Medicare Program; The Advisory Panel on Hospital Outpatient Payment (HOP Panel) Summer Meeting, August 25-26, 2014, 26763-26765 [2014-10688]

Download as PDF Federal Register / Vol. 79, No. 90 / Friday, May 9, 2014 / Notices LeRoy Richardson, Chief, Information Collection Review Office, Office of Scientific Integrity, Office of the Associate Director for Science, Office of the Director, Centers for Disease Control and Prevention. [FR Doc. 2014–10617 Filed 5–8–14; 8:45 am] DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS–1467–N] Medicare Program; The Advisory Panel on Hospital Outpatient Payment (HOP Panel) Summer Meeting, August 25–26, 2014 BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS). ACTION: Notice. [CDC–2013–0024; Docket Number NIOSH– 270] SUMMARY: AGENCY: Dated: May 2, 2014. John Howard, Director, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention. This notice announces the summer meeting of the Advisory Panel on Hospital Outpatient Payment (the Panel) for 2014. The purpose of the Panel is to advise the Secretary of the Department of Health and Human Services (DHHS) (the Secretary) and the Administrator of the Centers for Medicare & Medicaid Services (CMS) (the Administrator) on the clinical integrity of the Ambulatory Payment Classification (APC) groups and their associated weights, and hospital outpatient therapeutic services supervision issues. DATES: Meeting Dates: The second semiannual meeting in 2014 is scheduled for the following dates and times. The times listed in this notice are Eastern Daylight Time (EDT) and are approximate times; consequently, the meetings may last longer than the times listed in this notice, but will not begin before the posted times: • Monday, August 25, 2014, 9 a.m. to 5 p.m. EDT • Tuesday, August 26, 2014, 9 a.m. to 5 p.m. EDT Meeting Information Updates: The actual meeting hours and days will be posted in the agenda. As information and updates regarding the onsite, webcast, and teleconference meeting, and agenda become available, they will be posted to the CMS Web site at: https://cms.gov/Regulations-andGuidance/Guidance/FACA/Advisory PanelonAmbulatoryPayment ClassificationGroups.html [FR Doc. 2014–10666 Filed 5–8–14; 8:45 am] Deadlines BILLING CODE 4163–19–P Deadline for Presentations and Comments Presentations and Comments can be submitted by email only. Presentations or comments and form CMS–20017 must be in the Designated Federal Official’s (DFO’s) email inbox (APC Panel@cms.hhs.gov) by 5 p.m. EDT, Friday, July, 25, 2014. Presentations and comments that are not received by the Issuance of Final Publication National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). AGENCY: Notice of issuance of final publication. ACTION: The National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC), announces the availability of the following publication: ‘‘NIOSH Center for Motor Vehicle Safety: Strategic Plan for Research and Prevention, 2014– 2018’’ [2014–122]. SUMMARY: This document may be obtained at the following link: https:// www.cdc.gov/niosh/docs/2014-122/. ADDRESSES: FOR FURTHER INFORMATION CONTACT: ehiers on DSK2VPTVN1PROD with NOTICES Stephanie Pratt, NIOSH Division of Safety Research, 1095 Willowdale Road, Mail Stop H–1808, Morgantown, WV 26505. (304) 285–5992 (not a toll free number). VerDate Mar<15>2010 14:53 May 08, 2014 Jkt 232001 PO 00000 Frm 00054 Fmt 4703 Sfmt 4703 26763 due date will be considered late and will not be included on the agenda. (See below for submission instructions for electronic submissions.) Meeting Registration Timeframe: Monday, June 30, 2014 through Friday, August 01, 2014 at 5 p.m. EDT. Participants planning to attend this meeting in person must register online, during the above specified timeframe at: https://www.cms.gov/apps/events/ default.asp. On this Web page, double click the ‘‘Upcoming Events’’ hyperlink, and then double click the ‘‘HOP Panel’’ event title link and enter the required information. Include any requests for special accommodations. Note: Participants who do not plan to attend this meeting in person should not register. No registration is required for participants who plan to view the meeting via webcast. In commenting, please refer to file code CMS–1467–N. Because of staff and resource limitations, we cannot accept comments and presentations by facsimile (FAX) transmission or hard copy. Meeting Location, Webcast, and Teleconference: The meeting will be held in the Auditorium, CMS Central Office, 7500 Security Boulevard, Woodlawn, Maryland 21244–1850. Alternately, the public may either view this meeting via a webcast or listen by