Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities; Reopening of Comment Period, 55284-55285 [2015-23110]
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55284
Federal Register / Vol. 80, No. 178 / Tuesday, September 15, 2015 / Proposed Rules
mstockstill on DSK4VPTVN1PROD with PROPOSALS
our incorporation by reference of 40
CFR 52.2470(c)—Table 4 ‘‘Additional
Regulations Approved for the Benton
Clean Air Agency (BCAA) Jurisdiction’’
to reflect the regulations shown in the
tables in section III.A. Regulations to
Approve and Incorporate by Reference
into the SIP and the rules proposed for
removal from the SIP in section III.C.
Regulations to Remove from the SIP.
The EPA has made, and will continue
to make, these documents generally
available electronically through
www.regulations.gov and/or in hard
copy at the appropriate EPA office (see
the ADDRESSES section of this preamble
for more information).
V. Statutory and Executive Order
Reviews
Under the Clean Air Act, the
Administrator is required to approve a
SIP submission that complies with the
provisions of the Act and applicable
Federal regulations. 42 U.S.C. 7410(k);
40 CFR 52.02(a). Thus, in reviewing SIP
submissions, the EPA’s role is to
approve state choices, provided that
they meet the criteria of the Clean Air
Act. Accordingly, this action merely
approves state law as meeting Federal
requirements and does not impose
additional requirements beyond those
imposed by state law. For that reason,
this action:
• Is not a ‘‘significant regulatory
action’’ subject to review by the Office
of Management and Budget under
Executive Orders 12866 (58 FR 51735,
October 4, 1993) and 13563 (76 FR 3821,
January 21, 2011);
• does not impose an information
collection burden under the provisions
of the Paperwork Reduction Act (44
U.S.C. 3501 et seq.);
• is certified as not having a
significant economic impact on a
substantial number of small entities
under the Regulatory Flexibility Act (5
U.S.C. 601 et seq.);
• does not contain any unfunded
mandate or significantly or uniquely
affect small governments, as described
in the Unfunded Mandates Reform Act
of 1995 (Pub. L. 104–4);
• does not have Federalism
implications as specified in Executive
Order 13132 (64 FR 43255, August 10,
1999);
• is not an economically significant
regulatory action based on health or
safety risks subject to Executive Order
13045 (62 FR 19885, April 23, 1997);
• is not a significant regulatory action
subject to Executive Order 13211 (66 FR
28355, May 22, 2001);
• is not subject to the requirements of
Section 12(d) of the National
Technology Transfer and Advancement
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18:46 Sep 14, 2015
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Act of 1995 (15 U.S.C. 272 note) because
this action does not involve technical
standards; and
• does not provide the EPA with the
discretionary authority to address, as
appropriate, disproportionate human
health or environmental effects, using
practicable and legally permissible
methods, under Executive Order 12898
(59 FR 7629, February 16, 1994).
In addition, this rule does not have
tribal implications as specified by
Executive Order 13175 (65 FR 67249,
November 9, 2000), because it will not
impose substantial direct costs on tribal
governments or preempt tribal law. As
discussed above, the SIP is not
approved to apply in Indian
reservations in the state, except for nontrust land within the exterior
boundaries of the Puyallup Indian
Reservation (also known as the 1873
Survey Area), or any other area where
the EPA or an Indian tribe has
demonstrated that a tribe has
jurisdiction.
List of Subjects in 40 CFR Part 52
Environmental protection, Air
pollution control, Carbon monoxide,
Incorporation by reference,
Intergovernmental relations, Lead,
Nitrogen dioxide, Ozone, Particulate
matter, Reporting and recordkeeping
requirements, Sulfur oxides, Volatile
organic compounds.
Authority: 42 U.S.C. 7401 et seq.
Dated: September 2, 2015.
Dennis J. McLerran,
Regional Administrator, Region 10.
[FR Doc. 2015–23144 Filed 9–14–15; 8:45 am]
BILLING CODE 6560–50–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
42 CFR Parts 405, 431, 447, 482, 483,
485, and 488
[CMS–3260–N]
RIN 0938–AR61
Medicare and Medicaid Programs;
Reform of Requirements for LongTerm Care Facilities; Reopening of
Comment Period
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Proposed rule; reopening of
comment period.
