Grants to States for Construction or Acquisition of State Homes, 21262-21267 [2013-08366]
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Federal Register / Vol. 78, No. 69 / Wednesday, April 10, 2013 / Rules and Regulations
10. Indian Tribal Governments
This rule does not have tribal
implications under Executive Order
13175, Consultation and Coordination
with Indian Tribal Governments,
because it does not have a substantial
direct effect on one or more Indian
tribes, on the relationship between the
Federal Government and Indian tribes,
or on the distribution of power and
responsibilities between the Federal
Government and Indian tribes.
11. Energy Effects
This action is not a ‘‘significant
energy action’’ under Executive Order
13211, Actions Concerning Regulations
That Significantly Affect Energy Supply,
Distribution, or Use.
12. Technical Standards
This rule does not use technical
standards. Therefore, we did not
consider the use of voluntary consensus
standards.
13. Environment
We have analyzed this rule under
Department of Homeland Security
Management Directive 023–01 and
Commandant Instruction M16475.lD,
which guide the Coast Guard in
complying with the National
Environmental Policy Act of 1969
(NEPA)(42 U.S.C. 4321–4370f), and
have determined that this action is one
of a category of actions that do not
individually or cumulatively have a
significant effect on the human
environment. This rule involves the
establishment of a safety zone and,
therefore it is categorically excluded
from further review under paragraph
34(g) of Figure 2–1 of the Commandant
Instruction. An environmental analysis
checklist supporting this determination
and a Categorical Exclusion
Determination are available in the
docket USCG–2013–0020 where
indicated under ADDRESSES. We seek
any comments or information that may
lead to the discovery of a significant
environmental impact from this rule.
List of Subjects in 33 CFR Part 165
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Harbors, Marine safety, Navigation
(water), Reporting and recordkeeping
requirements, Security measures,
Waterways.
For the reasons discussed in the
preamble, the Coast Guard amends 33
CFR parts 165 as follows:
PART 165—REGULATED NAVIGATION
AREAS AND LIMITED ACCESS AREAS
1. The authority citation for part 165
continues to read as follows:
■
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Authority: 33 U.S.C. 1231; 46 U.S.C.
Chapters 701, 3306, 3703; 50 U.S.C. 191, 195;
33 CFR 1.05–1, 6.04–1, 6.04–6, and 160.5;
Pub. L. 107–295, 116 Stat. 2064; Department
of Homeland Security Delegation No. 0170.1.
DEPARTMENT OF VETERANS
AFFAIRS
2. Add § 165.T09–0210 to read as
follows:
RIN 2900–AO60
■
§ 165.T09–0210 Safety Zone; Lubbers Cup
Regatta; Spring Lake, Michigan.
(a) Location. The safety zone will
encompass all waters of Spring Lake
within a rectangle that is approximately
6,300 by 300 feet. The rectangle will be
bounded by the points beginning at
43°04′55″ N, 086°12′32″ W; then east to
43°04′57″ N, 086°11′6″ W; then south to
43°04′54″ N, 086°11′5″ W; then west to
43°04′52″ N, 086°12′32″ W; then north
back to the point of origin (NAD 83).
(b) Effective and enforcement period.
This rule is effective from 3 p.m. on
April 12, 2013, until 3 p.m. on April 13,
2013. This rule will be enforced from 3
p.m. until 7 p.m. on April 12, 2013, and
from 8 a.m. until 3 p.m. on April 13,
2013.
(c) Regulations. (1) In accordance with
the general regulations in § 165.23 of
this part, entry into, transiting, or
anchoring within this safety zone is
prohibited unless authorized by the
Captain of the Port, Sector Lake
Michigan or his designated on-scene
representative.
(2) This safety zone is closed to all
vessel traffic, except as may be
permitted by the Captain of the Port,
Sector Lake Michigan or his designated
on-scene representative.
(3) The ‘‘on-scene representative’’ of
the Captain of the Port, Sector Lake
Michigan is any Coast Guard
commissioned, warrant or petty officer
who has been designated by the Captain
of the Port, Sector Lake Michigan to act
on his behalf.
(4) Vessel operators desiring to enter
or operate within the safety zone shall
contact the Captain of the Port, Sector
Lake Michigan or his on-scene
representative to obtain permission to
do so. The Captain of the Port, Sector
Lake Michigan or his on-scene
representative may be contacted via
VHF Channel 16. Vessel operators given
permission to enter or operate in the
safety zone must comply with all
directions given to them by the Captain
of the Port, Sector Lake Michigan, or his
on-scene representative.
Dated: March 27, 2013.
M.W. Sibley,
Captain, U.S. Coast Guard, Captain of the
Port, Sector Lake Michigan.
[FR Doc. 2013–08311 Filed 4–9–13; 8:45 am]
BILLING CODE 9110–04–P
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38 CFR Part 59
Grants to States for Construction or
Acquisition of State Homes
Department of Veterans Affairs.
Interim final rule.
AGENCY:
ACTION:
This interim final rule
amends the Department of Veterans
Affairs (VA) regulation on the
prioritization of State applications for
VA grants for the construction or
acquisition of State home facilities that
furnish domiciliary, nursing home, or
adult day health care to veterans. As
amended, the regulation gives
preference to State applications that
would use grant funds solely or
primarily (under certain circumstances)
to remedy cited life or safety
deficiencies. This rulemaking also
makes certain necessary technical
amendments to regulations governing
State home grants.
DATES: Effective date: This interim final
rule is effective April 10, 2013.
Comment date: Comments must be
received by VA on or before June 10,
2013.
SUMMARY:
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–
AO60—Grants to States for Construction
or Acquisition of State Homes.’’ Copies
of comments received will be available
for public inspection in the Office of
Regulation Policy and Management,
Room 1068, 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.
ADDRESSES:
FOR FURTHER INFORMATION CONTACT:
Brandi Fate, Director, Capital Asset
Management and Support (10NA5),
Veterans Health Administration, 810
Vermont Avenue NW., Washington, DC
20420, (202) 632–7901. (This is not a
toll-free number.)
