Regulatory Agenda, 40052-40073 [2011-15487]
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40052
Federal Register / Vol. 76, No. 130 / Thursday, July 7, 2011 / Unified Agenda
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Office of the Secretary
21 CFR Ch. I
42 CFR Chs. I–V
45 CFR Subtitle A; Subtitle B, Chs. II,
III, and XIII
Regulatory Agenda
AGENCY:
ACTION:
Office of the Secretary, HHS.
Semiannual Regulatory Agenda.
The following Agenda
presents the results of the statutorily
required semi-annual inventory of
rulemaking actions currently under
development within the U.S.
Department of Health and Human
Services. We hope that this information
will enable interested members of the
SUMMARY:
public to more effectively participate in
the Department’s regulatory activity.
FOR FURTHER INFORMATION CONTACT:
Dawn L. Smalls, Executive Secretary,
Department of Health and Human
Services, Washington, DC 20201.
SUPPLEMENTARY INFORMATION: The
information provided in the Agenda
presents a forecast of the rulemaking
activities that the Department of Health
and Human Services (HHS) expects to
undertake in the foreseeable future.
Rulemakings are grouped according to
pre-rulemaking actions, proposed rules,
final rules, long-term actions, and
rulemaking actions completed since the
most recent Agenda was published on
December 20, 2010. Please note that the
actions included in this issue of the
Federal Register, as required by the
Regulatory Flexibility Act of 1980, relate
only to those prospective rulemakings
that are likely to have a significant
economic impact on a substantial
number of small entities.
Consistent with Executive Order
13563, the purpose of the Agenda is to
encourage more effective public
participation in the regulatory process.
HHS invites all interested members of
the public to comment on the
rulemaking actions included in this
issuance of the Agenda including
comments on whether any of these or
related rulemaking actions should be
modified, streamlined, expanded, or
repealed in order to make the agency’s
regulatory program more effective or
less burdensome in achieving regulatory
objectives. The complete Agenda is
accessible online at https://
www.reginfo.gov in an interactive format
that offers users enhanced capabilities
to obtain information from the Agenda’s
database.
Dated: April 4, 2011.
Dawn L. Smalls,
Executive Secretary, Department of Health
and Human Services.
OFFICE OF THE SECRETARY—COMPLETED ACTIONS
Regulation
Identifier No.
Sequence No.
Title
138 ....................
Modifications to the HIPAA Privacy, Security, and Enforcement Rules Under the Health Information Technology for Economic and Clinical Health Act.
0991–AB57
OFFICE OF CONSUMER INFORMATION AND INSURANCE OVERSIGHT—COMPLETED ACTIONS
Regulation
Identifier No.
Sequence No.
Title
139 ....................
Status as a Grandfathered Health Plan Under the Affordable Care Act ........................................................
0950–AA17
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION—FINAL RULE STAGE
Regulation
Identifier No.
Sequence No.
Title
140 ....................
Opioid Drugs in Maintenance or Detoxification Treatment of Opiate Addiction (SECTION 610 REVIEW) .........
0930–AA14
SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION—LONG-TERM ACTIONS
Regulation
Identifier No.
Sequence No.
Title
141 ....................
Requirements Governing the Use of Seclusion and Restraint in Certain Nonmedical Community-Based
Facilities for Children and Youth.
0930–AA10
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CENTERS FOR DISEASE CONTROL AND PREVENTION—FINAL RULE STAGE
Regulation
Identifier No.
Sequence No.
Title
142 ....................
143 ....................
Control of Communicable Diseases: Foreign and Possessions .....................................................................
Control of Communicable Diseases: Interstate ...............................................................................................
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CENTERS FOR DISEASE CONTROL AND PREVENTION—COMPLETED ACTIONS
Regulation
Identifier No.
Sequence No.
Title
144 ....................
Quality Assurance Requirements for Respirators ...........................................................................................
0920–AA04
FOOD AND DRUG ADMINISTRATION—PRERULE STAGE
Regulation
Identifier No.
Sequence No.
Title
145 ....................
Prescription Drug Marketing Act of 1987; Prescription Drug Amendments of 1992; Policies, Requirements,
and Administrative Procedures (SECTION 610 REVIEW).
Requirements for Testing Human Blood Donors for Evidence of Infection Due to Communicable Disease
Agents (SECTION 610 REVIEW).
General Requirements for Blood, Blood Components, and Blood Derivatives; Donor Notification (SECTION
610 REVIEW).
146 ....................
147 ....................
0910–AG14
0910–AG61
0910–AG62
FOOD AND DRUG ADMINISTRATION—PROPOSED RULE STAGE
Sequence No.
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
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164 ....................
165 ....................
166 ....................
167 ....................
168 ....................
Regulation
Identifier No.
Title
Electronic Submission of Data From Studies Evaluating Human Drugs and Biologics ..................................
Over-the-Counter (OTC) Drug Review—Internal Analgesic Products ............................................................
Over-the-Counter (OTC) Drug Review—Oral Health Care Products ..............................................................
Over-the-Counter (OTC) Drug Review—Sunscreen Products ........................................................................
Over-the-Counter (OTC) Drug Review—Weight Control Products .................................................................
Over-the-Counter (OTC) Drug Review—Topical Antimicrobial Drug Products ...............................................
Import Tolerances for Residues of Unapproved New Animal Drugs in Food .................................................
Laser Products; Amendment to Performance Standard ..................................................................................
Pet Food Labeling Requirements ....................................................................................................................
Current Good Manufacturing Practice in Manufacturing, Processing, Packing or Holding Animal Food .......
Over-the-Counter (OTC) Drug Review—Pediatric Dosing for Cough/Cold Products .....................................
Electronic Distribution of Content of Labeling for Human Prescription Drug and Biological Products ...........
Unique Device Identification ............................................................................................................................
Produce Safety Regulation ..............................................................................................................................
Hazard Analysis and Risk-Based Preventive Controls ....................................................................................
‘‘Tobacco Products’’ Subject to the Federal Food, Drug, and Cosmetic Act, as Amended by the Family
Smoking Prevention and Tobacco Control Act.
General Hospital and Personal Use Devices: Issuance of Draft Special Controls Guidance for Infusion
Pumps.
Food Labeling: Nutrition Labeling for Food Sold in Vending Machines ..........................................................
Food Labeling: Nutrition Labeling of Standard Menu Items in Restaurants and Similar Retail Food Establishments.
Requirements for the Testing and Reporting of Tobacco Product Constituents, Ingredients, and Additives
Further Amendments to General Regulations of the Food and Drug Administration to Incorporate Tobacco
Products.
0910–AC52
0910–AF36
0910–AF40
0910–AF43
0910–AF45
0910–AF69
0910–AF78
0910–AF87
0910–AG09
0910–AG10
0910–AG12
0910–AG18
0910–AG31
0910–AG35
0910–AG36
0910–AG38
0910–AG54
0910–AG56
0910–AG57
0910–AG59
0910–AG60
FOOD AND DRUG ADMINISTRATION—FINAL RULE STAGE
Regulation
Identifier No.
Title
169 ....................
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Infant Formula: Current Good Manufacturing Practices; Quality Control Procedures; Notification Requirements; Records and Reports; and Quality Factors.
Over-the-Counter (OTC) Drug Review—Cough/Cold (Bronchodilator) Products ...........................................
Over-the-Counter (OTC) Drug Review—Cough/Cold (Combination) Products ..............................................
Use of Materials Derived From Cattle in Human Food and Cosmetics ..........................................................
Label Requirement for Food That Has Been Refused Admission Into the United States ..............................
Cigarette Warning Label Statements ...............................................................................................................
170
171
172
173
174
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0910–AF27
0910–AF32
0910–AF33
0910–AF47
0910–AF61
0910–AG41
FOOD AND DRUG ADMINISTRATION—LONG-TERM ACTIONS
Regulation
Identifier No.
Sequence No.
Title
175 ....................
176 ....................
Postmarketing Safety Reporting Requirements for Human Drug and Biological Products ............................
Current Good Manufacturing Practice in Manufacturing, Packing, Labeling, or Holding Operations for Dietary Supplements.
Medical Gas Containers and Closures; Current Good Manufacturing Practice Requirements ......................
177 ....................
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FOOD AND DRUG ADMINISTRATION—LONG-TERM ACTIONS—Continued
Regulation
Identifier No.
Sequence No.
Title
178 ....................
Content and Format of Labeling for Human Prescription Drugs and Biologics; Requirements for Pregnancy and Lactation Labeling.
Over-the-Counter (OTC) Drug Review—Cough/Cold (Antihistamine) Products .............................................
Over-the-Counter (OTC) Drug Review—External Analgesic Products ...........................................................
Over-the-Counter (OTC) Drug Review—Laxative Drug Products ...................................................................
179 ....................
180 ....................
181 ....................
0910–AF11
0910–AF31
0910–AF35
0910–AF38
FOOD AND DRUG ADMINISTRATION—COMPLETED ACTIONS
Sequence No.
182
183
184
185
186
187
188
189
190
191
192
193
194
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Regulation
Identifier No.
Title
Over-the-Counter (OTC) Drug Review—Cough/Cold (Nasal Decongestant) Products ..................................
Over-the-Counter (OTC) Drug Review—Labeling of Drug Products for OTC Human Use ............................
Over-the-Counter (OTC) Drug Review—Ophthalmic Products .......................................................................
Over-the-Counter (OTC) Drug Review—Skin Protectant Products .................................................................
Over-the-Counter (OTC) Drug Review—Vaginal Contraceptive Products ......................................................
Over-the-Counter (OTC) Drug Review—Overindulgence in Food and Drink Products ..................................
Over-the-Counter (OTC) Drug Review—Antacid Products .............................................................................
Over-the-Counter (OTC) Drug Review—Skin Bleaching Products .................................................................
Over-the-Counter (OTC) Drug Review—Stimulant Drug Products .................................................................
Over-the-Counter (OTC) Drug Review—Antidiarrheal Drug Products ............................................................
Over-the-Counter (OTC) Drug Review—Urinary Analgesic Drug Products ....................................................
Over-the-Counter (OTC) Drug Review—Certain Category II Active Ingredients ............................................
Food Labeling: Safe Handling Statements, Labeling of Shell Eggs; Refrigeration of Shell Eggs Held for
Retail Distribution (SECTION 610 REVIEW).
0910–AF34
0910–AF37
0910–AF39
0910–AF42
0910–AF44
0910–AF51
0910–AF52
0910–AF53
0910–AF56
0910–AF63
0910–AF70
0910–AF95
0910–AG06
CENTERS FOR MEDICARE & MEDICAID SERVICES—PRERULE STAGE
Regulation
Identifier No.
Sequence No.
Title
195 ....................
Five Year Review of Work Relative Value Units Under the Physician Fee Schedule (CMS–1582–PN) .......
0938–AQ87
CENTERS FOR MEDICARE & MEDICAID SERVICES—PROPOSED RULE STAGE
Regulation
Identifier No.
Sequence No.
Title
196 ....................
197 ....................
198 ....................
Home Health Agency (HHA) Conditions of Participation (CoPs) (CMS–3819–P) (SECTION 610 REVIEW) .....
Influenza Vaccination Standard for Certain Medicare Participating Providers and Suppliers (CMS–3213–P)
Hospital Conditions of Participation: Requirements for Hospital Inpatient Psychiatric and Rehabilitation
Units Excluded From the Prospective Payment System and LTCH Requirements (CMS–3177–P).
Proposed Changes to the Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and
FY 2012 Rates and to the Long-Term Care Hospital PPS and FY 2012 Rates (CMS–1518–P).
Changes to the Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System for CY 2012 (CMS–1525–P).
Changes to the ESRD Prospective Payment System for CY 2012 & Quality Incentives Program for CY
2013 (CMS–1577–P).
Medicaid Program Integrity: Registration of Billing Agents, Clearing Houses, or Other Alternate Payees
(CMS–2365–P).
Medicaid Eligibility Expansion Under the Affordable Care Act of 2010 (CMS–2349–P) ................................
Payments for Primary Care Services Under the Medicaid Program (CMS–2370–P) .....................................
Medicare and Medicaid Electronic Health Record Incentive Program—Stage 2 (CMS–0044–P) ..................
199 ....................
200 ....................
201 ....................
202 ....................
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203 ....................
204 ....................
205 ....................
0938–AG81
0938–AP92
0938–AP97
0938–AQ24
0938–AQ26
0938–AQ27
0938–AQ61
0938–AQ62
0938–AQ63
0938–AQ84
CENTERS FOR MEDICARE & MEDICAID SERVICES—FINAL RULE STAGE
Regulation
Identifier No.
Sequence No.
Title
206 ....................
Enhanced Federal Funding for Medicaid Eligibility Determination and Enrollment Activities (CMS–2346–F)
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40055
CENTERS FOR MEDICARE & MEDICAID SERVICES—LONG-TERM ACTIONS
Regulation
Identifier No.
Sequence No.
Title
207 ....................
Requirements for Long-Term Care Facilities: Hospice Services (CMS–3140–F) (SECTION 610 REVIEW) ......
0938–AP32
CENTERS FOR MEDICARE & MEDICAID SERVICES—COMPLETED ACTIONS
Regulation
Identifier No.
Sequence No.
Title
208 ....................
Amendment to Payment Policies Under the Physician Fee Schedule and Part B for CY 2011 (CMS–
1503–F2).
Changes to the Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System for CY 2011 (CMS–1504–FC).
Section 508 Hospitals—Medicare and Medicaid Extenders Act of 2010 Changes (CMS–1357–N) ..............
209 ....................
210 ....................
DEPARTMENT OF HEALTH AND
HUMAN SERVICES (HHS)
DEPARTMENT OF HEALTH AND
HUMAN SERVICES (HHS)
Office of the Secretary (OS)
Office of Consumer Information and
Insurance Oversight (OCIIO)
Completed Actions
138. Modifications to the HIPAA
Privacy, Security, and Enforcement
Rules Under the Health Information
Technology for Economic and Clinical
Health Act
Legal Authority: Pub. L. 111–5, secs
13400 to 13410
Abstract: The Department of Health
and Human Services, Office for Civil
Rights, will issue rules to modify the
HIPAA Privacy, Security, and
Enforcement Rules as necessary to
implement the privacy, security, and
certain enforcement provisions of
subtitle D of the Health Information
Technology for Economic and Clinical
Health Act (title XIII of the American
Recovery and Reinvestment Act of
2009).
Timetable:
Date
FR Cite
NPRM ..................
NPRM Comment
Period End.
Merged With
0991–AB80.
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Action
07/14/10
09/13/10
Completed Actions
139. Status as a Grandfathered Health
Plan Under the Affordable Care Act
Legal Authority: Pub. L. 111–148
Abstract: The Affordable Care Act
protects the ability of individuals and
businesses to keep their current plan
while providing important consumer
protections. The new regulation also
provides stability and flexibility to
insurers and businesses that offer health
insurance coverage as the nation
transitions to a more competitive
marketplace. In 2014, businesses and
consumers will have more affordable
choices through exchanges. This rule
would finalize the requirements for
group health plans and health insurance
coverage in the group and individual
markets and respond to any comments
as the result of the interim final rule
implementing this provision.
Timetable:
75 FR 40867
03/02/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Andra Wicks,
Privacy Specialist, Office of Civil Rights,
Department of Health and Human
Services, 200 Independence Avenue,
SW., Washington, DC 20201, Phone: 202
205–2292, Fax: 202 205–4786, E-mail:
andra.wicks@hhs.gov.
RIN: 0991–AB57
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Action
Date
FR Cite
Interim Final Rule
Interim Final Rule
Effective.
Interim Final Rule
Comment Period End.
Merged With
0938–AQ80.
06/17/10
07/12/10
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0938–AQ97
DEPARTMENT OF HEALTH AND
HUMAN SERVICES (HHS)
Substance Abuse and Mental Health
Services Administration (SAMHSA)
Final Rule Stage
140. Opioid Drugs in Maintenance or
Detoxification Treatment of Opiate
Addiction (Section 610 Review)
Legal Authority: 21 U.S.C. 823 (9); 42
U.S.C. 257a; 42 U.S.C. 290aa(d); 42
U.S.C. 290dd–2; 42 U.S.C. 300xx–23; 42
U.S.C. 300x–27(a); 42 U.S.C. 300y–11
Abstract: This rule will amend the
Federal opioid treatment program
regulations. It will modify the
dispensing requirements for
buprenorphine and buprenorphine
combination products that are approved
by the Food and Drug Administration
(FDA) for opioid dependence and used
in federally certified and registered
opioid treatment programs.
Timetable:
Action
Date
FR Cite
NPRM ..................
NPRM Comment
Period End.
Final Action .........
08/16/10
06/19/09
08/18/09
74 FR 29153
12/00/11
02/11/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: James Mayhew,
Director, Division of Market Rules
Compliance Office, Department of
Health and Human Services, Office of
Consumer Information and Insurance
Oversight, Mail Stop C2–12016, 7500
Security Boulevard, Baltimore, MD
Frm 00005
0938–AP82
21244, Phone: 410 786–9244, E-mail:
james.mayhew@cms.hhs.gov.
RIN: 0950–AA17
75 FR 34538
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Regulatory Flexibility Analysis
Required: No.
Agency Contact: Nicholas Reuter,
Department of Health and Human
Services, Substance Abuse and Mental
Health Services Administration, Suite
2–1063, One Choke Cherry Road,
Rockville, MD 20857, Phone: 240 276–
2716, E-mail:
nicholas.reuter@samhsa.hhs.gov.
RIN: 0930–AA14
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Federal Register / Vol. 76, No. 130 / Thursday, July 7, 2011 / Unified Agenda
DEPARTMENT OF HEALTH AND
HUMAN SERVICES (HHS)
Substance Abuse and Mental Health
Services Administration (SAMHSA)
Long-Term Actions
141. Requirements Governing the Use
of Seclusion and Restraint in Certain
Nonmedical Community-Based
Facilities for Children and Youth
Legal Authority: Pub. L. 106–310,
42 U.S.C. 290jj to 290jj–2
Abstract: The Secretary is required by
statute to publish regulations governing
States that license nonmedical,
community-based residential facilities
for children and youth. The regulation
requires States to develop licensing
rules and monitoring requirements
concerning behavior management
practice that will ensure compliance;
requires States to develop and
implement such licensing rules and
implementation requirements within
one year; and ensures that States require
such facilities to have adequate staff,
and that the States provide training for
professional staff.
Timetable:
Action
Date
NPRM ..................
FR Cite
To Be Determined
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Paolo Del Vecchio,
Associate Director for Consumer Affairs,
Department of Health and Human
Services, Substance Abuse and Mental
Health Services Administration, Room
13–103, Parklawn Building, 5600
Fishers Lane, Rockville, MD 20857,
Phone: 301 443–2619, E-mail:
paolo.delvecchio@samhsa.hhs.gov.
