Veterans Healing Veterans Medical Access and Scholarship Program, 22990-22994 [2019-10251]
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Federal Register / Vol. 84, No. 98 / Tuesday, May 21, 2019 / Proposed Rules
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[FR Doc. 2019–10526 Filed 5–20–19; 8:45 am]
BILLING CODE 9110–04–P
DEPARTMENT OF VETERANS
AFFAIRS
38 CFR Part 17
RIN 2900–AQ54
Veterans Healing Veterans Medical
Access and Scholarship Program
Department of Veterans Affairs.
Proposed rule.
AGENCY:
ACTION:
The Department of Veterans
Affairs (VA) proposes to amend its
regulations that govern scholarships to
certain health care providers. This
rulemaking would implement the
mandates of the VA MISSION Act of
2018 by establishing a pilot program to
provide funding for the medical
education of eligible veterans who are
enrolled in covered medical schools.
DATES: Comments must be received on
or before July 22, 2019.
ADDRESSES: Written comments may be
submitted through www.Regulations
.gov; by mail or hand-delivery to:
Director, Office of Regulation Policy and
Management (00REG), Department of
Veterans Affairs, 810 Vermont Ave. NW,
Room 1064, Washington, DC 20420; or
by fax to (202) 273–9026. (This is not a
toll-free telephone number.) Comments
should indicate that they are submitted
in response to ‘‘RIN 2900–AQ54—
Veterans Healing Veterans Medical
Access and Scholarship Program.’’
Copies of comments received will be
available for public inspection in the
Office of Regulation Policy and
Management, Room 1064, between the
hours of 8 a.m. and 4:30 p.m., Monday
through Friday (except holidays). Please
call (202) 461–4902 for an appointment.
(This is not a toll-free telephone
number.) In addition, during the
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SUMMARY:
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comment period, comments may be
viewed online through the Federal
Docket Management System (FDMS) at
https://www.Regulations.gov.
FOR FURTHER INFORMATION CONTACT:
Marjorie A. Bowman, MD, Chief
Academic Affiliations Officer, Office of
Academic Affiliations (10X1), U.S.
Department of Veterans Affairs, 810
Vermont Avenue NW, Washington, DC
20420, Marjorie.Bowman@va.gov, (202)
461–9490. (This is not a toll-free
number.)
On June 6,
2018, section 304 of Public Law 115–
182, the John S. McCain III, Daniel K.
Akaka, and Samuel R. Johnson VA
Maintaining Internal Systems and
Strengthening Integrated Outside
Networks Act of 2018, or the VA
MISSION Act of 2018, established a
pilot program that would provide
funding for medical education to 18
eligible veterans who enroll in covered
medical schools. This is known as the
Veterans Healing Veterans Medical
Access and Scholarship Program
(VHVMASP). For the VHVMASP, the
VA MISSION Act of 2018 sets forth the
eligibility criteria; the amount and types
of available funding; established terms
of an agreement to be entered into by
the participant; as well as, the
consequences for a breach in such
agreement. This proposed rule would
establish the regulations needed to carry
out the VHVMASP. Immediately
following title 38 of the Code of Federal
Regulations (CFR) 17.612, we would
add a new undesignated center heading
titled ‘‘Veterans Healing Veterans
Medical Access and Scholarship
Program’’ and add new §§ 17.613
through 17.618 as discussed in further
detail below.
SUPPLEMENTARY INFORMATION:
Section 17.613 Purpose
Proposed § 17.613 would establish the
purpose for §§ 17.613 through 17.618.
We would state that the purpose for
§§ 17.613 through 17.618 is to establish
the requirements for the Veterans
Healing Veterans Medical Access and
Scholarship Program (VHVMASP). The
VHVMASP will provide funding for the
medical education of two eligible
veterans from each covered medical
school. This would be consistent with
this requirement in section 304 of the
VA MISSION Act of 2018.
Section 17.614 Definitions
Proposed § 17.614 would establish the
definitions for proposed §§ 17.613
through 17.618. We would define
‘‘acceptable level of academic standing’’
as maintaining a cumulative grade point
average at or above passing, as
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determined by the medical school;
completing all required courses with a
passing grade; successfully completing
the required course of study for
graduation within four academic years;
successfully passing the required United
States Medical Licensing Examinations
steps 1 and 2, within the timeframe for
graduation from medical school; and
having no final determinations of
unprofessional conduct or behavior.
We would define ‘‘covered medical
school’’ to mean any of the following
nine schools: Texas A&M College of
Medicine, Quillen College of Medicine
at East Tennessee State University,
Boonshoft School of Medicine at Wright
State University, Joan C. Edwards
School of Medicine at Marshall
University, University of South Carolina
School of Medicine, Charles R. Drew
University of Medicine and Science,
Howard University College of Medicine,
Meharry Medical College, and
Morehouse School of Medicine.
Consistent with section 304 of the VA
MISSION Act of 2018, these institutions
would be the only qualifying medical
schools that may submit participants for
the VHVMASP.
We would define ‘‘VA’’ to mean the
Department of Veterans Affairs. We
would also define ‘‘VHVMASP’’ to
mean the Veterans Healing Veterans
Medical Access and Scholarship
Program authorized by section 304 of
the VA MISSION Act of 2018.
Section 17.615
Eligibility
Proposed § 17.615 would restate the
eligibility criteria of section 304 of the
VA MISSION Act of 2018 that a veteran
must meet in order to qualify for the
VHVMASP. We would state that an
eligible veteran is one who: Has been
discharged or released under conditions
other than dishonorable from the Armed
Forces for a period of not more than 10
years before the date of application for
admission to a covered medical school;
would not be concurrently receiving
educational assistance under Chapter
30, 31, 32, 33, 34, or 35 of title 38
United States Code or chapter 1606 or
1607 of title 10 United States Code at
the time the veteran would be receiving
VHVMASP funding; applies for
admission to a covered medical school
for the entering class of 2020; indicates
on the application to the covered
medical school that they would like to
be considered for the VHVMASP; meets
the minimum admissions criteria for the
covered medical school to which the
eligible veteran applies; and agrees to
the terms stated in proposed § 17.617.
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Section 17.616
Award Procedures
Proposed § 17.616 would state how
VA would distribute the VHVMASP
funds as well as the amount VA would
pay to participants while enrolled in the
covered school. This would be
consistent with the distribution and
amount of funds stipulated in section
304 of the VA MISSION Act of 2018.
Proposed paragraph § 17.616(a)(1)
would state that each covered medical
school that opts to participate in the
VHVMASP would reserve two seats in
the entering class of 2020 for eligible
veterans who would receive funds for
the VHVMASP. VA would award funds
to two eligible veterans with the highest
admissions ranking among veteran
applicants for such entering class for
each covered medical school. The VA
MISSION Act of 2018 provided for the
eventuality that an eligible veteran
would not apply for admissions at a
covered medical school. As such,
proposed § 17.616(a)(2) would state
such eventuality that if two or more
eligible veterans do not apply for
admission at a covered medical school
for the entering class of 2020, VA will
distribute the available funding to
eligible veterans who applied, and are
accepted for admission at other covered
medical schools.
