Radio Broadcasting Services; Willow Creek, CA, 13524-13525 [2011-5089]
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Federal Register / Vol. 76, No. 49 / Monday, March 14, 2011 / Rules and Regulations
GME and IME slots available for
redistribution to other hospitals.
D. Alternatives Considered
Although there may be alternatives,
the method we are finalizing in this
interim final rule is the most consistent
with that of a similar provision for
hospitals that are members of Medicare
GME affiliated groups implemented as
part of section 422 of the MMA.
E. Conclusion
The analysis above, together with the
remainder of this preamble, provides a
Regulatory Flexibility Analysis as well
as a Regulatory Impact Analysis. For the
reasons outlined in the RIA, we are not
preparing an analysis for either the RFA
or section 1102(b) of the Act because we
have determined that this interim final
rule with comment would not have a
direct significant economic impact on a
substantial number of small entities or
a direct significant impact on the
operations of a substantial number of
small rural hospitals.
In accordance with the provisions of
Executive Order 12866, this regulation
was reviewed by the Office of
Management and Budget.
List of Subjects in 42 CFR Part 413
Health facilities, Kidney diseases,
Medicare, Puerto Rico, Reporting and
recordkeeping requirements.
For the reasons set forth in the
preamble, the Centers for Medicare &
Medicaid Services amends 42 CFR
chapter IV as set forth below:
PART 413—PRINCIPLES OF
REASONABLE COST
REIMBURSEMENT; PAYMENT FOR
END-STAGE RENAL DISEASE
SERVICES; OPTIONAL
PROSPECTIVELY DETERMINED
PAYMENT RATES FOR SKILLED
NURSING FACILITIES
1. The authority citation for part 413
continues to read as follows:
■
Authority: Secs. 1102, 1812(d), 1814(b),
1815, 1833(a), (i), and (n), 1861(v), 1871,
1881, 1883, and 1886 of the Social Security
Act (42 U.S.C. 1302, 1395d(d), 1395f(b),
1395g, 1395l(a), (i), and (n), 1395x(v),
1395hh, 1395rr, 1395tt, and 1395ww); and
sec. 124 of Pub. L. 106–133 (113 Stat. 1501A–
332).
2. Section 413.79 is amended by
revising paragraph (m)(7) to read as
follows:
WReier-Aviles on DSKGBLS3C1PROD with RULES
■
§ 413.79 Direct GME payments:
Determination of the weighted number of
FTE residents.
(m) * * *
(7) Consideration for members of
Medicare GME affiliated groups. For a
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hospital that is a member of a Medicare
GME affiliated group at any point
during any of the hospital’s three most
recent cost reporting periods ending
before March 23, 2010 for which a cost
report has been settled or has been
submitted to Medicare contractor by
March 23, 2010, in determining whether
a hospital’s otherwise applicable
resident FTE resident cap is reduced
under paragraph (m) of this section, the
Medicare contractor determines a
hospital’s reference cost reporting
period by finding the cost reporting
period that results in the smallest
difference between the reference
resident level and the otherwise
applicable resident limit.
(i) If the reference resident level is
less than the otherwise applicable
resident limit in that reference cost
reporting period, the Medicare
contractor must then determine if the
hospital was a member of a Medicare
GME affiliated group as of the July 1
that occurs during that reference cost
reporting period.
(ii) If the hospital was a member of a
Medicare GME affiliated group as of the
July 1 that occurs during that reference
cost report, the Medicare contractor
does all of the following:
(A) Treat the members of the
Medicare GME affiliated group as a
group for that reference cost reporting
period, for the purpose of determining
a reduction to the particular hospital’s
FTE resident cap.
(B) Determine for each hospital in the
Medicare GME affiliated group
respectively the FTE resident cap and
FTE resident count (IME and direct
GME separately).
(C) Add each hospital’s FTE resident
caps (IME and direct GME separately) to
determine the aggregate FTE resident
cap.
(D) Add each hospital’s FTE resident
count (IME and direct GME separately)
to determine the aggregate FTE resident
count.
(iii) If the aggregate FTE resident
count is equal to or exceeds the
aggregate FTE resident cap, then the
Medicare contractor would make no
reduction to the particular hospital’s
otherwise applicable FTE resident cap
under paragraph (m) of this section, and
no further steps are necessary for that
hospital.
