Change to Certification Authority for the Alien Physician Category of the Exchange Visitor Program, 20286-20287 [2021-07537]
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20286
Federal Register / Vol. 86, No. 73 / Monday, April 19, 2021 / Rules and Regulations
samidorphan. Samidorphan is not
currently available or marketed in any
country. Due to the wide variety of
unidentifiable and unquantifiable
variables that potentially could
influence the distribution and
dispensing rates, if any, of samidorphan,
DEA is unable to determine the number
of entities and small entities which
might handle samidorphan. In some
instances where a controlled
pharmaceutical drug is removed from
the schedules of the CSA, DEA is able
to quantify the estimated number of
affected entities and small entities
because the handling of the drug is
expected to be limited to DEA
registrants even after removal from the
schedules. In such instances, DEA’s
knowledge of its registrant population
forms the basis for estimating the
number of affected entities and small
entities. However, DEA does not have a
basis to estimate whether samidorphan
is expected to be handled by persons
who hold DEA registrations, by persons
who are not currently registered with
DEA to handle controlled substances, or
both. Therefore, DEA is unable to
estimate the number of entities and
small entities who plan to handle
samidorphan.
Although DEA does not have a
reliable basis to estimate the number of
affected entities and quantify the
economic impact of this final rule, a
qualitative analysis indicates that this
rule is likely to result in some cost
savings. Any person planning to handle
samidorphan will realize cost savings in
the form of saved DEA registration fees,
and the elimination of physical security,
recordkeeping, and reporting
requirements. Because of these factors,
DEA projects that this rule will not
result in a significant economic impact
on a substantial number of small
entities.
jbell on DSKJLSW7X2PROD with RULES
Administrative Procedure Act
DEA finds that good cause exists for
adopting this rule as a final rule with an
immediate effective date under 5 U.S.C.
553(d) because this final rule relieves a
restriction.
Unfunded Mandates Reform Act of 1995
On the basis of information contained
in the RFA section above, DEA has
determined and certifies pursuant to the
Unfunded Mandates Reform Act of 1995
(UMRA), 2 U.S.C. 1501 et seq., that this
action would not result in any federal
mandate 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 for inflation) in any one
year. . . .’’ Therefore, neither a Small
VerDate Sep<11>2014
16:00 Apr 16, 2021
Jkt 253001
Government Agency Plan nor any other
action is required under provisions of
UMRA.
Paperwork Reduction Act
This action does not impose a new
collection of information requirement
under the Paperwork Reduction Act, 44
U.S.C. 3501–3521. This action would
not impose recordkeeping or reporting
requirements on State or local
governments, individuals, businesses, or
organizations. An agency 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.
Congressional Review Act
This rule is not a major rule as
defined by section 804 of the Small
Business Regulatory Enforcement
Fairness Act of 1996 (Congressional
Review Act (CRA)). This rule will not
result in: an annual effect on the
economy of $100 million or more; a
major increase in costs or prices for
consumers, individual industries,
Federal, State, or local government
agencies, or geographic regions; or
significant adverse effects on
competition, employment, investment,
productivity, innovation, or on the
ability of United States-based
companies to compete with foreignbased companies in domestic and
export markets. However, pursuant to
the CRA, DEA is submitting a copy of
this final rule to both Houses of
Congress and to the Comptroller
General.
List of Subjects in 21 CFR Part 1308
Administrative practice and
procedure, Drug traffic control,
Reporting and recordkeeping
requirements.
For the reasons set out above, 21 CFR
part 1308 is amended to read as follows:
PART 1308—SCHEDULES OF
CONTROLLED SUBSTANCES
1. The authority citation for 21 CFR
part 1308 continues to read as follows:
■
Authority: 21 U.S.C. 811, 812, 871(b),
956(b) unless otherwise noted.
2. In § 1308.12, revise paragraph (b)(1)
introductory text to read as follows:
■
§ 1308.12
Schedule II.
*
*
*
*
*
(b) * * *
(1) Opium and opiate, and any salt,
compound, derivative, or preparation of
opium or opiate excluding
apomorphine, thebaine-derived
butorphanol, dextrorphan, nalbuphine,
naldemedine, nalmefene, naloxegol,
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Fmt 4700
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naloxone, 6b-naltrexol, naltrexone, and
samidorphan, and their respective salts,
but including the following:
*
*
*
*
*
D. Christopher Evans,
Acting Administrator.
[FR Doc. 2021–07884 Filed 4–16–21; 8:45 am]
BILLING CODE 4410–09–P
DEPARTMENT OF STATE
22 CFR Part 62
[Public Notice: 10818]
RIN 1400–AF03
Change to Certification Authority for
the Alien Physician Category of the
Exchange Visitor Program
Department of State.