teleconference. During the scheduled meeting, webcasting is accessible online at: https://cms.gov/live. Teleconference dialin information will appear on the final meeting agenda, which will be posted on the CMS Web site when available at: https://www.cms.gov/Regulations-andGuidance/Guidance/FACA/Advisory PanelonAmbulatoryPayment ClassificationGroups.html. FOR FURTHER INFORMATION CONTACT: DFO: Carol Schwartz, DFO, 7500 Security Boulevard, Mail Stop: C4–04– 25, Woodlawn, MD 21244–1850. Phone: (410) 786–3985. Email: APCPanel@ cms.hhs.gov. Send email copies to the following address: Email: APCPanel@cms.hhs.gov. News Media: Representatives must contact our Public Affairs Office at (202) 690–6145. Advisory Committees’ Information Lines: The phone number for the CMS Federal Advisory Committee Hotline is (410) 786–3985. Web sites: For additional information on the Panel and updates to the Panel’s activities, we refer readers to view our Web site at: https://www.cms.gov/ Regulations-and-Guidance/Guidance/ FACA/AdvisoryPanelonAmbulatory PaymentClassificationGroups.html. E:\FR\FM\09MYN1.SGM 09MYN1 26764 Federal Register / Vol. 79, No. 90 / Friday, May 9, 2014 / Notices Information about the Panel and its membership in the Federal Advisory Committee Act (FACA) database are also located at: https://facadatabase.gov/. SUPPLEMENTARY INFORMATION: I. Background The Secretary of the Department of Health and Human Services (DHHS) (the Secretary) is required by section 1833(t)(9)(A) of the Social Security Act (the Act) and section 222 of the Public Health Service Act (PHS Act) to consult with an expert outside the Advisory Panel on Hospital Outpatient Payment (the Panel) regarding the clinical integrity of the Ambulatory Payment Classification (APC) groups and relative payment weights. The Panel is governed by the provisions of the Federal Advisory Committee Act (Pub. L. 92– 463), as amended (5 U.S.C. Appendix 2), to set forth standards for the formation and use of advisory panels. The Charter provides that the Panel shall meet up to 3 times annually. We consider the technical advice provided by the Panel as we prepare the proposed and final rules to update the outpatient prospective payment system (OPPS). ehiers on DSK2VPTVN1PROD with NOTICES II. Agenda The agenda for the August 25, 2014 through August 26, 2014 meeting will provide for discussion and comment on the following topics as designated in the Panel’s Charter: • Addressing whether procedures within an APC group are similar both clinically and in terms of resource use. • Evaluating APC group weights. • Reviewing the packaging of OPPS services and costs, including the methodology and the impact on APC groups and payment. • Removing procedures from the inpatient-only list for payment under the OPPS. • Using single and multiple procedure claims data for CMS’ determination of APC group weights. • Addressing other technical issues concerning APC group structure. • Recommending the appropriate supervision level (general, direct, or personal) for individual hospital outpatient therapeutic services. The Agenda will be posted on the Centers for Medicare & Medicaid Services (CMS) Web site approximately one week before the meeting. III. Presentations The presentation subject matter must be within the scope of the Panel designated in the Charter. Any presentations outside of the scope of this Panel will be returned or requested for amendment. Unrelated topics VerDate Mar<15>2010 14:53 May 08, 2014 Jkt 232001 include, but are not limited to, the conversion factor, charge compression, revisions to the cost report, passthrough payments, correct coding, new technology applications (including supporting information/documentation), provider payment adjustments, supervision of hospital outpatient diagnostic services and the types of practitioners that are permitted to supervise hospital outpatient services. The Panel may not recommend that services be designated as nonsurgical extended duration therapeutic services. The Panel may use data collected or developed by entities and organizations, other than DHHS and CMS in conducting its review. We recommend organizations submit data for CMS staff and the Panel’s review. All presentations are limited to 5 minutes, regardless of the number of individuals or organizations represented by a single presentation. Presenters may use their 5 minutes to represent either one or more agenda items. All presentations will be shared with the public. Presentations may not contain any pictures, illustrations, or personally identifiable information. In order to consider presentations and/or comments, we will need to receive the following information by email only. We cannot accept hardcopy submittals. 