Administration for Community Living-Regulatory Consolidation, 35644-35648 [2016-13138]
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35644
Federal Register / Vol. 81, No. 107 / Friday, June 3, 2016 / Rules and Regulations
F. Unfunded Mandates Reform Act
Section 202 of the Unfunded
Mandates Reform Act of 1995 requires
that a covered agency prepare a
budgetary impact statement before
promulgating a rule that includes any
Federal mandate that may result in
expenditures by State, local, or Tribal
governments, in the aggregate, or by the
private sector, of $100 million, adjusted
for inflation, or more in any one year.
ACL and CMS have determined that this
rule does not result in the expenditure
by State, local, and Tribal government
in the aggregate or by the private sector
of more than $100 million in any one
year.
G. Congressional Review
This rule is not a major rule as
defined in 5 U.S.C. Section 804(2).
H. Assessment of Federal Regulations
and Policies on Families
Section 654 of the Treasury and
General Government Appropriations
Act of 1999 requires Federal agencies to
determine whether a policy or
regulation may affect family wellbeing.
If the agency’s conclusion is affirmative,
then the agency must prepare an impact
assessment addressing seven criteria
specified in the law. These regulations
do not have an impact on family wellbeing as defined in the legislation.
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I. Executive Order 13132
Executive Order 13132 on
‘‘federalism’’ was signed August 4,
1999. The purposes of the Order are:
‘‘. . . to guarantee the division of
governmental responsibilities between
the national government and the States
that was intended by the Framers of the
Constitution, to ensure that the
principles of federalism established by
the Framers guide the executive
departments and agencies in the
formulation and implementation of
policies, and to further the policies of
the Unfunded Mandates Reform Act
. . .’’ Executive Order 13132 applies to
actions with federalism implications,
which are actions that have substantial
direct effect on States, on the
relationship between the Federal
government and the States, or on the
distribution of power and
responsibilities among the various
levels of government. For actions that
have federalism implications and
preempt state law or have federalism
implications and impose substantial
compliance costs on states and local
governments, the agency must consult
with state and local officials before
publishing the rule and include a
federalism statement in the preamble.
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The Department certifies that this rule
does not have a substantial direct effect
on States, on the relationship between
the Federal government and the States,
or on the distribution of power and
responsibilities among the various
levels of government.
ACL and CMS are not aware of any
specific state laws that would be
preempted by the adoption of the
regulation.
List of Subjects
42 CFR Part 403
Grant programs, Health insurance,
Medicare, Reporting and recordkeeping
requirements.
45 CFR Part 1331
Grant programs, health insurance,
Medicare, reporting and recordkeeping
requirements.
Accordingly, the interim final rule
amending 42 CFR part 403 and adding
45 CFR part 1331 that published on
February 4, 2016 (81 FR 5917), is
adopted as a final rule without change.
Dated: April 29, 2016.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare
& Medicaid Services.
Dated: May 12, 2016.
Kathy Greenlee,
Administrator, Administration for
Community Living.
Approved: May 26, 2016.
Sylvia M. Burwell,
Secretary, U.S. Department of Health and
Human Services.
[FR Doc. 2016–13136 Filed 6–2–16; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
45 CFR Parts 1385, 1386, 1387, and
1388
Administration for Community Living
45 CFR Parts 1321, 1322, 1323, 1324,
1325, 1326, 1327, and 1328
Administration for Community Living—
Regulatory Consolidation
Administration for Community
Living (ACL), Department of Health and
Human Services (HHS).
ACTION: Final rule; technical
amendments.
AGENCY:
The Administration for
Community Living (ACL) is amending
its regulations to reflect the creation of
ACL in 2012 and consolidate all of its
regulations under a single subchapter.
SUMMARY:
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No substantive changes to the text of the
regulations are being made by this rule.
This final rule is effective on July
1, 2016.
DATES:
Greg
Pugh, Administration for Community
Living, telephone (202) 795–7422
(Voice). This is not a toll-free number.
This document will be made available
in alternative formats upon request.
Written correspondence can be sent to
Administration for Community Living,
U.S. Department of Health and Human
Services, 330 C St. SW., Washington, DC
20201.
FOR FURTHER INFORMATION CONTACT:
The
Administration for Community Living
(ACL) was created in 2012 by merging
the HHS Administration on Aging
(AoA), Administration on Intellectual
and Developmental Disabilities (AIDD),
and the Office of Disability (Statement
of Organization Functions, and
Delegations of Authority;
Administration for Community Living,
77 FR 23250 (Apr. 28 2012)). This
consolidation reflected these
organizations’ shared mission to
maximize the independence, well-being,
and health of older adults, people with
disabilities across the lifespan, and their
families and caregivers. Since the
creation of ACL, a number of synergistic
programs have been transferred under
its purview, including the State Health
Insurance Assistance Programs (SHIPs)
from the Centers for Medicare and
Medicaid Services (CMS) (Department
of Health and Human Services
Appropriations Act, 2014, Public Law
113–76 (Jan 17, 2014)) and the National
Institute on Disability, Independent
Living, and Rehabilitation Research
(NIDILRR) and the Independent Living
Administration from the Department of
Education in 2014 (Workforce
Investment and Opportunity Act of
2014, Public Law 113–128 (July 22,
2014)).
Many of ACL’s component programs
and organizations had existing
regulations prior to their transfer. ACL
is consolidating these regulations in a
single place to streamline
administration and increase access and
transparency. This rule renames the
Administration on Aging’s subchapter C
of chapter XIII, subtitle B, title 45 from
‘‘The Administration on Aging, Older
Americans Programs’’ to ‘‘The
Administration for Community Living.’’
It then rearranges the existing AoA rules
sequentially. This rule also transfers the
existing AIDD rules from subchapter I to
ACL’s subchapter C. Conforming edits
are made throughout in order to correct
internal citations.