AGENCY:
This document reopens the
comment period for the July 16, 2015
SUMMARY:
PO 00000
Frm 00012
Fmt 4702
Sfmt 4702
proposed rule entitled ‘‘Reform of
Requirements for Long-Term Care
Facilities’’. The comment period for the
proposed rule, which ends on
September 14, 2015, is reopened for 30
days.
DATES: The comment period for the
proposed rule published on July 16,
2015 (80 FR 42168), is reopened and
ends on October 14, 2015.
ADDRESSES: In commenting, please refer
to file code CMS–3260–P. Because of
staff and resource limitations, we cannot
accept comments by facsimile (FAX)
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://www.regulations.gov. Follow
the ‘‘Submit a comment’’ instructions.
2. By regular mail. You may mail
written comments to the following
address ONLY: Centers for Medicare &
Medicaid Services, Department of
Health and Human Services, Attention:
CMS–3260–P, P.O. Box 8010, Baltimore,
MD 21244.
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
following address ONLY: Centers for
Medicare & Medicaid Services,
Department of Health and Human
Services, Attention: CMS–3260–P, Mail
Stop C4–26–05, 7500 Security
Boulevard, Baltimore, MD 21244–1850.
4. By hand or courier. Alternatively,
you may deliver (by hand or courier)
your written comments ONLY to the
following addresses prior to the close of
the comment period:
a. For delivery in Washington, DC—
Centers for Medicare & Medicaid
Services, Department of Health and
Human Services, Room 445–G, Hubert
H. Humphrey Building, 200
Independence Avenue SW.,
Washington, DC 20201.
(Because access to the interior of the
Hubert H. Humphrey Building is not
readily available to persons without
federal government identification,
commenters are encouraged to leave
their comments in the CMS drop slots
located in the main lobby of the
building. A stamp-in clock is available
for persons wishing to retain a proof of
filing by stamping in and retaining an
extra copy of the comments being filed.)
b. For delivery in Baltimore, MD—
Centers for Medicare & Medicaid
Services, Department of Health and
Human Services, 7500 Security
Boulevard, Baltimore, MD 21244–1850.
E:\FR\FM\15SEP1.SGM
15SEP1
Federal Register / Vol. 80, No. 178 / Tuesday, September 15, 2015 / Proposed Rules
If you intend to deliver your
comments to the Baltimore address, call
telephone number (410) 786–9994 in
advance to schedule your arrival with
one of our staff members.
Comments erroneously mailed to the
addresses indicated as appropriate for
hand or courier delivery may be delayed
and received after the comment period.
For information on viewing public
comments, see the beginning of the
SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT:
Ronisha Blackstone, (410) 786–6633.
On July
16, 2015, we published a proposed rule
in the Federal Register (80 FR 42168)
entitled, ‘‘Reform of Requirements for
Long-Term Care Facilities’’ that would
revise the requirements that long-term
care facilities must meet to participate
in the Medicare and Medicaid programs.
The proposed provisions include
updating obsolete language, improving
clarity, addressing ongoing healthcare
priorities, and implementing certain
Affordable Care Act provisions. These
proposed changes are necessary to
reflect the substantial advances that
have been made over the past several
years in the theory and practice of
service delivery and safety. These
proposals are also an integral part of our
efforts to achieve broad-based
improvements both in the quality of
health care furnished through federal
programs, and in patient safety, while at
the same time reducing procedural
burdens on providers.
We have received inquiries from
Hospital Associations and national
industry organizations regarding the 60
day period to submit comments
regarding this proposed rule. The
organizations stated that they needed
additional time to respond to the rule
due to the scope and complexity of the
proposal. Because of the scope of the
proposed rule, and since we have
specifically requested the public’s
comments on various aspect of the rule,
we believe that it is important to allow
ample time for the public to prepare
comments on this proposed rule.
Therefore, we have decided to reopen
the comment period for an additional 30
days. This document announces the
reopening of the public comment period
to end on October 14, 2015.
mstockstill on DSK4VPTVN1PROD with PROPOSALS
SUPPLEMENTARY INFORMATION:
Dated: September 9, 2015.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare
& Medicaid Services.
