Educational Assistance for Certain Former Members of the Armed Forces, 45135-45139 [2020-15989]
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45135
Proposed Rules
Federal Register
Vol. 85, No. 144
Monday, July 27, 2020
This section of the FEDERAL REGISTER
contains notices to the public of the proposed
issuance of rules and regulations. The
purpose of these notices is to give interested
persons an opportunity to participate in the
rule making prior to the adoption of the final
rules.
DEPARTMENT OF VETERANS
AFFAIRS
38 CFR Part 17
RIN 2900–AQ74
Educational Assistance for Certain
Former Members of the Armed Forces
Department of Veterans Affairs.
Proposed rule.
AGENCY:
ACTION:
The Department of Veterans
Affairs (VA) proposes to amend its
regulations that govern scholarships to
certain health care professionals. This
rulemaking would implement the
mandates of the Consolidated
Appropriations Act 2018 by establishing
a pilot program to provide educational
assistance to certain former members of
the Armed Forces for education and
training leading to a degree as a
physician assistant.
DATES: Comments must be received on
or before September 25, 2020.
ADDRESSES: Written comments may be
submitted through https://
www.Regulations.gov; by mail or handdelivery to: Director, Office of
Regulation Policy and Management
(00REG), Department of Veterans
Affairs, 810 Vermont Ave. NW, Room
1064, Washington, DC 20420; or by fax
to (202) 273–9026. (This is not a toll-free
telephone number.) Comments should
indicate that they are submitted in
response to ‘‘RIN 2900–AQ74—
Educational Assistance for Certain
Former Members of the Armed Forces.’’
Copies of comments received will be
available for public inspection in the
Office of Regulation Policy and
Management, Room 1064, between the
hours of 8 a.m. and 4:30 p.m., Monday
through Friday (except holidays). Please
call (202) 461–4902 for an appointment.
(This is not a toll-free telephone
number.) In addition, during the
comment period, comments may be
viewed online through the Federal
Docket Management System (FDMS) at
https://www.Regulations.gov.
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SUMMARY:
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Scot
Burroughs, Acting Director Physician
Assistant Services. 810 Vermont Avenue
NW, Washington, DC 20420,
Scot.burroughs@va.gov, (319) 358–0581
extension 4860. (This is not a toll-free
number.)
SUPPLEMENTARY INFORMATION: On March
23, 2018, section 246 of Public Law
115–141, the Consolidated
Appropriations Act, 2018, established a
pilot program that would provide
educational assistance to certain former
members of the Armed Forces for
education and training leading to
employment as a VA physician
assistant, the Educational Assistance for
Certain Former Members of the Armed
Forces (EACFMAF) program. See also
38 United States Code (U.S.C.) 7601
Note (2018) Physician Assistant
Education and Training Pilot Program
for Former Members of the Armed
Forces. Several branches of the Armed
Forces train individuals to perform the
duties of a physician assistant without
the required educational training. The
EACFMAF would allow such
individuals the opportunity to complete
their education and training in order to
be employed by VA as a physician
assistant. The EACFMAF would
increase access to VA health care by
utilizing a veteran workforce that has
received training as a physician
assistant in the Armed Forces. The
Consolidated Appropriations Act sets
forth the eligibility criteria, the types of
available funding, established an
agreement to be met by the participants,
as well as the consequences for a breach
in such agreement. This proposed rule
would establish the regulations needed
to carry out the EACFMAF. Immediately
following title 38 of the Code of Federal
Regulations (CFR) 17.531, we would
add a new undesignated center heading
titled ‘‘Educational Assistance for
Certain Former Members of the Armed
Forces’’ and add new §§ 17.535 through
17.539 as discussed in further detail
below.
FOR FURTHER INFORMATION CONTACT:
Section 17.535 Purpose
Proposed § 17.535 would establish the
purpose for §§ 17.535 through 17.539,
which would establish the EACFMAF
program. We would state that the
‘‘EACFMAF will provide funding to
certain former members of the Armed
Forces for the education and training
leading to employment as a VA
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physician assistant.’’ This would be
consistent with in section 246(a) of the
Consolidated Appropriations Act, 2018.
Section 17.536
Eligibility
Proposed § 17.536 would restate the
eligibility requirements for participants
in the EACFMAF found in section
246(b) of the Consolidated
Appropriations Act, 2018. Although
section 246(b) of the Consolidated
Appropriations Act, 2018 does not
indicate that the type of discharge from
service that the individual must have in
order to participate in the EACFMAF,
we believe that the intent of the Public
Law is to assist those individuals who
were discharged under conditions other
than dishonorable. This is the same
condition of the definition of the term
‘‘veteran’’ in 38 U.S.C. 101(2). We
would mirror this language in proposed
§ 17.536 by stating that an individual
must be a former member of the Armed
Forces who was discharged or released
therefrom under conditions other than
dishonorable.
We would also state in proposed
paragraph (a) that an individual is
eligible to participate in the EACFMAF
if they meet one of the following criteria
while they were a member of the armed
forces. The first criteria is that the
individual has medical or military
health experience gained while serving
as a member of the Armed Forces. This
military experience would be
determined by the individual’s DD214,
Military Occupational Specialty, or
other official documentation. The
second criteria would be that the
individual has received a certificate,
associate degree, baccalaureate degree,
master’s degree, or post baccalaureate
training in a science relating to health
care. Such degrees may include majors
in biology, anatomy and physiology,
and other such related fields. The third
criteria would be that the individual has
participated in the delivery of health
care services or related medical services,
including participation in military
training relating to the identification,
evaluation, treatment, and prevention of
disease and disorders. This criterial
would include direct patient health care
and training in the delivery of such
health care.
We would also establish the school
requirements that the individual must
meet in order to be eligible for the
EACFMAF. The requirements would be
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that the individual must be
unconditionally accepted for enrollment
or be enrolled as a full-time student in
an accredited school located in a State;
be pursuing a degree leading to
employment as a physician assistant; be
a citizen of the United States; and
submit an application to participate in
the Scholarship Program together with a
signed contract. These school
requirements are in alignment with
similar VA scholarship programs. See
38 CFR 17.602.
Section 17.537 Award Procedures
Proposed paragraph (a) would restate
the priority for selection of participants
for the EACFMAF found in section
246(d)(2) of the Consolidated
Appropriations Act, 2018. Also, under
section 401(a) of Public Law 115–182,
the John S. McCain III, Daniel K. Akaka,
and Samuel R. Johnson VA Maintaining
Internal Systems and Strengthening
Integrated Outside Networks Act of
2018, or the VA MISSION Act of 2018,
Congress mandated VA to ‘‘develop
criteria to designate medical centers,
ambulatory care facilities, and
community based outpatient clinics of
the Department of Veterans Affairs as
underserved facilities.’’ In addition to
stating that a VA medical facility
located in a community that is
designated as medically underserved
under 42 U.S.C 245b(b)(3)(A), would
include those VA medical facilities that
VA has determined as medically
underserved. Given section 401 of the
VA Mission Act of 2018 was established
after the Consolidated Appropriations
Act of 2018, VA believes that it is also
necessary to give preference to those VA
medical facilities. We would, therefore,
state that VA would give priority to
eligible individuals who ‘‘agree to be
employed as physician assistants in a
VA medical facility that: Is located in a
community that is designated as a
medically underserved population
under 42 U.S.C. 254b(b)(3)(A); Is
designated by VA as a medically
underserved facility; and Is in a State
with a per capita population of veterans
of more than five percent, according to
the National Center for Veterans
Analysis and Statistics and the United
States Census Bureau.’’
