Copayments for Medications in 2013, 76865-76867 [2012-31432]
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Federal Register / Vol. 77, No. 250 / Monday, December 31, 2012 / Rules and Regulations
subject to the Paperwork Reduction Act,
44 U.S.C. Chapter 35.
List of Subjects in 22 CFR Parts 120 and
126
Arms and munitions, Exports.
Accordingly, for the reasons set forth
above, Title 22, Chapter I, Subchapter
M, parts 120 and 126 are amended as
follows:
PART 120—PURPOSE AND
DEFINITIONS
1. The authority citation for part 120
continues to read as follows:
■
Authority: Secs. 2, 38, and 71, Pub. L. 90–
629, 90 Stat. 744 (22 U.S.C. 2752, 2778,
2797); 22 U.S.C. 2794; E.O. 11958, 42 FR
4311; E.O. 13284, 68 FR 4075; 3 CFR, 1977
Comp. p. 79; 22 U.S.C. 2651a; Pub. L. 105–
261, 112 Stat. 1920; Pub. L. 111–266.
2. Section 120.32 is revised to read as
follows:
■
§ 120.32
Major non-NATO ally.
Major non-NATO ally, as defined in
section 644(q) of the Foreign Assistance
Act of 1961 (22 U.S.C. 2403(q)), means
a country that is designated in
accordance with section 517 of the
Foreign Assistance Act of 1961 (22
U.S.C. 2321(k)) as a major non-NATO
ally for purposes of the Foreign
Assistance Act of 1961 and the Arms
Export Control Act (22 U.S.C. 2151 et
seq. and 22 U.S.C. 2751 et seq.). The
following countries are designated as
major non-NATO allies: Afghanistan
(see § 126.1(g) of this subchapter),
Argentina, Australia, Bahrain, Egypt,
Israel, Japan, Jordan, Kuwait, Morocco,
New Zealand, Pakistan, the Philippines,
Thailand, and Republic of Korea.
Taiwan shall be treated as though it
were designated a major non-NATO
ally.
PART 126—GENERAL POLICIES AND
PROVISIONS
3. The authority citation for part 126
continues to read as follows:
■
Authority: Secs. 2, 38, 40, 42, and 71, Pub.
L. 90–629, 90 Stat. 744 (22 U.S.C. 2752, 2778,
2780, 2791, and 2797); E.O. 11958, 42 FR
4311; 3 CFR, 1977 Comp., p. 79; 22 U.S.C.
2651a; 22 U.S.C. 287c; E.O. 12918, 59 FR
28205; 3 CFR, 1994 Comp., p. 899; Sec. 1225,
Pub. L. 108–375; Sec. 7089, Pub. L. 111–117;
Pub. L. 111–266; Section 7045, Pub. L. 112–
74; Section 7046, Pub. L. 112–74.
4. Section 126.1 is amended by
revising paragraphs (a) and (g) to read as
follows:
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■
(a) General. It is the policy of the
United States to deny licenses and other
01:38 Dec 29, 2012
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Dated: December 18, 2012.
Rose E. Gottemoeller,
Acting Under Secretary, Arms Control and
International Security, Department of State.
[FR Doc. 2012–31217 Filed 12–28–12; 8:45 am]
BILLING CODE 4710–25–P
DEPARTMENT OF VETERANS
AFFAIRS
38 CFR Part 17
RIN 2900–AO58
§ 126.1 Prohibited exports, imports, and
sales to or from certain countries.
VerDate Mar<15>2010
approvals for exports and imports of
defense articles and defense services
destined for or originating in certain
countries. This policy applies to
Belarus, Cuba, Eritrea, Iran, North
Korea, Syria, and Venezuela. This
policy also applies to countries with
respect to which the United States
maintains an arms embargo (e.g., Burma,
China, and the Republic of the Sudan)
or whenever an export would not
otherwise be in furtherance of world
peace and the security and foreign
policy of the United States. Information
regarding certain other embargoes
appears elsewhere in this section.
Comprehensive arms embargoes are
normally the subject of a State
Department notice published in the
Federal Register. The exemptions
provided in this subchapter, except
§§ 123.17, 126.4, and 126.6 of this
subchapter or when the recipient is a
U.S. Government department or agency,
do not apply with respect to defense
articles or defense services originating
in or for export to any proscribed
countries, areas, or persons identified in
this section.
