Exempting In-Home Video Telehealth From Copayments, 13236-13238 [2012-5355]
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13236
Federal Register / Vol. 77, No. 44 / Tuesday, March 6, 2012 / Proposed Rules
Lake Michigan, or his or her on-scene
designated representative.
Dated: February 3, 2012.
M.W. Sibley,
Captain, U.S. Coast Guard, Captain of the
Port, Sector Lake Michigan.
[FR Doc. 2012–5330 Filed 3–5–12; 8:45 am]
BILLING CODE 9110–04–P
DEPARTMENT OF VETERANS
AFFAIRS
38 CFR Part 17
RIN 2900–AO27
Exempting In-Home Video Telehealth
From Copayments
Department of Veterans Affairs.
Proposed rule.
AGENCY:
ACTION:
The Department of Veterans
Affairs (VA) is proposing to amend its
regulation that governs VA services that
are not subject to copayment
requirements for inpatient hospital care
or outpatient medical care. Specifically,
the regulation would be amended to
exempt in-home video telehealth care
from having any required copayment.
This would remove a barrier that may
have previously discouraged veterans
from choosing to use in-home video
telehealth as a viable medical care
option. In turn, VA hopes to make the
home a preferred place of care,
whenever medically appropriate and
possible.
SUMMARY:
Written comments must be
received on or before April 5, 2012.
ADDRESSES: Written comments may be
submitted through
www.Regulations.gov; by mail or handdelivery to the Director, Regulations
Management (02REG), Department of
Veterans Affairs, 810 Vermont Ave.
NW., Room 1068, Washington, DC
20420; or by fax to (202) 273–9026.
Comments should indicate that they are
submitted in response to ‘‘RIN 2900–
AO27]— Exempting In-home Video
Telehealth from Copayments.’’ Copies of
comments received will be available for
public inspection in the Office of
Regulation Policy and Management,
Room 1063B, between the hours of
8 a.m. and 4:30 p.m. Monday through
Friday (except holidays). Please call
(202) 461–4902 for an appointment (this
is not a toll-free number). In addition,
during the comment period, comments
may be viewed online through the
Federal Docket Management System
(FDMS) at www.Regulations.gov.
FOR FURTHER INFORMATION CONTACT:
Kristin J. Cunningham, Director
srobinson on DSK4SPTVN1PROD with PROPOSALS
DATES:
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Business Policy, Chief Business Office,
Department of Veterans Affairs, 810
Vermont Ave. NW., Washington, DC
20420; (202) 461–1599. (This is not a
toll-free number.)
SUPPLEMENTARY INFORMATION: Many of
our nation’s veterans must travel great
distances in order to obtain health care
at a VA hospital or medical center. To
improve veterans’ access to VA health
care, VA established community-based
outpatient clinics (CBOCs) located in
local communities. VA has continued
its efforts to improve veterans’ access to
VA medical care by establishing
‘‘telehealth’’ services. Telehealth allows
VA to provide certain medical care
without requiring the veteran to be
physically present with the examining
or treating medical professional.
Telehealth helps ensure that veterans
are able to get their care in a timely and
convenient manner, by reducing
burdens on the patient as well as
appropriately reducing the utilization of
VA resources without sacrificing the
quality of care provided. The benefits of
using this technology include increased
access to specialist consultations,
improved access to primary and
ambulatory care, reduced waiting times,
and decreased veteran travel.
VA provides various telehealth
services, including clinical video
telehealth and in-home video telehealth
care. Clinical video telehealth, as the
name implies, occurs between two
clinical settings, such as two VA
Medical Centers (VAMCs), a VAMC and
a CBOC, or two CBOCs. Clinical video
telehealth may also connect patient and
provider between VAMCs and VA
Centers of Specialized Care, such as
those established for Spinal Cord Injury
(SCI), Traumatic Brain Injury (TBI) and
Multiple Sclerosis (MS). Clinical video
telehealth uses real-time interactive
video conferencing, sometimes with
supportive peripheral devices, such as a
camera to closely examine skin. This
allows a specialist located in another
facility to assess and treat a veteran by
providing care remotely.
