Proposed Priority-National Institute on Disability and Rehabilitation Research-Rehabilitation Research and Training Centers, 28543-28546 [2013-11430]
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Federal Register / Vol. 78, No. 94 / Wednesday, May 15, 2013 / Proposed Rules
(k) Alternative Methods of Compliance
(AMOCs)
(1) The Manager, Wichita Aircraft
Certification Office (ACO), FAA, has the
authority to approve AMOCs for this AD, if
requested using the procedures found in 14
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send your request to your principal inspector
or local Flight Standards District Office, as
appropriate. If sending information directly
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attention of the person identified in the
Related Information section of this AD.
(2) Before using any approved AMOC,
notify your appropriate principal inspector,
or lacking a principal inspector, the manager
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(l) Related Information
(1) For more information about this AD,
contact T. N. Baktha, Senior Aerospace
Engineer, FAA, Wichita ACO, 1801 Airport
Road, Room 100, Wichita, Kansas 67209;
telephone: (316) 946–4155; fax: (316) 946–
4107; email: t.n.baktha@faa.gov.
(2) For service information identified in
this AD, contact Hawker Beechcraft
Corporation, B091–A04, 10511 E. Central
Ave., Wichita, Kansas 67206; telephone: 1
(800) 429–5372 or (316) 676–3140; fax: (316)
676–8027; email:
tmdc@hawkerbeechcraft.com; or Internet:
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customer_support/
technical_and_field_support/. You may
review copies of the referenced service
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Missouri 64106. For information on the
availability of this material at the FAA, call
(816) 329–4148.
Issued in Kansas City, Missouri, on May 8,
2013.
Earl Lawrence,
Manager, Small Airplane Directorate, Aircraft
Certification Service.
[FR Doc. 2013–11535 Filed 5–14–13; 8:45 am]
BILLING CODE 4910–13–P
DEPARTMENT OF EDUCATION
34 CFR Chapter III
[CFDA Number: 84.133B–11]
Proposed Priority—National Institute
on Disability and Rehabilitation
Research—Rehabilitation Research
and Training Centers
Office of Special Education and
Rehabilitative Services, Department of
Education.
ACTION: Proposed priority.
sroberts on DSK5SPTVN1PROD with PROPOSALS
AGENCY:
The Assistant Secretary for
Special Education and Rehabilitative
Services proposes a priority under the
Rehabilitation Research and Training
Center (RRTC) Program administered by
the National Institute on Disability and
SUMMARY:
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Rehabilitation Research (NIDRR).
Specifically, this notice proposes a
priority for an RRTC on Community
Living Policy. We take this action to
focus research attention on areas of
national need. We intend the priority to
contribute to improved outcomes in this
area for individuals with disabilities.
DATES: We must receive your comments
on or before June 14, 2013.
ADDRESSES: Address all comments about
this notice to Marlene Spencer, U.S.
Department of Education, 400 Maryland
Avenue SW., room 5133, Potomac
Center Plaza (PCP), Washington, DC
20202–2700.
If you prefer to send your comments
by email, use the following address:
marlene.spencer@ed.gov. You must
include the phrase ‘‘Proposed Priority
for an RRTC on Community Living
Policy’’ in the subject line of your
electronic message.
FOR FURTHER INFORMATION CONTACT:
Marlene Spencer. Telephone: (202) 245–
7532 or by email:
marlene.spencer@ed.gov.
If you use a telecommunications
device for the deaf (TDD) or a text
telephone (TTY), call the Federal Relay
Service (FRS), toll free, at 1–800–877–
8339.
SUPPLEMENTARY INFORMATION: This
proposed priority is in concert with
NIDRR’s Long-Range Plan for Fiscal
Years 2013–2017 (Plan). The Plan,
which was published in the Federal
Register on April 4, 2013 (78 FR 20299),
can be accessed on the Internet at the
following site: www.ed.gov/about/
offices/list/osers/nidrr/policy.html.
Through the implementation of the
Plan, NIDRR seeks to improve outcomes
for individuals with disabilities in the
domains of health and function,
employment, and community living and
participation through comprehensive
programs of research, engineering,
training, technical assistance, and
knowledge translation and
dissemination. The Plan reflects
NIDRR’s commitment to quality,
relevance, and balance in its programs
to ensure appropriate attention to all
aspects of well-being of individuals
with disabilities and to all types and
degrees of disability, including lowincidence and severe disabilities.
This notice proposes a priority that
NIDRR intends to use for one or more
competitions in Fiscal Year (FY) 2013
and possibly later years. However,
nothing precludes NIDRR from
publishing additional priorities, if
needed. Furthermore, NIDRR is under
no obligation to make an award using
this priority. The decision to make an
award will be based on the quality of
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28543
applications received and available
funding.
Invitation to Comment: We invite you
to submit comments regarding this
priority. To ensure that your comments
have maximum effect in developing the
final priority, we urge you to identify
clearly the specific topic that each
comment addresses.
We invite you to assist us in
complying with the specific
requirements of Executive Orders 12866
and 13563 and their overall requirement
of reducing regulatory burden that
might result from this proposed priority.
Please let us know of any further ways
we could reduce potential costs or
increase potential benefits while
preserving the effective and efficient
administration of the program.
