July 18, 2019 – Federal Register Recent Federal Regulation Documents

Notice of Solicitation of Applications for Inviting Applications for the Rural Economic Development Loan and Grant Programs for Fiscal Year 2020
Document Number: 2019-15263
Type: Notice
Date: 2019-07-18
Agency: Department of Agriculture, Rural Business-Cooperative Service
This notice is to invite applications for loans and grants under the Rural Economic Development Loan and Grant (REDLG) Programs for fiscal year (FY) 2020, subject to the availability of funding. This notice is being issued in order to allow applicants sufficient time to leverage financing, prepare and submit their applications, and give the Agency time to process applications within FY 2020. Successful applications will be selected by the Agency for funding and subsequently awarded to the extent that funding may ultimately be made available through appropriations. An announcement on the website at https://www.rd.usda.gov/newsroom/fy2020-appropriated-funding will identify the amount received in the appropriations. All applicants are responsible for any expenses incurred in developing their applications.
Agency Information Collection Activity Under OMB Review
Document Number: 2019-15261
Type: Notice
Date: 2019-07-18
Agency: Federal Transit Administration, Department of Transportation
In accordance with the Paperwork Reduction Act of 1995, this notice announces the intention of the Federal Transit Administration (FTA) to request the Office of Management and Budget (OMB) to approve the extension of a currently approved information collection: 49 U.S.C. Section 5310Enhanced Mobility of Seniors and Individuals with Disabilities Program & Section 5311Formula Grants for Rural Areas Program.
Agency Information Collection Activity Under OMB Review
Document Number: 2019-15260
Type: Notice
Date: 2019-07-18
Agency: Federal Transit Administration, Department of Transportation
In accordance with the Paperwork Reduction Act of 1995, this notice announces the intention of the Federal Transit Administration (FTA) to request the Office of Management and Budget (OMB) to approve the extension of a currently approved information collection: National Transit Database 49 U.S.C. Section 5335(a)(b).
Defense Federal Acquisition Regulation Supplement: Public Meetings on DFARS Cases Regarding Technical Data Rights
Document Number: 2019-15255
Type: Notice
Date: 2019-07-18
Agency: Defense Acquisition Regulations System, Department of Defense
DoD is hosting public meetings to obtain views of experts and interested parties in Government and the private sector regarding amending the Defense Federal Acquisition Regulation Supplement (DFARS) to implement statutory amendments and revisions to policies and procedures for the acquisition of technical data and computer software and associated license rights.
Information Collection Requirement; Defense Federal Acquisition Regulation Supplement (DFARS); Radio Frequency Identification Advance Shipment Notices
Document Number: 2019-15253
Type: Notice
Date: 2019-07-18
Agency: Defense Acquisition Regulations System, Department of Defense
In compliance with the Paperwork Reduction Act of 1995, DoD announces the proposed extension of a public information collection requirement and seeks public comment on the provisions thereof. DoD invites comments on: Whether the proposed collection of information is necessary for the proper performance of the functions of DoD, including whether the information will have practical utility; the accuracy of the estimate of the burden of the proposed information collection; ways to enhance the quality, utility, and clarity of the information to be collected; and ways to minimize the burden of the information collection on respondents, including the use of automated collection techniques or other forms of information technology. The Office of Management and Budget (OMB) has approved this information collection for use through September 30, 2019. DoD proposes that OMB extend its approval for use for three additional years beyond the current expiration date.