Like clinical video telehealth, inhome video telehealth care is used to
connect a veteran to a VA health care
professional using real-time
videoconferencing, and other equipment
as necessary, as a means to replicate
aspects of face-to-face assessment and
care delivery that do not require the
health care professional to make an
examination requiring physical contact.
However, in-home video telehealth care
is provided in a veteran’s home,
eliminating the need for the veteran to
travel to a clinical setting. Using
telehealth capabilities, a VA clinician
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Sfmt 4702
can assess elements of a patient’s care,
such as wound management, psychiatric
or psychotherapeutic care, exercise
plans, and medication management. The
clinician may also monitor patient selfcare by reviewing vital signs and
evaluating the patient’s appearance on
video.
Prior to this proposed rulemaking,
veterans have been required to pay a
copayment for in-home video telehealth
care. We believe that VA has authority
by statute to discontinue charging
copayments for these services.
Section 1710(g)(1) of 38 U.S.C. states:
The Secretary may not furnish medical
services (except if such care constitutes
hospice care) under subsection (a) of this
section (including home health services
under section 1717 of this title) to a veteran
who is eligible for hospital care under this
chapter by reason of subsection (a)(3) of this
section unless the veteran agrees to pay to the
United States in the case of each outpatient
visit the applicable amount or amounts
established by the Secretary by regulation.
VA has interpreted section 1710(g)(1) to
mean that VA has the discretion to
establish the applicable copayment
amount in regulation, even if such
amount is zero. One such implementing
regulation is 38 CFR 17.108.
Generally, VA calculates the amount
of a copayment based on the complexity
of care provided and the resources
needed to provide that care. In addition,
VA may exempt certain care from the
copayment requirement in an effort to
make health care more accessible to
veterans, or to encourage veterans to
become more actively involved in their
medical care, and thereby improve
health care outcomes (which, in turn,
lowers overall health care costs). VA
proposes to make in-home video
telehealth care exempt from copayments
because it is not used to provide
complex care and its use significantly
reduces impact on VA resources
compared to an in-person, outpatient
visit. It also reduces any potential
negative impact on the veteran’s health
that might be incurred if the veteran
were required to travel to a VA hospital
or medical center to obtain the care that
would be provided via in-home video
telehealth. VA also wants to encourage
veterans to use the in-home video
telehealth care option when their
provider finds it appropriate because we
believe that it would help ensure that
veterans comply with outpatient
treatment plans by regularly following
up with physicians and medical
professionals, taking medication in
appropriate doses on a regular basis,
and generally being more engaged with
their VA health care providers.
E:\FR\FM\06MRP1.SGM
06MRP1
Federal Register / Vol. 77, No. 44 / Tuesday, March 6, 2012 / Proposed Rules
srobinson on DSK4SPTVN1PROD with PROPOSALS
As previously stated in this
rulemaking, in-home video telehealth
allows a VA clinician to assess the
elements of a veteran’s care, while the
veteran remains at home. Conversely,
clinical video telehealth assess the
veteran’s medical condition in a clinical
setting using resources and technology
that allows a medical specialist, who
may be hundreds of miles away, to
interact with the veteran and provide
the level of care needed to treat the
medical condition. VA would not
exempt clinical video telehealth
services from the copayment
requirement because the type of care a
veteran receives in clinical video
telehealth requires not just the use of
CBOC’s technological resources, but
also patient interaction between the
attending physician that may be
hundreds of miles away, and the
medical staff in the CBOC. The
attending medical staff in the CBOC
follows the attending physician’s
instructions in the placement of the
adapted equipment that is used in
clinical video telehealth in order to
assess the veteran’s medical condition,
to include the set up of the conference,
use of the teleconference room, etc. All
of these additional services provide a
veteran a higher level of care than the
level of care that the veteran receives
through in-home video telehealth.
Paragraph (e) of § 17.108 contains a
list of services that are not subject to
copayment requirements for inpatient
hospital care or outpatient medical care.
Based on the rationale set forth in this
preamble, VA proposes to amend
§ 17.108(e) by adding a new paragraph
(e)(16) to include in-home video
telehealth care as exempt from
copayment requirements.
