Medicare Program Contract Year 2019 Policy and Technical Changes to the Medicare Advantage, Medicare Cost Plan, Medicare Fee-For-Service, the Medicare Prescription Drug Benefit Programs, and the PACE Program; Correction, 61519-61520 [2017-27943]

Download as PDF Federal Register / Vol. 82, No. 248 / Thursday, December 28, 2017 / Proposed Rules of an individual source, we are again inviting comment from interested stakeholders on the topic of how the NSR program overlays with emission guidelines established under CAA section 111(d). We are interested in actions that can be taken to harmonize and streamline the NSR applicability and/or the NSR permitting process with a potential new rule. We invite comment on the following questions: 1. Under what scenarios would EGUs be potentially subject to the requirements of the NSR program as a result of making physical or operational changes that are part of a strategy for regulating existing sources under CAA section 111(d)? Do the scenarios differ depending on site specific factors, such as the size or class of EGU, how the EGU operates (e.g., baseload, intermediate, load following), fuel(s) the EGU burns, or the EGU’s existing level of pollution control? If so, please explain the differences. 2. What rule or policy changes or flexibilities can the EPA provide as part of the NSR program that would enable EGUs to implement projects required under a CAA section 111(d) plan and not trigger major NSR permitting while maintaining environmental protections? 3. What actions can sources take—e.g., through the minor NSR program, agreeing to a PAL—when making heat rate improvements or co-firing with a lower emitting fuel that would allow them to continue to serve the demand of the grid while not having excessive permitting requirements? 4. What approaches could be used in crafting CAA section 111(d) plans so as to reduce the number of existing sources that will be subject to NSR permitting? Do compliance measures, such as inter- and intra-state trading systems, rate-based or mass-based standards, or generation shifting to lower- or zero-emitting units, offer favorable solutions for air agencies and sources with regard to NSR permitting? 5. What other approaches would minimize the impact of the NSR program on the implementation of a performance standard for EGU sources under CAA section 111(d)? sradovich on DSK3GMQ082PROD with PROPOSALS B. New Source Performance Standards (NSPS) The EPA solicits comment on whether there are any potential interactions between a state-based program under CAA section 111(d) covering existing fossil fuel-fired EGUs and a federal program under CAA section 111(b) covering newly constructed, reconstructed, and modified fossil fuelfired EGUs. In particular, the EPA requests information on how an existing EGU covered under a CAA section 111(d) state plan might affect the state plan (or an interstate trading program) if the EGU undergoes a reconstruction or modification (as defined under CAA 111(b)). VerDate Sep<11>2014 17:11 Dec 27, 2017 Jkt 244001 VI. Statutory and Executive Order Reviews Under Executive Order 12866, titled Regulatory Planning and Review (58 FR 51735, October 4, 1993), this is a ‘‘significant regulatory action.’’ Accordingly, the EPA submitted this action to the Office of Management and Budget (OMB) for review under Executive Order 12866 and any changes made in response to OMB recommendations have been documented in the docket for this action. Because this action does not propose or impose any requirements, and instead seeks comments and suggestions for the Agency to consider in possibly developing a subsequent proposed rule, the various statutes and Executive Orders that normally apply to rulemaking do not apply in this case. Should the EPA subsequently determine to pursue a rulemaking, the EPA will address the statutes and Executive Orders as applicable to that rulemaking. Dated: December 18, 2017. E. Scott Pruitt, Administrator. [FR Doc. 2017–27793 Filed 12–27–17; 8:45 am] BILLING CODE 6560–50–P 61519 FOR FURTHER INFORMATION CONTACT: Marie Manteuffel, (410) 786–3447. Lucia Patrone, (410) 786–8621. SUPPLEMENTARY INFORMATION: I. Background In FR Doc. 2017–25068 of November 28, 2017 (82 FR 56336), there were a number of technical and typographical errors that are identified and corrected in the Correction of Errors section of this correcting document. II. Summary of Errors A. Summary of Errors in the Preamble On page 56366, in the listing of parts of the Code of Federal Regulations (CFR) that are being revised by the proposed rule, we inadvertently omitted 42 CFR