Notice of Two-Year Extension of TRICARE Co-Pay Waiver at Captain James A. Lovell Federal Health Care Center Demonstration Project, 51450-51451 [2018-22184]

Download as PDF 51450 Federal Register / Vol. 83, No. 197 / Thursday, October 11, 2018 / Notices DATES: Comments must be received by 11:59 p.m. Eastern Standard Time on November 9, 2018. Dated: October 4, 2018. Kathy Smith, Chief Counsel. Written comments may be submitted by email to privacyrfc2018@ ntia.doc.gov. Comments submitted by email should be machine-searchable and should not be copy-protected. Written comments also may be submitted by mail to the National Telecommunications and Information Administration, U.S. Department of Commerce, 1401 Constitution Avenue NW, Room 4725, Attn: Privacy RFC, Washington, DC 20230. Responders should include the name of the person or organization filing the comment, as well as a page number, on each page of their submissions. All comments received are a part of the public record and will generally be posted to http:// www.ntia.doc.gov/privacyrfc2018 without change. All personal identifying information (e.g., name, address) voluntarily submitted by the commenter may be publicly accessible. Do not submit Confidential Business Information or otherwise sensitive or protected information. NTIA will also accept anonymous comments. [FR Doc. 2018–22041 Filed 10–10–18; 8:45 am] ADDRESSES: FOR FURTHER INFORMATION CONTACT: Travis Hall, National Telecommunications and Information Administration, U.S. Department of Commerce, 1401 Constitution Avenue NW, Room 4725, Washington, DC 20230; Telephone: (202) 482–3522; Email: thall@ntia.doc.gov. For media inquiries: Anne Veigle, Director, Office of Public Affairs, National Telecommunications and Information Administration, U.S. Department of Commerce, 1401 Constitution Avenue NW, Room 4897, Washington, DC 20230; telephone: (202) 482–7002; email: press@ntia.doc.gov. On behalf of the U.S. Department of Commerce, the National Telecommunications and Information Administration (NTIA) published a notice seeking public comments on ways to advance consumer privacy while protecting prosperity and innovation. See NTIA, Developing the Administration’s Approach to Consumer Privacy, Notice; Request for Public Comments, 83 FR 48600 (Sept. 26, 2018). The original deadline for submission of comments was October 26, 2018. With this notice, NTIA announces that the closing deadline for submission of comments is extended until November 9, 2018. All other information in the original notice remains unchanged. khammond on DSK30JT082PROD with NOTICES SUPPLEMENTARY INFORMATION: VerDate Sep<11>2014 20:54 Oct 10, 2018 Jkt 247001 Health Agency, Telephone 703–275– 6300. SUPPLEMENTARY INFORMATION: BILLING CODE 3510–60–P CONSUMER PRODUCT SAFETY COMMISSION Sunshine Act Meetings Wednesday, October 17, 2018, 10:00 a.m.–12:00 p.m. PLACE: Hearing Room 420, Bethesda Towers, 4330 East-West Highway, Bethesda, MD. STATUS: Commission Meeting—Open to the Public. MATTERS TO BE CONSIDERED: Decisional Matter: Final Rule to Revise Current Fireworks Regulation. A live webcast of the Meeting can be viewed at https://www.cpsc.gov/live. CONTACT PERSON FOR MORE INFORMATION: Rockelle Hammond, Office of the Secretariat, Office of the General Counsel, U.S. Consumer Product Safety Commission, 4330 East-West Highway, Bethesda, MD 20814, (301) 504–6833. TIME AND DATE: Dated: October 5, 2018. Alberta E. Mills, Secretary. [FR Doc. 2018–22240 Filed 10–9–18; 4:15 pm] BILLING CODE 6355–01–P Office of the Secretary Notice of Two-Year Extension of TRICARE Co-Pay Waiver at Captain James A. Lovell Federal Health Care Center Demonstration Project Office of the Secretary, Department of Defense. ACTION: Notice of two-year extension of TRICARE co-pay waiver at Captain James A. Lovell Federal Health Care Center demonstration project. AGENCY: This notice is to advise interested parties of a two-year extension of a demonstration project entitled ‘‘TRICARE Co-Pay Waiver at Captain James A. Lovell Federal Health Care Center (FHCC) Demonstration Project.’’ The original waiver notice was published on September 27, 2010. DATES: This two-year extension is effective from October 1, 2018 to September 30, 2020. FOR FURTHER INFORMATION CONTACT: Mr. Michael Bouchard, Director, DoD/VA Program Coordination Office, Defense PO 00000 Frm 00016 Fmt 4703 Sfmt 4703 For additional information on the TRICARE co-pay waiver demonstration at the Captain James A. Lovell Federal Health Care Center (FHCC) demonstration project, please see 75 FR 59237–59238. Under this demonstration, there would be no deductibles, cost shares, or co-pays for eligible beneficiaries seeking care at the FHCC, under the authority of 10 U.S.C. 1092(a)(1)(B). The original demonstration notice explained that the co-pay waiver demonstration would be used to determine if increased utilization at FHCC actually occurred as a result of eliminated co-payments, which would in turn influence decisions regarding financial integration at future Department of Defense (DoD)/ Department of Veterans Affairs (VA) models of this nature. A report on the demonstration project concluded that utilization increased at FHCC during the time of the co-pay waiver demonstration project. Admission and encounter utilization data from 2010 to 2014 shows that DoD utilization of FHCC increased significantly. This demonstration is integral to the success of the integration effort at FHCC; without it, FHCC would see a marked reduction in DoD beneficiaries. B. Description of Extension of Demonstration Project DEPARTMENT OF DEFENSE SUMMARY: A. Background Under this demonstration, DoD has waived TRICARE co-payments for DoD beneficiaries seen at the FHCC. The National Defense Authorization Act (NDAA) for fiscal year (FY) 2010 Section 1701 requires a report to Congress evaluating the exercise of authorities in that title at FHCC. That report was delivered on July 26, 2016, and recommends continuation of the FHCC demonstration project. Therefore, DoD submitted a legislative proposal to amend section 1705 of NDAA 2010 to clarify language that access to care under section 1705 should apply to the entire joint facility and not limited to the DoD assets within the facility. If approved, this amendment would be a permanent solution that will negate the requirement for further extensions to the TRICARE co-pay waiver demonstration project. In order to allow seamless continuation of services to DoD beneficiaries at FHCC, the TRICARE copay waiver is also extended through September 30, 2020 to align with modification of language to FY 2010 E:\FR\FM\11OCN1.SGM 11OCN1 Federal Register / Vol. 83, No. 197 / Thursday, October 11, 2018 / Notices NDAA made in FY 2019 NDAA. This waiver applies to all inpatient, outpatient, and ancillary services, and all outpatient prescription drugs provided at FHCC. This waiver is consistent with current policies and procedures followed at all military treatment facilities. According to an Independent Government Cost Estimate (IGCE), the estimated two-year impact for the co-pay waiver in FY2019 and FY2020 is $305,985. C. Evaluation An independent evaluation was performed and determined that without this waiver, DoD beneficiary utilization of the FHCC in North Chicago would have significantly decreased. Since DoD and VA have recommended to Congress to continue the demonstration project, DoD will continue to pursue a permanent solution regarding DoD beneficiary co-pays that will ensure DoD beneficiaries are not levied cost shares, as FHCC represents the former Naval Hospital Great Lakes. Dated: October 5, 2018. Aaron T. Siegel, Alternate OSD Federal Register Liaison Officer, Department of Defense. [FR Doc. 2018–22184 Filed 10–10–18; 8:45 am] BILLING CODE 5001–06–P DEFENSE NUCLEAR FACILITIES SAFETY BOARD Sunshine Act Meetings FEDERAL REGISTER CITATION OF PREVIOUS ANNOUNCEMENT: The original notice for this meeting was published at 83 FR 50088 on October 4, 2018. PREVIOUSLY ANNOUNCED TIME AND DATE OF THE MEETING: Tuesday, October 9, 2018, from 2:00 p.m. to 4:00 p.m. This meeting will now occur on October 23, 2018, from 2:00 p.m. to 4:00 p.m. CHANGES IN THE MEETING: khammond on DSK30JT082PROD with NOTICES CONTACT PERSON FOR MORE INFORMATION: Glenn Sklar, General Manager, Defense Nuclear Facilities Safety Board, 625 Indiana Avenue NW, Suite 700, Washington, DC 20004–2901, (800) 788– 4016. This is a toll-free number. Dated: October 9, 2018. Bruce Hamilton, Chairman. [FR Doc. 2018–22287 Filed 10–9–18; 4:15 pm] BILLING CODE 3670–01–P VerDate Sep<11>2014 20:54 Oct 10, 2018 Jkt 247001 DEPARTMENT OF EDUCATION [Docket No. ED–2018–ICCD–0103] Agency