Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2020 Rates; Proposed Quality Reporting Requirements for Specific Providers; Medicare and Medicaid Promoting Interoperability Programs Proposed Requirements for Eligible Hospitals and Critical Access Hospitals; Correction, 28263-28264 [2019-12906]

Download as PDF Federal Register / Vol. 84, No. 117 / Tuesday, June 18, 2019 / Proposed Rules The wells were abandoned under permit from SCDEH. • From 2006 through 2013 groundwater samples were collected from the two remaining wells, B–50 and B–73. The groundwater samples were analyzed for VOCs. In April 2017, after the attainment of TCE MCLs and with EPA concurrence, both wells were abandoned under permit from SCDEH. The Final Groundwater Monitoring Report, was prepared after the 2013 sampling events. As described in the Draft Revised Final Remedy Certification Report for the VOC Groundwater Work, per 2014 EPA guidance, analysis of contaminantspecific data from the MGM Brakes Site provided a technical and scientific basis that: 1. The MCL for TCE was met in both remaining wells; and, 2. The groundwater would continue to meet the MCL for TCE in both remaining wells in the future. In February 2018, the EPA provided a Certificate of Completion for the VOC Groundwater Work, which documented EPA’s concurrence that all portions of the RA for groundwater were completed in accordance with the ROD, CD and ESD. Operation and Maintenance There are no ongoing monitoring activities for soil or groundwater. The 2016 ESD removed the requirement for institutional controls. There are no operation and maintenance activities required. jbell on DSK3GLQ082PROD with PROPOSALS Five Year Review The Third Five-Year Review Report for MGM Brakes Superfund Site, Cloverdale California, September 2013 (Third FYR) was the last five-year review completed at the Site. The Third FYR concluded that the Site remedy is protective of human health and the environment and that there are no issues that affect protectiveness in the short- or long-term. Furthermore, an evaluation completed during the Third FYR, and documented in the 2016 ESD, concluded that hazardous substances and pollutants had been removed to safe levels and that the site qualified for unlimited use and unrestricted exposure. Future FYRs are not required. Community Involvement The community has been involved in the MGM Brakes Superfund Cleanup throughout the remedial process. Comments were submitted in strong opposition to the original remedy suggested by the feasibility study in 1986. These comments were taken into consideration and EPA prepared a VerDate Sep<11>2014 16:40 Jun 17, 2019 Jkt 247001 revised FS in May 1988 evaluating a list of alternative remedies, ultimately resulting in a different remedy for the Site. No adverse comments were received during the public comment period regarding this remedy. Determine That the Site Meets the Criteria for Deletion in the NCP 28263 Dated: April 30, 2019. Michael Stoker, Regional Administrator, Region 9. [FR Doc. 2019–12771 Filed 6–17–19; 8:45 am] BILLING CODE 6560–50–P DEPARTMENT OF HEALTH AND HUMAN SERVICES In March 1998, the EPA provided a Certificate of Completion for the demolition and excavation work, which documented EPA’s concurrence that all portions of the RA for soil were completed in accordance with the ROD, CD, and ESD. In February 2018, the EPA provided a Certificate of Completion for the VOC Groundwater Work, which documented EPA’s concurrence that all portions of the RA for groundwater were completed in accordance with the ROD, CD and ESD. In the Third FYR and the 2016 ESD, EPA concluded that hazardous substances and pollutants had been removed to safe levels and that the site qualified for unlimited use and unrestricted exposure. In February 2018, the Regional Water Quality Control Board of California determined that no further action (NFA) was required at the MGM Brakes Superfund Site located at 1201 South Cloverdale Boulevard, Cloverdale, California. A letter documenting the NFA status is included in the deletion docket. In December 2018 the Department of Toxic Substances Control issued a letter concurring with EPA’s proposed deletion of the MGM Brakes Site from the National Priorities List. This letter is also included in the deletion docket. The implemented remedy at the MGM Brakes Superfund Site has achieved the degree of cleanup specified in the ROD for all exposure pathways; and all selected remedial and removal action objectives and associated cleanup levels are consistent with agency policy and guidance. No further Superfund response is needed at the MGM Brakes Superfund Site to protect human health and the environment. SUMMARY: This document corrects technical errors in the proposed rule that appeared in the May 3, 2019, issue of the Federal Register entitled ‘‘Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2020 Rates; Proposed Quality Reporting Requirements for Specific Providers; Medicare and Medicaid Promoting Interoperability Programs Proposed Requirements for Eligible Hospitals and Critical Access Hospitals.’’ List of Subjects in 40 CFR Part 300 DATES: Environmental protection, Air pollution control, Chemicals, Hazardous waste, Hazardous substances, Intergovernmental relations, Penalties, Reporting and recordkeeping requirements, Superfund, Water pollution control, Water supply. FOR FURTHER INFORMATION CONTACT: Authority: 33 U.S.C. 1321(d); 42 U.S.C. 9601–9657; E.O. 13626, 77 FR 56749, 3 CFR, 2013 Comp., p. 306; E.O. 12777, 56 FR 54757, 3 CFR, 1991 Comp., p. 351; E.O. 12580, 52 FR 2923, 3 CFR, 1987 Comp., p. 193. PO 00000 Frm 00025 Fmt 4702 Sfmt 4702 Centers for Medicare & Medicaid Services 42 CFR Parts 412, 413, and 495 [CMS–1716–CN] RIN 0938–AT73 Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the LongTerm Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2020 Rates; Proposed Quality Reporting Requirements for Specific Providers; Medicare and Medicaid Promoting Interoperability Programs Proposed Requirements for Eligible Hospitals and Critical Access Hospitals; Correction Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Proposed rule; correction. AGENCY: June 18, 2019. Erin Patton, (410) 786–2437. Dylan Podson, (410)-786–5031. SUPPLEMENTARY INFORMATION: I. Background In FR Doc. 2019–08330 of May 3, 2019 (84 FR 19158), there were a number of technical errors that are identified and corrected in the Correction of Errors section of this correcting document. E:\FR\FM\18JNP1.SGM 18JNP1 28264 Federal Register / Vol. 84, No. 117 / Tuesday, June 18, 2019 / Proposed Rules II. Summary of Errors jbell on DSK3GLQ082PROD with PROPOSALS A. Summary of Errors in the Preamble On page 19428, in our discussion