Administrative Procedure Act
Concurrent with this proposed rule,
we also are publishing a separate,
substantively identical direct final rule
in the ‘‘Rules and Regulations’’ section
of this Federal Register. The
simultaneous publication of these
documents will speed notice and
comment rulemaking under section 553
of the Administrative Procedure Act
should we have to withdraw the direct
final rule due to receipt of significant
adverse comments.
For purposes of the direct final
rulemaking, a significant adverse
comment is one that explains why the
rule would be inappropriate, including
challenges to the rule’s underlying
premise or approach, or why it would
be ineffective or unacceptable without
change. If significant adverse comments
are received, VA will publish a notice
of receipt of significant adverse
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Jkt 226001
comments in the Federal Register
withdrawing the direct final rule.
Under direct final rule procedures,
unless significant adverse comments are
received within the comment period,
the regulation will become effective on
the date specified above. After the close
of the comment period, VA will publish
a document in the Federal Register
indicating that no adverse comments
were received and confirming the date
on which the final rule will become
effective. VA will also publish a notice
withdrawing this proposed rule.
In the event the direct final rule is
withdrawn because of significant
adverse comments, VA can proceed
with the rulemaking by addressing the
comments received and publishing a
final rule. The comment period for the
proposed rule runs concurrently with
that of the direct final rule. Any
comments received under the direct
final rule will be treated as comments
regarding the proposed rule. VA will
consider such comments in developing
a subsequent final rule. Likewise,
significant adverse comments submitted
to the proposed rule will be considered
as comments regarding the direct final
rule.
Effect of Rulemaking
The Code of Federal Regulations, as
proposed to be revised by this proposed
rulemaking, would represent the
exclusive legal authority on this subject.
No contrary rules or procedures would
be authorized. All VA guidance would
be read to conform with this rulemaking
if possible or, if not possible, such
guidance would be superseded by this
rulemaking.
Paperwork Reduction Act
This document contains no provisions
constituting a collection of information
under the Paperwork Reduction Act of
1995 (44 U.S.C. 3501–3521).
Regulatory Flexibility Act
The Secretary hereby certifies that
this proposed regulatory amendment
would not have a significant economic
impact on a substantial number of small
entities as they are defined in the
Regulatory Flexibility Act, 5 U.S.C. 601–
612. This rulemaking would not directly
affect any small entities. Only VA
beneficiaries would be directly affected.
Therefore, pursuant to 5 U.S.C. 605(b),
this amendment would be exempt from
the initial and final regulatory flexibility
analysis requirements of sections 603
and 604.
Executive Orders 12866 and 13563
Executive Orders 12866 and 13563
direct agencies to assess the costs and
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13237
benefits of available regulatory
alternatives and, when regulation is
necessary, to select regulatory
approaches that maximize net benefits
(including potential economic,
environmental, public health and safety
effects, and other advantages;
distributive impacts; and equity).
Executive Order 13563 (Improving
Regulation and Regulatory Review)
emphasizes the importance of
quantifying both costs and benefits,
reducing costs, harmonizing rules, and
promoting flexibility. Executive Order
12866 (Regulatory Planning and
Review) defines a ‘‘significant
regulatory action,’’ which requires
review by the Office of Management and
Budget (OMB), as ‘‘any regulatory action
that is likely to result in a rule that may:
(1) Have an annual effect on the
economy of $100 million or more or
adversely affect in a material way the
economy, a sector of the economy,
productivity, competition, jobs, the
environment, public health or safety, or
State, local, or tribal governments or
communities; (2) Create a serious
inconsistency or otherwise interfere
with an action taken or planned by
another agency; (3) Materially alter the
budgetary impact of entitlements,
grants, user fees, or loan programs or the
rights and obligations of recipients
thereof; or (4) Raise novel legal or policy
issues arising out of legal mandates, the
President’s priorities, or the principles
set forth in this Executive Order.’’
The economic, interagency,
budgetary, legal, and policy
implications of this regulatory action
have been examined and it has been
determined not to be a significant
regulatory action under Executive Order
12866.