Proposed § 17.616(b) would state the
funds that an eligible veteran would
receive while participating in the
VHVMASP would be equal to the actual
cost of the following: Tuition at the
covered medical school for which the
veteran enrolls for a period of not more
than 4 years; Books, fees, and technical
equipment; Fees associated with the
National Residency Match Program;
Two away rotations performed during
the fourth year of school at a VA
medical facility; and a monthly stipend
for the four-year period during which
the eligible veteran is enrolled in a
covered medical school in an amount to
be determined by VA.
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Section 17.617 Agreement and
Obligated Service
As a condition of accepting funds
from the VHVMASP, eligible veterans
must agree to certain terms in order to
continue to receive funds. Section 304
of the VA MISSION Act of 2018
establishes these terms of the agreement
and proposed § 17.617(a) would list
these terms of agreement between VA
and the eligible veteran. The terms of
the agreement are: ‘‘Maintain
enrollment, attendance, and acceptable
level of academic standing as defined by
the covered medical school; Complete
post-graduate training leading to
eligibility for board certification in a
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physician specialty applicable to VA;
after completion of medical school and
post-graduate training, obtain and
maintain a license to practice medicine
in a State. Eligible veterans must ensure
that State licenses are obtained in a
minimal amount of time following
completion of residency, or fellowship,
if the veteran is enrolled in a fellowship
program approved by Veterans Affairs.
If a participant fails to obtain his or her
degree or fails to become licensed in a
State no later than 90 days after
completion of residency, or fellowship,
if applicable, the participant is
considered to be in breach of the
acceptance agreement. The participant
must serve as a full-time clinical
practice employee in VA for a period of
four years.
In order to make clear to potential
participants when the period of
obligated service will commence, we
would state in proposed § 17.617(b) that
the obligated service will begin on the
date on which the eligible veteran
begins full-time permanent employment
with VA as a clinical practice employee.
VA will appoint the participant to such
position as soon as possible, but no later
than 90 days after the date that the
participant completes his residency, or
fellowship, if applicable, or the date the
participant becomes licensed in a State,
whichever is later. We would also add
that VA reserves the right to make final
decisions on the location and position
of the obligated service. This would
allow VA to assign the participants to
locations where there is a shortage in
the participant’s health care specialty.
These two clarifications are in
alignment with other VA scholarship
programs.
17.618 Failure To Comply With Terms
and Conditions of Agreement
As previously stated in this
rulemaking, section 304 of the VA
MISSION Act of 2018 established that
the eligible veteran must agree to certain
terms to receive funding for the
VHVMASP. However, if the eligible
veteran breaches this agreement, the
United States government is entitled to
recover damages ‘‘in an amount equal to
the total amount of VHVMASP funding
received by the eligible veteran.’’ We
would state these consequences of the
breach of the terms of the agreement in
proposed § 17.618(a). In alignment with
other VA scholarship programs, we
would also state in proposed paragraph
§ 17.618(b) that the ‘‘eligible veteran
will pay the amount of damages that the
United States is entitled to recover
under this section in full to the United
States no later than 1 year after the date
of the breach of the agreement.’’
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Effect of Rulemaking
The Code of Federal Regulations, as
proposed to be revised by this proposed
rulemaking, would represent the
exclusive legal authority on this subject.
No contrary rules or procedures would
be authorized. All VA guidance would
be read to conform with this proposed
rulemaking if possible or, if not
possible, such guidance would be
superseded by this rulemaking.
Paperwork Reduction Act
The Paperwork Reduction Act of 1995
(44 U.S.C. 3507(d)) requires that VA
consider the impact of paperwork and
other information collection burdens
imposed on the public. According to the
1995 amendments to the Paperwork
Reduction Act (5 CFR 1320.8(b)(2)(vi)),
an agency may not collect or sponsor
the collection of information, nor may it
impose an information collection
requirement unless it displays a
currently valid Office of Management
and Budget (OMB) control number. This
proposed rule includes provisions
constituting new collections of
information under the Paperwork
Reduction Act of 1995 that require
approval by the OMB. Accordingly,
under 44 U.S.C. 3507(d), VA has
submitted a copy of this rulemaking
action to OMB for review.
OMB assigns control numbers to
collections of information it approves.
VA may not conduct or sponsor, and a
person is not required to respond to, a
collection of information unless it
displays a currently valid OMB control
number. Proposed 38 CFR 17.617
contains a collection of information
under the Paperwork Reduction Act of
1995. If OMB does not approve the
collection of information as requested,
VA will immediately remove the
provision containing a collection of
information or take such other action as
is directed by OMB.
Comments on the collection of
information contained in this proposed
rule should be submitted to the Office
of Management and Budget, Attention:
Desk Officer for the Department of
Veterans Affairs, Office of Information
and Regulatory Affairs, Washington, DC
20503, with copies sent by mail or hand
delivery to the Director, Office of
Regulation and Policy Management
(00REG), Department of Veterans
Affairs, 810 Vermont Avenue NW,
Room 1064, Washington, DC 20420; fax
to (202) 273–9026; or through
www.Regulations.gov. Comments
should indicate that they are submitted
in response to ‘‘RIN 2900–AQ54—
Veterans Healing Veterans Medical
Access and Scholarship Program.’’
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OMB is required to make a decision
concerning the collections of
information contained in this proposed
final rule between 30 and 60 days after
publication of this document in the
Federal Register. Therefore, a comment
to OMB is best assured of having its full
effect if the comment is received within
30 days of publication. This does not
affect the 60-day deadline for the public
to comment on the proposed rule.
VA considers comments by the public
on proposed collections of information
in—
• Evaluating whether the proposed
collections of information are necessary
for the proper performance of the
functions of VA, including whether the
information will have practical utility;
• Evaluating the accuracy of VA’s
estimate of the burden of the proposed
collections of information, including the
validity of the methodology and
assumptions used;
• Enhancing the quality, usefulness,
and clarity of the information to be
collected; and
• Minimizing the burden of the
collections of information on those who
are to respond, including through the
use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,
e.g., permitting electronic submission of
responses.
The collections of information
contained in 38 CFR 17.617 are
described immediately following this
paragraph. For the new proposed
collection of information below, VA
used general wage data from the Bureau
of Labor Statistics (BLS) to estimate the
respondents’ costs associated with
completing the information collection.
According to the latest available BLS
data, the mean hourly wage of full-time
wage and salary workers was $24.34
based on the BLS wage code—‘‘00–0000
All Occupations.’’ This information was
taken from the following website:
https://www.bls.gov/oes/current/oes_
nat.htm (May 2017).
Title: Veterans Healing Veterans
Medical Access and Scholarship
Program.
OMB Control No.: 2900–xxxx (new).
CFR Provision: 38 CFR 17.617.