SUPPLEMENTARY INFORMATION:
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Federal Register / Vol. 81, No. 107 / Friday, June 3, 2016 / Rules and Regulations
Publication of this document
constitutes final action on this change
under the Administrative Procedures
Act (5 U.S.C. 553). ACL has found that
notice and public comment procedures
are unnecessary because ACL is making
Previous part
45 CFR chapter
XIII, subchapter C.
45 CFR part
1321.
45 CFR part
1326.
45 CFR part
1327.
45 CFR part
1328.
45 CFR part
1385.
45 CFR part
1386.
45 CFR part
1387.
45 CFR part
1388.
Although this Final Rule contains no
changes to programmatic or reporting
requirements, we include the following
table summarizing the changes made in
order to simplify public understanding
of the Final Rule:
a technical change merely updating the
location and order of existing content.
This Final Rule will be effective July
1, 2016, in order to allow the Long Term
Care Ombudsman final rule, one of the
sections being renumbered within
ACL’s subchapter, to take effect.
Previous heading
New part
New heading
The Administration on Aging ...................................................................
No change ...
The Administration for Community
Living.
Grants to State and Community Programs on Aging .............................
No change ...
No change.
Grants to Indian Tribes for Support and Nutrition Services ....................
1322 .............
No change.
Allotments for Vulnerable Elder Rights Protection Activities ..................
1324 .............
No change.
Grants for Supportive and Nutritional Services for Older Hawaiian Natives.
Requirements Applicable to the Developmental Disabilities Program ....
1323 .............
No change.
1325 .............
No change.
Formula Grant Programs .........................................................................
1326 .............
Projects of National Significance .............................................................
1327 .............
National Network of University Centers For Excellence In Developmental Disabilities Education, Research, and Service.
1328 .............
Developmental Disabilities Formula
Grant Programs.
Developmental Disabilities Projects
of National Significance.
No change.
List of Subjects in 45 CFR Parts 1321,
1322, 1323, 1324, 1325, 1326, 1327,
1328, 1385, 1386, 1387, and 1388
Administrative practice and
procedures, Aged, Colleges and
universities, Disabled, Grant programs—
education, Grant programs—Indians,
Grant programs—social programs,
Indians, Individuals with disabilities,
Legal services, Long-term care,
Nutrition, Research, Reporting and
recordkeeping requirements.
Dated: May 4, 2016.
Kathy Greenlee,
Administrator, Administration for
Community Living.
Dated: May 26, 2016.
Sylvia M. Burwell
Secretary, U.S. Department of Health and
Human Services.
Administration for Community Living,
and the Administration for Children and
Families amend title 45, chapter XIII,
subchapter C, and title 45, chapter XIII,
subchapter I, respectively, as follows:
Subchapter C—The Administration for
Community Living
1. The heading for 45 CFR chapter
XIII, subchapter C, is revised to read as
set forth above.
■
PARTS 1326, 1327, 1328, 1385, 1386,
1387, and 1388 [REDESIGNATED AS
PARTS 1322, 1324, 1323, 1325, 1326,
1327, and 1328]
[Amended]
4. In § 1321.11, amend paragraph (b)
by removing the reference
‘‘§ 1327.11(e)(3)’’ and adding in its place
the reference ‘‘§ 1324.11(e)(3)’’.
■
PART 1322—GRANTS TO INDIAN
TRIBES FOR SUPPORT AND
NUTRITION SERVICES
5. The authority citation for newly
redesignated part 1322 continues to read
as follows:
2. Parts 1326, 1327, 1328, 1385, 1386,
1387, and 1388 are redesignated as parts
1322, 1324, 1323, 1325, 1326, 1327, and
1328, respectively.
PART 1321—GRANTS TO STATE AND
COMMUNITY PROGRAMS ON AGING
3. The authority citation for part 1321
continues to read as follows:
■
§ 1321.11
■
■
For the reasons discussed in the
preamble, under the authority at 5
U.S.C. 301, 42 U.S.C. 3001 et seq., and
42 U.S.C. 15001 et seq., the Department
of Health and Human Services, the
Authority: 42 U.S.C. 3001 et seq.; title III
of the Older Americans Act as amended.
Authority: 42 U.S.C. 3001; Title VI, Part
A of the Older Americans Act.
§§ 1322.3 and 1322.19
6. In the table below, for each section
and paragraph indicated in the first two
columns, remove the reference
indicated in the third column and add
the reference indicated in the fourth
column:
■
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Newly
redesignated
section
Paragraph(s)
Remove
§ 1322.3 .............
§ 1322.3 .............
§ 1322.3 .............
§ 1322.3 .............
§ 1322.19 ...........
Definition of ‘‘Budgeting period’’ .............................................
Definition of ‘‘Project period’’ ..................................................
Definition of ‘‘Service area’’ ....................................................
Definition of ‘‘Tribal organization’’ ..........................................
(d)(5) .......................................................................................
§ 1326.19 of this part .............
§ 1326.19 of this part .............
§ 1326.9(b) .............................
§ 1326.7 .................................
§§ 1326.7 through 1326.17 ....
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§ 1322.19.
§ 1322.19.
§ 1322.9(b).
§ 1322.7.
§§ 1322.7 through 1322.17.
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Federal Register / Vol. 81, No. 107 / Friday, June 3, 2016 / Rules and Regulations
Authority: 42 U.S.C. 3001; Title VI Part B
of the Older Americans Act.
PART 1323—GRANTS FOR
SUPPORTIVE AND NUTRITIONAL
SERVICES FOR OLDER HAWAIIAN
NATIVES
§§ 1323.3 and 1323.19
the reference indicated in the fourth
column:
[Amended]
8. In the table below, for each section
and paragraph indicated in the first two
columns, remove the reference
indicated in the third column and add
■
7. The authority citation for newly
redesignated part 1323 continues to read
as follows:
■
Newly
redesignated
section
Paragraph(s)
Remove
§ 1323.3 .............
