February 2012 – Federal Register Recent Federal Regulation Documents

Results 251 - 300 of 2,339
Pediatric Studies of Meropenem Conducted in Accordance With Section 409I of the Public Health Service Act; Establishment of Public Docket
Document Number: 2012-4426
Type: Notice
Date: 2012-02-27
Agency: Food and Drug Administration, Department of Health and Human Services
The Food and Drug Administration (FDA) is announcing the opening of a public docket to make available to the public a report of the pediatric studies of meropenem that were conducted in accordance with section 409I of the Public Health Service Act (PHS Act) and submitted to the Director of the National Institutes of Health (NIH) and the Commissioner of Food and Drugs.
Guidance for Institutional Review Boards, Clinical Investigators, and Sponsors: Institutional Review Board Continuing Review After Clinical Investigation Approval; Availability
Document Number: 2012-4425
Type: Notice
Date: 2012-02-27
Agency: Food and Drug Administration, Department of Health and Human Services
The Food and Drug Administration (FDA) is announcing the availability of a guidance entitled, ``Guidance for IRBs, Clinical Investigators, and Sponsors: IRB Continuing Review after Clinical Investigation Approval.'' The guidance announced in this document finalizes the draft guidance of the same title dated January 2010. This document also supersedes the Information Sheet, Continuing Review After Study Approval. The guidance is intended to assist institutional review boards (IRBs) in carrying out their continuing review responsibility by providing recommendations regarding the criteria, process, and frequency of continuing review to assure the protection of the rights and welfare of subjects in clinical investigations.
Final Decision on Withdrawal of Breast Cancer Indication for AVASTIN (Bevacizumab) Following Public Hearing; Availability
Document Number: 2012-4424
Type: Notice
Date: 2012-02-27
Agency: Food and Drug Administration, Department of Health and Human Services
The Food and Drug Administration (FDA) is announcing the availability of the final decision withdrawing approval of the breast cancer indication for AVASTIN (Bevacizumab). The Commissioner of Food and Drugs (the Commissioner) issued the decision following a June 2011 public hearing on a proposal to withdraw the approval.
Agency Information Collection Activities; Submission for Office of Management and Budget Review; Comment Request; Experimental Study on Consumer Responses to Whole Grain Labeling Statements on Food Packages
Document Number: 2012-4423
Type: Notice
Date: 2012-02-27
Agency: Food and Drug Administration, Department of Health and Human Services
The Food and Drug Administration (FDA) is announcing that a proposed collection of information has been submitted to the Office of Management and Budget (OMB) for review and clearance under the Paperwork Reduction Act of 1995.
Proposed Collection; Comment Request
Document Number: 2012-4422
Type: Notice
Date: 2012-02-27
Agency: Securities and Exchange Commission, Agencies and Commissions
Commission Information Collection Activities; Comment Request; Extension
Document Number: 2012-4419
Type: Notice
Date: 2012-02-27
Agency: Department of Energy, Federal Energy Regulatory Commission
In compliance with the requirements of the Paperwork Reduction Act of 1995, 44 U.S.C. 3506(c)(2)(A), the Federal Energy Regulatory Commission is soliciting public comment on the currently approved information collection, FERC-567, Gas Pipeline Certificates: Annual Reports of System Flow Diagrams and System Capacity.
Commission Information Collection Activities; Comment Request; Extension
Document Number: 2012-4418
Type: Notice
Date: 2012-02-27
Agency: Department of Energy, Federal Energy Regulatory Commission
In compliance with the requirements of the Paperwork Reduction Act of 1995, 44 U.S.C. 3506(c)(2)(A), the Federal Energy Regulatory Commission (Commission or FERC) is soliciting public comment on the currently approved information collection, FERC-587, Land Description (Public Land States/Non-Public Land States [Rectangular or Non- Rectangular Survey System Lands in Public Land States]).
Commission Information Collection Activities; Comment Request; Extension
Document Number: 2012-4417
Type: Notice
Date: 2012-02-27
Agency: Department of Energy, Federal Energy Regulatory Commission
In compliance with the requirements of the Paperwork Reduction Act of 1995, 44 U.S.C. 3506(c)(2)(A), the Federal Energy Regulatory Commission (Commission or FERC) is soliciting public comment on the currently approved information collection, FERC-585, Reporting of Electric Energy shortages and Contingency Plans under PURPA.