Unfunded Mandates
The Unfunded Mandates Reform Act
of 1995 requires, at 2 U.S.C. 1532, that
agencies prepare an assessment of
anticipated costs and benefits before
issuing any rule that may result in
expenditure by State, local, or tribal
governments, in the aggregate, or by the
private sector, of $100 million or more
(adjusted annually for inflation) in any
given year. This proposed rule would
have no such effect on State, local, or
tribal governments, or on the private
sector.
Catalog of Federal Domestic Assistance
The Catalog of Federal Domestic
Assistance program number and title for
this proposed rule are as follows: 64.007
Blind Rehabilitation Centers; 64.008,
Veterans Domiciliary Care; 64.009,
Veterans Medical Care Benefits; 64.010,
Veterans Nursing Home Care; 64.014,
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Federal Register / Vol. 77, No. 44 / Tuesday, March 6, 2012 / Proposed Rules
Veterans State Domiciliary Care; 64.015,
Veterans State Nursing Home Care;
64.018, Sharing Specialized Medical
Resources; 64.019, Veterans
Rehabilitation Alcohol and Drug
Dependence; and 64.022, Veterans
Home Based Primary Care.
Signing Authority
The Secretary of Veterans Affairs, or
designee, approved this document and
authorized the undersigned to sign and
submit the document to the Office of the
Federal Register for publication
electronically as an official document of
the Department of Veterans Affairs. John
R. Gingrich, Chief of Staff, Department
of Veterans Affairs, approved this
document on February 28, 2012, for
publication.
List of Subjects in 38 CFR Part 17
Administrative practice and
procedure, Health care, Health facilities,
Mental health programs, Nursing
homes, Veterans.
Dated: March 1, 2012.
Robert C. McFetridge,
Director, Office of Regulation Policy and
Management, Office of the General Counsel,
Department of Veterans Affairs.
For the reasons set forth in the
preamble, we propose to amend 38 CFR
part 17 as follows:
PART 17—MEDICAL
1. The authority citation for part 17
continues to read as follows:
Authority: 38 U.S.C. 501, and as noted in
specific sections.
2. Amend § 17.108 by adding
paragraph (e)(16) to read as follows:
§ 17.108 Copayments for inpatient hospital
care and outpatient medical care.
*
*
*
*
*
(e) * * *
(16) In-home video telehealth care.
*
*
*
*
*
[FR Doc. 2012–5355 Filed 3–5–12; 8:45 am]
BILLING CODE 8320–01–P
ENVIRONMENTAL PROTECTION
AGENCY
srobinson on DSK4SPTVN1PROD with PROPOSALS
40 CFR Part 52
[EPA–R10–OAR–2012–0112, FRL–9643–5]
Partial Approval and Promulgation of
Implementation Plans; Washington:
Infrastructure Requirements for the
1997 8-Hour Ozone National Ambient
Air Quality Standards
Environmental Protection
Agency (EPA).
AGENCY:
VerDate Mar<15>2010
16:30 Mar 05, 2012
Jkt 226001
ACTION:
Proposed rule.
EPA is proposing to partially
approve the State Implementation Plan
(SIP) submittal from the Washington
State Department of Ecology (Ecology)
to demonstrate that the SIP meets the
requirements of section 110(a)(1) and (2)
of the Clean Air Act (CAA) for the
National Ambient Air Quality Standards
(NAAQS) promulgated for ozone on July
18, 1997. EPA is proposing to find that
the current Washington SIP meets the
following 110(a)(2) infrastructure
elements for the 1997 8-hour ozone
NAAQS: (A), (B), (C), (D)(ii), (E), (F), (G),
(H), (J), (K), (L), and (M), except for
portions related to the major source
Prevention of Significant Deterioration
(PSD) permitting program which is
implemented under a Federal
Implementation Plan.
DATES: Comments must be received on
or before April 5, 2012.
ADDRESSES: Submit your comments,
identified by Docket ID No. EPA–R10–
OAR–2012–0112, by any of the
following methods:
• www.regulations.gov: Follow the
on-line instructions for submitting
comments.
• Email: R10Public_Comments@epa.gov.
• Mail: Jeff Hunt, EPA Region 10,
Office of Air, Waste and Toxics (AWT–
107), 1200 Sixth Avenue, Suite 900,
Seattle, WA 98101.