Proposed paragraph (b) would restate
the type of educational assistance that
would be available to eligible
individuals, which is found in section
246(e) of the Consolidated
Appropriations Act, 2018. We would
state that VA will provide educational
assistance to individuals who
participate in the EACFMAF to cover
the costs of such individuals obtaining
a master’s degree in physician assistant
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studies or similar master’s degree for a
period of one to three years. We would
say or similar master’s degree because
most educational programs are graduate
programs leading to the award of
master’s degrees in either physician
assistant studies (MPAS), Health
Science (MHS), or Medical Science
(MMSc), and require a bachelor’s degree
for entry. Keeping in line with the
administration of similar VA
scholarship programs managed by 38
U.S.C. 7601, we would also state that
the payments to scholarship
participants are exempt from Federal
taxation and that the payments will
consist of: Tuition and required fees;
Other educational expenses, including
books and laboratory equipment. See 38
CFR 17.606(a).
Section 17.538 Agreement and
Obligated Service
Proposed § 17.538 would establish the
agreement and obligated service that an
eligible individual must adhere to
comply with the EACFMAF. Section
246(f) of the Consolidated
Appropriations Act, 2018 states that VA
shall enter into an agreement with each
individual participating in the pilot
program in which such individual
agrees to be employed as a physician
assistant for the Veterans Health
Administration for a period of obligated
service to be determined by the
Secretary. Proposed § 17.538(a) would
specify the details of the agreement. We
would state that the eligible individual
must agree to maintain enrollment,
attendance, and acceptable level of
academic standing as defined by the
school; Complete a master’s degree in
physician assistant studies or similar
master’s degree; and Be employed as a
full-time clinical practice employee in
VA as a physician assistant for a period
of obligated service for one calendar
year for each school year or part thereof
for which the EACFMAF was awarded,
but for no less than three years. For
example, if VA awarded an individual
EACFMAF for two and a half years, the
individual’s period of obligated service
would be three years. Although these
requirements are not specifically stated
in section 246(f) of the Consolidated
Appropriations Act, 2018, this language
is consistent with the agreement of
similar scholarship programs. See 38
CFR 17.632.
Proposed § 17.538(b)(1) would specify
the requirements of the obligated
service. An eligible individual’s
obligated service would commence on
the date that such individual begins
full-time permanent employment with
VA as a clinical practice employee as a
physician assistant, but no later than 90
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days after the date that the eligible
individual completes a master’s degree
in physician assistant studies or similar
master’s degree. This requirement is
consistent with similar scholarship
programs. See 38 CFR 17.607(b).
Because of changing access needs
within VA, VA reserves the right to
make the final decision as to where an
individual would perform their period
of obligated service that meets the
requirements of section 246. We would
state this condition in proposed
§ 17.538(b)(2). Also, the location of the
obligated service may not necessarily be
within the commuting area of where the
eligible individual resides. We would,
therefore, state in proposed
§ 17.538(b)(2) that VA reserves the right
to make final decisions on the location
and position of the obligated service. An
eligible individual who receives an
EACFMAF must be willing to relocate to
another geographic location to carry out
their service obligation. The relocation
of the eligible individual would be at
such individual’s expense. This
language is consistent with similar
scholarship programs. See 38 CFR
17.607(d).
Section 17.539 Failure To Comply
with Terms and Conditions of
Agreement
Proposed paragraph § 17.539(a) would
establish the consequences for failure to
satisfy the terms and conditions of the
participant’s agreement. The breach of
the terms of agreement are stated in
section 246(g) of the Consolidated
Appropriations Act, 2018. We would
restate section 246(g) in proposed
paragraph § 17.536(a) with minor
technical edits for clarity. We would
state that If an eligible individual who
accepts funding for the EACFMAF fails
to satisfy the terms of agreement, the
United States is entitled to recover
damages in an amount equal to the total
amount of EACFMAF funding paid or is
payable to or on behalf of the
individual, reduced by the total number
of obligated service days the individual
has already served minus the total
number of days in the individual’s
period of obligated service.
Section 246 of the Consolidated
Appropriations Act, 2018 does not
establish a time frame for when an
eligible individual will repay the
amount of damages when such eligible
individual breaches their terms of
agreement. We would mirror the
repayment period language from similar
scholarship programs in proposed
§ 17.539(b). See 38 U.S.C. 7617(c)(2) and
38 CFR 17.610(c). We would state that
an eligible individual will pay the
amount of damages that the United
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States is entitled to recover under this
section in full to the United States no
later than one year after the date of the
breach of the agreement. Because VA
has provided the repayment
requirements up front, we believe that a
one-year period is sufficient time for the
individual to repay the amount of funds
granted by the EACFMAF and such time
frame is consistent with similar
scholarship programs.
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Paperwork Reduction Act
The Paperwork Reduction Act of 1995
(44 U.S.C. 3507(d)) requires that VA
consider the impact of paperwork and
other information collection burdens
imposed on the public. According to the
1995 amendments to the Paperwork
Reduction Act (5 CFR 1320.8(b)(2)(vi)),
an agency may not collect or sponsor
the collection of information, nor may it
impose an information collection
requirement unless it displays a
currently valid Office of Management
and Budget (OMB) control number. This
proposed rule includes provisions
constituting an amendment of an
existing collection of information under
the Paperwork Reduction Act of 1995
that require approval by the OMB. The
existing OMB control number that will
be amended by this action is 2900–0793.
Accordingly, under 44 U.S.C. 3507(d),
VA has submitted a copy of this
rulemaking action to OMB for review.
OMB assigns control numbers to
collections of information it approves.
VA may not conduct or sponsor, and a
person is not required to respond to, a
collection of information unless it
displays a currently valid OMB control
number. Proposed 38 CFR 17.538
contains a collection of information
under the Paperwork Reduction Act of
1995. If OMB does not approve the
collection of information as requested,
VA will immediately remove the
provision containing a collection of
information or take such other action as
is directed by OMB.