During and after the comment period,
you may inspect all public comments
about this proposed priority in room
5133, 550 12th Street SW., PCP,
Washington, DC, between the hours of
8:30 a.m. and 4:00 p.m., Washington,
DC time, Monday through Friday of
each week except Federal holidays.
Assistance to Individuals with
Disabilities in Reviewing the
Rulemaking Record: On request we will
provide an appropriate accommodation
or auxiliary aid to an individual with a
disability who needs assistance to
review the comments or other
documents in the public rulemaking
record for this notice. If you want to
schedule an appointment for this type of
accommodation or auxiliary aid, please
contact the person listed under FOR
FURTHER INFORMATION CONTACT.
Purpose of Program: The purpose of
the Disability and Rehabilitation
Research Projects and Centers Program
is to plan and conduct research,
demonstration projects, training, and
related activities, including
international activities, to develop
methods, procedures, and rehabilitation
technology that maximize the full
inclusion and integration into society,
employment, independent living, family
support, and economic and social selfsufficiency of individuals with
disabilities, especially individuals with
the most severe disabilities, and to
improve the effectiveness of services
authorized under the Rehabilitation Act
of 1973, as amended (Rehabilitation
Act).
Rehabilitation Research and Training
Centers
The purpose of the RRTCs, which are
funded through the Disability and
Rehabilitation Research Projects and
Centers Program, is to achieve the goals
of, and improve the effectiveness of,
services authorized under the
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Federal Register / Vol. 78, No. 94 / Wednesday, May 15, 2013 / Proposed Rules
Rehabilitation Act through advanced
research, training, technical assistance,
and dissemination activities in general
problem areas, as specified by NIDRR.
These activities are designed to benefit
rehabilitation service providers,
individuals with disabilities, and the
family members or other authorized
representatives of individuals with
disabilities. Additional information on
the RRTC program can be found at:
www.ed.gov/rschstat/research/pubs/resprogram.html#RRTC.
Program Authority: 29 U.S.C. 762(g) and
764(b)(2).
Applicable Program Regulations: 34
CFR part 350.
sroberts on DSK5SPTVN1PROD with PROPOSALS
Proposed Priority
This notice contains one proposed
priority.
RRTC on Community Living Policy
Background: It is estimated that there
are 51.5 million adults with disabilities
in the United States (Brault, 2012). This
number is expected to increase by at
least 20 percent in the next 25 to 30
years, primarily as a result of the aging
of the baby boom generation and the
associated increased risk of disability
(IOM, 2007).
The Americans with Disabilities Act
(1990) (ADA), as reaffirmed by the
Supreme Court in Olmstead et al. v. L.C.
et al., 527 U.S. 581 (1999), established
that the segregation of individuals with
disabilities is discrimination, except in
special and uncommon circumstances.
Since the Olmstead decision, the
Federal Government has enforced the
ADA through litigation (e.g., United
States v. Commonwealth of Virginia
2012) and through programs that
provide enhanced opportunities and
incentives for the use of community
settings other than segregated nursing
and other institutional care settings
(Centers for Medicare and Medicaid
Services, 2012).
Progress in fulfilling the mandates
and promises of the ADA and the
Olmstead decision has been steady.
Between FY 2002 and FY 2009, 77
percent of the increase in Medicaid
long-term service and support (LTSS)
expenditures went to home and
community-based services (National
Council on Disability, 2011). However,
Medicaid expenditures for institutional
care continue to exceed those for home
and community-based services.
Furthermore, great disparities exist in
access to home and community-based
services across the States and among
people with different disability
characteristics (Eiken, Sredl, Burwell &
Gold, 2010). A number of factors
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associated with such variations have
been identified, including differences in
the influence of condition-specific
advocacy groups, support of service
provider trade associations and service
employee unions, strength of political
leadership and the capacity of States to
advance reforms on multiple fronts, and
the expectations and demands of
individuals with disabilities and their
families (Parish, 2002).
In March 2013, the U.S. Department
of Health and Human services (HHS)
launched a new Community Living
Council in support of the ‘‘Secretary’s
Strategic Initiative to Promote
Community Living for Older Adults and
People with Disabilities’’ (Initiative)
(U.S. Department of Health and Human
Services, 2013). The Initiative is an
effort to increase opportunities for
individuals with disabilities to be
maximally integrated, productive, and
independent in the communities in
which they choose to live. To this end
the Initiative engages multiple HHS
agencies and partners from other
Departments to assist States in making
their systems of LTSS more communitybased, consumer-directed, and outcomefocused and better integrated with the
transformations occurring in health
care.
The Initiative includes major efforts to
provide factual, accessible, and easily
understood information to individuals
with disabilities and their families about
LTSS options and the outcomes
associated with them. The Initiative also
includes efforts to inform and empower
consumers and their family caregivers
with the best data and information
available so that they can participate
actively in designing, implementing,
and improving State systems of services
and supports, including emerging
models of integrated health care and
LTSS.
The intent of the Initiative
corresponds directly with NIDRR’s
mission to generate new knowledge and
promote its effective use to improve the
abilities of people with disabilities to
perform activities of their choice in the
community and to expand society’s
capacity to provide full opportunities
and accommodations for its citizens
with disabilities. To further the central
goals of the Initiative, NIDRR is
partnering with the Administration for
Community Living, a part of HHS, to
create a national RRTC on Community
Living Policy. The purpose of this RRTC
will be to engage in research, data
analysis and modeling, knowledge
translation, and development of
informational products to support
improvements in community living
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services and supports for individuals
with disabilities.