§ 1323.3 .............
§ 1323.3 .............
§ 1323.19 ...........
Definition of ‘‘Budgeting period’’ .............................................
Definition of ‘‘Project period’’ ..................................................
Definition of ‘‘Service area’’ ....................................................
(d)(5) .......................................................................................
§ 1328.19 of this part .............
§ 1328.19 of this part .............
§ 1328.9(b) .............................
§§ 1328.7 through 1328.17 ....
Authority: 42 U.S.C. 3001 et seq.
PART 1324—ALLOTMENTS FOR
VULNERABLE ELDER RIGHTS
PROTECTION ACTIVITIES
Newly
redesignated
section
§ 1324.1 .............
§ 1324.1 .............
§ 1324.1 .............
§ 1324.11 ...........
§ 1324.11 ...........
§ 1324.11 ...........
§ 1324.11 ...........
§ 1324.11 ...........
§ 1324.11 ...........
§ 1324.11 ...........
§ 1324.11 ...........
§ 1324.11 ...........
§ 1324.13 ...........
§ 1324.13 ...........
§ 1324.13 ...........
§ 1324.13 ...........
§ 1324.15 ...........
§ 1324.15 ...........
§ 1324.15 ...........
...........
...........
...........
...........
...........
...........
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§ 1324.21 ...........
§ 1324.21 ...........
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10. In the table below, for each section
and paragraph indicated in the first two
columns, remove the reference
■
Paragraph(s)
§ 1324.1 .............
§ 1324.15
§ 1324.15
§ 1324.15
§ 1324.15
§ 1324.15
§ 1324.19
§ 1323.19.
§ 1323.19.
§ 1323.9(b).
§§ 1323.7 through 1323.17.
indicated in the third column and add
the reference indicated in the fourth
column:
§§ 1324.1, 1324.11, 1324.13, 1324.15, and
1324.19 [Amended]
9. The authority citation for newly
redesignated part 1324 is revised to read
as follows:
■
Add
Remove
Definition of ‘‘Representatives of the Office of the State
Long-Term Care Ombudsman’’.
Definition of ‘‘State Long-Term Care Ombudsman, or Ombudsman’’.
Definition of ‘‘Willful interference’’ ..........................................
Definition of ‘‘Willful interference’’ ..........................................
(a) ...........................................................................................
(a) ...........................................................................................
(c) introductory text ................................................................
(e)(1)(i) ....................................................................................
(e)(2)(ii) and (iii) ......................................................................
(e)(3)(i) ....................................................................................
(e)(3)(ii) introductory text ........................................................
(e)(3)(iv) ..................................................................................
(e)(4) introductory text and (e)(6)(i) .......................................
(b)(1) .......................................................................................
(b)(2) .......................................................................................
(c) introductory text ................................................................
(c)(3) introductory text ............................................................
(b) ...........................................................................................
(e) ...........................................................................................
(f) ............................................................................................
§ 1327.19(a) ...........................
§ 1324.19(a).
§§ 1327.13 and 1327.19 ........
§§ 1324.13 and 1324.19.
§ 1327.13 ...............................
§ 1327.19 ...............................
§ 1327.13 ...............................
§ 1327.19 ...............................
§§ 1327.13 and 1327.19 ........
§ 1327.13 ...............................
§§ 1327.13 and 1327.19 ........
§ 1327.13(e) ...........................
§ 1327.19(b)(5) through (8) ....
§ 1327.19(b)(5) through (8) ....
§ 1327.21 ...............................
§ 1327.11(e) ...........................
§ 1327.19 ...............................
§ 1327.11(e)(6) .......................
§ 1327.19 ...............................
§ 1327.11(e)(2) .......................
§§ 1327.13 and 1327.19 ........
§§ 1327.11(e)(3) and
1327.13(e).
§ 1327.13(h) ...........................
§§ 1327.13 and 1327.19 ........
§ 1327.13(g) ...........................
§ 1327.13(c)(2) .......................
§ 1327.13(h) ...........................
§ 1327.11(e)(3) .......................
§ 1324.13.
§ 1324.19.
§ 1324.13.
§ 1324.19.
§§ 1324.13 and 1324.19.
§ 1324.13.
§§ 1324.13 and 1324.19.
§ 1324.13(e).
§ 1324.19(b)(5) through (8).
§ 1324.19(b)(5) through (8).
§ 1324.21.
§ 1324.11(e).
§ 1324.19.
§ 1324.11(e)(6).
§ 1324.19.
§ 1324.11(e)(2).
§§ 1324.13 and 1324.19.
§§ 1324.11(e)(3) and
1324.13(e).
§ 1324.13(h).
§§ 1324.13 and 1324.19.
§ 1324.13(g).
§ 1324.13(c)(2).
§ 1324.13(h).
§ 1324.11(e)(3).
§ 1327.11(e)(4) .......................
§ 1327.21(c) ...........................
§ 1324.11(e)(4).
§ 1324.21(c).
(h) ...........................................................................................
(i)(1)(ii) ....................................................................................
(k)(1) .......................................................................................
(k)(4) .......................................................................................
(k)(5) .......................................................................................
(b)(3) introductory text, (b)(6) introductory text, (b)(7) introductory text, and (b)(8) introductory text.
(d)(1) .......................................................................................
(d)(1) .......................................................................................
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Authority: 42 U.S.C. 15001 et seq.
PART 1325—REQUIREMENTS
APPLICABLE TO THE
DEVELOPMENTAL DISABILITIES
PROGRAM
the reference indicated in the fourth
column:
§§ 1325.1, 1325.3, 1325.6, and 1325.9
[Amended]
12. In the table below, for each section
and paragraph indicated in the first two
columns, remove the reference
indicated in the third column and add
■
11. The authority citation for newly
redesignated part 1325 continues to read
as follows:
■
Newly
redesignated
section
Paragraph(s)
Remove
.............