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Federal Register / Vol. 78, No. 69 / Wednesday, April 10, 2013 / Rules and Regulations
Pursuant
to subchapter III of chapter 81 of title
38, United States Code, VA is
authorized to provide grant funds to
support the acquisition, construction,
expansion, remodeling or alteration by
States of State home facilities that
furnish domiciliary, nursing home, or
adult day health care to veterans. States
that desire such assistance must submit
to VA an application that VA must
assess and prioritize in accordance with
the criteria set forth in 38 U.S.C.
8135(c)(2)(A) through (H). VA has
implemented this statutory authority in
part 59 of title 38, Code of Federal
Regulations.
Under 38 U.S.C. 8135(c)(2) and 38
CFR 59.50, VA prioritizes the
applications for the construction grant
funds each fiscal year. Pursuant to these
authorities, VA must generally give the
top priority to applications with
certified State matching funds, which
are prioritized in priority group 1 under
38 CFR 59.50(a)(1). VA further
subprioritizes the priority group 1
applications based on the type of project
described in the application. Prior to
this rulemaking, there were six
subpriority groups for priority group 1
applications (i.e., applications with
certified State matching funds). This
rulemaking adds one more subpriority
group to better reflect VA’s emphasis on
the safety of State home residents and
program participants. As a result, there
are now a total of seven subpriority
groups.
Priority group 1, subpriority group 1,
at 38 CFR 59.50(a)(1)(i), is for
applications for projects that remedy life
or safety deficiencies and that have
matching State funding. This interim
final rule makes a number of changes to
this subpriority group that will allow
VA to more effectively prioritize life or
safety projects when awarding State
home construction grants.
First, under paragraph (a)(1)(i), as
amended, VA prioritizes in subpriority
group 1 applications for projects that are
solely or primarily intended to remedy
a condition or conditions at an existing
facility that have been cited as
threatening the life or safety of the
residents or program participants.
Formerly, § 59.50(f) directed that
projects with multiple components be
categorized in the priority group
towards which the preponderance of the
costs in the application would be
dedicated. Therefore, an application
could be prioritized in priority group 1,
subpriority group 1, at § 59.50(a)(1)(i), if
a State combined a project to remedy a
citation with another type of project, as
long as the larger share of the project
cost was used to remedy the citation.
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SUPPLEMENTARY INFORMATION:
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Prior to this rulemaking, there were no
stated limits on combining life or safety
projects and projects unrelated to
protecting residents and participants’
life or safety. As revised, the rule allows
for such ‘‘mixed’’ projects only when
the total cost of the life or safety project
on its own would be under the $400,000
minimum required by § 59.80 and 38
U.S.C. 8134(d)(2)(A), and the majority of
the funds sought will be used to remedy
a citation. Allowing States to submit
applications with components unrelated
to life or safety under these limited
circumstances will help VA ensure that
less costly life or safety projects are
ranked in subpriority group 1 for VA
grant funding. This rulemaking will
ensure that VA does not rank projects in
priority 1, subpriority group 1, where it
is unnecessary to mix life or safety
projects and projects unrelated to
protecting life or safety (i.e., where the
life or safety project by itself meets the
statutory minimum), and in this manner
will better ensure that VA directs the
maximum amount of grant funds to
projects that protect the lives and safety
of the residents and participants.
Second, under § 59.50(a)(1)(i), as
amended, we clarify which VA staff
members may issue citations for threats
to life or safety in a State home. Prior
to this rulemaking, this paragraph
provided that such citations may be
issued by a ‘‘VA Life Safety Engineer.’’
This position is not currently used by
VA. Therefore, we have replaced this
reference with language that adequately
identifies the VA offices responsible for
issuing these citations.
Third, we specify that applications for
projects for the addition or replacement
of building utility systems or features
may be included in priority group 1,
subpriority group 1, if the projects are
necessary to remedy a cited threat to the
life or safety of residents and program
participants. Prior to this amendment,
VA could only prioritize applications
for projects adding or replacing utility
systems or features in priority group 1,
subpriority group 4. In order to best
protect the lives and safety of residents
or program participants in State
veterans homes, we believe it is
necessary to include these projects in
subpriority group 1 under the limited
circumstances that they are needed to
remedy a life or safety threat.
Fourth, revised § 59.50(a)(1)(i) now
specifically refers to ‘‘[s]ecurity’’
projects. Under the prior rule, all
applications for projects that would
remedy cited threats to life or safety
conditions were further prioritized in
the following order: Seismic, building
construction, egress, building
compartmentalization, fire alarm/
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detection, asbestos/hazardous materials,
and ‘‘all other projects.’’ In the past,
security projects such as video cameras
to monitor the inside or outside of the
building or other devices to watch or
secure the premises have been
prioritized as ‘‘other projects.’’ Based on
our administration of the State home
program, we believe that security
projects should be given higher priority.
Therefore, we add ‘‘[s]ecurity’’
following ‘‘[f]ire alarm/detection’’ to the
list of conditions used to prioritize
applications ranked in subpriority group
1. We also reorganize the listed
prioritizations in separate paragraphs,
so that the list is easier to identify and
read.
Fifth, VA has noticed instances in
which States with outstanding citations
for life or safety threats submit and are
provided funding for applications for
grants for projects unrelated to
protecting residents and participants’
lives or safety. Prior to this amendment,
VA’s regulations did not provide any
mechanism for VA to encourage States
to remedy outstanding life or safety
citations. Therefore, this rulemaking
adds a new penultimate subpriority
group in priority group 1 for
applications from States that have failed
to demonstrate they have remedied, or
will remedy, a life or safety citation.
Under revised § 59.50(e), a State that has
an existing State home with an
outstanding citation must include in all
of its applications for grant funds a
description of a reasonable plan to
remedy the citations. Revised paragraph
(e) does not require the State to seek a
VA grant to fund such remedy; however,
failure to provide such a plan would
result in decreased prioritization of the
State’s applications in the manner
described in paragraph (e)(1), which
states that applications from that State
for a project for which the State has
authorized matching funds will be
placed in priority group 1, new
subpriority group 6, or paragraph (e)(2),
which states that applications from that
State with an outstanding citation for a
project without matching funds will be
placed in a new priority group 7 that is
described in paragraph (a)(7). By doing
so, VA will reduce the likelihood of
funding new grants from States with
outstanding safety citations. VA’s
authority to establish this new
subpriority group is 38 U.S.C.
