Reporting to the National Practitioner Data Bank, 19581-19583 [2023-06811]
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Federal Register / Vol. 88, No. 63 / Monday, April 3, 2023 / Proposed Rules
option will notify you when comments
are posted, or a final rule is published.
We review all comments received, but
we will only post comments that
address the topic of the proposed rule.
We may choose not to post off-topic,
inappropriate, or duplicate comments
that we receive.
Personal information. We accept
anonymous comments. Comments we
post to https://www.regulations.gov will
include any personal information you
have provided. For more about privacy
and submissions to the docket in
response to this document, see DHS’s
eRulemaking System of Records notice
(85 FR 14226, March 11, 2020).
List of Subjects in 33 CFR Part 165
Harbors, Marine Safety, Navigation
(water), Reporting and recordkeeping
requirements, Security measures,
Waterways.
For the reasons discussed in the
preamble, the Coast Guard is proposing
to amend 33 CFR part 165 as follows:
PART 165—REGULATED NAVIGATION
AREAS AND LIMITED ACCESS AREAS
1. The authority citation for part 165
continues to read as follows:
■
Authority: 46 U.S.C. 70034, 70051, 70124;
33 CFR 1.05–1, 6.04–1, 6.04–6, and 160.5;
Department of Homeland Security Delegation
No. 00170.1, Revision No. 01.3.
2. Add § 165.T08–0210 to read as
follows:
■
lotter on DSK11XQN23PROD with PROPOSALS1
§ 165.T08–0210 Safety Zone; Allegheny
River, Miles 0.25–0.8, Pittsburgh, PA.
(a) Location. The following area is a
temporary safety zone: all navigable
waters of the Allegheny River from Mile
0.25- Mile 0.8.
(b) Definitions. As used in this
section, designated representative
means a Coast Guard Patrol
Commander, including a Coast Guard
coxswain, petty officer, or other officer
operating a Coast Guard vessel and a
Federal, State, and local officer
designated by or assisting the Captain of
the Port Pittsburgh (COTP) in the
enforcement of the safety zone.
(c) Regulations.
(1) Under the general safety zone
regulations in subpart C of this part, you
may not enter the safety zone described
in paragraph (a) of this section unless
authorized by the COTP or the COTP’s
designated representative.
(2) To seek permission to enter,
contact the COTP or the COTP’s
representative by phone at 412–670–
4288. Those in the safety zone must
comply with all lawful orders or
directions given to them by the COTP or
the COTP’s designated representative.
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15:59 Mar 31, 2023
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(d) Enforcement period. This section
will be enforced from 9:30 p.m. through
11 p.m. on May 19, 2023.
Eric J. Velez,
Commander, U.S. Coast Guard, Captain of
the Port Marine Safety Unit Pittsburgh.
Medical Staff Affairs (10E1F), Office of
Quality Management, Department of
Veterans Affairs, 810 Vermont Avenue
NW, Washington, DC 20420, Phone
(919) 474–3937. (This is not a toll-free
number.)
[FR Doc. 2023–06758 Filed 3–31–23; 8:45 am]
SUPPLEMENTARY INFORMATION:
BILLING CODE 9110–04–P
I. Background on the National
Practitioner Data Bank
DEPARTMENT OF VETERANS
AFFAIRS
38 CFR Part 46
RIN 2900–AR83
Reporting to the National Practitioner
Data Bank
Department of Veterans Affairs.
Proposed rule.
AGENCY:
ACTION:
The Department of Veterans
Affairs (VA) proposes to remove its
regulations governing the National
Practitioner Data Bank (NPDB). Instead,
VA will rely on Department of Health
and Human Services (HHS) regulations
that govern the NPDB, a Memorandum
of Understanding (MOU) between VA
and HHS, and VA policy. This change
will allow VA to more easily and
effectively comply with HHS rules
governing the NPDB.
DATES: Comments must be received on
or before June 2, 2023.
