Medicare Program; Notification of Closure of St. Vincent's Medical Center; Extension of the Deadline for Submission of Applications, 55917-55918 [2011-23120]
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Federal Register / Vol. 76, No. 175 / Friday, September 9, 2011 / Notices
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Dated: September 2, 2011.
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[FR Doc. 2011–23068 Filed 9–8–11; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–10408]
Agency Information Collection
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Centers for Medicare &
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In compliance with the requirement
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Interested persons are invited to send
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AGENCY:
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Number of Respondents: 3,130; Total
Responses: 3,130; Total Hours: 34,430.
(For policy questions regarding this
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PO 00000
Frm 00051
Fmt 4703
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55917
to find the information collection
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Dated: September 6, 2011.
Martique Jones,
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Division B, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2011–23118 Filed 9–8–11; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–1587–N2]
Medicare Program; Notification of
Closure of St. Vincent’s Medical
Center; Extension of the Deadline for
Submission of Applications
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice of extension of the
Deadline for Submission of
Applications.
AGENCY:
This notice extends the
deadline for hospitals to apply to the
Centers for Medicare & Medicaid
Services (CMS) to receive St. Vincent’s
Medical Center’s full time equivalent
(FTE) resident cap slots. The application
deadline, which was September 28,
2011, has been extended to December 1,
2011.
DATES: The application deadline is
extended to 5 p.m. (e.s.t.) on December
1, 2011.
FOR FURTHER INFORMATION CONTACT:
Renate Dombrowski, (410) 786–4645.
Miechal Lefkowitz, (212) 616–2517.
SUPPLEMENTARY INFORMATION: On May
31, 2011, we published a notice in the
Federal Register (76 FR 31340) to
announce the closure of St. Vincent’s
Medical Center and the initiation of an
application process for hospitals to
apply to the Centers for Medicare &
Medicaid Services (CMS) to receive St.
Vincent’s Medical Center’s full time
equivalent (FTE) resident cap slots, as
provided under section 5506 of the
Patient Protection and Affordable Care
Act (Pub. L. 111–148), as amended by
the Health Care and Education
Reconciliation Act of 2010 (Pub. L. 111–
SUMMARY:
E:\FR\FM\09SEN1.SGM
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mstockstill on DSK4VPTVN1PROD with NOTICES
55918
Federal Register / Vol. 76, No. 175 / Friday, September 9, 2011 / Notices
152) (collectively, the ‘‘Affordable Care
Act’’), ‘‘Preservation of Resident Cap
Positions from Closed Hospitals.’’
Specifically, section 5506 of the
Affordable Care Act authorizes the
Secretary to redistribute residency cap
slots after a hospital that trained
residents in an approved medical
residency program(s) closes. St.
Vincent’s Medical Center’s official date
of termination of the Medicare provider
agreement and date of closure is October
31, 2010. The published notice,
announcing the hospital closure and
initiating the application process to
preserve St. Vincent’s resident cap
positions stated that the application
deadline was September 28, 2011. The
date of September 28, 2011, was chosen
since the procedure described in the
November 24, 2010 Federal Register (75
FR 72215) for initiating an application
process specifies that the application
deadline would be 4 months after
issuance of the notice to the public (that
is, September 28, 2011, is 4 months after
May 31, 2011).
Specifically, section 5506 of the
Affordable Care Act instructs the
Secretary to increase the FTE resident
caps for other hospitals based upon the
FTE resident positions in teaching
hospitals that closed ‘‘on or after a date
that is 2 years before the date of
enactment’’ (that is, March 23, 2008). In
the November 24, 2010 Federal Register
(75 FR 72215), we stated that hospitals
wishing to apply for FTE resident cap
slots from teaching hospitals that closed
between March 23, 2008 and through
and including August 3, 2010, must
submit applications to CMS by April 1,
2011. We further stated that for any
teaching hospital closures occurring
after August 3, 2010, separate notice
would be made announcing the closure
and initiating an application process for
those slots and a future application
deadline. The first application process
with the application deadline of April 1,
2011, spanned over a 2-year timeframe
(covering all hospital closures between
March 28, 2008 and through and
including August 3, 2010), and involved
15 closed teaching hospitals, generating
a very large number of applications and
slots to be redistributed. The closure of
St. Vincent’s Medical Center occurred
on October 31, 2010, and the notice
announcing the closure and initiating
the application process was published
on May 31, 2011, establishing the
September 28, 2011 application
deadline. Thus, the application period
CMS initiated for the preservation of
FTE resident slots due to the closure of
St. Vincent’s Medical Center overlaps
with the period during which CMS is
VerDate Mar<15>2010
16:58 Sep 08, 2011
Jkt 223001
processing and reviewing the
applications received under the first
expansive section 5506 application
process, and issuing final
determinations to hospitals that may
receive increases to their FTE resident
caps. Moreover, we note that St.
