Arms Sales Notification, 39181-39183 [2020-14069]
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Federal Register / Vol. 85, No. 126 / Tuesday, June 30, 2020 / Notices
ensures the demonstration meets ethical
standards for experiments.
If a beneficiary moves from a
demonstration state to a nondemonstration state, he is no longer
eligible for the demonstration. However,
if a beneficiary moves from a nondemonstration state to a demonstration
state, he becomes eligible for the
demonstration, provided he is beginning
a new PT treatment (i.e., beneficiaries
may not begin a PT treatment in a nondemonstration state, then receive three
PT visits without cost-sharing as part of
the same treatment plan after moving to
a demonstration state). The goal of the
demonstration is to determine if
incentivizing starting PT has an impact
on patient outcomes and the use of
certain interventions; it is not to
eliminate beneficiary burden for the
entire cost of PT.
This demonstration project will be
effective January 1, 2021, through
December 31, 2023, unless terminated
earlier by the Director, DHA, or
designee. DHA may terminate the
demonstration early for any reason,
39181
including significantly-higher costs than
anticipated or a clear failure to achieve
any of the hypothesized outcomes in the
demonstration states, via subsequent
Federal Register notice.
C. Evaluation
The primary goal of this
demonstration is to incentivize the
uptake of PT services. The
demonstration will also test the below
hypotheses using the respective
outcome measures listed in Table 1:
TABLE 1—DEMONSTRATION HYPOTHESES AND OUTCOME MEASURES
Hypothesis *
Outcome measure(s)
Does waiving cost-sharing for up to three PT visits increase the initial
uptake of PT visits among patients with LBP?
Does waiving cost-sharing for up to three PT visits increase the overall
number of PT visits among patients with LBP?
Does incentivizing the use of PT services reduce the number of opioids
prescribed to patients with LBP?
Does incentivizing the use of PT services reduce the amount of imaging services provided to patients with LBP?
Total number of initial PT visits; Proportion of beneficiaries receiving an
initial PT visit.
Average and median number of PT visits among beneficiaries with
LBP.
Average and median number of opioids prescriptions filled by beneficiaries with LBP.
Average and median number of imaging services (MRI, CT, X-ray, and
Ultrasound) provided to beneficiaries with LBP, stratified across the
following time periods and measured from initial diagnosis of LBP:
0–6 weeks; 6–12 weeks; >12 weeks.
Proportion of beneficiaries with a diagnosis for LBP receiving back surgeries.
Average and median cost of episode for LBP; Average and median
cost of episode for LBP when beneficiary attends at least three PT
visits; Average and median cost of episode for LBP when beneficiary
attends fewer than three PT visits.
Proportion of patients receiving services to treat LBP after 12 weeks
from initial diagnosis of LBP.
Does incentivizing the use of PT services reduce the number of back
surgeries for patients with LBP?
Does incentivizing the use of PT services reduce the total cost of care
for a LBP episode?
Does improved access to PT services prevent chronic LBP (i.e. do
fewer patients transition from acute and subacute pain to chronic
pain)?
Does incentivizing the use of PT services reduce the number of other
low value services or other LBP treatments?
Average and median number of number of patients receiving injections,
etc.
khammond on DSKJM1Z7X2PROD with NOTICES
* The above hypotheses are intended to measure the correlational relationship; this evaluation will not make any statements on causation.
The outcome measures listed in Table
1 will be used to determine the success
of the demonstration. To estimate the
impact of the demonstration on the
outcome measures, the evaluation of
this demonstration will use a pretestposttest non-equivalent control group
methodology. For each outcome
measure, the eligible population in the
demonstration states (i.e., the treatment
group) will be compared to the eligible
population in the non-demonstration
states (i.e., the control group) before the
demonstration, annually, and at the
conclusion of the demonstration. This
methodology will allow DHA to
estimate the impact of the
demonstration (i.e., the treatment effect)
by subtracting the difference between
the treatment and control groups at
baseline from the difference between the
groups at the demonstration’s
conclusion for each outcome measure.
Baseline data will consist of one
calendar year of data.
In addition to the above outcome
measures, this demonstration will
include a patient survey to measure
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18:18 Jun 29, 2020
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reasons a patient begins and ceases PT
visits, as well as access to care, quality
of care, and overall health status. This
information will supplement the
outcome measures and will provide
important context for the data analysis.
For example, if patients cease PT visits
because the LBP is resolved, there is
evidence that incentivizing PT visits
improved patient outcomes. On the
other hand, if PT visits cease due to
non-compliance or because PT services
are not improving patients’ symptoms,
the demonstration was not successful in
improving patient outcomes. The survey
will be administered electronically to
TRICARE beneficiaries with a primary
diagnosis of LBP who receive PT
services in demonstration states. The
survey questions and collection
methodology will go through the
Department of Defense licensure process
for approval and will require an
additional Federal Register notice. The
contractor shall provide contact
information for participants to DHA,
who will administer the survey, collect
survey results, and evaluate survey data.