8135(c)(2)(G), which authorizes VA to
prioritize applications that ‘‘meet[ ]
other criteria as the Secretary [of
Veterans Affairs] determines
appropriate and has established in
regulations.’’
The final change to § 59.50(a)(1)(i)
clarifies that not all residents or
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participants need to be threatened by a
condition or conditions for an
application to be ranked in priority
group 1, subpriority group 1. In fact, we
believe the statutory language
authorizes including applications that
remedy conditions that only threaten
one resident or participant. For
example, if a condition threatens the
safety of a resident in only one nursing
home or domiciliary bed, we believe an
application to remedy that condition
could be ranked in subpriority group 1.
In addition to the changes to priority
group 1, subpriority group 1 described
above, this interim final rule amends
certain other priority and subpriority
groups; the amendments are described
as follows.
Section 59.50(a)(1)(iv) is revised to
reorganize the listed prioritizations to
make them easier to read. We also
clarify VA’s authority to provide grants
for certain types of renovations in new
paragraph (a)(1)(iv)(A) and (B). VA has
interpreted its authority to prioritize
States’ applications for grants for
renovations at 38 U.S.C. 8135(c)(2)(E) as
authorizing the same prioritization for
applications to replace an existing
building when needed to serve the same
purposes as a renovation. This is
consistent with VA’s current procedures
and is reflected in the example set forth
in the note to § 59.50(a)(1) which
indicates that priority group 1,
subpriority group 4, includes
applications for ‘‘Nursing Unit
Renovation/Replacement.’’
The note to § 59.50(a)(1), which
contains a chart to aid readers’
understanding how VA prioritizes
projects in priority group 1, will be
amended to conform with the changes
to this section.
VA will continue to perform a final
prioritization of applications in each
priority or subpriority group based on
the date that VA receives the
application, with the applications
received earlier given higher priority.
The prior rule had that stipulation in
each priority and subpriority group
paragraph, but the revised rule states it
only once at new § 59.50(d).
This rule updates delegations of VA’s
authority for administration of the State
home construction grant program. VHA
recently changed its organizational
structure, and has aligned management
of the State home construction grant
program under the director of the Office
of Capital Asset Management and
Support. These authorities were
previously assigned to the Chief
Consultant of the Office of Geriatrics
and Extended Care. VHA is, therefore,
revising its regulations at §§ 59.4 and
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59.5 to reflect the new organizational
structure.
Once a priority list is approved by the
Secretary, VA cannot change it unless a
change is needed as a result of an
appeal. See 38 CFR 59.50(g). This
rulemaking, therefore, will not affect the
ranking of projects on a priority list that
has been approved by the Secretary.
Administrative Procedure Act
The Secretary finds that there is good
cause, under 5 U.S.C. 553(b)(B) and
(d)(3), 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, VA’s
current regulations do not provide the
necessary tools to use public funds more
effectively in the interest of veterans’
safety. For example, during its fiscal
year 2011 survey of State homes, VA
cited nearly 2.5 percent of State homes
for deficiencies in emergency power, to
include illuminating exit signs, and
powering emergency communication
systems; these deficiencies pose threats
to veterans’ safety. This regulation
would close a loophole whereby a State
with a cited safety deficiency in one
State home could still apply for, and be
likely to receive, a grant from VA to
construct or acquire a different State
home. VA finds that continuing to fund
applications in this manner is contrary
to VA’s priorities of ensuring veterans’
safety.
Because this interim final rule will
help VA ensure veterans’ lives and
safety are protected in State homes, the
Secretary finds that it is contrary to the
public interest to delay this rule for the
purpose of soliciting advance public
comment or to have a delayed effective
date. Furthermore, it would be against
the public interest to award publicly
funded grant money to States that have
not remedied, or do not have a plan for
remedying, safety citations in existing
State homes. For the above reasons, the
Secretary issues this rule as an interim
final rule, effective immediately upon
publication. 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
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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).
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 directly affect
only States and will not directly affect
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 5
U.S.C. 603 and 604.
Executive Order 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,’’ requiring review by
the Office of Management and Budget
(OMB) unless OMB waives such review,
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.’’
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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 Reform Act
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 the
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
one year. This interim final rule will
have no such effect on State, local, and
tribal governments, or on the private
sector.
Catalog of Federal Domestic Assistance
Numbers
The Catalog of Federal Domestic
Assistance numbers and titles for the
programs affected by this document are
64.005, Grants to States for Construction
of State Home Facilities; 64.008,
Veterans Domiciliary Care; 64.009,
Veterans Medical Care Benefits; 64.010,
Veterans Nursing Home Care; 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; 64.022, Veterans Home
Based Primary Care; 64.024, VA
Homeless Providers Grant and Per Diem
Program; and 64.026, Veterans State
Adult Day Health 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 March 11, 2013 for
publication.
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List of Subjects in 38 CFR Part 59
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, Reporting
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and recordkeeping requirements, Travel
and transportation expenses, Veterans.
Dated: April 5, 2013.
William F. Russo,
Deputy Director, Office of Regulation Policy
and Management, Office of the General
Counsel, Department of Veterans Affairs.
For the reasons stated in the
preamble, the Department of Veterans
Affairs amends 38 CFR part 59 as
follows:
PART 59—GRANTS TO STATES FOR
CONSTRUCTION OR ACQUISITION OF
STATE HOMES
1. The authority citation for part 59
continues to read as follows:
■
Authority: 38 U.S.C. 101, 501, 1710, 1742,
8105, 8131–8137.
§ 59.4
[Amended]
2. Amend § 59.4 by removing ‘‘Chief
Consultant, Geriatrics and Extended
Care’’ and adding, in its place,
‘‘Director, Capital Asset Management
and Support’’.
■
§ 59.5
[Amended]
3. Amend § 59.5 by removing ‘‘Chief
Consultant, Geriatrics and Extended
Care (114)’’ and adding, in its place,
‘‘Director, Capital Asset Management
and Support (10NA5)’’.
■ 4. Amend § 59.50 by:
■ a. In paragraph (a) introductory text,
removing ‘‘paragraphs (b) and (c) of’’
and adding ‘‘otherwise’’ immediately
after ‘‘Except as’’.
■ b. Revising paragraphs (a)(1)(i)
through (vi) and adding paragraph
(a)(1)(vii).