ANR Pipeline Company; Notice of Application
Document Number: 2012-4416
Type: Notice
Date: 2012-02-27
Agency: Department of Energy, Federal Energy Regulatory Commission
Notice of Commission Staff Attendance
Document Number: 2012-4415
Type: Notice
Date: 2012-02-27
Agency: Department of Energy, Federal Energy Regulatory Commission
Dominion Transmission, Inc.; Notice of Application
Document Number: 2012-4414
Type: Notice
Date: 2012-02-27
Agency: Department of Energy, Federal Energy Regulatory Commission
Port Barre Investments, L.L.C. (d/b/a Bobcat Gas Storage); Notice of Request Under Blanket Authorization
Document Number: 2012-4413
Type: Notice
Date: 2012-02-27
Agency: Department of Energy, Federal Energy Regulatory Commission
Algonquin Power Company; Abenaki Timber Corporation; Notice of Transfer of Exemption
Document Number: 2012-4411
Type: Notice
Date: 2012-02-27
Agency: Department of Energy, Federal Energy Regulatory Commission
Ken Willis; Notice of Availability of Environmental Assessment
Document Number: 2012-4410
Type: Notice
Date: 2012-02-27
Agency: Department of Energy, Federal Energy Regulatory Commission
Notice of Attendance at ISO New England and NEPOOL Meetings
Document Number: 2012-4409
Type: Notice
Date: 2012-02-27
Agency: Department of Energy, Federal Energy Regulatory Commission
Electric Quarterly Reports, Acacia Energy, Inc., et al.; Notice of Revocation of Market-Based Rate Tariff
Document Number: 2012-4408
Type: Notice
Date: 2012-02-27
Agency: Department of Energy, Federal Energy Regulatory Commission
Louisville Gas and Electric Company; Kentucky Utilities Company; Notice of Petition for Declaratory Order
Document Number: 2012-4407
Type: Notice
Date: 2012-02-27
Agency: Department of Energy, Federal Energy Regulatory Commission
Town of Walden, Colorado; Notice of Application
Document Number: 2012-4406
Type: Notice
Date: 2012-02-27
Agency: Department of Energy, Federal Energy Regulatory Commission
Incorporation by Reference
Document Number: 2012-4399
Type: Proposed Rule
Date: 2012-02-27
Agency: National Archives and Records Administration, Agencies and Commissions, Office of the Federal Register
On February 13, 2012, the Office of the Federal Register (OFR or we) received a petition to amend our regulations governing the approval of agency requests to incorporate material by reference into the Code of Federal Regulations. We've set out the petition in this document. We would like comments on the broad issues raised by this petition.
Safety Zone; Patapsco River, Northwest and Inner Harbors, Baltimore, MD
Document Number: 2012-4397
Type: Proposed Rule
Date: 2012-02-27
Agency: Coast Guard, Department of Homeland Security
The Coast Guard proposes to establish a temporary safety zone upon certain waters of the Patapsco River, Northwest Harbor and Inner Harbor during the movement of the historic sloop-of-war USS CONSTELLATION on May 25, 2012. This action is necessary to provide for the safety of life on navigable waters during the tow of the vessel from its berth at the Inner Harbor in Baltimore, Maryland, to a point on the Patapsco River near the Fort McHenry National Monument and Historic Shrine in Baltimore, Maryland, and its return. This action will restrict vessel traffic in portions of the Patapsco River, Northwest Harbor, and Inner Harbor during the event.
Inspection Service Authority; Seizure and Forfeiture
Document Number: 2012-4396
Type: Proposed Rule
Date: 2012-02-27
Agency: Postal Service, Agencies and Commissions
The Postal Service proposes to revise its regulations with regard to forfeiture authority and proceedings. These new provisions would implement specific requirements in compliance with the Civil Asset Forfeiture Reform Act (CAFRA) of 2000.
Application, Review, and Reporting Process for Waivers for State Innovation
Document Number: 2012-4395
Type: Rule
Date: 2012-02-27
Agency: Department of Health and Human Services, Department of the Treasury
This final rule sets forth a procedural framework for submission and review of initial applications for a Waiver for State Innovation described in section 1332 of the Patient Protection and the Affordable Care Act including processes to ensure opportunities for public input in the development of such applications by States and in the Federal review of the applications.
