Drawbridge Operation Regulation; Lake Washington Ship Canal, Seattle, WA, 26249-26250 [2013-10455]
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Federal Register / Vol. 78, No. 87 / Monday, May 6, 2013 / Rules and Regulations
The Coast Guard has issued a
temporary deviation from the operating
schedule that governs the draw of the
US 17/George P. Coleman Memorial
Swing Bridge across the York River, at
mile 7.0, between Gloucester Point and
Yorktown, VA. The deviation is
necessary to facilitate electrical work on
the George P. Coleman Memorial Swing
Bridge. This deviation allows the
drawbridge to remain in the closed to
navigation position during the deviation
period.
DATES: This deviation is effective from
7 a.m. on July 8, 2013 to 5 p.m. on July
12, 2013.
ADDRESSES: The docket for this
deviation, [USCG–2013–0283] is
available at https://www.regulations.gov.
Type the docket number in the
‘‘SEARCH’’ box and click ‘‘SEARCH.’’
Click on Open Docket Folder on the line
associated with this deviation. You may
also visit the Docket Management
Facility in Room W12–140 on the
ground floor of the Department of
Transportation West Building, 1200
New Jersey Avenue SE., Washington,
DC 20590, between 9 a.m. and 5 p.m.,
Monday through Friday, except Federal
holidays.
FOR FURTHER INFORMATION CONTACT: If
you have questions on this temporary
deviation, call or email Mr. Jim
Rousseau, Bridge Administration
Branch Fifth District, Coast Guard;
telephone 757–398–6557, email
James.L.Rousseau2@uscg.mil. If you
have questions on viewing the docket,
call Barbara Hairston, Program Manager,
Docket Operations, 202–366–9826.
SUPPLEMENTARY INFORMATION: The
Virginia Department of Transportation,
who owns and operates this swing
bridge, has requested a temporary
deviation from the current operating
regulations set out in 33 CFR 117.1025,
to facilitate electrical work on the
structure.
Under the regular operating schedule,
the Coleman Memorial Bridge, at mile
7.0, between Gloucester Point and
Yorktown, VA opens on signal except
from 5 a.m. to 8 a.m. and 3 p.m. to 7
p.m. Monday through Friday, except
Federal holidays the bridge shall remain
closed to navigation. The Coleman
Memorial Bridge has vertical clearances
in the closed position of 60 feet above
mean high water.
Under this temporary deviation, the
drawbridge will be closed to navigation
from 7 a.m. on Monday July 8, 2013 to
5 p.m. on Friday April 12, 2013.
Emergency openings cannot be
provided. There are no alternate routes
for vessels transiting this section of the
York River.
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SUMMARY:
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The York River is used by a variety of
vessels including military, tugs, and
recreational vessels. The Coast Guard
has carefully coordinated the
restrictions with military, commercial,
and recreational waterway users. The
Coast Guard will inform users of the
waterway through our Local and
Broadcast Notice to Mariners of the
closure periods for the bridge so that
vessels can arrange their transits to
minimize any impacts caused by the
temporary deviation. Mariners able to
pass under the bridge in the closed
position may do so at any time.
Mariners are advised to proceed with
caution.
In accordance with 33 CFR 117.35(e),
the drawbridge must return to its regular
operating schedule immediately at the
end of the effective period of this
temporary deviation. This deviation
from the operating regulations is
authorized under 33 CFR 117.35.
Dated: April 23, 2013.
Waverly W. Gregory, Jr.,
Bridge Program Manager, Fifth Coast Guard
District.
[FR Doc. 2013–10608 Filed 5–3–13; 8:45 am]
BILLING CODE 9110–04–P
DEPARTMENT OF HOMELAND
SECURITY
Coast Guard
33 CFR Part 117
[Docket No. USCG–2013–0292]
Drawbridge Operation Regulation;
Lake Washington Ship Canal, Seattle,
WA
Coast Guard, DHS.
Notice of deviation from
drawbridge regulation.
AGENCY:
ACTION:
The Coast Guard has issued a
temporary deviation from the operating
schedule that governs the Montlake
Bridge across the Lake Washington Ship
Canal, mile 5.2, at Seattle, WA, and the
University Bridge across the Lake
Washington Ship Canal, mile 4.3, at
Seattle, WA. This deviation is necessary
to accommodate the ‘‘Beat the Bridge’’
foot race. This deviation allows the
bridges to remain in the closed position
to allow safe movement of event
participants.