of the proposed revisions to the definition of the base operating DRG payment amount for purposes of the Hospital Readmissions Reduction Program, we made an error in describing our policy for the treatment of the difference between the hospital-specific payment rate and the Federal payment rate for purposes of calculating the base operating DRG payment amount with respect to a Medicare-dependent, small rural hospital that receives payments under § 412.108(c) or a sole community hospital that receives payments under § 412.92(d). We are correcting this language to reflect our current policy that the base operating DRG payment amount includes the difference between the hospital-specific payment rate and the Federal payment rate for a Medicaredependent, small rural hospital and does not include the difference between the hospital-specific payment rate and the Federal payment rate for a sole community hospital. We also made an error in our citation to the applicable statutory provision. We erroneously cited to section 1886(q)(2)(b)(i) instead of section 1886(q)(2)(B)(i) of the Act. On pages 19568, in our discussion of the Medicare and Medicaid Promoting Interoperability Programs, we made an error in a web link. B. Summary of Errors in the Regulations Text On page 19581, in our proposed amendments to the definition of the base operating DRG payment amount for purposes of the Hospital Readmissions Reduction Program, we made an error in describing our current policy for determining the base operating DRG payment amount by stating that with respect to a sole community hospital that receives payments under § 412.92(d) or a Medicare-dependent, small rural hospital that receives payments under § 412.108(c), this amount includes the difference between the hospital-specific payment rate and the Federal payment rate determined under subpart D of this part. We are correcting this language to reflect our current policy, which is that the base operating DRG payment amount for a sole community hospital that receives payments under § 412.92(d) does not include the difference between the hospital-specific payment rate and the Federal payment rate determined under subpart D of this part while the base operating DRG payment amount for a Medicare-dependent, small rural hospital that receives payments under VerDate Sep<11>2014 16:40 Jun 17, 2019 Jkt 247001 § 412.108(c) does include the difference between the hospital-specific payment rate and the Federal payment rate determined under subpart D of this part. IV. Correction of Errors In FR Doc. 2019–08330 of May 3, 2019 (84 FR 19158), we make the following corrections: A. Errors in the Preamble 1. On page 19428, first column, last partial paragraph, lines 10 through 13, the phrase ‘‘amount also includes the difference between the hospital-specific payment rate and the Federal payment rate determined under the subpart.’’ is corrected to read ‘‘amount also includes the difference between the hospitalspecific payment rate and the Federal payment rate determined under the subpart for a Medicare-dependent, small rural hospital that receives payments under § 412.108(c) and does not include the difference between the hospitalspecific payment rate and the Federal payment rate determined under the subpart for a sole community hospital that receives payment under § 412.92(d).’’ 2. On page 19428, second column, first partial paragraph, lines 1 through 4, the phrase ‘‘1886(q)(2)(b)(i) of the Act, because the regulatory text was not updated following the expiration of the FY 2013 changes.’’ is corrected to read ‘‘1886(q)(2)(B)(i) of the Act by specifying the differential treatment following the expiration of the special treatment for Medicare-dependent, small rural hospitals for FY 2013 in the statute.’’ 3. On page 19568, third column, last paragraph (footnote 830), lines 1 and 2, the hyperlink ‘‘https:// www.healthit.gov/sites/default/files/ onc_pghd_final_white_paper.pdf.%95’’ is corrected to read ‘‘https:// www.healthit.gov/sites/default/files/ onc_pghd_final_white_paper.pdf’’. B. Errors in the Regulations Text § 412.152 [Corrected] 4. On page 19581, third column, first paragraph (definition of Base operating DRG payment amount), lines 17 through 26, ‘‘With respect to a sole community hospital that receives payments under § 412.92(d) or a Medicare-dependent, small rural hospital that receives payments under § 412.108(c), this amount also includes the difference between the hospital-specific payment rate and the Federal payment rate determined under subpart D of this part. ’’ is corrected to read ‘‘With respect to a sole community hospital that receives payments under § 412.92(d) this amount also does not include the difference PO 00000 Frm 00026 Fmt 4702 Sfmt 4702 between the hospital-specific payment rate and the Federal payment rate determined under subpart D of this part. With respect to a Medicare-dependent, small rural hospital that receives payments under § 412.108(c), this amount includes the difference between the hospital-specific payment rate and the Federal payment rate determined under subpart D of this part.’’ Dated: June 12, 2019. Ann C. Agnew, Executive Secretary to the Department, Department of Health and Human Services. [FR Doc. 2019–12906 Filed 6–17–19; 8:45 am] BILLING CODE 4120–01–P FEDERAL COMMUNICATIONS COMMISSION 47 CFR Part 64 [CG Docket Nos. 13–24 and 03–123; DA 19– 521] IP CTS Order Hamilton Petition for Reconsideration Federal Communications Commission. ACTION: Petition for reconsideration. AGENCY: SUMMARY: The Consumer and Governmental Affairs Bureau seeks comment on a Petition for Reconsideration (Petition). DATES: Oppositions to the Petition must be filed on or before July 3, 2019. Replies to oppositions must be filed on or before July 15, 2019. ADDRESSES: Federal Communications Commission, 445 12th Street SW, Washington, DC 20554. FOR FURTHER INFORMATION CONTACT: Michael Scott, Consumer and Governmental Affairs Bureau, at: (202) 418–1264; email: Michael.Scott@fcc.gov. SUPPLEMENTARY INFORMATION: This is a summary of the Commission’s document, DA 19–521, released June 5, 2019. The full text of the Petition is available for viewing and copying at the FCC Reference Information Center, 445 12th Street SW, Room CY–A257, Washington, DC 20554. It also may be accessed online via the Commission’s Electronic Comment Filing System at: https://ecfsapi.fcc.gov/file/ 1040816929886/Hamilton_Petition_for_ Reconsideration_of_2019_IPCTS_URD_ Order.pdf. The Commission will not send a Congressional Review Act (CRA) submission to Congress or the Government Accountability Office pursuant to the CRA, 5 U.S.C. because no rules are being adopted by the Commission. E:\FR\FM\18JNP1.SGM 18JNP1