part 460. On page 56488, in our discussion of reducing the burden of the medical loss ratio (MLR) reporting requirements, we made errors in our description of the tasks performed by our contractor during the initial analyses or desk reviews of MLR reports and the entities for which they perform these tasks (that is, MA organizations and Part D sponsors, not just MA organizations). B. Summary of Errors in the Regulations Text DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 405, 417, 422, 423, 460, and 498 [CMS–4182–CN] RIN 0938–AT08 Medicare Program Contract Year 2019 Policy and Technical Changes to the Medicare Advantage, Medicare Cost Plan, Medicare Fee-For-Service, the Medicare Prescription Drug Benefit Programs, and the PACE Program; Correction Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule; correction. AGENCY: This document corrects technical and typographical errors in the proposed rule that appeared in the November 28, 2017 issue of the Federal Register titled ‘‘Medicare Program Contract Year 2019 Policy and Technical Changes to the Medicare Advantage, Medicare Cost Plan, Medicare Fee-For-Service, the Medicare Prescription Drug Benefit Programs, and the PACE Program’’. SUMMARY: PO 00000 Frm 00021 Fmt 4702 Sfmt 4702 On pages 56498 and 56516, in the proposed regulations text for the calculation of the Part D improvement scores (§§ 422.164(f)(4)(vi) and 423.184(f)(4)(vi), respectively), we made errors in referencing the proposed provision for the clustering algorithm. On page 56509, in the regulations text changes for § 423.120(b)(5)(i)(A) and (B), we made technical errors in the timeframes regarding notice of formulary changes and supply of the Part D drug. On page 56510, we inadvertently omitted regulations text changes for § 423.128(a)(3) that we discussed in section II.B.4. of the proposed rule (see 82 FR 56432). These proposed changes would require MA plans and Part D Sponsors to provide the information in § 423.128(b) by the first day of the annual enrollment period. III. Correction of Errors In FR Doc. 2017–25068 of November 28, 2017 (82 FR 56336), we are making the following corrections: A. Corrections of Errors in the Preamble 1. On page 56366, first column, line 6 (part heading), the phrase ‘‘423, and’’ is corrected to read ‘‘423, 460, and’’. 2. On page 56488, first column, third full paragraph, the paragraph that begins with the phrase ‘‘Our proposal to E:\FR\FM\28DEP1.SGM 28DEP1 61520 Federal Register / Vol. 82, No. 248 / Thursday, December 28, 2017 / Proposed Rules significantly reduce the amount’’ and ends with the phrase ‘‘in order to resolve potential compliance issues.’’ is corrected to read as follows: ‘‘Our proposal to significantly reduce the amount of MLR data submitted to CMS would eliminate the need for CMS to continue to pay a contractor approximately $390,000 a year to perform initial analyses or desk reviews of the detailed MLR reports submitted by MA organizations and Part D sponsors. These initial analyses or desk reviews are done by our contractors in order to identify omissions and suspected inaccuracies and to communicate their findings to MA organizations and Part D sponsors in order to resolve potential compliance issues.’’ B. Correction of Errors in the Regulations Text § 422.164 1. On page 56498, third column, in § 422.164(f)(4)(vi), lines 4 through 6, the reference ‘‘§§ 422.166(a)(2)(ii) through (iv) and 423.186(a)(2)(ii) through (iv)’’ is corrected to read, ‘‘§§ 422.166(a)(2)(iii) and 423.186(a)(2)(iii)’’. [Corrected] 2. On page 56509, first column— ■ a. Sixth paragraph, amendatory instruction 62e is corrected to read ‘‘e. In paragraph (b)(5)(i)(A), by removing the phrase ‘‘60 days’’ and adding in its place the phrase ‘‘30 days’’;’’. ■ b. Eighth paragraph, amendatory instruction 62f is corrected to read ‘‘f. In paragraph (b)(5)(i)(B), by removing the phrase ‘‘60 day supply’’ and adding in its place the phrase ‘‘month’s supply’’;’’. ■ § 423.128 [Corrected] 3. On page 56510, second column— a. Third full paragraph, amendatory instruction 63 is corrected to read ‘‘63. Section 423.128 is amended by revising paragraphs (a)(3) and (d)(2)(iii) to reads as follows:’’. ■ b. Following the third full paragraph, § 423.128, the text is corrected by adding the following text after the section heading and before line 1 (5 stars) to read as follows: ’’ (a) * * * (3) At the time of enrollment and at least annually thereafter, by the first day of the annual coordinated election period.’’ ■ sradovich on DSK3GMQ082PROD with PROPOSALS ■ § 423.184 [Corrected] 4. On page 56516, third column, in § 423.184(f)(4)(vi), line 4, the reference ‘‘§ 423.186(a)(2)(ii)’’ is corrected to read ‘‘§ 423.186(a)(2)(iii)’’. ■ VerDate Sep<11>2014 17:11 Dec 27, 2017 [FR Doc. 2017–27943 Filed 12–27–17; 8:45 am] BILLING CODE 4120–01–P FEDERAL COMMUNICATIONS COMMISSION 47 CFR Part 63 [WC Docket No. 17–84; FCC 17–154] Accelerating Wireline Broadband Deployment by Removing Barriers to Infrastructure Investment Federal Communications Commission. ACTION: Proposed rule. AGENCY: In this document, a Further Notice of Proposed Rulemaking (FNPRM) seeks comment on a number of actions aimed at removing unnecessary regulatory barriers to the deployment of high-speed broadband networks. The FNPRM seeks comment on pole attachment reforms, changes to the copper retirement and other network change notification processes, and changes to the section 214(a) discontinuance application process. The Commission adopted the FNPRM in conjunction with a Report and Order and Declaratory Ruling in WC Docket No. 17–84. DATES: Comments are due on or before January 17, 2018, and reply comments are due on or before February 16, 2018. Written comments on the Paperwork Reduction Act proposed information collection requirements must be submitted by the public, Office of Management and Budget (OMB), and other interested parties on or before February 26, 2018. ADDRESSES: You may submit comments, identified by WC Docket No. 17–84, by any of the following methods: D Federal Communications Commission’s website: http:// apps.fcc.gov/ecfs/. Follow the instructions for submitting comments. D Mail: Parties who choose to file by paper must file an original and one copy of each filing. If more than one docket or rulemaking number appears in the caption of this proceeding, filers must submit two additional copies for each additional docket or rulemaking number. Filings can be sent by hand or messenger delivery, by commercial overnight courier, or by first-class or overnight U.S. Postal Service mail. All filings must be addressed to the Commission’s Secretary, Office of the SUMMARY: [Corrected] ■ § 423.120 Dated: December 19, 2017. Ann C. Agnew, Executive Secretary to the Department, Department of Health and Human Services. Jkt 244001 PO 00000 Frm 00022 Fmt 4702 Sfmt 4702 Secretary, Federal Communications Commission. All hand-delivered or messenger-delivered paper filings for the Commission’s Secretary must be delivered to FCC Headquarters at 445 12th St. SW, Room TW–A325, Washington, DC 20554. The filing hours are 8:00 a.m. to 7:00 p.m. All hand deliveries must be held together with rubber bands or fasteners. Any envelopes and boxes must be disposed of before entering the building. Commercial overnight mail (other than U.S. Postal Service Express Mail and Priority Mail) must be sent to 9050 Junction Drive, Annapolis Junction, MD 20701. U.S. Postal Service first-class, Express, and Priority mail must be addressed to 445 12th Street SW, Washington, DC 20554. D People with Disabilities: To request materials in accessible formats for people with disabilities (braille, large print, electronic files, audio format), send an email to fcc504@fcc.gov or call the Consumer & Governmental Affairs Bureau at 202–418–0530 (voice), 202– 418–0432 (tty). For detailed instructions for submitting comments and additional information on the rulemaking process, see the SUPPLEMENTARY INFORMATION section of this document. In addition to filing comments with the Secretary, a copy of any comments on the Paperwork Reduction Act information collection requirements contained herein should be submitted to the Federal Communications Commission via email to PRA@fcc.gov and to Nicole Ongele, Federal Communications Commission, via email to Nicole.Ongele@fcc.gov. FOR FURTHER INFORMATION CONTACT: Wireline Competition Bureau, Competition Policy Division, Michele Berlove, at (202) 418–1477, michele.berlove@fcc.gov, or Michael Ray, at (202) 418–0357, michael.ray@ fcc.gov. For additional information concerning the Paperwork Reduction Act information collection requirements contained in this document, send an email to PRA@fcc.gov or contact Nicole Ongele at (202) 418–2991. SUPPLEMENTARY INFORMATION: This is a summary of the Commission’s Further Notice of Proposed Rulemaking (FNPRM) in WC Docket No. 17–84, adopted November 16, 2017 and released November 29, 2017. The full text of this document is available for public inspection during regular business hours in the FCC Reference Information Center, Portals II, 445 12th Street SW, Room CY–A257, Washington, DC 20554. It is available on the Commission’s website at https:// E:\FR\FM\28DEP1.SGM 28DEP1

