Medicare and Medicaid Programs; Revisions to Certain Patient's Rights Conditions for Participation and Conditions for Coverage; Withdrawal, 46181 [2017-21419]

Download as PDF Federal Register / Vol. 82, No. 191 / Wednesday, October 4, 2017 / Proposed Rules DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS–3302–WN] 42 CFR Part 416, 418, 482, 483, and 485 Medicare and Medicaid Programs; Revisions to Certain Patient’s Rights Conditions for Participation and Conditions for Coverage; Withdrawal Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Withdrawal of proposed rule. AGENCY: This document withdraws a proposed rule that was published in the Federal Register on December 12, 2014. This proposed rule would revise the applicable conditions of participation for certain providers, conditions for coverage for certain suppliers, and requirements for long-term care facilities, to ensure that the requirements are consistent with the Supreme Court decision in United States v. Windsor (570 U.S.12, 133 S. Ct. 2675 (2013)), and HHS policy. Specifically, it proposed to revise certain definitions and patient’s rights provisions that currently defer to state law, in order to ensure that same-sex spouses are recognized and afforded equal rights in certain Medicare and Medicaid-participating facilities. DATES: As of October 4, 2017, the proposed rule published December 12, 2014, at 79 FR 73873, is withdrawn. FOR FURTHER INFORMATION CONTACT: Ronisha Blackstone, 410–786–6882. SUPPLEMENTARY INFORMATION: On December 12, 2014, we published a proposed rule in the Federal Register entitled, ‘‘Medicare and Medicaid Program; Revisions to Certain Patient’s Rights Conditions of Participation and Conditions for Coverage’’ (79 FR 73873). In United States v. Windsor, 570 U.S.12, 133 S. Ct. 2675 (2013), the Supreme Court held that section 3 of the Defense of Marriage Act (DOMA) was unconstitutional because it violated the Fifth Amendment (See Windsor, 133 S. Ct. 2675, 2695). Section 3 of DOMA provided that in determining the meaning of any Act of the Congress, or of any ruling, regulation, or interpretation of the various administrative bureaus and agencies of the United States, the word ‘‘marriage’’ meant only a legal union between one man and one woman as husband and wife, and the word ‘‘spouse’’ could refer only to a person of the opposite sex who was a husband or a wife (1 U.S.C. 7). sradovich on DSK3GMQ082PROD with PROPOSALS SUMMARY: VerDate Sep<11>2014 18:17 Oct 03, 2017 Jkt 244001 Following the Supreme Court’s opinion in Windsor, the Federal government was permitted to recognize the validity of same-sex marriages when administering Federal statutes and programs. The December 2014 rulemaking proposed to revise certain conditions of participation (CoPs), conditions for coverage (CfCs), and requirements for certain Medicare- and Medicaidparticipating facilities to ensure that the requirements at issue were consistent with the Windsor decision. We received 97 public comments in response to the December 2014 proposed rule. Following publication of the proposed rule, on June 26, 2015 in Obergefell v. Hodges, (135 S. Ct. 2584 (2015)), the Supreme Court held that the Due Process and Equal Protection clauses of the Fourteenth Amendment requires a state to license a marriage between two people of the same sex, and to recognize same-sex marriages lawfully performed in other States. In light of the Obergefell decision, we have decided to withdraw the December 2014 proposed rule. We believe that the Obergefell decision has addressed many of the concerns raised in the December 2014 proposed rule. Accordingly, the proposed rule published December 12, 2014, at 79 FR 73873, is withdrawn. Dated: August 24, 2017. Seema Verma, Administrator, Centers for Medicare & Medicaid Services. Approved: September 7, 2017. Thomas E. Price, Secretary, Department of Health and Human Services. [FR Doc. 2017–21419 Filed 10–3–17; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Part 424 [CMS–6012–WN] RIN 0938–AR84 Medicare Program; Establishment of Special Payment Provisions and Requirements for Qualified Practitioners and Qualified Suppliers of Prosthetics and Custom-Fabricated Orthotics; Withdrawal Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Withdrawal of proposed rule. AGENCY: Federal Register on January 12, 2017. The proposed rule specified the qualifications needed for qualified practitioners to furnish and fabricate, and qualified suppliers to fabricate prosthetics and custom-fabricated orthotics; accreditation requirements that qualified suppliers must meet in order to bill for prosthetics and custom fabricated orthotics; requirements that an organization must meet in order to accredit qualified suppliers to bill for prosthetics and custom-fabricated orthotics; and a timeframe by which qualified practitioners and qualified suppliers must meet the applicable licensure, certification, and accreditation requirements. In addition, the proposed rule removed the current exemption from accreditation and quality standards for certain practitioners and suppliers. As of October 4, 2017, the proposed rule published January 12, 2017, at 82 FR 3678, is withdrawn. DATES: FOR FURTHER INFORMATION CONTACT: In the January 12, 2017 Federal Register (82 FR 3678), we published a proposed rule titled, ‘‘Medicare Program; Establishment of Special Payment Provisions and Requirements for Qualified Practitioners and Qualified Suppliers of Prosthetics and Custom Fabricated Orthotics’’ to ensure that only those who are qualified to do so can furnish, fabricate, and bill for the prosthetics and custom-fabricated orthotics addressed by the proposed rule. We received over 5,000 public comments in response to the January 12, 2017 proposed rule. In light of the cost and time burdens that the proposed rule would create for many providers and suppliers, particularly the cost and burden for those providers and suppliers that are small businesses, and the complexity of the issues raised in the detailed public comments received, we are withdrawing the January 12, 2017 proposed rule in order to assure agency flexibility in reexamining the issues and exploring options and alternatives with stakeholders. Accordingly, the proposed rule published January 12, 2017, at 82 FR 3678, is withdrawn. SUPPLEMENTARY INFORMATION: This document withdraws a proposed rule that was published in the Frm 00009 Fmt 4702 Sfmt 4702 John Spiegel, (410) 786–1909. SUMMARY: PO 00000 46181 E:\FR\FM\04OCP1.SGM 04OCP1