1. An email copy of the presentation sent to the DFO mailbox, APCPanel@ cms.hhs.gov. 2. Form CMS–20017 with complete contact information that includes name, address, phone number, and email addresses for all presenters and a contact person that can answer any questions and or provide revisions that are requested for the presentation. • Presenters must clearly explain the actions that they are requesting CMS to take in the appropriate section of the form. A presenter’s relationship with the organization that they represent must also be clearly listed. • The form is now available through the CMS Forms Web site. The Uniform Resource Locator (URL) for linking to this form is as follows: https:// www.cms.hhs.gov/cmsforms/ downloads/cms20017.pdf. IV. Oral Comments In addition to formal oral presentations, which are limited to 5 minutes total per presentation, there will be an opportunity during the meeting for public oral comments, which will be limited to 1 minute for each individual and a total of 3 minutes per organization. PO 00000 Frm 00055 Fmt 4703 Sfmt 4703 V. Meeting Attendance The meeting is open to the public; however, attendance is limited to space available. Priority will be given to those who pre-register, and attendance may be limited based on the number of registrants and the space available. Persons wishing to attend this meeting, which is located on Federal property, must register by following the instructions in the ‘‘Meeting Registration Timeframe’’ section of this notice. A confirmation email will be sent to the registrants shortly after completing the registration process. VI. Security, Building, and Parking Guidelines The following are the security, building, and parking guidelines: • Persons attending the meeting, including presenters, must be preregistered and on the attendance list by the prescribed date. • Individuals who are not preregistered in advance may not be permitted to enter the building and may be unable to attend the meeting. • Attendees must present a government issued photo identification to the Federal Protective Service or Guard Service personnel before entering the building. Without a current, valid photo ID, persons may not be permitted entry to the building. • Security measures include inspection of vehicles, inside and out, at the entrance to the grounds. • All persons entering the building must pass through a metal detector. • All items brought into CMS including personal items, for example, laptops and cell phones are subject to physical inspection. • The public may enter the building 30 to 45 minutes before the meeting convenes each day. • All visitors must be escorted in areas other than the lower and first-floor levels in the Central Building. • The main-entrance guards will issue parking permits and instructions upon arrival at the building. VII. Special Accommodations Individuals requiring special accommodations must include the request for these services during registration. VIII. Panel Recommendations and Discussions The Panel’s recommendations at any Panel meeting generally are not final until they have been reviewed and approved by the Panel on the last day of the meeting, before the final adjournment. These recommendations E:\FR\FM\09MYN1.SGM 09MYN1 26765 Federal Register / Vol. 79, No. 90 / Friday, May 9, 2014 / Notices will be posted to our Web site after the meeting. IX. Collection of Information Requirements This document does not impose information collection and recordkeeping requirements. Consequently, it need not be reviewed by the Office of Management and Budget under the authority of the Paperwork Reduction Act of 1995 (44 U.S.C. 35). Dated: May 2, 2014. Marilyn Tavenner, Administrator, Centers for Medicare & Medicaid Services. [FR Doc. 2014–10688 Filed 5–8–14; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA–2014–N–0086] Agency Information Collection Activities; Submission for Office of Management and Budget Review; Comment Request; Potential Tobacco Product Violations Reporting Form AGENCY: Food and Drug Administration, HHS. ACTION: Notice. The Food and Drug Administration (FDA) is announcing that a proposed collection of information has been submitted to the Office of Management and Budget (OMB) for review and clearance under the Paperwork Reduction Act of 1995. DATES: Fax written comments on the collection of information by June 9, 2014. ADDRESSES: To ensure that comments on the information collection are received, OMB recommends that written comments be faxed to the Office of SUMMARY: Information