Formations of, Acquisitions by, and Mergers of Bank Holding Companies
Document Number: 2019-15250
Type: Notice
Date: 2019-07-18
Agency: Federal Reserve System, Agencies and Commissions
Agency Information Collection Activities: Proposed Request and Comment Request
Document Number: 2019-15249
Type: Notice
Date: 2019-07-18
Agency: Social Security Administration, Agencies and Commissions
Revision to Automatic Dependent Surveillance-Broadcast (ADS-B) Out Equipment and Use Requirements
Document Number: 2019-15248
Type: Rule
Date: 2019-07-18
Agency: Federal Aviation Administration, Department of Transportation
This interim final rule modifies the requirement that all aircraft equipped with Automatic Dependent Surveillance-Broadcast Out (ADS-B Out) must transmit at all times. This rulemaking provides an exception to ADS-B requirements, removing the transmission requirement for sensitive operations conducted by Federal, State and local government entities in matters of national defense, homeland security, intelligence and law enforcement. The changes provide relief to those Federal, State and local government agencies that operate aircraft equipped with ADS-B Out but need the ability to terminate the transmission signal when conducting sensitive national defense, homeland security, intelligence and law enforcement missions that could be compromised by transmitting real time identification and positional flight information over ADS-B. This rulemaking also allows the FAA to except certain aircraft from operating a transponder or transmitting ADS-B Out, when doing so would jeopardize Air Traffic Control (ATC) functions.
Excepted Service; Consolidated Listing of Schedules A, B, and C Exceptions
Document Number: 2019-15247
Type: Notice
Date: 2019-07-18
Agency: Office of Personnel Management
This provides the consolidated notice of all agency specific excepted authorities, approved by the Office of Personnel Management (OPM), under Schedule A, B, and C, as of June 30, 2018, as required by Civil Service Rule VI, Exceptions from the Competitive Service.
Arkansas; Amendment No. 4 to Notice of a Major Disaster Declaration
Document Number: 2019-15244
Type: Notice
Date: 2019-07-18
Agency: Federal Emergency Management Agency, Department of Homeland Security
This notice amends the notice of a major disaster declaration for the State of Arkansas (FEMA-4441-DR), dated June 8, 2019, and related determinations.
Ohio; Amendment No. 1 to Notice of a Major Disaster Declaration
Document Number: 2019-15243
Type: Notice
Date: 2019-07-18
Agency: Federal Emergency Management Agency, Department of Homeland Security
This notice amends the notice of a major disaster declaration for the State of Ohio (FEMA-4447-DR), dated June 18, 2019, and related determinations.
Privacy Act of 1974; System of Records
Document Number: 2019-15242
Type: Notice
Date: 2019-07-18
Agency: Department of Defense, Department of the Army
The Department of the Army proposes to modify a System of Records Notice (SORN), Army Personnel Systems (APS), A0600-8-104 AHRC. This system of records is comprised of Human Resources (HR) information required to manage a Soldier's career from initial accession through separation, and for life for retirees. Currently APS records are managed by 36 information technology (IT) systems that are linked to seven System of Records Notices (SORNs). In a cost saving effort to eliminate redundant functions and discordant IT systems, the Army is transitioning HR and military pay records for Soldiers to the Integrated Personnel and Pay System-Army (IPPS-A).
Agency Information Collection Activity Under OMB Review: Application for Health Professions Trainees
Document Number: 2019-15241
Type: Notice
Date: 2019-07-18
Agency: Department of Veterans Affairs
In compliance with the Paperwork Reduction Act (PRA) of 1995, this notice announces that the Veterans Health Administration, Department of Veterans Affairs, will submit the collection of information abstracted below to the Office of Management and Budget (OMB) for review and comment. The PRA submission describes the nature of the information collection and its expected cost and burden and it includes the actual data collection instrument.
Arkansas; Amendment No. 3 to Notice of a Major Disaster Declaration
Document Number: 2019-15240
Type: Notice
Date: 2019-07-18
Agency: Federal Emergency Management Agency, Department of Homeland Security
This notice amends the notice of a major disaster declaration for the State of Arkansas (FEMA-4441-DR), dated June 8, 2019, and related determinations.
South Dakota; Amendment No. 1 to Notice of a Major Disaster Declaration
Document Number: 2019-15239
Type: Notice
Date: 2019-07-18
Agency: Federal Emergency Management Agency, Department of Homeland Security
This notice amends the notice of a major disaster declaration for the State of South Dakota (FEMA-4440-DR), dated June 7, 2019, and related determinations.
Iowa; Amendment No. 12 to Notice of a Major Disaster Declaration
Document Number: 2019-15237
Type: Notice
Date: 2019-07-18
Agency: Federal Emergency Management Agency, Department of Homeland Security
This notice amends the notice of a major disaster declaration for the State of Iowa (FEMA-4421-DR), dated March 23, 2019, and related determinations.