Vincent’s Medical Center is located in
the same CBSA as 3 (of the 15) hospitals
that closed between March 23, 2008
through August 3, 2010, and many of
the hospitals wishing to apply for slots
from St. Vincent’s Medical Center have
indicated that it would be helpful to
receive the results of their applications
submitted under the first section 5506
process in order to make informed
decisions regarding the number of slots
for which to apply from St. Vincent’s
Medical Center under this separate
application process. CMS does not have
a specific deadline by which to issue
final determinations to hospitals that
receive slots under section 5506 of the
Affordable Care Act under the initial
expansive application process, yet we
understand the concerns of these
hospitals and believe it is appropriate,
in this case, to extend the application
deadline for FTE resident slots from St.
Vincent’s Medical Center. Accordingly,
we are extending the application
deadline for FTE resident slots from St.
Vincent’s Medical Center from
September 28, 2011 to December 1,
2011. We will consider applications
received no later than 5 p.m. (e.s.t)
December 1, 2011. Applications must be
received, not postmarked, by this date.
We continue to refer readers to
https://www.cms.gov/
AcuteInpatientPPS/06_dgme.asp#
TopOfPage to download a copy of the
CMS Evaluation Form 5506, which is
the application form that hospitals are
to use to apply for slots under section
5506 of the Affordable Care Act. In
addition, readers can access this Web
site for a copy of the CY 2011 OPPS
November 24, 2010 final rule, for an
explanation of the policy and
procedures for applying for slots and the
redistribution of the slots under sections
1886(h)(4)(H)(vi) and 1886(d)(5)(B)(v) of
the Social Security Act, as provided by
section 5506 of the Affordable Care Act.
The mailing addresses for the CMS New
York Regional Office and the CMS
Central Office are included in this
application form.
(Catalog of Federal Domestic Assistance
Program No. 93.773, Medicare—Hospital
Insurance; and Program No. 93.774,
Medicare—Supplementary Medical
Insurance Program)
PO 00000
Frm 00052
Fmt 4703
Sfmt 4703
Dated: September 1, 2011.
Donald M. Berwick,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2011–23120 Filed 9–8–11; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2011–N–0624]
Agency Information Collection
Activities; Proposed Collection;
Comment Request; Notice of
Participation
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA) is announcing an
opportunity for public comment on the
proposed collection of certain
information by the Agency. Under the
Paperwork Reduction Act of 1995 (the
PRA), Federal Agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
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extension of an existing collection of
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DATES: Submit either electronic or
written comments on the collection of
information by November 8, 2011.
ADDRESSES: Submit electronic
comments on the collection of
information to https://
www.regulations.gov. Submit written
comments on the collection of
information to the Division of Dockets
Management (HFA–305), Food and Drug
Administration, 5630 Fishers Lane, rm.
1061, Rockville, MD 20852. All
comments should be identified with the
docket number found in brackets in the
heading of this document.
FOR FURTHER INFORMATION CONTACT: Ila
S. Mizrachi, Office of Information
Management, Food and Drug
Administration, 1350 Piccard Dr., P150–
400B, Rockville, MD 20850, 301–796–
7726, Ila.Mizrachi@fda.hhs.gov.
SUPPLEMENTARY INFORMATION: Under the
PRA (44 U.S.C. 3501–3520), Federal
Agencies must obtain approval from the
Office of Management and Budget
(OMB) for each collection of
information they conduct or sponsor.
‘‘Collection of information’’ is defined
in 44 U.S.C. 3502(3) and 5 CFR
SUMMARY:
E:\FR\FM\09SEN1.SGM
09SEN1
]]>Agencies
[Federal Register Volume 76, Number 175 (Friday, September 9, 2011)]
[Notices]
[Pages 55917-55918]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-23120]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-1587-N2]
Medicare Program; Notification of Closure of St. Vincent's
Medical Center; Extension of the Deadline for Submission of
Applications
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice of extension of the Deadline for Submission of
Applications.
-----------------------------------------------------------------------
SUMMARY: This notice extends the deadline for hospitals to apply to the
Centers for Medicare & Medicaid Services (CMS) to receive St. Vincent's
Medical Center's full time equivalent (FTE) resident cap slots. The
application deadline, which was September 28, 2011, has been extended
to December 1, 2011.
DATES: The application deadline is extended to 5 p.m. (e.s.t.) on
December 1, 2011.
FOR FURTHER INFORMATION CONTACT: Renate Dombrowski, (410) 786-4645.
Miechal Lefkowitz, (212) 616-2517.