Final rule.
AGENCY:
ACTION:
The Department of State
(Department) is changing the
certification authority for alien
physicians from the American Board of
Medical Specialties (ABMS) to the
Accreditation Council for Graduate
Medical Education (ACGME).
DATES: This rule is effective May 19,
2021.
SUMMARY:
G.
Kevin Saba, Director, Office of Policy
and Program Support, Office of Private
Sector Exchange, Bureau of Educational
and Cultural Affairs, U.S. Department of
State, SA–4E, 2201 C Street NW,
Washington, DC 20522; email at
JExchanges@state.gov; or, (202) 634–
4710.
FOR FURTHER INFORMATION CONTACT:
In 22 CFR
62.27(e)(1) and (e)(4)(i), there is a
reference to the ‘‘American Board of
Medical Specialties’’ (ABMS). These
provisions, last amended in 1993, state
that ABMS will perform certain
certification functions for the Secretary
of State.
ABMS no longer produces the
publication, Marquis Who’s Who,
referenced in 22 CFR part 62.
Furthermore, ABMS has confirmed that
it is also no longer the appropriate
organization to comment on programs of
graduate medical education. The
Department has confirmed that the
Accreditation Council for Graduate
Medical Education (ACGME) has
responsibility to accredit and recognize
institutions offering programs of
graduate medical education, and is
replacing the reference to the ABMS
with the ACGME in § 62.27.
SUPPLEMENTARY INFORMATION:
E:\FR\FM\19APR1.SGM
19APR1
Federal Register / Vol. 86, No. 73 / Monday, April 19, 2021 / Rules and Regulations
Regulatory Analyses
The Department of State is publishing
this rulemaking as a final rule, pursuant
to 5 U.S.C. 553(b). This rulemaking is a
rule of agency organization, procedure,
or practice. The effective date of the rule
is 30 days after publication, as provided
in the Administrative Procedure Act.
The Department further finds that this
is not a major rule; is not subject to the
Unfunded Mandates Reform Act of
1995; will not have tribal implications
as defined by Executive Order 13175;
and will not have an impact on a
substantial number of small entities
under the Regulatory Flexibility Act.
This rule is not an economically
significant rule under Executive Order
12866, and the Department certifies that
the benefits of this rulemaking outweigh
any costs, which are minimal for the
public. The Office of Information and
Regulatory Affairs designated this rule
as ‘‘non-significant,’’ as defined by
Executive Order 12866.
The Department of State has reviewed
this rule in light of Executive Order
12988 to eliminate ambiguity, minimize
litigation, establish clear legal
standards, and reduce burden. This rule
will not have substantial direct effect on
the states, on the relationships between
the National Government and the states,
or on the distribution of power and
responsibilities among the various
levels of government. Therefore, in
accordance with Executive Order 13132,
it is determined that this rule does not
have sufficient federalism implications
to require consultations or warrant the
preparation of a federalism summary
impact statement.
This rulemaking does not create or
modify any collections of information
subject to the Paperwork Reduction Act.
List of Subjects in 22 CFR Part 62
Cultural exchange programs,
Reporting and recordkeeping
requirements.
For the reasons set forth above, the
Department of State amends part 62 of
title 22 of the Code of Federal
Regulations as follows:
1. The authority citation for part 62 is
revised to read as follows:
jbell on DSKJLSW7X2PROD with RULES
■
Authority: 8 U.S.C. 1101(a)(15)(J), 1182,
1184, 1258; 22 U.S.C. 1431 et seq.; 22 U.S.C.
2451 et seq.; 22 U.S.C. 2651a; 22 U.S.C.
6531–6553; Reorganization Plan No. 2 of
1977, 42 FR 62461, 3 CFR, 1977 Comp. p.
200; E.O. 12048, 43 FR 13361, 3 CFR, 1978
Comp., p. 168; 8 U.S.C. 1372; section 416 of
Pub. L. 107–56, 115 Stat. 354 (8 U.S.C. 1372
note); and 8 U.S.C. 1761–1762.
16:00 Apr 16, 2021
Jkt 253001
§ 62.27
Alien physicians.
*
*
*
*
*
(e) * * *
(1) The duration of an alien
physician’s participation in a program
of graduate medical education or
training as described in paragraph (b) of
this section is limited to the time
typically required to complete such
program. Duration shall be determined
by the Secretary of State at the time of
the alien physician’s entry into the
United States. Such determination shall
be based on criteria established in
coordination with the Secretary of
Health and Human Services and which
take into consideration the requirements
of the various medical specialty boards
as set forth by the Accreditation Council
for Graduate Medical Education
(ACGME).
