Medicaid Program; Medicaid Fiscal Accountability Regulation; Supplement and Extension of Comment Period, 71887-71888 [2019-28179]
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Federal Register / Vol. 84, No. 249 / Monday, December 30, 2019 / Proposed Rules
significant at a confidence level of 99%
or higher, which equates to three or
more standard deviations or a p value of
0.01 or less. A contractor must respond
to a predetermination notice within 15
calendar days of receipt of the notice,
which OFCCP may extend for good
cause.
(b) Notice of Violation. If a
compliance review or other review by
OFCCP indicates preliminary findings
of discrimination or other material
violations of the equal opportunity
clause, OFCCP may issue a notice of
violation to provide notice to the
contractor requiring corrective action
and inviting conciliation through a
written agreement. For discrimination
violations, OFCCP may issue the notice
of violation following issuance of a
predetermination notice if the
contractor does not respond or provide
a sufficient response within 15 calendar
days of receipt of the notice, unless
OFCCP has extended the
predetermination notice response time
for good cause shown.
(c) Conciliation Agreement. If a
compliance review, complaint
investigation or other review by OFCCP
or its representative indicates a material
violation of the equal opportunity
clause, and
(1) If the contractor, subcontractor or
bidder is willing to correct the
violations and/or deficiencies, and
(2) If OFCCP or its representative
determines that settlement (rather than
referral for consideration of formal
enforcement) is appropriate, a written
agreement shall be required. The
agreement shall provide for such
remedial action as may be necessary to
correct the violations and/or
deficiencies noted, including, where
appropriate (but not necessarily limited
to), remedies such as back pay and
retroactive seniority.
(d) Remedial benchmarks. The
remedial action referenced in paragraph
(c) of this section may include the
establishment of benchmarks for the
contractor’s outreach, recruitment,
hiring, or other employment activities.
The purpose of such benchmarks is to
create a quantifiable method by which
the contractor’s progress in correcting
identified violations and/or deficiencies
can be measured.
(e) Expedited Conciliation Option. A
contractor may waive the procedures set
forth in paragraphs (a) and/or (b) of this
section to enter directly into a
conciliation agreement.
[FR Doc. 2019–27258 Filed 12–27–19; 8:45 am]
BILLING CODE 4510–CM–P
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16:53 Dec 27, 2019
Jkt 250001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
42 CFR Parts 430, 433, 447, 455, and
457
[CMS–2393–N]
RIN 0938–AT50
Medicaid Program; Medicaid Fiscal
Accountability Regulation; Supplement
and Extension of Comment Period
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Proposed rule; supplement and
extension of comment period.
AGENCY:
This document extends the
comment period for the proposed rule
entitled ‘‘Medicaid Program; Medicaid
Fiscal Accountability Regulation’’ that
appeared in the November 18, 2019
Federal Register. The comment period
for the proposed rule, which would end
on January 17, 2020, is extended 15
days to February 1, 2020. We
additionally note that based on public
comments received on this proposed
rule, we will adjust the effective dates
of our policies to allow for adequate
implementation timelines, as
appropriate.
DATES: The comment period for the
proposed rule published November 18,
2019 (84 FR 63722), is extended to 5
p.m., eastern daylight time, on February
1, 2020.
ADDRESSES: You may submit comments
as outlined in the November 18, 2019
proposed rule (84 FR 63722). Please
choose only one method listed.
FOR FURTHER INFORMATION CONTACT:
Andrew Badaracco, (410) 786–4589,
Richard Kimball, (410) 786–2278, and
Daniil Yablochnikov, (410) 786–8912,
for Medicaid Provider Payments,
Supplemental Payments, Upper
Payment Limits, Provider Categories,
Intergovernmental Transfers, and
Certified Public Expenditures.
Timothy Davidson, (410) 786–1167,
Jonathan Endelman, (410) 786–4738,
and Stuart Goldstein, (410) 786–0694,
for Health Care-Related Taxes, ProviderRelated Donations, and Disallowances.
Lia Adams, (410) 786–8258, Charlie
Arnold, (404) 562–7425, Richard Cuno,
(410) 786–1111, and Charles Hines,
(410) 786–0252, for Medicaid
Disproportionate Share Hospital
Payments and Overpayments.
Jennifer Clark, (410) 786–2013 and
Deborah McClure, (410) 786–3128, for
Children’s Health Insurance Program
(CHIP).