Information Collection Activities; Comment Request; William D. Ford Federal Direct Loan Program General Forbearance Request Federal Student Aid (FSA), Department of Education (ED). ACTION: Notice. AGENCY: In accordance with the Paperwork Reduction Act of 1995, ED is proposing an extension of an existing information collection. DATES: Interested persons are invited to submit comments on or before December 10, 2018. ADDRESSES: To access and review all the documents related to the information collection listed in this notice, please use http://www.regulations.gov by searching the Docket ID number ED– 2018–ICCD–0103. Comments submitted in response to this notice should be submitted electronically through the Federal eRulemaking Portal at http:// www.regulations.gov by selecting the Docket ID number or via postal mail, commercial delivery, or hand delivery. Please note that comments submitted by fax or email and those submitted after the comment period will not be accepted. Written requests for information or comments submitted by postal mail or delivery should be addressed to the Director of the Information Collection Clearance Division, U.S. Department of Education, 550 12th Street SW, PCP, Room 9086, Washington, DC 20202–0023. FOR FURTHER INFORMATION CONTACT: For specific questions related to collection activities, please contact Ian Foss, 202– 377–3681. SUPPLEMENTARY INFORMATION: The Department of Education (ED), in accordance with the Paperwork Reduction Act of 1995 (PRA) (44 U.S.C. 3506(c)(2)(A)), provides the general public and Federal agencies with an opportunity to comment on proposed, revised, and continuing collections of information. This helps the Department assess the impact of its information collection requirements and minimize the public’s reporting burden. It also helps the public understand the Department’s information collection requirements and provide the requested data in the desired format. ED is soliciting comments on the proposed information collection request (ICR) that is described below. The Department of Education is especially interested in public comment addressing the following issues: (1) Is this collection SUMMARY: PO 00000 Frm 00017 Fmt 4703 Sfmt 4703 51451 necessary to the proper functions of the Department; (2) will this information be processed and used in a timely manner; (3) is the estimate of burden accurate; (4) how might the Department enhance the quality, utility, and clarity of the information to be collected; and (5) how might the Department minimize the burden of this collection on the respondents, including through the use of information technology. Please note that written comments received in response to this notice will be considered public records. Title of Collection: William D. Ford Federal Direct Loan Program General Forbearance Request. OMB Control Number: 1845–0031. Type of Review: An extension of an existing information collection. Respondents/Affected Public: Individuals or Households. Total Estimated Number of Annual Responses: 2,188,770. Total Estimated Number of Annual Burden Hours: 175,102. Abstract: The Department of Education is requesting an extension without change of the currently approved Direct Loan General Forbearance Request form information collection. The current form includes the Direct Loan, FFEL, and Perkins Loan programs making it easier for borrowers to request this action. There has been no change to the form, the underlying regulations, or anticipated usage. Dated: October 5, 2018. Kate Mullan, Acting Director, Information Collection Clearance Division, Office of the Chief Privacy Officer, Office of Management. [FR Doc. 2018–22112 Filed 10–10–18; 8:45 am] BILLING CODE 4000–01–P DEPARTMENT OF EDUCATION [Docket No. ED–2018–ICCD–0102] Agency Information Collection Activities; Comment Request; Guaranty Agencies Security SelfAssessment and Attestation Federal Student Aid (FSA), Department of Education (ED). ACTION: Notice. AGENCY: In accordance with the Paperwork Reduction Act of 1995, ED is proposing an extension of an existing information collection. DATES: Interested persons are invited to submit comments on or before December 10, 2018. ADDRESSES: To access and review all the documents related to the information collection listed in this notice, please SUMMARY: E:\FR\FM\11OCN1.SGM 11OCN1