Certain Ground Fault Circuit Interrupters and Products Containing Same, Investigations: Terminations, Modifications and Rulings
Document Number: 2012-4394
Type: Notice
Date: 2012-02-27
Agency: International Trade Commission, Agencies and Commissions
Notice is hereby given that the U.S. International Trade Commission has determined to review the final initial determination issued by the presiding administrative law judge in the above captioned investigation on December 20, 2011, finding no violation of section 337 (19 U.S.C. 1337). The Commission requests briefing from the parties on certain issues under review and from the parties and the public on remedy, the public interest, and bonding, as indicated in this notice.
Draft Policy on Consultation With Alaska Native Claims Settlement Act Corporations
Document Number: 2012-4393
Type: Notice
Date: 2012-02-27
Agency: Department of the Interior, Office of the Secretary
The Department of the Interior is requesting comments on its draft policy on consultation with Alaska Native Claims Settlement Act corporations.
Safety Zones; Annual Events Requiring Safety Zones in the Captain of the Port Lake Michigan Zone
Document Number: 2012-4390
Type: Proposed Rule
Date: 2012-02-27
Agency: Coast Guard, Department of Homeland Security
The Coast Guard proposes amend its regulations requiring safety zones in the Captain of the Port Lake Michigan zone. This proposed rule is intended to amend the rules that restrict vessels from portions of water areas during events that pose a hazard to public safety. The safety zones amended or established by this proposed rule are necessary to protect spectators, participants, and vessels from the hazards associated with various maritime events.
Safety Zone; Magothy River, Sillery Bay, MD
Document Number: 2012-4389
Type: Proposed Rule
Date: 2012-02-27
Agency: Coast Guard, Department of Homeland Security
The Coast Guard proposes to establish a safety zone in certain waters of the Magothy River, in Sillery Bay, Maryland. This safety zone is necessary to provide for the safety of life, property and the environment. This safety zone restricts the movement of vessels throughout the regulated area during The Bumper Bash, held annually on the fourth Saturday of July.
Data Collection Available for Public Comments and Recommendations
Document Number: 2012-4388
Type: Notice
Date: 2012-02-27
Agency: Small Business Administration, Agencies and Commissions
In accordance with the Paperwork Reduction Act of 1995, this notice announces the Small Business Administration's intentions to request approval on a new and/or currently approved information collection.
National Register of Historic Places; Notification of Pending Nominations and Related Actions
Document Number: 2012-4387
Type: Notice
Date: 2012-02-27
Agency: Department of the Interior, National Park Service
Notice of Request for the Extension of a Currently Approved Information Collection
Document Number: 2012-4383
Type: Notice
Date: 2012-02-27
Agency: Federal Transit Administration, Department of Transportation
In accordance with the Paperwork Reduction Act of 1995, this notice announces the intention of the Federal Transit Administration (FTA) to request the Office of Management and Budget (OMB) to approve the following information collection: Transit Safety Survey.
Airworthiness Directives; The Boeing Company Airplanes
Document Number: 2012-4382
Type: Proposed Rule
Date: 2012-02-27
Agency: Federal Aviation Administration, Department of Transportation
We propose to adopt a new airworthiness directive (AD) for certain The Boeing Company Model 737-600, -700, -700C, -800, -900, and -900ER series airplanes. This proposed AD was prompted by reports from the manufacturer that center overhead stowage (COS) boxes could fall from their supports under forward load levels less than the 9G forward load requirements as defined by Federal Aviation Regulations. This proposed AD would require modifying COS boxes by installing new brackets, stiffeners, and hardware as needed. We are proposing this AD to prevent detachment of COS boxes at forward load levels less than 9G during an emergency landing, which would cause injury to passengers and/or crew and could impede subsequent rapid evacuation.
Submission for OMB Review; Comment Request
Document Number: 2012-4381
Type: Notice
Date: 2012-02-27
Agency: Department of Agriculture
Submission for OMB Review; Comment Request
Document Number: 2012-4379
Type: Notice
Date: 2012-02-27
Agency: Department of Agriculture
Government-Owned Inventions; Availability for Licensing
Document Number: 2012-4376
Type: Notice
Date: 2012-02-27
Agency: Department of Health and Human Services, National Institutes of Health
The inventions listed below are owned by an agency of the U.S. Government and are available for licensing in the U.S. in accordance with 35 U.S.C. 207 to achieve expeditious commercialization of results of federally-funded research and development. Foreign patent applications are filed on selected inventions to extend market coverage for companies and may also be available for licensing.