Comments on the collection of
information contained in this proposed
rule should be submitted to the Office
of Management and Budget, Attention:
Desk Officer for the Department of
Veterans Affairs, Office of Information
and Regulatory Affairs, Washington, DC
20503, with copies sent by mail or hand
delivery to the Director, Office of
Regulation Policy and Management
(00REG), Department of Veterans
Affairs, 810 Vermont Avenue NW,
Room 1064, Washington, DC 20420; fax
to (202) 273–9026; or through
www.Regulations.gov. Comments
should indicate that they are submitted
in response to ‘‘RIN 2900–AQ74
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Educational Assistance for Certain
Former Members of the Armed Forces.’’
OMB is required to make a decision
concerning the collections of
information contained in this proposed
rule between 30 and 60 days after
publication of this document in the
Federal Register. Therefore, a comment
to OMB is best assured of having its full
effect if the comment is received within
30 days of publication. This does not
affect the 60-day deadline for the public
to comment on the proposed rule.
VA considers comments by the public
on proposed collections of information
in—
• Evaluating whether the proposed
collections of information are necessary
for the proper performance of the
functions of VA, including whether the
information will have practical utility;
• Evaluating the accuracy of VA’s
estimate of the burden of the proposed
collections of information, including the
validity of the methodology and
assumptions used;
• Enhancing the quality, usefulness,
and clarity of the information to be
collected; and
• Minimizing the burden of the
collections of information on those who
are to respond, including through the
use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,
e.g., permitting electronic submission of
responses.
The collections of information
contained in 38 CFR 17.538 are
described immediately following this
paragraph, under their respective titles.
For the proposed collection of
information below, VA used general
wage data from the Bureau of Labor
Statistics (BLS) to estimate the
respondents’ costs associated with
completing the information collection.
According to the latest available BLS
data, the mean hourly wage of full-time
wage and salary workers was $24.98
based on the BLS wage code—‘‘00–0000
All Occupations.’’ This information was
taken from the following website:
https://www.bls.gov/oes/2018/may/oes_
nat.htm May 2018.
Title: Educational Assistance for
Certain Former Members of the Armed
Forces.
OMB Control No.: 2900–0793.
CFR Provision: 38 CFR 17.538.
Summary of collection of information:
The EACFMAF provides funding for the
medical education of eligible
individuals who enroll in a master’s
degree in physician assistant studies or
similar master’s degree program. As part
of the EACFMAF, the eligible individual
agrees to a period of obligated service
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45137
with VA for a period of no less than 3
years. The information collected under
this section would comprise an
agreement between VA and the eligible
individual who accepts funding for the
EACFMAF.
Description of the need for
information and proposed use of
information: The agreement between VA
and the eligible individual would hold
the eligible individual accountable for
upholding the terms and conditions of
the agreement and alert the eligible
individual of the consequences of a
breach in the agreement.
Description of likely respondents:
Eligible individuals who are accepted
for participation in the EACFMAF.
Estimated number of respondents per
month/year: 100.
Estimated frequency of responses per
month/year: 1 per year.
Estimated average burden per
response: 4 hours.
Estimated total annual reporting and
recordkeeping burden: 400 hours.
Estimated cost to respondents per
year: VA estimates the total cost to all
respondents to be $ 9,992 per year (400
burden hours × $24.98 per hour).
Legally, respondents may not pay a
person or business for assistance in
completing the information collection.
Therefore, there are no expected
overhead costs to respondents for
completing the information collection.
Regulatory Flexibility Act
The Secretary hereby certifies that
this proposed rule would not have a
significant economic impact on a
substantial number of small entities as
they are defined in the Regulatory
Flexibility Act, 5 U.S.C. 601–612. This
rulemaking does not change VA’s policy
regarding small businesses, does not
have an economic impact to individual
businesses, and there are no increased
or decreased costs to small business
entities. On this basis, the proposed rule
would not have an economic impact on
a substantial number of small entities as
they are defined in the Regulatory
Flexibility Act, 5 U.S.C. 601–612.
Therefore, pursuant to 5 U.S.C. 605(b),
this rulemaking is exempt from the
initial and final regulatory flexibility
analysis requirements of 5 U.S.C. 603
and 604 do not apply.
Executive Orders 12866, 13563 and
13771
Executive Orders 12866 and 13563
direct agencies to assess the costs and
benefits of available regulatory
alternatives and, when regulation is
necessary, to select regulatory
approaches that maximize net benefits
(including potential economic,
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environmental, public health and safety
effects, and other advantages;
distributive impacts; and equity).
Executive Order 13563 (Improving
Regulation and Regulatory Review)
emphasizes the importance of
quantifying both costs and benefits,
reducing costs, harmonizing rules, and
promoting flexibility. The Office of
Information and Regulatory Affairs has
determined that this rule is not a
significant regulatory action under
Executive Order 12866.
VA’s impact analysis can be found as
a supporting document at https://
www.regulations.gov, usually within 48
hours after the rulemaking document is
published. Additionally, a copy of the
rulemaking and its impact analysis are
available on VA’s website at https://
www.va.gov/orpm by following the link
for VA Regulations Published from FY
2004 through Fiscal Year to Date.
This proposed rule is not subject to
the requirements of E.O. 13771 because
this rule is not significant under E.O.
12866.
Unfunded Mandates
The Unfunded Mandates Reform Act
of 1995 requires, at 2 U.S.C. 1532, that
agencies prepare an assessment of
anticipated costs and benefits before
issuing any rule that may result in the
expenditure by State, local, and tribal
governments, in the aggregate, or by the
private sector, of $100 million or more
(adjusted annually for inflation) in any
one year. This proposed rule would
have no such effect on State, local, and
tribal governments, or on the private
sector.
Congressional Review Act
Pursuant to the Congressional Review
Act (5 U.S.C. 801 et seq.), the Office of
Information and Regulatory Affairs
designated this rule as not a major rule,
as defined by 5 U.S.C. 804(2).
Catalog of Federal Domestic Assistance
There are no Catalog of Federal
Domestic Assistance numbers and titles
for this rule.
List of Subjects in 38 CFR Part 17
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Administrative practice and
procedure, Health care, Health facilities,
Health professions, Scholarships and
fellowships.
Signing Authority
The Secretary of Veterans Affairs, or
designee, approved this document and
authorized the undersigned to sign and
submit the document to the Office of the
Federal Register for publication
electronically as an official document of
the Department of Veterans Affairs.
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Brooks D. Tucker, Acting Chief of Staff,
Department of Veterans Affairs,
approved this document on July 20,
2020, for publication.
Consuela Benjamin,
Regulations Development Coordinator, Office
of Regulation Policy & Management, Office
of the Secretary, Department of Veterans
Affairs.
For the reasons set forth in the
preamble, we propose to amend 38 CFR
part 17 as follows:
PART 17—MEDICAL
1. The authority citation for part 17
continues to read as follows:
■
Authority: 38 U.S.C. 501, and as noted in
specific sections.
*
*
*
*
*
Sections 17.535 through 17.539 are also
issued under Public Law 115–141, sec. 246.
*
*
*
*
*
2. Add an undesignated center
heading immediately following § 17.531
and new §§ 17.535 through 17.539 to
read as follows.