Summary of collection of information:
The VHVMASP provides funding for the
medical education of eligible veterans
who enroll in a covered medical school.
As part of the VHVMASP, the eligible
veteran agrees to a period of obligated
service with VA for a period of no less
than 48 months. The information
collected under this section would
require eligible veterans to sign and
submit an agreement between VA and
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the eligible veteran who accepts funding
for the VHVMASP.
Description of the need for
information and proposed use of
information: The collection of
information is necessary to establish an
agreement between VA and the eligible
veteran, which would hold the eligible
veteran accountable for upholding the
terms and conditions of the agreement
and alert the eligible veteran of the
consequences of a breach in the
agreement.
Description of likely respondents:
Eligible veterans who are accepted for
participation in the VHVMASP.
Estimated number of respondents per
month/year: 18 per year.
Estimated frequency of responses per
month/year: 1 per year.
Estimated average burden per
response: 5 hours per response.
Estimated total annual reporting and
recordkeeping burden: 90 hours per
year.
Estimated cost to respondents per
year: VA estimates the total cost to all
respondents to be $2190.60 per year (90
burden hours × $24.34/hour). Legally,
respondents may not pay a person or
business for assistance in completing
the information collection. Therefore,
there are no expected overhead costs for
completing the information collection.
Regulatory Flexibility Act
The Secretary hereby certifies that
this proposed rule would not have a
significant economic impact on a
substantial number of small entities as
they are defined in the Regulatory
Flexibility Act, 5 U.S.C. 601–612.
Therefore, pursuant to 5 U.S.C. 605(b),
this rulemaking would be exempt from
the initial and final regulatory flexibility
analysis requirements of 5 U.S.C. 603
and 604.
Executive Orders 12866, 13563 and
13771
Executive Orders 12866 and 13563
direct agencies to assess the costs and
benefits of available regulatory
alternatives and, when regulation is
necessary, to select regulatory
approaches that maximize net benefits
(including potential economic,
environmental, public health and safety
effects, and other advantages;
distributive impacts; and equity).
Executive Order 13563 (Improving
Regulation and Regulatory Review)
emphasizes the importance of
quantifying both costs and benefits,
reducing costs, harmonizing rules, and
promoting flexibility. Executive Order
12866 (Regulatory Planning and
Review) defines a ‘‘significant
regulatory action,’’ which requires
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review by the Office of Management and
Budget (OMB), as ‘‘any regulatory action
that is likely to result in a rule that may:
(1) Have an annual effect on the
economy of $100 million or more or
adversely affect in a material way the
economy, a sector of the economy,
productivity, competition, jobs, the
environment, public health or safety, or
State, local, or tribal governments or
communities; (2) Create a serious
inconsistency or otherwise interfere
with an action taken or planned by
another agency; (3) Materially alter the
budgetary impact of entitlements,
grants, user fees, or loan programs or the
rights and obligations of recipients
thereof; or (4) Raise novel legal or policy
issues arising out of legal mandates, the
President’s priorities, or the principles
set forth in this Executive Order.’’
VA has examined the economic,
interagency, budgetary, legal, and policy
implications of this regulatory action
and determined that the action is not a
significant regulatory action under
Executive Order 12866. VA’s impact
analysis can be found as a supporting
document at https://
www.regulations.gov, usually within 48
hours after the rulemaking document is
published. Additionally, a copy of the
rulemaking and its impact analysis are
available on VA’s website at https://
www.va.gov/orpm by following the link
for VA Regulations Published from FY
2004 through FYTD.
This proposed rule is not expected to
be an E.O. 13771 regulatory action
because this proposed rule is not
significant under E.O. 12866.
Unfunded Mandates
The Unfunded Mandates Reform Act
of 1995 requires, at 2 U.S.C. 1532, that
agencies prepare an assessment of
anticipated costs and benefits before
issuing any rule that may result in the
expenditure by State, local, and tribal
governments, in the aggregate, or by the
private sector, of $100 million or more
(adjusted annually for inflation) in any
one year. This proposed rule would
have no such effect on State, local, and
tribal governments, or on the private
sector.
Catalog of Federal Domestic Assistance
There are no Catalog of Federal
Domestic Assistance numbers and titles
for this rule.
List of Subjects in 38 CFR Part 17
Administrative practice and
procedure, Alcohol abuse, Alcoholism,
Claims, Day care, Dental health, Drug
abuse, Foreign relations, Government
contracts, Grant programs—health,
Grant programs—veterans, Health care,
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Health facilities, Health professions,
Health records, Homeless, Medical and
dental schools, Medical devices,
Medical research, Mental health
programs, Nursing homes, Philippines,
Reporting and recordkeeping
requirements, Scholarships and
fellowships, Travel and transportation
expenses, Veterans.
Signing Authority
The Secretary of Veterans Affairs, or
designee, approved this document and
authorized the undersigned to sign and
submit the document to the Office of the
Federal Register for publication
electronically as an official document of
the Department of Veterans Affairs.
Robert L. Wilkie, Secretary, Department
of Veterans Affairs, approved this
document on April 8, 2019, for
publication.
Dated: May 14, 2019.
Consuela Benjamin,
Regulations Development Coordinator, Office
of Regulation Policy & Management, Office
of the Secretary, Department of Veterans
Affairs.
For the reasons set forth in the
preamble, we propose to amend 38 CFR
part 17 as follows:
PART 17—MEDICAL
1. The authority citation for part 17
continues to read as follows:
■
Authority: 38 U.S.C. 501, and as noted in
specific sections.
*
*
*
*
*
Sections 17.613 through 17.618 are also
issued under Public Law 115–182, sec. 304.
*
*
*
*
*
2. Add an undesignated center
heading immediately following § 17.612
and new §§ 17.613 through 17.618 to
read as follows.
■
Veterans Healing Veterans Medical Access
and Scholarship Program
17.613 Purpose.
17.614 Definitions.
17.615 Eligibility.
17.616 Award procedures.
17.617 Agreement.
17.618 Failure to comply with terms and
conditions of agreement.
Veterans Healing Veterans Medical
Access and Scholarship Program
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§ 17.613
Purpose.
The purpose of §§ 17.613 through
17.618 is to establish the requirement
for the Veterans Healing Veterans
Medical Access and Scholarship
Program (VHVMASP). The VHVMASP
will provide funding for the medical
education of two eligible veterans from
each covered medical school.
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§ 17.614
Definitions.
The following definitions apply to
§§ 17.613 through 17.618.
Acceptable level of academic standing
means maintaining a cumulative grade
point average at or above passing, as
determined by the medical school;
completing all required courses with a
passing grade; successfully completing
the required course of study for
graduation within four academic years;
successfully passing the required United
States Medical Licensing Examinations
steps 1 and 2, within the timeframe for
graduation from medical school; and
having no final determinations of
unprofessional conduct or behavior.
Covered medical school means any of
the following:
(1) Texas A&M College of Medicine.
(2) Quillen College of Medicine at
East Tennessee State University.
(3) Boonshoft School of Medicine at
Wright State University.