• Hand Delivery/Courier: EPA Region
10, 1200 Sixth Avenue, Suite 900,
Seattle, WA 98101. Attention: Jeff Hunt,
Office of Air, Waste and Toxics, AWT–
107. Such deliveries are only accepted
during normal hours of operation, and
special arrangements should be made
for deliveries of boxed information.
Instructions: Direct your comments to
Docket ID No. EPA–R10–OAR–2012–
0112 EPA’s policy is that all comments
received will be included in the public
docket without change and may be
made available online at
www.regulations.gov, including any
personal information provided, unless
the comment includes information
claimed to be Confidential Business
Information (CBI) or other information
whose disclosure is restricted by statute.
Do not submit information that you
consider to be CBI or otherwise
protected through www.regulations.gov
or email. The www.regulations.gov Web
site is an ‘‘anonymous access’’ system,
which means EPA will not know your
identity or contact information unless
you provide it in the body of your
comment. If you send an email
comment directly to EPA without going
through www.regulations.gov your email
address will be automatically captured
SUMMARY:
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and included as part of the comment
that is placed in the public docket and
made available on the Internet. If you
submit an electronic comment, EPA
recommends that you include your
name and other contact information in
the body of your comment and with any
disk or CD–ROM you submit. If EPA
cannot read your comment due to
technical difficulties and cannot contact
you for clarification, EPA may not be
able to consider your comment.
Electronic files should avoid the use of
special characters, any form of
encryption, and be free of any defects or
viruses.
Docket: All documents in the docket
are listed in the www.regulations.gov
index. Although listed in the index,
some information is not publicly
available, e.g., CBI or other information
whose disclosure is restricted by statute.
Certain other material, such as
copyrighted material, is not placed on
the Internet and will be publicly
available only in hard copy. Publicly
available docket materials are available
either electronically in
www.regulations.gov or in hard copy
during normal business hours at the
Office of Air, Waste and Toxics, EPA
Region 10, 1200 Sixth Avenue, Seattle,
WA 98101.
FOR FURTHER INFORMATION CONTACT: Jeff
Hunt at telephone number: (206) 553–
0256, email address: hunt.jeff@epa.gov,
or the above EPA, Region 10 address.
SUPPLEMENTARY INFORMATION:
Throughout this document wherever
‘‘we’’, ‘‘us’’ or ‘‘our’’ are used, we mean
EPA. Information is organized as
follows:
Table of Contents
I. What action is EPA proposing?
II. What is the background for the action that
EPA is proposing?
III. What infrastructure elements are required
under sections 110(a)(1) and (2)?
IV. What is the scope of action on
infrastructure submittals?
V. What is EPA’s analysis of Washington’s
submittal?
VI. Scope of Proposed Action
VII. Proposed Action
VIII. Washington Notice Provision
IX. Statutory and Executive Order Reviews
I. What action is EPA proposing?
EPA is proposing to partially approve
the State Implementation Plan (SIP)
submittal from the State of Washington
to demonstrate that the SIP meets the
requirements of section 110(a)(1) and (2)
of the Clean Air Act (CAA) for the
National Ambient Air Quality Standards
(NAAQS) promulgated for ozone on July
18, 1997. EPA is proposing to find that
the current Washington SIP, as codified
at 40 CFR Part 52 Subpart WW meets
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Agencies
[Federal Register Volume 77, Number 44 (Tuesday, March 6, 2012)]
[Proposed Rules]
[Pages 13236-13238]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-5355]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
38 CFR Part 17
RIN 2900-AO27
Exempting In-Home Video Telehealth From Copayments
AGENCY: Department of Veterans Affairs.
ACTION: Proposed rule.
-----------------------------------------------------------------------
SUMMARY: The Department of Veterans Affairs (VA) is proposing to amend
its regulation that governs VA services that are not subject to
copayment requirements for inpatient hospital care or outpatient
medical care. Specifically, the regulation would be amended to exempt
in-home video telehealth care from having any required copayment. This
would remove a barrier that may have previously discouraged veterans
from choosing to use in-home video telehealth as a viable medical care
option. In turn, VA hopes to make the home a preferred place of care,
whenever medically appropriate and possible.