California; Amendment No. 1 to Notice of a Major Disaster Declaration
Document Number: 2019-15236
Type: Notice
Date: 2019-07-18
Agency: Federal Emergency Management Agency, Department of Homeland Security
This notice amends the notice of a major disaster declaration for the State of California (FEMA-4434-DR), dated May 17, 2019, and related determinations.
Iowa; Amendment No. 13 to Notice of a Major Disaster Declaration
Document Number: 2019-15235
Type: Notice
Date: 2019-07-18
Agency: Federal Emergency Management Agency, Department of Homeland Security
This notice amends the notice of a major disaster declaration for the State of Iowa (FEMA-4421-DR), dated March 23, 2019, and related determinations.
Nebraska; Amendment No. 8 to Notice of a Major Disaster Declaration
Document Number: 2019-15234
Type: Notice
Date: 2019-07-18
Agency: Federal Emergency Management Agency, Department of Homeland Security
This notice amends the notice of a major disaster declaration for the State of Nebraska (FEMA-4420-DR), dated March 21, 2019, and related determinations.
North Carolina; Amendment No. 2 to Notice of a Major Disaster Declaration
Document Number: 2019-15233
Type: Notice
Date: 2019-07-18
Agency: Federal Emergency Management Agency, Department of Homeland Security
This notice amends the notice of a major disaster declaration for State of North Carolina (FEMA-4412-DR), dated January 31, 2019, and related determinations.
North Carolina; Amendment No. 12 to Notice of a Major Disaster Declaration
Document Number: 2019-15232
Type: Notice
Date: 2019-07-18
Agency: Federal Emergency Management Agency, Department of Homeland Security
This notice amends the notice of a major disaster declaration for State of North Carolina (FEMA-4393-DR), dated September 14, 2018, and related determinations.
Agency Information Collection Activities: Submission for OMB Review; Comment Request; Federal Assistance for Offsite Radiological Emergency Preparedness and Planning
Document Number: 2019-15230
Type: Notice
Date: 2019-07-18
Agency: Federal Emergency Management Agency, Department of Homeland Security
The Federal Emergency Management Agency (FEMA) will submit the information collection abstracted below to the Office of Management and Budget for review and clearance in accordance with the requirements of the Paperwork Reduction Act of 1995. The submission will describe the nature of the information collection, the categories of respondents, the estimated burden (i.e., the time, effort and resources used by respondents to respond) and cost, and the actual data collection instruments FEMA will use.
Agency Information Collection Activities; Submission to the Office of Management and Budget for Review and Approval; Comment Request
Document Number: 2019-15228
Type: Notice
Date: 2019-07-18
Agency: Agency for International Development, Agencies and Commissions
U.S. Agency for International Development (USAID), as part of its continuing effort to reduce paperwork and respondent burden, invites the general public and other Federal agencies to take this opportunity to comment on the following new information collection, as required by the Paperwork Reduction Act of 1995, Public Law 104-13. Comments are requested concerning (1) Whether the proposed collection of information is necessary for the sustaining USAID-funded programming beyond USAID funding; (2) the accuracy of USAID's estimate of the burden of the proposed collection of information; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) ways to minimize the burden of the collection of information on respondents.
Massachusetts: Final Approval of State Underground Storage Tank Program Revisions, Codification, and Incorporation by Reference
Document Number: 2019-15226
Type: Rule
Date: 2019-07-18
Agency: Environmental Protection Agency
Pursuant to the Resource Conservation and Recovery Act (RCRA or Act), the Environmental Protection Agency (EPA) is taking direct final action to approve revisions to the State of Massachusetts' Underground Storage Tank (UST) program submitted by the Massachusetts Department of Environmental Protection (MassDEP). This action also codifies EPA's approval of Massachusetts' state program and incorporates by reference those provisions of the State regulations that we have determined meet the requirements for approval. The provisions will be subject to EPA's inspection and enforcement authorities under sections 9005 and 9006 of RCRA Subtitle I and other applicable statutory and regulatory provisions.