(4) Joan C. Edwards School of
Medicine at Marshall University.
(5) University of South Carolina
School of Medicine.
(6) Charles R. Drew University of
Medicine and Science.
(7) Howard University College of
Medicine.
(8) Meharry Medical College.
(9) Morehouse School of Medicine.
VA means the Department of Veterans
Affairs.
VHVMASP means the Veterans
Healing Veterans Medical Access and
Scholarship Program authorized by
section 304 of the VA MISSION Act of
2018.
§ 17.615
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(f) Agrees to the terms stated in
§ 17.617.
§ 17.616
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Award procedures.
(a) Distribution of funds. (1) Each
covered medical school that opts to
participate in the VHVMASP will
reserve two seats in the entering class of
2020 for eligible veterans who receive
funds for the VHVMASP. Funding will
be awarded to two eligible veterans with
the highest admissions ranking among
veteran applicants for such entering
class for each covered medical school.
(2) If two or more eligible veterans do
not apply for admission at a covered
medical school for the entering class of
2020, VA will distribute the available
funding to eligible veterans who
applied, and are accepted, for admission
at other covered medical schools.
(b) Amount of funds. An eligible
veteran will receive funding from the
VHVMASP equal to the actual cost of
the following:
(1) Tuition at the covered medical
school for which the veteran enrolls for
a period of not more than 4 years;
(2) Books, fees, and technical
equipment;
(3) Fees associated with the National
Residency Match Program;
(4) Two away rotations, performed
during the fourth year of school, at a VA
medical facility; and
(5) A monthly stipend for the fouryear period during which the eligible
veteran is enrolled in a covered medical
school in an amount to be determined
by VA.
§ 17.617
Eligibility.
A veteran is considered eligible to
receive funding for the VHVMASP if
such veteran meets the following
criteria.
(a) Has been discharged or released,
under conditions other than
dishonorable, from the Armed Forces
for not more than 10 years before the
date of application for admission to a
covered medical school;
(b) Is not concurrently receiving
educational assistance under chapter 30,
31, 32, 33, 34, or 35 of title 38 United
States Code or chapter 1606 or 1607 of
title 10 United States Code at the time
the veteran would be receiving
VHVMASP funding;
(c) Applies for admission to a covered
medical school for the entering class of
2020;
(d) Indicates on the application to the
covered medical school that they would
like to be considered for the VHVMASP;
(e) Meets the minimum admissions
criteria for the covered medical school
to which the eligible veteran applies;
and
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Agreement and obligated service.
(a) Agreement. Each eligible veteran
who accepts funds from the VHVMASP
will enter into an agreement with VA
where the eligible veteran agrees to the
following:
(1) Maintain enrollment, attendance,
and acceptable level of academic
standing as defined by the covered
medical school;
(2) Complete post-graduate training
leading to eligibility for board
certification in a physician specialty
applicable to VA;
(3) After completion of medical
school and post-graduate training,
obtain and maintain a license to practice
medicine in a State. Eligible Veterans
must ensure that State licenses are
obtained in a minimal amount of time
following completion of residency, or
fellowship, if the Veteran is enrolled in
a fellowship program approved by
Veterans Affairs. If a participant fails to
obtain his or her degree, or fails to
become licensed in a State no later than
90 days after completion of residency,
or fellowship, if applicable, the
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participant is considered to be in breach
of the acceptance agreement; and
(4) Serve as a full-time clinical
practice employee in VA for a period of
four years.
(b) Obligated service. (1) General. An
eligible veteran’s obligated service will
begin on the date on which the eligible
veteran begins full-time permanent
employment with VA as a clinical
practice employee. VA will appoint the
participant to such position as soon as
possible, but no later than 90 days after
the date that the participant completes
residency, or fellowship, if applicable,
or the date the participant becomes
licensed in a State, whichever is later.
(2) Location and position of obligated
service. VA reserves the right to make
final decisions on the location and
position of the obligated service.
(The Office of Management and Budget
has approved the information collection
requirements in this section under
control number XXXX–XXXX.)
§ 17.618 Failure to comply with terms and
conditions of agreement.
(a) Participant fails to satisfy terms of
agreement. If an eligible veteran who
accepts funding for the VHVMASP
breaches the terms of the agreement
stated in § 17.617, the United States is
entitled to recover damages in an
amount equal to the total amount of
VHVMASP funding received by the
eligible veteran.
(b) Repayment period. The eligible
veteran will pay the amount of damages
that the United States is entitled to
recover under this section in full to the
United States no later than 1 year after
the date of the breach of the agreement.
[FR Doc. 2019–10251 Filed 5–20–19; 8:45 am]
BILLING CODE 8320–01–P
POSTAL REGULATORY COMMISSION
39 CFR Part 3050
[Docket No. RM2019–4; Order No. 5095]
Periodic Reporting
Postal Regulatory Commission.
Notice of proposed rulemaking.
AGENCY:
ACTION:
The Commission is initiating
a rulemaking proceeding to consider
changes to analytical principles relating
to periodic reports on Periodicals
Outside County Carrier Route Basic
Flats. This document informs the public
of the filing, invites public comment,
and takes other administrative steps.
DATES: Comments are due: June 14,
2019.
jbell on DSK3GLQ082PROD with PROPOSALS
SUMMARY:
VerDate Sep<11>2014
16:36 May 20, 2019
Jkt 247001
Submit comments
electronically via the Commission’s
Filing Online system at https://
www.prc.gov. Those who cannot submit
comments electronically should contact
the person identified in the FOR FURTHER
INFORMATION CONTACT section by
telephone for advice on filing
alternatives.
FOR FURTHER INFORMATION CONTACT:
David A. Trissell, General Counsel, at
202–789–6820.
SUPPLEMENTARY INFORMATION:
ADDRESSES:
Table of Contents
I. Introduction
II. Proposal
III. Notice and Comment
IV. Ordering Paragraphs
I. Introduction
Pursuant to § 3050.11, the
Commission initiates a rulemaking
proceeding to consider changes to
analytical principles related to periodic
reports. In particular, the Commission
intends to establish the methodology for
which delivery costs estimate should be
used to calculate the passthroughs for
Periodicals Outside County Carrier
Route Basic Flats (Carrier Route Basic).
II. Proposal
Background. On April 22, 2019,
MPA—The Association of Magazine
Media (MPA) filed a motion requesting
that the Commission amend specific
portions of the FY 2018 Annual
Compliance Determination Report
(ACD).1 In particular, MPA stated that
the passthrough for Carrier Route Basic
was incorrectly calculated, which
resulted in errors on pages 19 and 20 of
the FY2018 ACD. Id. MPA presented
calculations that use alternative unit
delivery costs, which result in a higher
cost avoidance for Carrier Route Basic
and a lower passthrough. Id. at 3. In its
response, the Postal Service stated that
it did not disagree with MPA’s
methodology.2 The Postal Service
explained that the delivery costs
between Carrier Route Basic and
Machinable Non-Auto Flats should
translate into a non-zero delivery cost
avoidance for Carrier Route Basic. Id.