RIN: 0930–AA10
DEPARTMENT OF HEALTH AND
HUMAN SERVICES (HHS)
Centers for Disease Control and
Prevention (CDC)
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Final Rule Stage
142. Control of Communicable Diseases:
Foreign and Possessions
Legal Authority: 42 U.S.C. 243; 42
U.S.C. 264 and 265; 42 U.S.C. 267 and
268; 42 U.S.C. 270 and 271
Abstract: By statute, the Secretary of
Health and Human Services has broad
authority to prevent introduction,
transmission, and spread of
communicable diseases from foreign
countries into the United States and
from one State or possession into
another. Communicable disease
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regulations are divided into two parts:
Part 71 pertaining to foreign arrivals and
part 70 pertaining to interstate matters.
This rule (42 CFR Part 71) will update
and improve CDC’s response to both
global and domestic disease threats by
creating a multi-tiered illness detection
and response process thus substantially
enhancing the public health system’s
ability to slow the introduction,
transmission, and spread of
communicable disease. The final rule
focuses primarily on requirements
relating to the reporting of deaths and
illnesses onboard aircrafts and ships,
and the collection of specific traveler
contact information for the purpose of
CDC contacting travelers in the event of
an exposure to a communicable disease.
Timetable:
Action
Date
FR Cite
NPRM ..................
NPRM Comment
Period End.
Final Action .........
11/30/05
01/20/06
and the collection of specific traveler
contact information for the purpose of
CDC contacting travelers in the event of
an exposure to a communicable disease.
Timetable:
Action
Date
FR Cite
NPRM ..................
NPRM Comment
Period End.
Final Action .........
11/30/05
01/30/06
70 FR 71892
09/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Stacy Howard,
Health Scientist, Department of Health
and Human Services, Centers for
Disease Control and Prevention, MS E–
03, 1600 Clifton Road NE., Atlanta, GA
30329, Phone: 404 498–1600, E-mail:
showard@cdc.gov.
RIN: 0920–AA22
70 FR 71892
DEPARTMENT OF HEALTH AND
HUMAN SERVICES (HHS)
09/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Stacy Howard,
Health Scientist, Department of Health
and Human Services, Centers for
Disease Control and Prevention, MS E–
03, 1600 Clifton Road, NE., Atlanta, GA
30329, Phone: 404 498–1600, E-mail:
showard@cdc.gov.
RIN: 0920–AA12
143. Control of Communicable Diseases:
Interstate
Legal Authority: 28 U.S.C. 198; 28
U.S.C. 231; 25 U.S.C. 1661; 42 U.S.C.
243; 42 U.S.C. 248 and 249; 42 U.S.C.
264; 42 U.S.C. 266 to 268; 42 U.S.C. 270
to 272; 42 U.S.C. 2001
Abstract: By statute, the Secretary of
Health and Human Services has broad
authority to prevent introduction,
transmission, and spread of
communicable diseases from foreign
countries into the United States and
from one State or possession into
another. Communicable disease
regulations are divided into two parts:
Part 71 pertaining to foreign arrivals and
part 70 pertaining to interstate matters.
This rule (42 CFR Part 70) will update
and improve CDC’s response to both
global and domestic disease threats by
creating a multi-tiered illness detection
and response process thus substantially
enhancing the public health system’s
ability to slow the introduction,
transmission, and spread of
communicable disease. The proposed
final rule focuses primarily on
requirements relating to the reporting of
deaths and illnesses onboard aircrafts,
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Centers for Disease Control and
Prevention (CDC)
Completed Actions
144. Quality Assurance Requirements
for Respirators
Legal Authority: 29 U.S.C. 651 et seq.;
30 U.S.C. 3; 30 U.S.C. 5; 30 U.S.C. 7; 30
U.S.C. 811; 30 U.S.C. 842(h); 30 U.S.C.
844
Abstract: NIOSH plans to modify the
Administrative/Quality Assurance
sections of 42 CFR part 84, Approval of
Respiratory Protective Devices. Areas
for potential modification in this
module are: (1) Upgrade of quality
assurance requirements; (2) ability to
use private sector quality auditors and
private sector testing laboratories in the
approval program; and (3) revised
approval label requirements.
Timetable:
Action
Date
FR Cite
NPRM ..................
NPRM Comment
Period End.
NPRM Comment
Period Reopened.
NPRM Comment
Period Reopened End.
NPRM Comment
Period Reopening Extended.
NPRM Comment
Period End.
Withdrawn ...........
12/10/08
02/09/09
73 FR 75045
03/04/09
74 FR 9381
04/10/09
05/21/09
74 FR 23815
10/09/09
05/01/11
Regulatory Flexibility Analysis
Required: Yes.
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Federal Register / Vol. 76, No. 130 / Thursday, July 7, 2011 / Unified Agenda
Agency Contact: William E.
Newcomb, Physical Scientist,
Department of Health and Human
Services, Centers for Disease Control
and Prevention, PO Box 18070, 626
Cochran Mill Road, Pittsburgh, PA
15236, Phone: 412 386–5200, E-mail:
wnewcomb@cdc.gov.
RIN: 0920–AA04
DEPARTMENT OF HEALTH AND
HUMAN SERVICES (HHS)
Food and Drug Administration (FDA)
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Prerule Stage
145. Prescription Drug Marketing Act of
1987; Prescription Drug Amendments of
1992; Policies, Requirements, and
Administrative Procedures (Section 610
Review)
Legal Authority: 21 U.S.C. 331; 21
U.S.C. 333; 21 U.S.C. 351; 21 U.S.C. 352;
21 U.S.C. 353; 21 U.S.C. 360; 21 U.S.C.
371; 21 U.S.C. 374; 21 U.S.C. 381
Abstract: Pursuant to section 610 of
the Regulatory Flexibility Act, FDA is
currently undertaking a review of
regulations promulgated under the
Prescription Drug Marketing Act
(PDMA) including those contained in 21
CFR part 203 and 21 CFR 205.3 and
205.50 (as amended in 64 FR 67762 and
67763). The purpose of this review is to
determine whether the regulations in 21
CFR part 203 and 21 CFR 205.3 and
205.50 (as amended in 64 FR 67762 and
67763) should be continued without
change, or whether they should be
amended or rescinded, consistent with
the stated objectives of applicable
statues, to minimize adverse impacts on
a substantial number of small entities.
FDA solicited comments on the
following: (1) The continued need for
the regulations in 21 CFR part 203 and
21 CFR 205.3 and 205.50 (as amended
in 64 FR 67762 and 67763); (2) the
nature of complaints or comments
received from the public concerning the
regulations in 21 CFR part 203 and 21
CFR 205.3 and 205.50 (as amended in
64 FR 67762 and 67763); (3) the
complexity of the regulations in 21 CFR
part 203 and 21 CFR 205.3 and 205.50
(as amended in 64 FR 67762 and 67763);
(4) the extent to which the regulations
in 21 CFR part 203 and 21 CFR 205.3
and 205.50 (as amended in 64 FR 67762
and 67763) overlap, duplicate, or
conflict with other Federal rules, and to
the extent feasible, with State and local
governmental rules; and (5) the degree
to which technology, economic
conditions, or other factors have
changed in the area affected by the
regulations in 21 CFR part 203 and 21
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CFR 205.3 and 205.50 (as amended in
64 FR 67762 and 67763).
FDA received one comment on this
review; and FDA notes that portions of
the PDMA have been stayed in
connection with RxUSA Wholesale,
Inc., v. HHS, 467 F. Supp.2d 285
(E.D.N.Y. 2006), aff’d, 2008 U.S. App.
LEXIS 14661 (2d Cir. 2008); and that the
litigation itself has been
administratively closed (with either
party having the right to reopen)
through June 30, 2011. FDA is certifying
that it is not feasible for the agency to
complete its review by December 4,
2010, and therefore is extending the
completion date by one year.
Timetable:
Action
Date
Begin Review of
Current Regulation.
End Review of
Current Regulation.
FR Cite
11/24/08
12/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Howard Muller,
Office of Regulatory Policy, Department
of Health and Human Services, Food
and Drug Administration, Center for
Drug Evaluation and Research, WO 51,
Room 6234, 10903 New Hampshire
Avenue, Silver Spring, MD 20993–0002,
Phone: 301 796–3601, Fax: 301 847–
8440, E-mail:
pdma610(c)review@fda.hhs.gov.
RIN: 0910–AG14
146. • Requirements for Testing Human
Blood Donors for Evidence of Infection
Due to Communicable Disease Agents
(Section 610 Review)
Legal Authority: 21 U.S.C. 321; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360; 21 U.S.C.
360c and 360d; 21 U.S.C. 360h and 360i;
21 U.S.C. 371 and 372; 21 U.S.C. 374;
21 U.S.C. 381; 42 U.S.C. 216; 42 U.S.C.
262 to 264; 42 U.S.C. 263; 42 U.S.C.
263a; 42 U.S.C. 264
Abstract: FDA is undertaking a review
of 21 CFR 610.40, 610.41, 610.42,
610.44, 640.67, 640.70, (as amended in
66 FR 31146) under section 610 of the
Regulatory Flexibility Act. The purpose
of this review is to determine whether
the regulations in 21 CFR 610.40,
610.41, 610.42, 610.44, 640.67, 640.70
(as amended in 66 FR 31146) should be
continued without change, or whether
they should be amended or rescinded,
consistent with the stated objectives of
applicable statutes, to minimize adverse
impacts on a substantial number of
small entities. FDA will consider, and is
soliciting comments on, the following:
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(1) The continued need for the rule; (2)
the nature of complaints or comments
received concerning the rule from the
public; (3) the complexity of the rule; (4)
the extent to which the rule overlaps,
duplicates, or conflicts with other
Federal rules, and, to the extent feasible,
with State and local governmental rules;
and (5) the length of time since the rule
has been evaluated or the degree to
which technology, economic conditions,
or other factors have changed in the area
affected by the rule.
Timetable:
Action
Date
Begin Review of
Current Regulation.
End Review of
Current Regulation.
FR Cite
06/00/11
12/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Melissa Reisman,
Regulatory Counsel, Department of
Health and Human Services, Food and
Drug Administration, Center for
Biologics Evaluation and Research,
Suite 200N (HFM–17), 1401 Rockville
Pike, Rockville, MD 20852, Phone: 301
827–6210.
RIN: 0910–AG61
147. • General Requirements for Blood,
Blood Components, and Blood
Derivatives; Donor Notification (Section
610 Review)
Legal Authority: 21 U.S.C. 321; 21
U.S.C. 331; 21 U.S.C. 351 and 352; 21
U.S.C. 355; 21 U.S.C. 360 and 360j; 21
U.S.C. 371; 21 U.S.C. 374; 42 U.S.C. 216;
42 U.S.C. 262; 42 U.S.C. 263a; 42 U.S.C.
264; et seq.
Abstract: FDA is undertaking a review
of 21 CFR 606.100(b), 606.160(b) and
630.6 (as amended in 66 FR 31165)
under section 610 of the Regulatory
Flexibility Act. The purpose of this
review is to determine whether the
regulations in 21 CFR 606.100(b),
606.160(b) and 630.6 (as amended in 66
FR 31165) should be continued without
change, or whether they should be
amended or rescinded, consistent with
the stated objectives of applicable
statutes, to minimize adverse impacts
on a substantial number of small
entities. FDA will consider, and is
soliciting comments on, the following:
(1) The continued need for the rule; (2)
the nature of complaints or comments
received concerning the rule from the
public; (3) the complexity of the rule; (4)
the extent to which the rule overlaps,
duplicates, or conflicts with other
Federal rules, and, to the extent feasible,
with State and local governmental rules;
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and (5) the length of time since the rule
has been evaluated or the degree to
which technology, economic conditions,
or other factors have changed in the area
affected by the rule.
Timetable:
Action
Date
Begin Review ......
End Review .........
FR Cite
06/00/11
12/00/11
Regulatory Flexibility Analysis
Required: No.
Agency Contact: Melissa Reisman,
Regulatory Counsel, Department of
Health and Human Services, Food and
Drug Administration, Center for
Biologics Evaluation and Research,
Suite 200N (HFM–17), 1401 Rockville
Pike, Rockville, MD 20852, Phone: 301
827–6210.
RIN: 0910–AG62
DEPARTMENT OF HEALTH AND
HUMAN SERVICES (HHS)
Food and Drug Administration (FDA)
Proposed Rule Stage
148. Electronic Submission of Data
From Studies Evaluating Human Drugs
and Biologics
Legal Authority: 21 U.S.C. 355; 21
U.S.C. 371; 42 U.S.C. 262
Abstract: The Food and Drug
Administration is proposing to amend
the regulations governing the format in
which clinical study data and
bioequivalence data are required to be
submitted for new drug applications
(NDAs), biological license applications
(BLAs), and abbreviated new drug
applications (ANDAs). The proposal
would revise our regulations to require
that data submitted for NDAs, BLAs,
and ANDAs, and their supplements and
amendments, be provided in an
electronic format that FDA can process,
review, and archive.
Timetable:
Date
NPRM ..................
wwoods2 on DSK1DXX6B1PROD with PROPOSALS-PART 2
Action
FR Cite
03/00/12
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Martha Nguyen,
Regulatory Counsel, Department of
Health and Human Services, Food and
Drug Administration, Center for Drug
Evaluation and Research, WO 51, Room
6352, 10903 New Hampshire Avenue,
Silver Spring, MD 20993–0002, Phone:
301 796–3471, Fax: 301 847–8440, Email: martha.nguyen@fda.hhs.gov.
RIN: 0910–AC52
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149. Over-the-Counter (OTC) Drug
Review—Internal Analgesic Products
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371;
21 U.S.C. 374; 21 U.S.C. 379e
Abstract: The OTC drug review
establishes conditions under which
OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. The first action addresses
products labeled to relieve upset
stomach associated with overindulgence
in food and drink and to relieve
symptoms associated with a hangover.
The second action addresses
acetaminophen safety. The third action
addresses products marketed for
children under 2 years old and weightand age-based dosing for children’s
products. The fourth action addresses
combination products containing the
analgesic acetaminophen or aspirin and
sodium bicarbonate used as an antacid
ingredient. The last document finalizes
the internal analgesic products
monograph.
Timetable:
Action
Date
FR Cite
NPRM (Amendment) (Required
Warnings and
Other Labeling).
NPRM Comment
Period End.
Final Action (Required Warnings and Other
Labeling).
Final Action (Correction).
Final Action
(Technical
Amendment).
NPRM (Acetaminophen).
12/26/06
71 FR 77314
NPRM (Amendment) (Pediatric).
NPRM (Amendment) (Sodium
Bicarbonate).
NPRM (Overindulgence/Hangover).
Final Action (Internal Analgesics).
05/25/07
04/29/09
74 FR 19385
06/30/09
74 FR 31177
11/25/09
74 FR 61512
04/00/12
To Be Determined
To Be Determined
To Be Determined
To Be Determined
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Mary Chung,
Department of Health and Human
Services, Food and Drug
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Administration, Center for Drug
Evaluation and Research, WO 22, Room
5488, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–0260, Fax: 301 796–9899, E-mail:
mary.chung@fda.hhs.gov.
RIN: 0910–AF36
150. Over-the-Counter (OTC) Drug
Review—Oral Health Care Products
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360 to 360a; 21
U.S.C. 371 to 371a
Abstract: The OTC drug review
establishes conditions under which
OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. The NPRM and final action
will address oral health care products
used to reduce or prevent dental plaque
and gingivitis.
Timetable:
Action
Date
FR Cite
ANPRM (Plaque
Gingivitis).
ANPRM Comment
Period End.
NPRM (Benzocaine).
05/29/03
68 FR 32232
NPRM (Plaque
Gingivitis).
Final Action .........
08/27/03
12/00/11
To Be Determined
To Be Determined
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: David Eng,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5487, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–2773, Fax: 301 796–9899, E-mail:
david.eng@fda.hhs.gov.
RIN: 0910–AF40
151. Over-the-Counter (OTC) Drug
Review—Sunscreen Products
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
Abstract: The OTC drug review
establishes conditions under which
OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. The first action finalizes
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sunscreen labeling and testing
requirements for both ultraviolet B and
ultraviolet A radiation protection. The
second action addresses other safety and
effectiveness issues for OTC sunscreen
drug products. The third action
addresses active ingredients reviewed
under Time and Extent Applications.
The fourth action addresses the safety of
sunscreen products. The last action
addresses combination products
containing sunscreen and insect
repellent ingredients.
Timetable:
Action
Date
FR Cite
ANPRM (Sunscreen and Insect Repellent).
ANPRM Comment
Period End.
NPRM (UVA/
UVB).
NPRM Comment
Period End.
Final Action (UVA/
UVB).
NPRM (Safety
and Effectiveness).
NPRM (Time and
Extent Applications).
ANPRM (Safety)
02/22/07
72 FR 7941
NPRM (Sunscreen and Insect Repellent).
05/23/07
08/27/07
12/26/07
08/00/11
08/00/11
04/00/12
06/00/12
To Be Determined
wwoods2 on DSK1DXX6B1PROD with PROPOSALS-PART 2
152. Over-the-Counter (OTC) Drug
Review—Weight Control Products
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
Abstract: The OTC drug review
establishes conditions under which
OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. The NPRM addresses the use
of benzocaine for weight control. The
first final action finalizes the 2005
proposed rule for weight control
14:12 Jul 06, 2011
Action
Date
FR Cite
NPRM (Phenylpropanolamine).
NPRM Comment
Period End.
NPRM (Benzocaine).
NPRM Comment
Period End.
12/22/05
70 FR 75988
Final Action
(Phenylpropanolamine).
Final Action (Benzocaine).
03/22/06
03/09/11
76 FR 12916
06/07/11
To Be Determined
To Be Determined
72 FR 49070
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: David Eng,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5487, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–2773, Fax: 301 796–9899, E-mail:
david.eng@fda.hhs.gov.
RIN: 0910–AF43
VerDate Mar<15>2010
products containing
phenylpropanolamine. The second final
action will finalize the proposed rule for
weight control products containing
benzocaine.
Timetable:
Jkt 223001
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: David Eng,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5487, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–2773, Fax: 301 796–9899, E-mail:
david.eng@fda.hhs.gov.
RIN: 0910–AF45
153. Over-the-Counter (OTC) Drug
Review—Topical Antimicrobial Drug
Products
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
Abstract: The OTC drug review
establishes conditions under which
OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. The first action addresses
consumer products. The second action
addresses testing requirements.
Timetable:
Action
Date
FR Cite
NPRM
(Healthcare).
Comment Period
End.
NPRM (Consumer).
06/17/94
59 FR 31402
NPRM (Food
Handlers).
NPRM (Testing) ..
Final Action (Consumer).
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01/00/12
To Be Determined
To Be Determined
To Be Determined
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Action
Final Action (Testing).
Final Action (Food
Handlers).
Final Action (First
Aid Antiseptic).
Date
FR Cite
To Be Determined
To Be Determined
To Be Determined
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: David Eng,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5487, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–2773, Fax: 301 796–9899, E-mail:
david.eng@fda.hhs.gov.