Agencies

[Federal Register Volume 83, Number 197 (Thursday, October 11, 2018)]
[Notices]
[Pages 51450-51451]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-22184]


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DEPARTMENT OF DEFENSE

Office of the Secretary


Notice of Two-Year Extension of TRICARE Co-Pay Waiver at Captain 
James A. Lovell Federal Health Care Center Demonstration Project

AGENCY: Office of the Secretary, Department of Defense.

ACTION: Notice of two-year extension of TRICARE co-pay waiver at 
Captain James A. Lovell Federal Health Care Center demonstration 
project.

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SUMMARY: This notice is to advise interested parties of a two-year 
extension of a demonstration project entitled ``TRICARE Co-Pay Waiver 
at Captain James A. Lovell Federal Health Care Center (FHCC) 
Demonstration Project.'' The original waiver notice was published on 
September 27, 2010.

DATES: This two-year extension is effective from October 1, 2018 to 
September 30, 2020.

FOR FURTHER INFORMATION CONTACT: Mr. Michael Bouchard, Director, DoD/VA 
Program Coordination Office, Defense Health Agency, Telephone 703-275-
6300.

SUPPLEMENTARY INFORMATION: 

A. Background

    For additional information on the TRICARE co-pay waiver 
demonstration at the Captain James A. Lovell Federal Health Care Center 
(FHCC) demonstration project, please see 75 FR 59237-59238. Under this 
demonstration, there would be no deductibles, cost shares, or co-pays 
for eligible beneficiaries seeking care at the FHCC, under the 
authority of 10 U.S.C. 1092(a)(1)(B). The original demonstration notice 
explained that the co-pay waiver demonstration would be used to 
determine if increased utilization at FHCC actually occurred as a 
result of eliminated co-payments, which would in turn influence 
decisions regarding financial integration at future Department of 
Defense (DoD)/Department of Veterans Affairs (VA) models of this 
nature. A report on the demonstration project concluded that 
utilization increased at FHCC during the time of the co-pay waiver 
demonstration project. Admission and encounter utilization data from 
2010 to 2014 shows that DoD utilization of FHCC increased 
significantly. This demonstration is integral to the success of the 
integration effort at FHCC; without it, FHCC would see a marked 
reduction in DoD beneficiaries.

B. Description of Extension of Demonstration Project

    Under this demonstration, DoD has waived TRICARE co-payments for 
DoD beneficiaries seen at the FHCC. The National Defense Authorization 
Act (NDAA) for fiscal year (FY) 2010 Section 1701 requires a report to 
Congress evaluating the exercise of authorities in that title at FHCC. 
That report was delivered on July 26, 2016, and recommends continuation 
of the FHCC demonstration project. Therefore, DoD submitted a 
legislative proposal to amend section 1705 of NDAA 2010 to clarify 
language that access to care under section 1705 should apply to the 
entire joint facility and not limited to the DoD assets within the 
facility. If approved, this amendment would be a permanent solution 
that will negate the requirement for further extensions to the TRICARE 
co-pay waiver demonstration project.
    In order to allow seamless continuation of services to DoD 
beneficiaries at FHCC, the TRICARE co-pay waiver is also extended 
through September 30, 2020 to align with modification of language to FY 
2010

[[Page 51451]]

NDAA made in FY 2019 NDAA. This waiver applies to all inpatient, 
outpatient, and ancillary services, and all outpatient prescription 
drugs provided at FHCC. This waiver is consistent with current policies 
and procedures followed at all military treatment facilities. According 
to an Independent Government Cost Estimate (IGCE), the estimated two-
year impact for the co-pay waiver in FY2019 and FY2020 is $305,985.

C. Evaluation

    An independent evaluation was performed and determined that without 
this waiver, DoD beneficiary utilization of the FHCC in North Chicago 
would have significantly decreased. Since DoD and VA have recommended 
to Congress to continue the demonstration project, DoD will continue to 
pursue a permanent solution regarding DoD beneficiary co-pays that will 
ensure DoD beneficiaries are not levied cost shares, as FHCC represents 
the former Naval Hospital Great Lakes.

    Dated: October 5, 2018.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2018-22184 Filed 10-10-18; 8:45 am]
 BILLING CODE 5001-06-P