Solicitation of New Safe Harbors and Special Fraud Alerts, 95551-95553 [2016-31170]
Download as PDF
Federal Register / Vol. 81, No. 249 / Wednesday, December 28, 2016 / Proposed Rules
and Conflict of Interest and Disclosure
requirements.
DATES: Written comments should be
received on or before January 27, 2017.
ADDRESSES: Submit your comments,
identified by EPA–R06–OAR–2014–
0513, at https://www.regulations.gov or
via email to Donaldson.tracie@epa.gov.
For additional information on how to
submit comments see the detailed
instructions in the ADDRESSES section of
the direct final rule located in the rules
section of this Federal Register.
FOR FURTHER INFORMATION CONTACT:
Tracie Donaldson, (214) 665–6633,
Donaldson.tracie@epa.gov.
SUPPLEMENTARY INFORMATION: In the
final rules section of this Federal
Register, the EPA is approving the
State’s SIP submittal as a direct rule
without prior proposal because the
Agency views this as a noncontroversial
submittal and anticipates no adverse
comments. A detailed rationale for the
approval is set forth in the direct final
rule. If no relevant adverse comments
are received in response to this action
no further activity is contemplated. If
the EPA receives relevant adverse
comments, the direct final rule will be
withdrawn and all public comments
received will be addressed in a
subsequent final rule based on this
proposed rule. The EPA will not
institute a second comment period. Any
parties interested in commenting on this
action should do so at this time.
For additional information, see the
direct final rule which is located in the
rules section of this Federal Register.
Dated: December 21, 2016.
Samuel Coleman,
Acting Regional Administrator, Region 6.
[FR Doc. 2016–31331 Filed 12–27–16; 8:45 am]
BILLING CODE 6560–50–P
ENVIRONMENTAL PROTECTION
AGENCY
40 CFR Part 80
[EPA–HQ–OAR–2016–0544; FRL–9957–46–
OAR]
Change the RFS Point of Obligation;
Extension of Comment Period
Environmental Protection
Agency (EPA).
ACTION: Extension of public comment
period.
sradovich on DSK3GMQ082PROD with PROPOSALS
AGENCY:
On November 22, 2016, the
U.S. Environmental Protection Agency
(‘‘EPA’’) published a Notice of its
proposed denial of several petitions
requesting that EPA initiate a
rulemaking process to reconsider or
SUMMARY:
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Jkt 241001
change its regulations that identify
refiners and importers of gasoline and
diesel fuel as the entities responsible for
complying with the annual percentage
standards adopted under the Renewable
Fuel Standard (RFS) program. The
Notice invited public comment on this
proposal by January 23, 2017—60 days
after publication of the Notice in the
Federal Register. On December 13,
2016, the EPA received a request from
the Small Retailers Coalition to extend
the comment period by 30 days to allow
its members to provide thorough
comments and data. In light of the
importance of this issue, the EPA is
extending the deadline for written
comments an additional 30 days to
February 22, 2017.
DATES: Comments must be received on
or before February 22, 2017.
ADDRESSES: Submit your comments on
the EPA’s proposed denial of the
petitions referenced above, identified by
Docket ID No. EPA–HQ–OAR–2016–
0544, at https://www.regulations.gov.
Follow the online instructions for
submitting comments. Once submitted,
comments cannot be edited or
withdrawn from Regulations.gov. The
EPA may publish any comment received
to its public docket. Do not submit
electronically any information you
consider to be Confidential Business
Information (CBI) or other information
whose disclosure is restricted by statute.
Multimedia submissions (audio, video,
etc.) must be accompanied by a written
comment. The written comment is
considered the official comment and
should include discussion of all points
you wish to make. The EPA will
generally not consider comments or
comment contents located outside of the
primary submission (i.e., on the web,
cloud, or other file sharing system). For
additional submission methods, the full
EPA public comment policy,
information about CBI or multimedia
submissions, and general guidance on
making effective comments, please visit
https://www2.epa.gov/dockets/
commenting-epa-dockets.