SUMMARY:
PO 00000
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71887
In the
‘‘Medicaid Program; Medicaid Fiscal
Accountability Regulation’’ proposed
rule that appeared in the November 18,
2019 Federal Register (84 FR 63722), we
solicited public comments on proposed
policies that aim to promote
transparency by establishing new
reporting requirements for states to
provide CMS with certain information
on supplemental payments to Medicaid
providers, including supplemental
payments approved under either
Medicaid state plan or demonstration
authority, and on applicable upper
payment limits. Additionally, the
proposed rule would establish
requirements to ensure that state plan
amendments proposing new
supplemental payments are consistent
with the proper and efficient operation
of the state plan and with efficiency,
economy, and quality of care. This
proposed rule addresses the financing of
supplemental and base Medicaid
payments through the non-federal share,
including states’ uses of health carerelated taxes and bona fide providerrelated donations, as well as the
requirements necessary to properly
implement the non-federal share of any
Medicaid payment.
Since the issuance of the proposed
rule, we have received inquiries from a
variety of stakeholders, including
healthcare provider organizations and
industry representatives requesting an
extension to the comment period. We
also recognize that the comment period
for the proposed rule crosses over
several federal holidays, which may
hinder the ability of the public to
provide meaningful comment on the
proposed rule. In order to maximize the
opportunity for the public to provide
meaningful input to CMS, we believe
that it is important to allow additional
time for the public to prepare comments
on the proposed rule. In addition, we
believe that granting an extension to the
public comment period in this instance
would further our overall objective to
obtain public input on the proposed
provisions to promote transparency and
oversight on payments made in the
Medicaid program. Therefore, we are
extending the comment period for the
proposed rule for an additional 15 days.
While we believe it is in the best
interest of the public and our proposed
policies to extend the comment period
for this proposed rule, we also
acknowledge that stakeholders require
appropriate implementation timelines
that could be impacted by this
extension. Therefore, we note that we
will take this comment period extension
into account in determining the
effective date(s) of the policies in any
SUPPLEMENTARY INFORMATION:
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71888
Federal Register / Vol. 84, No. 249 / Monday, December 30, 2019 / Proposed Rules
final rule, to allow for adequate
implementation timelines as
appropriate.
Dated: December 19, 2019.
Seema Verma,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2019–28179 Filed 12–26–19; 4:15 pm]
BILLING CODE 4120–01–P
FEDERAL COMMUNICATIONS
COMMISSION
47 CFR Part 64
[CG Docket No. 17–59, WC Docket No. 17–
97; DA 19–1312; FRS 16377]
Advanced Methods To Target and
Eliminate Unlawful Robocalls, Call
Authentication Trust Anchor
Federal Communications
Commission.
ACTION: Notice.
AGENCY:
In this document, the
Consumer and Governmental Affairs
Bureau (Bureau), in consultation with
the Wireline Competition Bureau (WCB)
and Public Safety and Homeland
Security Bureau (PSHSB), solicits input
for the first staff report on call blocking,
as directed by the Federal
Communications Commission (FCC or
Commission). The Bureau seeks data
and other information on the
availability and effectiveness of callblocking tools offered to consumers, the
impact of FCC actions on illegal calls,
the impact of call blocking on 911
services and public safety, and any
other information that may inform the
Commission’s analysis of the state of
deployment of advanced methods and
tools to eliminate illegal and unwanted
calls.
DATES: Comments are due on or before
January 29, 2020, and reply comments
are due on or before February 28, 2020.
ADDRESSES: You may submit comments,
identified by CG Docket No. 17–59 and
WC Docket No. 17–97, by any of the
following methods:
D FCC’s website: https://apps.fcc.gov/
ecfs/. Follow the instructions for
submitting comments.
D Paper Mail: Parties who choose to
file by paper must file an original and
one copy of each filing. Filers must
submit two additional copies for each
additional docket or rulemaking
number. Filings can be sent by hand or
messenger delivery, by commercial
overnight courier, or by first-class or
overnight U.S. Postal Service mail. All
filings must be addressed to the
Commission’s Secretary, Office of the
khammond on DSKJM1Z7X2PROD with PROPOSALS
SUMMARY:
VerDate Sep<11>2014
16:53 Dec 27, 2019
Jkt 250001
Secretary, Federal Communications
Commission.