Agencies

[Federal Register Volume 82, Number 248 (Thursday, December 28, 2017)]
[Proposed Rules]
[Pages 61519-61520]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-27943]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 405, 417, 422, 423, 460, and 498

[CMS-4182-CN]
RIN 0938-AT08


Medicare Program Contract Year 2019 Policy and Technical Changes 
to the Medicare Advantage, Medicare Cost Plan, Medicare Fee-For-
Service, the Medicare Prescription Drug Benefit Programs, and the PACE 
Program; Correction

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

ACTION: Proposed rule; correction.

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

SUMMARY: This document corrects technical and typographical errors in 
the proposed rule that appeared in the November 28, 2017 issue of the 
Federal Register titled ``Medicare Program Contract Year 2019 Policy 
and Technical Changes to the Medicare Advantage, Medicare Cost Plan, 
Medicare Fee-For-Service, the Medicare Prescription Drug Benefit 
Programs, and the PACE Program''.

FOR FURTHER INFORMATION CONTACT: Marie Manteuffel, (410) 786-3447. 
Lucia Patrone, (410) 786-8621.

SUPPLEMENTARY INFORMATION: 

I. Background

    In FR Doc. 2017-25068 of November 28, 2017 (82 FR 56336), there 
were a number of technical and typographical errors that are identified 
and corrected in the Correction of Errors section of this correcting 
document.

II. Summary of Errors

A. Summary of Errors in the Preamble

    On page 56366, in the listing of parts of the Code of Federal 
Regulations (CFR) that are being revised by the proposed rule, we 
inadvertently omitted 42 CFR part 460.
    On page 56488, in our discussion of reducing the burden of the 
medical loss ratio (MLR) reporting requirements, we made errors in our 
description of the tasks performed by our contractor during the initial 
analyses or desk reviews of MLR reports and the entities for which they 
perform these tasks (that is, MA organizations and Part D sponsors, not 
just MA organizations).

B. Summary of Errors in the Regulations Text

    On pages 56498 and 56516, in the proposed regulations text for the 
calculation of the Part D improvement scores (Sec. Sec.  
422.164(f)(4)(vi) and 423.184(f)(4)(vi), respectively), we made errors 
in referencing the proposed provision for the clustering algorithm.
    On page 56509, in the regulations text changes for Sec.  
423.120(b)(5)(i)(A) and (B), we made technical errors in the timeframes 
regarding notice of formulary changes and supply of the Part D drug.
    On page 56510, we inadvertently omitted regulations text changes 
for Sec.  423.128(a)(3) that we discussed in section II.B.4. of the 
proposed rule (see 82 FR 56432). These proposed changes would require 
MA plans and Part D Sponsors to provide the information in Sec.  
423.128(b) by the first day of the annual enrollment period.

III. Correction of Errors

    In FR Doc. 2017-25068 of November 28, 2017 (82 FR 56336), we are 
making the following corrections:

A. Corrections of Errors in the Preamble

    1. On page 56366, first column, line 6 (part heading), the phrase 
``423, and'' is corrected to read ``423, 460, and''.
    2. On page 56488, first column, third full paragraph, the paragraph 
that begins with the phrase ``Our proposal to

[[Page 61520]]

significantly reduce the amount'' and ends with the phrase ``in order 
to resolve potential compliance issues.'' is corrected to read as 
follows:
    ``Our proposal to significantly reduce the amount of MLR data 
submitted to CMS would eliminate the need for CMS to continue to pay a 
contractor approximately $390,000 a year to perform initial analyses or 
desk reviews of the detailed MLR reports submitted by MA organizations 
and Part D sponsors. These initial analyses or desk reviews are done by 
our contractors in order to identify omissions and suspected 
inaccuracies and to communicate their findings to MA organizations and 
Part D sponsors in order to resolve potential compliance issues.''

B. Correction of Errors in the Regulations Text


Sec.  422.164   [Corrected]

0
1. On page 56498, third column, in Sec.  422.164(f)(4)(vi), lines 4 
through 6, the reference ``Sec. Sec.  422.166(a)(2)(ii) through (iv) 
and 423.186(a)(2)(ii) through (iv)'' is corrected to read, ``Sec. Sec.  
422.166(a)(2)(iii) and 423.186(a)(2)(iii)''.


Sec.  423.120   [Corrected]

0
2. On page 56509, first column--
0
a. Sixth paragraph, amendatory instruction 62e is corrected to read 
``e. In paragraph (b)(5)(i)(A), by removing the phrase ``60 days'' and 
adding in its place the phrase ``30 days'';''.
0
b. Eighth paragraph, amendatory instruction 62f is corrected to read 
``f. In paragraph (b)(5)(i)(B), by removing the phrase ``60 day 
supply'' and adding in its place the phrase ``month's supply'';''.


Sec.  423.128  [Corrected]

0
3. On page 56510, second column--
0
a. Third full paragraph, amendatory instruction 63 is corrected to read 
``63. Section 423.128 is amended by revising paragraphs (a)(3) and 
(d)(2)(iii) to reads as follows:''.
0
b. Following the third full paragraph, Sec.  423.128, the text is 
corrected by adding the following text after the section heading and 
before line 1 (5 stars) to read as follows:
    '' (a) * * *
    (3) At the time of enrollment and at least annually thereafter, by 
the first day of the annual coordinated election period.''


Sec.  423.184  [Corrected]

0
4. On page 56516, third column, in Sec.  423.184(f)(4)(vi), line 4, the 
reference ``Sec.  423.186(a)(2)(ii)'' is corrected to read ``Sec.  
423.186(a)(2)(iii)''.

    Dated: December 19, 2017.
Ann C. Agnew,
Executive Secretary to the Department, Department of Health and Human 
Services.
[FR Doc. 2017-27943 Filed 12-27-17; 8:45 am]
 BILLING CODE 4120-01-P