Massachusetts: Final Approval of State Underground Storage Tank Program Revisions, Codification, and Incorporation by Reference
Document Number: 2019-15225
Type: Proposed Rule
Date: 2019-07-18
Agency: Environmental Protection Agency
Pursuant to the Resource Conservation and Recovery Act (RCRA or Act), the Environmental Protection Agency (EPA) is proposing to approve revisions to the State of Massachusetts' Underground Storage Tank (UST) program submitted by the Massachusetts Department of Environmental Protection (MassDEP). This action is based on EPA's determination that these revisions satisfy all requirements needed for program approval. This action also proposes to codify EPA's approval of Massachusetts' state program and to incorporate by reference those provisions of the State regulations that we have determined meet the requirements for approval. The provisions will be subject to EPA's inspection and enforcement authorities under sections 9005 and 9006 of RCRA subtitle I and other applicable statutory and regulatory provisions.
Notice of Intent To Rule on a Request To Release Surplus Property at the Henry E. Rohlsen Airport, Christiansted, US Virgin Islands
Document Number: 2019-15224
Type: Notice
Date: 2019-07-18
Agency: Federal Aviation Administration, Department of Transportation
Notice is being given that the Federal Aviation Administration (FAA) is considering a request from the Virgin Islands Port Authority to waive the requirement that 84.61 acres of surplus property located at the Henry E. Rohlsen Airport be used for aeronautical purposes. Currently, the ownership of the property provides for the protection of FAR Part 77 surfaces and compatible land use which would continue to be protected with deed restrictions required in the transfer of land ownership.
Indian Country: Air Quality Planning and Management; Federal Implementation Plan for the Kalispel Indian Community of the Kalispel Reservation, Washington; Redesignation to a PSD Class I Area
Document Number: 2019-15221
Type: Rule
Date: 2019-07-18
Agency: Environmental Protection Agency
In this final rule, the Environmental Protection Agency (EPA) is approving the May 11, 2017 proposal by the Kalispel Indian Community of the Kalispel Reservation (herein referred to as the Kalispel Tribe of Indians or Kalispel Tribe) to redesignate lands within the exterior boundaries of the Kalispel Indian Reservation located in the State of Washington to Class I under the Clean Air Act (Act or CAA) program for the prevention of significant deterioration (PSD) of air quality. Redesignation to Class I will result in lowering the allowable increases in ambient concentrations of particulate matter (PM), sulfur dioxide (SO2), and nitrogen oxides (NOX) on the Kalispel Indian Reservation. Concurrently, the EPA is codifying the redesignation through a revision to the Federal Implementation Plan (FIP) currently in place for the Kalispel Indian Reservation. This FIP will be implemented by the EPA unless or until it is replaced by a Tribal Implementation Plan (TIP).
Steel Nails From China
Document Number: 2019-15219
Type: Notice
Date: 2019-07-18
Agency: International Trade Commission, Agencies and Commissions
Mattresses From China; Revised Schedule for the Subject Investigation
Document Number: 2019-15217
Type: Notice
Date: 2019-07-18
Agency: International Trade Commission, Agencies and Commissions
Circular Welded Carbon Steel Standard Pipe and Tube Products From Turkey: Preliminary Results of Antidumping Duty Administrative Review and Preliminary Determination of No Shipments; 2017-2018
Document Number: 2019-15193
Type: Notice
Date: 2019-07-18
Agency: Department of Commerce, International Trade Administration
The Department of Commerce (Commerce) preliminarily determines that producers and/or exporters subject to this administrative review made sales of subject merchandise at less than normal value. Interested parties are invited to comment on these preliminary results.
Freshwater Crawfish Tail Meat From the People's Republic of China: Preliminary Results of Antidumping Duty Administrative Review; 2017-2018
Document Number: 2019-15191
Type: Notice
Date: 2019-07-18
Agency: Department of Commerce, International Trade Administration
The Department of Commerce (Commerce) preliminarily determines that certain companies covered by the administrative review made sales of subject merchandise at prices below normal value. Interested parties are invited to comment on these preliminary results.