DATES: Written comments must be received on or before April 5, 2012.
ADDRESSES: Written comments may be submitted through
www.Regulations.gov; by mail or hand-delivery to the Director,
Regulations Management (02REG), Department of Veterans Affairs, 810
Vermont Ave. NW., Room 1068, Washington, DC 20420; or by fax to (202)
273-9026. Comments should indicate that they are submitted in response
to ``RIN 2900-AO27]-- Exempting In-home Video Telehealth from
Copayments.'' Copies of comments received will be available for public
inspection in the Office of Regulation Policy and Management, Room
1063B, between the hours of 8 a.m. and 4:30 p.m. Monday through Friday
(except holidays). Please call (202) 461-4902 for an appointment (this
is not a toll-free number). In addition, during the comment period,
comments may be viewed online through the Federal Docket Management
System (FDMS) at www.Regulations.gov.
FOR FURTHER INFORMATION CONTACT: Kristin J. Cunningham, Director
Business Policy, Chief Business Office, Department of Veterans Affairs,
810 Vermont Ave. NW., Washington, DC 20420; (202) 461-1599. (This is
not a toll-free number.)
SUPPLEMENTARY INFORMATION: Many of our nation's veterans must travel
great distances in order to obtain health care at a VA hospital or
medical center. To improve veterans' access to VA health care, VA
established community-based outpatient clinics (CBOCs) located in local
communities. VA has continued its efforts to improve veterans' access
to VA medical care by establishing ``telehealth'' services. Telehealth
allows VA to provide certain medical care without requiring the veteran
to be physically present with the examining or treating medical
professional. Telehealth helps ensure that veterans are able to get
their care in a timely and convenient manner, by reducing burdens on
the patient as well as appropriately reducing the utilization of VA
resources without sacrificing the quality of care provided. The
benefits of using this technology include increased access to
specialist consultations, improved access to primary and ambulatory
care, reduced waiting times, and decreased veteran travel.
VA provides various telehealth services, including clinical video
telehealth and in-home video telehealth care. Clinical video
telehealth, as the name implies, occurs between two clinical settings,
such as two VA Medical Centers (VAMCs), a VAMC and a CBOC, or two
CBOCs. Clinical video telehealth may also connect patient and provider
between VAMCs and VA Centers of Specialized Care, such as those
established for Spinal Cord Injury (SCI), Traumatic Brain Injury (TBI)
and Multiple Sclerosis (MS). Clinical video telehealth uses real-time
interactive video conferencing, sometimes with supportive peripheral
devices, such as a camera to closely examine skin. This allows a
specialist located in another facility to assess and treat a veteran by
providing care remotely.
Like clinical video telehealth, in-home video telehealth care is
used to connect a veteran to a VA health care professional using real-
time videoconferencing, and other equipment as necessary, as a means to
replicate aspects of face-to-face assessment and care delivery that do
not require the health care professional to make an examination
requiring physical contact. However, in-home video telehealth care is
provided in a veteran's home, eliminating the need for the veteran to
travel to a clinical setting. Using telehealth capabilities, a VA
clinician can assess elements of a patient's care, such as wound
management, psychiatric or psychotherapeutic care, exercise plans, and
medication management. The clinician may also monitor patient self-care
by reviewing vital signs and evaluating the patient's appearance on
video.
Prior to this proposed rulemaking, veterans have been required to
pay a copayment for in-home video telehealth care. We believe that VA
has authority by statute to discontinue charging copayments for these
services.
Section 1710(g)(1) of 38 U.S.C. states:
The Secretary may not furnish medical services (except if such
care constitutes hospice care) under subsection (a) of this section
(including home health services under section 1717 of this title) to
a veteran who is eligible for hospital care under this chapter by
reason of subsection (a)(3) of this section unless the veteran
agrees to pay to the United States in the case of each outpatient
visit the applicable amount or amounts established by the Secretary
by regulation.
VA has interpreted section 1710(g)(1) to mean that VA has the
discretion to establish the applicable copayment amount in regulation,
even if such amount is zero. One such implementing regulation is 38 CFR
17.108.
