Payment for Physician and Other Health Care Professional Services Purchased by Indian Health Programs and Medical Charges Associated With Non-Hospital-Based Care, 1880-1881 [2015-00400]

Download as PDF 1880 Federal Register / Vol. 80, No. 9 / Wednesday, January 14, 2015 / Proposed Rules List of Subjects in 40 CFR Part 745 Environmental protection, Lead, Lead-based paint, Renovation. Dated: January 7, 2015. Gina McCarthy, Administrator. Therefore, it is proposed that 40 CFR chapter I be amended as follows: PART 745—[AMENDED] 1. The authority citation for part 745 continues to read as follows: ■ Authority: 15 U.S.C. 2605, 2607, 2681– 2692 and 42 U.S.C. 4852d. 2. In § 745.225: a. Add new paragraph (a)(4). b. Revise the introductory text of paragraphs (c), (d), and (e). ■ c. Revise paragraphs (c)(14)(i) and (e)(2) and (3). The addition and revisions read as follows: ■ ■ ■ wreier-aviles on DSK4TPTVN1PROD with PROPOSALS § 745.225 Accreditation of training programs: target housing and child occupied facilities. (a) * * * (4) Accredited training programs, training program managers, and principal instructors must comply with all of the requirements of this section including approved terms of the application and all of the requirements and limitations specified in any accreditation documents issued to training programs. * * * * * (c) Requirements for the accreditation of training programs. A training program accredited by EPA to offer leadbased paint activities courses, renovator courses, or dust sampling technician courses must meet the following requirements: * * * * * (14) * * * (i) The training manager must provide EPA notification after the completion of any renovator, dust sampling, or leadbased paint activities course. This notification must be received by EPA no later than 10 business days following course completion. * * * * * (d) Minimum training curriculum requirements. A training program accredited by EPA to offer lead-based paint courses in the specific disciplines listed in this paragraph (d) must ensure that its courses of study include, at a minimum, the following course topics. * * * * * (e) Requirements for the accreditation of refresher training programs. A training program may seek accreditation to offer refresher training courses in any VerDate Sep<11>2014 12:23 Jan 13, 2015 Jkt 235001 of the following disciplines: Inspector, risk assessor, supervisor, project designer, abatement worker, renovator, and dust sampling technician. A training program accredited by EPA to offer refresher training must meet the following minimum requirements: * * * * * (2) Refresher courses for inspector, risk assessor, supervisor, and abatement worker must last a minimum of 8 training hours. Refresher courses for project designer, renovator, and dust sampling technician must last a minimum of 4 training hours. Refresher courses for all disciplines except renovator and project designer must include a hands-on component. (3) Except for renovator and project designer courses, for all other courses offered, the training program shall conduct a hands-on assessment. With the exception of project designer courses, the training program shall conduct a course test at the completion of the course. * * * * * ■ 3. In § 745.238: ■ a. Remove paragraph (c)(3). ■ b. Redesignate paragraphs (c)(4) and (5) as (c)(3) and (4). ■ c. Revise the headings for paragraphs (d)(1) and (2). ■ d. Revise paragraph (e)(2). The amendments read as follows: DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service 42 CFR Part 136 RIN 0917–AA12 Payment for Physician and Other Health Care Professional Services Purchased by Indian Health Programs and Medical Charges Associated With Non-Hospital-Based Care Indian Health Service, HHS. Proposed rule; extension of the comment period. AGENCY: ACTION: This document extends the comment period for the Payment for Physician and Other Health Care Professional Services Purchased by Indian Health Programs and Medical Charges Associated with Non-HospitalBased Care proposed rule, which was published in the Federal Register on December 5, 2014. The comment period for the proposed rule, which would have ended on January 20, 2015, is extended to February 4, 2015. DATES: The comment period for the proposed rule published in the December 5, 2014 Federal Register (79 FR 72160) is extended to February 4, 2015. ADDRESSES: Because of staff and resource limitations, we cannot accept comments by facsimile transmission. You may submit comments in one of four ways (please choose only one of the ways listed): § 745.238 Fees for accreditation and 1. Electronically. You may submit certification of lead-based paint activities. electronic comments on this regulation * * * * * to https://regulations.gov. Follow the (d) * * * ‘‘Submit a Comment’’ instructions. 2. By regular mail. You may mail (1) Certification and re-certification written comments to the following * * * address ONLY: Betty Gould, Regulations (2) Accreditation and re-accreditation. Officer, Indian Health Service, 801 * * * Thompson, Avenue, TMP STE 450, * * * * * Rockville, Maryland 20852. Please allow sufficient time for mailed comments to (e) * * * be received before the close of the (2) Submit application and payment comment period. in the amount specified in paragraph 3. By express or overnight mail. You (c)(3) of this section in accordance with may send written comments to the the instructions provided with the above address. application package. 