RIN: 0910–AF69
154. Import Tolerances for Residues of
Unapproved New Animal Drugs in
Food
Legal Authority: 21 U.S.C. 342; 21
U.S.C. 360b(a)(6); 21 U.S.C. 371
Abstract: The Food and Drug
Administration (FDA) plans to publish
a proposed rule related to the
implementation of the import tolerances
provision of the Animal Drug
Availability Act of 1996 (ADAA). The
ADAA authorizes FDA to establish
tolerances for unapproved new animal
drugs where edible portions of animals
imported into the United States may
contain residues of such drugs (import
tolerances). It is unlawful to import
animal-derived food that bears or
contains residues of a new animal drug
that is not approved in the United
States, unless FDA has established an
import tolerance for that new animal
drug and the residue of the new animal
drug in the animal-derived food does
not exceed that tolerance.
Timetable:
Action
Date
NPRM ..................
NPRM Comment
Period End.
FR Cite
09/00/11
12/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Thomas Moskal,
Consumer Safety Officer, Department of
Health and Human Services, Food and
Drug Administration, Center for
Veterinary Medicine, Room 101, (MPN–
4, HFV–232), 7519 Standish Place,
Rockville, MD 20855, Phone: 240 276–
9242, Fax: 240 276–9241, E-mail:
thomas.moskal@fda.hhs.gov.
RIN: 0910–AF78
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155. Laser Products; Amendment to
Performance Standard
Legal Authority: 21 U.S.C. 360hh to
360ss; 21 U.S.C. 371; 21 U.S.C. 393
Abstract: FDA is proposing to amend
the performance standard for laser
products to achieve closer
harmonization between the current
standard and the International
Electrotechnical Commission (IEC)
standard for laser products and medical
laser products. The proposed
amendment is intended to update FDA’s
performance standard to reflect
advancements in technology. The
proposal would adopt portions of an IEC
standard to achieve greater
harmonization and reflect current
science. In addition, the proposal would
include an alternative mechanism for
providing certification and
identification, address novelty laser
products, and clarify the military
exemption for laser products.
Timetable:
Action
Date
NPRM ..................
FR Cite
11/00/11
wwoods2 on DSK1DXX6B1PROD with PROPOSALS-PART 2
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Nancy Pirt,
Regulatory Counsel, Department of
Health and Human Services, Food and
Drug Administration, Center for Devices
and Radiological Health, WO 66, Room
4438, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–6248, Fax: 301 847–8145, E-mail:
nancy.pirt@fda.hhs.gov.
RIN: 0910–AF87
156. Pet Food Labeling Requirements
Legal Authority: 21 U.S.C. 343; 21
U.S.C. 371; Pub. L. 110–85, sec
1002(a)(3)
Abstract: The President signed into
law the Food and Drug Administration
Amendments Act of 2007 (FDAAA) on
September 27, 2007 (Pub. L. 110–85).
Title X of the FDAAA includes several
provisions pertaining to food safety,
including the safety of pet food. Section
1002(a)(3) of the new law directs FDA
to issue new regulations to establish
updated standards for the labeling of pet
food that include nutritional and
ingredient information. This same
provision of the law also directs that, in
developing these new regulations, FDA
consult with the Association of
American Feed Control Officials and
other relevant stakeholder groups,
including veterinary medical
associations, animal health
organizations, and pet food
manufacturers.
Timetable:
VerDate Mar<15>2010
14:12 Jul 06, 2011
Jkt 223001
Action
Date
NPRM ..................
NPRM Comment
Period End.
FR Cite
03/00/12
06/00/12
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: William Burkholder,
Veterinary Medical Officer, Department
of Health and Human Services, Food
and Drug Administration, Center for
Veterinary Medicine, Room 2642 (MPN–
4, HFV–228), 7519 Standish Place,
Rockville, MD 20855, Phone: 240 453–
6865, E-mail:
william.burkholder@fda.hhs.gov.
RIN: 0910–AG09
157. Current Good Manufacturing
Practice in Manufacturing, Processing,
Packing or Holding Animal Food
Legal Authority: 21 U.S.C. 342; 21
U.S.C. 350e; 21 U.S.C. 371; 21 U.S.C.
374; 42 U.S.C. 264; Pub. L. 110–85, sec
1002(a)(2); Pub. L. 111–353
Abstract: The Food and Drug
Administration (FDA) is proposing
regulations for preventive controls for
animal feed ingredients and mixed
animal feed to provide greater assurance
that marketed animal feed ingredients
and mixed feeds intended for all
animals, including pets, are safe. This
action is being taken as part of the
FDA’s Animal Feed Safety System
initiative. This action is also being taken
to carry out the requirements of the
Food and Drug Administration
Amendments Act of 2007, under section
1002(a), and the Food Safety
Modernization Act of 2010, under
section 103.
Timetable:
Action
Date
NPRM ..................
FR Cite
09/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Kim Young, Deputy
Director, Division of Compliance,
Department of Health and Human
Services, Food and Drug
Administration, Center for Veterinary
Medicine, Room 106 (MPN–4, HFV–
230), 7519 Standish Place, Rockville,
MD 20855, Phone: 240 276–9207,
E-mail: kim.young@fda.hhs.gov.
RIN: 0910–AG10
158. Over-the-Counter (OTC) Drug
Review—Pediatric Dosing for Cough/
Cold Products
Legal Authority: 21 U.S.C. 331; 21
U.S.C. 351 to 353; 21 U.S.C. 355; 21
U.S.C. 360; 21 U.S.C. 371
Abstract: The OTC drug review
establishes conditions under which
PO 00000
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Fmt 4701
Sfmt 4702
OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. This action will propose
changes to the final monograph to
address safety and efficacy issues
associated with pediatric cough and
cold products.
Timetable:
Action
Date
NPRM ..................
FR Cite
12/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Mary Chung,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5488, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–0260, Fax: 301 796–9899, E-mail:
mary.chung@fda.hhs.gov.
RIN: 0910–AG12
159. Electronic Distribution of Content
of Labeling for Human Prescription
Drug and Biological Products
Legal Authority: 21 U.S.C. 321; 21
U.S.C. 331; 21 U.S.C. 351; 21 U.S.C. 352;
21 U.S.C. 353; 21 U.S.C. 355; 21 U.S.C.
358; 21 U.S.C. 360; 21 U.S.C. 360b; 21
U.S.C. 360gg to 360ss; 21 U.S.C. 371; 21
U.S.C. 374; 21 U.S.C. 379e; 42 U.S.C.
216; 42 U.S.C. 241; 42 U.S.C. 262; 42
U.S.C. 264
Abstract: This rule would require
electronic package inserts for human
drug and biological prescription
products, in lieu of paper, which is
currently used. These inserts contain
prescribing information intended for
healthcare practitioners. This would
ensure that the information
accompanying the product is the most
up-to-date information regarding
important safety and efficacy issues
about these products.
Timetable:
Action
Date
NPRM ..................
FR Cite
10/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Lisa Dwyer, Senior
Advisor for Pharmacy Affairs,
Department of Health and Human
Services, Food and Drug
Administration, Office of Policy, WO
32, Room 4253, 10903 New Hampshire
Avenue, Silver Spring, MD 20993,
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Phone: 301 796–4709, E-mail:
lisa.dwyer@fda.hhs.gov.
RIN: 0910–AG18
160. Unique Device Identification
Legal Authority: Not Yet Determined
Abstract: The Food and Drug
Administration Amendments Act of
2007 (FDAAA), amended the Federal
Food, Drug, and Cosmetic Act by adding
section 519(f) (21 U.S.C. 360i(f)). This
section requires FDA to promulgate
regulations establishing a unique
identification system for medical
devices requiring the label of medical
devices to bear a unique identifier,
unless FDA specifies an alternative
placement or provides for exceptions.
The unique identifier must adequately
identify the device through distribution
and use, and may include information
on the lot or serial number.
Timetable:
Action
Date
NPRM ..................
FR Cite
09/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: John J. Crowley,
Senior Advisor for Patient Safety,
Department of Health and Human
Services, Food and Drug
Administration, Center for Devices and
Radiological Health, WO 66, Room
2315, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
980–1936, E-mail:
jay.crowley@fda.hhs.gov.
RIN: 0910–AG31
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161. Produce Safety Regulation
Legal Authority: 21 U.S.C. 342; 21
U.S.C. 371; 42 U.S.C. 264; Pub. L. 111–
353 (signed on January 4, 2011)
Abstract: The Food Safety
Modernization Act requires the
Secretary to establish and publish
science-based minimum standards for
the safe production and harvesting of
those types of fruits and vegetables,
including specific mixes or categories of
fruits and vegetables, that are raw
agricultural commodities for which the
Secretary has determined that such
standards minimize the risk of serious
adverse health consequences or death.
FDA is proposing to promulgate
regulations setting enforceable
standards for fresh produce safety at the
farm and packing house. The purpose of
the proposed rule is to reduce the risk
of illness associated with contaminated
fresh produce. The proposed rule will
be based on prevention-oriented public
health principles and incorporate what
we have learned in the past decade
since the agency issued general good
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agricultural practice guidelines entitled
‘‘Guide to Minimize Microbial Food
Safety Hazards for Fresh Fruits and
Vegetables’’ (GAPs Guide). The
proposed rule also will reflect
comments received on the agency’s
1998 update of its GAPs guide and its
July 2009 draft commodity specific
guidances for tomatoes, leafy greens,
and melons. Although the proposed rule
will be based on recommendations that
are included in the GAPs guide, FDA
does not intend to make the entire
guidance mandatory. FDA’s proposed
rule would, however, set out clear
standards for implementation of modern
preventive controls. The proposed rule
also would emphasize the importance of
environmental assessments to identify
hazards and possible pathways of
contamination and provide examples of
risk reduction practices recognizing that
operators must tailor their preventive
controls to particular hazards and
conditions affecting their operations.
The requirements of the proposed rule
would be scale appropriate and
commensurate with the relative risks
and complexity of individual
operations. FDA intends to issue
guidance to assist industry in complying
with the requirements of the new
regulation.
Timetable:
Action
Date
NPRM ..................
FR Cite
01/00/12
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Samir Assar,
Supervisory Consumer Safety Officer,
Department of Health and Human
Services, Food and Drug
Administration, Center for Food Safety
and Applied Nutrition, Office of Food
Safety, 5100 Paint Branch Parkway,
College Park, MD 20740, Phone: 301
436–1636, E-mail:
samir.assar@fda.hhs.gov.
RIN: 0910–AG35
162. Hazard Analysis and Risk-Based
Preventive Controls
Legal Authority: 21 U.S.C. 342; 21
U.S.C. 371; 42 U.S.C. 264; Pub. L. 111–
353, (signed on January 4, 2011)
Abstract: The Food and Drug
Administration (FDA) Food Safety
Modernization Act (the FSMA) requires
the Secretary of Health and Human
Services to promulgate regulations to
establish science-based minimum
standards for conducting a hazard
analysis, documenting hazards,
implementing preventive controls, and
documenting the implementation of the
preventive controls; and to define the
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terms ‘small business’ and ‘very small
business.’ The FSMA also requires the
Secretary to promulgate regulations
with respect to activities that constitute
on-farm packing or holding of food that
is not grown, raised, or consumed on a
farm or another farm under the same
ownership and activities that constitute
on farm manufacturing or processing of
food that is not grown, raised, or
consumed on a farm or another farm
under the same ownership.
FDA is proposing to amend its current
good manufacturing practice (CGMP)
regulations (21 CFR Part 110) for
manufacturing, packing, or holding
human food to require food facilities to
develop and implement a written food
safety plan. This proposed rule would
require a food facility to have and
implement preventive controls to
significantly minimize or prevent the
occurrence of hazards that could affect
food manufactured, processed, packed,
or held by the facility and to provide
assurances that such food will not be
adulterated under section 402 or
misbranded under section 403(w).
Timetable:
Action
Date
NPRM ..................
FR Cite
10/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: John F. Sheehan,
Director, Office of Food Safety, Division
of Plant and Dairy Food Safety,
Department of Health and Human
Services, Food and Drug
Administration, Center for Food Safety
and Applied Nutrition (HFS–315),
Office of Food Safety, 5100 Paint Branch
Parkway, College Park, MD 20740,
Phone: 301 436–1488, Fax: 301 436–
2632, E-mail:
john.sheehan@fda.hhs.gov.
RIN: 0910–AG36
163. ‘‘Tobacco Products’’ Subject to the
Federal Food, Drug, and Cosmetic Act,
as Amended by the Family Smoking
Prevention and Tobacco Control Act
Legal Authority: 21 U.S.C. 301 et seq.,
The Federal Food, Drug, and Cosmetic
Act; Pub. L. 111–31, The Family
Smoking Prevention and Tobacco
Control Act
Abstract: The Family Smoking
Prevention and Tobacco Control Act
(Tobacco Control Act) provides FDA
authority to regulate cigarettes, cigarette
tobacco, roll-your-own tobacco, and
smokeless tobacco. Section 901 of the
Federal Food, Drug, and Cosmetic Act
(FD&C Act), as amended by the Tobacco
Control Act, permits FDA to issue
regulations deeming other tobacco
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products to be subject to the FD&C Act.
This proposed rule would deem
products meeting the statutory
definition of ‘‘tobacco product’’ found at
section 201(rr) of the FD&C Act to be
subject to FDA’s jurisdiction. The scope
of the proposed rule deeming cigars to
be subject to FDA’s jurisdiction that was
previously included in the Unified
Agenda is being broadened to
encompass products that meet the
statutory definition of ‘‘tobacco
product.’’
Timetable:
Action
Date
NPRM ..................
FR Cite
10/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: May Nelson,
Regulatory Counsel, Department of
Health and Human Services, Food and
Drug Administration, 9200 Corporate
Boulevard, Rockville, MD 20850, Phone:
877 287–1373, Fax: 240 276–3904,
E-mail: may.nelson@fda.hhs.gov.
RIN: 0910–AG38
164. General Hospital and Personal Use
Devices: Issuance of Draft Special
Controls Guidance for Infusion Pumps
Legal Authority: 21 U.S.C. 351; 21
U.S.C. 360; 21 U.S.C. 360c; 21 U.S.C.
360e; 21 U.S.C. 360j; 21 U.S.C. 371
Abstract: Since 2003, FDA has seen a
dramatic increase in the number of
device recalls, as well as an increase in
the number of death and serious injury
reports submitted regarding infusion
pumps. An analysis of the reports
reveals that a majority of the recalls and
failures were caused by user error and/
or device design flaw. As a result of
these incidents, FDA is proposing to
issue a draft special controls guidance
document that, when final, will be a
special control for infusion pumps. The
agency believes that establishing these
special controls for infusion pumps is
necessary to provide reasonable
assurance of the safety and effectiveness
of these devices.
Timetable:
wwoods2 on DSK1DXX6B1PROD with PROPOSALS-PART 2
Action
Date
NPRM ..................
NPRM Comment
Period End.
FR Cite
09/00/11
12/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Nancy Pirt,
Regulatory Counsel, Department of
Health and Human Services, Food and
Drug Administration, Center for Devices
and Radiological Health, WO 66 Room
4438, 10903 New Hampshire Avenue,
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Silver Spring, MD 20993, Phone: 301
796–6248, Fax: 301 847–8145, E-mail:
nancy.pirt@fda.hhs.gov.
RIN: 0910–AG54
165. Food Labeling: Nutrition Labeling
for Food Sold in Vending Machines
Legal Authority: 21 U.S.C. 343; 21
U.S.C. 371
Abstract: The Food and Drug
Administration (FDA) is proposing
regulations to establish requirements for
nutrition labeling of certain food sold in
certain vending machines. FDA is also
proposing the terms and conditions for
vending machine operators registering
to voluntarily be subject to the
requirements of section 4205. FDA is
taking this action to carry out section
4205 of the Patient Protection and
Affordable Care Act (‘‘Affordable Care
Act’’ or ‘‘ACA’’), which was signed into
law on March 23, 2010.
Timetable:
Action
Date
FR Cite
NPRM ..................
NPRM Comment
Period End.
04/06/11
07/05/11
76 FR 19238
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Geraldine A. June,
Supervisor, Product Evaluation and
Labeling Team, Department of Health
and Human Services, Food and Drug
Administration, Center for Food Safety
and Applied Nutrition, (HFS–820), 5100
Paint Branch Parkway, College Park, MD
20740, Phone: 301 436–1802, Fax: 301
436–2636, E-mail:
geraldine.june@fda.hhs.gov.
RIN: 0910–AG56
166. Food Labeling: Nutrition Labeling
of Standard Menu Items in Restaurants
and Similar Retail Food Establishments
Legal Authority: 21 U.S.C. 343; 21
U.S.C. 371
Abstract: The Food and Drug
Administration (FDA) is proposing
regulations to establish requirements for
nutrition labeling of standard menu
items in chain restaurants and similar
retail food establishments. FDA is also
proposing the terms and conditions for
restaurants and similar retail food
establishments registering to voluntarily
be subject to the requirements of section
4205. FDA is taking this action to carry
out section 4205 of the Patient
Protection and Affordable Care Act
(‘‘Affordable Care Act’’ or ‘‘ACA’’),
which was signed into law on March 23,
2010.
Timetable:
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Action
Date
FR Cite
NPRM ..................
NPRM Comment
Period End.
04/06/11
06/06/11
76 FR 19192
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Geraldine A. June,
Supervisor, Product Evaluation and
Labeling Team, Department of Health
and Human Services, Food and Drug
Administration, Center for Food Safety
and Applied Nutrition, (HFS–820), 5100
Paint Branch Parkway, College Park, MD
20740, Phone: 301 436–1802, Fax: 301
436–2636, E-mail:
geraldine.june@fda.hhs.gov.
RIN: 0910–AG57
167. • Requirements for the Testing
and Reporting of Tobacco Product
Constituents, Ingredients, and
Additives
Legal Authority: Pub. L. 111–31, The
Family Smoking Prevention and
Tobacco Control Act, sec 101(b)
Abstract: Section 915 of the Federal
Food, Drug, and Cosmetic Act, as
amended by the Family Smoking
Prevention and Tobacco Control Act,
requires FDA to promulgate regulations
that require the testing and reporting of
tobacco product constituents,
ingredients, and additives, including
smoke constituents that the agency
determines should be tested to protect
the public health.
Timetable:
Action
Date
NPRM ..................
NPRM Comment
Period End.
FR Cite
01/00/12
04/00/12
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Carol Drew,
Regulatory Counsel, Department of
Health and Human Services, Food and
Drug Administration, Rm 240 H, 9200
Corporate Boulevard, Rockville, MD
20850, Phone: 877 287–1373, Fax: 240
276–3904, E-mail:
carol.drew@fda.hhs.gov.