DATES: This deviation is effective from
7:30 a.m. on May 19, 2013 to 9:30 a.m.
on May 19, 2013.
ADDRESSES: The docket for this
deviation, [USCG–2013–0292] is
available at https://www.regulations.gov.
Type the docket number in the
SUMMARY:
PO 00000
Frm 00017
Fmt 4700
Sfmt 4700
26249
‘‘SEARCH’’ box and click ‘‘SEARCH.’’
Click on Open Docket Folder on the line
associated with this deviation. You may
also visit the Docket Management
Facility in Room W12–140 on the
ground floor of the Department of
Transportation West Building, 1200
New Jersey Avenue SE., Washington,
DC 20590, between 9 a.m. and 5 p.m.,
Monday through Friday, except Federal
holidays.
FOR FURTHER INFORMATION CONTACT: If
you have questions on this temporary
deviation, call or email Randall
Overton, Bridge Administrator, Coast
Guard Thirteenth District; telephone
206–220–7282, email
Randall.D.Overton@uscg.mil. If you
have questions on viewing the docket,
call Barbara Hairston, Program Manager,
Docket Operations, telephone 202–366–
9826.
SUPPLEMENTARY INFORMATION: The
Washington State Department of
Transportation and Seattle Department
of Transportation have requested that
the Montlake Bridge and the University
Bridges remain closed to vessel traffic to
facilitate safe passage of participants in
the ‘‘Beat the Bridge’’ foot race. The race
course passes over the University and
Montlake Bridges. The University
Bridge crosses the Lake Washington
Ship Canal at mile 4.3 and while in the
closed position provides 30 feet of
vertical clearance throughout the
navigation channel and 45 feet of
vertical clearance through the center of
the bridge; vertical clearance referenced
to the Mean Water Level of Lake
Washington. The Montlake Bridge
crosses the Lake Washington Ship Canal
at mile 5.2 and while in the closed
position provides 30 feet of vertical
clearance throughout the navigation
channel and 46 feet of vertical clearance
throughout the center 60-feet of the
bridge; vertical clearance referenced to
the Mean Water Level of Lake
Washington. Vessels which do not
require a bridge opening may continue
to transit beneath the bridges during this
closure period. Under normal
conditions the Montlake Bridge operates
in accordance with 33 CFR 117.1051(e)
and the University Bridge operates in
accordance with 33 CFR 117.1051(d)
which require the bridges to open on
signal, except that the bridges need not
open for vessels less than 1,000 gross
tons between 7 a.m. and 9 a.m. and 3:30
p.m. and 6:30 p.m. for the Montlake
Bridge and 7 a.m. to 9 a.m. and 4 p.m.
to 6 p.m. for the University Bridge
Monday through Friday. This deviation
period is from 7:30 a.m. on May 19,
2013 to 9:30 a.m. on May 19, 2013. The
deviation allows the bascule spans of
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26250
Federal Register / Vol. 78, No. 87 / Monday, May 6, 2013 / Rules and Regulations
the Montlake Bridge and University
Bridge to remain in the closed position
and need not open for maritime traffic
from 7:30 a.m. on May 19, 2013 to 9:30
a.m. on May 19, 2013. The bridge shall
operate in accordance to 33 CFR
117.1051 at all other times. Waterway
usage on the Lake Washington Ship
Canal ranges from commercial tug and
barge to small pleasure craft. Mariners
will be notified and kept informed of
the bridge’s operational status via the
Coast Guard Notice to Mariners
publication and Broadcast Notice to
Mariners as appropriate. The draw span
will be required to open, if needed, for
vessels engaged in emergency response
operations during this closure period.
In accordance with 33 CFR 117.35(e),
the drawbridges must return to its
regular operating schedule immediately
at the end of the designated time period.
This deviation from the operating
regulations is authorized under 33 CFR
117.35.
Dated: April 22, 2013.
Randall D. Overton,
Bridge Administrator, Thirteenth Coast Guard
District.
[FR Doc. 2013–10455 Filed 5–3–13; 8:45 am]
BILLING CODE 9110–04–P
DEPARTMENT OF VETERANS
AFFAIRS
38 CFR Part 17
RIN 2900–AN98
Payment for Home Health Services and
Hospice Care to Non-VA Providers
Department of Veterans Affairs.
Final rule.
AGENCY:
ACTION:
The Department of Veterans
Affairs (VA) amends its regulations
concerning the billing methodology for
non-VA providers of home health
services and hospice care. Because the
newly applicable methodology cannot
supersede rates for which VA has
specifically contracted, this rulemaking
will only affect home health and
hospice care providers who do not have
existing negotiated contracts with VA.