■ c. Revising paragraphs (a)(2) through
(7) and adding paragraph (a)(8).
■ d. Removing paragraph (f).
■ e. Redesignating paragraph (d) as new
paragraph (f).
■ f. Adding a new paragraph (d).
■ g. Redesignating paragraph (g) as
paragraph (i).
■ h. Redesignating paragraph (e) as new
paragraph (g).
■ i. Adding new paragraph (e).
■ j. Adding paragraph (h).
The revisions and additions read as
follows:
■
§ 59.50
Priority list.
(a) * * *
(1) * * *
(i) Priority group 1—subpriority 1. An
application for a life or safety project,
which means a project to remedy a
condition, or conditions, at an existing
facility that have been cited as
threatening to the lives or safety of one
or more of the residents or program
participants in the facility by a VA
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safety office, VA engineering office, or
other VA office with responsibility for
life and safety inspections; a State or
local government agency (including a
Fire Marshal); or an accrediting
institution (including the Joint
Commission on Accreditation of
Healthcare Organizations). Unless an
addition or replacement of building
utility systems or features is necessary
to remedy a cited threat to the lives or
safety of residents and program
participants, this priority group does not
include applications for the addition or
replacement of building utility systems
or features; such applications will be
prioritized in accordance with the
criteria in subpriority group 5 of priority
group 1. An application may be
included in this subpriority group only
if all of the funds requested would be
used for a life or safety project; or, if the
estimated cost of the life or safety
project is under $400,000.00, and the
majority of the funds requested would
be used for such a project. Projects in
this subpriority group will be further
prioritized in the following order:
(A) Seismic;
(B) Building construction;
(C) Egress;
(D) Building compartmentalization
(e.g., smoke barrier, fire walls);
(E) Fire alarm/detection;
(F) Security;
(G) Asbestos/hazardous materials; and
(H) All other projects (e.g., nurse call
systems, patient lifts).
(ii) Priority group 1—subpriority 2. An
application from a State that has not
previously applied for a grant under 38
U.S.C. 8131–8137 for construction or
acquisition of a State nursing home.
(iii) Priority group 1—subpriority 3.
An application for construction or
acquisition of a nursing home or
domiciliary from a State that has a great
need for the beds that the State, in that
application, proposes to establish.
(iv) Priority group 1—subpriority 4.
An application from a State for
renovations to a State Home facility
other than renovations that would be
included in subpriority group 1 of
priority group 1. Projects will be further
prioritized in the following order:
(A) Adult day health care renovation
and construction of a new adult day
health care facility that replaces an
existing facility;
(B) Nursing home renovation (e.g.,
patient privacy) and construction of a
new nursing home that replaces an
existing nursing home;
(C) Code compliance under the
Americans with Disabilities Act;
(D) Building systems and utilities
(e.g., electrical; heating, ventilation, and
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air conditioning (HVAC); boiler;
medical gasses; roof; elevators);
(E) Clinical-support facilities (e.g., for
dietetics, laundry, rehabilitation
therapy); and
(F) General renovation/upgrade (e.g.,
warehouse, storage, administration/
office, multipurpose).
(v) Priority group 1—subpriority 5. An
application for construction or
acquisition of a nursing home or
domiciliary from a State that has a
significant need for the beds that the
State in that application proposes to
establish.
(vi) Priority group 1—subpriority 6.
An application for construction or
acquisition of a nursing home or
domiciliary from a State that has not
demonstrated that State funds are being
used to protect the lives or safety of the
residents and program participants of
the facility as required in § 59.50(e).
(vii) Priority group 1—subpriority 7.
An application for construction or
acquisition of a nursing home or
domiciliary from a State that has a
limited need for the beds that the State,
in that application, proposes to
establish.
Note to paragraph (a)(1): The following
chart is intended to provide a graphic aid for
understanding priority group 1 and its
subpriorities.
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(2) Priority group 2. An application
not meeting the criteria of paragraph
(a)(1) of this section but meeting the
criteria of paragraph (a)(1)(i) of this
section. Projects within this priority
group will be further prioritized the
same as in paragraphs (a)(1)(i)(A)
through (a)(1)(i)(H) of this section.
(3) Priority group 3. An application
not meeting the criteria of paragraph
(a)(1) of this section but meeting the
criteria of paragraph (a)(1)(ii) of this
section.
(4) Priority group 4. An application
not meeting the criteria of paragraph
(a)(1) of this section but meeting the
criteria of paragraph (a)(1)(iii) of this
section.
(5) Priority group 5. An application
not meeting the criteria of paragraph
(a)(1) of this section but meeting the
criteria of paragraph (a)(1)(iv) of this
section. Projects within this priority
group will be further prioritized the
same as in paragraphs (a)(1)(iv)(A)
through (a)(1)(iv)(F) of this section.
(6) Priority group 6. An application
not meeting the criteria of paragraph
(a)(1) of this section but meeting the
criteria of paragraph (a)(1)(v) of this
section.
(7) Priority group 7. An application
not meeting the criteria of paragraph
(a)(1) of this section but meeting the
criteria of paragraph (a)(1)(vi) of this
section.
(8) Priority group 8. An application
not meeting the criteria of paragraph
(a)(1) of this section but meeting the
criteria of paragraph (a)(1)(vii) of this
section.
*
*
*
*
*
(d) Applications in each priority or
subpriority group will be further
prioritized based on the date the
application was received in VA (the
earlier the application was received, the
higher the priority given). Projects will
be prioritized under this paragraph after
all prioritization is completed under the
projects’ priority or subpriority group,
as specified in paragraph (a) of this
section, and only if necessary to give
separate priorities to applications that
have the same priority ranking after the
prioritization specified in paragraph (a)
of this section is accomplished.
(e) If any State home in a State has
been cited by a VA safety office, VA
engineering office, or other VA office
with responsibility for life and safety
inspections; a State or local government
agency (including a Fire Marshal); or an
accrediting institution (including the
Joint Commission on Accreditation of
Healthcare Organizations) for conditions
that threaten the lives or safety of one
or more of the residents or program
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participants in the facility, the State
must include in any application
submitted under § 59.20 or its updates
to such application its plan to address
all such citations. If VA determines that
the State’s plan fails to set forth how it
will address such citations in a
reasonable period of time, then VA will
prioritize all applications of such State
as follows:
(1) Applications that meet the criteria
of paragraph (a)(1) of this section, but do
not meet the criteria of paragraphs
(a)(1)(i) or (vii) of this section, will be
prioritized in subpriority group 6 of
priority group 1 (paragraph (a)(1)(vi) of
this section).
