Medicare Program; FY 2021 Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) and Special Requirements for Psychiatric Hospitals for Fiscal Year Beginning October 1, 2020 (FY 2021); Correction, 52923-52924 [2020-18902]

Download as PDF Federal Register / Vol. 85, No. 167 / Thursday, August 27, 2020 / Rules and Regulations documents of this Department published in the Federal Register, in text or Portable Document Format (PDF). To use PDF you must have Adobe Acrobat Reader, which is available free at the site. You may also access documents of the Department published in the Federal Register by using the article search feature at www.federalregister.gov. Specifically, through the advanced search feature at this site, you can limit your search to documents published by the Department. I. Background Mark Schultz, Commissioner, Rehabilitation Services Administration, Delegated the authority to perform the functions and duties of the Assistant Secretary for the Office of Special Education and Rehabilitative Services. [FR Doc. 2020–19004 Filed 8–25–20; 4:15 pm] BILLING CODE 4000–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 412 and 482 [CMS–1731–CN and CMS–1744–CN] RIN–0938–AU07 and 0938–AU31 Medicare Program; FY 2021 Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) and Special Requirements for Psychiatric Hospitals for Fiscal Year Beginning October 1, 2020 (FY 2021); Correction Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Final rule; correction. AGENCY: In the August 4, 2020 issue of the Federal Register, we published a final rule entitled ‘‘FY 2021 Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) and Special Requirements for Psychiatric Hospitals for Fiscal Year Beginning October 1, 2020 (FY 2021)’’. The August 4, 2020 final rule updates the prospective payment rates, the outlier threshold, and the wage index for Medicare inpatient hospital services provided by Inpatient Psychiatric Facilities (IPF), which include psychiatric hospitals and excluded psychiatric units of an Inpatient Prospective Payment System (IPPS) hospital or critical access hospital. In addition, we adopted more recent Office of Management and Budget (OMB) statistical area delineations, and applied a 2-year transition for all providers negatively impacted by wage index changes. This khammond on DSKJM1Z7X2PROD with RULES SUMMARY: VerDate Sep<11>2014 16:18 Aug 26, 2020 Jkt 250001 correction document corrects the statement of economic significance in the August 4, 2020 final rule. DATES: This correction is effective October 1, 2020. FOR FURTHER INFORMATION CONTACT: The IPF Payment Policy mailbox at IPFPaymentPolicy@cms.hhs.gov for general information. Nicolas Brock, (410) 786–5148, for information regarding the statement of economic significance. SUPPLEMENTARY INFORMATION: In FR Doc. 2020–16990 (85 FR 47042), the final rule entitled ‘‘FY 2021 Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) and Special Requirements for Psychiatric Hospitals for Fiscal Year Beginning October 1, 2020 (FY 2021)’’ (hereinafter referred to as the FY 2021 IPF PPS final rule) there was an error in the statement of economic significance and status as major under the Congressional Review Act (5 U.S.C. 801 et seq.). Based on an estimated total impact of $95 million in increased transfers from the federal government to IPF providers, we previously stated that the final rule was not economically significant under Executive Order (E.O.) 12866, and that the rule was not a major rule under the Congressional Review Act. However, the Office of Management and Budget designated this rule as economically significant under E.O. 12866 and major under the Congressional Review Act. We are correcting our previous statement in the August 4, 2020 final rule accordingly. This correction is effective October 1, 2020. II. Summary of Errors On page 47064, in the third column, the third full paragraph under B. Overall Impact should be replaced entirely. The entire paragraph stating: ‘‘We estimate that this rulemaking is not economically significant as measured by the $100 million threshold, and hence not a major rule under the Congressional Review Act. Accordingly, we have prepared a Regulatory Impact Analysis that to the best of our ability presents the costs and benefits of the rulemaking.’’ should be replaced with: ‘‘We estimate that the total impact of this final rule is close to the $100 million threshold. The Office of Management and Budget has designated this rule as economically significant under E.O. 12866 and a major rule under the Congressional Review Act (5 U.S.C. 801 et seq.). Accordingly, we PO 00000 Frm 00043 Fmt 4700 Sfmt 4700 52923 have prepared a Regulatory Impact Analysis that to the best of our ability presents the costs and benefits of the rulemaking.’’ III. Waiver of Proposed Rulemaking and Delay in Effective Date We ordinarily publish a notice of proposed rulemaking in the Federal Register to provide a period for public comment before the provisions of a rule take effect in accordance with section 553(b) of the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we can waive this notice and comment procedure if the Secretary of the Department of Human Services finds, for good cause, that the notice and comment process is impracticable, unnecessary, or contrary to the public interest, and incorporates a statement of the finding and the reasons therefore in the notice. This correction document does not constitute a rulemaking that would be subject to these requirements because it corrects only the statement of economic significance included in the FY 2021 IPF PPS final rule. The corrections contained in this document are consistent with, and do not make substantive changes to, the policies and payment methodologies that were adopted and subjected to notice and comment procedures in the FY 2021 IPF PPS final rule. Rather, the corrections made through this correction document are intended to ensure that the FY 2021 IPF PPS final rule accurately reflects OMB’s determination about its economic significance and major status under the Congressional Review Act (CRA). Executive Order 12866 and CRA determinations are functions of the Office of Management and Budget, not the Department of Health and Human Services, and are not rules as defined by the Administrative Procedure Act (5 U.S. Code 551(4)). We ordinarily provide a 60-day delay in the effective date of final rules after the date they are issued, in accordance with the CRA (5 U.S.C. 801(a)(3)). However, section 808(2) of the CRA provides that, if an agency finds good cause that notice and public procedure are impracticable, unnecessary, or contrary to the public interest, the rule shall take effect at such time as the agency determines. Even if this were a rulemaking to which the delayed effective date requirement applied, we found, in the FY 2021 IPF PPS Final Rule (85 FR 47043), good cause to waive the 60-day delay in the effective date of the IPF PPS final rule. In the final rule, we explained that, due to CMS prioritizing efforts in support of containing and combatting the COVID– E:\FR\FM\27AUR1.SGM 27AUR1 52924 Federal Register / Vol. 85, No. 167 / Thursday, August 27, 2020 / Rules and Regulations 19 public health emergency by devoting significant resources to that end, the work needed on the IPF PPS final rule was not completed in accordance with our usual rulemaking schedule. We noted that it is critical, however, to ensure that the IPF PPS payment policies are effective on the first day of the fiscal year to which they are intended to apply and therefore, it would be contrary to the public interest to not waive the 60-day delay in the effective date. Undertaking further notice and comment procedures to incorporate the corrections in this document into the FY 2021 IPF PPS final rule or delaying the effective date would be contrary to the public interest because it is in the public’s interest to ensure that the policies finalized in the FY 2021 IPF PPS are effective as of the first day of the fiscal year to ensure providers and suppliers receive timely and appropriate payments. Further, such procedures would be unnecessary, because we are not altering the payment methodologies or policies. Rather, the correction we are making is only to indicate that the FY 2021 IPF PPS final rule is economically significant and a major rule under the CRA. For these reasons, we find we have good cause to waive the notice and comment and effective date requirements. IV. Correction of Errors in the Preamble khammond on DSKJM1Z7X2PROD with RULES In FR Doc. 2020–16990, appearing on page 47042 in the Federal Register of Tuesday, August 4, 2020, the following correction is made: 1. On page 47064, in the 3rd column, under B. Overall Impact, correct the third full paragraph to read as follows: We estimate that the total impact of this final rule is very close to the $100 million threshold. The Office of Management and Budget has designated this rule as economically significant under E.O. 12866 and a major rule under the Congressional Review Act (5 U.S.C. 801 et seq.). Accordingly, we have prepared a Regulatory Impact Analysis that to the best of our ability presents the costs and benefits of the rulemaking. Dated: August 24, 2020. Wilma M. Robinson, Deputy Executive Secretary to the