*
*
*
*
*
(g) Afghanistan. It is the policy of the
United States to deny licenses or other
approvals for exports and imports of
defense articles and defense services,
destined for or originating in
Afghanistan, except that a license or
other approval may be issued, on a caseby-case basis, for the Government of
Afghanistan or coalition forces. In
addition, the names of individuals,
groups, undertakings, and entities
subject to arms embargoes, due to their
affiliation with the Taliban, Al-Qaida, or
those associated with them, are
published in lists maintained by the
United Nations Security Council’s
Sanctions Committees (established
pursuant to United Nations Security
Council resolutions (UNSCR) 1267,
1988, and 1989).
*
*
*
*
*
Copayments for Medications in 2013
AGENCY:
PO 00000
Department of Veterans Affairs.
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ACTION:
76865
Interim final rule.
The Department of Veterans
Affairs (VA) amends its medical
regulations concerning the copayment
required for certain medications. But for
this rulemaking, beginning on January 1,
2013, the copayment amount would
increase based on a formula set forth in
regulation. The maximum annual
copayment amount payable by veterans
would also increase. For 2012, VA
‘‘froze’’ the copayment amount for
veterans in VA’s health care system
enrollment priority categories 2 through
6, but allowed copayments to increase
based on the regulatory formula for
veterans in priority categories 7 and 8.
However, that formula did not trigger an
increase in the copayment amount for
veterans in priority categories 7 and 8.
This rulemaking freezes copayments at
the current rate for veterans in priority
categories 2 through 8 for 2013, and
thereafter resumes increasing
copayments in accordance with the
regulatory formula.
DATES: Effective Date: This rule is
effective on December 31, 2012.
Comments must be received on or
before March 1, 2013.
ADDRESSES: Written comments may be
submitted by email through https://
www.regulations.gov; by mail or handdelivery to Director, Regulation Policy
and Management (02REG), Department
of Veterans Affairs, 810 Vermont
Avenue NW., Room 1068, Washington,
DC 20420; or by fax to (202) 273–9026.
(This is not a toll-free number.)
Comments should indicate that they are
submitted in response to ‘‘RIN 2900–
AO58, Copayments for Medications in
2013.’’ Copies of comments received
will be available for public inspection in
the Office of Regulation Policy and
Management, Room 1063B, between the
hours of 8:00 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
https://www.regulations.gov.
FOR FURTHER INFORMATION CONTACT:
Kristin Cunningham, Director, Business
Policy, Chief Business Office, 810
Vermont Avenue NW., Washington, DC
20420, (202) 461–1599. (This is not a
toll-free number.)
SUPPLEMENTARY INFORMATION: Under 38
U.S.C. 1722A(a), VA must require
veterans to pay a $2 copayment for each
30-day supply of medication furnished
on an outpatient basis for the treatment
of a non-service-connected disability or
SUMMARY:
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76866
Federal Register / Vol. 77, No. 250 / Monday, December 31, 2012 / Rules and Regulations
condition unless a veteran has a serviceconnected disability rated 50 percent or
more, is a former prisoner of war, or has
an annual income at or below the
maximum annual rate of VA pension
that would be payable if the veteran
were eligible for pension. Under 38
U.S.C. 1722A(b), VA ‘‘may,’’ by
regulation, increase that copayment
amount and establish a maximum
annual copayment amount (a ‘‘cap’’).
We have consistently interpreted
section 1722A(b) to mean that VA has
discretion to determine the appropriate
copayment amount and annual cap
amount for medication furnished on an
outpatient basis for covered treatment,
provided that any decision by VA to
increase the copayment amount or
annual cap amount is the subject of a
rulemaking proceeding. We have
implemented this statute in 38 CFR
17.110.