Notice of Submission for OMB Review
Document Number: 2012-4375
Type: Notice
Date: 2012-02-27
Agency: Department of Education
The Director, Information Collection Clearance Division, Privacy, Information and Records Management Services, Office of Management, invites comments on the submission for OMB review as required by the Paperwork Reduction Act of 1995 (Pub. L. 104-13).
Notice of Extension of Visitor Services-Mount Rainier National Park
Document Number: 2012-4372
Type: Notice
Date: 2012-02-27
Agency: Department of the Interior, National Park Service
Under the terms of the existing concession contract, the National Park Service intends to request an extension of visitor services in Mount Rainier National Park for a period not to exceed one year from the expiration date of the current contract.
Reports, Forms, and Recordkeeping Requirements
Document Number: 2012-4371
Type: Notice
Date: 2012-02-27
Agency: National Highway Traffic Safety Administration, Department of Transportation
In compliance with the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.), this notice announces that the Information Collection Request (ICR) abstracted below has been forwarded to the Office of Management and Budget (OMB) for review and comment. The ICR describes the nature of the information collections and their expected burden. The Federal Register Notice with a 60-day comment period was published on November 25, 2011 (76 FR 72747). No comments were received. This document describes a collection of information on nine Federal motor vehicle safety standards (FMVSSs) and two regulations, for which NHTSA intends to seek OMB approval. The information collection pertains to requirements that specify certain safety precautions regarding items of motor vehicle equipment that must appear in the vehicle owner's manual.
Proposed Collection, Comment Request
Document Number: 2012-4370
Type: Notice
Date: 2012-02-27
Agency: Department of Labor, Bureau of Labor Statistics
The Department of Labor, as part of its continuing effort to reduce paperwork and respondent burden, conducts a pre-clearance consultation program to provide the general public and Federal agencies with an opportunity to comment on proposed and/or continuing collections of information in accordance with the Paperwork Reduction Act of 1995 (PRA95) [44 U.S.C. 3506(c) (2)(A)]. This program helps to ensure that requested data can be provided in the desired format, reporting burden (time and financial resources) is minimized, collection instruments are clearly understood, and the impact of collection requirements on respondents can be properly assessed. The Bureau of Labor Statistics (BLS) is soliciting comments concerning the proposed extension of ``General Inquiries to State Agency Contacts.'' A copy of the proposed information collection request (ICR) can be obtained by contacting the individual listed below in the ADDRESSES section of this notice.
Reports, Forms, and Recordkeeping Requirements
Document Number: 2012-4367
Type: Notice
Date: 2012-02-27
Agency: National Highway Traffic Safety Administration, Department of Transportation
Before a Federal agency can collect certain information from the public, it must receive approval from the Office of Management and Budget (OMB). Under procedures established by the Paperwork Reduction Act of 1995, before seeking OMB approval, Federal agencies must solicit public comment on proposed collections of information, including extension, reinstatement and consolidation of previously approved collections. This document describes a new collection of information for which NHTSA intends to seek OMB approval concerning recommendations from vehicle manufacturers regarding child restraint systems (CRS) that fit in their individual vehicles. Furthermore, NHTSA plans to combine the new information collection with an existing collection for obtaining vehicle information for consumer information purposes (OMB Control number 2127-0629).