ADDRESSES: Comments may be
submitted through
www.Regulations.gov. Except as
provided below, comments received
before the close of the comment period
will be available at www.regulations.gov
for public viewing, inspection, or
copying, including any personally
identifiable or confidential business
information that is included in a
comment. We post the comments
received before the close of the
comment period on the following
website as soon as possible after they
have been received: https://
www.regulations.gov. VA will not post
on Regulations.gov public comments
that make threats to individuals or
institutions or suggest that the
commenter will take actions to harm the
individual. VA encourages individuals
not to submit duplicative comments. We
will post acceptable comments from
multiple unique commenters even if the
content is identical or nearly identical
to other comments. Any public
comment received after the comment
period’s closing date is considered late
and will not be considered in the final
rulemaking.
FOR FURTHER INFORMATION CONTACT:
Marianne Chick, MHA, Director, VHA
SUMMARY:
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Frm 00011
Fmt 4702
Sfmt 4702
19581
Health Care Quality Improvement Act of
1986 and Implementing Regulations
The National Practitioner Data Bank
(NPDB) was established by the Health
Care Quality Improvement Act of 1986
(HCQIA), as amended (42 United States
Code (U.S.C.) 11101 et seq.). The NPDB
was developed by the U.S. Department
of Health and Human Services (HHS),
Health Resources and Services
Administration (HRSA), and Bureau of
Health Professions (BHPr). The NPDB is
a web-based repository of reports
containing information on medical
malpractice payments and certain
adverse actions taken against health care
practitioners, providers, and suppliers.
It is a workforce tool that assists in
promoting quality health care and
deterring fraud and abuse within health
care delivery systems. It prevents health
care practitioners, providers, and
suppliers from moving from one State to
another without disclosure or discovery
of previous damaging actions or
incompetent performance.
The HCQIA authorizes the NPDB to
collect reports of adverse licensure
actions against physicians, dentists, and
other licensed independent
practitioners (including revocations,
suspensions, reprimands, censures,
probations, and surrenders); adverse
clinical privileges actions; adverse
professional society membership actions
against physicians and dentists; Drug
Enforcement Administration (DEA)
certification actions; Medicare/Medicaid
exclusions; and medical malpractice
payments (including settlement of
medical malpractice claims) made for
the benefit of any health care
practitioner. Information under the
HCQIA is reported by medical
malpractice payers, State medical and
dental boards, professional societies
with formal peer review, and hospitals
and other health care entities (such as
health maintenance organizations). The
NPDB reports are confidential and
therefore, not accessible by the public.
Rather, health care entities that have
formal peer review processes and
provide health care services, State
medical or dental boards, and other
health care practitioner State boards
have access to this data system.
E:\FR\FM\03APP1.SGM
03APP1
lotter on DSK11XQN23PROD with PROPOSALS1
19582
Federal Register / Vol. 88, No. 63 / Monday, April 3, 2023 / Proposed Rules
Additionally, individual practitioners
may conduct a self-query.
On October 17, 1989, HHS finalized
and published the NPDB regulations at
45 CFR part 60. See 54 FR 42722. Those
regulations set forth the criteria and
procedures for information to be
collected in and released from the
NPDB, in accordance with the
requirements of HCQIA. The NPDB
began collecting reports on September
1,1990. See 55 FR 31239 (August 1,
1990).
against all privileged providers; and (3)
actions under Section 1128E of the
Social Security Act, which is described
in more detail below.
On October 28, 1991, VA published
regulations at 38 CFR part 46 to
formalize and interpret the provisions of
the MOU. 56 FR 55462. On May 23,
2002, VA subsequently amended this
regulation. 67 FR 19678. This
amendment reflected changes in VA’s
internal processes.
Revisions to 45 CFR 60.30 in 2015
VA–HHS Memorandum of
Understanding (MOU) and VA
Regulations
VA and HHS entered into a MOU as
required by 42 U.S.C. 11152(b). This
MOU was necessary because HCQIA
Title IV did not include federal agencies
in its reporting and querying
requirements. Moreover, as a Federal
agency, VA is unable to comply with
certain provisions of the HHS
regulations regarding reporting
procedures and requirements for
reporting medical malpractice payments
and clinical privileges because certain
provisions are governed by the MOU as
well as by VA specific policies and
procedures.