Under 38 CFR 17.110(b)(1), veterans
are obligated to pay VA a copayment for
each 30-day or less supply of
medication provided by VA on an
outpatient basis (other than medication
administered during treatment). Under
the current regulation, for the period
from July 1, 2010, through December 31,
2012, the copayment amount for
veterans in priority categories 2 through
6 of VA’s health care system is $8. 38
CFR 17.110(b)(1)(ii). Thereafter, the
copayment amount for all affected
veterans is to be established using a
formula based on the prescription drug
component of the Medical Consumer
Price Index (CPI–P), set forth in 38 CFR
17.110(b)(1)(iv). For veterans in priority
categories 7 and 8, the copayment
amount from July 1, 2010, through
December 31, 2011, was $9. 38 CFR
17.110(b)(1)(iii). After December 31,
2011, copayments for veterans in
priority categories 7 and 8 were subject
to the regulatory formula; however, that
formula did not trigger an increase in
the copayment amount, so it remains $9.
Current § 17.110(b)(2) also includes a
‘‘cap’’ on the total amount of
copayments in a calendar year for a
veteran enrolled in one of VA’s health
care enrollment system priority
categories 2 through 6. Through
December 31, 2012, the annual cap is set
at $960. Thereafter, the cap is to
increase ‘‘by $120 for each $1 increase
in the copayment amount’’ applicable to
veterans enrolled in one of VA’s health
care enrollment system priority
categories 2 through 6.
On December 20, 2011, we published
a final rulemaking that ‘‘froze’’
copayments for veterans in priority
categories 2 through 6 at $8, through
December 31, 2012. 76 FR 78824, Dec.
20, 2011. In that rulemaking, we stated
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01:38 Dec 29, 2012
Jkt 229001
that this freeze was appropriate because
this group would be impacted more by
the increase due to their likely greater
need for medical care as a result of their
service-connected disabilities or
conditions. This continues to be true,
and therefore we are continuing to
freeze copayments for these veterans for
the next 12 months.
We also believe that a freeze of the
copayment rate is now appropriate for
veterans enrolled in priority categories 7
and 8. Prior rulemakings justified
freezing copayment rates on the basis
that higher copayments reduced the
utilization of VA pharmacy benefits.
The ability to ensure that medications
are taken as prescribed is essential to
effective health care management. VA
can monitor whether its patients are
refilling prescriptions at regular
intervals while also checking for
medications that may conflict with each
other when these prescriptions are filled
by VA. When non-VA providers are also
issuing prescriptions, there is a greater
risk of adverse interactions and harm to
the patient because it is more difficult
for each provider to know if the patient
is taking any other medications.
At the end of calendar year 2013,
unless additional rulemaking is
initiated, VA will once again utilize the
CPI–P methodology in § 17.110(b)(1)(iv)
to determine whether to increase
copayments and calculate any mandated
increase in the copayment amount for
veterans in priority categories 2 through
8. At that time, the CPI–P as of
September 30, 2013, will be divided by
the index as of September 30, 2001,
which was 304.8. The ratio will then be
multiplied by the original copayment
amount of $7. The copayment amount of
the new calendar year will be rounded
down to the whole dollar amount. As
mandated by current § 17.110(b)(2), the
annual cap will be calculated by
increasing the cap by $120 for each $1
increase in the copayment amount. Any
change in the copayment amount and
cap, along with the associated
calculations explaining the basis for the
increase, will be published in a Federal
Register notice. Thus, the intended
effect of this rule is to temporarily
prevent increases in copayment
amounts and the copayment cap for
veterans in priority categories 2 through
8, following which copayments and the
copayment cap will increase as
prescribed in current § 17.110(b).
Administrative Procedure Act
In accordance with 5 U.S.C. 553(b)(B)
and (d)(3), the Secretary of Veterans
Affairs finds that there is good cause to
dispense with the opportunity for
advance notice and opportunity for
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public comment and good cause to
publish this rule with an immediate
effective date. As stated above, this rule
freezes at current rates the prescription
drug copayment that VA charges certain
veterans. The Secretary finds that it is
impracticable and contrary to the public
interest to delay this rule for the
purpose of soliciting advance public
comment or to have a delayed effective
date. Increasing the copayment amount
on January 1, 2013, might cause a
significant financial hardship for some
veterans.
For the above reasons, the Secretary
issues this rule as an interim final rule.
VA will consider and address comments
that are received within 60 days of the
date this interim final rule is published
in the Federal Register.
