Medicare Program; Part A Premiums for CY 2013 for the Uninsured Aged and for Certain Disabled Individuals Who Have Exhausted Other Entitlement, 69859-69861 [2012-28274]
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Federal Register / Vol. 77, No. 225 / Wednesday, November 21, 2012 / Notices
announcements. In doing so, we note
that, under the Administrative
Procedure Act, interpretive rules,
general statements of policy, and rules
of agency organization, procedure, or
practice are excepted from the
requirements of notice and comment
rulemaking.
We considered publishing a proposed
notice to provide a period for public
comment. However, we may waive that
procedure if we find, for good cause,
that prior notice and comment are
impracticable, unnecessary, or contrary
to the public interest. The statute
establishes the time period for which
the premium rates will apply, and
delaying publication of the Part B
premium rate such that it would not be
published before that time would be
contrary to the public interest.
Moreover, we find that notice and
comment are unnecessary because the
formulas used to calculate the Part B
premiums are statutorily directed.
Therefore, we find good cause to waive
publication of a proposed notice and
solicitation of public comments.
(Catalog of Federal Domestic Assistance
Program No. 93.774, Medicare—
Supplementary Medical Insurance Program)
Dated: November 15, 2012.
Marilyn Tavenner,
Acting Administrator, Centers for Medicare
& Medicaid Services.
Approved: November 15, 2012.
Kathleen Sebelius,
Secretary. Department of Health and Human
Services.
[FR Doc. 2012–28275 Filed 11–16–12; 11:15 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–8047–N]
RIN 0938–AR15
Medicare Program; Part A Premiums
for CY 2013 for the Uninsured Aged
and for Certain Disabled Individuals
Who Have Exhausted Other
Entitlement
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
This annual notice announces
Medicare’s Hospital Insurance (Part A)
premium for uninsured enrollees in
calendar year (CY) 2013. This premium
is paid by enrollees age 65 and over who
are not otherwise eligible for benefits
under Medicare Part A (hereafter known
srobinson on DSK4SPTVN1PROD with
SUMMARY:
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16:56 Nov 20, 2012
Jkt 229001
as the ‘‘uninsured aged’’) and by certain
disabled individuals who have
exhausted other entitlement. The
monthly Part A premium for the 12
months beginning January 1, 2013, for
these individuals will be $441. The
reduced premium for certain other
individuals as described in this notice
will be $243.
DATES: This notice is effective on
January 1, 2013.
FOR FURTHER INFORMATION CONTACT:
Clare McFarland, (410) 786–6390.
SUPPLEMENTARY INFORMATION:
I. Background
Section 1818 of the Social Security
Act (the Act) provides for voluntary
enrollment in the Medicare Hospital
Insurance Program (Medicare Part A),
subject to payment of a monthly
premium, of certain persons aged 65
and older who are uninsured under the
Old-Age, Survivors, and Disability
Insurance (OASDI) program or the
Railroad Retirement Act and do not
otherwise meet the requirements for
entitlement to Medicare Part A. These
‘‘uninsured aged’’ individuals are
uninsured under the OASDI program or
the Railroad Retirement Act, because
they do not have 40 quarters of coverage
under Title II of the Act (or are/were not
married to someone who did). (Persons
insured under the OASDI program or
the Railroad Retirement Act and certain
others do not have to pay premiums for
Medicare Part A.)
Section 1818A of the Act provides for
voluntary enrollment in Medicare Part
A, subject to payment of a monthly
premium for certain disabled
individuals who have exhausted other
entitlement. These are individuals who
were entitled to coverage due to a
disabling impairment under section
226(b) of the Act, but who are no longer
entitled to disability benefits and free
Medicare Part A coverage because they
have gone back to work and their
earnings exceed the statutorily defined
‘‘substantial gainful activity’’ amount
(section 223(d)(4) of the Act).
Section 1818A(d)(2) of the Act
specifies that the provisions relating to
premiums under section 1818(d)
through section 1818(f) of the Act for
the aged will also apply to certain
disabled individuals as described above.