.............
.............
.............
.............
.............
Introductory text ......................................................................
Introductory text ......................................................................
Definition of ‘‘Required planning documents’’ ........................
Definition of ‘‘Required planning documents’’ ........................
Definition of ‘‘Required planning documents’’ ........................
Last sentence of paragraph ...................................................
§ 1325.9 .............
(a) introductory text ................................................................
§ 1385.4 .................................
parts 1385 through 1388 .......
§ 1386.30 ...............................
§ 1386.22(c) ...........................
§ 1388.7 .................................
subpart E of 45 CFR part
1386.
parts 1386 and 1388 .............
§ 1325.1
§ 1325.3
§ 1325.3
§ 1325.3
§ 1325.3
§ 1325.6
14. The part heading for newly
redesignated part 1326 is revised to read
as set forth above.
PART 1326—DEVELOPMENTAL
DISABILITIES FORMULA GRANT
PROGRAMS
■
13. The authority citation for newly
redesignated part 1326 continues to read
as follows:
§§ 1326.21, 1326.26, 1326.93, and 1326.94
[Amended]
■
Authority: 42 U.S.C. 15001 et seq.
Newly
redesignated
section
§ 1326.21
§ 1326.26
§ 1326.93
§ 1326.94
...........
...........
...........
...........
(c) ...........................................................................................
First sentence of paragraph ...................................................
(e) ...........................................................................................
(b)(2) introductory text ............................................................
§ 1386.23(c) ...........................
§ 1386.25 ...............................
§ 1386.90 ...............................
§ 1386.85(b) ...........................
16. The authority citation for newly
redesignated part 1327 continues to read
as follows:
17. The part heading for newly
redesignated part 1327 is revised to read
as set forth above.
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Newly
redesignated
section
PART 1328—THE NATIONAL
NETWORK OF UNIVERSITY CENTERS
FOR EXCELLENCE IN
DEVELOPMENTAL DISABILITIES,
EDUCATION, RESEARCH, AND
SERVICE
18. The authority citation for newly
redesignated part 1328 continues to read
as follows:
■
Authority: 42 U.S.C. 15001 et seq.
■
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15. In the table below, for each section
and paragraph indicated in the first two
■
Remove
■
Add
19. In the table below, for each section
and paragraph indicated in the first two
columns, remove the reference
indicated in the third column and add
the reference indicated in the fourth
column:
Authority: 42 U.S.C. 15001 et seq.
(a)(2) .......................................................................................
(a)(2) .......................................................................................
(b) ...........................................................................................
Introductory text ......................................................................
(a) ...........................................................................................
(b)(1) .......................................................................................
(c)(3) .......................................................................................
§ 1388.3 .................................
§ 1385.3 .................................
§ 1388.4 .................................
§ 1388.2 .................................
§ 1388.2 .................................
§ 1385.3 .................................
§ 1388.2(a)(1) and (2) ............
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[Amended]
■
Remove
21:04 Jun 02, 2016
§ 1326.23(c).
§ 1326.25.
§ 1326.90.
§ 1326.85(b).
§§ 1328.2, 1328.3, and 1328.5
Paragraph(s)
.............
.............
.............
.............
.............
.............
.............
§ 1325.4.
parts 1325 through 1328.
§ 1326.30.
§ 1326.22(c).
§ 1328.7.
subpart E of 45 CFR part
1326.
parts 1326 and 1328.
columns, remove the reference
indicated in the third column and add
the reference indicated in the fourth
column:
Paragraph(s)
PART 1327—DEVELOPMENTAL
DISABILITIES PROJECTS OF
NATIONAL SIGNIFICANCE
§ 1328.2
§ 1328.2
§ 1328.2
§ 1328.3
§ 1328.5
§ 1328.5
§ 1328.5
Add
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§ 1328.3.
§ 1325.3.
§ 1328.4.
§ 1328.2.
§ 1328.2.
§ 1325.3.
§ 1328.2(a)(1) and (2).
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Subchapter I [Removed and Reserved]
Viewing Documents
20. 45 CFR chapter XIII, subchapter I,
is removed and reserved.
Navigation and Vessel Inspection
Circular (NVIC) 04–08 is available on
the Internet at: https://www.uscg.mil/hq/
cg5/nvic/pdf/2008/NVIC%2004-08%
20CH%201%20with%20Enclosures%
2020130607.pdf. It can also be viewed
on the Coast Guard’s Web site at:
www.uscg.mil/nmc.
■
[FR Doc. 2016–13138 Filed 6–2–16; 8:45 am]
BILLING CODE P
DEPARTMENT OF HOMELAND
SECURITY
Background
Coast Guard
46 CFR Part 10
[Docket No. USCG–2016–0029]
Change-2 to Navigation and Vessel
Inspection Circular 04–08: Medical
Certification Standards, Medications,
and Medical Review Process
Coast Guard, DHS.
Notice of policy; availability.
AGENCY:
ACTION:
The Coast Guard announces
the availability of Change-2 to
Navigation and Vessel Inspection
Circular (NVIC) 04–08, ‘‘Medical and
Physical Evaluation Guidelines for
Merchant Mariner Credentials’’ (NVIC
04–08). Change-2 to NVIC 04–08
contains revisions to Enclosure (1)
Medical Certification Standards,
Enclosure (4) Medications, and
Enclosure (6) Medical Review Process.
The revisions to Enclosures (1) and (6)
reflect process and procedural changes
related to centralization of the
evaluation of credential applications at
the National Maritime Center and
implementation of the final rule that
aligned Coast Guard regulations with
amendments to the International
Convention on Standards of Training,
Certification and Watchkeeping for
Seafarers and made changes to national
endorsements. The revisions to
Enclosure (4) provide more detailed
guidance on medications that are
subject to further review, and address
comments received in response to a
notice published in the Federal Register
on January 28, 2015 seeking input from
the public on this issue.