References
Brault, M.W. (2012). Americans with
disabilities: 2010, Current population
reports, pp. 70–131. Washington, DC:
U.S. Census Bureau, U.S. Department of
Commerce. Available from:
www.census.gov/prod/2012pubs/p70131.pdf.
Centers for Medicare and Medicaid Services
(2012). Money follows the person.
Available from: www.medicaid.gov/
Medicaid-CHIP-Program-Information/ByTopics/Long-Term-Services-andSupport/Balancing/Money-Follows-thePerson.html.
Eiken, S., Sredl, K., Burwell, B., & Gold, L.
(2010). Medicaid long-term care
expenditures in FY 2009. Cambridge,
MA: Thomson Reuters.
Institute of Medicine (IOM) (2007). The
future of disability in America.
Washington, DC: The National
Academies Press.
National Council on Disability (2011).
National disability policy: A progress
report. Washington, DC: Author.
Parish, S. (2002). Forces shaping
developmental disabilities services in
the States: A comparative study. In D.
Braddock (Ed.), Disability at the dawn of
the 21st century, pp. 353–475.
Washington, DC: American Association
on Intellectual and Developmental
Disability.
United States v. Commonwealth of Virginia,
No. 3:12cv59–JAG (E.D. VA. 2012).
Consent Decree available from:
www.ada.gov/olmstead/documents/
virginia_consent_order.pdf.
U.S. Department of Health and Human
Services (2013). Community Living
Initiative. Available from: www.hhs.gov/
od/community/.
Proposed Priority: The Assistant
Secretary for Special Education and
Rehabilitative Services, in collaboration
with the Administration on Community
Living (ACL), proposes a priority for an
RRTC on Community Living Policy. The
RRTC will engage in research, statistical
analyses and modeling, knowledge
translation, development of
informational products, and
dissemination to contribute to increased
access to, and improved quality of, longterm services and supports for
individuals with disabilities. The
RRTC’s work is intended to inform the
design, implementation, and continuous
improvement of Federal and State
policies and programs related to longterm services and supports (LTSS) for
individuals with disabilities. The RRTC
will identify and develop information
for individuals with disabilities and
their family members to guide their
informed choice of community service
and support options that best meet their
needs.
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The RRTC must be designed to
contribute to improved community
living and participation outcomes of
individuals with disabilities. The RRTC
must contribute to these outcomes by:
(a) Establishing a long-term research
plan related to community living policy.
This plan, once implemented, must
contribute relevant and high-quality
data and information that will serve as
an empirical foundation for improving
community living policies and programs
for individuals with disabilities. This
task includes:
(i) Developing and prioritizing a list of
research questions and evaluation topics
that, when addressed, will lead to
research-based information that can be
used to improve community living
policies, programs, and outcomes;
(ii) Working with NIDRR and ACL to
identify relevant data sets and
informational resources that can be
analyzed to address the questions and
topics in the research plan.
(b) Conducting research and research
syntheses to identify and evaluate
promising practices that States have
used and could adopt as part of their
State systems for the provision of LTSS.
This task includes:
(i) Identifying components of national
or State standards for ‘‘model’’ LTSS
State systems; and
(ii) Identifying and assessing methods
for monitoring, tracking, and evaluating
States’ LTSS systems.
(c) Identifying and involving key
stakeholders in the research and
research planning activities conducted
under paragraphs (a) and (b) to
maximize the relevance and usefulness
of the research products being
developed. Stakeholders must include,
but are not limited to, individuals with
disabilities and their families, national,
State, and local-level policymakers,
service providers, and relevant
researchers in the field of disability and
rehabilitation research.
(d) Identifying, evaluating, and
disseminating accessible information at
the national, State, and provider levels
on topics of importance to the
development and implementation of
high-quality community living policies
and programs. These topics include, but
are not limited to: Transitions from feefor-service to integrated/managed LTSS
systems and associated outcomes and
costs; transitions from agency-directed
to consumer-directed services and
associated outcomes and costs; costs
and benefits of various supports for
individuals and families, such as care
coordination, respite care, and remote
monitoring; and other topics to be
determined in collaboration with key
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stakeholders and NIDRR and ACL
representatives.
(e) Establishing a network of technical
assistance providers and advocacy
entities to assist in synthesizing and
disseminating information related to
implementing high-quality community
living policies, programs, and practices
for individuals with disabilities.
Network members may include, but are
not limited to: The Americans with
Disabilities Act National Network
Regional Centers, the Aging and
Disability Resource Centers, the
Governor’s Planning Councils on
Developmental Disabilities, the Money
Follows the Person Technical
Assistance Center, Client Assistance
Programs, and Protection and Advocacy
Programs.
(f) Serving as a national resource
center related to community living
policy by:
(i) Providing information and
technical assistance to service
providers, individuals with disabilities
and their representatives, and other key
stakeholders; and
(ii) Providing training, including
graduate, pre-service, and in-service
training, to rehabilitation providers,
rehabilitation research personnel, and
other disability service providers, to
facilitate more effective delivery of
services to individuals aging with longterm physical disabilities. This training
may be provided through conferences,
workshops, public education programs,
in-service training programs, and
similar activities.