Although there was no disagreement
between MPA and the Postal Service on
the methodology, the Commission
1 Docket No. ACR2018, Motion of MPA—The
Association of Magazine Media for Correction of FY
2018 Annual Compliance Determination Report,
April 22, 2019 (MPA Motion). See also Annual
Compliance Determination Report, Fiscal Year
2018, April 12, 2019 (FY 2018 ACD).
2 Docket No. ACR2018, Response of the United
States Postal Service to MPA Motion Seeking
Amendment of the FY 2018 Annual Compliance
Determination, April 29, 2019, at 2 (Postal Service
Response).
PO 00000
Frm 00009
Fmt 4702
Sfmt 4702
found that the Postal Service had
previously used a different methodology
in prior fiscal years.3 The Commission
also found there was no rulemaking to
establish the unit cost avoidance
calculation, and the Postal Service had
not explicitly stated why the unit cost
estimate it used was the appropriate
methodology. Since the calculations
using either methodology would not
materially change the Commission’s
findings in the FY 2018 ACD, the
Commission denied MPA’s motion for
correction. Order No. 5094 at 5.
However, the Commission stated that it
would initiate a rulemaking to establish
the appropriate methodology for use in
future dockets. Id. at 4–5.
Proposal. The passthrough
calculations for Carrier Route Basic are
based on cost avoidances for mail
processing and delivery. The Postal
Service uses USPS Marketing Mail
proxies for Periodicals delivery costs.
Library Reference USPS–FY18–19
contains the FY 2018 unit delivery cost
workbooks, including a workbook with
delivery costs for flat-shaped mail
disaggregated for whether the pieces are
delivered in Flats Sequencing System
(FSS) zones.4 The
‘‘FSSDeliveryModel18,’’ Table 2,
contains three estimates for both USPS
Marketing Mail Flats and Carrier Route
Flats costs, which are: (1) Delivery costs
for pieces destinating in FSS zones, (2)
delivery costs for pieces destinating in
non-FSS zones, and (3) delivery costs
for all pieces.
The Postal Service and the
Commission have historically used
delivery costs for pieces destinating in
non-FSS zones to calculate the cost
avoidance and passthrough for Carrier
Route Basic. MPA used the delivery
costs for all pieces for the unit cost
estimate. MPA Motion at 3. The Postal
Services did not disagree with this
approach. Postal Service Response at 2.
To improve the accuracy of the
avoidable cost estimates, the
Commission proposes to use the
delivery costs for all pieces as the unit
cost estimate used to calculate the cost
avoidance and passthrough for Carrier
Route Basic.
Rationale and impact. In the FY 2015
ACR and FY 2015 ACD, when the
proxies were first introduced, it was
more appropriate to use the pieces
destinating in non-FSS zones as proxies
because separate prices for FSS Flats
were also offered. Only pieces
3 See Docket No. ACR2018, Order Denying
Motion for Correction, May 15, 2019, at 3 (Order
No. 5094).
4 Docket No. ACR2018, Library Reference USPS–
FY18–19, December 28, 2018, Excel file
‘‘FSSDeliveryModel18.xlsx.’’
E:\FR\FM\21MYP1.SGM
21MYP1
Agencies
[Federal Register Volume 84, Number 98 (Tuesday, May 21, 2019)]
[Proposed Rules]
[Pages 22990-22994]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-10251]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
38 CFR Part 17
RIN 2900-AQ54
Veterans Healing Veterans Medical Access and Scholarship Program
AGENCY: Department of Veterans Affairs.
ACTION: Proposed rule.
-----------------------------------------------------------------------
SUMMARY: The Department of Veterans Affairs (VA) proposes to amend its
regulations that govern scholarships to certain health care providers.
This rulemaking would implement the mandates of the VA MISSION Act of
2018 by establishing a pilot program to provide funding for the medical
education of eligible veterans who are enrolled in covered medical
schools.
DATES: Comments must be received on or before July 22, 2019.
ADDRESSES: Written comments may be submitted through www.Regulations.gov; by mail or hand-delivery to: Director, Office of Regulation
Policy and Management (00REG), Department of Veterans Affairs, 810
Vermont Ave. NW, Room 1064, Washington, DC 20420; or by fax to (202)
273-9026. (This is not a toll-free telephone number.) Comments should
indicate that they are submitted in response to ``RIN 2900-AQ54--
Veterans Healing Veterans Medical Access and Scholarship Program.''
Copies of comments received will be available for public inspection in
the Office of Regulation Policy and Management, Room 1064, between the
hours of 8 a.m. and 4:30 p.m., Monday through Friday (except holidays).
Please call (202) 461-4902 for an appointment. (This is not a toll-free
telephone number.) In addition, during the comment period, comments may
be viewed online through the Federal Docket Management System (FDMS) at
https://www.Regulations.gov.
FOR FURTHER INFORMATION CONTACT: Marjorie A. Bowman, MD, Chief Academic
Affiliations Officer, Office of Academic Affiliations (10X1), U.S.
Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC
20420, [email protected], (202) 461-9490. (This is not a toll-free
number.)
SUPPLEMENTARY INFORMATION: On June 6, 2018, section 304 of Public Law
115-182, the John S. McCain III, Daniel K. Akaka, and Samuel R. Johnson
VA Maintaining Internal Systems and Strengthening Integrated Outside
Networks Act of 2018, or the VA MISSION Act of 2018, established a
pilot program that would provide funding for medical education to 18
eligible veterans who enroll in covered medical schools. This is known
as the Veterans Healing Veterans Medical Access and Scholarship Program
(VHVMASP). For the VHVMASP, the VA MISSION Act of 2018 sets forth the
eligibility criteria; the amount and types of available funding;
established terms of an agreement to be entered into by the
participant; as well as, the consequences for a breach in such
agreement. This proposed rule would establish the regulations needed to
carry out the VHVMASP. Immediately following title 38 of the Code of
Federal Regulations (CFR) 17.612, we would add a new undesignated
center heading titled ``Veterans Healing Veterans Medical Access and
Scholarship Program'' and add new Sec. Sec. 17.613 through 17.618 as
discussed in further detail below.
Section 17.613 Purpose
Proposed Sec. 17.613 would establish the purpose for Sec. Sec.
17.613 through 17.618. We would state that the purpose for Sec. Sec.
17.613 through 17.618 is to establish the requirements for the Veterans
Healing Veterans Medical Access and Scholarship Program (VHVMASP). The
VHVMASP will provide funding for the medical education of two eligible
veterans from each covered medical school. This would be consistent
with this requirement in section 304 of the VA MISSION Act of 2018.
Section 17.614 Definitions
Proposed Sec. 17.614 would establish the definitions for proposed
Sec. Sec. 17.613 through 17.618. We would define ``acceptable level of
academic standing'' as maintaining a cumulative grade point average at
or above passing, as determined by the medical school; completing all
required courses with a passing grade; successfully completing the
required course of study for graduation within four academic years;
successfully passing the required United States Medical Licensing
Examinations steps 1 and 2, within the timeframe for graduation from
medical school; and having no final determinations of unprofessional
conduct or behavior.