■
Educational Assistance for Certain
Former Members of the Armed Forces
Sec.
17.535 Purpose.
17.536 Eligibility.
17.537 Award procedures.
17.538 Agreement and obligated service.
17.539 Failure to comply with terms and
conditions of agreement.
§ 17.535
Purpose.
The purpose of §§ 17.535 through
17.539 is to establish the Educational
Assistance for Certain Former Members
of the Armed Forces (EACFMAF). The
EACFMAF will provide a scholarship to
certain former members of the Armed
Forces for the education and training
leading to employment as a VA
physician assistant.
§ 17.536
Eligibility.
(a) Military and Training
requirements. An individual is eligible
to participate in the EACFMAF if such
individual is a former member of the
Armed Forces who was discharged or
released therefrom under conditions
other than dishonorable and meets the
following criteria:
(1) Has medical or military health
experience gained while serving as a
member of the Armed Forces;
(2) Has received a certificate, associate
degree, baccalaureate degree, master’s
degree, or post baccalaureate training in
a science relating to health care; or
(3) Has participated in the delivery of
health care services or related medical
services, including participation in
military training relating to the
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identification, evaluation, treatment,
and prevention of disease and disorders.
(b) School and Individual
requirements. To be eligible for the
EACFMAF, an applicant must:
(1) Be unconditionally accepted for
enrollment or be enrolled as a full-time
student in an accredited school located
in a State;
(2) Be pursuing a degree leading to
employment as a physician assistant;
(3) Be a citizen of the United States;
and
(4) Submit an application to
participate in the Scholarship Program
together with a signed contract.
§ 17.537
Award procedures.
(a) Priority. In awarding EACFMAF,
VA will give priority to eligible
individuals who agree to be employed
as physician assistants in a VA medical
facility that:
(1) Is located in a community that is
designated as a medically underserved
population under 42 U.S.C.
254b(b)(3)(A);
(2) Is designated by VA as a medically
underserved facility; and
(3) Is in a State with a per capita
population of veterans of more than five
percent, according to the National
Center for Veterans Analysis and
Statistics and the United States Census
Bureau.
(b) Amount of funds. VA will provide
a scholarship to individuals who
participate in the EACFMAF to cover
the costs of such individuals obtaining
a master’s degree in physician assistant
studies or similar master’s degree for a
period of one to three years. All such
payments to scholarship participants are
exempt from Federal taxation. The
payments will consist of:
(i) Tuition and required fees;
(ii) Other educational expenses,
including books and laboratory
equipment.
§ 17.538
Agreement and obligated service.
(a) Agreement. Each eligible
individual who accepts funds from the
EACFMAF will enter into an agreement
with VA where the eligible individual
agrees to the following:
(1) Maintain enrollment, attendance,
and acceptable level of academic
standing as defined by the school;
(2) Complete a master’s degree in
physician assistant studies or similar
master’s degree; and
(3) Be employed as a full-time clinical
practice employee in VA as a physician
assistant for a period of obligated
service for one calendar year for each
school year or part thereof for which the
EACFMAF was awarded, but for no less
than three years.
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(b) Obligated service. (1) General. An
eligible individual’s obligated service
will begin on the date on which the
eligible individual begins full-time
permanent employment with VA as a
clinical practice employee as a
physician assistant, but no later than 90
days after the date that the eligible
individual completes a master’s degree
in physician assistant studies or similar
master’s degree, or the date the eligible
individual becomes licensed in a State
and certified as required by the
Secretary, whichever is later. VA will
actively assist and monitor eligible
individuals to ensure State licenses and
certificates are obtained in a minimal
amount of time following graduation. If
an eligible individual fails to obtain his
or her degree, or fails to become
licensed in a State or become certified
no later than 180 days after receiving
the degree, the eligible individual is
considered to be in breach of the
acceptance agreement.
(2) Location and position of obligated
service. VA reserves the right to make
final decisions on the location and
position of the obligated service. An
eligible individual who receives an
EACFMAF must be willing to relocate to
another geographic location to carry out
their service obligation.
POSTAL REGULATORY COMMISSION
(The Office of Management and Budget has
approved the information collection
requirements in this section under control
number XXXX–XXXX.)
Table of Contents
jbell on DSKJLSW7X2PROD with PROPOSALS
§ 17.539 Failure to comply with terms and
conditions of agreement.
(a) Participant fails to satisfy terms of
agreement. If an eligible individual who
accepts funding for the EACFMAF fails
to satisfy the terms of agreement, the
United States is entitled to recover
damages in an amount equal to the total
amount of EACFMAF funding paid or is
payable to or on behalf of the
individual, reduced by the total number
of obligated service days the individual
has already served minus the total
number of days in the individual’s
period of obligated service.
(b) Repayment period. The eligible
individual will pay the amount of
damages that the United States is
entitled to recover under this section in
full to the United States no later than
one year after the date of the breach of
the agreement.
[FR Doc. 2020–15989 Filed 7–24–20; 8:45 am]
BILLING CODE 8320–01–P
VerDate Sep<11>2014
18:16 Jul 24, 2020
Jkt 250001
39 CFR Part 3050
[Docket No. RM2020–11; Order No. 5587]
Periodic Reporting
Postal Regulatory Commission.
Proposed rule.
AGENCY:
ACTION:
The Commission is
acknowledging a recent filing requesting
the Commission initiate a rulemaking
proceeding to consider changes to
analytical principles relating to periodic
reports (Proposal Four). This document
informs the public of the filing, invites
public comment, and takes other
administrative steps.
DATES: Comments are due: August 14,
2020.
ADDRESSES: Submit comments
electronically via the Commission’s
Filing Online system at https://
www.prc.gov. Those who cannot submit
comments electronically should contact
the person identified in the FOR FURTHER
INFORMATION CONTACT section by
telephone for advice on filing
alternatives.
FOR FURTHER INFORMATION CONTACT:
David A. Trissell, General Counsel, at
202–789–6820.
SUPPLEMENTARY INFORMATION:
SUMMARY:
I. Introduction
II. Proposal Four
III. Notice and Comment
IV. Ordering Paragraphs
I. Introduction
On July 13, 2020, the Postal Service
filed a petition pursuant to 39 CFR
3050.11 requesting that the Commission
initiate a rulemaking proceeding to
consider changes to analytical
principles relating to periodic reports.1
The Petition identifies the proposed
analytical changes filed in this docket as
Proposal Four.
II. Proposal Four
Background. Proposal Four relates to
the methodology used in International
Cost and Revenue Analysis (ICRA)
reporting to distribute international mail
settlement expenses to international
mail categories. Petition, Proposal Four
at 1. The Postal Service reports
outbound settlement costs in two
1 Petition of the United States Postal Service for
the Initiation of a Proceeding to Consider Proposed
Changes in Analytical Principles (Proposal Four),
July 13, 2020 (Petition). The Postal Service also
filed a notice of non-public materials relating to
Proposal Four. Notice of Filing of USPS–RM2020–
11–NP1 and Application for Nonpublic Treatment,
July 13, 2020.