FOR FURTHER INFORMATION CONTACT: Julia
MacAllister, Office of Transportation
and Air Quality, Assessment and
Standards Division, Environmental
Protection Agency, 2000 Traverwood
Drive, Ann Arbor, MI 48105; telephone
number: 734–214–4131; email address:
macallister.julia@epa.gov.
SUPPLEMENTARY INFORMATION: The EPA
proposal noted above was published on
November 22, 2016, at 81 FR 83776. For
the reasons noted above, the public
comment period will now end on
February 22, 2017.
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95551
Dated: December 20, 2016.
Christopher Grundler,
Director, Office of Transportation and Air
Quality.
[FR Doc. 2016–31259 Filed 12–27–16; 8:45 am]
BILLING CODE 6560–50–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Office of Inspector General
42 CFR Part 1001
Solicitation of New Safe Harbors and
Special Fraud Alerts
Office of Inspector General
(OIG), HHS.
ACTION: Notice of intent to develop
regulations.
AGENCY:
In accordance with section
205 of the Health Insurance Portability
and Accountability Act of 1996
(HIPAA), this annual notice solicits
proposals and recommendations for
developing new, and modifying
existing, safe harbor provisions under
the Federal anti-kickback statute
(section 1128B(b) of the Social Security
Act), as well as developing new OIG
Special Fraud Alerts.
DATES: To ensure consideration, public
comments must be delivered to the
address provided below by no later than
5 p.m. on February 27, 2017.
ADDRESSES: In commenting, please refer
to file code OIG–125–N. Because of staff
and resource limitations, we cannot
accept comments by facsimile (fax)
transmission.
You may submit comments in one of
three ways (no duplicates, please):
1. Electronically. You may submit
electronic comments on specific
recommendations and proposals
through the Federal eRulemaking Portal
at https://www.regulations.gov.
2. By regular, express, or overnight
mail. You may send written comments
to the following address: Patrice Drew,
Office of Inspector General, Regulatory
Affairs, Department of Health and
Human Services, Attention: OIG–125–N,
Room 5541C, Cohen Building, 330
Independence Avenue SW.,
Washington, DC 20201. Please allow
sufficient time for mailed comments to
be received before the close of the
comment period.
3. 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 Patrice Drew,
Office of Inspector General, Department
of Health and Human Services, Cohen
Building, Room 5541C, 330
SUMMARY:
E:\FR\FM\28DEP1.SGM
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95552
Federal Register / Vol. 81, No. 249 / Wednesday, December 28, 2016 / Proposed Rules
Independence Avenue SW.,
Washington, DC 20201. Because access
to the interior of the Cohen Building is
not readily available to persons without
Federal Government identification,
commenters are encouraged to schedule
their delivery with one of our staff
members at (202) 619–1368.
For information on viewing public
comments, please see the
SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT:
Patrice Drew, Regulatory Affairs
Liaison, Office of Inspector General,
(202) 619–1368.
SUPPLEMENTARY INFORMATION:
Submitting Comments: We welcome
comments from the public on
recommendations for developing new or
revised safe harbors and Special Fraud
Alerts. Please assist us by referencing
the file code OIG–125–N.
Inspection of Public Comments: All
comments received before the end of the
comment period are available for
viewing by the public. All comments
will be posted on https://
www.regulations.gov after the closing of
the comment period. Comments
received timely will also be available for
public inspection as they are received at
Office of Inspector General, Department
of Health and Human Services, Cohen
Building, 330 Independence Avenue
SW., Washington, DC 20201, Monday
through Friday from 10 a.m. to 5 p.m.
To schedule an appointment to view
public comments, phone (202) 619–
1368.
sradovich on DSK3GMQ082PROD with PROPOSALS
I. Background
A. OIG Safe Harbor Provisions
Section 1128B(b) of the Social
Security Act (the Act) (42 U.S.C. 1320a–
7b(b)) provides criminal penalties for
individuals or entities that knowingly
and willfully offer, pay, solicit, or
receive remuneration to induce or
reward business reimbursable under
Federal health care programs. The
offense is classified as a felony and is
punishable by fines of up to $25,000
and imprisonment for up to 5 years. OIG
may also impose civil money penalties,
in accordance with section 1128A(a)(7)
of the Act (42 U.S.C. 1320a–7a(a)(7)), or
exclusion from Federal health care
programs, in accordance with section
1128(b)(7) of the Act (42 U.S.C. 1320a–
7(b)(7)).