Types of Priorities: When inviting
applications for a competition using one
or more priorities, we designate the type
of each priority as absolute, competitive
preference, or invitational through a
notice in the Federal Register. The
effect of each type of priority follows:
Absolute priority: Under an absolute
priority, we consider only applications
that meet the priority (34 CFR
75.105(c)(3)).
Competitive preference priority:
Under a competitive preference priority,
we give competitive preference to an
application by (1) awarding additional
points, depending on the extent to
which the application meets the priority
(34 CFR 75.105(c)(2)(i)); or (2) selecting
an application that meets the priority
over an application of comparable merit
that does not meet the priority (34 CFR
75.105(c)(2)(ii)).
Invitational priority: Under an
invitational priority, we are particularly
interested in applications that meet the
priority. However, we do not give an
application that meets the priority a
preference over other applications (34
CFR 75.105(c)(1)).
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28545
Final Priority: We will announce the
final priority in the Federal Register.
We will determine the final priority
after considering responses to this
notice and other information available
to the Department. This notice does not
preclude us from proposing additional
priorities, requirements, definitions, or
selection criteria, subject to meeting
applicable rulemaking requirements.
Note: This notice does not solicit
applications. In any year in which we choose
to use this priority, we invite applications
through a notice in the Federal Register.
Executive Orders 12866 and 13563
Regulatory Impact Analysis
Under Executive Order 12866, the
Secretary must determine whether this
regulatory action is ‘‘significant’’ and,
therefore, subject to the requirements of
the Executive order and subject to
review by the Office of Management and
Budget (OMB). Section 3(f) of Executive
Order 12866 defines a ‘‘significant
regulatory action’’ as an action likely to
result in a rule that may—
(1) Have an annual effect on the
economy of $100 million or more, or
adversely affect a sector of the economy,
productivity, competition, jobs, the
environment, public health or safety, or
State, local, or tribal governments or
communities in a material way (also
referred to as an ‘‘economically
significant’’ rule);
(2) Create serious inconsistency or
otherwise interfere with an action taken
or planned by another agency;
(3) Materially alter the budgetary
impacts of entitlement 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
stated in the Executive order.
This proposed regulatory action is not
a significant regulatory action subject to
review by OMB under section 3(f) of
Executive Order 12866.
We have also reviewed this regulatory
action under Executive Order 13563,
which supplements and explicitly
reaffirms the principles, structures, and
definitions governing regulatory review
established in Executive Order 12866.
To the extent permitted by law,
Executive Order 13563 requires that an
agency—
(1) Propose or adopt regulations only
upon a reasoned determination that
their benefits justify their costs
(recognizing that some benefits and
costs are difficult to quantify);
(2) Tailor its regulations to impose the
least burden on society, consistent with
obtaining regulatory objectives and
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Federal Register / Vol. 78, No. 94 / Wednesday, May 15, 2013 / Proposed Rules
taking into account—among other things
and to the extent practicable—the costs
of cumulative regulations;
(3) In choosing among alternative
regulatory approaches, select those
approaches that maximize net benefits
(including potential economic,
environmental, public health and safety,
and other advantages; distributive
impacts; and equity);
(4) To the extent feasible, specify
performance objectives, rather than the
behavior or manner of compliance a
regulated entity must adopt; and
(5) Identify and assess available
alternatives to direct regulation,
including economic incentives—such as
user fees or marketable permits—to
encourage the desired behavior, or
provide information that enables the
public to make choices.
Executive Order 13563 also requires
an agency ‘‘to use the best available
techniques to quantify anticipated
present and future benefits and costs as
accurately as possible.’’ The Office of
Information and Regulatory Affairs of
OMB has emphasized that these
techniques may include ‘‘identifying
changing future compliance costs that
might result from technological
innovation or anticipated behavioral
changes.’’
We are issuing this proposed priority
only upon a reasoned determination
that its benefits would justify its costs.
In choosing among alternative
regulatory approaches, we selected
those approaches that would maximize
net benefits. Based on the analysis that
follows, the Department believes that
this proposed priority is consistent with
the principles in Executive Order 13563.
We also have determined that this
regulatory action would not unduly
interfere with State, local, and tribal
governments in the exercise of their
governmental functions.
In accordance with both Executive
orders, the Department has assessed the
potential costs and benefits, both
quantitative and qualitative, of this
regulatory action. The potential costs
are those resulting from statutory
requirements and those we have
determined as necessary for
administering the Department’s
programs and activities.
The benefits of the RRTC Program
have been well established over the
years, as projects similar to the one
envisioned by the proposed priority
have been completed successfully. The
new RRTC would generate, disseminate,
and promote the use of new information
that would improve outcomes for
individuals with disabilities in the area
of community living and participation.
Intergovernmental Review: This
program is not subject to Executive
Order 12372 and the regulations in 34
CFR part 79.
Accessible Format: Individuals with
disabilities can obtain this document in
an accessible format (e.g., braille, large
print, audiotape, or compact disc) by
contacting the Grants and Contracts
Services Team, U.S. Department of
Education, 400 Maryland Avenue SW.,
room 5075, PCP, Washington, DC
20202–2550. Telephone: (202) 245–
7363. If you use a TDD or TTY, call the
FRS, toll free, at 1–800–877–8339.