We would define ``covered medical school'' to mean any of the
following nine schools: Texas A&M College of Medicine, Quillen College
of Medicine at East Tennessee State University, Boonshoft School of
Medicine at Wright State University, Joan C. Edwards School of Medicine
at Marshall University, University of South Carolina School of
Medicine, Charles R. Drew University of Medicine and Science, Howard
University College of Medicine, Meharry Medical College, and Morehouse
School of Medicine. Consistent with section 304 of the VA MISSION Act
of 2018, these institutions would be the only qualifying medical
schools that may submit participants for the VHVMASP.
We would define ``VA'' to mean the Department of Veterans Affairs.
We would also define ``VHVMASP'' to mean the Veterans Healing Veterans
Medical Access and Scholarship Program authorized by section 304 of the
VA MISSION Act of 2018.
Section 17.615 Eligibility
Proposed Sec. 17.615 would restate the eligibility criteria of
section 304 of the VA MISSION Act of 2018 that a veteran must meet in
order to qualify for the VHVMASP. We would state that an eligible
veteran is one who: Has been discharged or released under conditions
other than dishonorable from the Armed Forces for a period of not more
than 10 years before the date of application for admission to a covered
medical school; would not be concurrently receiving educational
assistance under Chapter 30, 31, 32, 33, 34, or 35 of title 38 United
States Code or chapter 1606 or 1607 of title 10 United States Code at
the time the veteran would be receiving VHVMASP funding; applies for
admission to a covered medical school for the entering class of 2020;
indicates on the application to the covered medical school that they
would like to be considered for the VHVMASP; meets the minimum
admissions criteria for the covered medical school to which the
eligible veteran applies; and agrees to the terms stated in proposed
Sec. 17.617.
[[Page 22991]]
Section 17.616 Award Procedures
Proposed Sec. 17.616 would state how VA would distribute the
VHVMASP funds as well as the amount VA would pay to participants while
enrolled in the covered school. This would be consistent with the
distribution and amount of funds stipulated in section 304 of the VA
MISSION Act of 2018. Proposed paragraph Sec. 17.616(a)(1) would state
that each covered medical school that opts to participate in the
VHVMASP would reserve two seats in the entering class of 2020 for
eligible veterans who would receive funds for the VHVMASP. VA would
award funds to two eligible veterans with the highest admissions
ranking among veteran applicants for such entering class for each
covered medical school. The VA MISSION Act of 2018 provided for the
eventuality that an eligible veteran would not apply for admissions at
a covered medical school. As such, proposed Sec. 17.616(a)(2) would
state such eventuality that if two or more eligible veterans do not
apply for admission at a covered medical school for the entering class
of 2020, VA will distribute the available funding to eligible veterans
who applied, and are accepted for admission at other covered medical
schools.
Proposed Sec. 17.616(b) would state the funds that an eligible
veteran would receive while participating in the VHVMASP would be equal
to the actual cost of the following: Tuition at the covered medical
school for which the veteran enrolls for a period of not more than 4
years; Books, fees, and technical equipment; Fees associated with the
National Residency Match Program; Two away rotations performed during
the fourth year of school at a VA medical facility; and a monthly
stipend for the four-year period during which the eligible veteran is
enrolled in a covered medical school in an amount to be determined by
VA.
Section 17.617 Agreement and Obligated Service
As a condition of accepting funds from the VHVMASP, eligible
veterans must agree to certain terms in order to continue to receive
funds. Section 304 of the VA MISSION Act of 2018 establishes these
terms of the agreement and proposed Sec. 17.617(a) would list these
terms of agreement between VA and the eligible veteran. The terms of
the agreement are: ``Maintain enrollment, attendance, and acceptable
level of academic standing as defined by the covered medical school;
Complete post-graduate training leading to eligibility for board
certification in a physician specialty applicable to VA; after
completion of medical school and post-graduate training, obtain and
maintain a license to practice medicine in a State. Eligible veterans
must ensure that State licenses are obtained in a minimal amount of
time following completion of residency, or fellowship, if the veteran
is enrolled in a fellowship program approved by Veterans Affairs. If a
participant fails to obtain his or her degree or fails to become
licensed in a State no later than 90 days after completion of
residency, or fellowship, if applicable, the participant is considered
to be in breach of the acceptance agreement. The participant must serve
as a full-time clinical practice employee in VA for a period of four
years.
In order to make clear to potential participants when the period of
obligated service will commence, we would state in proposed Sec.
17.617(b) that the obligated service will begin on the date on which
the eligible veteran begins full-time permanent employment with VA as a
clinical practice employee. VA will appoint the participant to such
position as soon as possible, but no later than 90 days after the date
that the participant completes his residency, or fellowship, if
applicable, or the date the participant becomes licensed in a State,
whichever is later. We would also add that VA reserves the right to
make final decisions on the location and position of the obligated
service. This would allow VA to assign the participants to locations
where there is a shortage in the participant's health care specialty.
These two clarifications are in alignment with other VA scholarship
programs.
17.618 Failure To Comply With Terms and Conditions of Agreement
As previously stated in this rulemaking, section 304 of the VA
MISSION Act of 2018 established that the eligible veteran must agree to
certain terms to receive funding for the VHVMASP. However, if the
eligible veteran breaches this agreement, the United States government
is entitled to recover damages ``in an amount equal to the total amount
of VHVMASP funding received by the eligible veteran.'' We would state
these consequences of the breach of the terms of the agreement in
proposed Sec. 17.618(a). In alignment with other VA scholarship
programs, we would also state in proposed paragraph Sec. 17.618(b)
that the ``eligible veteran will pay the amount of damages that the
United States is entitled to recover under this section in full to the
United States no later than 1 year after the date of the breach of the
agreement.''
Effect of Rulemaking
The Code of Federal Regulations, as proposed to be revised by this
proposed rulemaking, would represent the exclusive legal authority on
this subject. No contrary rules or procedures would be authorized. All
VA guidance would be read to conform with this proposed rulemaking if
possible or, if not possible, such guidance would be superseded by this
rulemaking.
Paperwork Reduction Act
The Paperwork Reduction Act of 1995 (44 U.S.C. 3507(d)) requires
that VA consider the impact of paperwork and other information
collection burdens imposed on the public. According to the 1995
amendments to the Paperwork Reduction Act (5 CFR 1320.8(b)(2)(vi)), an
agency may not collect or sponsor the collection of information, nor
may it impose an information collection requirement unless it displays
a currently valid Office of Management and Budget (OMB) control number.
This proposed rule includes provisions constituting new collections of
information under the Paperwork Reduction Act of 1995 that require
approval by the OMB. Accordingly, under 44 U.S.C. 3507(d), VA has
submitted a copy of this rulemaking action to OMB for review.