Section 1818(d) of the Act requires us
to estimate, on an average per capita
basis, the amount to be paid from the
Federal Hospital Insurance Trust Fund
for services incurred in the impending
calendar year (CY) (including the
associated administrative costs) on
behalf of individuals aged 65 and over
who will be entitled to benefits under
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Fmt 4703
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69859
Medicare Part A. We must then
determine the monthly actuarial rate for
the following year (the per capita
amount estimated above divided by 12)
and publish the dollar amount for the
monthly premium in the succeeding CY.
If the premium is not a multiple of $1,
the premium is rounded to the nearest
multiple of $1 (or, if it is a multiple of
50 cents but not of $1, it is rounded to
the next highest $1).
Section 13508 of the Omnibus Budget
Reconciliation Act of 1993 (Pub. L. 103–
66) amended section 1818(d) of the Act
to provide for a reduction in the
premium amount for certain voluntary
enrollees (section 1818 and section
1818A of the Act). The reduction
applies to an individual who is eligible
to buy into the Medicare Part A program
and who, as of the last day of the
previous month—
• Had at least 30 quarters of coverage
under Title II of the Act;
• Was married, and had been married
for the previous 1-year period, to a
person who had at least 30 quarters of
coverage;
• Had been married to a person for at
least 1 year at the time of the person’s
death if, at the time of death, the person
had at least 30 quarters of coverage; or
• Is divorced from a person and had
been married to the person for at least
10 years at the time of the divorce if, at
the time of the divorce, the person had
at least 30 quarters of coverage.
Section 1818(d)(4)(A) of the Act
specifies that the premium that these
individuals will pay for CY 2013 will be
equal to the premium for uninsured
aged enrollees reduced by 45 percent.
II. Monthly Premium Amount for CY
2013
The monthly premium for the
uninsured aged and certain disabled
individuals who have exhausted other
entitlement for the 12 months beginning
January 1, 2013, is $441.
The monthly premium for those
individuals subject to the 45 percent
reduction in the monthly premium is
$243.
III. Monthly Premium Rate Calculation
As discussed in section I of this
notice, the monthly Medicare Part A
premium is equal to the estimated
monthly actuarial rate for CY 2013
rounded to the nearest multiple of $1
and equals one-twelfth of the average
per capita amount, which is determined
by projecting the number of Part A
enrollees aged 65 years and over as well
as the benefits and administrative costs
that will be incurred on their behalf.
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69860
Federal Register / Vol. 77, No. 225 / Wednesday, November 21, 2012 / Notices
The steps involved in projecting these
future costs to the Federal Hospital
Insurance Trust Fund are:
• Establishing the present cost of
services furnished to beneficiaries, by
type of service, to serve as a projection
base;
• Projecting increases in payment
amounts for each of the service types;
and
• Projecting increases in
administrative costs.
We base our projections for CY 2013
on—(1) current historical data; and (2)
projection assumptions derived from
current law and the Mid-Session Review
of the President’s Fiscal Year 2013
Budget.
We estimate that in CY 2013,
42,352,324 people aged 65 years and
over will be entitled to benefits (without
premium payment) and that they will
incur about $223.933 billion in benefits
and related administrative costs. Thus,
the estimated monthly average per
capita amount is $440.62 and the
monthly premium is $441. The full
monthly premium reduced by 45
percent is $243.
IV. Costs to Beneficiaries
The CY 2013 premium of $441 is
approximately 2.22 percent lower than
the CY 2012 premium of $451. We
estimate that approximately 604,000
enrollees will voluntarily enroll in
Medicare Part A by paying the full
premium. We estimate an additional
50,000 enrollees will pay the reduced
premium. We estimate that the aggregate
savings to enrollees paying these
premiums in CY 2013, compared to the
amount that they paid in CY 2012, will
be about $75 million.
srobinson on DSK4SPTVN1PROD with
V. Waiver of Proposed Notice and
Comment Period
We use general notices, rather than
notice and comment rulemaking
procedures, to make announcements
such as this premium notice. In doing
so, we acknowledge that, under the
Administrative Procedure Act (APA),
interpretive rules, general statements of
policy, and rules of agency organization,
procedure, or practice are excepted from
the requirements of notice and comment
rulemaking. The agency may also waive
notice and comment if there is ‘‘good
cause,’’ as defined by the statute. We
considered publishing a proposed
notice to provide a period for public
comment. However, under the APA, we
may waive that procedure if we find
good cause that prior notice and
comment are impracticable,
unnecessary, or contrary to the public
interest.