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The qualitative and quantitative
analyses of survey results may also be
used to determine the success of the
demonstration. If the survey is not
approved, it will not be included in the
demonstration or its evaluation.
Dated: June 25, 2020.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2020–14042 Filed 6–29–20; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Transmittal No. 19–68]
Arms Sales Notification
Defense Security Cooperation
Agency, Department of Defense.
ACTION: Arms sales notice.
AGENCY:
The Department of Defense is
publishing the unclassified text of an
arms sales notification.
SUMMARY:
E:\FR\FM\30JNN1.SGM
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39182
Federal Register / Vol. 85, No. 126 / Tuesday, June 30, 2020 / Notices
Karma Job at karma.d.job.civ@mail.mil
or (703) 697–8976.
SUPPLEMENTARY INFORMATION: This
36(b)(1) arms sales notification is
published to fulfill the requirements of
BILLING CODE 5001–06–C
Transmittal No. 19-68
khammond on DSKJM1Z7X2PROD with NOTICES
Notice of Proposed Issuance of Letter of
Offer Pursuant to Section 36(b)(1) of the
Arms Export Control Act, as amended
(i) Prospective Purchaser: Government
of the United Arab Emirates
(ii) Total Estimated Value:
Major Defense Equipment * ..
Other ......................................
$ 0 million
$556 million
Total ...................................
$556 million
VerDate Sep<11>2014
18:18 Jun 29, 2020
Jkt 250001
section 155 of Public Law 104–164
dated July 21, 1996. The following is a
copy of a letter to the Speaker of the
House of Representatives, Transmittal
19–68 with attached Policy Justification
and Sensitivity of Technology.
Dated: June 24, 2020.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
(iii) Description and Quantity or
Quantities of Articles or Services under
Consideration for Purchase:
Major Defense Equipment (MDE):
None
Non-MDE:
Four thousand five hundred sixtynine (4,569) Mine Resistant Ambush
Protected (MRAP) Vehicles consisting of
a mix of MaxxPro Long Wheel Base
(LWB), MaxxPro Recovery Vehicle
(MRV), MaxxPro LWB chassis, MaxxPro
Dash, MaxxPro Bases Capsule, MaxxPro
MEAP Capsules, MaxxPro Plus, Caiman
Multi-Terrain Vehicles without armor,
Caiman Base, Caiman Plus, Caiman
Capsule, and MRAP All-Terrain
Vehicles (MATV), logistics support
services, and other related elements of
logistical and program support.
(iv) Military Department: Army
(v) Prior Related Cases, if any: AE-BIBA and AE-B-ZVA
(vi) Sales Commission, Fee, etc., Paid,
Offered, or Agreed to be Paid: None
(vii) Sensitivity of Technology
Contained in the Defense Article or
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BILLING CODE 5001–06–P
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EN30JN20.113
FOR FURTHER INFORMATION CONTACT:
Federal Register / Vol. 85, No. 126 / Tuesday, June 30, 2020 / Notices
Defense Services Proposed to be Sold:
See Attached Annex
(viii) Date Report Delivered to
Congress: May 7, 2020
*As defined in Section 47(6) of the
Arms Export Control Act.
POLICY JUSTIFICATION
United Arab Emirates (UAE)—Mine
Resistant Ambush Protected (MRAP)
Vehicles
khammond on DSKJM1Z7X2PROD with NOTICES
The Government of the United Arab
Emirates has requested the sale of
Excess Defense Articles (EDA) of up to
four thousand five hundred sixty-nine
(4,569) MRAP vehicles consisting of a
mix of MaxxPro Long Wheel Base
(LWB), MaxxPro Recovery Vehicle
(MRV), MaxxPro LWB chassis, MaxxPro
Dash, MaxxPro Bases Capsule, MaxxPro
MEAP Capsules, MaxxPro Plus, Caiman
Multi-Terrain Vehicles without armor,
Caiman Base, Caiman Plus, Caiman
Capsule, and MRAP All-Terrain
Vehicles (MATV), logistics support
services, and other related elements of
logistical and program support. The
estimated total program cost is $556
million.
The proposed sale will support the
foreign policy and national security
objectives of the United States by
helping to improve the security of an
important regional partner. The UAE
has been, and continues to be, a vital
U.S. partner for political stability and
economic progress in the Middle East.
This sale is consistent with U.S.
initiatives to provide key allies in the
region with modern systems that will
enhance interoperability with U.S.
forces and increase security.