Electronic Access to This Document:
The official version of this document is
the document published in the Federal
Register. Free Internet access to the
official edition of the Federal Register
and the Code of Federal Regulations is
available via the Federal Digital System
at: www.gpo.gov/fdsys. At this site you
can view this document, as well as all
Mild
other documents of this Department
published in the Federal Register, in
text or Adobe Portable Document
Format (PDF). To use PDF you must
have Adobe Acrobat Reader, which is
available free at the site.
You may also access documents of the
Department published in the Federal
Register by using the article search
feature at: www.federalregister.gov.
Specifically, through the advanced
search feature at this site, you can limit
your search to documents published by
the Department.
Dated: May 9, 2013.
Michael K. Yudin,
Delegated the authority to perform the
functions and the duties of the Assistant
Secretary for Special Education and
Rehabilitative Services.
[FR Doc. 2013–11430 Filed 5–14–13; 8:45 am]
BILLING CODE 4000–01–P
DEPARTMENT OF VETERANS
AFFAIRS
38 CFR Part 3
RIN 2900–AN89
Secondary Service Connection for
Diagnosable Illnesses Associated With
Traumatic Brain Injury
Correction
In proposed rule document 2012–
29709 beginning on page 73366 in the
issue of Monday, December 10, 2012
make the following correction:
§ 3.310
[Corrected]
On page 73369, in § 3.310(d)(3)(i), the
table should read as set forth below:
Moderate
Severe
Normal structural imaging ......................................................
Normal or abnormal structural imaging
Normal or abnormal structural imaging.
LOC = 0–30 min .....................................................................
LOC >30 min and <24 hours .................
LOC >24 hrs.
AOC = a moment up to 24 hrs ..............................................
AOC >24 hours. Severity based on other criteria.
PTA >1 and <7 days ..............................
PTA > 7 days.
GCS = 13–15 .........................................................................
sroberts on DSK5SPTVN1PROD with PROPOSALS
PTA = 0–1 day .......................................................................
GCS = 9–12 ...........................................
GCS = 3–8.
Note: The factors considered are:
Structural imaging of the brain.
LOC—Loss of consciousness.
AOC—Alteration of consciousness/mental state.
PTA—Post-traumatic amnesia.
GCS—Glasgow Coma Scale. (For purposes of injury stratification, the Glasgow Coma Scale is measured at or after 24 hours.)
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Agencies
[Federal Register Volume 78, Number 94 (Wednesday, May 15, 2013)]
[Proposed Rules]
[Pages 28543-28546]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-11430]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF EDUCATION
34 CFR Chapter III
[CFDA Number: 84.133B-11]
Proposed Priority--National Institute on Disability and
Rehabilitation Research--Rehabilitation Research and Training Centers
AGENCY: Office of Special Education and Rehabilitative Services,
Department of Education.
ACTION: Proposed priority.
-----------------------------------------------------------------------
SUMMARY: The Assistant Secretary for Special Education and
Rehabilitative Services proposes a priority under the Rehabilitation
Research and Training Center (RRTC) Program administered by the
National Institute on Disability and Rehabilitation Research (NIDRR).
Specifically, this notice proposes a priority for an RRTC on Community
Living Policy. We take this action to focus research attention on areas
of national need. We intend the priority to contribute to improved
outcomes in this area for individuals with disabilities.
DATES: We must receive your comments on or before June 14, 2013.
ADDRESSES: Address all comments about this notice to Marlene Spencer,
U.S. Department of Education, 400 Maryland Avenue SW., room 5133,
Potomac Center Plaza (PCP), Washington, DC 20202-2700.
If you prefer to send your comments by email, use the following
address: marlene.spencer@ed.gov. You must include the phrase ``Proposed
Priority for an RRTC on Community Living Policy'' in the subject line
of your electronic message.
FOR FURTHER INFORMATION CONTACT: Marlene Spencer. Telephone: (202) 245-
7532 or by email: marlene.spencer@ed.gov.
If you use a telecommunications device for the deaf (TDD) or a text
telephone (TTY), call the Federal Relay Service (FRS), toll free, at 1-
800-877-8339.
SUPPLEMENTARY INFORMATION: This proposed priority is in concert with
NIDRR's Long-Range Plan for Fiscal Years 2013-2017 (Plan). The Plan,
which was published in the Federal Register on April 4, 2013 (78 FR
20299), can be accessed on the Internet at the following site:
www.ed.gov/about/offices/list/osers/nidrr/policy.html.
Through the implementation of the Plan, NIDRR seeks to improve
outcomes for individuals with disabilities in the domains of health and
function, employment, and community living and participation through
comprehensive programs of research, engineering, training, technical
assistance, and knowledge translation and dissemination. The Plan
reflects NIDRR's commitment to quality, relevance, and balance in its
programs to ensure appropriate attention to all aspects of well-being
of individuals with disabilities and to all types and degrees of
disability, including low-incidence and severe disabilities.
This notice proposes a priority that NIDRR intends to use for one
or more competitions in Fiscal Year (FY) 2013 and possibly later years.
However, nothing precludes NIDRR from publishing additional priorities,
if needed. Furthermore, NIDRR is under no obligation to make an award
using this priority. The decision to make an award will be based on the
quality of applications received and available funding.
Invitation to Comment: We invite you to submit comments regarding
this priority. To ensure that your comments have maximum effect in
developing the final priority, we urge you to identify clearly the
specific topic that each comment addresses.