D People with Disabilities: Contact the
FCC to request reasonable
accommodations (accessible format
documents, sign language interpreters,
CART, etc.) by email: FCC504@fcc.gov
or phone: 202–418–0530 or TTY: 202–
418–0432.
For detailed instructions for
submitting comments and additional
information on the rulemaking process,
see the SUPPLEMENTARY INFORMATION
section of this document.
FOR FURTHER INFORMATION CONTACT:
Karen Schroeder, Consumer Policy
Division, CGB, at (202) 418–0654, email:
Karen.Schroeder@fcc.gov.
SUPPLEMENTARY INFORMATION: This is a
summary of the Commission’s Public
Notice, in CG Docket No. 17–59, WC
Docket No. 17–97; document DA 19–
1312, released on December 20, 2019.
This matter shall be treated as a
‘‘permit-but-disclose’’ proceeding in
accordance with the Commission’s ex
parte rules. 47 CFR 1.1200 et seq.
Persons making oral ex parte
presentations are reminded that
memorandum summarizing the
presentations must contain summaries
of the substance of the presentations
and not merely a listing of the subjects
discussed. More than a one or two
sentence description of the views and
arguments presented is generally
required. See 47 CFR 1.1206(b). Other
rules pertaining to oral and written ex
parte presentations in permit-butdisclose proceedings are set forth in
§ 1.1206(b) of the Commission’s rules,
47 CFR 1.1206(b).
Synopsis
1. In June 2019, the FCC took action
to further protect consumers from illegal
and unwanted robocalls. The
Commission also directed the Bureau, in
consultation with WCB and PSHSB, to
report on the implementation and
effectiveness of blocking measures. The
Commission specified that the Bureau
address, among other things, the
availability to consumers of callblocking solutions, the effectiveness of
various categories of call-blocking tools,
and the impact of previous Commission
rule changes to allow voice service
providers to block calls from phone
numbers on a Do-Not-Originate list and
those that purport to be from invalid,
unallocated, or unused numbers. The
Commission also asked that the Bureau
study information on the impact of call
blocking on 911 and public safety.
2. In the Public Notice, the Bureau
solicits input for the first staff report on
call blocking.
PO 00000
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Fmt 4702
Sfmt 4702
3. Availability of Call-Blocking Tools.
The Bureau seeks data and other
information on the availability of callblocking tools offered to consumers.
What tools are available to consumers?
Do voice service providers or others
offer multiple versions of their tool from
which consumers may choose? Are such
tools offered on an opt-in basis or optout basis? Do the tools block calls at the
network level, the device level, or
elsewhere in the call path? Are such
tools offered by a third party directly to
the consumer or by the service
provider? What fees, if any, do
providers or third parties charge for
these tools? What proportion of
consumers subscribe to a provider that
offers and/or enables call-blocking
tools? How many subscribers avail
themselves of the tools? Are new tools
under development?
4. Effectiveness of Call-Blocking
Tools. The Bureau seeks data and other
information on the effectiveness of callblocking tools offered to consumers.
What are the most appropriate metrics
to measure the effectiveness of callblocking tools, e.g., by fraction of illegal
calls blocked? How effective are
available tools at blocking illegal and
unwanted calls? What tools, if any, send
an intercept message for blocked calls?
How do blocking tools define false
positives? What is the rate of false
positives? How do the tools remedy
false positives? What is the rate of false
negatives (illegal or unwanted calls that
reach consumers)? What is the number
of illegal robocalls transiting the
nation’s phone system? How is that
number determined?
5. Impact of FCC Actions. How have
voice service providers responded to the
Commission’s actions to empower them
to protect their customers from illegal
calls, such as by blocking calls from
phone numbers on a Do-Not-Originate
list and those that purport to be from
invalid, unallocated, or unused
numbers? What initiatives have voice
service providers implemented as a
result of these and other actions by the
Commission? Do voice service providers
block Do-Not-Originate calls? Have
consumers seen a corresponding
reduction in scam calls from numbers
on the Do-Not-Originate list, such as
Internal Revenue Service and Social
Security Administration numbers that
unauthorized callers have fraudulently
spoofed? Have voice service providers
implemented the blocking of calls that
purport to be from invalid, unallocated,
or unused numbers? Do voice service
providers offer opt-out call-blocking
programs? If so, how many consumers
have opted out? Do voice service
providers offer opt-in white-list
E:\FR\FM\30DEP1.SGM
30DEP1
Agencies
[Federal Register Volume 84, Number 249 (Monday, December 30, 2019)]
[Proposed Rules]
[Pages 71887-71888]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-28179]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 430, 433, 447, 455, and 457
[CMS-2393-N]
RIN 0938-AT50
Medicaid Program; Medicaid Fiscal Accountability Regulation;
Supplement and Extension of Comment Period
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Proposed rule; supplement and extension of comment period.