Because the statute, on its face, is so
broad, concern has been expressed for
many years that some relatively
innocuous commercial arrangements
may be subject to criminal prosecution
or administrative sanction. In response
to the above concern, section 14 of the
Medicare and Medicaid Patient and
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Program Protection Act of 1987, Public
Law 100–93 section 14, specifically
required the development and
promulgation of regulations, the socalled ‘‘safe harbor’’ provisions,
specifying various payment and
business practices that, although
potentially capable of inducing referrals
of business reimbursable under Federal
health care programs, would not be
treated as criminal offenses under the
anti-kickback statute and would not
serve as a basis for administrative
sanctions. OIG safe harbor provisions
have been developed ‘‘to limit the reach
of the statute somewhat by permitting
certain non-abusive arrangements, while
encouraging beneficial and innocuous
arrangements’’ (56 FR 35952, July 29,
1991). Health care providers and others
may voluntarily seek to comply with
these provisions so that they have the
assurance that their business practices
will not be subject to liability under the
anti-kickback statute or related
administrative authorities. OIG safe
harbor regulations are found at 42 CFR
part 1001.
B. OIG Special Fraud Alerts
OIG has also periodically issued
Special Fraud Alerts to give continuing
guidance to health care providers with
respect to practices OIG finds
potentially fraudulent or abusive. The
Special Fraud Alerts encourage industry
compliance by giving providers
guidance that can be applied to their
own practices. OIG Special Fraud Alerts
are published in the Federal Register
and on our Web site and are intended
for extensive distribution directly to the
health care provider community, as well
as to those charged with administering
the Federal health care programs.
In developing Special Fraud Alerts,
OIG has relied on a number of sources
and has consulted directly with experts
in the subject field, including those
within OIG, other agencies of the
Department, other Federal and State
agencies, and those in the health care
industry.
C. Section 205 of the Health Insurance
Portability and Accountability Act of
1996
Section 205 of the Health Insurance
Portability and Accountability Act of
1996 (HIPAA), Public Law 104–191
section 205, the Act, section 1128D, 42
U.S.C. 1320a–7d, requires the
Department to develop and publish an
annual notice in the Federal Register
formally soliciting proposals for
modifying existing safe harbors to the
anti-kickback statute and for developing
new safe harbors and Special Fraud
Alerts.
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Sfmt 4702
In developing safe harbors for a
criminal statute, OIG thoroughly
reviews the range of factual
circumstances that may fall within the
proposed safe harbor subject area so as
to uncover potential opportunities for
fraud and abuse. Only then can OIG
determine, in consultation with the
Department of Justice, whether it can
effectively develop regulatory
limitations and controls that will permit
beneficial and innocuous arrangements
within a subject area while, at the same
time, protecting Federal health care
programs and their beneficiaries from
abusive practices.
II. Solicitation of Additional New
Recommendations and Proposals
In accordance with the requirements
of section 205 of HIPAA, OIG last
published a Federal Register
solicitation notice for developing new
safe harbors and Special Fraud Alerts on
December 23, 2015 (80 FR 79803). As
required under section 205, a status
report of the proposals OIG received for
new and modified safe harbors in
response to that solicitation notice is set
forth in Appendix F of OIG’s Fall 2016
Semiannual Report to Congress.1 OIG is
not seeking additional public comment
on the proposals listed in Appendix F
at this time. Rather, this notice seeks
additional recommendations regarding
the development of new or modified
safe harbor regulations and new Special
Fraud Alerts beyond those summarized
in Appendix F.
A detailed explanation of
justifications for, or empirical data
supporting, a suggestion for a safe
harbor or Special Fraud Alert would be
helpful and should, if possible, be
included in any response to this
solicitation.