SUPPLEMENTARY INFORMATION: On May 31, 2011, we published a notice in
the Federal Register (76 FR 31340) to announce the closure of St.
Vincent's Medical Center and the initiation of an application process
for hospitals to apply to the Centers for Medicare & Medicaid Services
(CMS) to receive St. Vincent's Medical Center's full time equivalent
(FTE) resident cap slots, as provided under section 5506 of the Patient
Protection and Affordable Care Act (Pub. L. 111-148), as amended by the
Health Care and Education Reconciliation Act of 2010 (Pub. L. 111-
[[Page 55918]]
152) (collectively, the ``Affordable Care Act''), ``Preservation of
Resident Cap Positions from Closed Hospitals.'' Specifically, section
5506 of the Affordable Care Act authorizes the Secretary to
redistribute residency cap slots after a hospital that trained
residents in an approved medical residency program(s) closes. St.
Vincent's Medical Center's official date of termination of the Medicare
provider agreement and date of closure is October 31, 2010. The
published notice, announcing the hospital closure and initiating the
application process to preserve St. Vincent's resident cap positions
stated that the application deadline was September 28, 2011. The date
of September 28, 2011, was chosen since the procedure described in the
November 24, 2010 Federal Register (75 FR 72215) for initiating an
application process specifies that the application deadline would be 4
months after issuance of the notice to the public (that is, September
28, 2011, is 4 months after May 31, 2011).
Specifically, section 5506 of the Affordable Care Act instructs the
Secretary to increase the FTE resident caps for other hospitals based
upon the FTE resident positions in teaching hospitals that closed ``on
or after a date that is 2 years before the date of enactment'' (that
is, March 23, 2008). In the November 24, 2010 Federal Register (75 FR
72215), we stated that hospitals wishing to apply for FTE resident cap
slots from teaching hospitals that closed between March 23, 2008 and
through and including August 3, 2010, must submit applications to CMS
by April 1, 2011. We further stated that for any teaching hospital
closures occurring after August 3, 2010, separate notice would be made
announcing the closure and initiating an application process for those
slots and a future application deadline. The first application process
with the application deadline of April 1, 2011, spanned over a 2-year
timeframe (covering all hospital closures between March 28, 2008 and
through and including August 3, 2010), and involved 15 closed teaching
hospitals, generating a very large number of applications and slots to
be redistributed. The closure of St. Vincent's Medical Center occurred
on October 31, 2010, and the notice announcing the closure and
initiating the application process was published on May 31, 2011,
establishing the September 28, 2011 application deadline. Thus, the
application period CMS initiated for the preservation of FTE resident
slots due to the closure of St. Vincent's Medical Center overlaps with
the period during which CMS is processing and reviewing the
applications received under the first expansive section 5506
application process, and issuing final determinations to hospitals that
may receive increases to their FTE resident caps. Moreover, we note
that St. Vincent's Medical Center is located in the same CBSA as 3 (of
the 15) hospitals that closed between March 23, 2008 through August 3,
2010, and many of the hospitals wishing to apply for slots from St.
Vincent's Medical Center have indicated that it would be helpful to
receive the results of their applications submitted under the first
section 5506 process in order to make informed decisions regarding the
number of slots for which to apply from St. Vincent's Medical Center
under this separate application process. CMS does not have a specific
deadline by which to issue final determinations to hospitals that
receive slots under section 5506 of the Affordable Care Act under the
initial expansive application process, yet we understand the concerns
of these hospitals and believe it is appropriate, in this case, to
extend the application deadline for FTE resident slots from St.
Vincent's Medical Center. Accordingly, we are extending the application
deadline for FTE resident slots from St. Vincent's Medical Center from
September 28, 2011 to December 1, 2011. We will consider applications
received no later than 5 p.m. (e.s.t) December 1, 2011. Applications
must be received, not postmarked, by this date.
We continue to refer readers to https://www.cms.gov/AcuteInpatientPPS/06_dgme.asp# TopOfPage to download a copy of the CMS
Evaluation Form 5506, which is the application form that hospitals are
to use to apply for slots under section 5506 of the Affordable Care
Act. In addition, readers can access this Web site for a copy of the CY
2011 OPPS November 24, 2010 final rule, for an explanation of the
policy and procedures for applying for slots and the redistribution of
the slots under sections 1886(h)(4)(H)(vi) and 1886(d)(5)(B)(v) of the
Social Security Act, as provided by section 5506 of the Affordable Care
Act. The mailing addresses for the CMS New York Regional Office and the
CMS Central Office are included in this application form.
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance; and Program No. 93.774, Medicare--
Supplementary Medical Insurance Program)
Dated: September 1, 2011.
Donald M. Berwick,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2011-23120 Filed 9-8-11; 8:45 am]
BILLING CODE 4120-01-P