The UAE intends to utilize the MRAP
vehicles to increase force protection, to
conduct humanitarian assistance
operations, and to protect critical
infrastructure. Additionally, these
MRAPs will enhance the UAE’s burden
sharing capacity and defensive
capabilities. The UAE will have no
difficulty absorbing this equipment and
support into its armed forces.
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18:18 Jun 29, 2020
Jkt 250001
The proposed sale of this equipment
and support will not affect the basic
military balance in the region.
These vehicles will be coming from
U.S. Army stocks as EDA; the required
EDA Congressional Notifications were
made August 6, 2014. There are no
known offset agreements proposed in
conjunction with this proposed sale.
Implementation of this sale will not
require the assignment of U.S.
Government or contractor
representatives to the UAE.
There will be no adverse impact on
U.S. defense readiness as a result of this
proposed sale.
Transmittal No. 19–68
Notice of Proposed Issuance of Letter of
Offer Pursuant to Section 36(b)(1) of the
Arms Export Control Act
countermeasures or equivalent systems
which might reduce weapon system
effectiveness or be used in the
development of a system with similar or
advanced capabilities.
4. A determination has been made
that the UAE can provide substantially
the same degree of protection for this
technology as the U.S. Government.
This proposed sale is necessary in
furtherance of the U.S. foreign policy
and national security objectives
outlined in the Policy Justification.
5. All of the defense articles and
services listed in this transmittal have
been authorized for release and export
to the UAE.
[FR Doc. 2020–14069 Filed 6–29–20; 8:45 am]
BILLING CODE 5001–06–P
Annex
DEPARTMENT OF DEFENSE
Item No. vii
Office of the Secretary
(vii) Sensitivity of Technology:
1. The Mine Resistant Ambush
Protected (MRAP) vehicle is an
armored, multi-purpose combat vehicle
intended to support mounted urban
operations to include convoy security
support and dismounted patrols. It is
designed to increase crew survivability.
The vehicle has a blast-resistant
underbody designed to protect the crew
from mine blasts, fragmentation, and
direct fire weapons.
2. All MRAP vehicle information
needed to operate, train, and maintain
the vehicles are UNCLASSIFIED. Some
design and test data, design
performance parameters, armoring
methodology, vulnerabilities, armor
types, and configuration can be
classified up to SECRET.
3. Loss of this hardware, software,
documentation, and/or data could
permit development of information
which may lead to a significant threat to
future U.S. military operations. If a
technologically advanced adversary
were to obtain knowledge of the specific
hardware and software elements, the
information could be used to develop
PO 00000
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Fmt 4703
Sfmt 4703
39183
[Transmittal No. 20–05]
Arms Sales Notification
Defense Security Cooperation
Agency, Department of Defense.
ACTION: Arms sales notice.
AGENCY:
The Department of Defense is
publishing the unclassified text of an
arms sales notification.
FOR FURTHER INFORMATION CONTACT:
Karma Job at karma.d.job.civ@mail.mil
or (703) 697–8976.
SUPPLEMENTARY INFORMATION: This
36(b)(1) arms sales notification is
published to fulfill the requirements of
section 155 of Public Law 104–164
dated July 21, 1996. The following is a
copy of a letter to the Speaker of the
House of Representatives, Transmittal
20–05 with attached Policy Justification
and Sensitivity of Technology.
SUMMARY:
Dated: June 24, 2020.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
BILLING CODE 5001–06–P
E:\FR\FM\30JNN1.SGM
30JNN1
Agencies
[Federal Register Volume 85, Number 126 (Tuesday, June 30, 2020)]
[Notices]
[Pages 39181-39183]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-14069]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[Transmittal No. 19-68]
Arms Sales Notification
AGENCY: Defense Security Cooperation Agency, Department of Defense.
ACTION: Arms sales notice.
-----------------------------------------------------------------------
SUMMARY: The Department of Defense is publishing the unclassified text
of an arms sales notification.
[[Page 39182]]
FOR FURTHER INFORMATION CONTACT: Karma Job at [email protected]
or (703) 697-8976.
SUPPLEMENTARY INFORMATION: This 36(b)(1) arms sales notification is
published to fulfill the requirements of section 155 of Public Law 104-
164 dated July 21, 1996. The following is a copy of a letter to the
Speaker of the House of Representatives, Transmittal 19-68 with
attached Policy Justification and Sensitivity of Technology.