DATES: Change-2 to NVIC 04–08 is in
effect on June 3, 2016.
ADDRESSES: Submit comments online at
https://www.regulations.gov in
accordance with Web site instructions.
FOR FURTHER INFORMATION CONTACT: If
you have questions on this document,
call or email LCDR Ian Bird, Office of
Commercial Vessel Compliance (CG–
CVC), 202–372–1255, email
MMCPolicy@uscg.mil.
SUPPLEMENTARY INFORMATION:
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SUMMARY:
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Jkt 238001
Coast Guard regulations contained in
46 CFR part 10, subpart C, contain the
medical and physical standards that
merchant mariner applicants must meet
prior to being issued a merchant
mariner medical certificate. NVIC 04–08
provides guidance to the regulated
community on how to comply with the
regulations pertaining to medical and
physical qualifications for merchant
mariners.
On December 24, 2013, the Coast
Guard published a final rule in the
Federal Register (78 FR 77796) entitled
‘‘Implementation of the Amendments to
the International Convention on
Standards of Training, Certification and
Watchkeeping for Seafarers, 1978, and
Changes to National Endorsements.’’ It
amended 46 CFR parts 1, 10, 11, 12, 13,
and 15 to implement the International
Convention on Standards of Training,
Certification and Watchkeeping for
Seafarers, 1978 (STCW Convention),
including the 2010 amendments to the
STCW Convention, and the Seafarers’
Training, Certification and
Watchkeeping Code, as well as updating
requirements for national endorsements.
The final rule also established the
merchant mariner medical certificate as
a document issued independently of the
merchant mariner credential. Merchant
mariner credentials issued after January
24, 2014, and that require a general
medical examination are not valid for
service unless accompanied by a valid
medical certificate. Enclosures (1) and
(6) of NVIC 04–08 required revision to
reflect changes implemented with the
final rule and a reorganization of the
mariner credentialing function.
Guidance on medication use
contained in Enclosure (4) to NVIC 04–
08 prior to Change-2 noted that use of
certain medications was considered
disqualifying for issuance of credentials.
The guidance did not provide details on
the types of medications that might lead
to denial of a medical certificate, nor
did it provide discussion of the
information and criteria that the Coast
Guard considers in determining whether
to issue a waiver for certain
medications.
In developing this policy, the Coast
Guard sought recommendations from
PO 00000
Frm 00068
Fmt 4700
Sfmt 4700
the Merchant Mariner Medical Advisory
Committee (MEDMAC) on waiver
considerations for mariner applicants
whose conditions require the use of
potentially impairing medications while
operating under the authority of the
credential. In response to Coast Guard
Task Statement 14–09, Medical
Evaluation of Merchant Mariners
Treated with Potentially Impairing
Medications, MEDMAC recommended
that medications with central nervous
depressant effects, such as opioid,
benzodiazepine, or non-benzodiazepine
medications, be considered
disqualifying and generally not
waiverable. They also recommended
that the following medications be
determined disqualifying: medications
that impair vision, anticoagulants, antimetabolites and cancer treatments,
sedating anti-histamines,
antipsychotics, opioid-like analgesics,
anti-seizure medications, and stimulant
medications, such as amphetamine and
methylphenidate. MEDMAC’s
recommendations did not include
specific criteria for waiver consideration
for mariners whose conditions require
the use of potentially impairing
medication while operating under the
authority of the credential.
On January 28, 2015, the Coast Guard
published a notice in the Federal
Register requesting public comments on
a proposed revision to Enclosure (4) that
would provide more in-depth guidance
on these issues (80 FR 4582).
We summarize the policy contained
in Change-2 to NVIC 04–08 and address
the public comments received on the
proposed revision to Enclosure (4)
below.
Discussion
Enclosure (1) and Enclosure (6). The
revised Enclosure (1) Medical
Certification Standards summarizes the
medical and physical requirements for
mariner endorsements and provides
additional guidance regarding the
medical certificate. The revision to
Enclosure (6) provides guidance on the
medical review process used to
determine if a mariner meets the
medical and physical standards for
issuance of a medical certificate.
Enclosure (4)—Medications. The
revision to Enclosure (4) provides
guidance to the regulated community on
medications that may be deemed
disqualifying for issuance of a medical
certificate due to risks of impairment or
other safety concerns. The new
guidance also clarifies the extenuating
circumstances related to the use of
potentially impairing medications that
the Coast Guard weighs in evaluating
risks to public and maritime safety, and
E:\FR\FM\03JNR1.SGM
03JNR1
]]>Agencies
[Federal Register Volume 81, Number 107 (Friday, June 3, 2016)]
[Rules and Regulations]
[Pages 35644-35648]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-13138]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
45 CFR Parts 1385, 1386, 1387, and 1388
Administration for Community Living
45 CFR Parts 1321, 1322, 1323, 1324, 1325, 1326, 1327, and 1328
Administration for Community Living--Regulatory Consolidation
AGENCY: Administration for Community Living (ACL), Department of Health
and Human Services (HHS).
ACTION: Final rule; technical amendments.
-----------------------------------------------------------------------
SUMMARY: The Administration for Community Living (ACL) is amending its
regulations to reflect the creation of ACL in 2012 and consolidate all
of its regulations under a single subchapter. No substantive changes to
the text of the regulations are being made by this rule.
DATES: This final rule is effective on July 1, 2016.
FOR FURTHER INFORMATION CONTACT: Greg Pugh, Administration for
Community Living, telephone (202) 795-7422 (Voice). This is not a toll-
free number. This document will be made available in alternative
formats upon request. Written correspondence can be sent to
Administration for Community Living, U.S. Department of Health and
Human Services, 330 C St. SW., Washington, DC 20201.