A. Criteria for Modifying and
Establishing Safe Harbor Provisions
In accordance with section 205 of
HIPAA, we will consider a number of
factors in reviewing proposals for new
or modified safe harbor provisions, such
as the extent to which the proposals
would affect an increase or decrease in:
• Access to health care services,
• the quality of health care services,
• patient freedom of choice among
health care providers,
• competition among health care
providers,
• the cost to Federal health care
programs,
• the potential overutilization of
health care services, and
1 The OIG Semiannual Report to Congress can be
accessed through the OIG Web site at https://
oig.hhs.gov/publications/semiannual.asp.
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Federal Register / Vol. 81, No. 249 / Wednesday, December 28, 2016 / Proposed Rules
• the ability of health care facilities to
provide services in medically
underserved areas or to medically
underserved populations.
In addition, we will also consider
other factors, including, for example,
the existence (or nonexistence) of any
potential financial benefit to health care
professionals or providers that may take
into account their decisions whether to
(1) order a health care item or service or
(2) arrange for a referral of health care
items or services to a particular
practitioner or provider.
B. Criteria for Developing Special Fraud
Alerts
In determining whether to issue
additional Special Fraud Alerts, we will
consider whether, and to what extent,
the practices that would be identified in
a new Special Fraud Alert may result in
any of the consequences set forth above,
as well as the volume and frequency of
the conduct that would be identified in
the Special Fraud Alert.
Dated: December 21, 2016.
Daniel R. Levinson,
Inspector General.
[FR Doc. 2016–31170 Filed 12–27–16; 8:45 am]
BILLING CODE 4152–01–P
DEPARTMENT OF TRANSPORTATION
National Highway Traffic Safety
Administration
49 CFR Parts 531, 533 and 536
[Docket No. NHTSA–2016–0135]
Corporate Average Fuel Economy
Standards; Credits
National Highway Traffic
Safety Administration (NHTSA),
Department of Transportation (DOT).
ACTION: Grant of petition for rulemaking.
AGENCY:
This notice partially grants a
petition for rulemaking submitted by the
Alliance of Automobile Manufacturers
and the Association of Global
Automakers (hereinafter collectively
referred to as ‘‘Petitioners’’) on June 20,
2016, to consider amending various
aspects of the light vehicle Corporate
Average Fuel Economy (CAFE)
regulations. The Petitioners requested
that NHTSA issue a direct final rule to
implement the requested changes, but
NHTSA believes that the issues and
questions raised by the Petitioners are
worthy of notice and comment. NHTSA
will address the changes requested in
the Petition in the course of the
rulemaking proceeding, in accordance
with statutory criteria.
sradovich on DSK3GMQ082PROD with PROPOSALS
SUMMARY:
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18:33 Dec 27, 2016
Jkt 241001
DATES:
December 21, 2016.
For
technical issues, you may call Mr. James
Tamm in the Fuel Economy Division of
the Office of Rulemaking at (202) 493–
0515. For legal issues, you may call Ms.
Rebecca Yoon in the Office of Chief
Counsel at (202) 366–2992. You may
send mail to these officials at: National
Highway Traffic Safety Administration,
1200 New Jersey Avenue SE.,
Washington, DC 20590.
SUPPLEMENTARY INFORMATION: On June
20, 2016, the Petitioners submitted a
Petition to the National Highway Traffic
Safety Administration (NHTSA) and the
Environmental Protection Agency (EPA)
requesting that the agencies issue a
direct final rule to amend various
aspects of the Corporate Average Fuel
Economy (CAFE) and light-duty
greenhouse gas (GHG) regulations. The
Petitioners stated that these
amendments are necessary to ‘‘address
various inconsistencies between’’
NHTSA’s CAFE program and EPA’s
GHG emissions program, and to
‘‘address additional inefficiencies’’ in
the programs.