PO 00000
Frm 00005
Fmt 4702
Sfmt 4702
45139
General Ledger accounts: account no.
53298 (INTERNATIONAL–FOREIGN
POST EXPENSE (OTHER)) and account
no. 53299 (INTERNATIONAL–
FOREIGN POST EXPENSE (AIR)). Id.
Currently, the Postal Service applies a
single benchmark factor to all of the
products and sub-products in each of
these two accounts. Id. The Postal
Service also filed a detailed assessment
of the impact of the proposal on
particular products in a non-public
attachment accompanying this
proposal.2
Proposal. The Postal Service’s
proposal seeks to replace the existing
methodology which uses a single
benchmark factor for each account with
an approach that benchmarks to eight
product and sub-product categories
within the two settlement expense
accounts. Petition, Proposal Four at 1–
2. The Postal Service states that the
proposal would use additional Foreign
Postal Settlement (FPS) mail category
item-and weight-component expense
data to develop these benchmarks. Id. at
1. The Postal Service avers that the
structure for more detailed
benchmarking already existed in the
ICRA but required more detailed
information that is now available from
FPS. Id. at 3.
Rationale and impact. The Postal
Service contends that the proposed
methodology will improve ICRA
reporting by providing ‘‘a finer level of
mail category detail.’’ Id at 2. The Postal
Service states that the proposed
methodology ‘‘eliminates the need to
use single account-level factors to
benchmark the expense amounts across
all mail categories[,]’’ and instead uses
additional FPS data to report settlement
expenses that are ‘‘directly related’’ to
the eight product and sub-product
categories in the two outbound
settlement expense accounts. Id.
The Postal Service states that the
proposed methodology would shift $7
million of expenses in FY 2019 from
market dominant to competitive
products. Id. The Postal Service
characterizes this impact as ‘‘relatively
modest.’’ Id.
III. Notice and Comment
The Commission establishes Docket
No. RM2020–11 for consideration of
matters raised by the Petition. More
information on the Petition may be
accessed via the Commission’s website
at https://www.prc.gov. Interested
persons may submit comments on the
Petition and Proposal Four no later than
August 14, 2020. Pursuant to 39 U.S.C.
505, Gregory Stanton is designated as an
2 See
E:\FR\FM\27JYP1.SGM
Library Reference USPS–RM2020–11–NP1.
27JYP1
Agencies
[Federal Register Volume 85, Number 144 (Monday, July 27, 2020)]
[Proposed Rules]
[Pages 45135-45139]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-15989]
========================================================================
Proposed Rules
Federal Register
________________________________________________________________________
This section of the FEDERAL REGISTER contains notices to the public of
the proposed issuance of rules and regulations. The purpose of these
notices is to give interested persons an opportunity to participate in
the rule making prior to the adoption of the final rules.
========================================================================
Federal Register / Vol. 85, No. 144 / Monday, July 27, 2020 /
Proposed Rules
[[Page 45135]]
DEPARTMENT OF VETERANS AFFAIRS
38 CFR Part 17
RIN 2900-AQ74
Educational Assistance for Certain Former Members of the Armed
Forces
AGENCY: Department of Veterans Affairs.
ACTION: Proposed rule.
-----------------------------------------------------------------------
SUMMARY: The Department of Veterans Affairs (VA) proposes to amend its
regulations that govern scholarships to certain health care
professionals. This rulemaking would implement the mandates of the
Consolidated Appropriations Act 2018 by establishing a pilot program to
provide educational assistance to certain former members of the Armed
Forces for education and training leading to a degree as a physician
assistant.
DATES: Comments must be received on or before September 25, 2020.
ADDRESSES: Written comments may be submitted through https://www.Regulations.gov; by mail or hand-delivery to: Director, Office of
Regulation Policy and Management (00REG), Department of Veterans
Affairs, 810 Vermont Ave. NW, Room 1064, Washington, DC 20420; or by
fax to (202) 273-9026. (This is not a toll-free telephone number.)
Comments should indicate that they are submitted in response to ``RIN
2900-AQ74--Educational Assistance for Certain Former Members of the
Armed Forces.'' Copies of comments received will be available for
public inspection in the Office of Regulation Policy and Management,
Room 1064, between the hours of 8 a.m. and 4:30 p.m., Monday through
Friday (except holidays). Please call (202) 461-4902 for an
appointment. (This is not a toll-free telephone number.) In addition,
during the comment period, comments may be viewed online through the
Federal Docket Management System (FDMS) at https://www.Regulations.gov.
FOR FURTHER INFORMATION CONTACT: Scot Burroughs, Acting Director
Physician Assistant Services. 810 Vermont Avenue NW, Washington, DC
20420, [email protected], (319) 358-0581 extension 4860. (This is
not a toll-free number.)
SUPPLEMENTARY INFORMATION: On March 23, 2018, section 246 of Public Law
115-141, the Consolidated Appropriations Act, 2018, established a pilot
program that would provide educational assistance to certain former
members of the Armed Forces for education and training leading to
employment as a VA physician assistant, the Educational Assistance for
Certain Former Members of the Armed Forces (EACFMAF) program. See also
38 United States Code (U.S.C.) 7601 Note (2018) Physician Assistant
Education and Training Pilot Program for Former Members of the Armed
Forces. Several branches of the Armed Forces train individuals to
perform the duties of a physician assistant without the required
educational training. The EACFMAF would allow such individuals the
opportunity to complete their education and training in order to be
employed by VA as a physician assistant. The EACFMAF would increase
access to VA health care by utilizing a veteran workforce that has
received training as a physician assistant in the Armed Forces. The
Consolidated Appropriations Act sets forth the eligibility criteria,
the types of available funding, established an agreement to be met by
the participants, as well as the consequences for a breach in such
agreement. This proposed rule would establish the regulations needed to
carry out the EACFMAF. Immediately following title 38 of the Code of
Federal Regulations (CFR) 17.531, we would add a new undesignated
center heading titled ``Educational Assistance for Certain Former
Members of the Armed Forces'' and add new Sec. Sec. 17.535 through
17.539 as discussed in further detail below.
Section 17.535 Purpose
Proposed Sec. 17.535 would establish the purpose for Sec. Sec.
17.535 through 17.539, which would establish the EACFMAF program. We
would state that the ``EACFMAF will provide funding to certain former
members of the Armed Forces for the education and training leading to
employment as a VA physician assistant.'' This would be consistent with
in section 246(a) of the Consolidated Appropriations Act, 2018.