This rule also rescinds internal
guidance documents that could be
interpreted as conflicting with this final
rule.
DATES: Effective Date: This final rule is
effective November 15, 2013.
FOR FURTHER INFORMATION CONTACT: Lisa
Brown, Chief, Policy Management
Department, Health Administration
Center, Veterans Health Administration,
Department of Veterans Affairs, 3773
Cherry Creek Drive North, East Tower,
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SUMMARY:
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Ste. 485, Denver, CO 80209, (303) 331–
7829. (This is not a toll-free number.)
SUPPLEMENTARY INFORMATION: In a
document published in the Federal
Register on November 21, 2011 (76 FR
71920), VA proposed to amend its
regulations concerning the billing
methodology for non-VA providers of
home health services and hospice care.
The proposed rulemaking indicated it
would make the VA regulation
governing payments for certain non-VA
health care, 38 CFR 17.56, applicable to
non-VA home health services and
hospice care. Section 17.56 provides,
among other things, that Medicare fee
schedule or prospective payment system
amounts will be paid to certain non-VA
providers, unless VA negotiates other
payment amounts with such providers.
See 38 CFR 17.56(a)(2)(i). Interested
persons were invited to submit
comments to the proposed rule on or
before December 21, 2011. We received
one comment, which supported the
proposed rule because it would
standardize VA’s payment methodology
for non-VA home health and hospice
care. The comment indicated, however,
that the projected loss in revenue for
home care and hospice providers due to
the application of § 17.56 rates may
affect the level of care provided to
veterans.
We make no changes to the rule based
on this comment. We are not aware of
any evidence that supports an inference
that, because of potentially lower
payments, home care and hospice
providers will offer a lower level of care
to veterans than these providers have
offered to veterans in the past. We are
also not aware of evidence that suggests
that home care and hospice providers
offer a substandard level of care to any
patient for which the provider receives
the applicable Medicare rate, which is
the rate that will now apply to veterans
under this rule. Additionally, as stated
in the proposed rule, we estimate that
each home health care and hospice
provider that does not separately
negotiate a payment rate with VA may
lose up to $1,346.28 annually, which is
not a significant amount when
compared to the average annual revenue
for home health and hospice agencies of
$4.7 million (as indicated by data from
the Medicare Payment Advisory
Commission as well as the Census
Bureau). Lastly, to the extent any
affected provider makes significantly
less than $4.7 million of annual revenue
on average, we also reiterate from the
proposed rule that affected providers
may benefit from any ‘‘phase-in’’ of the
§ 17.56 rates as contemplated by
Medicare rates themselves, as set forth
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Fmt 4700
Sfmt 4700
in § 17.56(a)(2)(i), which requires that
VA pay ‘‘[t]he applicable Medicare fee
schedule or prospective payment system
amount (‘Medicare Rate’) for the period
in which the service was provided.’’ 38
CFR 17.56(a)(2)(i).
Based on the rationale set forth in the
proposed rule and in this document, VA
is adopting the provisions of the
proposed rule as a final rule with no
changes.
Effect of Rulemaking
Title 38 of the Code of Federal
Regulations, as revised by this
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 final rule contains no collections
of information under the Paperwork
Reduction Act of 1995 (44 U.S.C. 3501–
3521).
Regulatory Flexibility Act
The Secretary hereby certifies that
this 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. About 8,400
providers without negotiated contracts
offer home health care or hospice care
to veterans at rates that are equivalent
to, or not significantly higher than,
those offered by this final rule. VA costs
of purchased skilled home care were
compared to Medicare Home Health
Prospective Payment System (HH–PPS)
reimbursement for a 60-day period. The
average VA reimbursement level per
veteran for a 60-day period was
$2,537.40 in fiscal year (FY) 2010. The
average Medicare reimbursement level
for skilled home care per beneficiary
was $2,312.94 in FY 2010. This
difference amounts to providers
receiving $3.74 less per day from VA for
a 60-day episode of care. On average,
each provider cares for six veterans at
VA expense. The potential annual
revenue loss will be approximately
$1,346.28 per provider, an insignificant
amount of revenue for these providers.
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.
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06MYR1
Agencies
[Federal Register Volume 78, Number 87 (Monday, May 6, 2013)]
[Rules and Regulations]
[Pages 26249-26250]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-10455]
-----------------------------------------------------------------------
DEPARTMENT OF HOMELAND SECURITY
Coast Guard
33 CFR Part 117
[Docket No. USCG-2013-0292]
Drawbridge Operation Regulation; Lake Washington Ship Canal,
Seattle, WA
AGENCY: Coast Guard, DHS.