Dated: June 24, 2020.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
BILLING CODE 5001-06-P
[GRAPHIC] [TIFF OMITTED] TN30JN20.113
BILLING CODE 5001-06-C
Transmittal No. 19-68
Notice of Proposed Issuance of Letter of Offer Pursuant to Section
36(b)(1) of the Arms Export Control Act, as amended
(i) Prospective Purchaser: Government of the United Arab Emirates
(ii) Total Estimated Value:
Major Defense Equipment *................ $ 0 million
Other.................................... $556 million
------------------------------
Total.................................. $556 million
(iii) Description and Quantity or Quantities of Articles or
Services under Consideration for Purchase:
Major Defense Equipment (MDE): None
Non-MDE:
Four thousand five hundred sixty-nine (4,569) Mine Resistant Ambush
Protected (MRAP) Vehicles consisting of a mix of MaxxPro Long Wheel
Base (LWB), MaxxPro Recovery Vehicle (MRV), MaxxPro LWB chassis,
MaxxPro Dash, MaxxPro Bases Capsule, MaxxPro MEAP Capsules, MaxxPro
Plus, Caiman Multi-Terrain Vehicles without armor, Caiman Base, Caiman
Plus, Caiman Capsule, and MRAP All-Terrain Vehicles (MATV), logistics
support services, and other related elements of logistical and program
support.
(iv) Military Department: Army
(v) Prior Related Cases, if any: AE-B-IBA and AE-B-ZVA
(vi) Sales Commission, Fee, etc., Paid, Offered, or Agreed to be
Paid: None
(vii) Sensitivity of Technology Contained in the Defense Article or
[[Page 39183]]
Defense Services Proposed to be Sold: See Attached Annex
(viii) Date Report Delivered to Congress: May 7, 2020
*As defined in Section 47(6) of the Arms Export Control Act.
POLICY JUSTIFICATION
United Arab Emirates (UAE)--Mine Resistant Ambush Protected (MRAP)
Vehicles
The Government of the United Arab Emirates has requested the sale
of Excess Defense Articles (EDA) of up to four thousand five hundred
sixty-nine (4,569) MRAP vehicles consisting of a mix of MaxxPro Long
Wheel Base (LWB), MaxxPro Recovery Vehicle (MRV), MaxxPro LWB chassis,
MaxxPro Dash, MaxxPro Bases Capsule, MaxxPro MEAP Capsules, MaxxPro
Plus, Caiman Multi-Terrain Vehicles without armor, Caiman Base, Caiman
Plus, Caiman Capsule, and MRAP All-Terrain Vehicles (MATV), logistics
support services, and other related elements of logistical and program
support. The estimated total program cost is $556 million.
The proposed sale will support the foreign policy and national
security objectives of the United States by helping to improve the
security of an important regional partner. The UAE has been, and
continues to be, a vital U.S. partner for political stability and
economic progress in the Middle East. This sale is consistent with U.S.
initiatives to provide key allies in the region with modern systems
that will enhance interoperability with U.S. forces and increase
security.
The UAE intends to utilize the MRAP vehicles to increase force
protection, to conduct humanitarian assistance operations, and to
protect critical infrastructure. Additionally, these MRAPs will enhance
the UAE's burden sharing capacity and defensive capabilities. The UAE
will have no difficulty absorbing this equipment and support into its
armed forces.
The proposed sale of this equipment and support will not affect the
basic military balance in the region.
These vehicles will be coming from U.S. Army stocks as EDA; the
required EDA Congressional Notifications were made August 6, 2014.
There are no known offset agreements proposed in conjunction with this
proposed sale.
Implementation of this sale will not require the assignment of U.S.
Government or contractor representatives to the UAE.
There will be no adverse impact on U.S. defense readiness as a
result of this proposed sale.
Transmittal No. 19-68
Notice of Proposed Issuance of Letter of Offer Pursuant to Section
36(b)(1) of the Arms Export Control Act
Annex
Item No. vii
(vii) Sensitivity of Technology:
1. The Mine Resistant Ambush Protected (MRAP) vehicle is an
armored, multi-purpose combat vehicle intended to support mounted urban
operations to include convoy security support and dismounted patrols.
It is designed to increase crew survivability. The vehicle has a blast-
resistant underbody designed to protect the crew from mine blasts,
fragmentation, and direct fire weapons.
2. All MRAP vehicle information needed to operate, train, and
maintain the vehicles are UNCLASSIFIED. Some design and test data,
design performance parameters, armoring methodology, vulnerabilities,
armor types, and configuration can be classified up to SECRET.
3. Loss of this hardware, software, documentation, and/or data
could permit development of information which may lead to a significant
threat to future U.S. military operations. If a technologically
advanced adversary were to obtain knowledge of the specific hardware
and software elements, the information could be used to develop
countermeasures or equivalent systems which might reduce weapon system
effectiveness or be used in the development of a system with similar or
advanced capabilities.
4. A determination has been made that the UAE can provide
substantially the same degree of protection for this technology as the
U.S. Government. This proposed sale is necessary in furtherance of the
U.S. foreign policy and national security objectives outlined in the
Policy Justification.
5. All of the defense articles and services listed in this
transmittal have been authorized for release and export to the UAE.
[FR Doc. 2020-14069 Filed 6-29-20; 8:45 am]
BILLING CODE 5001-06-P