4. By hand or courier. If you prefer, you may deliver (by hand or courier) * * * * * [FR Doc. 2015–00473 Filed 1–13–15; 8:45 am] your written comments before the close of the comment period to the address BILLING CODE 6560–50–P above. If you intend to deliver your comments to the Rockville address, please call telephone number (301) 443– 1116 in advance to schedule your arrival with a staff member. Comments will be made available for public inspection at the Rockville PO 00000 Frm 00029 Fmt 4702 Sfmt 4702 SUMMARY: E:\FR\FM\14JAP1.SGM 14JAP1 Federal Register / Vol. 80, No. 9 / Wednesday, January 14, 2015 / Proposed Rules address from 8:30 a.m. to 5:00 p.m., Monday–Friday, approximately three weeks after publication of this notice. DEPARTMENT OF COMMERCE Carl Harper, Director, Office of Resource Access and Partnerships, Indian Health Service, 801 Thompson Avenue, Rockville, Maryland 20852. Telephone: (301) 443–1553. FOR FURTHER INFORMATION CONTACT: This proposed rule would amend Indian Health Service (IHS) Purchased and Referred Care, formally known as Contract Health Services, regulations to apply Medicare payment methodologies to all physician and other health care professional services and non-hospital based services that are either authorized under such regulations or purchased by urban Indian organizations. Specifically, it proposes that the health programs operated by IHS, Tribe, Tribal organization, or urban Indian organization will pay the lowest of the amount provided for under the applicable Medicare fee schedule, prospective payment system, or Medicare waiver; the amount negotiated by a repricing agent, if available; or the usual and customary billing rate. Repricing agents may be used to determine whether IHS may benefit from savings by utilizing negotiated rates offered through commercial health care networks. This proposed rule seeks comment on how to establish reimbursement that is consistent across Federal health care programs, aligns payment with inpatient services, and enables the IHS to expand beneficiary access to medical care. This comment period is being extended to allow all interested parties the opportunity to comment on the proposed rule. Therefore, we are extending the comment period until February 4, 2015. SUPPLEMENTARY INFORMATION: Dated: January 7, 2015. Yvette Roubideaux, Acting Director, Indian Health Service. [FR Doc. 2015–00400 Filed 1–13–15; 8:45 am] wreier-aviles on DSK4TPTVN1PROD with PROPOSALS BILLING CODE 4165–16–P VerDate Sep<11>2014 12:23 Jan 13, 2015 Jkt 235001 National Oceanic and Atmospheric Administration 50 CFR Part 665 [Docket No. 141110950–4999–01] RIN 0648–BE63 Pacific Island Fisheries; Pacific Remote Islands Marine National Monument Expansion National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA), Commerce. ACTION: Proposed rule; request for comments. AGENCY: NMFS proposes to establish requirements for fishing in the Pacific Remote Islands Marine National Monument Expansion. The proposed rule is intended to implement fishery management measures consistent with Presidential Proclamation 9173. DATES: NMFS must receive comments on the proposed rule by February 13, 2015. SUMMARY: You may submit comments on this proposed rule, identified by NOAA–NMFS–2014–0142, by either of the following methods: • Electronic Submission: Submit all electronic public comments via the Federal e-Rulemaking Portal. Go to https://www.regulations.gov/ #!docketDetail;D=NOAA-NMFS-20140142, click the ‘‘Comment Now!’’ icon, complete the required fields, and enter or attach your comments. • Mail: Send written comments to Michael D. Tosatto, Regional Administrator, NMFS Pacific Islands Region (PIR), 1845 Wasp Blvd., Bldg. 176, Honolulu, HI 96818. Instructions: Comments sent by any other method, to any other address or individual, or received after the end of the comment period, may not be considered by NMFS. All comments received are a part of the public record and will generally be posted for public viewing on www.regulations.gov without change. All personal identifying information (e.g., name, address, etc.), confidential business information, or otherwise sensitive information submitted voluntarily by the sender will be publicly accessible. NMFS will accept anonymous comments (enter ‘‘N/ A’’ in the required fields if you wish to remain anonymous), and will accept attachments to electronic comments in Microsoft Word, Excel, or Adobe PDF file formats only. ADDRESSES: PO 00000 Frm 00030 Fmt 4702 Sfmt 4702 1881 You may review Presidential Proclamation 9173 (establishing the Pacific Remote Islands Marine National Monument Expansion) (PRI Monument Expansion), Presidential Proclamation 8663 (establishing the Pacific Remote Islands Marine National Monument) (PRI Monument), and the PRI Monument fishing requirements established in Amendment 2 to the Fishery Ecosystem Plan for the Pacific Remote Island Areas published in 2013, available from www.regulations.gov. Amendment 2 is also available from the Western Pacific Fishery Management Council (Council), 1164 Bishop St., Suite 1400, Honolulu, HI 96813, tel 808–522–8220, fax 808–522–8226, or from www.wpcouncil.org. FOR FURTHER INFORMATION CONTACT: Bob Harman, NMFS PIR Sustainable Fisheries, tel 808–725–5170. SUPPLEMENTARY INFORMATION: NMFS and the Council manage Pacific Island fisheries through fishery ecosystem plans (FEP) for American Samoa, the Mariana Archipelago (Guam and the Commonwealth of the Northern Mariana Islands (CNMI)), the Pacific Remote Island Areas (PRIA), Hawaii, and western Pacific pelagic fisheries. Fishing regulations for the Pacific Islands are found mainly in 50 CFR part 665. In 2009, President Bush issued Presidential Proclamations that established three Marine National Monuments in the Pacific Islands under the authority of the Antiquities Act: The Marianas Trench Marine National Monument (Proclamation 8335), the Pacific Remote Islands Marine National Monument (PRI Monument, Proclamation 8336), and the Rose Atoll Marine National Monument (Proclamation 8337). The Proclamations directed the Secretaries of the Interior and Commerce to take appropriate action pursuant to their respective authorities under the Antiquities Act, the Magnuson-Stevens Act, and such other authorities as may be available to implement the Proclamations, to regulate fisheries, including allowing for traditional indigenous fishing practices, and to ensure proper care and management of the monuments. In 2013, the Council incorporated the Proclamations’ fishery management provisions into its FEPs. With respect to the PRI Monument, the Council adopted Amendment 2 to the Fishery Ecosystem Plan for the Pacific Remote Island Areas establishing (a) the boundaries of the PRI Monument and various management units, (b) the prohibition on commercial fishing, and (c) management measures for non- E:\FR\FM\14JAP1.SGM 14JAP1