Agencies

[Federal Register Volume 82, Number 191 (Wednesday, October 4, 2017)]
[Proposed Rules]
[Page 46181]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-21419]



[[Page 46181]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-3302-WN]

42 CFR Part 416, 418, 482, 483, and 485


Medicare and Medicaid Programs; Revisions to Certain Patient's 
Rights Conditions for Participation and Conditions for Coverage; 
Withdrawal

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Withdrawal of proposed rule.

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

SUMMARY: This document withdraws a proposed rule that was published in 
the Federal Register on December 12, 2014. This proposed rule would 
revise the applicable conditions of participation for certain 
providers, conditions for coverage for certain suppliers, and 
requirements for long-term care facilities, to ensure that the 
requirements are consistent with the Supreme Court decision in United 
States v. Windsor (570 U.S.12, 133 S. Ct. 2675 (2013)), and HHS policy. 
Specifically, it proposed to revise certain definitions and patient's 
rights provisions that currently defer to state law, in order to ensure 
that same-sex spouses are recognized and afforded equal rights in 
certain Medicare and Medicaid-participating facilities.

DATES: As of October 4, 2017, the proposed rule published December 12, 
2014, at 79 FR 73873, is withdrawn.

FOR FURTHER INFORMATION CONTACT: Ronisha Blackstone, 410-786-6882.

SUPPLEMENTARY INFORMATION: On December 12, 2014, we published a 
proposed rule in the Federal Register entitled, ``Medicare and Medicaid 
Program; Revisions to Certain Patient's Rights Conditions of 
Participation and Conditions for Coverage'' (79 FR 73873). In United 
States v. Windsor, 570 U.S.12, 133 S. Ct. 2675 (2013), the Supreme 
Court held that section 3 of the Defense of Marriage Act (DOMA) was 
unconstitutional because it violated the Fifth Amendment (See Windsor, 
133 S. Ct. 2675, 2695). Section 3 of DOMA provided that in determining 
the meaning of any Act of the Congress, or of any ruling, regulation, 
or interpretation of the various administrative bureaus and agencies of 
the United States, the word ``marriage'' meant only a legal union 
between one man and one woman as husband and wife, and the word 
``spouse'' could refer only to a person of the opposite sex who was a 
husband or a wife (1 U.S.C. 7). Following the Supreme Court's opinion 
in Windsor, the Federal government was permitted to recognize the 
validity of same-sex marriages when administering Federal statutes and 
programs.
    The December 2014 rulemaking proposed to revise certain conditions 
of participation (CoPs), conditions for coverage (CfCs), and 
requirements for certain Medicare- and Medicaid-participating 
facilities to ensure that the requirements at issue were consistent 
with the Windsor decision. We received 97 public comments in response 
to the December 2014 proposed rule. Following publication of the 
proposed rule, on June 26, 2015 in Obergefell v. Hodges, (135 S. Ct. 
2584 (2015)), the Supreme Court held that the Due Process and Equal 
Protection clauses of the Fourteenth Amendment requires a state to 
license a marriage between two people of the same sex, and to recognize 
same-sex marriages lawfully performed in other States. In light of the 
Obergefell decision, we have decided to withdraw the December 2014 
proposed rule. We believe that the Obergefell decision has addressed 
many of the concerns raised in the December 2014 proposed rule.
    Accordingly, the proposed rule published December 12, 2014, at 79 
FR 73873, is withdrawn.

    Dated: August 24, 2017.
Seema Verma,
Administrator, Centers for Medicare & Medicaid Services.
    Approved: September 7, 2017.
Thomas E. Price,
Secretary, Department of Health and Human Services.
[FR Doc. 2017-21419 Filed 10-3-17; 8:45 am]
 BILLING CODE 4120-01-P
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