For instance, consistent with the
Federal Tort Claims Act (28 U.S.C.
1346(b), 2671–2680), Federal District
Courts have exclusive jurisdiction over
civil actions on claims against the
United States, for money damages, due
to personal injury or death caused by
the negligent or wrongful act or
omission of any employee of the
Government while acting within the
scope of their office or employment,
under circumstances where the United
States, if a private person, would be
liable to the claimant in accordance
with the law of the place where the act
or omission occurred. This includes
medical malpractice claims filed against
a VA medical facility or a VA health
care provider. The beneficiary cannot
sue the facility or the provider directly
but must file the claim against the
United States Government. The Federal
government assumes responsibility for
costs related to a claim resulting from
the performance of a medical, surgical,
dental, or related function.
Therefore, the MOU addresses
reporting payments made by VA for
medical malpractice claims, including
settlements, made on behalf of a VA
health care provider. The MOU includes
an agreement that VA will identify the
licensed practitioner for whose benefit
the payment was made. The MOU also
addresses VA’s obligation to report: (1)
certain actions to State licensing boards;
(2) adverse clinical privileging actions
Section 1921 of the Social Security Act
and Implementing Regulations
VA has determined, in consultation
with HHS, that its NPDB regulations at
38 CFR part 46 should be removed, and
that VA should instead rely on HHS
regulations at 45 CFR part 60 for NPDB
reporting, supplemented with a MOU
with HHS and VA policy to address
NPDB compliance on issues involving
the delivery of health care by a federal
agency. VA has determined that
maintaining separate NPDB rulemaking
is problematic. VA’s regulations are not
comprehensive and therefore, it is not
always clear to VA health care
professionals, which requirements are
applicable.
Since 38 CFR part 46 was drafted to
formalize the MOU with HHS, it did not
encompass all of VA’s required and
permissive reporting requirements. For
example, additional amendments have
been made to the HHS NPDB
regulations to include additional
reporting requirements that are
applicable to VA such as 45 CFR 60.15
and 60.16 78. FR 20473 (April 5, 2013).
These amendments require the reporting
of exclusions from participation in
Federal or State health care programs
and other adjudicated actions or
decisions. Although required, VA’s
regulations at 38 CFR part 46 do not
explicitly address this requirement.
Also, part 46 definitions at 38 CFR 46.1
are not wholly consistent with those
found in 45 CFR 60.3. Further, HHS
NPDB reporting requirements allow for
voluntarily reporting of adverse actions
taken against clinical privileges by other
health care practitioners. 45 CFR
60.12(a)(2). However, VA did not
include this voluntary reporting
requirement in its regulation which has
precluded it from reporting actions by
other health care practitioners. These
inconsistencies create confusion and
place self-imposed limitations on VA.
In addition, when HHS amends 45
CFR part 60, VA is not able to amend
38 CFR part 46 until after HHS
publishes a final rule. VA’s NPDB
regulation could be inconsistent with
HHS’s for a significant interim period.
This problem is avoided if VA relies on
45 CFR part 60 as guidance on NPDB
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15:59 Mar 31, 2023
Jkt 259001
Section 1921 of the Social Security
Act (42 U.S.C. 1396r–2), as amended by
section 5(b) of the Medicare and
Medicaid Patient and Program
Protection Act of 1987, and the
Omnibus Budget Reconciliation Act of
1990, Public Law 101–508, expanded
the State requirements under the NPDB.
Each State is required to adopt a system
of reporting to the Secretary of HHS for
the following actions: (1) adverse
licensure or certification actions taken
against health care practitioners, health
care entities, providers, and suppliers;
and (2) certain final adverse actions
taken by State law and fraud
enforcement agencies against health
care practitioners, providers, and
suppliers. On January 28, 2010, HHS
updated its NPDB regulations to comply
with Section 1921 of the Social Security
Act. See 75 FR 4656. The NPDB began
collecting and disclosing section 1921
information on March 1, 2010. 75 FR
4656 (January 28, 2010).