(2) Applications not meeting the
criteria for placement in priority group
1 (paragraph (a)(1) of this section) and
not meeting the criteria of subpriority
group 1 of priority group 1 (paragraph
(a)(1)(i) of this section) will be
prioritized in priority group 7
(paragraph (a)(7) of this section).
*
*
*
*
*
(h) Except for applications that must
be included in subpriority group 1 of
priority group 1, applications for
projects with components that could be
prioritized in more than one priority
group will be placed in the priority
group toward which the largest share of
the cost of the project is allocated. Once
the correct priority group is determined,
applications for projects with
components that could be prioritized in
more than one subpriority group in that
priority group will be placed in the
subpriority group toward which the
largest share of the cost of the project is
allocated. For example, if a project for
which 25 percent of the funds needed
would address seismic issues and 75
percent of the funds needed would be
for building construction in a State with
a great need for new beds, the project
would be placed in subpriority group 3.
If the highest-cost component of an
application for multiple projects does
not meet the criteria for placement in
priority group 1, subpriority group 1,
because it is estimated to cost
$400,000.00 or more, it will be
prioritized based on the component
with the next largest share of the cost.
*
*
*
*
*
[FR Doc. 2013–08366 Filed 4–9–13; 8:45 am]
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ENVIRONMENTAL PROTECTION
AGENCY
40 CFR Part 180
[EPA–HQ–OPP–2012–0092; FRL–9381–5]
Dinotefuran; Pesticide Tolerances
Environmental Protection
Agency (EPA).
ACTION: Final rule.
AGENCY:
This regulation establishes
tolerances for residues of dinotefuran in
or on all food/feed items (other than
those covered by a higher tolerance as
a result of use on growing crops) in
food/feed handling establishments.
BASF Corporation requested these
tolerances under the Federal Food,
Drug, and Cosmetic Act (FFDCA).
DATES: This regulation is effective April
10, 2013. Objections and requests for
hearings must be received on or before
June 10, 2013, and must be filed in
accordance with the instructions
provided in 40 CFR part 178 (see also
Unit I.C. of the SUPPLEMENTARY
INFORMATION).
SUMMARY:
The docket for this action,
identified by docket identification (ID)
number EPA–HQ–OPP–2012–0092, is
available at https://www.regulations.gov
or at the Office of Pesticide Programs
Regulatory Public Docket (OPP Docket)
in the Environmental Protection Agency
Docket Center (EPA/DC), EPA West
Bldg., Rm. 3334, 1301 Constitution Ave.
NW., Washington, DC 20460–0001. The
Public Reading Room is open from 8:30
a.m. to 4:30 p.m., Monday through
Friday, excluding legal holidays. The
telephone number for the Public
Reading Room is (202) 566–1744, and
the telephone number for the OPP
Docket is (703) 305–5805. Please review
the visitor instructions and additional
information about the docket available
at https://www.epa.gov/dockets.
FOR FURTHER INFORMATION CONTACT: Rita
Kumar, Registration Division, Office of
Pesticide Programs, Environmental
Protection Agency, 1200 Pennsylvania
Ave. NW., Washington, DC 20460–0001;
telephone number: (703) 308–8291;
email address: kumar.rita@epa.gov.
SUPPLEMENTARY INFORMATION:
ADDRESSES:
I. General Information
A. Does this action apply to me?
You may be potentially affected by
this action if you are an agricultural
producer, food manufacturer, or
pesticide manufacturer. The following
list of North American Industrial
Classification System (NAICS) codes is
not intended to be exhaustive, but rather
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[Federal Register Volume 78, Number 69 (Wednesday, April 10, 2013)]
[Rules and Regulations]
[Pages 21262-21267]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-08366]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
38 CFR Part 59
RIN 2900-AO60
Grants to States for Construction or Acquisition of State Homes
AGENCY: Department of Veterans Affairs.
ACTION: Interim final rule.
-----------------------------------------------------------------------
SUMMARY: This interim final rule amends the Department of Veterans
Affairs (VA) regulation on the prioritization of State applications for
VA grants for the construction or acquisition of State home facilities
that furnish domiciliary, nursing home, or adult day health care to
veterans. As amended, the regulation gives preference to State
applications that would use grant funds solely or primarily (under
certain circumstances) to remedy cited life or safety deficiencies.
This rulemaking also makes certain necessary technical amendments to
regulations governing State home grants.
DATES: Effective date: This interim final rule is effective April 10,
2013. Comment date: Comments must be received by VA on or before June
10, 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-AO60--Grants to
States for Construction or Acquisition of State Homes.'' Copies of
comments received will be available for public inspection in the Office
of Regulation Policy and Management, Room 1068, 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: Brandi Fate, Director, Capital Asset
Management and Support (10NA5), Veterans Health Administration, 810
Vermont Avenue NW., Washington, DC 20420, (202) 632-7901. (This is not
a toll-free number.)
[[Page 21263]]
SUPPLEMENTARY INFORMATION: Pursuant to subchapter III of chapter 81 of
title 38, United States Code, VA is authorized to provide grant funds
to support the acquisition, construction, expansion, remodeling or
alteration by States of State home facilities that furnish domiciliary,
nursing home, or adult day health care to veterans. States that desire
such assistance must submit to VA an application that VA must assess
and prioritize in accordance with the criteria set forth in 38 U.S.C.
8135(c)(2)(A) through (H). VA has implemented this statutory authority
in part 59 of title 38, Code of Federal Regulations.
Under 38 U.S.C. 8135(c)(2) and 38 CFR 59.50, VA prioritizes the
applications for the construction grant funds each fiscal year.
Pursuant to these authorities, VA must generally give the top priority
to applications with certified State matching funds, which are
prioritized in priority group 1 under 38 CFR 59.50(a)(1). VA further
subprioritizes the priority group 1 applications based on the type of
project described in the application. Prior to this rulemaking, there
were six subpriority groups for priority group 1 applications (i.e.,
applications with certified State matching funds). This rulemaking adds
one more subpriority group to better reflect VA's emphasis on the
safety of State home residents and program participants. As a result,
there are now a total of seven subpriority groups.