Effect of Rulemaking
Title 38 of the Code of Federal
Regulations, as revised by this interim
final rulemaking, represents VA’s
implementation of its legal authority on
this subject. Other than future
amendments to this regulation or
governing statutes, no contrary guidance
or procedures are authorized. All
existing or subsequent VA guidance
must be read to conform with this
rulemaking if possible or, if not
possible, such guidance is superseded
by this rulemaking.
Paperwork Reduction Act
This interim final rule contains no
provisions constituting a collection of
information under the Paperwork
Reduction Act of 1995 (44 U.S.C. 3501–
3521).
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
E:\FR\FM\31DER1.SGM
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Federal Register / Vol. 77, No. 250 / Monday, December 31, 2012 / Rules and Regulations
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 to be a significant regulatory
action under Executive Order 12866.
State Hospital Care; 64.018, Sharing
Specialized Medical Resources; 64.019,
Veterans Rehabilitation Alcohol and
Drug Dependence; 64.022, Veterans
Home Based Primary Care; and 64.024,
VA Homeless Providers Grant and Per
Diem Program.
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 an
expenditure by State, local, and tribal
governments, in the aggregate, or by the
private sector, of $100 million or more
(adjusted annually for inflation) in any
given year. This rule will have no such
effect on State, local, and tribal
governments, or on the private sector.
List of Subjects in 38 CFR Part 17
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Regulatory Flexibility Act
The Secretary hereby certifies that
this interim final rule will 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
interim final rule will temporarily freeze
the copayments that certain veterans are
required to pay for prescription drugs
furnished by VA. The interim final rule
affects individuals and has no impact on
any small entities. Therefore, pursuant
to 5 U.S.C. 605(b), this rulemaking is
exempt from the initial and final
regulatory flexibility analysis
requirements of sections 603 and 604.
Catalog of Federal Domestic Assistance
The Catalog of Federal Domestic
Assistance program number and title for
this rule are as follows: 64.005, Grants
to States for Construction of State Home
Facilities; 64.007, Blind Rehabilitation
Centers; 64.008, Veterans Domiciliary
Care; 64.009, Veterans Medical Care
Benefits; 64.010, Veterans Nursing
Home Care; 64.011, Veterans Dental
Care; 64.012, Veterans Prescription
Service; 64.013, Veterans Prosthetic
Appliances; 64.014, Veterans State
Domiciliary Care; 64.015, Veterans State
Nursing Home Care; 64.016, Veterans
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01:38 Dec 29, 2012
Jkt 229001
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 December 7, 2012, for
publication.
Administrative practice and
procedure, Alcohol abuse, Alcoholism,
Claims, Day care, Dental health, Drug
abuse, Foreign relations, Government
contracts, Grant programs-health, Grant
programs-veterans, Health care, Health
facilities, Health professions, Health
records, Homeless, Medical and dental
schools, Medical devices, Medical
research, Mental health programs,
Nursing homes, Philippines, Reporting
and recordkeeping requirements,
Scholarships and fellowships, Travel
and transportation expenses, Veterans.
Approved: December 7, 2012.
John R. Gingrich,
Chief of Staff, Department of Veterans Affairs.
For the reasons set forth in the
preamble, VA amends 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(a), and as noted
in specific sections.
§ 17.110
[Amended]
2. Amend § 17.110 as follows:
■ a. In paragraphs (b)(1)(ii) and (b)(2),
remove ‘‘December 31, 2012’’ each place
it appears and add, in each place,
‘‘December 31, 2013’’.
■ b. In paragraphs (b)(1)(iii) and
(b)(1)(iv), remove ‘‘December 31, 2011’’
each place it appears and add, in each
place, ‘‘December 31, 2013’’.
■
[FR Doc. 2012–31432 Filed 12–28–12; 8:45 am]
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76867
ENVIRONMENTAL PROTECTION
AGENCY
40 CFR Part 52
[Docket No. EPA–R02–OAR–2012–0504;
FRL–9763–6]
Approval and Promulgation of Air
Quality Implementation Plans; New
York, New Jersey, and Connecticut;
Determination of Attainment of the
2006 Fine Particle Standard
Environmental Protection
Agency (EPA).
ACTION: Final rule.