Polyethylene Terephthalate Resin From the Sultanate of Oman: Preliminary Results of Antidumping Duty Administrative Review; 2017-2018
Document Number: 2019-15189
Type: Notice
Date: 2019-07-18
Agency: Department of Commerce, International Trade Administration
The Department of Commerce (Commerce) preliminarily determines that OCTAL SAOC-FZC (OCTAL) did not make sales of subject merchandise at less than normal value during the period of review (POR) May 1, 2017 through April 30, 2018. Interested parties are invited to comment on these preliminary results of review.
Pure Magnesium From the People's Republic of China: Final Results of Antidumping Duty Administrative Review; 2017-2018
Document Number: 2019-15188
Type: Notice
Date: 2019-07-18
Agency: Department of Commerce, International Trade Administration
The Department of Commerce (Commerce) continues to find that Tianjin Magnesium International, Co., Ltd. (TMI) and Tianjin Magnesium Metal Co., Ltd. (TMM) (collectively, TMI/TMM) had no shipments of subject merchandise covered by the antidumping duty order on pure magnesium from the People's Republic of China (China) for the period of review (POR) May 1, 2017 through April 31, 2018.
Certain Circular Welded Carbon Steel Pipes and Tubes From Taiwan: Preliminary Results of Antidumping Duty Administrative Review; 2017-2018
Document Number: 2019-15187
Type: Notice
Date: 2019-07-18
Agency: Department of Commerce, International Trade Administration
The Department of Commerce (Commerce) preliminarily finds that exporters of certain circular welded carbon steel pipe and tubes from Taiwan sold subject merchandise in the United States at prices below normal value during the period of review (POR) May 1, 2017 through April 30, 2018. We invite all interested parties to comment on these preliminary results.
Schedules of Controlled Substances: Temporary Placement of N
Document Number: 2019-15184
Type: Rule
Date: 2019-07-18
Agency: Drug Enforcement Administration, Department of Justice
The Acting Administrator of the Drug Enforcement Administration (DEA) is issuing this temporary scheduling order to schedule the synthetic cathinones, N-ethylhexedrone (2-(ethylamino)-1- phenylhexan-1-one); alpha-pyrrolidinohexanophenone (1-phenyl-2- (pyrrolidin-1-yl)hexan-1-one; alpha-pyrrolidinohexiophenone; trivial name: [alpha]-PHP); 4-methyl-alpha-ethylaminopentiophenone (2- (ethylamino)-1-(4-methylphenyl)pentan-1-one; trivial name: 4-MEAP); 4'- methyl-alpha-pyrrolidinohexiophenone (1-(4-methylphenyl)-2-(pyrrolidin- 1-yl)hexan-1-one; 4'-methyl-alpha-pyrrolidinohexanophenone; trivial name: MPHP); alpha-pyrrolidinoheptaphenone (1-phenyl-2-(pyrrolidin-1- yl)heptan-1-one; trivial name: PV8); and 4'-chloro-alpha- pyrrolidinovalerophenone (1-(4-chlorophenyl)-2-(pyrrolidin-1-yl)pentan- 1-one; 4'-chloro-alpha-pyrrolidinopentiophenone; trivial name: 4- chloro-[alpha]-PVP), and their optical, positional, and geometric isomers, salts, and salts of isomers in schedule I. This action is based on a finding by the Acting Administrator that the placement of these synthetic cathinones in schedule I of the Controlled Substances Act is necessary to avoid an imminent hazard to the public safety. As a result of this order, the regulatory controls and administrative, civil, and criminal sanctions applicable to schedule I controlled substances will be imposed on persons who handle (manufacture, distribute, reverse distribute, possess, import, export, research, or conduct instructional activities or chemical analysis), or propose to handle, N-ethylhexedrone, [alpha]-PHP, 4-MEAP, MPHP, PV8, and 4-chloro- [alpha]-PVP.
Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures; Miscellaneous Amendments
Document Number: 2019-15126
Type: Rule
Date: 2019-07-18
Agency: Federal Aviation Administration, Department of Transportation
This rule establishes, amends, suspends, or removes Standard Instrument Approach Procedures (SIAPs) and associated Takeoff Minimums and Obstacle Departure Procedures (ODPs) for operations at certain airports. These regulatory actions are needed because of the adoption of new or revised criteria, or because of changes occurring in the National Airspace System, such as the commissioning of new navigational facilities, adding new obstacles, or changing air traffic requirements. These changes are designed to provide safe and efficient use of the navigable airspace and to promote safe flight operations under instrument flight rules at the affected airports.
Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures; Miscellaneous Amendments
Document Number: 2019-15125
Type: Rule
Date: 2019-07-18
Agency: Federal Aviation Administration, Department of Transportation
This rule amends, suspends, or removes Standard Instrument Approach Procedures (SIAPs) and associated Takeoff Minimums and Obstacle Departure Procedures for operations at certain airports. These regulatory actions are needed because of the adoption of new or revised criteria, or because of changes occurring in the National Airspace System, such as the commissioning of new navigational facilities, adding new obstacles, or changing air traffic requirements. These changes are designed to provide for the safe and efficient use of the navigable airspace and to promote safe flight operations under instrument flight rules at the affected airports.
Small Business Size Standards: Adjustment of Monetary-Based Size Standards for Inflation
Document Number: 2019-14980
Type: Rule
Date: 2019-07-18
Agency: Small Business Administration, Agencies and Commissions
The U.S. Small Business Administration (SBA or Agency) is adjusting the monetary-based industry size standards (i.e., receipts- and assets-based) for inflation that has occurred since the last adjustment in 2014. These size standards will be reviewed again as part of the ongoing second 5-year review of size standards, as mandated by the Small Business Jobs Act of 2010 (Jobs Act). Also adjusted for inflation are receipts-based size standards that apply to sales or leases of Government property and stockpile purchases.
Partial Extension of Compliance Date for Entry-Level Driver Training
Document Number: 2019-14956
Type: Proposed Rule
Date: 2019-07-18
Agency: Federal Motor Carrier Safety Administration, Department of Transportation
FMCSA proposes to amend its December 8, 2016, final rule, ``Minimum Training Requirements for Entry-Level Commercial Motor Vehicle Operators'' (ELDT final rule), by extending the compliance date for two provisions from the rule. The date for training providers to upload entry-level driver training (ELDT) certification information into the Training Provider Registry (TPR) and for State Driver Licensing Agencies (SDLAs) to receive driver-specific ELDT information would be extended from February 7, 2020, to February 7, 2022. This action would provide FMCSA additional time to complete development of the electronic interface that will receive and store ELDT certification information from training providers and transmit that information to the SDLAs. The proposed extension would also provide SDLAs with sufficient time to modify their information technology (IT) systems and procedures, as necessary, to accommodate their receipt of driver- specific ELDT data from the TPR.
Medicare and Medicaid Programs; Requirements for Long-Term Care Facilities: Regulatory Provisions To Promote Efficiency, and Transparency
Document Number: 2019-14946
Type: Proposed Rule
Date: 2019-07-18
Agency: Centers for Medicare & Medicaid Services, Department of Health and Human Services
This proposed rule would reform the Medicare and Medicaid long-term care requirements that the Centers for Medicare & Medicaid Services has identified as unnecessary, obsolete, or excessively burdensome. This rule would increase the ability of health care professionals to apportion resources to improving resident care by eliminating or reducing requirements that impede quality care or that divert resources away from providing high quality care.
Medicare and Medicaid Programs; Revision of Requirements for Long-Term Care Facilities: Arbitration Agreements
Document Number: 2019-14945
Type: Rule
Date: 2019-07-18
Agency: Centers for Medicare & Medicaid Services, Department of Health and Human Services
This final rule amends the requirements that Long-Term Care (LTC) facilities must meet to participate in the Medicare and Medicaid programs. Specifically, we are repealing the prohibition on the use of pre-dispute, binding arbitration agreements. We are also strengthening the transparency of arbitration agreements and arbitration in LTC facilities. This final rule supports residents' rights to make informed choices about important aspects of their health care.