*
*
*
*
*
(4) * * *
(i) Alien physicians shall be permitted
to undertake graduate medical
education or training in a specialty or
subspecialty program whose board and/
or accreditation requirements are not
published if the program requirements
are certified to the Secretary of State by
the ACGME in accordance with criteria
established by the Educational
Commission for Foreign Medical
Graduates (ECFMG) and ACGME.
*
*
*
*
*
Zachary A. Parker,
Director, Office of Directives Management,
Department of State.
[FR Doc. 2021–07537 Filed 4–16–21; 8:45 am]
BILLING CODE 4710–05–P
POSTAL SERVICE
39 CFR Part 113
Treatment of E-Cigarettes in the Mail
Postal ServiceTM.
Guidance.
AGENCY:
ACTION:
A forthcoming final rule will
determine whether electronic nicotine
delivery systems (‘‘ENDS’’) may
continue to be mailed pursuant to
certain statutory exceptions that are
currently administered through an
application process. To the extent that
such exceptions may ultimately be
made available for ENDS, this document
provides mailers with guidance to assist
in preparing exception applications for
submission following the final rule. In
addition, ENDS mailers are advised to
review and comply with all other
SUMMARY:
PART 62—EXCHANGE VISITOR
PROGRAM
VerDate Sep<11>2014
2. Section 62.27(e)(1) and (e)(4)(i) are
revised to read as follows:
■
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20287
applicable mailing restrictions and
requirements currently in effect for
controlled substances, drug
paraphernalia, and hazardous materials.
DATES: April 19, 2021.
FOR FURTHER INFORMATION CONTACT: Dale
E. Kennedy, 202–268–6592.
SUPPLEMENTARY INFORMATION: On
February 19, 2021 (86 FR 10218), the
Postal Service published a notice of
proposed rulemaking to amend
Publication 52, Hazardous, Restricted,
and Perishable Mail, which is
incorporated by reference into 39 CFR
part 113. The text of the proposed edits
to Publication 52 is available at https://
pe.usps.com/FederalRegisterNotice/
2021/E-Cigarettes%20Proposed%
20Rule.pdf. The proposed edits would
implement the Preventing Online Sales
of E-Cigarettes to Children Act (‘‘Act’’),
Public Law 116–160, div. FF, title VI
(2020), which adds ‘‘electronic nicotine
delivery systems’’ (‘‘ENDS’’) to the
definition of ‘‘cigarettes’’ subject to
regulation under the Jenkins Act, 15
U.S.C. 375 et seq. Consequently, ENDS
will also become subject to the
mailability restrictions and exceptions
in 18 U.S.C. 1716E (‘‘PACT Act’’),
which rely on the Jenkins Act definition
of ‘‘cigarettes.’’ 18 U.S.C. 1716E(a)(1).
Certain such exceptions currently
require application to and approval by
the Postal Service’s Pricing and
Classification Service Center. See
Publication 52 sections 472.221
(business/regulatory purposes), 472.241
(consumer testing/public health). The
Postal Service proposed to apply the
business/regulatory purposes exception
to ENDS, but not the consumer testing
and public health exceptions, and
invited comments on that proposed
approach. Those comments will be
considered in developing the final rule.
The final rule will contain the Postal
Service’s determination as to whether
any of those exceptions will be made
available for nonmailable ENDS.
Until the final rule is issued, ENDS
are not subject to the PACT Act,
although they may be nonmailable for
other reasons. See, e.g., 18 U.S.C.
1716(a), (h) (poisonous, explosive, and
other dangerous materials, and
advertising, promotional, or sales matter
relating to the same); 21 U.S.C. 843(b)–
(c), 863 (controlled substances, drug
paraphernalia, and advertisements
relating to the same); 39 U.S.C. 3018
(hazardous materials); Publication 52
sections 31–349, 453 & appx. A, C.
Regardless of the legal status of any
products under state or local laws,
violations of these Federal mailability
laws can result in civil and/or criminal
penalties.
E:\FR\FM\19APR1.SGM
19APR1
]]>Agencies
[Federal Register Volume 86, Number 73 (Monday, April 19, 2021)]
[Rules and Regulations]
[Pages 20286-20287]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-07537]
=======================================================================
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DEPARTMENT OF STATE
22 CFR Part 62
[Public Notice: 10818]
RIN 1400-AF03
Change to Certification Authority for the Alien Physician
Category of the Exchange Visitor Program
AGENCY: Department of State.
ACTION: Final rule.
-----------------------------------------------------------------------
SUMMARY: The Department of State (Department) is changing the
certification authority for alien physicians from the American Board of
Medical Specialties (ABMS) to the Accreditation Council for Graduate
Medical Education (ACGME).