VerDate Mar<15>2010
16:56 Nov 20, 2012
Jkt 229001
We are not using notice and comment
rulemaking in this notification of
Medicare Part A premiums for CY 2013
as that procedure is unnecessary
because of the lack of discretion in the
statutory formula that is used to
calculate the premium and the solely
ministerial function that this notice
serves. The APA permits agencies to
waive notice and comment rulemaking
when notice and public comment
thereon are unnecessary. On this basis,
we waive publication of a proposed
notice and a solicitation of public
comments.
VI. Collection of Information
Requirements
This document does not impose
information collection and
recordkeeping requirements.
Consequently, it need not be reviewed
by the Office of Management and
Budget under the authority of the
Paperwork Reduction Act of 1995 (44
U.S.C. 35).
VII. Regulatory Impact Statement
We have examined the impact of this
notice as required by Executive Order
12866 on Regulatory Planning and
Review (September 30, 1993), Executive
Order 13563 on Improving Regulation
and Regulatory Review (January 18,
2011), the Regulatory Flexibility Act
(RFA) (September 19, 1980, Pub. L. 96–
354), section 1102(b) of the Social
Security Act, section 202 of the
Unfunded Mandates Reform Act of 1995
(March 22, 1995; Pub. L. 104–4),
Executive Order 13132 on Federalism
(August 4, 1999) and the Congressional
Review Act (5 U.S.C., Part I, Ch. 8).
Executive Orders 12866 and 13563
direct agencies to assess all costs and
benefits of available regulatory
alternatives and, if regulation is
necessary, to select regulatory
approaches that maximize net benefits
(including potential economic,
environmental, public health and safety
effects, distributive impacts, and
equity). A regulatory impact analysis
(RIA) must be prepared for major rules
with economically significant effects
($100 million or more in any 1 year). As
stated in section IV of this notice, we
estimate that the overall effect of these
changes in the Part A premium will be
a savings to voluntary enrollees (section
1818 and section 1818A of the Act) of
about $75 million. Therefore, this notice
is a not a major action as defined in
Title 5, United States Code, Part I, Ch.
8 and is not an economically significant
action under Executive Order 12866.
The RFA requires agencies to analyze
options for regulatory relief of small
entities. For purposes of the RFA, small
PO 00000
Frm 00072
Fmt 4703
Sfmt 4703
entities include small businesses,
nonprofit organizations, and small
governmental jurisdictions. Most
hospitals and most other providers and
suppliers are small entities, either by
nonprofit status or by having revenues
of $7.0 million to $34.5 million in any
1 year. Individuals and States are not
included in the definition of a small
entity. We have determined that this
notice will not have a significant
economic impact on a substantial
number of small entities. Therefore, we
are not preparing an analysis under the
RFA.
In addition, section 1102(b) of the
Social Security Act requires us to
prepare a regulatory impact analysis if
a rule may have a significant impact on
the operations of a substantial number
of small rural hospitals. This analysis
must conform to the provisions of
section 604 of the RFA. For purposes of
section 1102(b) of the Act, we define a
small rural hospital as a hospital that is
located outside of a Metropolitan
Statistical Area for Medicare payment
regulations and has fewer than 100
beds. The Secretary has determined that
this notice will not have a significant
impact on the operations of a substantial
number of small rural hospitals.
Therefore, we are not preparing an
analysis under section 1102(b) of the
Act.
Section 202 of the Unfunded
Mandates Reform Act of 1995 also
requires that agencies assess anticipated
costs and benefits before issuing any
rule whose mandates require spending
in any 1 year of $100 million in 1995
dollars, updated annually for inflation.
In 2012, that threshold is approximately
$139 million. This notice will have no
consequential effect on State, local, or
tribal governments or on the private
sector. However, States are required to
pay the premiums for dually-eligible
beneficiaries.