(iv) If the hospitals’ aggregate FTE
resident count is less than the aggregate
FTE resident cap, then the Medicare
contractor would determine on a
hospital-specific basis whether the
particular hospital’s FTE resident count
is less than its otherwise applicable FTE
resident cap (as adjusted by affiliation
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agreement(s)) in the hospital’s reference
cost report.
(v) If the hospital’s FTE resident count
exceeds its otherwise applicable FTE
resident cap, the hospital will not have
its otherwise applicable FTE resident
cap reduced under paragraph (m) of this
section.
(vi) If the particular hospital’s FTE
resident count is less than its otherwise
applicable FTE resident cap, the
Medicare contractor determines a pro
rata cap reduction amount that is equal,
in total, to 65 percent of the difference
between the aggregate FTE resident cap
and the aggregate FTE resident count for
the Medicare GME affiliated group.
(A) The pro rata cap reduction to the
particular hospital’s otherwise
applicable FTE resident cap is
calculated by dividing the difference
between the hospital’s otherwise
applicable FTE resident cap and the
hospital’s FTE resident count, by the
total amount by which all of the
hospitals’ individual FTE resident
counts are below their affiliated FTE
resident caps, multiplying the quotient
by the difference between the aggregate
FTE resident cap and the aggregate FTE
resident counts for the Medicare GME
affiliated group, and multiplying that
result by 65 percent.
(B) The final reduction takes into
account the hospital’s FTE resident cap
as reduced under the provisions of
paragraph (c)(3) of this section.
*
*
*
*
*
(Catalog of Federal Domestic Assistance
Program No. 93.773, Medicare—Hospital
Insurance; and Program No. 93.774,
Medicare—Supplementary Medical
Insurance Program)
Dated: February 10, 2011.
Donald M. Berwick,
Administrator, Centers for Medicare &
Medicaid Services.
Approved: March 1, 2011.
Kathleen Sebelius,
Secretary.
[FR Doc. 2011–5960 Filed 3–11–11; 8:45 am]
BILLING CODE 4120–01–P
FEDERAL COMMUNICATIONS
COMMISSION
47 CFR Part 73
[DA 11–324; MB Docket No. 10–189;
RM–11611]
Radio Broadcasting Services; Willow
Creek, CA
Federal Communications
Commission.
ACTION: Final rule.
AGENCY:
E:\FR\FM\14MRR1.SGM
14MRR1
Federal Register / Vol. 76, No. 49 / Monday, March 14, 2011 / Rules and Regulations
The Audio Division, at the
request of Miriam Media, Inc., allots FM
Channel 258A at Willow Creek,
California. Channel 258A can be allotted
at Willow Creek, consistent with the
minimum distance separation
requirements of the Commission’s rules,
at coordinates 40–57–29 NL and
123–42–23 WL, with a site restriction of
6.7 km (4.2 miles) west of the
community See SUPPLEMENTARY
INFORMATION infra.
DATES: Effective April 4, 2011.
FOR FURTHER INFORMATION CONTACT:
Deborah Dupont, Media Bureau, (202)
418–2180.
SUPPLEMENTARY INFORMATION: This is a
synopsis of the Commission’s Report
and Order, MB Docket No. 10–189,
adopted February 16, 2011, and released
February 18, 2011. The full text of this
Commission decision is available for
inspection and copying during normal
business hours in the FCC Information
Center, Portals II, 445 12th Street, SW.,
WReier-Aviles on DSKGBLS3C1PROD with RULES
SUMMARY:
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14:12 Mar 11, 2011
Jkt 223001
Room CY–A257, Washington, DC 20554.
The complete text of this decision also
may be purchased from the
Commission’s duplicating contractor,
Best Copy and Printing, Inc., 445 12th
Street, SW., Room CY–B402,
Washington, DC 20554, (800) 378–3160,
or via the company’s Web site, https://
www.bcpiweb.com. This document does
not contain proposed information
collection requirements subject to the
Paperwork Reduction Act of 1995,
Public Law 104–13. In addition,
therefore, it does not contain any
proposed information collection burden
‘‘for small business concerns with fewer
than 25 employees,’’ pursuant to the
Small Business Paperwork Relief Act of
2002, Public Law 107–198, see 44 U.S.C.