-----------------------------------------------------------------------
SUMMARY: This document extends the comment period for the proposed rule
entitled ``Medicaid Program; Medicaid Fiscal Accountability
Regulation'' that appeared in the November 18, 2019 Federal Register.
The comment period for the proposed rule, which would end on January
17, 2020, is extended 15 days to February 1, 2020. We additionally note
that based on public comments received on this proposed rule, we will
adjust the effective dates of our policies to allow for adequate
implementation timelines, as appropriate.
DATES: The comment period for the proposed rule published November 18,
2019 (84 FR 63722), is extended to 5 p.m., eastern daylight time, on
February 1, 2020.
ADDRESSES: You may submit comments as outlined in the November 18, 2019
proposed rule (84 FR 63722). Please choose only one method listed.
FOR FURTHER INFORMATION CONTACT:
Andrew Badaracco, (410) 786-4589, Richard Kimball, (410) 786-2278,
and Daniil Yablochnikov, (410) 786-8912, for Medicaid Provider
Payments, Supplemental Payments, Upper Payment Limits, Provider
Categories, Intergovernmental Transfers, and Certified Public
Expenditures.
Timothy Davidson, (410) 786-1167, Jonathan Endelman, (410) 786-
4738, and Stuart Goldstein, (410) 786-0694, for Health Care-Related
Taxes, Provider-Related Donations, and Disallowances.
Lia Adams, (410) 786-8258, Charlie Arnold, (404) 562-7425, Richard
Cuno, (410) 786-1111, and Charles Hines, (410) 786-0252, for Medicaid
Disproportionate Share Hospital Payments and Overpayments.
Jennifer Clark, (410) 786-2013 and Deborah McClure, (410) 786-3128,
for Children's Health Insurance Program (CHIP).
SUPPLEMENTARY INFORMATION: In the ``Medicaid Program; Medicaid Fiscal
Accountability Regulation'' proposed rule that appeared in the November
18, 2019 Federal Register (84 FR 63722), we solicited public comments
on proposed policies that aim to promote transparency by establishing
new reporting requirements for states to provide CMS with certain
information on supplemental payments to Medicaid providers, including
supplemental payments approved under either Medicaid state plan or
demonstration authority, and on applicable upper payment limits.
Additionally, the proposed rule would establish requirements to ensure
that state plan amendments proposing new supplemental payments are
consistent with the proper and efficient operation of the state plan
and with efficiency, economy, and quality of care. This proposed rule
addresses the financing of supplemental and base Medicaid payments
through the non-federal share, including states' uses of health care-
related taxes and bona fide provider-related donations, as well as the
requirements necessary to properly implement the non-federal share of
any Medicaid payment.
Since the issuance of the proposed rule, we have received inquiries
from a variety of stakeholders, including healthcare provider
organizations and industry representatives requesting an extension to
the comment period. We also recognize that the comment period for the
proposed rule crosses over several federal holidays, which may hinder
the ability of the public to provide meaningful comment on the proposed
rule. In order to maximize the opportunity for the public to provide
meaningful input to CMS, we believe that it is important to allow
additional time for the public to prepare comments on the proposed
rule. In addition, we believe that granting an extension to the public
comment period in this instance would further our overall objective to
obtain public input on the proposed provisions to promote transparency
and oversight on payments made in the Medicaid program. Therefore, we
are extending the comment period for the proposed rule for an
additional 15 days.
While we believe it is in the best interest of the public and our
proposed policies to extend the comment period for this proposed rule,
we also acknowledge that stakeholders require appropriate
implementation timelines that could be impacted by this extension.
Therefore, we note that we will take this comment period extension into
account in determining the effective date(s) of the policies in any
[[Page 71888]]
final rule, to allow for adequate implementation timelines as
appropriate.
Dated: December 19, 2019.
Seema Verma,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2019-28179 Filed 12-26-19; 4:15 pm]
BILLING CODE 4120-01-P