RIN: 0910–AG59
168. • Further Amendments to General
Regulations of the Food and Drug
Administration To Incorporate Tobacco
Products
Legal Authority: Not Yet Determined
Abstract: The Food and Drug
Administration is seeking to amend
certain of its general regulations to
include tobacco products, where
appropriate, in light of FDA’s authority
to regulate these products under the
Family Smoking Prevention and
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Tobacco Control Act. The proposed rule
would cover revisions to the document
reporting requirements and definition of
‘‘product.’’
Timetable:
Action
Date
FR Cite
NPRM ..................
NPRM Comment
Period End.
04/14/11
06/13/11
76 FR 20901
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Gerie Voss,
Regulatory Counsel, Department of
Health and Human Services, Food and
Drug Administration, 9200 Corporate
Boulevard, Rockville, MD 20850, Phone:
877 287–1373, Fax: 240 276–4193, Email: gerie.voss@fda.hhs.gov.
RIN: 0910–AG60
DEPARTMENT OF HEALTH AND
HUMAN SERVICES (HHS)
Food and Drug Administration (FDA)
Final Rule Stage
169. Infant Formula: Current Good
Manufacturing Practices; Quality
Control Procedures; Notification
Requirements; Records and Reports;
and Quality Factors
Legal Authority: 21 U.S.C. 321; 21
U.S.C. 350a; 21 U.S.C. 371
Abstract: The Food and Drug
Administration (FDA) is revising its
infant formula regulations in 21 CFR
parts 106 and 107 to establish
requirements for current good
manufacturing practices (CGMP),
including audits; to establish
requirements for quality factors; and to
amend FDA’s quality control
procedures, notification, and record and
reporting requirements for infant
formula. FDA is taking this action to
improve the protection of infants who
consume infant formula products.
Timetable:
wwoods2 on DSK1DXX6B1PROD with PROPOSALS-PART 2
Action
Date
FR Cite
NPRM ..................
NPRM Comment
Period End.
NPRM Comment
Period Reopened.
NPRM Comment
Period Extended.
NPRM Comment
Period End.
NPRM Comment
Period Reopened.
NPRM Comment
Period End.
07/09/96
12/06/96
61 FR 36154
04/28/03
68 FR 22341
06/27/03
68 FR 38247
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Action
Date
Final Action .........
FR Cite
11/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Benson Silverman,
Department of Health and Human
Services, Food and Drug
Administration, Center for Food Safety
and Applied Nutrition (HFS–850), 5100
Paint Branch Parkway, College Park, MD
20740, Phone: 301 436–1459, E-mail:
benson.silverman@fda.hhs.gov.
RIN: 0910–AF27
170. Over-the-Counter (OTC) Drug
Review—Cough/Cold (Bronchodilator)
Products
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
Abstract: The OTC drug review
establishes conditions under which
OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. This action addresses labeling
for single ingredient bronchodilator
products.
Timetable:
Action
Date
FR Cite
NPRM (Amendment—Ephedrine Single Ingredient).
NPRM Comment
Period End.
Final Action
(Technical
Amendment).
Final Action
(Amendment—
Single Ingredient Labeling).
07/13/05
70 FR 40237
11/10/05
11/30/07
72 FR 67639
06/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Mary Chung,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5488, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–0260, Fax: 301 796–9899, E-mail:
mary.chung@fda.hhs.gov.
RIN: 0910–AF32
171. Over-the-Counter (OTC) Drug
Review—Cough/Cold (Combination)
Products
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
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Abstract: The OTC drug review
establishes conditions under which
OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. This action addresses cough/
cold drug products containing an oral
bronchodilator (ephedrine and its salts)
in combination with any expectorant or
any oral nasal decongestant.
Timetable:
Action
Date
FR Cite
NPRM (Amendment).
NPRM Comment
Period End.
Final Action
(Technical
Amendment).
Final Action .........
07/13/05
70 FR 40232
11/10/05
03/19/07
72 FR 12730
03/00/12
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Mary Chung,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5488, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–0260, Fax: 301 796–9899, E-mail:
mary.chung@fda.hhs.gov.
RIN: 0910–AF33
172. Use of Materials Derived From
Cattle in Human Food and Cosmetics
Legal Authority: 21 U.S.C. 342; 21
U.S.C. 361; 21 U.S.C. 371
Abstract: On July 14, 2004, FDA
issued an interim final rule (IFR),
effective immediately, to prohibit the
use of certain cattle material and to
address the potential risk of bovine
spongiform encephalopathy (BSE) in
human food, including dietary
supplements, and cosmetics. Prohibited
cattle materials under the IFR include
specified risk materials, small intestine
of all cattle, material from
nonambulatory disabled cattle, material
from cattle not inspected and passed for
human consumption, and mechanically
separated (MS) beef. Specified risk
materials are the brain, skull, eyes,
trigeminal ganglia, spinal cord, vertebral
column (excluding the vertebrae of the
tail, the transverse processes of the
thoracic and lumbar vertebrae, and the
wings of the sacrum), and dorsal root
ganglia of cattle 30 months and older;
and the tonsils and distal ileum of the
small intestine of all cattle. Prohibited
cattle materials do not include tallow
that contains no more than 0.15 percent
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hexane-insoluble impurities and tallow
derivatives. This action minimizes
human exposure to materials that
scientific studies have demonstrated are
highly likely to contain the BSE agent in
cattle infected with the disease.
Scientists believe that the human
disease variant Creutzfeldt-Jakob disease
(vCJD) is likely caused by the
consumption of products contaminated
with the agent that causes BSE.
Timetable:
Action
Date
FR Cite
Interim Final Rule
Interim Final Rule
Effective.
Interim Final Rule
Comment Period End.
Interim Final Rule
(Amendments).
Interim Final Rule
(Amendments)
Effective.
Interim Final Rule
(Amendments)
Comment Period End.
Interim Final Rule
(Amendments).
Interim Final Rule
(Amendments)
Comment Period End.
Interim Final Rule
(Amendments)
Effective.
Final Action .........
07/14/04
07/14/04
69 FR 42256
10/12/04
09/07/05
70 FR 53063
10/07/05
11/07/05
04/17/08
73 FR 20785
07/16/08
07/16/08
09/00/11
wwoods2 on DSK1DXX6B1PROD with PROPOSALS-PART 2
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Amber McCoig,
Consumer Safety Officer, Department of
Health and Human Services, Food and
Drug Administration, Center for Food
Safety and Applied Nutrition, (HFS–
316), 5100 Paint Branch Parkway,
College Park, MD 20740, Phone: 301
436–2131, Fax: 301 436–2644, E-mail:
amber.mccoig@fda.hhs.gov.
RIN: 0910–AF47
173. Label Requirement for Food That
Has Been Refused Admission Into the
United States
Legal Authority: 15 U.S.C. 1453 to
1455; 21 U.S.C. 321; 21 U.S.C. 342 and
343; 21 U.S.C. 371; 21 U.S.C. 374; 21
U.S.C. 381; 42 U.S.C. 216; 42 U.S.C. 264
Abstract: The final rule will require
owners or consignees to label imported
food that is refused entry into the
United States. The label will read,
‘‘UNITED STATES: REFUSED ENTRY.’’
The proposal describes the label’s
characteristics (such as its size) and
processes for verifying that the label has
been affixed properly. We are taking this
action to prevent the introduction of
unsafe food into the United States, to
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facilitate the examination of imported
food, and to implement section 308 of
the Public Health Security and
Bioterrorism Preparedness and
Response Act of 2002 (the Bioterrorism
Act) (Pub. L. 107–188).
Timetable:
Action
Date
FR Cite
NPRM ..................
NPRM Comment
Period End.
Final Action .........
09/18/08
12/02/08
73 FR 54106
07/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Daniel Sigelman,
Regulatory Counsel, Department of
Health and Human Services, Food and
Drug Administration, Center for Food
Safety and Applied Nutrition, WO
Building 1, Room 4245, 10903 New
Hampshire Avenue, Silver Spring, MD
20993, Phone: 301 796–4706, E-mail:
daniel.sigelman@fda.hhs.gov.
RIN: 0910–AF61
174. Cigarette Warning Label
Statements
Legal Authority: Pub. L. 111–31, The
Family Smoking Prevention and
Tobacco Control Act, sec 201
Abstract: Section 4 of the FCLAA, as
amended by section 201 of the Tobacco
Control Act, requires FDA to issue
regulations that require color graphics
depicting the negative health
consequences of smoking to accompany
required warning statements on
cigarette packages and advertisements.
FDA also may adjust the type size, text
and format of the required label
statements on product packaging and
advertising if FDA determines that it is
appropriate so that both the graphics
and the accompanying label statements
are clear, conspicuous, legible and
appear within the specified area.
Timetable:
Action
Date
FR Cite
NPRM ..................
NPRM Comment
Period End.
Final Action .........
11/12/10
01/11/11
75 FR 69524
06/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Gerie Voss,
Regulatory Counsel, Department of
Health and Human Services, Food and
Drug Administration, 9200 Corporate
Boulevard, Rockville, MD 20850, Phone:
877 287–1373, Fax: 240 276–4193, Email: gerie.voss@fda.hhs.gov.
RIN: 0910–AG41
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES (HHS)
Food and Drug Administration (FDA)
Long-Term Actions
175. Postmarketing Safety Reporting
Requirements for Human Drug and
Biological Products
Legal Authority: 42 U.S.C. 216; 42
U.S.C. 241; 42 U.S.C. 242a; 42 U.S.C.
262 and 263; 42 U.S.C. 263a to 263n; 42
U.S.C. 264; 42 U.S.C. 300aa; 21 U.S.C.
321; 21 U.S.C. 331; 21 U.S.C. 351 to 353;
21 U.S.C. 355; 21 U.S.C. 360; 21 U.S.C.
360b to 360j; 21 U.S.C. 361a; 21 U.S.C.
371; 21 U.S.C. 374; 21 U.S.C. 375; 21
U.S.C. 379e; 21 U.S.C. 381
Abstract: The final rule would amend
the postmarketing expedited and
periodic safety reporting regulations for
human drugs and biological products to
revise certain definitions and reporting
formats as recommended by the
International Conference on
Harmonisation and to define new terms;
to add to or revise current reporting
requirements; to revise certain reporting
time frames; and to propose other
revisions to these regulations to enhance
the quality of safety reports received by
FDA. These revisions were proposed as
part of a single rulemaking (68 FR
12406) to clarify and revise both
premarketing and postmarketing safety
reporting requirements for human drug
and biological products. FDA plans to
finalize the premarket and postmarket
safety reporting requirements in
separate final rules. Premarketing safety
reporting requirements were finalized in
a separate final rule published on
September 29, 2010 (75 FR 59961). This
final rule applies to postmarketing
safety reporting requirements.
Timetable:
Action
Date
NPRM .............
NPRM Comment Period
Extended.
NPRM Comment Period
End.
NPRM Comment Period
Extension
End.
03/14/03
06/18/03
Final Action .....
FR Cite
68 FR 12406
07/14/03
10/14/03
To Be Determined
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Jane E. Baluss,
Regulatory Counsel, Department of
Health and Human Services, Food and
Drug Administration, Center for Drug
Evaluation and Research, WO 51, Room
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6362, 10903 New Hampshire Avenue,
Silver Spring, MD 20993–0002, Phone:
301 796–3469, Fax: 301 847–8440, Email: jane.baluss@fda.hhs.gov.
RIN: 0910–AA97
176. Current Good Manufacturing
Practice in Manufacturing, Packing,
Labeling, or Holding Operations for
Dietary Supplements
Legal Authority: 21 U.S.C. 321; 21
U.S.C. 342; 21 U.S.C. 343; 21 U.S.C. 371;
21 U.S.C. 374; 21 U.S.C. 381; 21 U.S.C.
393; 42 U.S.C. 264
Abstract: The Food and Drug
Administration published a final rule in
the Federal Register of June 25, 2007
(72 FR 34752), on current good
manufacturing practice (CGMP)
regulations for dietary supplements.
FDA also published an Interim Final
Rule in the same Federal Register (72
FR 34959) that provided a procedure for
requesting an exemption from the final
rule requirement that the manufacturer
conduct at least one appropriate test or
examination to verify the identity of any
component that is a dietary ingredient.
This IFR allows for submission to, and
review by, FDA of an alternative to the
required 100 percent identity testing of
components that are dietary ingredients,
provided certain conditions are met.
This IFR also establishes a requirement
for retention of records relating to the
FDA’s response to an exemption
request.
Timetable:
177. Medical Gas Containers and
Closures; Current Good Manufacturing
Practice Requirements
Legal Authority: 21 U.S.C. 321; 21
U.S.C. 351 to 21 U.S.C. 353
Abstract: The Food and Drug
Administration is amending its current
good manufacturing practice regulations
and other regulations to clarify and
strengthen requirements for the label,
color, dedication, and design of medical
gas containers and closures. Despite
existing regulatory requirements and
industry standards for medical gases,
there have been repeated incidents in
which cryogenic containers of harmful
industrial gases have been connected to
medical oxygen supply systems in
hospitals and nursing homes and
subsequently administered to patients.
These incidents have resulted in death
and serious injury. There have also been
several incidents involving highpressure medical gas cylinders that have
resulted in death and injuries to
patients. These amendments, together
with existing regulations, are intended
to ensure that the types of incidents that
have occurred in the past, as well as
other types of foreseeable and
potentially deadly medical gas
accidents, do not occur in the future.
FDA has described a number of
proposals in the proposed rule
including requiring that gas use outlet
connections on portable cryogenic
medical gas containers be securely
attached to the valve body.
Timetable:
Action
Date
FR Cite
Action
Date
FR Cite
ANPRM ...............
ANPRM Comment
Period End.
NPRM ..................
NPRM Comment
Period End.
Final Rule ............
Interim Final Rule
Interim Final Rule
Comment Period End.
02/06/97
06/06/97
62 FR 5700
NPRM ..................
NPRM Comment
Period End.
04/10/06
07/10/06
68 FR 12157
06/25/07
06/25/07
10/24/07
72 FR 34752
72 FR 34959
Final Action .........
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Action
Date
FR Cite
NPRM ..................
NPRM Comment
Period End.
05/29/08
08/27/08
73 FR 30831
71 FR 18039
03/13/03
08/11/03
360ss; 21 U.S.C. 371; 21 U.S.C. 374; 21
U.S.C. 379e; 42 U.S.C. 216; 42 U.S.C.
241; 42 U.S.C. 262; 42 U.S.C. 264
Abstract: To amend the regulations
governing the format and content of
labeling for human prescription drugs
and biological products (21 CFR parts
201.56, 201.57, and 201.80). Under
FDA’s current regulations, labeling
concerning the use of prescription drugs
in pregnancy uses letter categories (A, B,
C, D, X) to characterize the risk to the
fetus of using the drug in pregnancy.
One of the deficiencies of the category
system is that drugs may be assigned to
the same category when the severity,
incidence, and types of risk are quite
different. Dissatisfaction with the
category system has been expressed by
health care providers, medical
organizations, experts in the study of
birth defects, women’s health
researchers, and women of childbearing
age. Stakeholders consulted through a
public hearing, several focus groups,
and several advisory committees have
recommended that FDA replace the
category system with a concise narrative
summarizing a product’s risks to
pregnant women and to women of
childbearing age. Therefore, the revised
format and the information provided in
the labeling would make it easier for
health care providers to understand the
risks and benefits of drug use during
pregnancy and lactation.
Timetable:
To Be Determined
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Linda Kahl, Senior
Policy Analyst, Department of Health
and Human Services, Food and Drug
Administration, Center for Food Safety
and Applied Nutrition (HFS–024), 5100
Paint Branch Parkway, College Park, MD
20740, Phone: 301 436–2784, Fax: 301
436–2657, E-mail:
linda.kahl@fda.hhs.gov.
RIN: 0910–AB88
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Final Action .........
Final Action .........
To Be Determined
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Patrick Raulerson,
Regulatory Counsel, Department of
Health and Human Services, Food and
Drug Administration, Center for Drug
Evaluation and Research, WO 51, Room
6368, 10903 New Hampshire Avenue,
Silver Spring, MD 20993–0002, Phone:
301 796–3522, Fax: 301 847–8440, Email: patrick.raulerson@fda.hhs.gov.
RIN: 0910–AC53
178. Content and Format of Labeling for
Human Prescription Drugs and
Biologics; Requirements for Pregnancy
and Lactation Labeling
Legal Authority: 21 U.S.C. 321; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 358; 21 U.S.C. 360;
21 U.S.C. 360b; 21 U.S.C. 360gg to
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To Be Determined
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Rachel S. Bressler,
Regulatory Counsel, Department of
Health and Human Services, Food and
Drug Administration, Center for Drug
Evaluation Research, WO 51, Room
6224, 10903 New Hampshire Avenue,
Silver Spring, MD 20993–0002, Phone:
301 796–4288, Fax: 301 847–8440, Email: rachel.bressler@fda.hhs.gov.
RIN: 0910–AF11
179. Over-The-Counter (OTC) Drug
Review—Cough/Cold (Antihistamine)
Products
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
Abstract: The OTC drug review
establishes conditions under which
OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
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(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. This action addresses
antihistamine labeling claims for the
common cold.
Timetable:
Action
Date
FR Cite
Reopening of Administrative
Record.
Comment Period
End.
NPRM (Amendment) (Common
Cold).
08/25/00
65 FR 51780
11/24/00
08/00/12
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Mary Chung,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5488, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–0260, Fax: 301 796–9899, E-mail:
mary.chung@fda.hhs.gov.
RIN: 0910–AF31
180. Over-the-Counter (OTC) Drug
Review—External Analgesic Products
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
Abstract: The OTC drug review
establishes conditions under which
OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. The final action addresses the
2003 proposed rule on patches, plasters,
and poultices. The proposed rule will
address issues not addressed in
previous rulemakings.
Timetable:
Action
Date
wwoods2 on DSK1DXX6B1PROD with PROPOSALS-PART 2
Final Action
(GRASE dosage forms).
NPRM (Amendment).
FR Cite
06/00/12
To Be Determined
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: David Eng,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5487, 10903 New Hampshire Avenue,
VerDate Mar<15>2010
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Jkt 223001
Silver Spring, MD 20993, Phone: 301
796–2773, Fax: 301 796–9899, E-mail:
david.eng@fda.hhs.gov.
RIN: 0910–AF35
DEPARTMENT OF HEALTH AND
HUMAN SERVICES (HHS)
181. Over-the-Counter (OTC) Drug
Review—Laxative Drug Products
182. Over-the-Counter (OTC) Drug
Review—Cough/Cold (Nasal
Decongestant) Products
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
Abstract: The OTC drug review
establishes conditions under which
OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. This action addresses the
ingredient phenylpropanolamine.
Timetable:
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360 to 360a; 21
U.S.C. 371 to 371a
Abstract: The OTC drug review
establishes conditions under which
OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. The first NPRM listed will
address the professional labeling for
sodium phosphate drug products. The
second NPRM listed will address all
other professional labeling requirements
for laxative drug products. The final
action will address laxative drug
products.