AGENCY:
The Environmental Protection
Agency (EPA) is determining that the
New York-N. New Jersey-Long Island,
NY–NJ–CT fine particle (PM2.5)
nonattainment area for the 2006 24-hour
PM2.5 National Ambient Air Quality
Standard (NAAQS) has attained the
2006 24-hour PM2.5 NAAQS. The
determination of attainment will
suspend the requirements for the New
York-N. New Jersey-Long Island, NY–
NJ–CT PM2.5 nonattainment area to
submit an attainment demonstration,
associated reasonably available control
measures, reasonable further progress,
contingency measures, and other
planning state implementation plans
(SIPs) related to attainment of the 2006
24-hour PM2.5 NAAQS for so long as the
area continues to attain the 2006 24hour PM2.5 NAAQS.
DATES: Effective Date: This rule is
effective on December 31, 2012.
ADDRESSES: EPA has established a
docket for this action under Docket ID
Number EPA–R02–OAR–2012–0504. All
documents in the docket are listed in
the https://www.regulations.gov web site.
Although listed in the electronic docket,
some information is not publicly
available, i.e., confidential business
information (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 form.
Publicly available docket materials are
available either electronically through
https://www.regulations.gov or in hard
copy for public inspection during
normal business hours at the Air
Programs Branch, U.S. Environmental
Protection Agency, Region II, 290
Broadway, New York, New York 10007.
FOR FURTHER INFORMATION CONTACT:
Gavin Lau, (212) 637–3708, or by email
at lau.gavin@epa.gov if you have
questions related to New York or New
Jersey. If you have questions related to
Connecticut, please contact Alison C.
SUMMARY:
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Agencies
[Federal Register Volume 77, Number 250 (Monday, December 31, 2012)]
[Rules and Regulations]
[Pages 76865-76867]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-31432]
=======================================================================
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DEPARTMENT OF VETERANS AFFAIRS
38 CFR Part 17
RIN 2900-AO58
Copayments for Medications in 2013
AGENCY: Department of Veterans Affairs.
ACTION: Interim final rule.
-----------------------------------------------------------------------
SUMMARY: The Department of Veterans Affairs (VA) amends its medical
regulations concerning the copayment required for certain medications.
But for this rulemaking, beginning on January 1, 2013, the copayment
amount would increase based on a formula set forth in regulation. The
maximum annual copayment amount payable by veterans would also
increase. For 2012, VA ``froze'' the copayment amount for veterans in
VA's health care system enrollment priority categories 2 through 6, but
allowed copayments to increase based on the regulatory formula for
veterans in priority categories 7 and 8. However, that formula did not
trigger an increase in the copayment amount for veterans in priority
categories 7 and 8. This rulemaking freezes copayments at the current
rate for veterans in priority categories 2 through 8 for 2013, and
thereafter resumes increasing copayments in accordance with the
regulatory formula.
DATES: Effective Date: This rule is effective on December 31, 2012.
Comments must be received on or before March 1, 2013.
ADDRESSES: Written comments may be submitted by email through https://www.regulations.gov; by mail or hand-delivery to Director, Regulation
Policy and Management (02REG), Department of Veterans Affairs, 810
Vermont Avenue NW., Room 1068, Washington, DC 20420; or by fax to (202)
273-9026. (This is not a toll-free number.) Comments should indicate
that they are submitted in response to ``RIN 2900-AO58, Copayments for
Medications in 2013.'' Copies of comments received will be available
for public inspection in the Office of Regulation Policy and
Management, Room 1063B, between the hours of 8:00 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 https://www.regulations.gov.
FOR FURTHER INFORMATION CONTACT: Kristin Cunningham, Director, Business
Policy, Chief Business Office, 810 Vermont Avenue NW., Washington, DC
20420, (202) 461-1599. (This is not a toll-free number.)