Priority group 1, subpriority group 1, at 38 CFR 59.50(a)(1)(i), is
for applications for projects that remedy life or safety deficiencies
and that have matching State funding. This interim final rule makes a
number of changes to this subpriority group that will allow VA to more
effectively prioritize life or safety projects when awarding State home
construction grants.
First, under paragraph (a)(1)(i), as amended, VA prioritizes in
subpriority group 1 applications for projects that are solely or
primarily intended to remedy a condition or conditions at an existing
facility that have been cited as threatening the life or safety of the
residents or program participants. Formerly, Sec. 59.50(f) directed
that projects with multiple components be categorized in the priority
group towards which the preponderance of the costs in the application
would be dedicated. Therefore, an application could be prioritized in
priority group 1, subpriority group 1, at Sec. 59.50(a)(1)(i), if a
State combined a project to remedy a citation with another type of
project, as long as the larger share of the project cost was used to
remedy the citation. Prior to this rulemaking, there were no stated
limits on combining life or safety projects and projects unrelated to
protecting residents and participants' life or safety. As revised, the
rule allows for such ``mixed'' projects only when the total cost of the
life or safety project on its own would be under the $400,000 minimum
required by Sec. 59.80 and 38 U.S.C. 8134(d)(2)(A), and the majority
of the funds sought will be used to remedy a citation. Allowing States
to submit applications with components unrelated to life or safety
under these limited circumstances will help VA ensure that less costly
life or safety projects are ranked in subpriority group 1 for VA grant
funding. This rulemaking will ensure that VA does not rank projects in
priority 1, subpriority group 1, where it is unnecessary to mix life or
safety projects and projects unrelated to protecting life or safety
(i.e., where the life or safety project by itself meets the statutory
minimum), and in this manner will better ensure that VA directs the
maximum amount of grant funds to projects that protect the lives and
safety of the residents and participants.
Second, under Sec. 59.50(a)(1)(i), as amended, we clarify which VA
staff members may issue citations for threats to life or safety in a
State home. Prior to this rulemaking, this paragraph provided that such
citations may be issued by a ``VA Life Safety Engineer.'' This position
is not currently used by VA. Therefore, we have replaced this reference
with language that adequately identifies the VA offices responsible for
issuing these citations.
Third, we specify that applications for projects for the addition
or replacement of building utility systems or features may be included
in priority group 1, subpriority group 1, if the projects are necessary
to remedy a cited threat to the life or safety of residents and program
participants. Prior to this amendment, VA could only prioritize
applications for projects adding or replacing utility systems or
features in priority group 1, subpriority group 4. In order to best
protect the lives and safety of residents or program participants in
State veterans homes, we believe it is necessary to include these
projects in subpriority group 1 under the limited circumstances that
they are needed to remedy a life or safety threat.
Fourth, revised Sec. 59.50(a)(1)(i) now specifically refers to
``[s]ecurity'' projects. Under the prior rule, all applications for
projects that would remedy cited threats to life or safety conditions
were further prioritized in the following order: Seismic, building
construction, egress, building compartmentalization, fire alarm/
detection, asbestos/hazardous materials, and ``all other projects.'' In
the past, security projects such as video cameras to monitor the inside
or outside of the building or other devices to watch or secure the
premises have been prioritized as ``other projects.'' Based on our
administration of the State home program, we believe that security
projects should be given higher priority. Therefore, we add
``[s]ecurity'' following ``[f]ire alarm/detection'' to the list of
conditions used to prioritize applications ranked in subpriority group
1. We also reorganize the listed prioritizations in separate
paragraphs, so that the list is easier to identify and read.
Fifth, VA has noticed instances in which States with outstanding
citations for life or safety threats submit and are provided funding
for applications for grants for projects unrelated to protecting
residents and participants' lives or safety. Prior to this amendment,
VA's regulations did not provide any mechanism for VA to encourage
States to remedy outstanding life or safety citations. Therefore, this
rulemaking adds a new penultimate subpriority group in priority group 1
for applications from States that have failed to demonstrate they have
remedied, or will remedy, a life or safety citation. Under revised
Sec. 59.50(e), a State that has an existing State home with an
outstanding citation must include in all of its applications for grant
funds a description of a reasonable plan to remedy the citations.
Revised paragraph (e) does not require the State to seek a VA grant to
fund such remedy; however, failure to provide such a plan would result
in decreased prioritization of the State's applications in the manner
described in paragraph (e)(1), which states that applications from that
State for a project for which the State has authorized matching funds
will be placed in priority group 1, new subpriority group 6, or
paragraph (e)(2), which states that applications from that State with
an outstanding citation for a project without matching funds will be
placed in a new priority group 7 that is described in paragraph (a)(7).
By doing so, VA will reduce the likelihood of funding new grants from
States with outstanding safety citations. VA's authority to establish
this new subpriority group is 38 U.S.C. 8135(c)(2)(G), which authorizes
VA to prioritize applications that ``meet[ ] other criteria as the
Secretary [of Veterans Affairs] determines appropriate and has
established in regulations.''
The final change to Sec. 59.50(a)(1)(i) clarifies that not all
residents or
[[Page 21264]]
participants need to be threatened by a condition or conditions for an
application to be ranked in priority group 1, subpriority group 1. In
fact, we believe the statutory language authorizes including
applications that remedy conditions that only threaten one resident or
participant. For example, if a condition threatens the safety of a
resident in only one nursing home or domiciliary bed, we believe an
application to remedy that condition could be ranked in subpriority
group 1.
In addition to the changes to priority group 1, subpriority group 1
described above, this interim final rule amends certain other priority
and subpriority groups; the amendments are described as follows.
Section 59.50(a)(1)(iv) is revised to reorganize the listed
prioritizations to make them easier to read. We also clarify VA's
authority to provide grants for certain types of renovations in new
paragraph (a)(1)(iv)(A) and (B). VA has interpreted its authority to
prioritize States' applications for grants for renovations at 38 U.S.C.