SUPPLEMENTARY INFORMATION: The Administration for Community Living
(ACL) was created in 2012 by merging the HHS Administration on Aging
(AoA), Administration on Intellectual and Developmental Disabilities
(AIDD), and the Office of Disability (Statement of Organization
Functions, and Delegations of Authority; Administration for Community
Living, 77 FR 23250 (Apr. 28 2012)). This consolidation reflected these
organizations' shared mission to maximize the independence, well-being,
and health of older adults, people with disabilities across the
lifespan, and their families and caregivers. Since the creation of ACL,
a number of synergistic programs have been transferred under its
purview, including the State Health Insurance Assistance Programs
(SHIPs) from the Centers for Medicare and Medicaid Services (CMS)
(Department of Health and Human Services Appropriations Act, 2014,
Public Law 113-76 (Jan 17, 2014)) and the National Institute on
Disability, Independent Living, and Rehabilitation Research (NIDILRR)
and the Independent Living Administration from the Department of
Education in 2014 (Workforce Investment and Opportunity Act of 2014,
Public Law 113-128 (July 22, 2014)).
Many of ACL's component programs and organizations had existing
regulations prior to their transfer. ACL is consolidating these
regulations in a single place to streamline administration and increase
access and transparency. This rule renames the Administration on
Aging's subchapter C of chapter XIII, subtitle B, title 45 from ``The
Administration on Aging, Older Americans Programs'' to ``The
Administration for Community Living.'' It then rearranges the existing
AoA rules sequentially. This rule also transfers the existing AIDD
rules from subchapter I to ACL's subchapter C. Conforming edits are
made throughout in order to correct internal citations.
[[Page 35645]]
Publication of this document constitutes final action on this
change under the Administrative Procedures Act (5 U.S.C. 553). ACL has
found that notice and public comment procedures are unnecessary because
ACL is making a technical change merely updating the location and order
of existing content.
This Final Rule will be effective July 1, 2016, in order to allow
the Long Term Care Ombudsman final rule, one of the sections being
renumbered within ACL's subchapter, to take effect.
Although this Final Rule contains no changes to programmatic or
reporting requirements, we include the following table summarizing the
changes made in order to simplify public understanding of the Final
Rule:
----------------------------------------------------------------------------------------------------------------
Previous part Previous heading New part New heading
----------------------------------------------------------------------------------------------------------------
45 CFR chapter XIII, subchapter C.. The Administration on Aging No change.............. The Administration
for Community
Living.
45 CFR part 1321................... Grants to State and No change.............. No change.
Community Programs on
Aging.
45 CFR part 1326................... Grants to Indian Tribes for 1322................... No change.
Support and Nutrition
Services.
45 CFR part 1327................... Allotments for Vulnerable 1324................... No change.
Elder Rights Protection
Activities.
45 CFR part 1328................... Grants for Supportive and 1323................... No change.
Nutritional Services for
Older Hawaiian Natives.
45 CFR part 1385................... Requirements Applicable to 1325................... No change.
the Developmental
Disabilities Program.
45 CFR part 1386................... Formula Grant Programs..... 1326................... Developmental
Disabilities Formula
Grant Programs.
45 CFR part 1387................... Projects of National 1327................... Developmental
Significance. Disabilities
Projects of National
Significance.
45 CFR part 1388................... National Network of 1328................... No change.
University Centers For
Excellence In
Developmental Disabilities
Education, Research, and
Service.
----------------------------------------------------------------------------------------------------------------
List of Subjects in 45 CFR Parts 1321, 1322, 1323, 1324, 1325,
1326, 1327, 1328, 1385, 1386, 1387, and 1388
Administrative practice and procedures, Aged, Colleges and
universities, Disabled, Grant programs--education, Grant programs--
Indians, Grant programs--social programs, Indians, Individuals with
disabilities, Legal services, Long-term care, Nutrition, Research,
Reporting and recordkeeping requirements.
Dated: May 4, 2016.
Kathy Greenlee,
Administrator, Administration for Community Living.
Dated: May 26, 2016.
Sylvia M. Burwell
Secretary, U.S. Department of Health and Human Services.
For the reasons discussed in the preamble, under the authority at 5
U.S.C. 301, 42 U.S.C. 3001 et seq., and 42 U.S.C. 15001 et seq., the
Department of Health and Human Services, the Administration for
Community Living, and the Administration for Children and Families
amend title 45, chapter XIII, subchapter C, and title 45, chapter XIII,
subchapter I, respectively, as follows:
Subchapter C--The Administration for Community Living
0
1. The heading for 45 CFR chapter XIII, subchapter C, is revised to
read as set forth above.
PARTS 1326, 1327, 1328, 1385, 1386, 1387, and 1388 [REDESIGNATED AS
PARTS 1322, 1324, 1323, 1325, 1326, 1327, and 1328]
0
2. Parts 1326, 1327, 1328, 1385, 1386, 1387, and 1388 are redesignated
as parts 1322, 1324, 1323, 1325, 1326, 1327, and 1328, respectively.
PART 1321--GRANTS TO STATE AND COMMUNITY PROGRAMS ON AGING
0
3. The authority citation for part 1321 continues to read as follows:
Authority: 42 U.S.C. 3001 et seq.; title III of the Older
Americans Act as amended.
Sec. 1321.11 [Amended]
0
4. In Sec. 1321.11, amend paragraph (b) by removing the reference
``Sec. 1327.11(e)(3)'' and adding in its place the reference ``Sec.
1324.11(e)(3)''.
PART 1322--GRANTS TO INDIAN TRIBES FOR SUPPORT AND NUTRITION
SERVICES
0
5. The authority citation for newly redesignated part 1322 continues to
read as follows:
Authority: 42 U.S.C. 3001; Title VI, Part A of the Older
Americans Act.