ACTION: Notice of deviation from drawbridge regulation.
-----------------------------------------------------------------------
SUMMARY: The Coast Guard has issued a temporary deviation from the
operating schedule that governs the Montlake Bridge across the Lake
Washington Ship Canal, mile 5.2, at Seattle, WA, and the University
Bridge across the Lake Washington Ship Canal, mile 4.3, at Seattle, WA.
This deviation is necessary to accommodate the ``Beat the Bridge'' foot
race. This deviation allows the bridges to remain in the closed
position to allow safe movement of event participants.
DATES: This deviation is effective from 7:30 a.m. on May 19, 2013 to
9:30 a.m. on May 19, 2013.
ADDRESSES: The docket for this deviation, [USCG-2013-0292] is available
at https://www.regulations.gov. Type the docket number in the ``SEARCH''
box and click ``SEARCH.'' Click on Open Docket Folder on the line
associated with this deviation. You may also visit the Docket
Management Facility in Room W12-140 on the ground floor of the
Department of Transportation West Building, 1200 New Jersey Avenue SE.,
Washington, DC 20590, between 9 a.m. and 5 p.m., Monday through Friday,
except Federal holidays.
FOR FURTHER INFORMATION CONTACT: If you have questions on this
temporary deviation, call or email Randall Overton, Bridge
Administrator, Coast Guard Thirteenth District; telephone 206-220-7282,
email Randall.D.Overton@uscg.mil. If you have questions on viewing the
docket, call Barbara Hairston, Program Manager, Docket Operations,
telephone 202-366-9826.
SUPPLEMENTARY INFORMATION: The Washington State Department of
Transportation and Seattle Department of Transportation have requested
that the Montlake Bridge and the University Bridges remain closed to
vessel traffic to facilitate safe passage of participants in the ``Beat
the Bridge'' foot race. The race course passes over the University and
Montlake Bridges. The University Bridge crosses the Lake Washington
Ship Canal at mile 4.3 and while in the closed position provides 30
feet of vertical clearance throughout the navigation channel and 45
feet of vertical clearance through the center of the bridge; vertical
clearance referenced to the Mean Water Level of Lake Washington. The
Montlake Bridge crosses the Lake Washington Ship Canal at mile 5.2 and
while in the closed position provides 30 feet of vertical clearance
throughout the navigation channel and 46 feet of vertical clearance
throughout the center 60-feet of the bridge; vertical clearance
referenced to the Mean Water Level of Lake Washington. Vessels which do
not require a bridge opening may continue to transit beneath the
bridges during this closure period. Under normal conditions the
Montlake Bridge operates in accordance with 33 CFR 117.1051(e) and the
University Bridge operates in accordance with 33 CFR 117.1051(d) which
require the bridges to open on signal, except that the bridges need not
open for vessels less than 1,000 gross tons between 7 a.m. and 9 a.m.
and 3:30 p.m. and 6:30 p.m. for the Montlake Bridge and 7 a.m. to 9
a.m. and 4 p.m. to 6 p.m. for the University Bridge Monday through
Friday. This deviation period is from 7:30 a.m. on May 19, 2013 to 9:30
a.m. on May 19, 2013. The deviation allows the bascule spans of
[[Page 26250]]
the Montlake Bridge and University Bridge to remain in the closed
position and need not open for maritime traffic from 7:30 a.m. on May
19, 2013 to 9:30 a.m. on May 19, 2013. The bridge shall operate in
accordance to 33 CFR 117.1051 at all other times. Waterway usage on the
Lake Washington Ship Canal ranges from commercial tug and barge to
small pleasure craft. Mariners will be notified and kept informed of
the bridge's operational status via the Coast Guard Notice to Mariners
publication and Broadcast Notice to Mariners as appropriate. The draw
span will be required to open, if needed, for vessels engaged in
emergency response operations during this closure period.
In accordance with 33 CFR 117.35(e), the drawbridges must return to
its regular operating schedule immediately at the end of the designated
time period. This deviation from the operating regulations is
authorized under 33 CFR 117.35.
Dated: April 22, 2013.
Randall D. Overton,
Bridge Administrator, Thirteenth Coast Guard District.
[FR Doc. 2013-10455 Filed 5-3-13; 8:45 am]
BILLING CODE 9110-04-P