Section 17.536 Eligibility
Proposed Sec. 17.536 would restate the eligibility requirements
for participants in the EACFMAF found in section 246(b) of the
Consolidated Appropriations Act, 2018. Although section 246(b) of the
Consolidated Appropriations Act, 2018 does not indicate that the type
of discharge from service that the individual must have in order to
participate in the EACFMAF, we believe that the intent of the Public
Law is to assist those individuals who were discharged under conditions
other than dishonorable. This is the same condition of the definition
of the term ``veteran'' in 38 U.S.C. 101(2). We would mirror this
language in proposed Sec. 17.536 by stating that an individual must be
a former member of the Armed Forces who was discharged or released
therefrom under conditions other than dishonorable.
We would also state in proposed paragraph (a) that an individual is
eligible to participate in the EACFMAF if they meet one of the
following criteria while they were a member of the armed forces. The
first criteria is that the individual has medical or military health
experience gained while serving as a member of the Armed Forces. This
military experience would be determined by the individual's DD214,
Military Occupational Specialty, or other official documentation. The
second criteria would be that the individual has received a
certificate, associate degree, baccalaureate degree, master's degree,
or post baccalaureate training in a science relating to health care.
Such degrees may include majors in biology, anatomy and physiology, and
other such related fields. The third criteria would be that the
individual has participated in the delivery of health care services or
related medical services, including participation in military training
relating to the identification, evaluation, treatment, and prevention
of disease and disorders. This criterial would include direct patient
health care and training in the delivery of such health care.
We would also establish the school requirements that the individual
must meet in order to be eligible for the EACFMAF. The requirements
would be
[[Page 45136]]
that the individual must be unconditionally accepted for enrollment or
be enrolled as a full-time student in an accredited school located in a
State; be pursuing a degree leading to employment as a physician
assistant; be a citizen of the United States; and submit an application
to participate in the Scholarship Program together with a signed
contract. These school requirements are in alignment with similar VA
scholarship programs. See 38 CFR 17.602.
Section 17.537 Award Procedures
Proposed paragraph (a) would restate the priority for selection of
participants for the EACFMAF found in section 246(d)(2) of the
Consolidated Appropriations Act, 2018. Also, under section 401(a) of
Public Law 115-182, the John S. McCain III, Daniel K. Akaka, and Samuel
R. Johnson VA Maintaining Internal Systems and Strengthening Integrated
Outside Networks Act of 2018, or the VA MISSION Act of 2018, Congress
mandated VA to ``develop criteria to designate medical centers,
ambulatory care facilities, and community based outpatient clinics of
the Department of Veterans Affairs as underserved facilities.'' In
addition to stating that a VA medical facility located in a community
that is designated as medically underserved under 42 U.S.C
245b(b)(3)(A), would include those VA medical facilities that VA has
determined as medically underserved. Given section 401 of the VA
Mission Act of 2018 was established after the Consolidated
Appropriations Act of 2018, VA believes that it is also necessary to
give preference to those VA medical facilities. We would, therefore,
state that VA would give priority to eligible individuals who ``agree
to be employed as physician assistants in a VA medical facility that:
Is located in a community that is designated as a medically underserved
population under 42 U.S.C. 254b(b)(3)(A); Is designated by VA as a
medically underserved facility; and Is in a State with a per capita
population of veterans of more than five percent, according to the
National Center for Veterans Analysis and Statistics and the United
States Census Bureau.''
Proposed paragraph (b) would restate the type of educational
assistance that would be available to eligible individuals, which is
found in section 246(e) of the Consolidated Appropriations Act, 2018.
We would state that VA will provide educational assistance to
individuals who participate in the EACFMAF to cover the costs of such
individuals obtaining a master's degree in physician assistant studies
or similar master's degree for a period of one to three years. We would
say or similar master's degree because most educational programs are
graduate programs leading to the award of master's degrees in either
physician assistant studies (MPAS), Health Science (MHS), or Medical
Science (MMSc), and require a bachelor's degree for entry. Keeping in
line with the administration of similar VA scholarship programs managed
by 38 U.S.C. 7601, we would also state that the payments to scholarship
participants are exempt from Federal taxation and that the payments
will consist of: Tuition and required fees; Other educational expenses,
including books and laboratory equipment. See 38 CFR 17.606(a).
Section 17.538 Agreement and Obligated Service
Proposed Sec. 17.538 would establish the agreement and obligated
service that an eligible individual must adhere to comply with the
EACFMAF. Section 246(f) of the Consolidated Appropriations Act, 2018
states that VA shall enter into an agreement with each individual
participating in the pilot program in which such individual agrees to
be employed as a physician assistant for the Veterans Health
Administration for a period of obligated service to be determined by
the Secretary. Proposed Sec. 17.538(a) would specify the details of
the agreement. We would state that the eligible individual must agree
to maintain enrollment, attendance, and acceptable level of academic
standing as defined by the school; Complete a master's degree in
physician assistant studies or similar master's degree; and Be employed
as a full-time clinical practice employee in VA as a physician
assistant for a period of obligated service for one calendar year for
each school year or part thereof for which the EACFMAF was awarded, but
for no less than three years. For example, if VA awarded an individual
EACFMAF for two and a half years, the individual's period of obligated
service would be three years. Although these requirements are not
specifically stated in section 246(f) of the Consolidated
Appropriations Act, 2018, this language is consistent with the
agreement of similar scholarship programs. See 38 CFR 17.632.
Proposed Sec. 17.538(b)(1) would specify the requirements of the
obligated service. An eligible individual's obligated service would
commence on the date that such individual begins full-time permanent
employment with VA as a clinical practice employee as a physician
assistant, but no later than 90 days after the date that the eligible
individual completes a master's degree in physician assistant studies
or similar master's degree. This requirement is consistent with similar
scholarship programs. See 38 CFR 17.607(b). Because of changing access
needs within VA, VA reserves the right to make the final decision as to
where an individual would perform their period of obligated service
that meets the requirements of section 246. We would state this
condition in proposed Sec. 17.538(b)(2). Also, the location of the
obligated service may not necessarily be within the commuting area of
where the eligible individual resides. We would, therefore, state in
proposed Sec. 17.538(b)(2) that VA reserves the right to make final
decisions on the location and position of the obligated service. An
eligible individual who receives an EACFMAF must be willing to relocate
to another geographic location to carry out their service obligation.
The relocation of the eligible individual would be at such individual's
expense. This language is consistent with similar scholarship programs.
See 38 CFR 17.607(d).
Section 17.539 Failure To Comply with Terms and Conditions of Agreement
Proposed paragraph Sec. 17.539(a) would establish the consequences
for failure to satisfy the terms and conditions of the participant's
agreement. The breach of the terms of agreement are stated in section
246(g) of the Consolidated Appropriations Act, 2018. We would restate
section 246(g) in proposed paragraph Sec. 17.536(a) with minor
technical edits for clarity. We would state that If an eligible
individual who accepts funding for the EACFMAF fails to satisfy the
terms of agreement, the United States is entitled to recover damages in
an amount equal to the total amount of EACFMAF funding paid or is
payable to or on behalf of the individual, reduced by the total number
of obligated service days the individual has already served minus the
total number of days in the individual's period of obligated service.