Generally, VA calculates the amount of a copayment based on the
complexity of care provided and the resources needed to provide that
care. In addition, VA may exempt certain care from the copayment
requirement in an effort to make health care more accessible to
veterans, or to encourage veterans to become more actively involved in
their medical care, and thereby improve health care outcomes (which, in
turn, lowers overall health care costs). VA proposes to make in-home
video telehealth care exempt from copayments because it is not used to
provide complex care and its use significantly reduces impact on VA
resources compared to an in-person, outpatient visit. It also reduces
any potential negative impact on the veteran's health that might be
incurred if the veteran were required to travel to a VA hospital or
medical center to obtain the care that would be provided via in-home
video telehealth. VA also wants to encourage veterans to use the in-
home video telehealth care option when their provider finds it
appropriate because we believe that it would help ensure that veterans
comply with outpatient treatment plans by regularly following up with
physicians and medical professionals, taking medication in appropriate
doses on a regular basis, and generally being more engaged with their
VA health care providers.
[[Page 13237]]
As previously stated in this rulemaking, in-home video telehealth
allows a VA clinician to assess the elements of a veteran's care, while
the veteran remains at home. Conversely, clinical video telehealth
assess the veteran's medical condition in a clinical setting using
resources and technology that allows a medical specialist, who may be
hundreds of miles away, to interact with the veteran and provide the
level of care needed to treat the medical condition. VA would not
exempt clinical video telehealth services from the copayment
requirement because the type of care a veteran receives in clinical
video telehealth requires not just the use of CBOC's technological
resources, but also patient interaction between the attending physician
that may be hundreds of miles away, and the medical staff in the CBOC.
The attending medical staff in the CBOC follows the attending
physician's instructions in the placement of the adapted equipment that
is used in clinical video telehealth in order to assess the veteran's
medical condition, to include the set up of the conference, use of the
teleconference room, etc. All of these additional services provide a
veteran a higher level of care than the level of care that the veteran
receives through in-home video telehealth.
Paragraph (e) of Sec. 17.108 contains a list of services that are
not subject to copayment requirements for inpatient hospital care or
outpatient medical care.
Based on the rationale set forth in this preamble, VA proposes to
amend Sec. 17.108(e) by adding a new paragraph (e)(16) to include in-
home video telehealth care as exempt from copayment requirements.
Administrative Procedure Act
Concurrent with this proposed rule, we also are publishing a
separate, substantively identical direct final rule in the ``Rules and
Regulations'' section of this Federal Register. The simultaneous
publication of these documents will speed notice and comment rulemaking
under section 553 of the Administrative Procedure Act should we have to
withdraw the direct final rule due to receipt of significant adverse
comments.
For purposes of the direct final rulemaking, a significant adverse
comment is one that explains why the rule would be inappropriate,
including challenges to the rule's underlying premise or approach, or
why it would be ineffective or unacceptable without change. If
significant adverse comments are received, VA will publish a notice of
receipt of significant adverse comments in the Federal Register
withdrawing the direct final rule.
Under direct final rule procedures, unless significant adverse
comments are received within the comment period, the regulation will
become effective on the date specified above. After the close of the
comment period, VA will publish a document in the Federal Register
indicating that no adverse comments were received and confirming the
date on which the final rule will become effective. VA will also
publish a notice withdrawing this proposed rule.
In the event the direct final rule is withdrawn because of
significant adverse comments, VA can proceed with the rulemaking by
addressing the comments received and publishing a final rule. The
comment period for the proposed rule runs concurrently with that of the
direct final rule. Any comments received under the direct final rule
will be treated as comments regarding the proposed rule. VA will
consider such comments in developing a subsequent final rule. Likewise,
significant adverse comments submitted to the proposed rule will be
considered as comments regarding the direct final rule.
Effect of Rulemaking
The Code of Federal Regulations, as proposed to be revised by this
proposed rulemaking, would represent the exclusive legal authority on
this subject. No contrary rules or procedures would be authorized. All
VA guidance would be read to conform with this rulemaking if possible
or, if not possible, such guidance would be superseded by this
rulemaking.
Paperwork Reduction Act
This document contains no provisions constituting a collection of
information under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-
3521).