DATES: This rule is effective May 19, 2021.
FOR FURTHER INFORMATION CONTACT: G. Kevin Saba, Director, Office of
Policy and Program Support, Office of Private Sector Exchange, Bureau
of Educational and Cultural Affairs, U.S. Department of State, SA-4E,
2201 C Street NW, Washington, DC 20522; email at [email protected];
or, (202) 634-4710.
SUPPLEMENTARY INFORMATION: In 22 CFR 62.27(e)(1) and (e)(4)(i), there
is a reference to the ``American Board of Medical Specialties'' (ABMS).
These provisions, last amended in 1993, state that ABMS will perform
certain certification functions for the Secretary of State.
ABMS no longer produces the publication, Marquis Who's Who,
referenced in 22 CFR part 62. Furthermore, ABMS has confirmed that it
is also no longer the appropriate organization to comment on programs
of graduate medical education. The Department has confirmed that the
Accreditation Council for Graduate Medical Education (ACGME) has
responsibility to accredit and recognize institutions offering programs
of graduate medical education, and is replacing the reference to the
ABMS with the ACGME in Sec. 62.27.
[[Page 20287]]
Regulatory Analyses
The Department of State is publishing this rulemaking as a final
rule, pursuant to 5 U.S.C. 553(b). This rulemaking is a rule of agency
organization, procedure, or practice. The effective date of the rule is
30 days after publication, as provided in the Administrative Procedure
Act.
The Department further finds that this is not a major rule; is not
subject to the Unfunded Mandates Reform Act of 1995; will not have
tribal implications as defined by Executive Order 13175; and will not
have an impact on a substantial number of small entities under the
Regulatory Flexibility Act. This rule is not an economically
significant rule under Executive Order 12866, and the Department
certifies that the benefits of this rulemaking outweigh any costs,
which are minimal for the public. The Office of Information and
Regulatory Affairs designated this rule as ``non-significant,'' as
defined by Executive Order 12866.
The Department of State has reviewed this rule in light of
Executive Order 12988 to eliminate ambiguity, minimize litigation,
establish clear legal standards, and reduce burden. This rule will not
have substantial direct effect on the states, on the relationships
between the National Government and the states, or on the distribution
of power and responsibilities among the various levels of government.
Therefore, in accordance with Executive Order 13132, it is determined
that this rule does not have sufficient federalism implications to
require consultations or warrant the preparation of a federalism
summary impact statement.
This rulemaking does not create or modify any collections of
information subject to the Paperwork Reduction Act.
List of Subjects in 22 CFR Part 62
Cultural exchange programs, Reporting and recordkeeping
requirements.
For the reasons set forth above, the Department of State amends
part 62 of title 22 of the Code of Federal Regulations as follows:
PART 62--EXCHANGE VISITOR PROGRAM
0
1. The authority citation for part 62 is revised to read as follows:
Authority: 8 U.S.C. 1101(a)(15)(J), 1182, 1184, 1258; 22 U.S.C.
1431 et seq.; 22 U.S.C. 2451 et seq.; 22 U.S.C. 2651a; 22 U.S.C.
6531-6553; Reorganization Plan No. 2 of 1977, 42 FR 62461, 3 CFR,
1977 Comp. p. 200; E.O. 12048, 43 FR 13361, 3 CFR, 1978 Comp., p.
168; 8 U.S.C. 1372; section 416 of Pub. L. 107-56, 115 Stat. 354 (8
U.S.C. 1372 note); and 8 U.S.C. 1761-1762.
0
2. Section 62.27(e)(1) and (e)(4)(i) are revised to read as follows:
Sec. 62.27 Alien physicians.
* * * * *
(e) * * *
(1) The duration of an alien physician's participation in a program
of graduate medical education or training as described in paragraph (b)
of this section is limited to the time typically required to complete
such program. Duration shall be determined by the Secretary of State at
the time of the alien physician's entry into the United States. Such
determination shall be based on criteria established in coordination
with the Secretary of Health and Human Services and which take into
consideration the requirements of the various medical specialty boards
as set forth by the Accreditation Council for Graduate Medical
Education (ACGME).
* * * * *
(4) * * *
(i) Alien physicians shall be permitted to undertake graduate
medical education or training in a specialty or subspecialty program
whose board and/or accreditation requirements are not published if the
program requirements are certified to the Secretary of State by the
ACGME in accordance with criteria established by the Educational
Commission for Foreign Medical Graduates (ECFMG) and ACGME.
* * * * *
Zachary A. Parker,
Director, Office of Directives Management, Department of State.
[FR Doc. 2021-07537 Filed 4-16-21; 8:45 am]
BILLING CODE 4710-05-P