Executive Order 13132 establishes
certain requirements that an agency
must meet when it promulgates a
proposed rule (and subsequent final
rule) that imposes substantial direct
requirement costs on State and local
governments, preempts State law, or
otherwise has Federalism implications.
This notice will not have a substantial
effect on State or local governments.
In accordance with the provisions of
Executive Order 12866, this notice was
reviewed by the Office of Management
and Budget.
(Catalog of Federal Domestic Assistance
Program No. 93.773, Medicare—Hospital
Insurance)
E:\FR\FM\21NON1.SGM
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69861
Federal Register / Vol. 77, No. 225 / Wednesday, November 21, 2012 / Notices
Dated: November 6, 2012.
Marilyn Tavenner,
Acting Administrator, Centers for Medicare
& Medicaid Services.
Dated: November 15, 2012.
Kathleen Sebelius,
Secretary.
[FR Doc. 2012–28274 Filed 11–16–12; 11:15 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Comment Request
Title: Parents and Children Together
(PACT) Evaluation.
OMB No.: 0970–0403.
Description: The Office of Planning,
Research, and Evaluation (OPRE),
Administration for Children and
Families (ACF), U.S. Department of
Health and Human Services (HHS), is
proposing data collection activity as
part of the Parents and Children
Together (PACT) Evaluation.
The PACT project is a formative
evaluation whose overall objective is to
document and provide initial
assessment of selected Responsible
Fatherhood and Healthy Marriage grant
programs that were authorized under
the 2010 Claims Resolution Act. This
information will be critical to informing
decisions related to future investments
in this kind of programming as well as
the design and operation of such
services.
To meet the objective of the study,
PACT is utilizing three major,
interrelated evaluation strategies:
(a) Impact evaluation;
(b) Implementation evaluation; and
(c) Qualitative evaluation.
Each of these strategies will be
employed separately with (1)
Responsible Fatherhood and (2) Healthy
Marriage grantees. Specifically, we
anticipate the following studies:
(a) Impact evaluation:
(1) Responsible Fatherhood grantee
evaluation; and (2) Healthy Marriage
grantee evaluation.
(b) Implementation evaluation:
(1) Responsible Fatherhood grantee
evaluation;
(1—additional substudy) Responsible
Fatherhood grantee evaluation with a
focus on Hispanic populations; and
(2) Healthy Marriage grantee
evaluation.
(c) Qualitative evaluation:
(1) Responsible Fatherhood grantee
evaluation.
The following instruments have been
approved for this study: Site selection:
a discussion guide to assist in selecting
sites was approved by OMB on April 20,
2012.
(a) Impact evaluation:
(1) Responsible Fatherhood grantee
evaluation:
• Introductory script, approved
October 31, 2012.
• Baseline survey, approved October
31, 2012.
(b) Implementation evaluation:
(1) Responsible Fatherhood grantee
evaluation:
• Responsible Fatherhood Study MIS,
approved October 31, 2012.
This 60-Day Federal Register Notice
requests clearance of new instruments:
(a) Impact evaluation:
(1) Healthy Marriage grantee
evaluation:
• Introductory script, which program
staff will use to introduce the study to
participants.
• Baseline survey, to capture
participant characteristics and
experiences prior to randomization.
(b) Implementation evaluation:
(1) and (2) Responsible Fatherhood
and Healthy Marriage grantee
evaluation:
• Semi-structured interview topic
guide, to gather information on program
implementation from program staff.
• On-line survey, to capture program
staff experiences.
• Telephone interviews (with staff at
referral organizations), to document
linkages between the program and
referral agencies.
Annual
number of
respondents
Instrument respondent
• Working Alliance Inventory, to
assess the strength of the participantprogram staff working relationship.
• Focus group guide, to elicit
participant experiences.
• Telephone interviews (with
program dropouts), to determine reasons
why those eligible for the program
choose not to participate.
(1—additional substudy) Responsible
Fatherhood grantee evaluation with a
focus on Hispanic populations:
• Semi-structured interview topic
guide, to examine how agencies adapt
programs to address the needs of
Hispanic populations.