Findings of Research Misconduct
Document Number: 2012-4366
Type: Notice
Date: 2012-02-27
Agency: Department of Health and Human Services, Office of the Secretary
Notice is hereby given that the Office of Research Integrity (ORI) has taken final action in the following case: Michael W. Miller, Ph.D., State University of New York, Upstate Medical University: Based on the report of an investigation conducted by the State University of New York, Upstate Medical University (SUNY UMU) and additional analysis conducted by ORI in its oversight review, ORI found that Dr. Michael W. Miller, former Professor and Chair, Department of Neuroscience and Physiology, SUNY UMU, engaged in research misconduct in research supported by National Institute of Alcohol Abuse and Alcoholism (NIAAA), National Institutes of Health (NIH), grants R01 AA07568-18A1, R01 AA06916, and P50 AA017823-01. ORI finds that the Respondent engaged in research misconduct by falsifying and/or fabricating data that were included in grant applications R01 AA07568-18, R01 AA07568-18A1, R01 AA006916-25, and P50 AA017823-01 and in the following: Miller, M.W., Hu, H. ``Lability of neuronal lineage decisions is revealed by acute exposures to ethanol.'' Dev. Neurosci. 31(1-2):50-7, 2009 (``Dev. Neurosci. 2009'') Bruns, M.B., Miller, M.W. ``Functional nerve growth factor and trkA autocrine/paracrine circuits in adult rat cortex are revealed by episodic ethanol exposure and withdrawal.'' J. Neurochem. 100(5):1115-68, 2007 (``J. Neurochem. 2007'') A prepared manuscript submitted to PNAS for publication. As a result of its investigation, SUNY UMU recommended that Dev. Neurosci. 2009 and J. Neurochem. 2007 be retracted. Both publications have now been retracted: Dev. Neurosci. 2009 was retracted online on January 19, 2012, at: https://content.karger.com/ProdukteDB/ produkte.asp?Aktion=ShowPDF&ArtikelNr=323471&Ausgabe=0&Produk tNr=224107& filename=323471.pdf. J. Neurochem. 2007 was retracted online on January 23, 2012, at: https://onlinelibrary.wiley.com/doi/10.1111/j.1471- 4159.2012.07662.x/full. Specifically, ORI finds that the Respondent: Falsified Figure 5 in NIH grant application R01 AA07568- 18A1 by altering the bar graphs to make the experimental results appear valid and consistent with his hypothesis that ethanol exposure in-utero alters the transition of cells from Pax 6 expression to Tbr2 expression, which is critical to normal brain development. Specifically: a. In the VZ/SZ panel (upper row, right), Dr. Miller decreased the values by 50% for the bar graphs representing control and treated mice for ``Tbr2,'' ``both,'' and ``both/Ki-67,'' to falsely report an equivalent frequency of Tbr2 expressing cells in the right and left panels; this result was required for the experiment to appear valid; b. In the MGE panel (lower row, right), Dr. Miller altered the bar graphs representing control and treated mice for ``Ki-67,'' ``Pax6,'' and ``both'' to falsely report that ethanol increased the frequency of K-67+ cells and to report an equivalent frequency of Pax expressing cells in the right and left panels. Fabricated bar graphs in Supplemental Figure 2 in a manuscript submitted to PNAS and text in the manuscript also appearing in the grant application AA00616-25 to support the hypothesis that ethanol exposure during postnatal weeks 1 and 2 causes specific neuronal cell death in layers II/III and V of the cortex. Specifically, Dr. Miller: a. Fabricated bar graphs in Supplemental Figure 2 and related text in the PNAS manuscript to show that in select layers of the cortex, ethanol induced neuronal death occurred in post-natal day 10 (P10) mice; b. Included fabricated text in the PNAS manuscript and the grant application citing results of experiments using 15-25-day-old mice treated with ethanol during the second postnatal week, when these mice were never generated. Falsified Figure 6 in a manuscript submitted to PNAS by altering data points for the labeling index of caspase3 and TUNEL in cortex layers II/III and V after exposure to ethanol in postnatal day 7 (P7) mice, such that the two assays confirmed each other. The same data were also included as Figure 4 in NIH grant application R01 AA06916 and as Figure 7 in a poster presentation at the 2009 Research Society on Alcoholism. Falsified the figure legends and/or text in a published paper and multiple grant applications to support the primary hypothesis of the published paper that gestational alcohol exposure had an effect on brain development by affecting the way neurons differentiate and migrate into the cortex, rather than by changes to cell growth or death. Specifically, Dr. Miller falsely reported the number of animals (n) that were used in figure legends and/or text in the following: [cir] Figures 2 and 5, Dev. Neurosci. 2009, also included as Figures 3 and 4, respectively, in R01 AA07568-18; [cir] Figure 4 and Table 2 in P50 AA017823-01. Falsified Figures 4 and 6 in J. Neurochem. 