Specifically, Petitioners requested
that NHTSA (and EPA) 1 modify the
CAFE regulations as follows:
(1) Include ‘‘off-cycle’’ credits in the
calculation of manufacturers’ fleet fuel
economy levels for model years 2010
through 2016;
(2) Include air conditioning efficiency
credits in the calculation of
manufacturers’ fleet fuel economy levels
for model years 2010 through 2016;
(3) Apply the ‘‘fuel savings
adjustment factor’’ for all uses of CAFE
credits;
(4) Apply the same estimate of
Vehicle Miles Traveled for model years
2011 through 2016 that that the EPA
GHG program uses;
(5) Change the definition of ‘‘credit
transfer’’ in 49 CFR part 536 to state that
the statutory cap on credit transfers
applies at time of transfer rather than at
time of use;
(6) Amend regulations to clarify that
manufacturers may manage and apply
their credits regardless of their origin;
(7) Amend 49 CFR 531(d) so that
minimum domestic passenger car
standards represent 92 percent of the
overall passenger car CAFE standard for
the fleet as a whole calculated at the end
of each model year, rather than 92
percent of the overall standard as
calculated at the time that the standards
are/were originally issued;
FOR FURTHER INFORMATION CONTACT:
1 This decision addresses only those portions of
the Petition that are within NHTSA’s jurisdiction
and responsibility. It does not address aspects of the
Petition that are exclusively under EPA’s
jurisdiction.
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95553
(8) Adjust the ‘‘multiplier’’ for full
electric vehicles, plug-in hybrid electric
vehicles, fuel cell vehicles, and
compressed natural gas vehicles; and
(9) ‘‘Improve’’ the off-cycle credit
approval process and reaffirm several
provisions.
Some aspects of the Petition were
directed to NHTSA, some to both
NHTSA and EPA, and other requests
were directed exclusively to EPA. The
sixth item, seeking clarification that
manufacturers may manage and apply
their credits regardless of their origin,
requests a change in an EPA regulation
(40 CFR 86.1865(k)(5)) that does not
appear applicable or relevant to the
CAFE program. Calculation procedures
for CAFE compliance are located at 40
CFR 600.510–12. Credits for CAFE overcompliance are determined based on the
difference between a manufacturer’s
calculated ‘‘achieved’’ CAFE value and
the manufacturer’s calculated
‘‘required’’ CAFE value. NHTSA
believes that this request was not
intended to be directed at the CAFE
program, but NHTSA would welcome
Petitioners’ clarification if this is
incorrect.
Similarly, the eighth item, which
addresses the ‘‘multiplier’’ for
alternative fuel vehicles, applies
exclusively to EPA’s GHG program.
NHTSA does not speak for EPA in this
decision, and will not address this item
in the upcoming rulemaking.
The remaining items will be
addressed in conjunction with the
Agency’s upcoming proposal for setting
future CAFE standards. NHTSA believes
that these issues are best considered
concurrently with that rulemaking for
both procedural and substantive
reasons. Procedurally, reducing the
number of rulemaking actions increases
administrative efficiency and improves
the ability to evaluate cumulative
program impacts comprehensively.
Substantively, while Petitioners’
requests nominally focus on credit and
flexibility issues, NHTSA believes that
the underlying questions of whether and
how to expand compliance flexibilities
is closely related to the question of what
CAFE standards are maximum feasible
in future model years, which NHTSA
will determine in the upcoming
rulemaking as required by statute. The
Petitioners appear to agree with this, as
the Petition suggests that if a lack of
compliance flexibilities leads
manufacturers to pay civil penalties for
CAFE non-compliance, the CAFE
standards may be beyond maximum
feasible levels. While NHTSA does not
agree that the fact that any manufacturer
would face civil penalties alone would
suggest that CAFE standards would be
E:\FR\FM\28DEP1.SGM
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Agencies
[Federal Register Volume 81, Number 249 (Wednesday, December 28, 2016)]
[Proposed Rules]
[Pages 95551-95553]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-31170]
=======================================================================
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of Inspector General
42 CFR Part 1001
Solicitation of New Safe Harbors and Special Fraud Alerts
AGENCY: Office of Inspector General (OIG), HHS.
ACTION: Notice of intent to develop regulations.