We invite you to assist us in complying with the specific
requirements of Executive Orders 12866 and 13563 and their overall
requirement of reducing regulatory burden that might result from this
proposed priority. Please let us know of any further ways we could
reduce potential costs or increase potential benefits while preserving
the effective and efficient administration of the program.
During and after the comment period, you may inspect all public
comments about this proposed priority in room 5133, 550 12th Street
SW., PCP, Washington, DC, between the hours of 8:30 a.m. and 4:00 p.m.,
Washington, DC time, Monday through Friday of each week except Federal
holidays.
Assistance to Individuals with Disabilities in Reviewing the
Rulemaking Record: On request we will provide an appropriate
accommodation or auxiliary aid to an individual with a disability who
needs assistance to review the comments or other documents in the
public rulemaking record for this notice. If you want to schedule an
appointment for this type of accommodation or auxiliary aid, please
contact the person listed under FOR FURTHER INFORMATION CONTACT.
Purpose of Program: The purpose of the Disability and
Rehabilitation Research Projects and Centers Program is to plan and
conduct research, demonstration projects, training, and related
activities, including international activities, to develop methods,
procedures, and rehabilitation technology that maximize the full
inclusion and integration into society, employment, independent living,
family support, and economic and social self-sufficiency of individuals
with disabilities, especially individuals with the most severe
disabilities, and to improve the effectiveness of services authorized
under the Rehabilitation Act of 1973, as amended (Rehabilitation Act).
Rehabilitation Research and Training Centers
The purpose of the RRTCs, which are funded through the Disability
and Rehabilitation Research Projects and Centers Program, is to achieve
the goals of, and improve the effectiveness of, services authorized
under the
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Rehabilitation Act through advanced research, training, technical
assistance, and dissemination activities in general problem areas, as
specified by NIDRR. These activities are designed to benefit
rehabilitation service providers, individuals with disabilities, and
the family members or other authorized representatives of individuals
with disabilities. Additional information on the RRTC program can be
found at: www.ed.gov/rschstat/research/pubs/res-program.html#RRTC.
Program Authority: 29 U.S.C. 762(g) and 764(b)(2).
Applicable Program Regulations: 34 CFR part 350.
Proposed Priority
This notice contains one proposed priority.
RRTC on Community Living Policy
Background: It is estimated that there are 51.5 million adults with
disabilities in the United States (Brault, 2012). This number is
expected to increase by at least 20 percent in the next 25 to 30 years,
primarily as a result of the aging of the baby boom generation and the
associated increased risk of disability (IOM, 2007).
The Americans with Disabilities Act (1990) (ADA), as reaffirmed by
the Supreme Court in Olmstead et al. v. L.C. et al., 527 U.S. 581
(1999), established that the segregation of individuals with
disabilities is discrimination, except in special and uncommon
circumstances. Since the Olmstead decision, the Federal Government has
enforced the ADA through litigation (e.g., United States v.
Commonwealth of Virginia 2012) and through programs that provide
enhanced opportunities and incentives for the use of community settings
other than segregated nursing and other institutional care settings
(Centers for Medicare and Medicaid Services, 2012).
Progress in fulfilling the mandates and promises of the ADA and the
Olmstead decision has been steady. Between FY 2002 and FY 2009, 77
percent of the increase in Medicaid long-term service and support
(LTSS) expenditures went to home and community-based services (National
Council on Disability, 2011). However, Medicaid expenditures for
institutional care continue to exceed those for home and community-
based services. Furthermore, great disparities exist in access to home
and community-based services across the States and among people with
different disability characteristics (Eiken, Sredl, Burwell & Gold,
2010). A number of factors associated with such variations have been
identified, including differences in the influence of condition-
specific advocacy groups, support of service provider trade
associations and service employee unions, strength of political
leadership and the capacity of States to advance reforms on multiple
fronts, and the expectations and demands of individuals with
disabilities and their families (Parish, 2002).
In March 2013, the U.S. Department of Health and Human services
(HHS) launched a new Community Living Council in support of the
``Secretary's Strategic Initiative to Promote Community Living for
Older Adults and People with Disabilities'' (Initiative) (U.S.
Department of Health and Human Services, 2013). The Initiative is an
effort to increase opportunities for individuals with disabilities to
be maximally integrated, productive, and independent in the communities
in which they choose to live. To this end the Initiative engages
multiple HHS agencies and partners from other Departments to assist
States in making their systems of LTSS more community-based, consumer-
directed, and outcome-focused and better integrated with the
transformations occurring in health care.
The Initiative includes major efforts to provide factual,
accessible, and easily understood information to individuals with
disabilities and their families about LTSS options and the outcomes
associated with them. The Initiative also includes efforts to inform
and empower consumers and their family caregivers with the best data
and information available so that they can participate actively in
designing, implementing, and improving State systems of services and
supports, including emerging models of integrated health care and LTSS.
The intent of the Initiative corresponds directly with NIDRR's
mission to generate new knowledge and promote its effective use to
improve the abilities of people with disabilities to perform activities
of their choice in the community and to expand society's capacity to
provide full opportunities and accommodations for its citizens with
disabilities. To further the central goals of the Initiative, NIDRR is
partnering with the Administration for Community Living, a part of HHS,
to create a national RRTC on Community Living Policy. The purpose of
this RRTC will be to engage in research, data analysis and modeling,
knowledge translation, and development of informational products to
support improvements in community living services and supports for
individuals with disabilities.