8135(c)(2)(E) as authorizing the same prioritization for applications
to replace an existing building when needed to serve the same purposes
as a renovation. This is consistent with VA's current procedures and is
reflected in the example set forth in the note to Sec. 59.50(a)(1)
which indicates that priority group 1, subpriority group 4, includes
applications for ``Nursing Unit Renovation/Replacement.''
The note to Sec. 59.50(a)(1), which contains a chart to aid
readers' understanding how VA prioritizes projects in priority group 1,
will be amended to conform with the changes to this section.
VA will continue to perform a final prioritization of applications
in each priority or subpriority group based on the date that VA
receives the application, with the applications received earlier given
higher priority. The prior rule had that stipulation in each priority
and subpriority group paragraph, but the revised rule states it only
once at new Sec. 59.50(d).
This rule updates delegations of VA's authority for administration
of the State home construction grant program. VHA recently changed its
organizational structure, and has aligned management of the State home
construction grant program under the director of the Office of Capital
Asset Management and Support. These authorities were previously
assigned to the Chief Consultant of the Office of Geriatrics and
Extended Care. VHA is, therefore, revising its regulations at
Sec. Sec. 59.4 and 59.5 to reflect the new organizational structure.
Once a priority list is approved by the Secretary, VA cannot change
it unless a change is needed as a result of an appeal. See 38 CFR
59.50(g). This rulemaking, therefore, will not affect the ranking of
projects on a priority list that has been approved by the Secretary.
Administrative Procedure Act
The Secretary finds that there is good cause, under 5 U.S.C.
553(b)(B) and (d)(3), 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, VA's
current regulations do not provide the necessary tools to use public
funds more effectively in the interest of veterans' safety. For
example, during its fiscal year 2011 survey of State homes, VA cited
nearly 2.5 percent of State homes for deficiencies in emergency power,
to include illuminating exit signs, and powering emergency
communication systems; these deficiencies pose threats to veterans'
safety. This regulation would close a loophole whereby a State with a
cited safety deficiency in one State home could still apply for, and be
likely to receive, a grant from VA to construct or acquire a different
State home. VA finds that continuing to fund applications in this
manner is contrary to VA's priorities of ensuring veterans' safety.
Because this interim final rule will help VA ensure veterans' lives
and safety are protected in State homes, the Secretary finds that it is
contrary to the public interest to delay this rule for the purpose of
soliciting advance public comment or to have a delayed effective date.
Furthermore, it would be against the public interest to award publicly
funded grant money to States that have not remedied, or do not have a
plan for remedying, safety citations in existing State homes. For the
above reasons, the Secretary issues this rule as an interim final rule,
effective immediately upon publication. 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).
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 directly affect only
States and will not directly affect 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 5 U.S.C. 603 and
604.
Executive Order 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,'' requiring review by the Office of
Management and Budget (OMB) unless OMB waives such review, 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.''
[[Page 21265]]
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 Reform Act
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 the 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 one year. This interim final rule will have no such
effect on State, local, and tribal governments, or on the private
sector.
Catalog of Federal Domestic Assistance Numbers
The Catalog of Federal Domestic Assistance numbers and titles for
the programs affected by this document are 64.005, Grants to States for
Construction of State Home Facilities; 64.008, Veterans Domiciliary
Care; 64.009, Veterans Medical Care Benefits; 64.010, Veterans Nursing
Home Care; 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; 64.022, Veterans Home Based
Primary Care; 64.024, VA Homeless Providers Grant and Per Diem Program;
and 64.026, Veterans State Adult Day Health 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 March 11, 2013 for publication.
List of Subjects in 38 CFR Part 59
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, Reporting and
recordkeeping requirements, Travel and transportation expenses,
Veterans.
Dated: April 5, 2013.
William F. Russo,
Deputy Director, Office of Regulation Policy and Management, Office of
the General Counsel, Department of Veterans Affairs.
For the reasons stated in the preamble, the Department of Veterans
Affairs amends 38 CFR part 59 as follows:
PART 59--GRANTS TO STATES FOR CONSTRUCTION OR ACQUISITION OF STATE
HOMES
0
1. The authority citation for part 59 continues to read as follows:
Authority: 38 U.S.C. 101, 501, 1710, 1742, 8105, 8131-8137.
Sec. 59.4 [Amended]
0
2. Amend Sec. 59.4 by removing ``Chief Consultant, Geriatrics and
Extended Care'' and adding, in its place, ``Director, Capital Asset
Management and Support''.
Sec. 59.5 [Amended]
0
3. Amend Sec. 59.5 by removing ``Chief Consultant, Geriatrics and
Extended Care (114)'' and adding, in its place, ``Director, Capital
Asset Management and Support (10NA5)''.
0
4. Amend Sec. 59.50 by:
0
a. In paragraph (a) introductory text, removing ``paragraphs (b) and
(c) of'' and adding ``otherwise'' immediately after ``Except as''.
0
b. Revising paragraphs (a)(1)(i) through (vi) and adding paragraph
(a)(1)(vii).
0
c. Revising paragraphs (a)(2) through (7) and adding paragraph (a)(8).
0
d. Removing paragraph (f).
0
e. Redesignating paragraph (d) as new paragraph (f).
0
f. Adding a new paragraph (d).
0
g. Redesignating paragraph (g) as paragraph (i).
0
h. Redesignating paragraph (e) as new paragraph (g).
0
i. Adding new paragraph (e).
0
j. Adding paragraph (h).
The revisions and additions read as follows:
Sec. 59.50 Priority list.
(a) * * *
(1) * * *
(i) Priority group 1--subpriority 1. An application for a life or
safety project, which means a project to remedy a condition, or
conditions, at an existing facility that have been cited as threatening
to the lives or safety of one or more of the residents or program
participants in the facility by a VA safety office, VA engineering
office, or other VA office with responsibility for life and safety
inspections; a State or local government agency (including a Fire
Marshal); or an accrediting institution (including the Joint Commission
on Accreditation of Healthcare Organizations). Unless an addition or
replacement of building utility systems or features is necessary to
remedy a cited threat to the lives or safety of residents and program
participants, this priority group does not include applications for the
addition or replacement of building utility systems or features; such
applications will be prioritized in accordance with the criteria in
subpriority group 5 of priority group 1. An application may be included
in this subpriority group only if all of the funds requested would be
used for a life or safety project; or, if the estimated cost of the
life or safety project is under $400,000.00, and the majority of the
funds requested would be used for such a project. Projects in this
subpriority group will be further prioritized in the following order:
(A) Seismic;
(B) Building construction;
(C) Egress;
(D) Building compartmentalization (e.g., smoke barrier, fire
walls);
(E) Fire alarm/detection;
(F) Security;
(G) Asbestos/hazardous materials; and
(H) All other projects (e.g., nurse call systems, patient lifts).