2007 by altering bar graphs to increase the significance of the effect of ethanol exposure and/or withdrawal on NGF or trkA protein expression, thereby conforming with the paper's hypothesis that ethanol exposure and withdrawal affect the normal NGF/trkA circuits in cortical layer V. Specifically, Dr. Miller: a. Increased the value of the ethanol treated NGF expression in Figure 4 and decreased the value of withdrawal NFG to alter the difference between the two from approximately 2.2% to 11.6%, thereby falsely reporting significance where there was none; b. In Figure 6: (a) Increased the value of withdrawal trkA data by approximately 70% to falsely report significance with relation to the ethanol treated value and increase significance with relation to the control; (b) Increased the value of the ethanol treated phospho-trkA data by approximately 100% to increase the significance with relation to the control; (c) Falsely reported the results for Figure 6 as showing a nearly doubled ratio of p-trkA to total trkA after ethanol exposure when there was no increase at all. Dr. Miller has entered into a Voluntary Exclusion Agreement (Agreement). Dr. Miller neither admits nor denies committing research misconduct but accepts ORI has found evidence of research misconduct as set forth above. Dr. Miller has voluntarily agreed: (1) To exclude himself voluntarily from any contracting or subcontracting with any agency of the United States Government and from eligibility or involvement in nonprocurement programs of the United States Government referred to as ``covered transactions'' pursuant to HHS' Implementation (2 CFR part 376 et seq) of OMB Guidelines to Agencies on Governmentwide Debarment and Suspension, 2 CFR part 180 (collectively the ``Debarment Regulations'') for a period of one (1) year, beginning on February 6, 2012; (2) To have his research supervised for a period of two (2) years immediately following the one (1) year period of exclusion; Respondent agrees that prior to the submission of an application for U.S. Public Health Service (PHS) support for a research project on which the Respondent's participation is proposed and prior to the Respondent's participation in any capacity on PHS-supported research, Respondent shall ensure that a plan for supervision of Respondent's duties is submitted to ORI for approval; the supervision plan must be designed to ensure the scientific integrity of Respondent's research contribution as outlined below; Respondent agrees that he shall not participate in any PHS-supported research until such a supervision plan is submitted to and approved by ORI; Respondent agrees to maintain responsibility for compliance with the agreed upon supervision plan; the requirements for Respondent's supervision plan are as follows: i. A committee of 2-3 senior faculty members at the institution who are familiar with Respondent's field of research, but not including Respondent's supervisor or collaborators, will provide oversight and guidance for two (2) years immediately following the period of exclusion; the committee will review primary data from Respondent's laboratory on a quarterly basis and submit a report to ORI at six (6) month intervals setting forth the committee meeting dates, Respondent's compliance with appropriate research standards, and confirming the integrity of Respondent's research; and ii. The committee will conduct an advance review of any PHS grant applications (including supplements, resubmissions, etc.), manuscripts reporting PHS-funded research submitted for publication, and abstracts; the review will include a discussion with Respondent of the primary data represented in those documents and include a certification to ORI that the data presented in the proposed application/publication is supported by the research record; (3) That any institution employing him during the two (2) years during which the supervisory plan is in effect shall submit, in conjunction with each application for PHS funds, or report, manuscript, or abstract involving PHS-supported research in which Respondent is involved, a certification to ORI that the data provided by Respondent are based on actual experiments or are otherwise legitimately derived and that the data, procedures, and methodology are accurately reported in the application, report, manuscript, or abstract; and (4) To exclude himself from serving in any advisory capacity to PHS including, but not limited to, service on any PHS advisory committee, board, and/or peer review committee, or as a consultant for a period of three (3) years, beginning on February 6, 2012.
Medicaid Program; Review and Approval Process for Section 1115 Demonstrations
Document Number: 2012-4354
Type: Rule
Date: 2012-02-27
Agency: Centers for Medicare & Medicaid Services, Department of Health and Human Services
This final rule will implement provisions of section 10201(i) of the Patient Protection and Affordable Care Act of 2010 that set forth transparency and public notice procedures for experimental, pilot, and demonstration projects approved under section 1115 of the Social Security Act relating to Medicaid and the Children's Health Insurance Program (CHIP). This final rule will increase the degree to which information about Medicaid and CHIP demonstration applications and approved demonstration projects is publicly available and promote greater transparency in the review and approval of demonstrations. It will also codify existing statutory requirements pertaining to seeking advice from Indian health care providers and urban Indian organizations for section 1115 demonstration projects, and for the first time impose as regulatory requirements tribal consultation standards that were previously only published as guidance documents.
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