SUPPLEMENTARY INFORMATION: Under 38 U.S.C. 1722A(a), VA must require
veterans to pay a $2 copayment for each 30-day supply of medication
furnished on an outpatient basis for the treatment of a non-service-
connected disability or
[[Page 76866]]
condition unless a veteran has a service-connected disability rated 50
percent or more, is a former prisoner of war, or has an annual income
at or below the maximum annual rate of VA pension that would be payable
if the veteran were eligible for pension. Under 38 U.S.C. 1722A(b), VA
``may,'' by regulation, increase that copayment amount and establish a
maximum annual copayment amount (a ``cap''). We have consistently
interpreted section 1722A(b) to mean that VA has discretion to
determine the appropriate copayment amount and annual cap amount for
medication furnished on an outpatient basis for covered treatment,
provided that any decision by VA to increase the copayment amount or
annual cap amount is the subject of a rulemaking proceeding. We have
implemented this statute in 38 CFR 17.110.
Under 38 CFR 17.110(b)(1), veterans are obligated to pay VA a
copayment for each 30-day or less supply of medication provided by VA
on an outpatient basis (other than medication administered during
treatment). Under the current regulation, for the period from July 1,
2010, through December 31, 2012, the copayment amount for veterans in
priority categories 2 through 6 of VA's health care system is $8. 38
CFR 17.110(b)(1)(ii). Thereafter, the copayment amount for all affected
veterans is to be established using a formula based on the prescription
drug component of the Medical Consumer Price Index (CPI-P), set forth
in 38 CFR 17.110(b)(1)(iv). For veterans in priority categories 7 and
8, the copayment amount from July 1, 2010, through December 31, 2011,
was $9. 38 CFR 17.110(b)(1)(iii). After December 31, 2011, copayments
for veterans in priority categories 7 and 8 were subject to the
regulatory formula; however, that formula did not trigger an increase
in the copayment amount, so it remains $9.
Current Sec. 17.110(b)(2) also includes a ``cap'' on the total
amount of copayments in a calendar year for a veteran enrolled in one
of VA's health care enrollment system priority categories 2 through 6.
Through December 31, 2012, the annual cap is set at $960. Thereafter,
the cap is to increase ``by $120 for each $1 increase in the copayment
amount'' applicable to veterans enrolled in one of VA's health care
enrollment system priority categories 2 through 6.
On December 20, 2011, we published a final rulemaking that
``froze'' copayments for veterans in priority categories 2 through 6 at
$8, through December 31, 2012. 76 FR 78824, Dec. 20, 2011. In that
rulemaking, we stated that this freeze was appropriate because this
group would be impacted more by the increase due to their likely
greater need for medical care as a result of their service-connected
disabilities or conditions. This continues to be true, and therefore we
are continuing to freeze copayments for these veterans for the next 12
months.
We also believe that a freeze of the copayment rate is now
appropriate for veterans enrolled in priority categories 7 and 8. Prior
rulemakings justified freezing copayment rates on the basis that higher
copayments reduced the utilization of VA pharmacy benefits. The ability
to ensure that medications are taken as prescribed is essential to
effective health care management. VA can monitor whether its patients
are refilling prescriptions at regular intervals while also checking
for medications that may conflict with each other when these
prescriptions are filled by VA. When non-VA providers are also issuing
prescriptions, there is a greater risk of adverse interactions and harm
to the patient because it is more difficult for each provider to know
if the patient is taking any other medications.
At the end of calendar year 2013, unless additional rulemaking is
initiated, VA will once again utilize the CPI-P methodology in Sec.
17.110(b)(1)(iv) to determine whether to increase copayments and
calculate any mandated increase in the copayment amount for veterans in
priority categories 2 through 8. At that time, the CPI-P as of
September 30, 2013, will be divided by the index as of September 30,
2001, which was 304.8. The ratio will then be multiplied by the
original copayment amount of $7. The copayment amount of the new
calendar year will be rounded down to the whole dollar amount. As
mandated by current Sec. 17.110(b)(2), the annual cap will be
calculated by increasing the cap by $120 for each $1 increase in the
copayment amount. Any change in the copayment amount and cap, along
with the associated calculations explaining the basis for the increase,
will be published in a Federal Register notice. Thus, the intended
effect of this rule is to temporarily prevent increases in copayment
amounts and the copayment cap for veterans in priority categories 2
through 8, following which copayments and the copayment cap will
increase as prescribed in current Sec. 17.110(b).