[FR Doc. 2015–23110 Filed 9–11–15; 8:45 am]
BILLING CODE 4120–01–P
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18:46 Sep 14, 2015
Jkt 235001
DEPARTMENT OF TRANSPORTATION
Federal Railroad Administration
[Docket No. FRA–2009–0038]
49 CFR Part 271
RIN 2130–AC11
Risk Reduction Program
Federal Railroad
Administration (FRA), Department of
Transportation (DOT).
ACTION: Proposed rule; notice of
comment period reopening.
AGENCY:
On February 27, 2015, FRA
published a Notice of Proposed
Rulemaking (NPRM) that would require
certain railroads to develop a Risk
Reduction Program (RRP). On August
27, 2015, FRA held a public hearing to
provide interested persons an
opportunity to provide oral comments
on the proposal. FRA is reopening the
comment period for this proceeding to
allow additional time for interested
parties to submit written comments in
response to views or information
provided at the public hearing.
DATES: The comment period for this
proceeding, consisting of the proposed
rule published February 27, 2015, at 80
FR 10950, and the August 27, 2015,
hearing, announced at 80 FR 45500, July
30, 2015, is reopened. Written
comments must be received by
September 18th, 2015. Comments
received after that date will be
considered to the extent possible
without incurring additional expense or
delay.
ADDRESSES: Written comments related
to Docket No. FRA–2009–0038 may be
submitted by any of the following
methods:
• Web site: The Federal eRulemaking
Portal, https://www.regulations.gov.
Follow the Web site’s online
instructions for submitting comments.
• Fax: (202) 493–2251.
• Mail: Docket Management Facility,
U.S. Department of Transportation, 1200
New Jersey Avenue SE., Room W12–
140, Washington, DC 20590.
• Hand Delivery: Docket Management
Facility, U.S. Department of
Transportation, 1200 New Jersey
Avenue SE., Washington, DC 20590,
Room W12–140 on the ground level of
the West Building, between 9 a.m. and
5 p.m., Monday through Friday, except
Federal holidays.
Instructions: All submissions must
include the agency name, docket name,
and docket number or Regulatory
Identification Number (RIN) for this
rulemaking. Note that all comments
SUMMARY:
PO 00000
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55285
received will be posted without change
to https://www.regulations.gov, including
any personal information provided.
Please see the Privacy Act heading in
the SUPPLEMENTARY INFORMATION section
of this document for Privacy Act
information related to any submitted
comments or materials.
Docket: FRA has posted a transcript of
the August 27, 2015, public hearing to
the public docket in this proceeding.
For access to the docket to read
background documents or comments
received, go to https://
www.regulations.gov at any time or to
the Docket Management Facility, U.S.
Department of Transportation, 1200
New Jersey Avenue SE., Washington,
DC 20590, Room W–12–140 on the
ground level of the West Building,
between 9 a.m. and 5 p.m., Monday
through Friday, except Federal holidays.
FOR FURTHER INFORMATION CONTACT:
Miriam Kloeppel, Staff Director, Risk
Reduction Program Division, Office of
Safety Analysis, FRA, 1200 New Jersey
Avenue SE., Mail Stop 25, Washington,
DC 20590, (202) 493–6224,
Miriam.Kloeppel@dot.gov; or Elizabeth
Gross, Trial Attorney, Office of Chief
Counsel, FRA, 1200 New Jersey Avenue
SE., Mail Stop 10, Washington, DC
20590, (202) 493–1342,
Elizabeth.Gross@dot.gov.
The Rail
Safety Improvement Act of 2008
requires the development and
implementation of railroad safety risk
reduction programs. Risk reduction is a
comprehensive, system-oriented
approach to safety that (1) determines
an operation’s level of risk by
identifying and analyzing applicable
hazards and (2) involves the
development of plans to mitigate that
risk. Each RRP is statutorily required to
be supported by a risk analysis and a
Risk Reduction Program Plan, which
must include a Technology
Implementation Plan and a Fatigue
Management Plan.
FRA held a public hearing on August
27, 2015, to receive oral comments in
response to an NPRM requesting public
comment on a proposed risk reduction
rulemaking. See 80 FR 10950, Feb. 27,
2015 and 80 FR 45500, July 30, 2015.
FRA also reopened the comment period
to allow time for interested parties to
submit written comments after the
public hearing, and comments were due
September 10, 2015. To afford interested
parties additional time and opportunity
to submit written comments in response
to views or information provided at the
public hearing, FRA is again reopening
the comment period in this proceeding.