Section 246 of the Consolidated Appropriations Act, 2018 does not
establish a time frame for when an eligible individual will repay the
amount of damages when such eligible individual breaches their terms of
agreement. We would mirror the repayment period language from similar
scholarship programs in proposed Sec. 17.539(b). See 38 U.S.C.
7617(c)(2) and 38 CFR 17.610(c). We would state that an eligible
individual will pay the amount of damages that the United
[[Page 45137]]
States is entitled to recover under this section in full to the United
States no later than one year after the date of the breach of the
agreement. Because VA has provided the repayment requirements up front,
we believe that a one-year period is sufficient time for the individual
to repay the amount of funds granted by the EACFMAF and such time frame
is consistent with similar scholarship programs.
Paperwork Reduction Act
The Paperwork Reduction Act of 1995 (44 U.S.C. 3507(d)) requires
that VA consider the impact of paperwork and other information
collection burdens imposed on the public. According to the 1995
amendments to the Paperwork Reduction Act (5 CFR 1320.8(b)(2)(vi)), an
agency may not collect or sponsor the collection of information, nor
may it impose an information collection requirement unless it displays
a currently valid Office of Management and Budget (OMB) control number.
This proposed rule includes provisions constituting an amendment of an
existing collection of information under the Paperwork Reduction Act of
1995 that require approval by the OMB. The existing OMB control number
that will be amended by this action is 2900-0793. Accordingly, under 44
U.S.C. 3507(d), VA has submitted a copy of this rulemaking action to
OMB for review.
OMB assigns control numbers to collections of information it
approves. VA may not conduct or sponsor, and a person is not required
to respond to, a collection of information unless it displays a
currently valid OMB control number. Proposed 38 CFR 17.538 contains a
collection of information under the Paperwork Reduction Act of 1995. If
OMB does not approve the collection of information as requested, VA
will immediately remove the provision containing a collection of
information or take such other action as is directed by OMB.
Comments on the collection of information contained in this
proposed rule should be submitted to the Office of Management and
Budget, Attention: Desk Officer for the Department of Veterans Affairs,
Office of Information and Regulatory Affairs, Washington, DC 20503,
with copies sent by mail or hand delivery to the Director, Office of
Regulation Policy and Management (00REG), Department of Veterans
Affairs, 810 Vermont Avenue NW, Room 1064, Washington, DC 20420; fax to
(202) 273-9026; or through www.Regulations.gov. Comments should
indicate that they are submitted in response to ``RIN 2900-AQ74
Educational Assistance for Certain Former Members of the Armed
Forces.''
OMB is required to make a decision concerning the collections of
information contained in this proposed rule between 30 and 60 days
after publication of this document in the Federal Register. Therefore,
a comment to OMB is best assured of having its full effect if the
comment is received within 30 days of publication. This does not affect
the 60-day deadline for the public to comment on the proposed rule.
VA considers comments by the public on proposed collections of
information in--
Evaluating whether the proposed collections of information
are necessary for the proper performance of the functions of VA,
including whether the information will have practical utility;
Evaluating the accuracy of VA's estimate of the burden of
the proposed collections of information, including the validity of the
methodology and assumptions used;
Enhancing the quality, usefulness, and clarity of the
information to be collected; and
Minimizing the burden of the collections of information on
those who are to respond, including through the use of appropriate
automated, electronic, mechanical, or other technological collection
techniques or other forms of information technology, e.g., permitting
electronic submission of responses.
The collections of information contained in 38 CFR 17.538 are
described immediately following this paragraph, under their respective
titles. For the proposed collection of information below, VA used
general wage data from the Bureau of Labor Statistics (BLS) to estimate
the respondents' costs associated with completing the information
collection. According to the latest available BLS data, the mean hourly
wage of full-time wage and salary workers was $24.98 based on the BLS
wage code--``00-0000 All Occupations.'' This information was taken from
the following website: https://www.bls.gov/oes/2018/may/oes_nat.htm May
2018.
Title: Educational Assistance for Certain Former Members of the
Armed Forces.
OMB Control No.: 2900-0793.
CFR Provision: 38 CFR 17.538.
Summary of collection of information: The EACFMAF provides funding
for the medical education of eligible individuals who enroll in a
master's degree in physician assistant studies or similar master's
degree program. As part of the EACFMAF, the eligible individual agrees
to a period of obligated service with VA for a period of no less than 3
years. The information collected under this section would comprise an
agreement between VA and the eligible individual who accepts funding
for the EACFMAF.
Description of the need for information and proposed use of
information: The agreement between VA and the eligible individual would
hold the eligible individual accountable for upholding the terms and
conditions of the agreement and alert the eligible individual of the
consequences of a breach in the agreement.
Description of likely respondents: Eligible individuals who are
accepted for participation in the EACFMAF.
Estimated number of respondents per month/year: 100.
Estimated frequency of responses per month/year: 1 per year.
Estimated average burden per response: 4 hours.
Estimated total annual reporting and recordkeeping burden: 400
hours.
Estimated cost to respondents per year: VA estimates the total cost
to all respondents to be $ 9,992 per year (400 burden hours x $24.98
per hour). Legally, respondents may not pay a person or business for
assistance in completing the information collection. Therefore, there
are no expected overhead costs to respondents for completing the
information collection.
Regulatory Flexibility Act
The Secretary hereby certifies that this proposed rule would not
have a significant economic impact on a substantial number of small
entities as they are defined in the Regulatory Flexibility Act, 5
U.S.C. 601-612. This rulemaking does not change VA's policy regarding
small businesses, does not have an economic impact to individual
businesses, and there are no increased or decreased costs to small
business entities. On this basis, the proposed rule would not have an
economic impact on a substantial number of small entities as they are
defined in the Regulatory Flexibility Act, 5 U.S.C. 601-612. Therefore,
pursuant to 5 U.S.C. 605(b), this rulemaking is exempt from the initial
and final regulatory flexibility analysis requirements of 5 U.S.C. 603
and 604 do not apply.
Executive Orders 12866, 13563 and 13771
Executive Orders 12866 and 13563 direct agencies to assess the
costs and benefits of available regulatory alternatives and, when
regulation is necessary, to select regulatory approaches that maximize
net benefits (including potential economic,
[[Page 45138]]
environmental, public health and safety effects, and other advantages;
distributive impacts; and equity). Executive Order 13563 (Improving
Regulation and Regulatory Review) emphasizes the importance of
quantifying both costs and benefits, reducing costs, harmonizing rules,
and promoting flexibility. The Office of Information and Regulatory
Affairs has determined that this rule is not a significant regulatory
action under Executive Order 12866.
VA's impact analysis can be found as a supporting document at
https://www.regulations.gov, usually within 48 hours after the
rulemaking document is published. Additionally, a copy of the
rulemaking and its impact analysis are available on VA's website at
https://www.va.gov/orpm by following the link for VA Regulations
Published from FY 2004 through Fiscal Year to Date.