Administrative Procedure Act
In accordance with 5 U.S.C. 553(b)(B) and (d)(3), the Secretary of
Veterans Affairs finds that there is good cause to dispense with the
opportunity for advance notice and opportunity for public comment and
good cause to publish this rule with an immediate effective date. As
stated above, this rule freezes at current rates the prescription drug
copayment that VA charges certain veterans. The Secretary finds that it
is impracticable and contrary to the public interest to delay this rule
for the purpose of soliciting advance public comment or to have a
delayed effective date. Increasing the copayment amount on January 1,
2013, might cause a significant financial hardship for some veterans.
For the above reasons, the Secretary issues this rule as an interim
final rule. VA will consider and address comments that are received
within 60 days of the date this interim final rule is published in the
Federal Register.
Effect of Rulemaking
Title 38 of the Code of Federal Regulations, as revised by this
interim final rulemaking, represents VA's implementation of its legal
authority on this subject. Other than future amendments to this
regulation or governing statutes, no contrary guidance or procedures
are authorized. All existing or subsequent VA guidance must be read to
conform with this rulemaking if possible or, if not possible, such
guidance is superseded by this rulemaking.
Paperwork Reduction Act
This interim final rule contains no provisions constituting a
collection of information under the Paperwork Reduction Act of 1995 (44
U.S.C. 3501-3521).
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
[[Page 76867]]
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 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 an expenditure by
State, local, and tribal governments, in the aggregate, or by the
private sector, of $100 million or more (adjusted annually for
inflation) in any given year. This rule will have no such effect on
State, local, and tribal governments, or on the private sector.
Regulatory Flexibility Act
The Secretary hereby certifies that this interim final rule will
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 interim final rule will temporarily freeze the
copayments that certain veterans are required to pay for prescription
drugs furnished by VA. The interim final rule affects individuals and
has no impact on any small entities. Therefore, pursuant to 5 U.S.C.
605(b), this rulemaking is exempt from the initial and final regulatory
flexibility analysis requirements of sections 603 and 604.
Catalog of Federal Domestic Assistance
The Catalog of Federal Domestic Assistance program number and title
for this rule are as follows: 64.005, Grants to States for Construction
of State Home Facilities; 64.007, Blind Rehabilitation Centers; 64.008,
Veterans Domiciliary Care; 64.009, Veterans Medical Care Benefits;
64.010, Veterans Nursing Home Care; 64.011, Veterans Dental Care;
64.012, Veterans Prescription Service; 64.013, Veterans Prosthetic
Appliances; 64.014, Veterans State Domiciliary Care; 64.015, Veterans
State Nursing Home Care; 64.016, Veterans State Hospital Care; 64.018,
Sharing Specialized Medical Resources; 64.019, Veterans Rehabilitation
Alcohol and Drug Dependence; 64.022, Veterans Home Based Primary Care;
and 64.024, VA Homeless Providers Grant and Per Diem Program.
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 December 7, 2012, for publication.
List of Subjects in 38 CFR Part 17
Administrative practice and procedure, Alcohol abuse, Alcoholism,
Claims, Day care, Dental health, Drug abuse, Foreign relations,
Government contracts, Grant programs-health, Grant programs-veterans,
Health care, Health facilities, Health professions, Health records,
Homeless, Medical and dental schools, Medical devices, Medical
research, Mental health programs, Nursing homes, Philippines, Reporting
and recordkeeping requirements, Scholarships and fellowships, Travel
and transportation expenses, Veterans.
Approved: December 7, 2012.
John R. Gingrich,
Chief of Staff, Department of Veterans Affairs.
For the reasons set forth in the preamble, VA amends 38 CFR part 17
as follows:
PART 17--MEDICAL
0
1. The authority citation for part 17 continues to read as follows:
Authority: 38 U.S.C. 501(a), and as noted in specific sections.
Sec. 17.110 [Amended]
0
2. Amend Sec. 17.110 as follows:
0
a. In paragraphs (b)(1)(ii) and (b)(2), remove ``December 31, 2012''
each place it appears and add, in each place, ``December 31, 2013''.
0
b. In paragraphs (b)(1)(iii) and (b)(1)(iv), remove ``December 31,
2011'' each place it appears and add, in each place, ``December 31,
2013''.
[FR Doc. 2012-31432 Filed 12-28-12; 8:45 am]
BILLING CODE 8320-01-P