-----------------------------------------------------------------------
SUMMARY: In accordance with section 205 of the Health Insurance
Portability and Accountability Act of 1996 (HIPAA), this annual notice
solicits proposals and recommendations for developing new, and
modifying existing, safe harbor provisions under the Federal anti-
kickback statute (section 1128B(b) of the Social Security Act), as well
as developing new OIG Special Fraud Alerts.
DATES: To ensure consideration, public comments must be delivered to
the address provided below by no later than 5 p.m. on February 27,
2017.
ADDRESSES: In commenting, please refer to file code OIG-125-N. Because
of staff and resource limitations, we cannot accept comments by
facsimile (fax) transmission.
You may submit comments in one of three ways (no duplicates,
please):
1. Electronically. You may submit electronic comments on specific
recommendations and proposals through the Federal eRulemaking Portal at
https://www.regulations.gov.
2. By regular, express, or overnight mail. You may send written
comments to the following address: Patrice Drew, Office of Inspector
General, Regulatory Affairs, Department of Health and Human Services,
Attention: OIG-125-N, Room 5541C, Cohen Building, 330 Independence
Avenue SW., Washington, DC 20201. Please allow sufficient time for
mailed comments to be received before the close of the comment period.
3. 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 Patrice Drew, Office of Inspector General, Department of Health and
Human Services, Cohen Building, Room 5541C, 330
[[Page 95552]]
Independence Avenue SW., Washington, DC 20201. Because access to the
interior of the Cohen Building is not readily available to persons
without Federal Government identification, commenters are encouraged to
schedule their delivery with one of our staff members at (202) 619-
1368.
For information on viewing public comments, please see the
SUPPLEMENTARY INFORMATION section.
FOR FURTHER INFORMATION CONTACT: Patrice Drew, Regulatory Affairs
Liaison, Office of Inspector General, (202) 619-1368.
SUPPLEMENTARY INFORMATION:
Submitting Comments: We welcome comments from the public on
recommendations for developing new or revised safe harbors and Special
Fraud Alerts. Please assist us by referencing the file code OIG-125-N.
Inspection of Public Comments: All comments received before the end
of the comment period are available for viewing by the public. All
comments will be posted on https://www.regulations.gov after the closing
of the comment period. Comments received timely will also be available
for public inspection as they are received at Office of Inspector
General, Department of Health and Human Services, Cohen Building, 330
Independence Avenue SW., Washington, DC 20201, Monday through Friday
from 10 a.m. to 5 p.m. To schedule an appointment to view public
comments, phone (202) 619-1368.
I. Background
A. OIG Safe Harbor Provisions
Section 1128B(b) of the Social Security Act (the Act) (42 U.S.C.
1320a-7b(b)) provides criminal penalties for individuals or entities
that knowingly and willfully offer, pay, solicit, or receive
remuneration to induce or reward business reimbursable under Federal
health care programs. The offense is classified as a felony and is
punishable by fines of up to $25,000 and imprisonment for up to 5
years. OIG may also impose civil money penalties, in accordance with
section 1128A(a)(7) of the Act (42 U.S.C. 1320a-7a(a)(7)), or exclusion
from Federal health care programs, in accordance with section
1128(b)(7) of the Act (42 U.S.C. 1320a-7(b)(7)).
Because the statute, on its face, is so broad, concern has been
expressed for many years that some relatively innocuous commercial
arrangements may be subject to criminal prosecution or administrative
sanction. In response to the above concern, section 14 of the Medicare
and Medicaid Patient and Program Protection Act of 1987, Public Law
100-93 section 14, specifically required the development and
promulgation of regulations, the so-called ``safe harbor'' provisions,
specifying various payment and business practices that, although
potentially capable of inducing referrals of business reimbursable
under Federal health care programs, would not be treated as criminal
offenses under the anti-kickback statute and would not serve as a basis
for administrative sanctions. OIG safe harbor provisions have been
developed ``to limit the reach of the statute somewhat by permitting
certain non-abusive arrangements, while encouraging beneficial and
innocuous arrangements'' (56 FR 35952, July 29, 1991). Health care
providers and others may voluntarily seek to comply with these
provisions so that they have the assurance that their business
practices will not be subject to liability under the anti-kickback
statute or related administrative authorities. OIG safe harbor
regulations are found at 42 CFR part 1001.