• Focus group guide, to elicit
participant experiences.
• Participant questionnaire, to
capture participant characteristics and
experiences.
(2) Healthy Marriage grantee
evaluation:
• Study MIS (for use in HM
programs), to track participation in the
program.
(c) Qualitative evaluation:
(1) Responsible Fatherhood grantee
evaluation:
• Guide for in-person, in-depth
interviews, to understand the
experiences, both in and out of the
program, of a subset of men.
• Check-in call guide, to follow-up
from the in-person, in-depth interviews,
to ascertain new experiences by these
men since last discussion.
This 60-Day Federal Register Notice
also serves as a request for OMB to
waive subsequent 60-day Federal
Register notices pertaining to the PACT
Evaluation.
Respondents:
Respondents include program
applicants, program participants,
program staff, and staff at referral
agencies. Specific respondents per
instrument are noted in the burden
tables below.
Annual Burden Estimates
Some burden has already been
approved for this study, and the
following instruments are still in use.
Approved burden is provided below:
Number of
responses per
respondent
Average
burden per
response
(minutes)
Total annual
burden hours
srobinson on DSK4SPTVN1PROD with
Site Selection
Selecting Study Grantees:
Discussions/grantee and partner organization staff .................................
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50
]]>Agencies
[Federal Register Volume 77, Number 225 (Wednesday, November 21, 2012)]
[Notices]
[Pages 69859-69861]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-28274]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-8047-N]
RIN 0938-AR15
Medicare Program; Part A Premiums for CY 2013 for the Uninsured
Aged and for Certain Disabled Individuals Who Have Exhausted Other
Entitlement
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This annual notice announces Medicare's Hospital Insurance
(Part A) premium for uninsured enrollees in calendar year (CY) 2013.
This premium is paid by enrollees age 65 and over who are not otherwise
eligible for benefits under Medicare Part A (hereafter known as the
``uninsured aged'') and by certain disabled individuals who have
exhausted other entitlement. The monthly Part A premium for the 12
months beginning January 1, 2013, for these individuals will be $441.
The reduced premium for certain other individuals as described in this
notice will be $243.
DATES: This notice is effective on January 1, 2013.
FOR FURTHER INFORMATION CONTACT: Clare McFarland, (410) 786-6390.
SUPPLEMENTARY INFORMATION:
I. Background
Section 1818 of the Social Security Act (the Act) provides for
voluntary enrollment in the Medicare Hospital Insurance Program
(Medicare Part A), subject to payment of a monthly premium, of certain
persons aged 65 and older who are uninsured under the Old-Age,
Survivors, and Disability Insurance (OASDI) program or the Railroad
Retirement Act and do not otherwise meet the requirements for
entitlement to Medicare Part A. These ``uninsured aged'' individuals
are uninsured under the OASDI program or the Railroad Retirement Act,
because they do not have 40 quarters of coverage under Title II of the
Act (or are/were not married to someone who did). (Persons insured
under the OASDI program or the Railroad Retirement Act and certain
others do not have to pay premiums for Medicare Part A.)
Section 1818A of the Act provides for voluntary enrollment in
Medicare Part A, subject to payment of a monthly premium for certain
disabled individuals who have exhausted other entitlement. These are
individuals who were entitled to coverage due to a disabling impairment
under section 226(b) of the Act, but who are no longer entitled to
disability benefits and free Medicare Part A coverage because they have
gone back to work and their earnings exceed the statutorily defined
``substantial gainful activity'' amount (section 223(d)(4) of the Act).
Section 1818A(d)(2) of the Act specifies that the provisions
relating to premiums under section 1818(d) through section 1818(f) of
the Act for the aged will also apply to certain disabled individuals as
described above.