Regulatory Flexibility Act
The Secretary hereby certifies that this proposed regulatory
amendment would not have a significant economic impact on a substantial
number of small entities as they are defined in the Regulatory
Flexibility Act, 5 U.S.C. 601-612. This rulemaking would not directly
affect any small entities. Only VA beneficiaries would be directly
affected. Therefore, pursuant to 5 U.S.C. 605(b), this amendment would
be exempt from the initial and final regulatory flexibility analysis
requirements of sections 603 and 604.
Executive Orders 12866 and 13563
Executive Orders 12866 and 13563 direct agencies to assess the
costs and benefits of available regulatory alternatives and, when
regulation is necessary, to select regulatory approaches that maximize
net benefits (including potential economic, environmental, public
health and safety effects, and other advantages; distributive impacts;
and equity). Executive Order 13563 (Improving Regulation and Regulatory
Review) emphasizes the importance of quantifying both costs and
benefits, reducing costs, harmonizing rules, and promoting flexibility.
Executive Order 12866 (Regulatory Planning and Review) defines a
``significant regulatory action,'' which requires review by the Office
of Management and Budget (OMB), as ``any regulatory action that is
likely to result in a rule that may: (1) Have an annual effect on the
economy of $100 million or more or adversely affect in a material way
the economy, a sector of the economy, productivity, competition, jobs,
the environment, public health or safety, or State, local, or tribal
governments or communities; (2) Create a serious inconsistency or
otherwise interfere with an action taken or planned by another agency;
(3) Materially alter the budgetary impact of entitlements, grants, user
fees, or loan programs or the rights and obligations of recipients
thereof; or (4) Raise novel legal or policy issues arising out of legal
mandates, the President's priorities, or the principles set forth in
this Executive Order.''
The economic, interagency, budgetary, legal, and policy
implications of this regulatory action have been examined and it has
been determined not to be a significant regulatory action under
Executive Order 12866.
Unfunded Mandates
The Unfunded Mandates Reform Act of 1995 requires, at 2 U.S.C.
1532, that agencies prepare an assessment of anticipated costs and
benefits before issuing any rule that may result in expenditure by
State, local, or tribal governments, in the aggregate, or by the
private sector, of $100 million or more (adjusted annually for
inflation) in any given year. This proposed rule would have no such
effect on State, local, or tribal governments, or on the private
sector.
Catalog of Federal Domestic Assistance
The Catalog of Federal Domestic Assistance program number and title
for this proposed rule are as follows: 64.007 Blind Rehabilitation
Centers; 64.008, Veterans Domiciliary Care; 64.009, Veterans Medical
Care Benefits; 64.010, Veterans Nursing Home Care; 64.014,
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Veterans State Domiciliary Care; 64.015, Veterans State Nursing Home
Care; 64.018, Sharing Specialized Medical Resources; 64.019, Veterans
Rehabilitation Alcohol and Drug Dependence; and 64.022, Veterans Home
Based Primary Care.
Signing Authority
The Secretary of Veterans Affairs, or designee, approved this
document and authorized the undersigned to sign and submit the document
to the Office of the Federal Register for publication electronically as
an official document of the Department of Veterans Affairs. John R.
Gingrich, Chief of Staff, Department of Veterans Affairs, approved this
document on February 28, 2012, for publication.
List of Subjects in 38 CFR Part 17
Administrative practice and procedure, Health care, Health
facilities, Mental health programs, Nursing homes, Veterans.
Dated: March 1, 2012.
Robert C. McFetridge,
Director, Office of Regulation Policy and Management, Office of the
General Counsel, Department of Veterans Affairs.
For the reasons set forth in the preamble, we propose to amend 38
CFR part 17 as follows:
PART 17--MEDICAL
1. The authority citation for part 17 continues to read as follows:
Authority: 38 U.S.C. 501, and as noted in specific sections.
2. Amend Sec. 17.108 by adding paragraph (e)(16) to read as
follows:
Sec. 17.108 Copayments for inpatient hospital care and outpatient
medical care.
* * * * *
(e) * * *
(16) In-home video telehealth care.
* * * * *
[FR Doc. 2012-5355 Filed 3-5-12; 8:45 am]
BILLING CODE 8320-01-P