Agencies

[Federal Register Volume 80, Number 9 (Wednesday, January 14, 2015)]
[Proposed Rules]
[Pages 1880-1881]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2015-00400]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service

42 CFR Part 136

RIN 0917-AA12


Payment for Physician and Other Health Care Professional Services 
Purchased by Indian Health Programs and Medical Charges Associated With 
Non-Hospital-Based Care

AGENCY: Indian Health Service, HHS.

ACTION: Proposed rule; extension of the comment period.

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

SUMMARY: This document extends the comment period for the Payment for 
Physician and Other Health Care Professional Services Purchased by 
Indian Health Programs and Medical Charges Associated with Non-
Hospital-Based Care proposed rule, which was published in the Federal 
Register on December 5, 2014. The comment period for the proposed rule, 
which would have ended on January 20, 2015, is extended to February 4, 
2015.

DATES: The comment period for the proposed rule published in the 
December 5, 2014 Federal Register (79 FR 72160) is extended to February 
4, 2015.

ADDRESSES: Because of staff and resource limitations, we cannot accept 
comments by facsimile transmission. You may submit comments in one of 
four ways (please choose only one of the ways listed):
    1. Electronically. You may submit electronic comments on this 
regulation to https://regulations.gov. Follow the ``Submit a Comment'' 
instructions.
    2. By regular mail. You may mail written comments to the following 
address ONLY: Betty Gould, Regulations Officer, Indian Health Service, 
801 Thompson, Avenue, TMP STE 450, Rockville, Maryland 20852. Please 
allow sufficient time for mailed comments to be received before the 
close of the comment period.
    3. By express or overnight mail. You may send written comments to 
the above address.
    4. By hand or courier. If you prefer, you may deliver (by hand or 
courier) your written comments before the close of the comment period 
to the address above.
    If you intend to deliver your comments to the Rockville address, 
please call telephone number (301) 443-1116 in advance to schedule your 
arrival with a staff member.
    Comments will be made available for public inspection at the 
Rockville

[[Page 1881]]

address from 8:30 a.m. to 5:00 p.m., Monday-Friday, approximately three 
weeks after publication of this notice.

FOR FURTHER INFORMATION CONTACT: Carl Harper, Director, Office of 
Resource Access and Partnerships, Indian Health Service, 801 Thompson 
Avenue, Rockville, Maryland 20852. Telephone: (301) 443-1553.

SUPPLEMENTARY INFORMATION: This proposed rule would amend Indian Health 
Service (IHS) Purchased and Referred Care, formally known as Contract 
Health Services, regulations to apply Medicare payment methodologies to 
all physician and other health care professional services and non-
hospital based services that are either authorized under such 
regulations or purchased by urban Indian organizations. Specifically, 
it proposes that the health programs operated by IHS, Tribe, Tribal 
organization, or urban Indian organization will pay the lowest of the 
amount provided for under the applicable Medicare fee schedule, 
prospective payment system, or Medicare waiver; the amount negotiated 
by a repricing agent, if available; or the usual and customary billing 
rate. Repricing agents may be used to determine whether IHS may benefit 
from savings by utilizing negotiated rates offered through commercial 
health care networks. This proposed rule seeks comment on how to 
establish reimbursement that is consistent across Federal health care 
programs, aligns payment with inpatient services, and enables the IHS 
to expand beneficiary access to medical care.
    This comment period is being extended to allow all interested 
parties the opportunity to comment on the proposed rule. Therefore, we 
are extending the comment period until February 4, 2015.

    Dated: January 7, 2015.
Yvette Roubideaux,
Acting Director, Indian Health Service.
[FR Doc. 2015-00400 Filed 1-13-15; 8:45 am]
BILLING CODE 4165-16-P

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