Section 1818(d) of the Act requires us to estimate, on an average
per capita basis, the amount to be paid from the Federal Hospital
Insurance Trust Fund for services incurred in the impending calendar
year (CY) (including the associated administrative costs) on behalf of
individuals aged 65 and over who will be entitled to benefits under
Medicare Part A. We must then determine the monthly actuarial rate for
the following year (the per capita amount estimated above divided by
12) and publish the dollar amount for the monthly premium in the
succeeding CY. If the premium is not a multiple of $1, the premium is
rounded to the nearest multiple of $1 (or, if it is a multiple of 50
cents but not of $1, it is rounded to the next highest $1).
Section 13508 of the Omnibus Budget Reconciliation Act of 1993
(Pub. L. 103-66) amended section 1818(d) of the Act to provide for a
reduction in the premium amount for certain voluntary enrollees
(section 1818 and section 1818A of the Act). The reduction applies to
an individual who is eligible to buy into the Medicare Part A program
and who, as of the last day of the previous month--
Had at least 30 quarters of coverage under Title II of the
Act;
Was married, and had been married for the previous 1-year
period, to a person who had at least 30 quarters of coverage;
Had been married to a person for at least 1 year at the
time of the person's death if, at the time of death, the person had at
least 30 quarters of coverage; or
Is divorced from a person and had been married to the
person for at least 10 years at the time of the divorce if, at the time
of the divorce, the person had at least 30 quarters of coverage.
Section 1818(d)(4)(A) of the Act specifies that the premium that
these individuals will pay for CY 2013 will be equal to the premium for
uninsured aged enrollees reduced by 45 percent.
II. Monthly Premium Amount for CY 2013
The monthly premium for the uninsured aged and certain disabled
individuals who have exhausted other entitlement for the 12 months
beginning January 1, 2013, is $441.
The monthly premium for those individuals subject to the 45 percent
reduction in the monthly premium is $243.
III. Monthly Premium Rate Calculation
As discussed in section I of this notice, the monthly Medicare Part
A premium is equal to the estimated monthly actuarial rate for CY 2013
rounded to the nearest multiple of $1 and equals one-twelfth of the
average per capita amount, which is determined by projecting the number
of Part A enrollees aged 65 years and over as well as the benefits and
administrative costs that will be incurred on their behalf.
[[Page 69860]]
The steps involved in projecting these future costs to the Federal
Hospital Insurance Trust Fund are:
Establishing the present cost of services furnished to
beneficiaries, by type of service, to serve as a projection base;
Projecting increases in payment amounts for each of the
service types; and
Projecting increases in administrative costs.
We base our projections for CY 2013 on--(1) current historical
data; and (2) projection assumptions derived from current law and the
Mid-Session Review of the President's Fiscal Year 2013 Budget.
We estimate that in CY 2013, 42,352,324 people aged 65 years and
over will be entitled to benefits (without premium payment) and that
they will incur about $223.933 billion in benefits and related
administrative costs. Thus, the estimated monthly average per capita
amount is $440.62 and the monthly premium is $441. The full monthly
premium reduced by 45 percent is $243.
IV. Costs to Beneficiaries
The CY 2013 premium of $441 is approximately 2.22 percent lower
than the CY 2012 premium of $451. We estimate that approximately
604,000 enrollees will voluntarily enroll in Medicare Part A by paying
the full premium. We estimate an additional 50,000 enrollees will pay
the reduced premium. We estimate that the aggregate savings to
enrollees paying these premiums in CY 2013, compared to the amount that
they paid in CY 2012, will be about $75 million.
V. Waiver of Proposed Notice and Comment Period
We use general notices, rather than notice and comment rulemaking
procedures, to make announcements such as this premium notice. In doing
so, we acknowledge that, under the Administrative Procedure Act (APA),
interpretive rules, general statements of policy, and rules of agency
organization, procedure, or practice are excepted from the requirements
of notice and comment rulemaking. The agency may also waive notice and
comment if there is ``good cause,'' as defined by the statute. We
considered publishing a proposed notice to provide a period for public
comment. However, under the APA, we may waive that procedure if we find
good cause that prior notice and comment are impracticable,
unnecessary, or contrary to the public interest.