and Regulatory Affairs, OMB, Attn: FDA Desk Officer, FAX: 202–395–7285, or emailed to oira_ submission@omb.eop.gov. All comments should be identified with the OMB control number 0910–0716. Also include the FDA docket number found in brackets in the heading of this document. FOR FURTHER INFORMATION CONTACT: FDA PRA Staff, Office of Operations, Food and Drug Administration, 1350 Piccard Dr., PI50–400B, Rockville, MD 20850, PRAStaff@fda.hhs.gov. SUPPLEMENTARY INFORMATION: In compliance with 44 U.S.C. 3507, FDA has submitted the following proposed collection of information to OMB for review and clearance. Potential Tobacco Product Violations Reporting Form—(OMB Control Number 0910–0716)—Extension On June 22, 2009, the President signed the Family Smoking Prevention and Tobacco Control Act (the Tobacco Control Act) (Pub. L. 111–31) into law. The Tobacco Control Act amended section 201 et seq. of the Federal Food, Drug, and Cosmetic Act (the FD&C Act) (21 U.S.C. 321 et seq.) by adding a new chapter granting FDA important new authority to regulate the manufacture, marketing, and distribution of tobacco products to protect the public health generally and to reduce tobacco use by minors. FDA is requesting an extension of OMB approval for the collection of information to accept consumer and other stakeholder feedback and notification of potential violations of the FD&C Act, as amended by the Tobacco Control Act. FDA created a Tobacco Call Center (with a toll-free number: 1–877–CTP– 1373). Callers are able to report potential violations of the Tobacco Control Act, and FDA will conduct targeted followup investigations based on information received. When callers report a violation, the caller will be asked to provide as much certain information as they can recall, including: The date the potential violation occurred; product type (e.g., cigarette, smokeless, roll-your-own); tobacco brand; potential violation type; type of potentially violative promotional materials; who potentially violated; and the name, address, phone number, and email address of the potential violator. The caller will also be asked to list the potential violator’s Web site (if available), describe the potential violation, and provide any additional files or information pertinent to the potential violation. FDA currently provides a form that may be used to solicit this information from the caller (Form FDA 3779, Potential Tobacco Product Violations Report), and seeks renewal of Form FDA 3779. This form is posted on FDA’s Web site. The public and interested stakeholders are also able to report information regarding possible violations of the Tobacco Control Act through the following methods: Calling the Tobacco Call Center using the Center for Tobacco Products’ (CTP) tollfree number; using a fillable Form FDA 3779 found on FDA’s Web site; downloading a PDF version of the form to send via email or mail to FDA; requesting a copy of Form FDA 3779 by contacting CTP and sending by mail to FDA; and sending a letter to FDA’s CTP. The public and interested stakeholders will also be able to report information regarding possible violations of the Tobacco Control Act in the future using FDA’s tobacco violation reporting smartphone application. In the Federal Register of February 18, 2014 (79 FR 9216), FDA published a 60-day notice requesting public comment on the proposed collection of information. No comments were received. FDA estimates the burden of this collection of information as follows: TABLE 1—ESTIMATED ANNUAL REPORTING BURDEN 1 Number of respondents Number of responses per respondent Total annual responses Average burden per response Total hours Reporting violations of the FD&C Act, as amended by the Tobacco Control Act, by telephone, Internet form, mail, smartphone application, or email ..................................... ehiers on DSK2VPTVN1PROD with NOTICES Activity and Form FDA 3779 400 2 800 2 0.25 200 1 There 2 15 are no capital costs or operating and maintenance costs associated with this collection of information. minutes. FDA estimates that submitting the information (by telephone, Internet, mail, smartphone application, or email) will take 0.25 hours (i.e., 15 minutes) VerDate Mar<15>2010 14:53 May 08, 2014 Jkt 232001 per response. FDA estimates the number of annual respondents to this collection of information will be 400, who will each submit 2 reports by telephone, PO 00000 Frm 00056 Fmt 4703 Sfmt 4703 Internet, mail, smartphone application, or email. This estimate is based on the rate of reporting through Form FDA 3779, reports received from FDA’s toll- E:\FR\FM\09MYN1.SGM 09MYN1