B. OIG Special Fraud Alerts
OIG has also periodically issued Special Fraud Alerts to give
continuing guidance to health care providers with respect to practices
OIG finds potentially fraudulent or abusive. The Special Fraud Alerts
encourage industry compliance by giving providers guidance that can be
applied to their own practices. OIG Special Fraud Alerts are published
in the Federal Register and on our Web site and are intended for
extensive distribution directly to the health care provider community,
as well as to those charged with administering the Federal health care
programs.
In developing Special Fraud Alerts, OIG has relied on a number of
sources and has consulted directly with experts in the subject field,
including those within OIG, other agencies of the Department, other
Federal and State agencies, and those in the health care industry.
C. Section 205 of the Health Insurance Portability and Accountability
Act of 1996
Section 205 of the Health Insurance Portability and Accountability
Act of 1996 (HIPAA), Public Law 104-191 section 205, the Act, section
1128D, 42 U.S.C. 1320a-7d, requires the Department to develop and
publish an annual notice in the Federal Register formally soliciting
proposals for modifying existing safe harbors to the anti-kickback
statute and for developing new safe harbors and Special Fraud Alerts.
In developing safe harbors for a criminal statute, OIG thoroughly
reviews the range of factual circumstances that may fall within the
proposed safe harbor subject area so as to uncover potential
opportunities for fraud and abuse. Only then can OIG determine, in
consultation with the Department of Justice, whether it can effectively
develop regulatory limitations and controls that will permit beneficial
and innocuous arrangements within a subject area while, at the same
time, protecting Federal health care programs and their beneficiaries
from abusive practices.
II. Solicitation of Additional New Recommendations and Proposals
In accordance with the requirements of section 205 of HIPAA, OIG
last published a Federal Register solicitation notice for developing
new safe harbors and Special Fraud Alerts on December 23, 2015 (80 FR
79803). As required under section 205, a status report of the proposals
OIG received for new and modified safe harbors in response to that
solicitation notice is set forth in Appendix F of OIG's Fall 2016
Semiannual Report to Congress.\1\ OIG is not seeking additional public
comment on the proposals listed in Appendix F at this time. Rather,
this notice seeks additional recommendations regarding the development
of new or modified safe harbor regulations and new Special Fraud Alerts
beyond those summarized in Appendix F.
---------------------------------------------------------------------------
\1\ The OIG Semiannual Report to Congress can be accessed
through the OIG Web site at https://oig.hhs.gov/publications/semiannual.asp.
---------------------------------------------------------------------------
A detailed explanation of justifications for, or empirical data
supporting, a suggestion for a safe harbor or Special Fraud Alert would
be helpful and should, if possible, be included in any response to this
solicitation.
A. Criteria for Modifying and Establishing Safe Harbor Provisions
In accordance with section 205 of HIPAA, we will consider a number
of factors in reviewing proposals for new or modified safe harbor
provisions, such as the extent to which the proposals would affect an
increase or decrease in:
Access to health care services,
the quality of health care services,
patient freedom of choice among health care providers,
competition among health care providers,
the cost to Federal health care programs,
the potential overutilization of health care services, and
[[Page 95553]]
the ability of health care facilities to provide services
in medically underserved areas or to medically underserved populations.
In addition, we will also consider other factors, including, for
example, the existence (or nonexistence) of any potential financial
benefit to health care professionals or providers that may take into
account their decisions whether to (1) order a health care item or
service or (2) arrange for a referral of health care items or services
to a particular practitioner or provider.
B. Criteria for Developing Special Fraud Alerts
In determining whether to issue additional Special Fraud Alerts, we
will consider whether, and to what extent, the practices that would be
identified in a new Special Fraud Alert may result in any of the
consequences set forth above, as well as the volume and frequency of
the conduct that would be identified in the Special Fraud Alert.
Dated: December 21, 2016.
Daniel R. Levinson,
Inspector General.
[FR Doc. 2016-31170 Filed 12-27-16; 8:45 am]
BILLING CODE 4152-01-P