(ii) Priority group 1--subpriority 2. An application from a State
that has not previously applied for a grant under 38 U.S.C. 8131-8137
for construction or acquisition of a State nursing home.
(iii) Priority group 1--subpriority 3. An application for
construction or acquisition of a nursing home or domiciliary from a
State that has a great need for the beds that the State, in that
application, proposes to establish.
(iv) Priority group 1--subpriority 4. An application from a State
for renovations to a State Home facility other than renovations that
would be included in subpriority group 1 of priority group 1. Projects
will be further prioritized in the following order:
(A) Adult day health care renovation and construction of a new
adult day health care facility that replaces an existing facility;
(B) Nursing home renovation (e.g., patient privacy) and
construction of a new nursing home that replaces an existing nursing
home;
(C) Code compliance under the Americans with Disabilities Act;
(D) Building systems and utilities (e.g., electrical; heating,
ventilation, and
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air conditioning (HVAC); boiler; medical gasses; roof; elevators);
(E) Clinical-support facilities (e.g., for dietetics, laundry,
rehabilitation therapy); and
(F) General renovation/upgrade (e.g., warehouse, storage,
administration/office, multipurpose).
(v) Priority group 1--subpriority 5. An application for
construction or acquisition of a nursing home or domiciliary from a
State that has a significant need for the beds that the State in that
application proposes to establish.
(vi) Priority group 1--subpriority 6. An application for
construction or acquisition of a nursing home or domiciliary from a
State that has not demonstrated that State funds are being used to
protect the lives or safety of the residents and program participants
of the facility as required in Sec. 59.50(e).
(vii) Priority group 1--subpriority 7. An application for
construction or acquisition of a nursing home or domiciliary from a
State that has a limited need for the beds that the State, in that
application, proposes to establish.
Note to paragraph (a)(1): The following chart is intended to
provide a graphic aid for understanding priority group 1 and its
subpriorities.
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(2) Priority group 2. An application not meeting the criteria of
paragraph (a)(1) of this section but meeting the criteria of paragraph
(a)(1)(i) of this section. Projects within this priority group will be
further prioritized the same as in paragraphs (a)(1)(i)(A) through
(a)(1)(i)(H) of this section.
(3) Priority group 3. An application not meeting the criteria of
paragraph (a)(1) of this section but meeting the criteria of paragraph
(a)(1)(ii) of this section.
(4) Priority group 4. An application not meeting the criteria of
paragraph (a)(1) of this section but meeting the criteria of paragraph
(a)(1)(iii) of this section.
(5) Priority group 5. An application not meeting the criteria of
paragraph (a)(1) of this section but meeting the criteria of paragraph
(a)(1)(iv) of this section. Projects within this priority group will be
further prioritized the same as in paragraphs (a)(1)(iv)(A) through
(a)(1)(iv)(F) of this section.
(6) Priority group 6. An application not meeting the criteria of
paragraph (a)(1) of this section but meeting the criteria of paragraph
(a)(1)(v) of this section.
(7) Priority group 7. An application not meeting the criteria of
paragraph (a)(1) of this section but meeting the criteria of paragraph
(a)(1)(vi) of this section.
(8) Priority group 8. An application not meeting the criteria of
paragraph (a)(1) of this section but meeting the criteria of paragraph
(a)(1)(vii) of this section.
* * * * *
(d) Applications in each priority or subpriority group will be
further prioritized based on the date the application was received in
VA (the earlier the application was received, the higher the priority
given). Projects will be prioritized under this paragraph after all
prioritization is completed under the projects' priority or subpriority
group, as specified in paragraph (a) of this section, and only if
necessary to give separate priorities to applications that have the
same priority ranking after the prioritization specified in paragraph
(a) of this section is accomplished.
(e) If any State home in a State has been cited by a VA safety
office, VA engineering office, or other VA office with responsibility
for life and safety inspections; a State or local government agency
(including a Fire Marshal); or an accrediting institution (including
the Joint Commission on Accreditation of Healthcare Organizations) for
conditions that threaten the lives or safety of one or more of the
residents or program participants in the facility, the State must
include in any application submitted under Sec. 59.20 or its updates
to such application its plan to address all such citations. If VA
determines that the State's plan fails to set forth how it will address
such citations in a reasonable period of time, then VA will prioritize
all applications of such State as follows:
(1) Applications that meet the criteria of paragraph (a)(1) of this
section, but do not meet the criteria of paragraphs (a)(1)(i) or (vii)
of this section, will be prioritized in subpriority group 6 of priority
group 1 (paragraph (a)(1)(vi) of this section).
(2) Applications not meeting the criteria for placement in priority
group 1 (paragraph (a)(1) of this section) and not meeting the criteria
of subpriority group 1 of priority group 1 (paragraph (a)(1)(i) of this
section) will be prioritized in priority group 7 (paragraph (a)(7) of
this section).
* * * * *
(h) Except for applications that must be included in subpriority
group 1 of priority group 1, applications for projects with components
that could be prioritized in more than one priority group will be
placed in the priority group toward which the largest share of the cost
of the project is allocated. Once the correct priority group is
determined, applications for projects with components that could be
prioritized in more than one subpriority group in that priority group
will be placed in the subpriority group toward which the largest share
of the cost of the project is allocated. For example, if a project for
which 25 percent of the funds needed would address seismic issues and
75 percent of the funds needed would be for building construction in a
State with a great need for new beds, the project would be placed in
subpriority group 3. If the highest-cost component of an application
for multiple projects does not meet the criteria for placement in
priority group 1, subpriority group 1, because it is estimated to cost
$400,000.00 or more, it will be prioritized based on the component with
the next largest share of the cost.
* * * * *
[FR Doc. 2013-08366 Filed 4-9-13; 8:45 am]
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