SUPPLEMENTARY INFORMATION:
E:\FR\FM\15SEP1.SGM
15SEP1
Agencies
[Federal Register Volume 80, Number 178 (Tuesday, September 15, 2015)]
[Proposed Rules]
[Pages 55284-55285]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-23110]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 405, 431, 447, 482, 483, 485, and 488
[CMS-3260-N]
RIN 0938-AR61
Medicare and Medicaid Programs; Reform of Requirements for Long-
Term Care Facilities; Reopening of Comment Period
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Proposed rule; reopening of comment period.
-----------------------------------------------------------------------
SUMMARY: This document reopens the comment period for the July 16, 2015
proposed rule entitled ``Reform of Requirements for Long-Term Care
Facilities''. The comment period for the proposed rule, which ends on
September 14, 2015, is reopened for 30 days.
DATES: The comment period for the proposed rule published on July 16,
2015 (80 FR 42168), is reopened and ends on October 14, 2015.
ADDRESSES: In commenting, please refer to file code CMS-3260-P. Because
of staff and resource limitations, we cannot accept comments by
facsimile (FAX) 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://www.regulations.gov. Follow the ``Submit a
comment'' instructions.
2. By regular mail. You may mail written comments to the following
address ONLY: Centers for Medicare & Medicaid Services, Department of
Health and Human Services, Attention: CMS-3260-P, P.O. Box 8010,
Baltimore, MD 21244.
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 following address ONLY: Centers for Medicare & Medicaid Services,
Department of Health and Human Services, Attention: CMS-3260-P, Mail
Stop C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850.
4. By hand or courier. Alternatively, you may deliver (by hand or
courier) your written comments ONLY to the following addresses prior to
the close of the comment period:
a. For delivery in Washington, DC--Centers for Medicare & Medicaid
Services, Department of Health and Human Services, Room 445-G, Hubert
H. Humphrey Building, 200 Independence Avenue SW., Washington, DC
20201.
(Because access to the interior of the Hubert H. Humphrey Building
is not readily available to persons without federal government
identification, commenters are encouraged to leave their comments in
the CMS drop slots located in the main lobby of the building. A stamp-
in clock is available for persons wishing to retain a proof of filing
by stamping in and retaining an extra copy of the comments being
filed.)
b. For delivery in Baltimore, MD--Centers for Medicare & Medicaid
Services, Department of Health and Human Services, 7500 Security
Boulevard, Baltimore, MD 21244-1850.
[[Page 55285]]
If you intend to deliver your comments to the Baltimore address,
call telephone number (410) 786-9994 in advance to schedule your
arrival with one of our staff members.
Comments erroneously mailed to the addresses indicated as
appropriate for hand or courier delivery may be delayed and received
after the comment period.
For information on viewing public comments, see the beginning of
the SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT: Ronisha Blackstone, (410) 786-6633.
SUPPLEMENTARY INFORMATION: On July 16, 2015, we published a proposed
rule in the Federal Register (80 FR 42168) entitled, ``Reform of
Requirements for Long-Term Care Facilities'' that would revise the
requirements that long-term care facilities must meet to participate in
the Medicare and Medicaid programs. The proposed provisions include
updating obsolete language, improving clarity, addressing ongoing
healthcare priorities, and implementing certain Affordable Care Act
provisions. These proposed changes are necessary to reflect the
substantial advances that have been made over the past several years in
the theory and practice of service delivery and safety. These proposals
are also an integral part of our efforts to achieve broad-based
improvements both in the quality of health care furnished through
federal programs, and in patient safety, while at the same time
reducing procedural burdens on providers.
We have received inquiries from Hospital Associations and national
industry organizations regarding the 60 day period to submit comments
regarding this proposed rule. The organizations stated that they needed
additional time to respond to the rule due to the scope and complexity
of the proposal. Because of the scope of the proposed rule, and since
we have specifically requested the public's comments on various aspect
of the rule, we believe that it is important to allow ample time for
the public to prepare comments on this proposed rule. Therefore, we
have decided to reopen the comment period for an additional 30 days.
This document announces the reopening of the public comment period to
end on October 14, 2015.
Dated: September 9, 2015.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2015-23110 Filed 9-11-15; 8:45 am]
BILLING CODE 4120-01-P