Medicare and Medicaid Programs; CY 2020 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; Home Health Quality Reporting Requirements; and Home Infusion Therapy Requirements
Document Number: 2019-14913
Type: Proposed Rule
Date: 2019-07-18
Agency: Centers for Medicare & Medicaid Services, Department of Health and Human Services
This proposed rule would update the home health prospective payment system (HH PPS) payment rates and wage index for CY 2020; implement the Patient-Driven Groupings Model (PDGM), a revised case-mix adjustment methodology, for home health services beginning on or after January 1, 2020. This proposed rule also implements a change in the unit of payment from 60-day episodes of care to 30-day periods of care, as required by section 51001 of the Bipartisan Budget Act of 2018, hereinafter referred to the ``BBA of 2018'', and proposes a 30-day payment amount for CY 2020. Additionally, this proposed rule proposes to: Modify the payment regulations pertaining to the content of the home health plan of care; allow physical therapy assistants to furnish maintenance therapy; and change the split percentage payment approach under the HH PPS. This proposed rule would also solicit comments on the wage index used to adjust home health payments and suggestions for possible updates and improvements to the geographic adjustment of home health payments. In addition, it proposes public reporting of certain performance data under the Home Health Value-Based Purchasing (HHVBP) Model. We are proposing to publicly report the Total Performance Score (TPS) and the TPS Percentile Ranking from the Performance Year 5 (CY 2020) Annual TPS and Payment Adjustment Report for each home health agency in the nine Model states that qualified for a payment adjustment for CY 2020. It also proposes changes with respect to the Home Health Quality Reporting Program to remove one measure, to adopt two new measures, modify an existing measure, adopt new standardized patient assessment data beginning with the CY 2022 HH QRP, codify the HH QRP policies in a new section, and to remove question 10 from all the HH Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys. Lastly, it would set forth routine updates to the home infusion therapy payment rates for CY 2020 and propose payment provisions for home infusion therapy services for CY 2021 and subsequent years.
Medicare Program; Specialty Care Models To Improve Quality of Care and Reduce Expenditures
Document Number: 2019-14902
Type: Proposed Rule
Date: 2019-07-18
Agency: Centers for Medicare & Medicaid Services, Department of Health and Human Services
This proposed rule proposes to implement two new mandatory Medicare payment models under section 1115A of the Social Security Actthe Radiation Oncology Model (RO Model) and the End-Stage Renal Disease (ESRD) Treatment Choices Model (ETC Model). The proposed RO Model would promote quality and financial accountability for providers and suppliers of radiotherapy (RT). The RO Model would test whether making prospective episode payments to hospital outpatient departments (HOPD) and freestanding radiation therapy centers for RT episodes of care preserves or enhances the quality of care furnished to Medicare beneficiaries while reducing Medicare program spending through enhanced financial accountability for RO Model participants. The proposed ETC Model would be a mandatory payment model focused on encouraging greater use of home dialysis and kidney transplants, in order to preserve or enhance the quality of care furnished to Medicare beneficiaries while reducing Medicare expenditures. The ETC Model would include ESRD facilities and certain clinicians caring for beneficiaries with ESRD or Managing Clinicianslocated in selected geographic areas as participants. CMS would assess the performance of participating Managing Clinicians and ESRD facilities on their rates of home dialysis and kidney and kidney-pancreas transplants during each Measurement Year (MY), and would subsequently adjust certain of their Medicare payments upward or downward during the corresponding performance payment adjustment period based on their home dialysis rate and transplant rate. CMS would also positively adjust certain Medicare payments to participating ESRD facilities and Managing Clinicians for home dialysis and home dialysis-related claims in the initial 3 years of the ETC Model. We believe that these two proposed models would test ways to further our goals of reducing Medicare expenditures while preserving or enhancing the quality of care furnished to beneficiaries.
Privacy Act of 1974; System of Records
Document Number: 2019-14468
Type: Notice
Date: 2019-07-18
Agency: Environmental Protection Agency
The U.S. Environmental Protection Agency's (EPA) Office of the Administrator is giving notice that it proposes to create a new system of records pursuant to the provisions of the Privacy Act of 1974. iComplaints EEO Case Management System (ICOM) is being created to support the Agency's Employment Complaints Resolution program as required by the Equal Employment Opportunity Commission (EEOC) and in compliance with the requirements of the Code of Federal Regulations.
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