Timetable:
Action
Date
FR Cite
Final Action
(Granular Psyllium).
NPRM (Professional Labeling—Sodium
Phosphate).
NPRM Comment
Period End.
03/29/07
72 FR 14669
NPRM (Professional Labeling).
Final Action (Laxative Drug
Products).
02/11/11
76 FR 7743
03/14/11
To Be Determined
To Be Determined
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Mary Chung,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5488, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–0260, Fax: 301 796–9899, E-mail:
mary.chung@fda.hhs.gov.
RIN: 0910–AF38
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Food and Drug Administration (FDA)
Completed Actions
Action
Date
FR Cite
NPRM (Amendment) (Sinusitis
Claim).
NPRM Comment
Period End.
NPRM (Phenylephrine
Bitartrate).
NPRM Comment
Period End.
NPRM (Phenylpropanolamine).
NPRM Comment
Period End.
Final Action
(Amendment)
(Sinusitis Claim).
Final Action
(Phenylephrine
Bitartrate).
Withdrawn ...........
08/02/04
69 FR 46119
11/01/04
11/02/04
69 FR 63482
01/31/05
12/22/05
70 FR 75988
03/22/06
10/31/05
70 FR 58974
08/01/06
71 FR 83358
03/11/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Mary Chung,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5488, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–0260, Fax: 301 796–9899, E-mail:
mary.chung@fda.hhs.gov.
RIN: 0910–AF34
183. Over-the-Counter (OTC) Drug
Review—Labeling of Drug Products for
OTC Human Use
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 358; 21 U.S.C. 360;
21 U.S.C. 371; 21 UCS 374; 21 U.S.C.
379e
Abstract: The OTC drug review
establishes conditions under which
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OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. This action addresses labeling
for convenience (small) size OTC drug
packages.
Timetable:
Action
Date
FR Cite
NPRM (Convenience Sizes).
NPRM Comment
Period End.
Withdrawn ...........
12/12/06
71 FR 74474
04/11/07
03/11/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Mary Chung,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5488, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–0260, Fax: 301 796–9899, E-mail:
mary.chung@fda.hhs.gov.
RIN: 0910–AF37
184. Over-the-Counter (OTC) Drug
Review—Ophthalmic Products
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
Abstract: The OTC drug review
establishes conditions under which
OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. This action finalizes the
monograph for emergency first aid
eyewash drug products.
Timetable:
wwoods2 on DSK1DXX6B1PROD with PROPOSALS-PART 2
Action
Date
FR Cite
NPRM (Amendment) (Emergency First Aid
Eyewashes).
NPRM Comment
Period End.
Withdrawn ...........
02/19/03
68 FR 7917
05/20/03
03/11/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Mary Chung,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5488, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
VerDate Mar<15>2010
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Jkt 223001
796–0260, Fax: 301 796–9899, E-mail:
mary.chung@fda.hhs.gov.
RIN: 0910–AF39
185. Over-the-Counter (OTC) Drug
Review—Skin Protectant Products
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
Abstract: The OTC drug review
establishes conditions under which
OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. The first action identifies safe
and effective skin protectant active
ingredients to treat and prevent diaper
rash. The second action addresses skin
protectant products used to treat fever
blisters and cold sores.
Timetable:
Action
Date
FR Cite
Final Action
(Technical
Amendments).
Final Action (Aluminum Acetate)
(Technical
Amendment).
Withdrawn ...........
02/01/08
73 FR 6014
03/06/09
74 FR 9759
03/11/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: David Eng,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5487, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–2773, Fax: 301 796–9899, E-mail:
david.eng@fda.hhs.gov.
RIN: 0910–AF42
186. Over-the-Counter (OTC) Drug
Review—Vaginal Contraceptive
Products
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 358; 21 U.S.C. 360;
21 U.S.C. 371; 21 U.S.C. 374; 21 U.S.C.
379e
Abstract: The OTC drug review
establishes conditions under which
OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. The proposed rule addresses
vaginal contraceptive drug products.
Timetable:
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40067
Action
Date
FR Cite
Final Action
(Warnings).
Withdrawn ...........
12/19/07
72 FR 71769
03/11/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Mary Chung,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5488, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–0260, Fax: 301 796–9899, E-mail:
mary.chung@fda.hhs.gov.
RIN: 0910–AF44
187. Over-the-Counter (OTC) Drug
Review—Overindulgence In Food and
Drink Products
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
Abstract: The OTC drug review
establishes conditions under which
OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. This action addresses
products containing bismuth
subsalicylate for relief of symptoms of
upset stomach due to overindulgence
resulting from food and drink.
Timetable:
Action
Date
NPRM (Amendment).
NPRM Comment
Period End.
Withdrawn ...........
01/05/05
FR Cite
70 FR 741
04/05/05
03/11/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Mary Chung,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5488, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–0260, Fax: 301 796–9899, E-mail:
mary.chung@fda.hhs.gov.
RIN: 0910–AF51
188. Over-the-Counter (OTC) Drug
Review—Antacid Products
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
Abstract: The OTC drug review
establishes conditions under which
OTC drugs are considered generally
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recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. One action addresses the
labeling of products containing sodium
bicarbonate as an active ingredient. The
other action addresses the use of
antacids to relieve upset stomach
associated with overindulgence in food
and drink.
Timetable:
Action
Date
Withdrawn ...........
FR Cite
03/11/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Mary Chung,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5488, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–0260, Fax: 301 796–9899, E-mail:
mary.chung@fda.hhs.gov.
RIN: 0910–AF52
189. Over-the-Counter (OTC) Drug
Review—Skin Bleaching Products
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
Abstract: The OTC drug review
establishes conditions under which
OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. This action addresses skin
bleaching drug products containing
hydroquinone.
Timetable:
Action
Date
FR Cite
NPRM ..................
NPRM Comment
Period End.
Withdrawn ...........
08/29/06
12/27/06
71 FR 51146
190. Over-the-Counter (OTC) Drug
Review—Stimulant Drug Products
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
Abstract: The OTC drug review
establishes conditions under which
OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. This action addresses the use
of stimulant active ingredients to relieve
symptoms associated with a hangover.
Timetable:
Action
Date
Withdrawn ...........
191. Over-the-Counter (OTC) Drug
Review—Antidiarrheal Drug Products
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
Abstract: The OTC drug review
establishes conditions under which
OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. These actions address new
labeling for antidiarrheal drug products.
Timetable:
Date
Withdrawn ...........
wwoods2 on DSK1DXX6B1PROD with PROPOSALS-PART 2
Action
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Mary Chung,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5488, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–0260, Fax: 301 796–9899, E-mail:
mary.chung@fda.hhs.gov.
RIN: 0910–AF56
Action
14:12 Jul 06, 2011
Jkt 223001
192. Over-the-Counter (OTC) Drug
Review—Urinary Analgesic Drug
Products
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
Abstract: The OTC drug review
establishes conditions under which
OTC drugs are considered generally
recognized as safe and effective and not
misbranded. After a final monograph
(i.e., final rule) is issued, only OTC
drugs meeting the conditions of the
monograph, or having an approved new
drug application, may be legally
marketed. This action addresses the
products used for urinary pain relief.
Timetable:
03/11/11
FR Cite
Date
Withdrawn ...........
03/11/11
193. Over-the-Counter (OTC) Drug
Review—Certain Category II Active
Ingredients
Legal Authority: 21 U.S.C. 321p; 21
U.S.C. 331; 21 U.S.C. 351 to 353; 21
U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
Abstract: The Food and Drug
Administration (FDA) is proposing that
certain ingredients in over-the-counter
(OTC) drug products are not generally
recognized as safe and effective or are
misbranded. FDA issued this proposed
rule because we did not receive any data
and information on these ingredients in
response to our request on December 31,
2003 (68 FR 75585). This rule will
finalize the 2008 proposed rule.
Timetable:
Action
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Mary Chung,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5488, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–0260, Fax: 301 796–9899, E-mail:
mary.chung@fda.hhs.gov.
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FR Cite
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Mary Chung,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5488, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–0260, Fax: 301 796–9899, E-mail:
mary.chung@fda.hhs.gov.
RIN: 0910–AF70
03/11/11
03/11/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: David Eng,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
Evaluation and Research, WO 22, Room
5487, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–2773, Fax: 301 796–9899, E-mail:
david.eng@fda.hhs.gov.
RIN: 0910–AF53
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RIN: 0910–AF63
Date
FR Cite
NPRM ..................
NPRM Comment
Period End.
Withdrawn ...........
06/19/08
09/17/08
73 FR 34895
03/11/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: David Eng,
Department of Health and Human
Services, Food and Drug
Administration, Center for Drug
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Evaluation and Research, WO 22, Room
5487, 10903 New Hampshire Avenue,
Silver Spring, MD 20993, Phone: 301
796–2773, Fax: 301 796–9899, E-mail:
david.eng@fda.hhs.gov.
RIN: 0910–AF95
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194. Food Labeling: Safe Handling
Statements, Labeling of Shell Eggs;
Refrigeration of Shell Eggs Held for
Retail Distribution (Section 610
Review)
Legal Authority: 15 U.S.C. 1453 to
1455; 21 U.S.C. 321; 21 U.S.C. 331; 21
U.S.C. 342 and 343; 21 U.S.C. 348; 21
U.S.C. 371; 42 U.S.C. 243; 42 U.S.C. 264;
42 U.S.C. 271
Abstract: Section 101.17(h) (21 CFR
101.17(h)) describes requirements for
the labeling of the cartons of shell eggs
that have not been treated to destroy
Salmonella microorganisms. Section
115.50 (21 CFR 115.50) describes
requirements for refrigeration of shell
eggs held for retail distribution. Section
16.5(a)(4) (21 CFR 16.5(a)(4)) provides
that part 16 does not apply to a hearing
on an order for relabeling, diversion, or
destruction of shell eggs under section
361 of the Public Health Service Act (42
U.S.C. 264) and §§ 101.17(h) and 115.50.
FDA amended 21 CFR 101.17(h) on
August 20, 2007 (72 FR 46375) to permit
the safe handling statement to appear on
the inside lid of egg cartons to provide
the industry greater flexibility in the
placement of the statement, provided
the words ‘‘keep refrigerated’’ appear on
the principal display panel or
information panel. FDA is undertaking
a review of 21 CFR 101.17(h), 115.50,
and 16.5(a)(4) under section 610 of the
Regulatory Flexibility Act. The purpose
of this review is to determine whether
the regulations in §§ 101.17(h), 115.50
and 16.5(a)(4) should be continued
without change, or whether they should
be amended or rescinded, consistent
with the stated objectives of applicable
statutes, to minimize any significant
economic impact on a substantial
number of small entities. FDA will
consider, and is soliciting comments on,
the following: (1) The continued need
for the rule; (2) the nature of complaints
or comments received concerning the
rule from the public; (3) the complexity
of the rule; (4) the extent to which the
rule overlaps, duplicates, or conflicts
with other Federal rules, and, to the
extent feasible, with State and local
governmental rules; and (5) the length of
time since the rule has been evaluated
or the degree to which technology,
economic conditions, or other factors
have changed in the area affected by the
rule.
Timetable:
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Date
Begin Review ......
End Review .........
FR Cite
12/15/09
12/30/10
Centers for Medicare & Medicaid
Services (CMS)
Regulatory Flexibility Analysis
Required: No.
Agency Contact: Geraldine A. June,
Supervisor, Product Evaluation and
Labeling Team, Department of Health
and Human Services, Food and Drug
Administration, Center for Food Safety
and Applied Nutrition, (HFS–820), 5100
Paint Branch Parkway, College Park, MD
20740, Phone: 301 436–1802, Fax: 301
436–2636, E-mail:
geraldine.june@fda.hhs.gov.
RIN: 0910–AG06
DEPARTMENT OF HEALTH AND
HUMAN SERVICES (HHS)
Centers for Medicare & Medicaid
Services (CMS)
Prerule Stage
195. • Five Year Review of Work
Relative Value Units Under the
Physician Fee Schedule (CMS–1582–
PN)
Legal Authority: SSA, sec
1848(c)(2)(B)(i)
Abstract: This proposed notice sets
forth proposed revisions to work
relative value units (RVUs) affecting
payment for physicians’ services. The
Act requires that we review RVUs no
less than every five years. The revised
values will be finalized in the CY 2012
Physician Fee Schedule final rule and
will be effective for services furnished
beginning January 1, 2012.
Timetable:
Action
Date
Notice ..................
06/00/11
FR Cite
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Rebecca Cole, Health
Insurance Specialist, Department of
Health and Human Services, Centers for
Medicare & Medicaid Services, Mail
Stop: C4–03–06, 7500 Security
Boulevard, Baltimore, MD 21244,
Phone: 410 786–1589, E-mail:
rebecca.cole@cms.hhs.gov.
RIN: 0938–AQ87
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES (HHS)
Proposed Rule Stage
196. Home Health Agency (HHA)
Conditions of Participation (COPS)
(CMS–3819–P) (Section 610 Review)
Legal Authority: 42 U.S.C. 1302; 42
U.S.C. 1395x; 42 U.S.C. 1395cc(a); 42
U.S.C. 1395hh; 42 U.S.C. 1395bb
Abstract: This proposed rule would
revise the existing Conditions of
Participation (CoPs) that Home Health
Agencies (HHAs) must meet to
participate in the Medicare program.
The CoPs were last revised in 1989. The
new requirements will focus on the
actual care delivered to patients by
HHAs, reflect an interdisciplinary view
of patient care, allow HHAs greater
flexibility in meeting quality standards,
and eliminate unnecessary procedural
requirements. These changes are an
integral part of our efforts to achieve
broad-based improvements and
measurements of the quality of care
furnished through federal programs
while at the same time reducing
procedural burdens on providers.
Timetable:
Action
Date
FR Cite
NPRM ..................
NPRM Comment
Period End.
Second NPRM ....
03/10/97
06/09/97
62 FR 11005
09/00/11
Regulatory Flexibility Analysis
Required: Undetermined.
Agency Contact: Danielle Shearer,
Health Insurance Specialist, Department
of Health and Human Services, Centers
for Medicare & Medicaid Services,
Clinical Standards & Quality, Mail Stop
S3–02–01, 7500 Security Boulevard,
Baltimore, MD 21244, Phone: 410 786–
6617, E-mail:
danielle.shearer@cms.hhs.gov.
RIN: 0938–AG81
197. Influenza Vaccination Standard
for Certain Medicare Participating
Providers and Suppliers (CMS–3213–P)
Legal Authority: Social Security Act
secs 1881, 1861, 1102, 1871
Abstract: This proposed rule would
require certain Medicare and Medicaid
providers and suppliers to offer all
patients an annual influenza
vaccination, unless medically
contraindicated or unless the patient or
patient’s representative or surrogate
declined vaccination. This proposed
rule is intended to increase the number
of patients receiving annual vaccination
against seasonal influenza and to
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decrease the morbidity and mortality
rate from influenza. This proposed rule
would also require certain providers
and suppliers to develop policies and
procedures that would allow them to
offer vaccinations for pandemic
influenza in case of a future pandemic
influenza event for which a vaccine may
be developed.
Timetable:
Action
Date
NPRM ..................
FR Cite
06/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Lauren Oviatt,
Health Insurance Specialist, Department
of Health and Human Services, Centers
for Medicare & Medicaid Services, Mail
Stop S3–02–01, 7500 Security
Boulevard, Baltimore, MD 21244,
Phone: 410 786–4683, E-mail:
lauren.oviatt@cms.hhs.gov.
RIN: 0938–AP92
198. Hospital Conditions of
Participation: Requirements for
Hospital Inpatient Psychiatric and
Rehabilitation Units Excluded From the
Prospective Payment System and Ltch
Requirements (CMS–3177–P)
Legal Authority: 42 U.S.C. 1385 X; 42
U.S.C. 1396 d; 42 U.S.C. 1395 hh
Abstract: This rule proposes
requirements for inpatient psychiatric
units and inpatient rehabilitation
facilities under the hospital conditions
of participation (CoPs). This would
allow accrediting organizations to deem
these units as part of their hospital
accreditation process providing a timely
and cost effective survey and
certification process under the CoPs. In
addition, this rule would propose long
term care hospital requirements
mandated by the Medicare, Medicaid
and SCHIP Extension Act of 2007.
Timetable:
Date
NPRM ..................
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FR Cite
09/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Capt. Katherine
Berkhousen, Health Insurance
Specialist, Department of Health and
Human Services, Centers for Medicare &
Medicaid Services, 7500 Security
Boulevard, Mail Stop S3–02–01,
Baltimore, MD 21244, Phone: 410 786–
1154, E-mail:
katherine.berkhousen@cms.hhs.gov.
Jeannie Miller, Department of Health
and Human Services, Centers for
Medicare & Medicaid Services, 7500
Security Boulevard, Baltimore, MD
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21244, Phone: 410 786–3164, E-mail:
jeannie.miller@cms.hhs.gov.
RIN: 0938–AP97
199. Proposed Changes to the Hospital
Inpatient Prospective Payment Systems
for Acute Care Hospitals and FY 2012
Rates and to the Long-Term Care
Hospital PPS and FY 2012 Rates (CMS–
1518–P)
Legal Authority: sec 1886(d) of the
Social Security Act; Pub. L. 111–148
Abstract: This annual major proposed
rule would revise the Medicare hospital
inpatient and long-term care hospital
prospective payment systems for
operating and capital-related costs. This
proposed rule would implement
changes arising from our continuing
experience with these systems.
Timetable:
Stop, C5–01–26, 7500 Security
Boulevard, Baltimore, MD 21244,
Phone: 410 786–7809, E-mail:
paula.smith@cms.hhs.gov.
RIN: 0938–AQ26
201. Changes to the ESRD Prospective
Payment System For Cy 2012 & Quality
Incentives Program For CY 2013 (CMS–
1577–P)
Legal Authority: Sec 1881 of the
Social Security Act
Abstract: This major proposed rule
would update the bundled payment
system for End Stage Renal Disease
(ESRD) facilities by January 1, 2012. The
rule would also update the Quality
Incentives in the ESRD Program.
Timetable:
Action
Action
Date
NPRM ..................
FR Cite
Date
NPRM ..................
FR Cite
06/00/11
06/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: AnKit Patel, Health
Insurance Specialist, Division of Acute
Care, Department of Health and Human
Services, Centers for Medicare &
Medicaid Services, Hospital and
Ambulatory Policy Group, Mail Stop,
C4–25–11, 7500 Security Boulevard,
Baltimore, MD 21244, Phone: 410 786–
4537, E-mail: ankit.patel@cms.hhs.gov.
RIN: 0938–AQ24
200. Changes to the Hospital Outpatient
Prospective Payment System and
Ambulatory Surgical Center Payment
System for CY 2012 (CMS–1525–P)
Legal Authority: Social Security Act,
sec 1833; Pub. L. 111–148
Abstract: This proposed rule would
revise the Medicare hospital outpatient
prospective payment system to
implement applicable statutory
requirements and changes arising from
our continuing experience with this
system. The proposed rule also
describes changes to the amounts and
factors used to determine payment rates
for services. In addition, the rule
proposes changes to the Ambulatory
Surgical Center Payment System list of
services and rates.
