Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities; Reopening of Comment Period, 55284-55285 [2015-23110]

Download as PDF 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 VerDate Sep<11>2014 18:46 Sep 14, 2015 Jkt 235001 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 VerDate Sep<11>2014 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 Frm 00013 Fmt 4702 Sfmt 4702 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]


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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
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