We are not using notice and comment rulemaking in this notification
of Medicare Part A premiums for CY 2013 as that procedure is
unnecessary because of the lack of discretion in the statutory formula
that is used to calculate the premium and the solely ministerial
function that this notice serves. The APA permits agencies to waive
notice and comment rulemaking when notice and public comment thereon
are unnecessary. On this basis, we waive publication of a proposed
notice and a solicitation of public comments.
VI. Collection of Information Requirements
This document does not impose information collection and
recordkeeping requirements. Consequently, it need not be reviewed by
the Office of Management and Budget under the authority of the
Paperwork Reduction Act of 1995 (44 U.S.C. 35).
VII. Regulatory Impact Statement
We have examined the impact of this notice as required by Executive
Order 12866 on Regulatory Planning and Review (September 30, 1993),
Executive Order 13563 on Improving Regulation and Regulatory Review
(January 18, 2011), the Regulatory Flexibility Act (RFA) (September 19,
1980, Pub. L. 96-354), section 1102(b) of the Social Security Act,
section 202 of the Unfunded Mandates Reform Act of 1995 (March 22,
1995; Pub. L. 104-4), Executive Order 13132 on Federalism (August 4,
1999) and the Congressional Review Act (5 U.S.C., Part I, Ch. 8).
Executive Orders 12866 and 13563 direct agencies to assess all
costs and benefits of available regulatory alternatives and, if
regulation is necessary, to select regulatory approaches that maximize
net benefits (including potential economic, environmental, public
health and safety effects, distributive impacts, and equity). A
regulatory impact analysis (RIA) must be prepared for major rules with
economically significant effects ($100 million or more in any 1 year).
As stated in section IV of this notice, we estimate that the overall
effect of these changes in the Part A premium will be a savings to
voluntary enrollees (section 1818 and section 1818A of the Act) of
about $75 million. Therefore, this notice is a not a major action as
defined in Title 5, United States Code, Part I, Ch. 8 and is not an
economically significant action under Executive Order 12866.
The RFA requires agencies to analyze options for regulatory relief
of small entities. For purposes of the RFA, small entities include
small businesses, nonprofit organizations, and small governmental
jurisdictions. Most hospitals and most other providers and suppliers
are small entities, either by nonprofit status or by having revenues of
$7.0 million to $34.5 million in any 1 year. Individuals and States are
not included in the definition of a small entity. We have determined
that this notice will not have a significant economic impact on a
substantial number of small entities. Therefore, we are not preparing
an analysis under the RFA.
In addition, section 1102(b) of the Social Security Act requires us
to prepare a regulatory impact analysis if a rule may have a
significant impact on the operations of a substantial number of small
rural hospitals. This analysis must conform to the provisions of
section 604 of the RFA. For purposes of section 1102(b) of the Act, we
define a small rural hospital as a hospital that is located outside of
a Metropolitan Statistical Area for Medicare payment regulations and
has fewer than 100 beds. The Secretary has determined that this notice
will not have a significant impact on the operations of a substantial
number of small rural hospitals. Therefore, we are not preparing an
analysis under section 1102(b) of the Act.
Section 202 of the Unfunded Mandates Reform Act of 1995 also
requires that agencies assess anticipated costs and benefits before
issuing any rule whose mandates require spending in any 1 year of $100
million in 1995 dollars, updated annually for inflation. In 2012, that
threshold is approximately $139 million. This notice will have no
consequential effect on State, local, or tribal governments or on the
private sector. However, States are required to pay the premiums for
dually-eligible beneficiaries.
Executive Order 13132 establishes certain requirements that an
agency must meet when it promulgates a proposed rule (and subsequent
final rule) that imposes substantial direct requirement costs on State
and local governments, preempts State law, or otherwise has Federalism
implications. This notice will not have a substantial effect on State
or local governments.
In accordance with the provisions of Executive Order 12866, this
notice was reviewed by the Office of Management and Budget.
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance)
[[Page 69861]]
Dated: November 6, 2012.
Marilyn Tavenner,
Acting Administrator, Centers for Medicare & Medicaid Services.
Dated: November 15, 2012.
Kathleen Sebelius,
Secretary.
[FR Doc. 2012-28274 Filed 11-16-12; 11:15 am]
BILLING CODE 4120-01-P