Department, Department of Health and Human Services. [FR Doc. 2020–18902 Filed 8–26–20; 8:45 am] BILLING CODE 4120–01–P VerDate Sep<11>2014 16:18 Aug 26, 2020 Jkt 250001 NATIONAL AERONAUTICS AND SPACE ADMINISTRATION 48 CFR Parts 1812, 1831, 1846, and 1852 RIN 2700–AE38 NASA Federal Acquisition Regulation Supplement: Detection and Avoidance of Counterfeit Parts (NFS Case 2017– N010) National Aeronautics and Space Administration. ACTION: Final rule. AGENCY: NASA is finalizing a revision to the NASA Federal Acquisition Regulation Supplement (NFS) requiring covered contractors and subcontractors at all tiers to use electronic parts that are currently in production and purchased from the original manufacturers of the parts, their authorized dealers, or suppliers who obtain such parts exclusively from the original manufacturers of the parts or their authorized dealers. These changes implement section 823(c)(2)(B) of Public Law 115–10, the National Aeronautics and Space Administration Transition Authorization Act of 2017. DATES: This rule is effective September 28, 2020. FOR FURTHER INFORMATION CONTACT: Dorice Kenely, NASA HQ, Office of Procurement, Policy, Training and Pricing Division, LP–011, 300 E Street SW, Washington, DC 20456–0001. Telephone 202–358–0443; facsimile 202–358–3082. SUPPLEMENTARY INFORMATION: SUMMARY: I. Overview of the Rule This rule implements section 823(c)(2)(B) of Public Law 115–10, the National Aeronautics and Space Administration Transition Authorization Act of 2017. It revises the NASA Federal Acquisition Regulation Supplement (NFS) to add new text requiring a covered contractor, defined as a contractor supplying an electronic part or a product that contains an electronic part, and their subcontractors at all tiers to use electronic parts currently in production and purchased from the original manufacturers, their authorized dealers, or suppliers who obtain such parts exclusively from the original manufacturers of the parts or their authorized dealers. If the contractor does not purchase electronic parts as discussed above, they must purchase the parts from a NASA identified supplier or contractorapproved supplier. The contractor then assumes responsibility and be required PO 00000 Frm 00044 Fmt 4700 Sfmt 4700 to inspect, test and validate authentication of the part. The contractor is also required to obtain traceability information and provide this information to the contracting officer upon request. The selection of contractor-approved suppliers is subject to review and audit by the contracting officer. NASA’s final rule is a separate but companion action to the FAR Council rule on Reporting of Nonconforming Items to the Government-Industry Data Exchange Program (GIDEP) (FAR Case 2013–002) published at 84 FR 64680. While both rules pertain to the topic of counterfeit parts and suspected counterfeit parts, there are discernable differences as they are implementing separate acts. These differences are discussed below. Scope While both the FAR and the NFS rule pertain to the topic of counterfeit parts and suspected counterfeit parts, the FAR has a broader application in the types of items covered. It is applicable to all items subject to higher-level quality standards in accordance with the clause at FAR 52.246–11, HigherLevel Contract Quality Requirement; all items that the contracting officer, in consultation with the requiring activity determines to be critical items for which use of the clause is appropriate; and for the acquisition of services, if the contractor will furnish, as part of the service, any items that meet the criteria specified in paragraphs (a)(1) through (a)(2) of this section. In addition, the FAR covers acquisitions that exceed the simplified acquisition threshold and are by, or for, the Department of Defense for electronic parts or end items, components, parts, or materials containing electronic parts. Based on the requirements of section 823 the NFS rule applies only to electronic parts for use in a safety or mission critical applications. Reporting/Notification The FAR requires two reporting requirements which are cleared under OMB Control number 9000–0187 titled Reporting of Nonconforming Items to the Government-Industry Data Exchange Program—FAR Sections affected: 52.246–26. One requirement is the submission of a report to GIDEP when the contractor becomes aware or has reason to suspect, such as through inspection, testing, record review, or notification from another source (e.g., seller, customer, third party) that an item purchased by the Contractor for delivery to, or for, the Government is a counterfeit or suspect counterfeit item E:\FR\FM\27AUR1.SGM 27AUR1

