR 93.118(e)(4). Please note that an adequacy review is separate
from EPA's completeness review, and it also should not be used to
prejudge EPA's ultimate approval of the SIP. Even if we find a budget
adequate, the SIP could later be disapproved.
We have described our process for determining the adequacy of
submitted SIP budgets in 40 CFR 93.118(f). We have followed this rule
in making our adequacy determination. The motor vehicle emissions
budgets being found adequate today are listed in Table 1. EPA's finding
will also be announced on EPA's conformity Web site: https://www.epa.gov/otaq/stateresources/transconf/adequacy.htm.
Table 1--2009 Attainment PM2.5 Motor Vehicle Emissions Budgets for New
York
[Tons per year]
------------------------------------------------------------------------
Metropolitan Planning Organization PM2.5 NOX
------------------------------------------------------------------------
NYMTC (excluding Putnam County) and OCTC.............. 1,750 77,571
------------------------------------------------------------------------
List of Subjects in 40 CFR Part 52
Environmental protection, Air pollution control, Incorporation by
reference, Intergovernmental relations, Nitrogen dioxide, Particulate
matter, Reporting and record keeping requirements.
Authority: 42 U.S.C. 7401-7671q.
Dated: October 29, 2010.
Judith A. Enck,
Regional Administrator, Region 2.
[FR Doc. 2010-28658 Filed 11-15-10; 8:45 am]
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