Timetable:
Action
Date
NPRM ..................
FR Cite
07/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Paula Smith, Health
Insurance Specialist, Department of
Health and Human Services, Centers for
Medicare & Medicaid Services, Mail
PO 00000
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Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Janet Samen,
Director, Division of Chronic Care
Management, Department of Health and
Human Services, Centers for Medicare &
Medicaid Services, Mail Stop C5–05–27,
7500 Security Boulevard, Baltimore, MD
21244, Phone: 410 786–4533, E-mail:
janet.samen@cms.hhs.gov.
RIN: 0938–AQ27
202. • Medicaid Program Integrity:
Registration Of Billing Agents, Clearing
Houses, Or Other Alternate Payees
(CMS–2365–P)
Legal Authority: 42 U.S.C.
1396a(a)(79) Social Security Act; Pub. L.
111–148, sec 6503
Abstract: This proposed rule would
require any agent, clearinghouse, or
other alternate payee that submits
claims on behalf of a health care
provider to register with the State and
the Secretary in a form and manner
specified by the Secretary.
Timetable:
Action
Date
NPRM ..................
FR Cite
10/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Richard Friedman,
Director, Division of State Systems,
Department of Health and Human
Services, Centers for Medicare &
Medicaid Services, Mail Stop S3–18–13,
7500 Security Boulevard, Baltimore, MD
21244, Phone: 410 786–4451, E-mail:
richard.friedman@cms.hhs.gov.
RIN: 0938–AQ61
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203. • Medicaid Eligibility Expansion
Under the Affordable Care Act of 2010
(CMS–2349–P)
Legal Authority: Pub. L. 111–148, secs
1413, 2001, 2002, 2201
Abstract: The Affordable Care Act
authorizes a major Medicaid expansion
to individuals who are under 65, not
pregnant, not receiving Medicare and
not eligible for other mandatory
eligibility categories. This proposed rule
would set forth policies for Medicaid
expansion including household income
and household composition,
coordination with Exchanges,
simplifying and streamlining Medicaid
eligibility determinations.
Timetable:
Action
Date
NPRM ..................
FR Cite
06/00/11
wwoods2 on DSK1DXX6B1PROD with PROPOSALS-PART 2
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Sarah DeLone,
Health Insurance Specialist, Department
of Health and Human Services, Centers
for Medicare & Medicaid Services, Mail
Stop S2–01–16, 7500 Security
Boulevard, Baltimore, MD 21244,
Phone: 410 786–0615, E-mail:
sarah.delone@cms.hhs.gov.
RIN: 0938–AQ62
204. • Payments for Primary Care
Services Under the Medicaid Program
(CMS–2370–P)
Legal Authority: Pub. L. 111–152, sec
1202
Abstract: This regulation implements
section 1202 of the Health Care and
Education Reconciliation Act of 2010,
which increases Medicaid payments for
certain primary care services provided
in 2013 and 2014. The increased
payments pertain to services provided
by a physician with a specialty
designation of family medicine, general
internal medicine, and pediatric
medicine. States must pay for these
services at a rate equal to or greater than
the rate paid under Medicare Part B.
Rates in Medicaid managed care must
be consistent with these minimum
payment rates. The FMAP to states for
such services will equal 100% for the
portion of cost for such primary care
services, which is comprised of the
difference between the Medicare Part B
rate and the amount applicable in the
State Plan as of July 1, 2009.
Timetable:
Action
Date
NPRM ..................
Agency Contact: Cherly Powell,
Health Insurance Specialist, Department
of Health and Human Services, Centers
for Medicare & Medicaid Services, Mail
Stop S2–01–16, 7500 Security
Boulevard, Baltimore, MD 21244,
Phone: 410 786–9239, E-mail:
cherly.powell@cms.hhs.gov.
RIN: 0938–AQ63
205. • Medicare and Medicaid
Electronic Health Record Incentive
Program—Stage 2 (CMS–0044–P)
Legal Authority: Pub. L. 111–5 secs
4101, 4102, and 4202
Abstract: The final rule for the
Medicare and Medicaid EHR Incentive
Programs, which was published in the
Federal Register on July 28, 2010,
specifies that CMS will expand on the
criteria for meaningful use established
for Stage 1 to advance the use of
certified EHR technology by eligible
professionals (EPs), eligible hospitals
and critical access hospitals (CAHs).
This proposed rule would establish the
requirements for Stage 2. As stated in
the July 28 final rule, ‘‘Our goals for the
Stage 2 meaningful use criteria,
consistent with other provisions of
Medicare and Medicaid law, expand
upon the Stage 1 criteria to encourage
the use of health IT for continuous
quality improvement at the point of care
and the exchange of information in the
most structured format possible, such as
the electronic transmission of orders
entered using computerized provider
order entry (CPOE) and the electronic
transmission of diagnostic test results.’’
Timetable:
Action
Date
NPRM ..................
01/00/12
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Elizabeth Holland,
Director, Health Initiatives Group/Office
of e–Health Standards and Services,
Department of Health and Human
Services, Centers for Medicare &
Medicaid Services, Mail Stop S2–26–17,
7500 Security Boulevard, Baltimore, MD
21244, Phone: 410 786–1309, E-mail:
elizabeth.holland@cms.hhs.gov.
RIN: 0938–AQ84
10/00/11
FR Cite
Regulatory Flexibility Analysis
Required: Yes.
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES (HHS)
Centers for Medicare & Medicaid
Services (CMS)
Final Rule Stage
206. Enhanced Federal Funding For
Medicaid Eligibility Determination and
Enrollment Activities (CMS–2346–F)
Legal Authority: Pub. L. 111–148, sec
1413
Abstract: The Affordable Care Act
requires States’ residents to apply,
enroll, receive determinations, and
participate in the State health subsidy
programs known as ‘‘the Exchange’’.
The Affordable Care Act requires many
changes to State eligibility and
enrollment systems and each State is
responsible for developing a secure,
electronic interface allowing the
exchange of data. Existing legacy
eligibility systems are not able to
implement the numerous requirements.
This rule is key to informing States
about the higher rates that CMS will
provide to help them update or build
legacy eligibility systems that meet the
ACA requirements.
Timetable:
Action
Date
FR Cite
NPRM ..................
NPRM Comment
Period End.
Final Action .........
11/08/10
01/07/11
75 FR 68583
06/00/11
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Richard H.
Friedman, Director, Division of State
Systems, Department of Health and
Human Services, Centers for Medicare &
Medicaid Services, Mail Stop S3–18–13,
7500 Security Boulevard, Baltimore, MD
21244, Phone: 410 786–4451, E-mail:
richard.friedman@cms.hhs.gov.
RIN: 0938–AQ53
DEPARTMENT OF HEALTH AND
HUMAN SERVICES (HHS)
Centers for Medicare & Medicaid
Services (CMS)
Long-Term Actions
207. Requirements for Long-Term Care
Facilities: Hospice Services (CMS–
3140–F) (Section 610 Review)
Legal Authority: 42 U.S.C. 1302; 42
U.S.C. 1395hh
Abstract: This rule establishes that in
order to participate in the Medicare and
Medicaid programs, long-term care
facilities must have an agreement with
hospice agencies when hospice care is
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provided in a long-term care facility.
The rule also contains quality of care
requirements.
Timetable:
Action
Action
Date
FR Cite
NPRM ..................
NPRM Comment
Period End.
Final Action .........
10/22/10
12/21/10
75 FR 65282
10/00/13
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Kadie Thomas,
Health Insurance Specialist, Department
of Health and Human Services, Centers
for Medicare & Medicaid Services,
Office of Clinical Standards and
Quality, Mail Stop S3–02–01, 7500
Security Boulevard, Baltimore, MD
21244, Phone: 410 786–0468, E-mail:
kadie.thomas@cms.hhs.gov.
Mary Collins, Health Insurance
Specialist, Department of Health and
Human Services, Centers for Medicare &
Medicaid Services, Office of Clinical
Standards and Quality, Mail Stop S3–
02–01, 7500 Security Boulevard,
Baltimore, MD 21244, Phone: 410 786–
3189, E-mail: mary.collins@cms.hhs.gov.
RIN: 0938–AP32
DEPARTMENT OF HEALTH AND
HUMAN SERVICES (HHS)
Centers for Medicare & Medicaid
Services (CMS)
Date
FR Cite
NPRM ..................
NPRM Comment
Period End.
Final Action .........
2nd Final Action ..
07/13/10
09/24/10
75 FR 40040
11/29/10
01/10/11
75 FR 73169
76 FR 1366
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Carol Bazell,
Director, Division of Practitioner
Services, Department of Health and
Human Services, Centers for Medicare &
Medicaid Services, Mail Stop C4–03–06,
7500 Security Boulevard, Baltimore, MD
21244, Phone: 410 786–6960, E-mail:
carol.bazell@cms.hhs gov.
RIN: 0938–AP79
209. Changes to the Hospital Outpatient
Prospective Payment System and
Ambulatory Surgical Center Payment
System For CY 2011 (CMS–1504–FC)
Legal Authority: sec 1833 of the Social
Security Act; BBA, BA, BIPA, MMA,
Pub. L. 111.148
Abstract: This final rule revises the
Medicare hospital outpatient
prospective payment system to
implement applicable statutory
requirements and changes arising from
our continuing experience with this
system. The rule also describes changes
to the amounts and factors used to
determine payment rates for services. In
addition, the rule changes the
Ambulatory Surgical Center Payment
System list of services and rates.
Timetable:
Action
Date
FR Cite
208. Amendment to Payment Policies
Under the Physician Fee Schedule and
Part B for CY 2011 (CMS–1503–F2)
NPRM ..................
NPRM Comment
Period End.
Final Action .........
08/03/10
08/31/10
75 FR 46169
11/24/10
75 FR 71800
Legal Authority: Social Security Act,
sec 1102; Social Security Act, sec 1871;
Pub. L. 111–148
Abstract: This amends the ‘‘Medicare
Program; Payment Policies Under the
Physician Fee Schedule and Other
Revisions to Part B for CY 2011’’ that
appeared in the November 29, 2010,
Federal Register.
Timetable:
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Alberta Dwivedi,
Health Insurance Specialist, Department
of Health and Human Services, Centers
for Medicare & Medicaid Services, Mail
Stop C5–01–26, 7500 Security
Boulevard, Baltimore, MD 21244,
Phone: 410 786–0763, E-mail:
alberta.dwivedi@cms.hhs.gov.
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RIN: 0938–AP82
210. • Section 508 Hospitals—Medicare
and Medicaid Extenders Act of 2010
Changes (CMS–1357–N)
Legal Authority: MMEA, Sec 102
Abstract: Section 102 of the Medicare
and Medicaid Extenders Act of 2010
extends section 508 of the Medicare
Modernization Act of 2003 (MMA) and
certain additional special exception
hospital reclassifications from October
1, 2010, through September 30, 2011.
Effective April 1, 2011, section 102 also
requires removing section 508 and
special exception hospitals’ wage data
from the calculation of the reclassified
wage index if doing so raises the
reclassified wage index. All hospitals
affected by section 102 will be assigned
an individual special wage index
effective April 1, 2011. If the section 508
or special exception hospital’s wage
index applicable for the period
beginning on October 1, 2010, and
ending on March 31, 2011, is lower than
for the period beginning on April 1,
2011, and ending on September 30,
2011, the hospital will be paid an
additional amount that reflects the
difference between the wage indices.
The provision applies to both inpatient
and outpatient hospital payments,
although the implementation timeframe
differs for outpatient hospital payments.
Timetable:
Action
Date
FR Cite
Notice ..................
04/07/11
76 FR 19365
Regulatory Flexibility Analysis
Required: Yes.
Agency Contact: Brian Slater, Health
Insurance Specialist, Department of
Health and Human Services, Centers for
Medicare & Medicaid Services, Mail
Stop C4–07–07, 7500 Security
Boulevard, Baltimore, MD 21244,
Phone: 410 786–5229, E-mail:
brian.slater@cms.hhs.gov.
RIN: 0938–AQ97
[FR Doc. 2011–15487 Filed 7–6–11; 8:45 am]
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[Federal Register Volume 76, Number 130 (Thursday, July 7, 2011)]
[Unknown Section]
[Pages 40052-40073]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-15487]
[[Page 40051]]
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No. 130
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary
21 CFR Ch. I
42 CFR Chs. I-V
45 CFR Subtitle A; Subtitle B, Chs. II, III, and XIII
Regulatory Agenda
AGENCY: Office of the Secretary, HHS.
ACTION: Semiannual Regulatory Agenda.
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SUMMARY: The following Agenda presents the results of the statutorily
required semi-annual inventory of rulemaking actions currently under
development within the U.S. Department of Health and Human Services. We
hope that this information will enable interested members of the public
to more effectively participate in the Department's regulatory
activity.
FOR FURTHER INFORMATION CONTACT: Dawn L. Smalls, Executive Secretary,
Department of Health and Human Services, Washington, DC 20201.
SUPPLEMENTARY INFORMATION: The information provided in the Agenda
presents a forecast of the rulemaking activities that the Department of
Health and Human Services (HHS) expects to undertake in the foreseeable
future. Rulemakings are grouped according to pre-rulemaking actions,
proposed rules, final rules, long-term actions, and rulemaking actions
completed since the most recent Agenda was published on December 20,
2010. Please note that the actions included in this issue of the
Federal Register, as required by the Regulatory Flexibility Act of
1980, relate only to those prospective rulemakings that are likely to
have a significant economic impact on a substantial number of small
entities.
Consistent with Executive Order 13563, the purpose of the Agenda is
to encourage more effective public participation in the regulatory
process. HHS invites all interested members of the public to comment on
the rulemaking actions included in this issuance of the Agenda
including comments on whether any of these or related rulemaking
actions should be modified, streamlined, expanded, or repealed in order
to make the agency's regulatory program more effective or less
burdensome in achieving regulatory objectives. The complete Agenda is
accessible online at https://www.reginfo.gov in an interactive format
that offers users enhanced capabilities to obtain information from the
Agenda's database.
Dated: April 4, 2011.
Dawn L. Smalls,
Executive Secretary, Department of Health and Human Services.
Office of the Secretary--Completed Actions
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Regulation
Sequence No. Title Identifier No.
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138....................... Modifications to the HIPAA 0991-AB57
Privacy, Security, and
Enforcement Rules Under
the Health Information
Technology for Economic
and Clinical Health Act.
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Office of Consumer Information and Insurance Oversight--Completed
Actions
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Regulation
Sequence No. Title Identifier No.
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139....................... Status as a Grandfathered 0950-AA17
Health Plan Under the
Affordable Care Act.
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Substance Abuse and Mental Health Services Administration--Final Rule
Stage
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Regulation
Sequence No. Title Identifier No.
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140....................... Opioid Drugs in 0930-AA14
Maintenance or
Detoxification Treatment
of Opiate Addiction
(Section 610 Review).
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Substance Abuse and Mental Health Services Administration--Long-Term
Actions
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Regulation
Sequence No. Title Identifier No.
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141....................... Requirements Governing the 0930-AA10
Use of Seclusion and
Restraint in Certain
Nonmedical Community-
Based Facilities for
Children and Youth.
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Centers for Disease Control and Prevention--Final Rule Stage
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Regulation
Sequence No. Title Identifier No.
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142....................... Control of Communicable 0920-AA12
Diseases: Foreign and
Possessions.
143....................... Control of Communicable 0920-AA22
Diseases: Interstate.
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[[Page 40053]]
Centers for Disease Control and Prevention--Completed Actions
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Regulation
Sequence No. Title Identifier No.
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144....................... Quality Assurance 0920-AA04
Requirements for
Respirators.
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Food and Drug Administration--Prerule Stage
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Regulation
Sequence No. Title Identifier No.
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145....................... Prescription Drug 0910-AG14
Marketing Act of 1987;
Prescription Drug
Amendments of 1992;
Policies, Requirements,
and Administrative
Procedures (Section 610
Review).
146....................... Requirements for Testing 0910-AG61
Human Blood Donors for
Evidence of Infection Due
to Communicable Disease
Agents (Section 610
Review).
147....................... General Requirements for 0910-AG62
Blood, Blood Components,
and Blood Derivatives;
Donor Notification
(Section 610 Review).
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Food and Drug Administration--Proposed Rule Stage
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Regulation
Sequence No. Title Identifier No.
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148....................... Electronic Submission of 0910-AC52
Data From Studies
Evaluating Human Drugs
and Biologics.
149....................... Over-the-Counter (OTC) 0910-AF36
Drug Review--Internal
Analgesic Products.
150....................... Over-the-Counter (OTC) 0910-AF40
Drug Review--Oral Health
Care Products.
151....................... Over-the-Counter (OTC) 0910-AF43
Drug Review--Sunscreen
Products.
152....................... Over-the-Counter (OTC) 0910-AF45
Drug Review--Weight
Control Products.
153....................... Over-the-Counter (OTC) 0910-AF69
Drug Review--Topical
Antimicrobial Drug
Products.
154....................... Import Tolerances for 0910-AF78
Residues of Unapproved
New Animal Drugs in Food.
155....................... Laser Products; Amendment 0910-AF87
to Performance Standard.
156....................... Pet Food Labeling 0910-AG09
Requirements.
157....................... Current Good Manufacturing 0910-AG10
Practice in
Manufacturing,
Processing, Packing or
Holding Animal Food.
158....................... Over-the-Counter (OTC) 0910-AG12
Drug Review--Pediatric
Dosing for Cough/Cold
Products.
159....................... Electronic Distribution of 0910-AG18
Content of Labeling for
Human Prescription Drug
and Biological Products.
160....................... Unique Device 0910-AG31
Identification.
161....................... Produce Safety Regulation. 0910-AG35
162....................... Hazard Analysis and Risk- 0910-AG36
Based Preventive Controls.
163....................... ``Tobacco Products'' 0910-AG38
Subject to the Federal
Food, Drug, and Cosmetic
Act, as Amended by the
Family Smoking Prevention
and Tobacco Control Act.
164....................... General Hospital and 0910-AG54
Personal Use Devices:
Issuance of Draft Special
Controls Guidance for
Infusion Pumps.
165....................... Food Labeling: Nutrition 0910-AG56
Labeling for Food Sold in
Vending Machines.
166....................... Food Labeling: Nutrition 0910-AG57
Labeling of Standard Menu
Items in Restaurants and
Similar Retail Food
Establishments.
167....................... Requirements for the 0910-AG59
Testing and Reporting of
Tobacco Product
Constituents,
Ingredients, and
Additives.
168....................... Further Amendments to 0910-AG60
General Regulations of
the Food and Drug
Administration to
Incorporate Tobacco
Products.
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Food and Drug Administration--Final Rule Stage
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Regulation
Sequence No. Title Identifier No.