Agencies

[Federal Register Volume 84, Number 117 (Tuesday, June 18, 2019)]
[Proposed Rules]
[Pages 28263-28264]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-12906]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 412, 413, and 495

[CMS-1716-CN]
RIN 0938-AT73


Medicare Program; Hospital Inpatient Prospective Payment Systems 
for Acute Care Hospitals and the Long-Term Care Hospital Prospective 
Payment System and Proposed Policy Changes and Fiscal Year 2020 Rates; 
Proposed Quality Reporting Requirements for Specific Providers; 
Medicare and Medicaid Promoting Interoperability Programs Proposed 
Requirements for Eligible Hospitals and Critical Access Hospitals; 
Correction

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

ACTION: Proposed rule; correction.

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

SUMMARY: This document corrects technical errors in the proposed rule 
that appeared in the May 3, 2019, issue of the Federal Register 
entitled ``Medicare Program; Hospital Inpatient Prospective Payment 
Systems for Acute Care Hospitals and the Long-Term Care Hospital 
Prospective Payment System and Proposed Policy Changes and Fiscal Year 
2020 Rates; Proposed Quality Reporting Requirements for Specific 
Providers; Medicare and Medicaid Promoting Interoperability Programs 
Proposed Requirements for Eligible Hospitals and Critical Access 
Hospitals.''

DATES: June 18, 2019.

FOR FURTHER INFORMATION CONTACT: 
Erin Patton, (410) 786-2437.
Dylan Podson, (410)-786-5031.

SUPPLEMENTARY INFORMATION:

I. Background

    In FR Doc. 2019-08330 of May 3, 2019 (84 FR 19158), there were a 
number of technical errors that are identified and corrected in the 
Correction of Errors section of this correcting document.