OMB assigns control numbers to collections of information it
approves. VA may not conduct or sponsor, and a person is not required
to respond to, a collection of information unless it displays a
currently valid OMB control number. Proposed 38 CFR 17.617 contains a
collection of information under the Paperwork Reduction Act of 1995. If
OMB does not approve the collection of information as requested, VA
will immediately remove the provision containing a collection of
information or take such other action as is directed by OMB.
Comments on the collection of information contained in this
proposed rule should be submitted to the Office of Management and
Budget, Attention: Desk Officer for the Department of Veterans Affairs,
Office of Information and Regulatory Affairs, Washington, DC 20503,
with copies sent by mail or hand delivery to the Director, Office of
Regulation and Policy Management (00REG), Department of Veterans
Affairs, 810 Vermont Avenue NW, Room 1064, Washington, DC 20420; fax to
(202) 273-9026; or through www.Regulations.gov. Comments should
indicate that they are submitted in response to ``RIN 2900-AQ54--
Veterans Healing Veterans Medical Access and Scholarship Program.''
[[Page 22992]]
OMB is required to make a decision concerning the collections of
information contained in this proposed final rule between 30 and 60
days after publication of this document in the Federal Register.
Therefore, a comment to OMB is best assured of having its full effect
if the comment is received within 30 days of publication. This does not
affect the 60-day deadline for the public to comment on the proposed
rule.
VA considers comments by the public on proposed collections of
information in--
Evaluating whether the proposed collections of information
are necessary for the proper performance of the functions of VA,
including whether the information will have practical utility;
Evaluating the accuracy of VA's estimate of the burden of
the proposed collections of information, including the validity of the
methodology and assumptions used;
Enhancing the quality, usefulness, and clarity of the
information to be collected; and
Minimizing the burden of the collections of information on
those who are to respond, including through the use of appropriate
automated, electronic, mechanical, or other technological collection
techniques or other forms of information technology, e.g., permitting
electronic submission of responses.
The collections of information contained in 38 CFR 17.617 are
described immediately following this paragraph. For the new proposed
collection of information below, VA used general wage data from the
Bureau of Labor Statistics (BLS) to estimate the respondents' costs
associated with completing the information collection. According to the
latest available BLS data, the mean hourly wage of full-time wage and
salary workers was $24.34 based on the BLS wage code--``00-0000 All
Occupations.'' This information was taken from the following website:
https://www.bls.gov/oes/current/oes_nat.htm (May 2017).
Title: Veterans Healing Veterans Medical Access and Scholarship
Program.
OMB Control No.: 2900-xxxx (new).
CFR Provision: 38 CFR 17.617.
Summary of collection of information: The VHVMASP provides funding
for the medical education of eligible veterans who enroll in a covered
medical school. As part of the VHVMASP, the eligible veteran agrees to
a period of obligated service with VA for a period of no less than 48
months. The information collected under this section would require
eligible veterans to sign and submit an agreement between VA and the
eligible veteran who accepts funding for the VHVMASP.
Description of the need for information and proposed use of
information: The collection of information is necessary to establish an
agreement between VA and the eligible veteran, which would hold the
eligible veteran accountable for upholding the terms and conditions of
the agreement and alert the eligible veteran of the consequences of a
breach in the agreement.
Description of likely respondents: Eligible veterans who are
accepted for participation in the VHVMASP.
Estimated number of respondents per month/year: 18 per year.
Estimated frequency of responses per month/year: 1 per year.
Estimated average burden per response: 5 hours per response.
Estimated total annual reporting and recordkeeping burden: 90 hours
per year.
Estimated cost to respondents per year: VA estimates the total cost
to all respondents to be $2190.60 per year (90 burden hours x $24.34/
hour). Legally, respondents may not pay a person or business for
assistance in completing the information collection. Therefore, there
are no expected overhead costs for completing the information
collection.
Regulatory Flexibility Act
The Secretary hereby certifies that this proposed rule would not
have a significant economic impact on a substantial number of small
entities as they are defined in the Regulatory Flexibility Act, 5
U.S.C. 601-612. Therefore, pursuant to 5 U.S.C. 605(b), this rulemaking
would be exempt from the initial and final regulatory flexibility
analysis requirements of 5 U.S.C. 603 and 604.
Executive Orders 12866, 13563 and 13771
Executive Orders 12866 and 13563 direct agencies to assess the
costs and benefits of available regulatory alternatives and, when
regulation is necessary, to select regulatory approaches that maximize
net benefits (including potential economic, environmental, public
health and safety effects, and other advantages; distributive impacts;
and equity). Executive Order 13563 (Improving Regulation and Regulatory
Review) emphasizes the importance of quantifying both costs and
benefits, reducing costs, harmonizing rules, and promoting flexibility.
Executive Order 12866 (Regulatory Planning and Review) defines a
``significant regulatory action,'' which requires review by the Office
of Management and Budget (OMB), as ``any regulatory action that is
likely to result in a rule that may: (1) Have an annual effect on the
economy of $100 million or more or adversely affect in a material way
the economy, a sector of the economy, productivity, competition, jobs,
the environment, public health or safety, or State, local, or tribal
governments or communities; (2) Create a serious inconsistency or
otherwise interfere with an action taken or planned by another agency;
(3) Materially alter the budgetary impact of entitlements, grants, user
fees, or loan programs or the rights and obligations of recipients
thereof; or (4) Raise novel legal or policy issues arising out of legal
mandates, the President's priorities, or the principles set forth in
this Executive Order.''
VA has examined the economic, interagency, budgetary, legal, and
policy implications of this regulatory action and determined that the
action is not a significant regulatory action under Executive Order
12866. VA's impact analysis can be found as a supporting document at
https://www.regulations.gov, usually within 48 hours after the
rulemaking document is published. Additionally, a copy of the
rulemaking and its impact analysis are available on VA's website at
https://www.va.gov/orpm by following the link for VA Regulations
Published from FY 2004 through FYTD.
This proposed rule is not expected to be an E.O. 13771 regulatory
action because this proposed rule is not significant under E.O. 12866.
Unfunded Mandates
The Unfunded Mandates Reform Act of 1995 requires, at 2 U.S.C.
1532, that agencies prepare an assessment of anticipated costs and
benefits before issuing any rule that may result in the expenditure by
State, local, and tribal governments, in the aggregate, or by the
private sector, of $100 million or more (adjusted annually for
inflation) in any one year. This proposed rule would have no such
effect on State, local, and tribal governments, or on the private
sector.
Catalog of Federal Domestic Assistance
There are no Catalog of Federal Domestic Assistance numbers and
titles for this rule.
List of Subjects in 38 CFR Part 17
Administrative practice and procedure, Alcohol abuse, Alcoholism,
Claims, Day care, Dental health, Drug abuse, Foreign relations,
Government contracts, Grant programs--health, Grant programs--veterans,
Health care,
[[Page 22993]]
Health facilities, Health professions, Health records, Homeless,
Medical and dental schools, Medical devices, Medical research, Mental
health programs, Nursing homes, Philippines, Reporting and
recordkeeping requirements, Scholarships and fellowships, Travel and
transportation expenses, Veterans.