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169....................... Infant Formula: Current 0910-AF27
Good Manufacturing
Practices; Quality
Control Procedures;
Notification
Requirements; Records and
Reports; and Quality
Factors.
170....................... Over-the-Counter (OTC) 0910-AF32
Drug Review--Cough/Cold
(Bronchodilator) Products.
171....................... Over-the-Counter (OTC) 0910-AF33
Drug Review--Cough/Cold
(Combination) Products.
172....................... Use of Materials Derived 0910-AF47
From Cattle in Human Food
and Cosmetics.
173....................... Label Requirement for Food 0910-AF61
That Has Been Refused
Admission Into the United
States.
174....................... Cigarette Warning Label 0910-AG41
Statements.
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Food and Drug Administration--Long-Term Actions
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Regulation
Sequence No. Title Identifier No.
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175....................... Postmarketing Safety 0910-AA97
Reporting Requirements
for Human Drug and
Biological Products.
176....................... Current Good Manufacturing 0910-AB88
Practice in
Manufacturing, Packing,
Labeling, or Holding
Operations for Dietary
Supplements.
177....................... Medical Gas Containers and 0910-AC53
Closures; Current Good
Manufacturing Practice
Requirements.
[[Page 40054]]
178....................... Content and Format of 0910-AF11
Labeling for Human
Prescription Drugs and
Biologics; Requirements
for Pregnancy and
Lactation Labeling.
179....................... Over-the-Counter (OTC) 0910-AF31
Drug Review--Cough/Cold
(Antihistamine) Products.
180....................... Over-the-Counter (OTC) 0910-AF35
Drug Review--External
Analgesic Products.
181....................... Over-the-Counter (OTC) 0910-AF38
Drug Review--Laxative
Drug Products.
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Food and Drug Administration--Completed Actions
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Regulation
Sequence No. Title Identifier No.
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182....................... Over-the-Counter (OTC) 0910-AF34
Drug Review--Cough/Cold
(Nasal Decongestant)
Products.
183....................... Over-the-Counter (OTC) 0910-AF37
Drug Review--Labeling of
Drug Products for OTC
Human Use.
184....................... Over-the-Counter (OTC) 0910-AF39
Drug Review--Ophthalmic
Products.
185....................... Over-the-Counter (OTC) 0910-AF42
Drug Review--Skin
Protectant Products.
186....................... Over-the-Counter (OTC) 0910-AF44
Drug Review--Vaginal
Contraceptive Products.
187....................... Over-the-Counter (OTC) 0910-AF51
Drug Review--
Overindulgence in Food
and Drink Products.
188....................... Over-the-Counter (OTC) 0910-AF52
Drug Review--Antacid
Products.
189....................... Over-the-Counter (OTC) 0910-AF53
Drug Review--Skin
Bleaching Products.
190....................... Over-the-Counter (OTC) 0910-AF56
Drug Review--Stimulant
Drug Products.
191....................... Over-the-Counter (OTC) 0910-AF63
Drug Review--
Antidiarrheal Drug
Products.
192....................... Over-the-Counter (OTC) 0910-AF70
Drug Review--Urinary
Analgesic Drug Products.
193....................... Over-the-Counter (OTC) 0910-AF95
Drug Review--Certain
Category II Active
Ingredients.
194....................... Food Labeling: Safe 0910-AG06
Handling Statements,
Labeling of Shell Eggs;
Refrigeration of Shell
Eggs Held for Retail
Distribution (Section 610
Review).
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Centers for Medicare & Medicaid Services--Prerule Stage
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Regulation
Sequence No. Title Identifier No.
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195....................... Five Year Review of Work 0938-AQ87
Relative Value Units
Under the Physician Fee
Schedule (CMS-1582-PN).
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Centers for Medicare & Medicaid Services--Proposed Rule Stage
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Regulation
Sequence No. Title Identifier No.
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196....................... Home Health Agency (HHA) 0938-AG81
Conditions of
Participation (CoPs) (CMS-
3819-P) (Section 610
Review).
197....................... Influenza Vaccination 0938-AP92
Standard for Certain
Medicare Participating
Providers and Suppliers
(CMS-3213-P).
198....................... Hospital Conditions of 0938-AP97
Participation:
Requirements for Hospital
Inpatient Psychiatric and
Rehabilitation Units
Excluded From the
Prospective Payment
System and LTCH
Requirements (CMS-3177-P).
199....................... Proposed Changes to the 0938-AQ24
Hospital Inpatient
Prospective Payment
Systems for Acute Care
Hospitals and FY 2012
Rates and to the Long-
Term Care Hospital PPS
and FY 2012 Rates (CMS-
1518-P).
200....................... Changes to the Hospital 0938-AQ26
Outpatient Prospective
Payment System and
Ambulatory Surgical
Center Payment System for
CY 2012 (CMS-1525-P).
201....................... Changes to the ESRD 0938-AQ27
Prospective Payment
System for CY 2012 &
Quality Incentives
Program for CY 2013 (CMS-
1577-P).
202....................... Medicaid Program 0938-AQ61
Integrity: Registration
of Billing Agents,
Clearing Houses, or Other
Alternate Payees (CMS-
2365-P).
203....................... Medicaid Eligibility 0938-AQ62
Expansion Under the
Affordable Care Act of
2010 (CMS-2349-P).
204....................... Payments for Primary Care 0938-AQ63
Services Under the
Medicaid Program (CMS-
2370-P).
205....................... Medicare and Medicaid 0938-AQ84
Electronic Health Record
Incentive Program--Stage
2 (CMS-0044-P).
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Centers for Medicare & Medicaid Services--Final Rule Stage
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Regulation
Sequence No. Title Identifier No.
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206....................... Enhanced Federal Funding 0938-AQ53
for Medicaid Eligibility
Determination and
Enrollment Activities
(CMS-2346-F).
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[[Page 40055]]
Centers for Medicare & Medicaid Services--Long-Term Actions
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Regulation
Sequence No. Title Identifier No.
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207....................... Requirements for Long-Term 0938-AP32
Care Facilities: Hospice
Services (CMS-3140-F)
(Section 610 Review).
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Centers for Medicare & Medicaid Services--Completed Actions
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Regulation
Sequence No. Title Identifier No.
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208....................... Amendment to Payment 0938-AP79
Policies Under the
Physician Fee Schedule
and Part B for CY 2011
(CMS-1503-F2).
209....................... Changes to the Hospital 0938-AP82
Outpatient Prospective
Payment System and
Ambulatory Surgical
Center Payment System for
CY 2011 (CMS-1504-FC).
210....................... Section 508 Hospitals-- 0938-AQ97
Medicare and Medicaid
Extenders Act of 2010
Changes (CMS-1357-N).
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DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)
Office of the Secretary (OS)
Completed Actions
138. Modifications to the HIPAA Privacy, Security, and Enforcement
Rules Under the Health Information Technology for Economic and Clinical
Health Act
Legal Authority: Pub. L. 111-5, secs 13400 to 13410
Abstract: The Department of Health and Human Services, Office for
Civil Rights, will issue rules to modify the HIPAA Privacy, Security,
and Enforcement Rules as necessary to implement the privacy, security,
and certain enforcement provisions of subtitle D of the Health
Information Technology for Economic and Clinical Health Act (title XIII
of the American Recovery and Reinvestment Act of 2009).
Timetable:
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Action Date FR Cite
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NPRM................................ 07/14/10 75 FR 40867
NPRM Comment Period End............. 09/13/10 .......................
Merged With 0991-AB80............... 03/02/11 .......................
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Regulatory Flexibility Analysis Required: Yes.
Agency Contact: Andra Wicks, Privacy Specialist, Office of Civil
Rights, Department of Health and Human Services, 200 Independence
Avenue, SW., Washington, DC 20201, Phone: 202 205-2292, Fax: 202 205-
4786, E-mail: andra.wicks@hhs.gov.
RIN: 0991-AB57
DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)
Office of Consumer Information and Insurance Oversight (OCIIO)
Completed Actions
139. Status as a Grandfathered Health Plan Under the Affordable Care
Act
Legal Authority: Pub. L. 111-148
Abstract: The Affordable Care Act protects the ability of
individuals and businesses to keep their current plan while providing
important consumer protections. The new regulation also provides
stability and flexibility to insurers and businesses that offer health
insurance coverage as the nation transitions to a more competitive
marketplace. In 2014, businesses and consumers will have more
affordable choices through exchanges. This rule would finalize the
requirements for group health plans and health insurance coverage in
the group and individual markets and respond to any comments as the
result of the interim final rule implementing this provision.
Timetable:
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Action Date FR Cite
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Interim Final Rule.................. 06/17/10 75 FR 34538
Interim Final Rule Effective........ 07/12/10 .......................
Interim Final Rule Comment Period 08/16/10 .......................
End.
Merged With 0938-AQ80............... 02/11/11 .......................
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Regulatory Flexibility Analysis Required: Yes.
Agency Contact: James Mayhew, Director, Division of Market Rules
Compliance Office, Department of Health and Human Services, Office of
Consumer Information and Insurance Oversight, Mail Stop C2-12016, 7500
Security Boulevard, Baltimore, MD 21244, Phone: 410 786-9244, E-mail:
james.mayhew@cms.hhs.gov.
RIN: 0950-AA17
DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)
Substance Abuse and Mental Health Services Administration (SAMHSA)
Final Rule Stage
140. Opioid Drugs in Maintenance or Detoxification Treatment of Opiate
Addiction (Section 610 Review)
Legal Authority: 21 U.S.C. 823 (9); 42 U.S.C. 257a; 42 U.S.C.
290aa(d); 42 U.S.C. 290dd-2; 42 U.S.C. 300xx-23; 42 U.S.C. 300x-27(a);
42 U.S.C. 300y-11
Abstract: This rule will amend the Federal opioid treatment program
regulations. It will modify the dispensing requirements for
buprenorphine and buprenorphine combination products that are approved
by the Food and Drug Administration (FDA) for opioid dependence and
used in federally certified and registered opioid treatment programs.
Timetable:
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Action Date FR Cite
------------------------------------------------------------------------
NPRM................................ 06/19/09 74 FR 29153
NPRM Comment Period End............. 08/18/09 .......................
Final Action........................ 12/00/11 .......................
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Regulatory Flexibility Analysis Required: No.
Agency Contact: Nicholas Reuter, Department of Health and Human
Services, Substance Abuse and Mental Health Services Administration,
Suite 2-1063, One Choke Cherry Road, Rockville, MD 20857, Phone: 240
276-2716, E-mail: nicholas.reuter@samhsa.hhs.gov.
RIN: 0930-AA14
[[Page 40056]]
DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)
Substance Abuse and Mental Health Services Administration (SAMHSA)
Long-Term Actions
141. Requirements Governing the Use of Seclusion and Restraint in
Certain Nonmedical Community-Based Facilities for Children and Youth
Legal Authority: Pub. L. 106-310, 42 U.S.C. 290jj to 290jj-2
Abstract: The Secretary is required by statute to publish
regulations governing States that license nonmedical, community-based
residential facilities for children and youth. The regulation requires
States to develop licensing rules and monitoring requirements
concerning behavior management practice that will ensure compliance;
requires States to develop and implement such licensing rules and
implementation requirements within one year; and ensures that States
require such facilities to have adequate staff, and that the States
provide training for professional staff.
Timetable:
------------------------------------------------------------------------
Action Date FR Cite
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NPRM................................ To Be Determined
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Regulatory Flexibility Analysis Required: Yes.
Agency Contact: Paolo Del Vecchio, Associate Director for Consumer
Affairs, Department of Health and Human Services, Substance Abuse and
Mental Health Services Administration, Room 13-103, Parklawn Building,
5600 Fishers Lane, Rockville, MD 20857, Phone: 301 443-2619, E-mail:
paolo.delvecchio@samhsa.hhs.gov.
RIN: 0930-AA10
DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)
Centers for Disease Control and Prevention (CDC)
Final Rule Stage
142. Control of Communicable Diseases: Foreign and Possessions
Legal Authority: 42 U.S.C. 243; 42 U.S.C. 264 and 265; 42 U.S.C.
267 and 268; 42 U.S.C. 270 and 271
Abstract: By statute, the Secretary of Health and Human Services
has broad authority to prevent introduction, transmission, and spread
of communicable diseases from foreign countries into the United States
and from one State or possession into another. Communicable disease
regulations are divided into two parts: Part 71 pertaining to foreign
arrivals and part 70 pertaining to interstate matters. This rule (42
CFR Part 71) will update and improve CDC's response to both global and
domestic disease threats by creating a multi-tiered illness detection
and response process thus substantially enhancing the public health
system's ability to slow the introduction, transmission, and spread of
communicable disease. The final rule focuses primarily on requirements
relating to the reporting of deaths and illnesses onboard aircrafts and
ships, and the collection of specific traveler contact information for
the purpose of CDC contacting travelers in the event of an exposure to
a communicable disease.
Timetable:
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Action Date FR Cite
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NPRM................................ 11/30/05 70 FR 71892
NPRM Comment Period End............. 01/20/06 .......................
Final Action........................ 09/00/11 .......................
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Regulatory Flexibility Analysis Required: Yes.
Agency Contact: Stacy Howard, Health Scientist, Department of
Health and Human Services, Centers for Disease Control and Prevention,
MS E-03, 1600 Clifton Road, NE., Atlanta, GA 30329, Phone: 404 498-
1600, E-mail: showard@cdc.gov.
RIN: 0920-AA12
143. Control of Communicable Diseases: Interstate
Legal Authority: 28 U.S.C. 198; 28 U.S.C. 231; 25 U.S.C. 1661; 42
U.S.C. 243; 42 U.S.C. 248 and 249; 42 U.S.C. 264; 42 U.S.C. 266 to 268;
42 U.S.C. 270 to 272; 42 U.S.C. 2001
Abstract: By statute, the Secretary of Health and Human Services
has broad authority to prevent introduction, transmission, and spread
of communicable diseases from foreign countries into the United States
and from one State or possession into another. Communicable disease
regulations are divided into two parts: Part 71 pertaining to foreign
arrivals and part 70 pertaining to interstate matters. This rule (42
CFR Part 70) will update and improve CDC's response to both global and
domestic disease threats by creating a multi-tiered illness detection
and response process thus substantially enhancing the public health
system's ability to slow the introduction, transmission, and spread of
communicable disease. The proposed final rule focuses primarily on
requirements relating to the reporting of deaths and illnesses onboard
aircrafts, and the collection of specific traveler contact information
for the purpose of CDC contacting travelers in the event of an exposure
to a communicable disease.
Timetable:
------------------------------------------------------------------------
Action Date FR Cite
------------------------------------------------------------------------
NPRM................................ 11/30/05 70 FR 71892
NPRM Comment Period End............. 01/30/06 .......................
Final Action........................ 09/00/11 .......................
------------------------------------------------------------------------
Regulatory Flexibility Analysis Required: Yes.
Agency Contact: Stacy Howard, Health Scientist, Department of
Health and Human Services, Centers for Disease Control and Prevention,
MS E-03, 1600 Clifton Road NE., Atlanta, GA 30329, Phone: 404 498-1600,
E-mail: showard@cdc.gov.
RIN: 0920-AA22
DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)
Centers for Disease Control and Prevention (CDC)
Completed Actions
144. Quality Assurance Requirements for Respirators
Legal Authority: 29 U.S.C. 651 et seq.; 30 U.S.C. 3; 30 U.S.C. 5;
30 U.S.C. 7; 30 U.S.C. 811; 30 U.S.C. 842(h); 30 U.S.C. 844
Abstract: NIOSH plans to modify the Administrative/Quality
Assurance sections of 42 CFR part 84, Approval of Respiratory
Protective Devices. Areas for potential modification in this module
are: (1) Upgrade of quality assurance requirements; (2) ability to use
private sector quality auditors and private sector testing laboratories
in the approval program; and (3) revised approval label requirements.
Timetable:
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Action Date FR Cite
------------------------------------------------------------------------
NPRM................................ 12/10/08 73 FR 75045
NPRM Comment Period End............. 02/09/09 .......................
NPRM Comment Period Reopened........ 03/04/09 74 FR 9381
NPRM Comment Period Reopened End.... 04/10/09 .......................
NPRM Comment Period Reopening 05/21/09 74 FR 23815
Extended.
NPRM Comment Period End............. 10/09/09 .......................
Withdrawn........................... 05/01/11 .......................
------------------------------------------------------------------------
Regulatory Flexibility Analysis Required: Yes.
[[Page 40057]]
Agency Contact: William E. Newcomb, Physical Scientist, Department
of Health and Human Services, Centers for Disease Control and
Prevention, PO Box 18070, 626 Cochran Mill Road, Pittsburgh, PA 15236,
Phone: 412 386-5200, E-mail: wnewcomb@cdc.gov.
RIN: 0920-AA04
DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)
Food and Drug Administration (FDA)
Prerule Stage
145. Prescription Drug Marketing Act of 1987; Prescription Drug
Amendments of 1992; Policies, Requirements, and Administrative
Procedures (Section 610 Review)
Legal Authority: 21 U.S.C. 331; 21 U.S.C. 333; 21 U.S.C. 351; 21
U.S.C. 352; 21 U.S.C. 353; 21 U.S.C. 360; 21 U.S.C. 371; 21 U.S.C. 374;
21 U.S.C. 381
Abstract: Pursuant to section 610 of the Regulatory Flexibility
Act, FDA is currently undertaking a review of regulations promulgated
under the Prescription Drug Marketing Act (PDMA) including those
contained in 21 CFR part 203 and 21 CFR 205.3 and 205.50 (as amended in
64 FR 67762 and 67763). The purpose of this review is to determine
whether the regulations in 21 CFR part 203 and 21 CFR 205.3 and 205.50
(as amended in 64 FR 67762 and 67763) should be continued without
change, or whether they should be amended or rescinded, consistent with
the stated objectives of applicable statues, to minimize adverse
impacts on a substantial number of small entities. FDA solicited
comments on the following: (1) The continued need for the regulations
in 21 CFR part 203 and 21 CFR 205.3 and 205.50 (as amended in 64 FR
67762 and 67763); (2) the nature of complaints or comments received
from the public concerning the regulations in 21 CFR part 203 and 21
CFR 205.3 and 205.50 (as amended in 64 FR 67762 and 67763); (3) the
complexity of the regulations in 21 CFR part 203 and 21 CFR 205.3 and
205.50 (as amended in 64 FR 67762 and 67763); (4) the extent to which
the regulations in 21 CFR part 203 and 21 CFR 205.3 and 205.50 (as
amended in 64 FR 67762 and 67763) overlap, duplicate, or conflict with
other Federal rules, and to the extent feasible, with State and local
governmental rules; and (5) the degree to which technology, economic
conditions, or other factors have changed in the area affected by the
regulations in 21 CFR part 203 and 21 CFR 205.3 and 205.50 (as amended
in 64 FR 67762 and 67763).