[[Page 28264]]

II. Summary of Errors

A. Summary of Errors in the Preamble

    On page 19428, in our discussion of the proposed revisions to the 
definition of the base operating DRG payment amount for purposes of the 
Hospital Readmissions Reduction Program, we made an error in describing 
our policy for the treatment of the difference between the hospital-
specific payment rate and the Federal payment rate for purposes of 
calculating the base operating DRG payment amount with respect to a 
Medicare-dependent, small rural hospital that receives payments under 
Sec.  412.108(c) or a sole community hospital that receives payments 
under Sec.  412.92(d). We are correcting this language to reflect our 
current policy that the base operating DRG payment amount includes the 
difference between the hospital-specific payment rate and the Federal 
payment rate for a Medicare-dependent, small rural hospital and does 
not include the difference between the hospital-specific payment rate 
and the Federal payment rate for a sole community hospital. We also 
made an error in our citation to the applicable statutory provision. We 
erroneously cited to section 1886(q)(2)(b)(i) instead of section 
1886(q)(2)(B)(i) of the Act.
    On pages 19568, in our discussion of the Medicare and Medicaid 
Promoting Interoperability Programs, we made an error in a web link.

B. Summary of Errors in the Regulations Text

    On page 19581, in our proposed amendments to the definition of the 
base operating DRG payment amount for purposes of the Hospital 
Readmissions Reduction Program, we made an error in describing our 
current policy for determining the base operating DRG payment amount by 
stating that with respect to a sole community hospital that receives 
payments under Sec.  412.92(d) or a Medicare-dependent, small rural 
hospital that receives payments under Sec.  412.108(c), this amount 
includes the difference between the hospital-specific payment rate and 
the Federal payment rate determined under subpart D of this part. We 
are correcting this language to reflect our current policy, which is 
that the base operating DRG payment amount for a sole community 
hospital that receives payments under Sec.  412.92(d) does not include 
the difference between the hospital-specific payment rate and the 
Federal payment rate determined under subpart D of this part while the 
base operating DRG payment amount for a Medicare-dependent, small rural 
hospital that receives payments under Sec.  412.108(c) does include the 
difference between the hospital-specific payment rate and the Federal 
payment rate determined under subpart D of this part.

IV. Correction of Errors

    In FR Doc. 2019-08330 of May 3, 2019 (84 FR 19158), we make the 
following corrections:

A. Errors in the Preamble

    1. On page 19428, first column, last partial paragraph, lines 10 
through 13, the phrase ``amount also includes the difference between 
the hospital-specific payment rate and the Federal payment rate 
determined under the subpart.'' is corrected to read ``amount also 
includes the difference between the hospital-specific payment rate and 
the Federal payment rate determined under the subpart for a Medicare-
dependent, small rural hospital that receives payments under Sec.  
412.108(c) and does not include the difference between the hospital-
specific payment rate and the Federal payment rate determined under the 
subpart for a sole community hospital that receives payment under Sec.  
412.92(d).''
    2. On page 19428, second column, first partial paragraph, lines 1 
through 4, the phrase ``1886(q)(2)(b)(i) of the Act, because the 
regulatory text was not updated following the expiration of the FY 2013 
changes.'' is corrected to read ``1886(q)(2)(B)(i) of the Act by 
specifying the differential treatment following the expiration of the 
special treatment for Medicare-dependent, small rural hospitals for FY 
2013 in the statute.''
    3. On page 19568, third column, last paragraph (footnote 830), 
lines 1 and 2, the hyperlink ``https://www.healthit.gov/sites/default/
files/onc_pghd_final_white_paper.pdf.%95'' is corrected to read 
``https://www.healthit.gov/sites/default/files/
onc_pghd_final_white_paper.pdf''.

B. Errors in the Regulations Text


Sec.  412.152  [Corrected]

    4. On page 19581, third column, first paragraph (definition of Base 
operating DRG payment amount), lines 17 through 26, ``With respect to a 
sole community hospital that receives payments under Sec.  412.92(d) or 
a Medicare-dependent, small rural hospital that receives payments under 
Sec.  412.108(c), this amount also includes the difference between the 
hospital-specific payment rate and the Federal payment rate determined 
under subpart D of this part. '' is corrected to read ``With respect to 
a sole community hospital that receives payments under Sec.  412.92(d) 
this amount also does not include the difference between the hospital-
specific payment rate and the Federal payment rate determined under 
subpart D of this part. With respect to a Medicare-dependent, small 
rural hospital that receives payments under Sec.  412.108(c), this 
amount includes the difference between the hospital-specific payment 
rate and the Federal payment rate determined under subpart D of this 
part.''

    Dated: June 12, 2019.
Ann C. Agnew,
Executive Secretary to the Department, Department of Health and Human 
Services.
[FR Doc. 2019-12906 Filed 6-17-19; 8:45 am]
 BILLING CODE 4120-01-P
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