Agencies

[Federal Register Volume 85, Number 167 (Thursday, August 27, 2020)]
[Rules and Regulations]
[Pages 52923-52924]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-18902]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 412 and 482

[CMS-1731-CN and CMS-1744-CN]
RIN-0938-AU07 and 0938-AU31


Medicare Program; FY 2021 Inpatient Psychiatric Facilities 
Prospective Payment System (IPF PPS) and Special Requirements for 
Psychiatric Hospitals for Fiscal Year Beginning October 1, 2020 (FY 
2021); Correction

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

ACTION: Final rule; correction.

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

SUMMARY: In the August 4, 2020 issue of the Federal Register, we 
published a final rule entitled ``FY 2021 Inpatient Psychiatric 
Facilities Prospective Payment System (IPF PPS) and Special 
Requirements for Psychiatric Hospitals for Fiscal Year Beginning 
October 1, 2020 (FY 2021)''. The August 4, 2020 final rule updates the 
prospective payment rates, the outlier threshold, and the wage index 
for Medicare inpatient hospital services provided by Inpatient 
Psychiatric Facilities (IPF), which include psychiatric hospitals and 
excluded psychiatric units of an Inpatient Prospective Payment System 
(IPPS) hospital or critical access hospital. In addition, we adopted 
more recent Office of Management and Budget (OMB) statistical area 
delineations, and applied a 2-year transition for all providers 
negatively impacted by wage index changes. This correction document 
corrects the statement of economic significance in the August 4, 2020 
final rule.

DATES: This correction is effective October 1, 2020.

FOR FURTHER INFORMATION CONTACT: The IPF Payment Policy mailbox at 
[email protected] for general information.
    Nicolas Brock, (410) 786-5148, for information regarding the 
statement of economic significance.

SUPPLEMENTARY INFORMATION:

I. Background

    In FR Doc. 2020-16990 (85 FR 47042), the final rule entitled ``FY 
2021 Inpatient Psychiatric Facilities Prospective Payment System (IPF 
PPS) and Special Requirements for Psychiatric Hospitals for Fiscal Year 
Beginning October 1, 2020 (FY 2021)'' (hereinafter referred to as the 
FY 2021 IPF PPS final rule) there was an error in the statement of 
economic significance and status as major under the Congressional 
Review Act (5 U.S.C. 801 et seq.). Based on an estimated total impact 
of $95 million in increased transfers from the federal government to 
IPF providers, we previously stated that the final rule was not 
economically significant under Executive Order (E.O.) 12866, and that 
the rule was not a major rule under the Congressional Review Act. 
However, the Office of Management and Budget designated this rule as 
economically significant under E.O. 12866 and major under the 
Congressional Review Act. We are correcting our previous statement in 
the August 4, 2020 final rule accordingly. This correction is effective 
October 1, 2020.

II. Summary of Errors

    On page 47064, in the third column, the third full paragraph under 
B. Overall Impact should be replaced entirely. The entire paragraph 
stating:
    ``We estimate that this rulemaking is not economically significant 
as measured by the $100 million threshold, and hence not a major rule 
under the Congressional Review Act. Accordingly, we have prepared a 
Regulatory Impact Analysis that to the best of our ability presents the 
costs and benefits of the rulemaking.''

should be replaced with:
    ``We estimate that the total impact of this final rule is close to 
the $100 million threshold. The Office of Management and Budget has 
designated this rule as economically significant under E.O. 12866 and a 
major rule under the Congressional Review Act (5 U.S.C. 801 et seq.). 
Accordingly, we have prepared a Regulatory Impact Analysis that to the 
best of our ability presents the costs and benefits of the 
rulemaking.''