References
Brault, M.W. (2012). Americans with disabilities: 2010, Current
population reports, pp. 70-131. Washington, DC: U.S. Census Bureau,
U.S. Department of Commerce. Available from: www.census.gov/prod/2012pubs/p70-131.pdf.
Centers for Medicare and Medicaid Services (2012). Money follows the
person. Available from: www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Long-Term-Services-and-Support/Balancing/Money-Follows-the-Person.html.
Eiken, S., Sredl, K., Burwell, B., & Gold, L. (2010). Medicaid long-
term care expenditures in FY 2009. Cambridge, MA: Thomson Reuters.
Institute of Medicine (IOM) (2007). The future of disability in
America. Washington, DC: The National Academies Press.
National Council on Disability (2011). National disability policy: A
progress report. Washington, DC: Author.
Parish, S. (2002). Forces shaping developmental disabilities
services in the States: A comparative study. In D. Braddock (Ed.),
Disability at the dawn of the 21st century, pp. 353-475. Washington,
DC: American Association on Intellectual and Developmental
Disability.
United States v. Commonwealth of Virginia, No. 3:12cv59-JAG (E.D.
VA. 2012). Consent Decree available from: www.ada.gov/olmstead/documents/virginia_consent_order.pdf.
U.S. Department of Health and Human Services (2013). Community
Living Initiative. Available from: www.hhs.gov/od/community/.
Proposed Priority: The Assistant Secretary for Special Education
and Rehabilitative Services, in collaboration with the Administration
on Community Living (ACL), proposes a priority for an RRTC on Community
Living Policy. The RRTC will engage in research, statistical analyses
and modeling, knowledge translation, development of informational
products, and dissemination to contribute to increased access to, and
improved quality of, long-term services and supports for individuals
with disabilities. The RRTC's work is intended to inform the design,
implementation, and continuous improvement of Federal and State
policies and programs related to long-term services and supports (LTSS)
for individuals with disabilities. The RRTC will identify and develop
information for individuals with disabilities and their family members
to guide their informed choice of community service and support options
that best meet their needs.
[[Page 28545]]
The RRTC must be designed to contribute to improved community
living and participation outcomes of individuals with disabilities. The
RRTC must contribute to these outcomes by:
(a) Establishing a long-term research plan related to community
living policy. This plan, once implemented, must contribute relevant
and high-quality data and information that will serve as an empirical
foundation for improving community living policies and programs for
individuals with disabilities. This task includes:
(i) Developing and prioritizing a list of research questions and
evaluation topics that, when addressed, will lead to research-based
information that can be used to improve community living policies,
programs, and outcomes;
(ii) Working with NIDRR and ACL to identify relevant data sets and
informational resources that can be analyzed to address the questions
and topics in the research plan.
(b) Conducting research and research syntheses to identify and
evaluate promising practices that States have used and could adopt as
part of their State systems for the provision of LTSS. This task
includes:
(i) Identifying components of national or State standards for
``model'' LTSS State systems; and
(ii) Identifying and assessing methods for monitoring, tracking,
and evaluating States' LTSS systems.
(c) Identifying and involving key stakeholders in the research and
research planning activities conducted under paragraphs (a) and (b) to
maximize the relevance and usefulness of the research products being
developed. Stakeholders must include, but are not limited to,
individuals with disabilities and their families, national, State, and
local-level policymakers, service providers, and relevant researchers
in the field of disability and rehabilitation research.
(d) Identifying, evaluating, and disseminating accessible
information at the national, State, and provider levels on topics of
importance to the development and implementation of high-quality
community living policies and programs. These topics include, but are
not limited to: Transitions from fee-for-service to integrated/managed
LTSS systems and associated outcomes and costs; transitions from
agency-directed to consumer-directed services and associated outcomes
and costs; costs and benefits of various supports for individuals and
families, such as care coordination, respite care, and remote
monitoring; and other topics to be determined in collaboration with key
stakeholders and NIDRR and ACL representatives.
(e) Establishing a network of technical assistance providers and
advocacy entities to assist in synthesizing and disseminating
information related to implementing high-quality community living
policies, programs, and practices for individuals with disabilities.
Network members may include, but are not limited to: The Americans with
Disabilities Act National Network Regional Centers, the Aging and
Disability Resource Centers, the Governor's Planning Councils on
Developmental Disabilities, the Money Follows the Person Technical
Assistance Center, Client Assistance Programs, and Protection and
Advocacy Programs.
(f) Serving as a national resource center related to community
living policy by:
(i) Providing information and technical assistance to service
providers, individuals with disabilities and their representatives, and
other key stakeholders; and
(ii) Providing training, including graduate, pre-service, and in-
service training, to rehabilitation providers, rehabilitation research
personnel, and other disability service providers, to facilitate more
effective delivery of services to individuals aging with long-term
physical disabilities. This training may be provided through
conferences, workshops, public education programs, in-service training
programs, and similar activities.
Types of Priorities: When inviting applications for a competition
using one or more priorities, we designate the type of each priority as
absolute, competitive preference, or invitational through a notice in
the Federal Register. The effect of each type of priority follows:
Absolute priority: Under an absolute priority, we consider only
applications that meet the priority (34 CFR 75.105(c)(3)).