Agencies

[Federal Register Volume 79, Number 90 (Friday, May 9, 2014)]
[Notices]
[Pages 26763-26765]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-10688]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-1467-N]


Medicare Program; The Advisory Panel on Hospital Outpatient 
Payment (HOP Panel) Summer Meeting, August 25-26, 2014

AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of 
Health and Human Services (HHS).

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: This notice announces the summer meeting of the Advisory Panel 
on Hospital Outpatient Payment (the Panel) for 2014. The purpose of the 
Panel is to advise the Secretary of the Department of Health and Human 
Services (DHHS) (the Secretary) and the Administrator of the Centers 
for Medicare & Medicaid Services (CMS) (the Administrator) on the 
clinical integrity of the Ambulatory Payment Classification (APC) 
groups and their associated weights, and hospital outpatient 
therapeutic services supervision issues.

DATES: Meeting Dates: The second semi-annual meeting in 2014 is 
scheduled for the following dates and times. The times listed in this 
notice are Eastern Daylight Time (EDT) and are approximate times; 
consequently, the meetings may last longer than the times listed in 
this notice, but will not begin before the posted times:

 Monday, August 25, 2014, 9 a.m. to 5 p.m. EDT
 Tuesday, August 26, 2014, 9 a.m. to 5 p.m. EDT

    Meeting Information Updates:
    The actual meeting hours and days will be posted in the agenda. As 
information and updates regarding the onsite, webcast, and 
teleconference meeting, and agenda become available, they will be 
posted to the CMS Web site at: https://cms.gov/Regulations-and-Guidance/Guidance/FACA/AdvisoryPanelonAmbulatoryPaymentClassificationGroups.html

Deadlines

Deadline for Presentations and Comments

    Presentations and Comments can be submitted by email only. 
Presentations or comments and form CMS-20017 must be in the Designated 
Federal Official's (DFO's) email inbox (APCPanel@cms.hhs.gov) by 5 p.m. 
EDT, Friday, July, 25, 2014. Presentations and comments that are not 
received by the due date will be considered late and will not be 
included on the agenda. (See below for submission instructions for 
electronic submissions.)
    Meeting Registration Timeframe: Monday, June 30, 2014 through 
Friday, August 01, 2014 at 5 p.m. EDT.
    Participants planning to attend this meeting in person must 
register online, during the above specified timeframe at: https://www.cms.gov/apps/events/default.asp. On this Web page, double click the 
``Upcoming Events'' hyperlink, and then double click the ``HOP Panel'' 
event title link and enter the required information. Include any 
requests for special accommodations.

    Note: Participants who do not plan to attend this meeting in 
person should not register. No registration is required for 
participants who plan to view the meeting via webcast.

    In commenting, please refer to file code CMS-1467-N. Because of 
staff and resource limitations, we cannot accept comments and 
presentations by facsimile (FAX) transmission or hard copy.
    Meeting Location, Webcast, and Teleconference:
    The meeting will be held in the Auditorium, CMS Central Office, 
7500 Security Boulevard, Woodlawn, Maryland 21244-1850. Alternately, 
the public may either view this meeting via a webcast or listen by 
teleconference. During the scheduled meeting, webcasting is accessible 
online at: https://cms.gov/live. Teleconference dial-in information will 
appear on the final meeting agenda, which will be posted on the CMS Web 
site when available at: https://www.cms.gov/Regulations-and-Guidance/Guidance/FACA/AdvisoryPanelonAmbulatoryPaymentClassificationGroups.html.

FOR FURTHER INFORMATION CONTACT: DFO: Carol Schwartz, DFO, 7500 
Security Boulevard, Mail Stop: C4-04-25, Woodlawn, MD 21244-1850. 
Phone: (410) 786-3985. Email: APCPanel@cms.hhs.gov.
    Send email copies to the following address: Email: 
APCPanel@cms.hhs.gov.
    News Media: Representatives must contact our Public Affairs Office 
at (202) 690-6145.
    Advisory Committees' Information Lines: The phone number for the 
CMS Federal Advisory Committee Hotline is (410) 786-3985.
    Web sites:
    For additional information on the Panel and updates to the Panel's 
activities, we refer readers to view our Web site at: https://www.cms.gov/Regulations-and-Guidance/Guidance/FACA/AdvisoryPanelonAmbulatoryPaymentClassificationGroups.html.

[[Page 26764]]

    Information about the Panel and its membership in the Federal 
Advisory Committee Act (FACA) database are also located at: https://facadatabase.gov/.

SUPPLEMENTARY INFORMATION:

I. Background

    The Secretary of the Department of Health and Human Services (DHHS) 
(the Secretary) is required by section 1833(t)(9)(A) of the Social 
Security Act (the Act) and section 222 of the Public Health Service Act 
(PHS Act) to consult with an expert outside the Advisory Panel on 
Hospital Outpatient Payment (the Panel) regarding the clinical 
integrity of the Ambulatory Payment Classification (APC) groups and 
relative payment weights. The Panel is governed by the provisions of 
the Federal Advisory Committee Act (Pub. L. 92-463), as amended (5 
U.S.C. Appendix 2), to set forth standards for the formation and use of 
advisory panels.
    The Charter provides that the Panel shall meet up to 3 times 
annually. We consider the technical advice provided by the Panel as we 
prepare the proposed and final rules to update the outpatient 
prospective payment system (OPPS).

II. Agenda

    The agenda for the August 25, 2014 through August 26, 2014 meeting 
will provide for discussion and comment on the following topics as 
designated in the Panel's Charter:
     Addressing whether procedures within an APC group are 
similar both clinically and in terms of resource use.
     Evaluating APC group weights.
     Reviewing the packaging of OPPS services and costs, 
including the methodology and the impact on APC groups and payment.
     Removing procedures from the inpatient-only list for 
payment under the OPPS.
     Using single and multiple procedure claims data for CMS' 
determination of APC group weights.
     Addressing other technical issues concerning APC group 
structure.
     Recommending the appropriate supervision level (general, 
direct, or personal) for individual hospital outpatient therapeutic 
services.
    The Agenda will be posted on the Centers for Medicare & Medicaid 
Services (CMS) Web site approximately one week before the meeting.