In 1996, the Health Insurance
Portability and Accountability Act of
1996, (42 U.S.C. 1320a–7e) added
section 1128E to the Social Security Act,
which directed HHS to establish and
maintain a national health care fraud
and abuse data collection program for
the reporting and disclosing of certain
final adverse actions taken by Federal
agencies and health plans against health
care practitioners, providers, or
suppliers. This data was previously
collected by the Healthcare Integrity and
Protection Data Bank (HIPDB). The
HIPDB began collecting reports in
November 1999, but as of May 6, 2013,
this collection is now included in the
NPDB.1
1 Section 6403 of the Patient Protection and
Affordable Care Act of 2010, Public Law 111–148,
amended sections 1921 and 1128E to: eliminate
duplication between the HIPDB and the NPDB;
require the Secretary of HHS to establish a
transition period of transferring data collected in
the HIPDB to the NPDB; and cease HIPDB
operations. Final regulations implementing section
6403 were issued on April 5, 2013 (78 FR 20473)
and May 6, 2013 (78 FR 25858).
PO 00000
Frm 00012
Fmt 4702
Sfmt 4702
On April 5, 2015, HHS amended 45
CFR 60.3 to include VA as a Federal
government agency in NPDB reporting
requirements. See 78 FR 20473, 20485.
We note that the recognition of VA as
a Federal government agency does not
preclude the need for an MOU between
VA and HHS to address circumstances
that are not required by the HHS
regulations as mentioned above.
II. Proposed Removal of 38 CFR Part 46
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03APP1
Federal Register / Vol. 88, No. 63 / Monday, April 3, 2023 / Proposed Rules
reporting requirements. In addition, 38
CFR part 46 address internal agency
processes related to VA medical
malpractice review panels that may be
subject to change. Therefore, we believe
that it should be memorialized in VA
policy rather than regulation.
We note that VA is the only Federal
agency providing health care to eligible
beneficiaries that published regulations
on NPDB compliance. The Department
of Defense has not published regulations
on NPDB, but instead cites to 45 CFR
part 60 as authority and issued agency
policy to implement the NPDB reporting
requirements for the component armed
services. Likewise, the U.S. Public
Health Service and Indian Health
Service also issued policies
implementing the NPDB reporting
requirements.
The proposed removal of 38 CFR part
46 will not obviate VA’s reporting
requirements nor will it alter how
malpractice is handled for VA
practitioners. Rather we believe relying
on 45 CFR part 60, supplemented by an
MOU with HHS and VA policy, will
reduce confusion and allow VA to
adhere to all mandatory and permissive
reporting requirements by eliminating
any inconsistency between HHS and VA
regulations.
Based on the foregoing rationale, VA
proposes removing part 46 and marking
it as reserved for future use and relying
on HHS regulations at 45 CFR part 60
for NPDB reporting requirements,
supplemented by an MOU between HHS
and VA policy.
lotter on DSK11XQN23PROD with PROPOSALS1
Executive Orders 12866 and 13563
Executive Orders 12866 and 13563
directs 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,
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 Oder 12866. The Regulatory
Impact Analysis associated with this
rulemaking can be found as a
supporting document at
www.regulations.gov.
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15:59 Mar 31, 2023
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19583
Regulatory Flexibility Act
Signing Authority
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
proposed rule would only affect
individuals who are VA employees or
independent contractors acting on
behalf of VA and will not directly affect
small entities. Therefore, pursuant to 5
U.S.C. 605(b), the initial and final
regulatory flexibility analysis
requirements of 5 U.S.C. 603 and 604 do
not apply.
Denis McDonough, Secretary of
Veterans Affairs, approved this
document on March 27, 2023, 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.