This proposed rule is not subject to the requirements of E.O. 13771
because this rule is not significant under E.O. 12866.
Unfunded Mandates
The Unfunded Mandates Reform Act of 1995 requires, at 2 U.S.C.
1532, that agencies prepare an assessment of anticipated costs and
benefits before issuing any rule that may result in the expenditure by
State, local, and tribal governments, in the aggregate, or by the
private sector, of $100 million or more (adjusted annually for
inflation) in any one year. This proposed rule would have no such
effect on State, local, and tribal governments, or on the private
sector.
Congressional Review Act
Pursuant to the Congressional Review Act (5 U.S.C. 801 et seq.),
the Office of Information and Regulatory Affairs designated this rule
as not a major rule, as defined by 5 U.S.C. 804(2).
Catalog of Federal Domestic Assistance
There are no Catalog of Federal Domestic Assistance numbers and
titles for this rule.
List of Subjects in 38 CFR Part 17
Administrative practice and procedure, Health care, Health
facilities, Health professions, Scholarships and fellowships.
Signing Authority
The Secretary of Veterans Affairs, or designee, approved this
document and authorized the undersigned to sign and submit the document
to the Office of the Federal Register for publication electronically as
an official document of the Department of Veterans Affairs. Brooks D.
Tucker, Acting Chief of Staff, Department of Veterans Affairs, approved
this document on July 20, 2020, for publication.
Consuela Benjamin,
Regulations Development Coordinator, Office of Regulation Policy &
Management, Office of the Secretary, Department of Veterans Affairs.
For the reasons set forth in the preamble, we propose to amend 38
CFR part 17 as follows:
PART 17--MEDICAL
0
1. The authority citation for part 17 continues to read as follows:
Authority: 38 U.S.C. 501, and as noted in specific sections.
* * * * *
Sections 17.535 through 17.539 are also issued under Public Law 115-
141, sec. 246.
* * * * *
0
2. Add an undesignated center heading immediately following Sec.
17.531 and new Sec. Sec. 17.535 through 17.539 to read as follows.
Educational Assistance for Certain Former Members of the Armed Forces
Sec.
17.535 Purpose.
17.536 Eligibility.
17.537 Award procedures.
17.538 Agreement and obligated service.
17.539 Failure to comply with terms and conditions of agreement.
Sec. 17.535 Purpose.
The purpose of Sec. Sec. 17.535 through 17.539 is to establish the
Educational Assistance for Certain Former Members of the Armed Forces
(EACFMAF). The EACFMAF will provide a scholarship to certain former
members of the Armed Forces for the education and training leading to
employment as a VA physician assistant.
Sec. 17.536 Eligibility.
(a) Military and Training requirements. An individual is eligible
to participate in the EACFMAF if such individual is a former member of
the Armed Forces who was discharged or released therefrom under
conditions other than dishonorable and meets the following criteria:
(1) Has medical or military health experience gained while serving
as a member of the Armed Forces;
(2) Has received a certificate, associate degree, baccalaureate
degree, master's degree, or post baccalaureate training in a science
relating to health care; or
(3) Has participated in the delivery of health care services or
related medical services, including participation in military training
relating to the identification, evaluation, treatment, and prevention
of disease and disorders.
(b) School and Individual requirements. To be eligible for the
EACFMAF, an applicant must:
(1) Be unconditionally accepted for enrollment or be enrolled as a
full-time student in an accredited school located in a State;
(2) Be pursuing a degree leading to employment as a physician
assistant;
(3) Be a citizen of the United States; and
(4) Submit an application to participate in the Scholarship Program
together with a signed contract.
Sec. 17.537 Award procedures.
(a) Priority. In awarding EACFMAF, VA will give priority to
eligible individuals who agree to be employed as physician assistants
in a VA medical facility that:
(1) Is located in a community that is designated as a medically
underserved population under 42 U.S.C. 254b(b)(3)(A);
(2) Is designated by VA as a medically underserved facility; and
(3) Is in a State with a per capita population of veterans of more
than five percent, according to the National Center for Veterans
Analysis and Statistics and the United States Census Bureau.
(b) Amount of funds. VA will provide a scholarship to individuals
who participate in the EACFMAF to cover the costs of such individuals
obtaining a master's degree in physician assistant studies or similar
master's degree for a period of one to three years. All such payments
to scholarship participants are exempt from Federal taxation. The
payments will consist of:
(i) Tuition and required fees;
(ii) Other educational expenses, including books and laboratory
equipment.
Sec. 17.538 Agreement and obligated service.
(a) Agreement. Each eligible individual who accepts funds from the
EACFMAF will enter into an agreement with VA where the eligible
individual agrees to the following:
(1) Maintain enrollment, attendance, and acceptable level of
academic standing as defined by the school;
(2) Complete a master's degree in physician assistant studies or
similar master's degree; and
(3) Be employed as a full-time clinical practice employee in VA as
a physician assistant for a period of obligated service for one
calendar year for each school year or part thereof for which the
EACFMAF was awarded, but for no less than three years.
[[Page 45139]]
(b) Obligated service. (1) General. An eligible individual's
obligated service will begin on the date on which the eligible
individual begins full-time permanent employment with VA as a clinical
practice employee as a physician assistant, but no later than 90 days
after the date that the eligible individual completes a master's degree
in physician assistant studies or similar master's degree, or the date
the eligible individual becomes licensed in a State and certified as
required by the Secretary, whichever is later. VA will actively assist
and monitor eligible individuals to ensure State licenses and
certificates are obtained in a minimal amount of time following
graduation. If an eligible individual fails to obtain his or her
degree, or fails to become licensed in a State or become certified no
later than 180 days after receiving the degree, the eligible individual
is considered to be in breach of the acceptance agreement.
(2) Location and position of obligated service. VA reserves the
right to make final decisions on the location and position of the
obligated service. An eligible individual who receives an EACFMAF must
be willing to relocate to another geographic location to carry out
their service obligation.
(The Office of Management and Budget has approved the information
collection requirements in this section under control number XXXX-
XXXX.)
Sec. 17.539 Failure to comply with terms and conditions of
agreement.
(a) Participant fails to satisfy terms of agreement. If an eligible
individual who accepts funding for the EACFMAF fails to satisfy the
terms of agreement, the United States is entitled to recover damages in
an amount equal to the total amount of EACFMAF funding paid or is
payable to or on behalf of the individual, reduced by the total number
of obligated service days the individual has already served minus the
total number of days in the individual's period of obligated service.
(b) Repayment period. The eligible individual will pay the amount
of damages that the United States is entitled to recover under this
section in full to the United States no later than one year after the
date of the breach of the agreement.
[FR Doc. 2020-15989 Filed 7-24-20; 8:45 am]
BILLING CODE 8320-01-P