Competitive preference priority: Under a competitive preference
priority, we give competitive preference to an application by (1)
awarding additional points, depending on the extent to which the
application meets the priority (34 CFR 75.105(c)(2)(i)); or (2)
selecting an application that meets the priority over an application of
comparable merit that does not meet the priority (34 CFR
75.105(c)(2)(ii)).
Invitational priority: Under an invitational priority, we are
particularly interested in applications that meet the priority.
However, we do not give an application that meets the priority a
preference over other applications (34 CFR 75.105(c)(1)).
Final Priority: We will announce the final priority in the Federal
Register. We will determine the final priority after considering
responses to this notice and other information available to the
Department. This notice does not preclude us from proposing additional
priorities, requirements, definitions, or selection criteria, subject
to meeting applicable rulemaking requirements.
Note: This notice does not solicit applications. In any year in
which we choose to use this priority, we invite applications through
a notice in the Federal Register.
Executive Orders 12866 and 13563
Regulatory Impact Analysis
Under Executive Order 12866, the Secretary must determine whether
this regulatory action is ``significant'' and, therefore, subject to
the requirements of the Executive order and subject to review by the
Office of Management and Budget (OMB). Section 3(f) of Executive Order
12866 defines a ``significant regulatory action'' as an action likely
to result in a rule that may--
(1) Have an annual effect on the economy of $100 million or more,
or adversely affect a sector of the economy, productivity, competition,
jobs, the environment, public health or safety, or State, local, or
tribal governments or communities in a material way (also referred to
as an ``economically significant'' rule);
(2) Create serious inconsistency or otherwise interfere with an
action taken or planned by another agency;
(3) Materially alter the budgetary impacts of entitlement 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 stated in the
Executive order.
This proposed regulatory action is not a significant regulatory
action subject to review by OMB under section 3(f) of Executive Order
12866.
We have also reviewed this regulatory action under Executive Order
13563, which supplements and explicitly reaffirms the principles,
structures, and definitions governing regulatory review established in
Executive Order 12866. To the extent permitted by law, Executive Order
13563 requires that an agency--
(1) Propose or adopt regulations only upon a reasoned determination
that their benefits justify their costs (recognizing that some benefits
and costs are difficult to quantify);
(2) Tailor its regulations to impose the least burden on society,
consistent with obtaining regulatory objectives and
[[Page 28546]]
taking into account--among other things and to the extent practicable--
the costs of cumulative regulations;
(3) In choosing among alternative regulatory approaches, select
those approaches that maximize net benefits (including potential
economic, environmental, public health and safety, and other
advantages; distributive impacts; and equity);
(4) To the extent feasible, specify performance objectives, rather
than the behavior or manner of compliance a regulated entity must
adopt; and
(5) Identify and assess available alternatives to direct
regulation, including economic incentives--such as user fees or
marketable permits--to encourage the desired behavior, or provide
information that enables the public to make choices.
Executive Order 13563 also requires an agency ``to use the best
available techniques to quantify anticipated present and future
benefits and costs as accurately as possible.'' The Office of
Information and Regulatory Affairs of OMB has emphasized that these
techniques may include ``identifying changing future compliance costs
that might result from technological innovation or anticipated
behavioral changes.''
We are issuing this proposed priority only upon a reasoned
determination that its benefits would justify its costs. In choosing
among alternative regulatory approaches, we selected those approaches
that would maximize net benefits. Based on the analysis that follows,
the Department believes that this proposed priority is consistent with
the principles in Executive Order 13563.
We also have determined that this regulatory action would not
unduly interfere with State, local, and tribal governments in the
exercise of their governmental functions.
In accordance with both Executive orders, the Department has
assessed the potential costs and benefits, both quantitative and
qualitative, of this regulatory action. The potential costs are those
resulting from statutory requirements and those we have determined as
necessary for administering the Department's programs and activities.
The benefits of the RRTC Program have been well established over
the years, as projects similar to the one envisioned by the proposed
priority have been completed successfully. The new RRTC would generate,
disseminate, and promote the use of new information that would improve
outcomes for individuals with disabilities in the area of community
living and participation.
Intergovernmental Review: This program is not subject to Executive
Order 12372 and the regulations in 34 CFR part 79.
Accessible Format: Individuals with disabilities can obtain this
document in an accessible format (e.g., braille, large print,
audiotape, or compact disc) by contacting the Grants and Contracts
Services Team, U.S. Department of Education, 400 Maryland Avenue SW.,
room 5075, PCP, Washington, DC 20202-2550. Telephone: (202) 245-7363.
If you use a TDD or TTY, call the FRS, toll free, at 1-800-877-8339.
Electronic Access to This Document: The official version of this
document is the document published in the Federal Register. Free
Internet access to the official edition of the Federal Register and the
Code of Federal Regulations is available via the Federal Digital System
at: www.gpo.gov/fdsys. At this site you can view this document, as well
as all other documents of this Department published in the Federal
Register, in text or Adobe Portable Document Format (PDF). To use PDF
you must have Adobe Acrobat Reader, which is available free at the
site.
You may also access documents of the Department published in the
Federal Register by using the article search feature at:
www.federalregister.gov. Specifically, through the advanced search
feature at this site, you can limit your search to documents published
by the Department.
Dated: May 9, 2013.
Michael K. Yudin,
Delegated the authority to perform the functions and the duties of the
Assistant Secretary for Special Education and Rehabilitative Services.
[FR Doc. 2013-11430 Filed 5-14-13; 8:45 am]
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