Sec. Sec. 1322.3 and 1322.19 [Amended]
0
6. In the table below, for each section and paragraph indicated in the
first two columns, remove the reference indicated in the third column
and add the reference indicated in the fourth column:
----------------------------------------------------------------------------------------------------------------
Newly redesignated section Paragraph(s) Remove Add
----------------------------------------------------------------------------------------------------------------
Sec. 1322.3................ Definition of ``Budgeting Sec. 1326.19 of this Sec. 1322.19.
period''. part.
Sec. 1322.3................ Definition of ``Project Sec. 1326.19 of this Sec. 1322.19.
period''. part.
Sec. 1322.3................ Definition of ``Service Sec. 1326.9(b)........ Sec. 1322.9(b).
area''.
Sec. 1322.3................ Definition of ``Tribal Sec. 1326.7........... Sec. 1322.7.
organization''.
Sec. 1322.19............... (d)(5)....................... Sec. Sec. 1326.7 Sec. Sec. 1322.7
through 1326.17. through 1322.17.
----------------------------------------------------------------------------------------------------------------
[[Page 35646]]
PART 1323--GRANTS FOR SUPPORTIVE AND NUTRITIONAL SERVICES FOR OLDER
HAWAIIAN NATIVES
0
7. The authority citation for newly redesignated part 1323 continues to
read as follows:
Authority: 42 U.S.C. 3001; Title VI Part B of the Older
Americans Act.
Sec. Sec. 1323.3 and 1323.19 [Amended]
0
8. In the table below, for each section and paragraph indicated in the
first two columns, remove the reference indicated in the third column
and add the reference indicated in the fourth column:
----------------------------------------------------------------------------------------------------------------
Newly redesignated section Paragraph(s) Remove Add
----------------------------------------------------------------------------------------------------------------
Sec. 1323.3................ Definition of ``Budgeting Sec. 1328.19 of this Sec. 1323.19.
period''. part.
Sec. 1323.3................ Definition of ``Project Sec. 1328.19 of this Sec. 1323.19.
period''. part.
Sec. 1323.3................ Definition of ``Service Sec. 1328.9(b)........ Sec. 1323.9(b).
area''.
Sec. 1323.19............... (d)(5)....................... Sec. Sec. 1328.7 Sec. Sec. 1323.7
through 1328.17. through 1323.17.
----------------------------------------------------------------------------------------------------------------
PART 1324--ALLOTMENTS FOR VULNERABLE ELDER RIGHTS PROTECTION
ACTIVITIES
0
9. The authority citation for newly redesignated part 1324 is revised
to read as follows:
Authority: 42 U.S.C. 3001 et seq.
Sec. Sec. 1324.1, 1324.11, 1324.13, 1324.15, and 1324.19 [Amended]
0
10. In the table below, for each section and paragraph indicated in the
first two columns, remove the reference indicated in the third column
and add the reference indicated in the fourth column:
----------------------------------------------------------------------------------------------------------------
Newly redesignated section Paragraph(s) Remove Add
----------------------------------------------------------------------------------------------------------------
Sec. 1324.1................ Definition of Sec. 1327.19(a)....... Sec. 1324.19(a).
``Representatives of the
Office of the State Long-
Term Care Ombudsman''.
Sec. 1324.1................ Definition of ``State Long- Sec. Sec. 1327.13 and Sec. Sec. 1324.13 and
Term Care Ombudsman, or 1327.19. 1324.19.
Ombudsman''.
Sec. 1324.1................ Definition of ``Willful Sec. 1327.13.......... Sec. 1324.13.
interference''.
Sec. 1324.1................ Definition of ``Willful Sec. 1327.19.......... Sec. 1324.19.
interference''.
Sec. 1324.11............... (a).......................... Sec. 1327.13.......... Sec. 1324.13.
Sec. 1324.11............... (a).......................... Sec. 1327.19.......... Sec. 1324.19.
Sec. 1324.11............... (c) introductory text........ Sec. Sec. 1327.13 and Sec. Sec. 1324.13 and
1327.19. 1324.19.
Sec. 1324.11............... (e)(1)(i).................... Sec. 1327.13.......... Sec. 1324.13.
Sec. 1324.11............... (e)(2)(ii) and (iii)......... Sec. Sec. 1327.13 and Sec. Sec. 1324.13 and
1327.19. 1324.19.
Sec. 1324.11............... (e)(3)(i).................... Sec. 1327.13(e)....... Sec. 1324.13(e).
Sec. 1324.11............... (e)(3)(ii) introductory text. Sec. 1327.19(b)(5) Sec. 1324.19(b)(5)
through (8). through (8).
Sec. 1324.11............... (e)(3)(iv)................... Sec. 1327.19(b)(5) Sec. 1324.19(b)(5)
through (8). through (8).
Sec. 1324.11............... (e)(4) introductory text and Sec. 1327.21.......... Sec. 1324.21.
(e)(6)(i).
Sec. 1324.13............... (b)(1)....................... Sec. 1327.11(e)....... Sec. 1324.11(e).
Sec. 1324.13............... (b)(2)....................... Sec. 1327.19.......... Sec. 1324.19.
Sec. 1324.13............... (c) introductory text........ Sec. 1327.11(e)(6).... Sec. 1324.11(e)(6).
Sec. 1324.13............... (c)(3) introductory text..... Sec. 1327.19.......... Sec. 1324.19.
Sec. 1324.15............... (b).......................... Sec. 1327.11(e)(2).... Sec. 1324.11(e)(2).
Sec. 1324.15............... (e).......................... Sec. Sec. 1327.13 and Sec. Sec. 1324.13 and
1327.19. 1324.19.
Sec. 1324.15............... (f).......................... Sec. Sec. Sec. Sec.
1327.11(e)(3) and 1324.11(e)(3) and
1327.13(e). 1324.13(e).
Sec. 1324.15............... (h).......................... Sec. 1327.13(h)....... Sec. 1324.13(h).
Sec. 1324.15............... (i)(1)(ii)................... Sec. Sec. 1327.13 and Sec. Sec. 1324.13 and
1327.19. 1324.19.