3506 (c)(4). The Commission will send
a copy of this Report and Order in a
report to be sent to Congress and the
Government Accountability Office
pursuant to the Congressional Review
Act, see U.S.C. 801(a)(1)(A).
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13525
List of Subjects in 47 CFR Part 73
Radio, Radio broadcasting.
For the reasons discussed in the
preamble, the Federal Communications
Commission amends 47 CFR part 73 as
follows:
PART 73—RADIO BROADCAST
SERVICES
1. The authority citation for part 73
continues to read as follows:
■
Authority: 47 U.S.C. 154, 303, 334, 336.
§ 73.202
[Amended]
2. Section 73.202(b), the Table of FM
Allotments under California, is
amended by adding Channel 258A at
Willow Creek.
■
Federal Communications Commission.
Nazifa Sawez,
Assistant Chief, Audio Division, Media
Bureau.
[FR Doc. 2011–5089 Filed 3–11–11; 8:45 am]
BILLING CODE 6712–01–P
E:\FR\FM\14MRR1.SGM
14MRR1
Agencies
[Federal Register Volume 76, Number 49 (Monday, March 14, 2011)]
[Rules and Regulations]
[Pages 13524-13525]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-5089]
=======================================================================
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FEDERAL COMMUNICATIONS COMMISSION
47 CFR Part 73
[DA 11-324; MB Docket No. 10-189; RM-11611]
Radio Broadcasting Services; Willow Creek, CA
AGENCY: Federal Communications Commission.
ACTION: Final rule.
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[[Page 13525]]
SUMMARY: The Audio Division, at the request of Miriam Media, Inc.,
allots FM Channel 258A at Willow Creek, California. Channel 258A can be
allotted at Willow Creek, consistent with the minimum distance
separation requirements of the Commission's rules, at coordinates 40-
57-29 NL and 123-42-23 WL, with a site restriction of 6.7 km (4.2
miles) west of the community See SUPPLEMENTARY INFORMATION infra.
DATES: Effective April 4, 2011.
FOR FURTHER INFORMATION CONTACT: Deborah Dupont, Media Bureau, (202)
418-2180.
SUPPLEMENTARY INFORMATION: This is a synopsis of the Commission's
Report and Order, MB Docket No. 10-189, adopted February 16, 2011, and
released February 18, 2011. The full text of this Commission decision
is available for inspection and copying during normal business hours in
the FCC Information Center, Portals II, 445 12th Street, SW., Room CY-
A257, Washington, DC 20554. The complete text of this decision also may
be purchased from the Commission's duplicating contractor, Best Copy
and Printing, Inc., 445 12th Street, SW., Room CY-B402, Washington, DC
20554, (800) 378-3160, or via the company's Web site, https://www.bcpiweb.com. This document does not contain proposed information
collection requirements subject to the Paperwork Reduction Act of 1995,
Public Law 104-13. In addition, therefore, it does not contain any
proposed information collection burden ``for small business concerns
with fewer than 25 employees,'' pursuant to the Small Business
Paperwork Relief Act of 2002, Public Law 107-198, see 44 U.S.C. 3506
(c)(4). The Commission will send a copy of this Report and Order in a
report to be sent to Congress and the Government Accountability Office
pursuant to the Congressional Review Act, see U.S.C. 801(a)(1)(A).
List of Subjects in 47 CFR Part 73
Radio, Radio broadcasting.
For the reasons discussed in the preamble, the Federal
Communications Commission amends 47 CFR part 73 as follows:
PART 73--RADIO BROADCAST SERVICES
0
1. The authority citation for part 73 continues to read as follows:
Authority: 47 U.S.C. 154, 303, 334, 336.
Sec. 73.202 [Amended]
0
2. Section 73.202(b), the Table of FM Allotments under California, is
amended by adding Channel 258A at Willow Creek.
Federal Communications Commission.
Nazifa Sawez,
Assistant Chief, Audio Division, Media Bureau.
[FR Doc. 2011-5089 Filed 3-11-11; 8:45 am]
BILLING CODE 6712-01-P