FDA received one comment on this review; and FDA notes that
portions of the PDMA have been stayed in connection with RxUSA
Wholesale, Inc., v. HHS, 467 F. Supp.2d 285 (E.D.N.Y. 2006), aff'd,
2008 U.S. App. LEXIS 14661 (2d Cir. 2008); and that the litigation
itself has been administratively closed (with either party having the
right to reopen) through June 30, 2011. FDA is certifying that it is
not feasible for the agency to complete its review by December 4, 2010,
and therefore is extending the completion date by one year.
Timetable:
------------------------------------------------------------------------
Action Date FR Cite
------------------------------------------------------------------------
Begin Review of Current Regulation.. 11/24/08 .......................
End Review of Current Regulation.... 12/00/11 .......................
------------------------------------------------------------------------
Regulatory Flexibility Analysis Required: Yes.
Agency Contact: Howard Muller, Office of Regulatory Policy,
Department of Health and Human Services, Food and Drug Administration,
Center for Drug Evaluation and Research, WO 51, Room 6234, 10903 New
Hampshire Avenue, Silver Spring, MD 20993-0002, Phone: 301 796-3601,
Fax: 301 847-8440, E-mail: pdma610(c)review@fda.hhs.gov.
RIN: 0910-AG14
146. Requirements for Testing Human Blood Donors for Evidence
of Infection Due to Communicable Disease Agents (Section 610 Review)
Legal Authority: 21 U.S.C. 321; 21 U.S.C. 331; 21 U.S.C. 351 to
353; 21 U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 360c and 360d; 21 U.S.C.
360h and 360i; 21 U.S.C. 371 and 372; 21 U.S.C. 374; 21 U.S.C. 381; 42
U.S.C. 216; 42 U.S.C. 262 to 264; 42 U.S.C. 263; 42 U.S.C. 263a; 42
U.S.C. 264
Abstract: FDA is undertaking a review of 21 CFR 610.40, 610.41,
610.42, 610.44, 640.67, 640.70, (as amended in 66 FR 31146) under
section 610 of the Regulatory Flexibility Act. The purpose of this
review is to determine whether the regulations in 21 CFR 610.40,
610.41, 610.42, 610.44, 640.67, 640.70 (as amended in 66 FR 31146)
should be continued without change, or whether they should be amended
or rescinded, consistent with the stated objectives of applicable
statutes, to minimize adverse impacts on a substantial number of small
entities. FDA will consider, and is soliciting comments on, the
following: (1) The continued need for the rule; (2) the nature of
complaints or comments received concerning the rule from the public;
(3) the complexity of the rule; (4) the extent to which the rule
overlaps, duplicates, or conflicts with other Federal rules, and, to
the extent feasible, with State and local governmental rules; and (5)
the length of time since the rule has been evaluated or the degree to
which technology, economic conditions, or other factors have changed in
the area affected by the rule.
Timetable:
------------------------------------------------------------------------
Action Date FR Cite
------------------------------------------------------------------------
Begin Review of Current Regulation.. 06/00/11 .......................
End Review of Current Regulation.... 12/00/11 .......................
------------------------------------------------------------------------
Regulatory Flexibility Analysis Required: Yes.
Agency Contact: Melissa Reisman, Regulatory Counsel, Department of
Health and Human Services, Food and Drug Administration, Center for
Biologics Evaluation and Research, Suite 200N (HFM-17), 1401 Rockville
Pike, Rockville, MD 20852, Phone: 301 827-6210.
RIN: 0910-AG61
147. General Requirements for Blood, Blood Components, and
Blood Derivatives; Donor Notification (Section 610 Review)
Legal Authority: 21 U.S.C. 321; 21 U.S.C. 331; 21 U.S.C. 351 and
352; 21 U.S.C. 355; 21 U.S.C. 360 and 360j; 21 U.S.C. 371; 21 U.S.C.
374; 42 U.S.C. 216; 42 U.S.C. 262; 42 U.S.C. 263a; 42 U.S.C. 264; et
seq.
Abstract: FDA is undertaking a review of 21 CFR 606.100(b),
606.160(b) and 630.6 (as amended in 66 FR 31165) under section 610 of
the Regulatory Flexibility Act. The purpose of this review is to
determine whether the regulations in 21 CFR 606.100(b), 606.160(b) and
630.6 (as amended in 66 FR 31165) should be continued without change,
or whether they should be amended or rescinded, consistent with the
stated objectives of applicable statutes, to minimize adverse impacts
on a substantial number of small entities. FDA will consider, and is
soliciting comments on, the following: (1) The continued need for the
rule; (2) the nature of complaints or comments received concerning the
rule from the public; (3) the complexity of the rule; (4) the extent to
which the rule overlaps, duplicates, or conflicts with other Federal
rules, and, to the extent feasible, with State and local governmental
rules;
[[Page 40058]]
and (5) the length of time since the rule has been evaluated or the
degree to which technology, economic conditions, or other factors have
changed in the area affected by the rule.
Timetable:
------------------------------------------------------------------------
Action Date FR Cite
------------------------------------------------------------------------
Begin Review........................ 06/00/11 .......................
End Review.......................... 12/00/11 .......................
------------------------------------------------------------------------
Regulatory Flexibility Analysis Required: No.
Agency Contact: Melissa Reisman, Regulatory Counsel, Department of
Health and Human Services, Food and Drug Administration, Center for
Biologics Evaluation and Research, Suite 200N (HFM-17), 1401 Rockville
Pike, Rockville, MD 20852, Phone: 301 827-6210.
RIN: 0910-AG62
DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)
Food and Drug Administration (FDA)
Proposed Rule Stage
148. Electronic Submission of Data From Studies Evaluating Human Drugs
and Biologics
Legal Authority: 21 U.S.C. 355; 21 U.S.C. 371; 42 U.S.C. 262
Abstract: The Food and Drug Administration is proposing to amend
the regulations governing the format in which clinical study data and
bioequivalence data are required to be submitted for new drug
applications (NDAs), biological license applications (BLAs), and
abbreviated new drug applications (ANDAs). The proposal would revise
our regulations to require that data submitted for NDAs, BLAs, and
ANDAs, and their supplements and amendments, be provided in an
electronic format that FDA can process, review, and archive.
Timetable:
------------------------------------------------------------------------
Action Date FR Cite
------------------------------------------------------------------------
NPRM................................ 03/00/12 .......................
------------------------------------------------------------------------
Regulatory Flexibility Analysis Required: Yes.
Agency Contact: Martha Nguyen, Regulatory Counsel, Department of
Health and Human Services, Food and Drug Administration, Center for
Drug Evaluation and Research, WO 51, Room 6352, 10903 New Hampshire
Avenue, Silver Spring, MD 20993-0002, Phone: 301 796-3471, Fax: 301
847-8440, E-mail: martha.nguyen@fda.hhs.gov.
RIN: 0910-AC52
149. Over-the-Counter (OTC) Drug Review--Internal Analgesic Products
Legal Authority: 21 U.S.C. 321p; 21 U.S.C. 331; 21 U.S.C. 351 to
353; 21 U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371; 21 U.S.C. 374; 21
U.S.C. 379e
Abstract: The OTC drug review establishes conditions under which
OTC drugs are considered generally recognized as safe and effective and
not misbranded. After a final monograph (i.e., final rule) is issued,
only OTC drugs meeting the conditions of the monograph, or having an
approved new drug application, may be legally marketed. The first
action addresses products labeled to relieve upset stomach associated
with overindulgence in food and drink and to relieve symptoms
associated with a hangover. The second action addresses acetaminophen
safety. The third action addresses products marketed for children under
2 years old and weight- and age-based dosing for children's products.
The fourth action addresses combination products containing the
analgesic acetaminophen or aspirin and sodium bicarbonate used as an
antacid ingredient. The last document finalizes the internal analgesic
products monograph.
Timetable:
------------------------------------------------------------------------
Action Date FR Cite
------------------------------------------------------------------------
NPRM (Amendment) (Required Warnings 12/26/06 71 FR 77314
and Other Labeling).
NPRM Comment Period End............. 05/25/07 .......................
Final Action (Required Warnings and 04/29/09 74 FR 19385
Other Labeling).
Final Action (Correction)........... 06/30/09 74 FR 31177
Final Action (Technical Amendment).. 11/25/09 74 FR 61512
NPRM (Acetaminophen)................ 04/00/12 .......................
-----------------------------------
NPRM (Amendment) (Pediatric)........ To Be Determined
NPRM (Amendment) (Sodium To Be Determined
Bicarbonate).
NPRM (Overindulgence/Hangover)...... To Be Determined
Final Action (Internal Analgesics).. To Be Determined
------------------------------------------------------------------------
Regulatory Flexibility Analysis Required: Yes.
Agency Contact: Mary Chung, Department of Health and Human
Services, Food and Drug Administration, Center for Drug Evaluation and
Research, WO 22, Room 5488, 10903 New Hampshire Avenue, Silver Spring,
MD 20993, Phone: 301 796-0260, Fax: 301 796-9899, E-mail:
mary.chung@fda.hhs.gov.
RIN: 0910-AF36
150. Over-the-Counter (OTC) Drug Review--Oral Health Care Products
Legal Authority: 21 U.S.C. 321p; 21 U.S.C. 331; 21 U.S.C. 351 to
353; 21 U.S.C. 355; 21 U.S.C. 360 to 360a; 21 U.S.C. 371 to 371a
Abstract: The OTC drug review establishes conditions under which
OTC drugs are considered generally recognized as safe and effective and
not misbranded. After a final monograph (i.e., final rule) is issued,
only OTC drugs meeting the conditions of the monograph, or having an
approved new drug application, may be legally marketed. The NPRM and
final action will address oral health care products used to reduce or
prevent dental plaque and gingivitis.
Timetable:
------------------------------------------------------------------------
Action Date FR Cite
------------------------------------------------------------------------
ANPRM (Plaque Gingivitis)........... 05/29/03 68 FR 32232
ANPRM Comment Period End............ 08/27/03
NPRM (Benzocaine)................... 12/00/11
-----------------------------------
NPRM (Plaque Gingivitis)............ To Be Determined
Final Action........................ To Be Determined
------------------------------------------------------------------------
Regulatory Flexibility Analysis Required: Yes.
Agency Contact: David Eng, Department of Health and Human Services,
Food and Drug Administration, Center for Drug Evaluation and Research,
WO 22, Room 5487, 10903 New Hampshire Avenue, Silver Spring, MD 20993,
Phone: 301 796-2773, Fax: 301 796-9899, E-mail: david.eng@fda.hhs.gov.
RIN: 0910-AF40
151. Over-the-Counter (OTC) Drug Review--Sunscreen Products
Legal Authority: 21 U.S.C. 321p; 21 U.S.C. 331; 21 U.S.C. 351 to
353; 21 U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
Abstract: The OTC drug review establishes conditions under which
OTC drugs are considered generally recognized as safe and effective and
not misbranded. After a final monograph (i.e., final rule) is issued,
only OTC drugs meeting the conditions of the monograph, or having an
approved new drug application, may be legally marketed. The first
action finalizes
[[Page 40059]]
sunscreen labeling and testing requirements for both ultraviolet B and
ultraviolet A radiation protection. The second action addresses other
safety and effectiveness issues for OTC sunscreen drug products. The
third action addresses active ingredients reviewed under Time and
Extent Applications. The fourth action addresses the safety of
sunscreen products. The last action addresses combination products
containing sunscreen and insect repellent ingredients.
Timetable:
------------------------------------------------------------------------
Action Date FR Cite
------------------------------------------------------------------------
ANPRM (Sunscreen and Insect 02/22/07 72 FR 7941
Repellent).
ANPRM Comment Period End............ 05/23/07
NPRM (UVA/UVB)...................... 08/27/07 72 FR 49070
NPRM Comment Period End............. 12/26/07
Final Action (UVA/UVB).............. 08/00/11
NPRM (Safety and Effectiveness)..... 08/00/11
NPRM (Time and Extent Applications). 04/00/12
ANPRM (Safety)...................... 06/00/12
-----------------------------------
NPRM (Sunscreen and Insect To Be Determined
Repellent).
------------------------------------------------------------------------
Regulatory Flexibility Analysis Required: Yes.
Agency Contact: David Eng, Department of Health and Human Services,
Food and Drug Administration, Center for Drug Evaluation and Research,
WO 22, Room 5487, 10903 New Hampshire Avenue, Silver Spring, MD 20993,
Phone: 301 796-2773, Fax: 301 796-9899, E-mail: david.eng@fda.hhs.gov.
RIN: 0910-AF43
152. Over-the-Counter (OTC) Drug Review--Weight Control Products
Legal Authority: 21 U.S.C. 321p; 21 U.S.C. 331; 21 U.S.C. 351 to
353; 21 U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
Abstract: The OTC drug review establishes conditions under which
OTC drugs are considered generally recognized as safe and effective and
not misbranded. After a final monograph (i.e., final rule) is issued,
only OTC drugs meeting the conditions of the monograph, or having an
approved new drug application, may be legally marketed. The NPRM
addresses the use of benzocaine for weight control. The first final
action finalizes the 2005 proposed rule for weight control products
containing phenylpropanolamine. The second final action will finalize
the proposed rule for weight control products containing benzocaine.
Timetable:
------------------------------------------------------------------------
Action Date FR Cite
------------------------------------------------------------------------
NPRM (Phenylpropanolamine).......... 12/22/05 70 FR 75988
NPRM Comment Period End............. 03/22/06
NPRM (Benzocaine)................... 03/09/11 76 FR 12916
NPRM Comment Period End............. 06/07/11
-----------------------------------
Final Action (Phenylpropanolamine).. To Be Determined
Final Action (Benzocaine)........... To Be Determined
------------------------------------------------------------------------
Regulatory Flexibility Analysis Required: Yes.
Agency Contact: David Eng, Department of Health and Human Services,
Food and Drug Administration, Center for Drug Evaluation and Research,
WO 22, Room 5487, 10903 New Hampshire Avenue, Silver Spring, MD 20993,
Phone: 301 796-2773, Fax: 301 796-9899, E-mail: david.eng@fda.hhs.gov.
RIN: 0910-AF45
153. Over-the-Counter (OTC) Drug Review--Topical Antimicrobial Drug
Products
Legal Authority: 21 U.S.C. 321p; 21 U.S.C. 331; 21 U.S.C. 351 to
353; 21 U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
Abstract: The OTC drug review establishes conditions under which
OTC drugs are considered generally recognized as safe and effective and
not misbranded. After a final monograph (i.e., final rule) is issued,
only OTC drugs meeting the conditions of the monograph, or having an
approved new drug application, may be legally marketed. The first
action addresses consumer products. The second action addresses testing
requirements.
Timetable:
------------------------------------------------------------------------
Action Date FR Cite
------------------------------------------------------------------------
NPRM (Healthcare)................... 06/17/94 59 FR 31402
Comment Period End.................. 12/15/95
NPRM (Consumer)..................... 01/00/12
-----------------------------------
NPRM (Food Handlers)................ To Be Determined
NPRM (Testing)...................... To Be Determined
Final Action (Consumer)............. To Be Determined
Final Action (Testing).............. To Be Determined
Final Action (Food Handlers)........ To Be Determined
Final Action (First Aid Antiseptic). To Be Determined
------------------------------------------------------------------------
Regulatory Flexibility Analysis Required: Yes.
Agency Contact: David Eng, Department of Health and Human Services,
Food and Drug Administration, Center for Drug Evaluation and Research,
WO 22, Room 5487, 10903 New Hampshire Avenue, Silver Spring, MD 20993,
Phone: 301 796-2773, Fax: 301 796-9899, E-mail: david.eng@fda.hhs.gov.
RIN: 0910-AF69
154. Import Tolerances for Residues of Unapproved New Animal Drugs in
Food
Legal Authority: 21 U.S.C. 342; 21 U.S.C. 360b(a)(6); 21 U.S.C. 371
Abstract: The Food and Drug Administration (FDA) plans to publish a
proposed rule related to the implementation of the import tolerances
provision of the Animal Drug Availability Act of 1996 (ADAA). The ADAA
authorizes FDA to establish tolerances for unapproved new animal drugs
where edible portions of animals imported into the United States may
contain residues of such drugs (import tolerances). It is unlawful to
import animal-derived food that bears or contains residues of a new
animal drug that is not approved in the United States, unless FDA has
established an import tolerance for that new animal drug and the
residue of the new animal drug in the animal-derived food does not
exceed that tolerance.
Timetable:
------------------------------------------------------------------------
Action Date FR Cite
------------------------------------------------------------------------
NPRM................................ 09/00/11
NPRM Comment Period End............. 12/00/11
------------------------------------------------------------------------
Regulatory Flexibility Analysis Required: Yes.
Agency Contact: Thomas Moskal, Consumer Safety Officer, Department
of Health and Human Services, Food and Drug Administration, Center for
Veterinary Medicine, Room 101, (MPN-4, HFV-232), 7519 Standish Place,
Rockville, MD 20855, Phone: 240 276-9242, Fax: 240 276-9241, E-mail:
thomas.moskal@fda.hhs.gov.
RIN: 0910-AF78
[[Page 40060]]
155. Laser Products; Amendment to Performance Standard
Legal Authority: 21 U.S.C. 360hh to 360ss; 21 U.S.C. 371; 21 U.S.C.
393
Abstract: FDA is proposing to amend the performance standard for
laser products to achieve closer harmonization between the current
standard and the International Electrotechnical Commission (IEC)
standard for laser products and medical laser products. The proposed
amendment is intended to update FDA's performance standard to reflect
advancements in technology. The proposal would adopt portions of an IEC
standard to achieve greater harmonization and reflect current science.
In addition, the proposal would include an alternative mechanism for
providing certification and identification, address novelty laser
products, and clarify the military exemption for laser products.
Timetable:
------------------------------------------------------------------------
Action Date FR Cite
------------------------------------------------------------------------
NPRM................................ 11/00/11
------------------------------------------------------------------------
Regulatory Flexibility Analysis Required: Yes.
Agency Contact: Nancy Pirt, Regulatory Counsel, Department of
Health and Human Services, Food and Drug Administration, Center for
Devices and Radiological Health, WO 66, Room 4438, 10903 New Hampshire
Avenue, Silver Spring, MD 20993, Phone: 301 796-6248, Fax: 301 847-
8145, E-mail: nancy.pirt@fda.hhs.gov.
RIN: 0910-AF87
156. Pet Food Labeling Requirements
Legal Authority: 21 U.S.C. 343; 21 U.S.C. 371; Pub. L. 110-85, sec
1002(a)(3)
Abstract: The President signed into law the Food and Drug
Administration Amendments Act of 2007 (FDAAA) on September 27, 2007
(Pub. L. 110-85). Title X of the FDAAA includes several provisions
pertaining to food safety, including the safety of pet food. Section
1002(a)(3) of the new law directs FDA to issue new regulations to
establish updated standards for the labeling of pet food that include
nutritional and ingredient information. This same provision of the law
also directs that,