Unfunded Mandates
The Unfunded Mandates Reform Act
of 1995 requires 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. 2 U.S.C. 1532. This
proposed rule would have no such
effect on State, local, and tribal
governments, or on the private sector.
Consuela Benjamin,
Regulations Development Coordinator, Office
of Regulation Policy & Management, Office
of General Counsel, Department of Veterans
Affairs.
For the reasons set forth in the
preamble, we propose to amend 38 CFR
part 46 as follows:
PART 46—[Removed and Reserved]
1. Remove and reserve part 46,
consisting of §§ 46.1 through 46.8.
■
[FR Doc. 2023–06811 Filed 3–31–23; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF THE INTERIOR
Bureau of Land Management
Paperwork Reduction Act
43 CFR Parts 1600 and 6100
This proposed rule contains no
provisions constituting a collection of
information under the Paperwork
Reduction Act of 1995 (44 U.S.C. 3501–
3521).
[LLHQ230000.23X.L117000000.PN0000]
The Assistance listing numbers and
titles for the programs affected by this
document are: 64.007, Blind
Rehabilitation Centers; 64.008, Veterans
Domiciliary Care; 64.009, Veterans
Medical Care Benefits; 64.010, Veterans
Nursing Home Care; 64.011, Veterans
Dental Care; 64.012, Veterans
Prescription Service; 64.013, Veterans
Prosthetic Appliances; 64.018, Sharing
Specialized Medical Resources; 64.019,
Veterans Rehabilitation Alcohol and
Drug Dependence; 64.022, Veterans
Home Based Primary Care; 64.039
CHAMPVA; 64.040 VHA Inpatient
Medicine; 64.041 VHA Outpatient
Specialty Care; 64.042 VHA Inpatient
Surgery; 64.043 VHA Mental Health
Residential; 64.044 VHA Home Care;
64.045 VHA Outpatient Ancillary
Services; 64.046 VHA Inpatient
Psychiatry; 64.047 VHA Primary Care;
64.048 VHA Mental Health Clinics;
64.049 VHA Community Living Center;
and 64.050 VHA Diagnostic Care.
List of Subjects in 38 CFR Part 46
Health professions, Reporting and
recordkeeping requirements.
Frm 00013
Fmt 4702
Conservation and Landscape Health
Bureau of Land Management,
Interior.
ACTION: Proposed rule.
AGENCY:
Assistance Listing
PO 00000
RIN 1004–AE92
Sfmt 4702
The Bureau of Land
Management (BLM) proposes new
regulations that, pursuant to the Federal
Land Policy and Management Act of
1976 (FLPMA), as amended, and other
relevant authorities, would advance the
BLM’s mission to manage the public
lands for multiple use and sustained
yield by prioritizing the health and
resilience of ecosystems across those
lands. To ensure that health and
resilience, the proposed rule provides
that the BLM will protect intact
landscapes, restore degraded habitat,
and make wise management decisions
based on science and data. To support
these activities, the proposed rule
would apply land health standards to all
BLM-managed public lands and uses,
clarify that conservation is a ‘‘use’’
within FLPMA’s multiple-use
framework, and revise existing
regulations to better meet FLPMA’s
requirement that the BLM prioritize
designating and protecting Areas of
Critical Environmental Concern
(ACECs). The proposed rule would add
SUMMARY:
E:\FR\FM\03APP1.SGM
03APP1
Agencies
[Federal Register Volume 88, Number 63 (Monday, April 3, 2023)]
[Proposed Rules]
[Pages 19581-19583]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-06811]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
38 CFR Part 46
RIN 2900-AR83
Reporting to the National Practitioner Data Bank
AGENCY: Department of Veterans Affairs.
ACTION: Proposed rule.
-----------------------------------------------------------------------
SUMMARY: The Department of Veterans Affairs (VA) proposes to remove its
regulations governing the National Practitioner Data Bank (NPDB).
Instead, VA will rely on Department of Health and Human Services (HHS)
regulations that govern the NPDB, a Memorandum of Understanding (MOU)
between VA and HHS, and VA policy. This change will allow VA to more
easily and effectively comply with HHS rules governing the NPDB.