III. Waiver of Proposed Rulemaking and Delay in Effective Date

    We ordinarily publish a notice of proposed rulemaking in the 
Federal Register to provide a period for public comment before the 
provisions of a rule take effect in accordance with section 553(b) of 
the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we 
can waive this notice and comment procedure if the Secretary of the 
Department of Human Services finds, for good cause, that the notice and 
comment process is impracticable, unnecessary, or contrary to the 
public interest, and incorporates a statement of the finding and the 
reasons therefore in the notice.
    This correction document does not constitute a rulemaking that 
would be subject to these requirements because it corrects only the 
statement of economic significance included in the FY 2021 IPF PPS 
final rule. The corrections contained in this document are consistent 
with, and do not make substantive changes to, the policies and payment 
methodologies that were adopted and subjected to notice and comment 
procedures in the FY 2021 IPF PPS final rule. Rather, the corrections 
made through this correction document are intended to ensure that the 
FY 2021 IPF PPS final rule accurately reflects OMB's determination 
about its economic significance and major status under the 
Congressional Review Act (CRA). Executive Order 12866 and CRA 
determinations are functions of the Office of Management and Budget, 
not the Department of Health and Human Services, and are not rules as 
defined by the Administrative Procedure Act (5 U.S. Code 551(4)).
    We ordinarily provide a 60-day delay in the effective date of final 
rules after the date they are issued, in accordance with the CRA (5 
U.S.C. 801(a)(3)). However, section 808(2) of the CRA provides that, if 
an agency finds good cause that notice and public procedure are 
impracticable, unnecessary, or contrary to the public interest, the 
rule shall take effect at such time as the agency determines. Even if 
this were a rulemaking to which the delayed effective date requirement 
applied, we found, in the FY 2021 IPF PPS Final Rule (85 FR 47043), 
good cause to waive the 60-day delay in the effective date of the IPF 
PPS final rule. In the final rule, we explained that, due to CMS 
prioritizing efforts in support of containing and combatting the COVID-

[[Page 52924]]

19 public health emergency by devoting significant resources to that 
end, the work needed on the IPF PPS final rule was not completed in 
accordance with our usual rulemaking schedule. We noted that it is 
critical, however, to ensure that the IPF PPS payment policies are 
effective on the first day of the fiscal year to which they are 
intended to apply and therefore, it would be contrary to the public 
interest to not waive the 60-day delay in the effective date. 
Undertaking further notice and comment procedures to incorporate the 
corrections in this document into the FY 2021 IPF PPS final rule or 
delaying the effective date would be contrary to the public interest 
because it is in the public's interest to ensure that the policies 
finalized in the FY 2021 IPF PPS are effective as of the first day of 
the fiscal year to ensure providers and suppliers receive timely and 
appropriate payments. Further, such procedures would be unnecessary, 
because we are not altering the payment methodologies or policies. 
Rather, the correction we are making is only to indicate that the FY 
2021 IPF PPS final rule is economically significant and a major rule 
under the CRA. For these reasons, we find we have good cause to waive 
the notice and comment and effective date requirements.

IV. Correction of Errors in the Preamble

    In FR Doc. 2020-16990, appearing on page 47042 in the Federal 
Register of Tuesday, August 4, 2020, the following correction is made:
    1. On page 47064, in the 3rd column, under B. Overall Impact, 
correct the third full paragraph to read as follows:
    We estimate that the total impact of this final rule is very close 
to the $100 million threshold. The Office of Management and Budget has 
designated this rule as economically significant under E.O. 12866 and a 
major rule under the Congressional Review Act (5 U.S.C. 801 et seq.). 
Accordingly, we have prepared a Regulatory Impact Analysis that to the 
best of our ability presents the costs and benefits of the rulemaking.

    Dated: August 24, 2020.
Wilma M. Robinson,
Deputy Executive Secretary to the Department, Department of Health and 
Human Services.
[FR Doc. 2020-18902 Filed 8-26-20; 8:45 am]
BILLING CODE 4120-01-P


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