Signing Authority
The Secretary of Veterans Affairs, or designee, approved this
document and authorized the undersigned to sign and submit the document
to the Office of the Federal Register for publication electronically as
an official document of the Department of Veterans Affairs. Robert L.
Wilkie, Secretary, Department of Veterans Affairs, approved this
document on April 8, 2019, for publication.
Dated: May 14, 2019.
Consuela Benjamin,
Regulations Development Coordinator, Office of Regulation Policy &
Management, Office of the Secretary, Department of Veterans Affairs.
For the reasons set forth in the preamble, we propose to amend 38
CFR part 17 as follows:
PART 17--MEDICAL
0
1. The authority citation for part 17 continues to read as follows:
Authority: 38 U.S.C. 501, and as noted in specific sections.
* * * * *
Sections 17.613 through 17.618 are also issued under Public Law
115-182, sec. 304.
* * * * *
0
2. Add an undesignated center heading immediately following Sec.
17.612 and new Sec. Sec. 17.613 through 17.618 to read as follows.
Veterans Healing Veterans Medical Access and Scholarship Program
17.613 Purpose.
17.614 Definitions.
17.615 Eligibility.
17.616 Award procedures.
17.617 Agreement.
17.618 Failure to comply with terms and conditions of agreement.
Veterans Healing Veterans Medical Access and Scholarship Program
Sec. 17.613 Purpose.
The purpose of Sec. Sec. 17.613 through 17.618 is to establish the
requirement for the Veterans Healing Veterans Medical Access and
Scholarship Program (VHVMASP). The VHVMASP will provide funding for the
medical education of two eligible veterans from each covered medical
school.
Sec. 17.614 Definitions.
The following definitions apply to Sec. Sec. 17.613 through
17.618.
Acceptable level of academic standing means maintaining a
cumulative grade point average at or above passing, as determined by
the medical school; completing all required courses with a passing
grade; successfully completing the required course of study for
graduation within four academic years; successfully passing the
required United States Medical Licensing Examinations steps 1 and 2,
within the timeframe for graduation from medical school; and having no
final determinations of unprofessional conduct or behavior.
Covered medical school means any of the following:
(1) Texas A&M College of Medicine.
(2) Quillen College of Medicine at East Tennessee State University.
(3) Boonshoft School of Medicine at Wright State University.
(4) Joan C. Edwards School of Medicine at Marshall University.
(5) University of South Carolina School of Medicine.
(6) Charles R. Drew University of Medicine and Science.
(7) Howard University College of Medicine.
(8) Meharry Medical College.
(9) Morehouse School of Medicine.
VA means the Department of Veterans Affairs.
VHVMASP means the Veterans Healing Veterans Medical Access and
Scholarship Program authorized by section 304 of the VA MISSION Act of
2018.
Sec. 17.615 Eligibility.
A veteran is considered eligible to receive funding for the VHVMASP
if such veteran meets the following criteria.
(a) Has been discharged or released, under conditions other than
dishonorable, from the Armed Forces for not more than 10 years before
the date of application for admission to a covered medical school;
(b) Is not concurrently receiving educational assistance under
chapter 30, 31, 32, 33, 34, or 35 of title 38 United States Code or
chapter 1606 or 1607 of title 10 United States Code at the time the
veteran would be receiving VHVMASP funding;
(c) Applies for admission to a covered medical school for the
entering class of 2020;
(d) Indicates on the application to the covered medical school that
they would like to be considered for the VHVMASP;
(e) Meets the minimum admissions criteria for the covered medical
school to which the eligible veteran applies; and
(f) Agrees to the terms stated in Sec. 17.617.
Sec. 17.616 Award procedures.
(a) Distribution of funds. (1) Each covered medical school that
opts to participate in the VHVMASP will reserve two seats in the
entering class of 2020 for eligible veterans who receive funds for the
VHVMASP. Funding will be awarded to two eligible veterans with the
highest admissions ranking among veteran applicants for such entering
class for each covered medical school.
(2) If two or more eligible veterans do not apply for admission at
a covered medical school for the entering class of 2020, VA will
distribute the available funding to eligible veterans who applied, and
are accepted, for admission at other covered medical schools.
(b) Amount of funds. An eligible veteran will receive funding from
the VHVMASP equal to the actual cost of the following:
(1) Tuition at the covered medical school for which the veteran
enrolls for a period of not more than 4 years;
(2) Books, fees, and technical equipment;
(3) Fees associated with the National Residency Match Program;
(4) Two away rotations, performed during the fourth year of school,
at a VA medical facility; and
(5) A monthly stipend for the four-year period during which the
eligible veteran is enrolled in a covered medical school in an amount
to be determined by VA.
Sec. 17.617 Agreement and obligated service.
(a) Agreement. Each eligible veteran who accepts funds from the
VHVMASP will enter into an agreement with VA where the eligible veteran
agrees to the following:
(1) Maintain enrollment, attendance, and acceptable level of
academic standing as defined by the covered medical school;
(2) Complete post-graduate training leading to eligibility for
board certification in a physician specialty applicable to VA;
(3) After completion of medical school and post-graduate training,
obtain and maintain a license to practice medicine in a State. Eligible
Veterans must ensure that State licenses are obtained in a minimal
amount of time following completion of residency, or fellowship, if the
Veteran is enrolled in a fellowship program approved by Veterans
Affairs. If a participant fails to obtain his or her degree, or fails
to become licensed in a State no later than 90 days after completion of
residency, or fellowship, if applicable, the
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participant is considered to be in breach of the acceptance agreement;
and
(4) Serve as a full-time clinical practice employee in VA for a
period of four years.
(b) Obligated service. (1) General. An eligible veteran's obligated
service will begin on the date on which the eligible veteran begins
full-time permanent employment with VA as a clinical practice employee.
VA will appoint the participant to such position as soon as possible,
but no later than 90 days after the date that the participant completes
residency, or fellowship, if applicable, or the date the participant
becomes licensed in a State, whichever is later.
(2) Location and position of obligated service. VA reserves the
right to make final decisions on the location and position of the
obligated service.
(The Office of Management and Budget has approved the information
collection requirements in this section under control number XXXX-
XXXX.)
Sec. 17.618 Failure to comply with terms and conditions of
agreement.
(a) Participant fails to satisfy terms of agreement. If an eligible
veteran who accepts funding for the VHVMASP breaches the terms of the
agreement stated in Sec. 17.617, the United States is entitled to
recover damages in an amount equal to the total amount of VHVMASP
funding received by the eligible veteran.
(b) Repayment period. The eligible veteran will pay the amount of
damages that the United States is entitled to recover under this
section in full to the United States no later than 1 year after the
date of the breach of the agreement.
[FR Doc. 2019-10251 Filed 5-20-19; 8:45 am]
BILLING CODE 8320-01-P