III. Presentations

    The presentation subject matter must be within the scope of the 
Panel designated in the Charter. Any presentations outside of the scope 
of this Panel will be returned or requested for amendment. Unrelated 
topics include, but are not limited to, the conversion factor, charge 
compression, revisions to the cost report, pass-through payments, 
correct coding, new technology applications (including supporting 
information/documentation), provider payment adjustments, supervision 
of hospital outpatient diagnostic services and the types of 
practitioners that are permitted to supervise hospital outpatient 
services. The Panel may not recommend that services be designated as 
nonsurgical extended duration therapeutic services.
    The Panel may use data collected or developed by entities and 
organizations, other than DHHS and CMS in conducting its review. We 
recommend organizations submit data for CMS staff and the Panel's 
review.
    All presentations are limited to 5 minutes, regardless of the 
number of individuals or organizations represented by a single 
presentation. Presenters may use their 5 minutes to represent either 
one or more agenda items.
    All presentations will be shared with the public. Presentations may 
not contain any pictures, illustrations, or personally identifiable 
information.
    In order to consider presentations and/or comments, we will need to 
receive the following information by email only. We cannot accept 
hardcopy submittals.
    1. An email copy of the presentation sent to the DFO mailbox, 
APCPanel@cms.hhs.gov.
    2. Form CMS-20017 with complete contact information that includes 
name, address, phone number, and email addresses for all presenters and 
a contact person that can answer any questions and or provide revisions 
that are requested for the presentation.
     Presenters must clearly explain the actions that they are 
requesting CMS to take in the appropriate section of the form. A 
presenter's relationship with the organization that they represent must 
also be clearly listed.
     The form is now available through the CMS Forms Web site. 
The Uniform Resource Locator (URL) for linking to this form is as 
follows: https://www.cms.hhs.gov/cmsforms/downloads/cms20017.pdf.

IV. Oral Comments

    In addition to formal oral presentations, which are limited to 5 
minutes total per presentation, there will be an opportunity during the 
meeting for public oral comments, which will be limited to 1 minute for 
each individual and a total of 3 minutes per organization.

V. Meeting Attendance

    The meeting is open to the public; however, attendance is limited 
to space available. Priority will be given to those who pre-register, 
and attendance may be limited based on the number of registrants and 
the space available.
    Persons wishing to attend this meeting, which is located on Federal 
property, must register by following the instructions in the ``Meeting 
Registration Timeframe'' section of this notice. A confirmation email 
will be sent to the registrants shortly after completing the 
registration process.

VI. Security, Building, and Parking Guidelines

    The following are the security, building, and parking guidelines:
     Persons attending the meeting, including presenters, must 
be pre-registered and on the attendance list by the prescribed date.
     Individuals who are not pre-registered in advance may not 
be permitted to enter the building and may be unable to attend the 
meeting.
     Attendees must present a government issued photo 
identification to the Federal Protective Service or Guard Service 
personnel before entering the building. Without a current, valid photo 
ID, persons may not be permitted entry to the building.
     Security measures include inspection of vehicles, inside 
and out, at the entrance to the grounds.
     All persons entering the building must pass through a 
metal detector.
     All items brought into CMS including personal items, for 
example, laptops and cell phones are subject to physical inspection.
     The public may enter the building 30 to 45 minutes before 
the meeting convenes each day.
     All visitors must be escorted in areas other than the 
lower and first-floor levels in the Central Building.
     The main-entrance guards will issue parking permits and 
instructions upon arrival at the building.

VII. Special Accommodations

    Individuals requiring special accommodations must include the 
request for these services during registration.

VIII. Panel Recommendations and Discussions

    The Panel's recommendations at any Panel meeting generally are not 
final until they have been reviewed and approved by the Panel on the 
last day of the meeting, before the final adjournment. These 
recommendations

[[Page 26765]]

will be posted to our Web site after the meeting.

IX. Collection of Information Requirements

    This document does not impose information collection and 
recordkeeping requirements. Consequently, it need not be reviewed by 
the Office of Management and Budget under the authority of the 
Paperwork Reduction Act of 1995 (44 U.S.C. 35).

    Dated: May 2, 2014.
Marilyn Tavenner,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2014-10688 Filed 5-8-14; 8:45 am]
BILLING CODE 4120-01-P
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