Sec. 1324.15............... (k)(1)....................... Sec. 1327.13(g)....... Sec. 1324.13(g).
Sec. 1324.15............... (k)(4)....................... Sec. 1327.13(c)(2).... Sec. 1324.13(c)(2).
Sec. 1324.15............... (k)(5)....................... Sec. 1327.13(h)....... Sec. 1324.13(h).
Sec. 1324.19............... (b)(3) introductory text, Sec. 1327.11(e)(3).... Sec. 1324.11(e)(3).
(b)(6) introductory text,
(b)(7) introductory text,
and (b)(8) introductory text.
Sec. 1324.21............... (d)(1)....................... Sec. 1327.11(e)(4).... Sec. 1324.11(e)(4).
Sec. 1324.21............... (d)(1)....................... Sec. 1327.21(c)....... Sec. 1324.21(c).
----------------------------------------------------------------------------------------------------------------
[[Page 35647]]
PART 1325--REQUIREMENTS APPLICABLE TO THE DEVELOPMENTAL
DISABILITIES PROGRAM
0
11. The authority citation for newly redesignated part 1325 continues
to read as follows:
Authority: 42 U.S.C. 15001 et seq.
Sec. Sec. 1325.1, 1325.3, 1325.6, and 1325.9 [Amended]
0
12. In the table below, for each section and paragraph indicated in the
first two columns, remove the reference indicated in the third column
and add the reference indicated in the fourth column:
----------------------------------------------------------------------------------------------------------------
Newly redesignated section Paragraph(s) Remove Add
----------------------------------------------------------------------------------------------------------------
Sec. 1325.1................ Introductory text............ Sec. 1385.4........... Sec. 1325.4.
Sec. 1325.3................ Introductory text............ parts 1385 through 1388. parts 1325 through 1328.
Sec. 1325.3................ Definition of ``Required Sec. 1386.30.......... Sec. 1326.30.
planning documents''.
Sec. 1325.3................ Definition of ``Required Sec. 1386.22(c)....... Sec. 1326.22(c).
planning documents''.
Sec. 1325.3................ Definition of ``Required Sec. 1388.7........... Sec. 1328.7.
planning documents''.
Sec. 1325.6................ Last sentence of paragraph... subpart E of 45 CFR part subpart E of 45 CFR part
1386. 1326.
Sec. 1325.9................ (a) introductory text........ parts 1386 and 1388..... parts 1326 and 1328.
----------------------------------------------------------------------------------------------------------------
PART 1326--DEVELOPMENTAL DISABILITIES FORMULA GRANT PROGRAMS
0
13. The authority citation for newly redesignated part 1326 continues
to read as follows:
Authority: 42 U.S.C. 15001 et seq.
0
14. The part heading for newly redesignated part 1326 is revised to
read as set forth above.
Sec. Sec. 1326.21, 1326.26, 1326.93, and 1326.94 [Amended]
0
15. In the table below, for each section and paragraph indicated in the
first two columns, remove the reference indicated in the third column
and add the reference indicated in the fourth column:
----------------------------------------------------------------------------------------------------------------
Newly redesignated section Paragraph(s) Remove Add
----------------------------------------------------------------------------------------------------------------
Sec. 1326.21............... (c).......................... Sec. 1386.23(c)....... Sec. 1326.23(c).
Sec. 1326.26............... First sentence of paragraph.. Sec. 1386.25.......... Sec. 1326.25.
Sec. 1326.93............... (e).......................... Sec. 1386.90.......... Sec. 1326.90.
Sec. 1326.94............... (b)(2) introductory text..... Sec. 1386.85(b)....... Sec. 1326.85(b).
----------------------------------------------------------------------------------------------------------------
PART 1327--DEVELOPMENTAL DISABILITIES PROJECTS OF NATIONAL
SIGNIFICANCE
0
16. The authority citation for newly redesignated part 1327 continues
to read as follows:
Authority: 42 U.S.C. 15001 et seq.
0
17. The part heading for newly redesignated part 1327 is revised to
read as set forth above.
PART 1328--THE NATIONAL NETWORK OF UNIVERSITY CENTERS FOR
EXCELLENCE IN DEVELOPMENTAL DISABILITIES, EDUCATION, RESEARCH, AND
SERVICE
0
18. The authority citation for newly redesignated part 1328 continues
to read as follows:
Authority: 42 U.S.C. 15001 et seq.
Sec. Sec. 1328.2, 1328.3, and 1328.5 [Amended]
0
19. In the table below, for each section and paragraph indicated in the
first two columns, remove the reference indicated in the third column
and add the reference indicated in the fourth column:
----------------------------------------------------------------------------------------------------------------
Newly redesignated section Paragraph(s) Remove Add
----------------------------------------------------------------------------------------------------------------
Sec. 1328.2................ (a)(2)....................... Sec. 1388.3........... Sec. 1328.3.
Sec. 1328.2................ (a)(2)....................... Sec. 1385.3........... Sec. 1325.3.
Sec. 1328.2................ (b).......................... Sec. 1388.4........... Sec. 1328.4.
Sec. 1328.3................ Introductory text............ Sec. 1388.2........... Sec. 1328.2.
Sec. 1328.5................ (a).......................... Sec. 1388.2........... Sec. 1328.2.
Sec. 1328.5................ (b)(1)....................... Sec. 1385.3........... Sec. 1325.3.
Sec. 1328.5................ (c)(3)....................... Sec. 1388.2(a)(1) and Sec. 1328.2(a)(1) and
(2). (2).
----------------------------------------------------------------------------------------------------------------
[[Page 35648]]
Subchapter I [Removed and Reserved]
0
20. 45 CFR chapter XIII, subchapter I, is removed and reserved.
[FR Doc. 2016-13138 Filed 6-2-16; 8:45 am]
BILLING CODE P