DATES: Comments must be received on or before June 2, 2023.
ADDRESSES: Comments may be submitted through www.Regulations.gov.
Except as provided below, comments received before the close of the
comment period will be available at www.regulations.gov for public
viewing, inspection, or copying, including any personally identifiable
or confidential business information that is included in a comment. We
post the comments received before the close of the comment period on
the following website as soon as possible after they have been
received: https://www.regulations.gov. VA will not post on
Regulations.gov public comments that make threats to individuals or
institutions or suggest that the commenter will take actions to harm
the individual. VA encourages individuals not to submit duplicative
comments. We will post acceptable comments from multiple unique
commenters even if the content is identical or nearly identical to
other comments. Any public comment received after the comment period's
closing date is considered late and will not be considered in the final
rulemaking.
FOR FURTHER INFORMATION CONTACT: Marianne Chick, MHA, Director, VHA
Medical Staff Affairs (10E1F), Office of Quality Management, Department
of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420, Phone
(919) 474-3937. (This is not a toll-free number.)
SUPPLEMENTARY INFORMATION:
I. Background on the National Practitioner Data Bank
Health Care Quality Improvement Act of 1986 and Implementing
Regulations
The National Practitioner Data Bank (NPDB) was established by the
Health Care Quality Improvement Act of 1986 (HCQIA), as amended (42
United States Code (U.S.C.) 11101 et seq.). The NPDB was developed by
the U.S. Department of Health and Human Services (HHS), Health
Resources and Services Administration (HRSA), and Bureau of Health
Professions (BHPr). The NPDB is a web-based repository of reports
containing information on medical malpractice payments and certain
adverse actions taken against health care practitioners, providers, and
suppliers. It is a workforce tool that assists in promoting quality
health care and deterring fraud and abuse within health care delivery
systems. It prevents health care practitioners, providers, and
suppliers from moving from one State to another without disclosure or
discovery of previous damaging actions or incompetent performance.
The HCQIA authorizes the NPDB to collect reports of adverse
licensure actions against physicians, dentists, and other licensed
independent practitioners (including revocations, suspensions,
reprimands, censures, probations, and surrenders); adverse clinical
privileges actions; adverse professional society membership actions
against physicians and dentists; Drug Enforcement Administration (DEA)
certification actions; Medicare/Medicaid exclusions; and medical
malpractice payments (including settlement of medical malpractice
claims) made for the benefit of any health care practitioner.
Information under the HCQIA is reported by medical malpractice payers,
State medical and dental boards, professional societies with formal
peer review, and hospitals and other health care entities (such as
health maintenance organizations). The NPDB reports are confidential
and therefore, not accessible by the public. Rather, health care
entities that have formal peer review processes and provide health care
services, State medical or dental boards, and other health care
practitioner State boards have access to this data system.
[[Page 19582]]
Additionally, individual practitioners may conduct a self-query.
On October 17, 1989, HHS finalized and published the NPDB
regulations at 45 CFR part 60. See 54 FR 42722. Those regulations set
forth the criteria and procedures for information to be collected in
and released from the NPDB, in accordance with the requirements of
HCQIA. The NPDB began collecting reports on September 1,1990. See 55 FR
31239 (August 1, 1990).
VA-HHS Memorandum of Understanding (MOU) and VA Regulations
VA and HHS entered into a MOU as required by 42 U.S.C. 11152(b).
This MOU was necessary because HCQIA Title IV did not include federal
agencies in its reporting and querying requirements. Moreover, as a
Federal agency, VA is unable to comply with certain provisions of the
HHS regulations regarding reporting procedures and requirements for
reporting medical malpractice payments and clinical privileges because
certain provisions are governed by the MOU as well as by VA specific
policies and procedures.
For instance, consistent with the Federal Tort Claims Act (28
U.S.C. 1346(b), 2671-2680), Federal District Courts have exclusive
jurisdiction over civil actions on claims against the United States,
for money damages, due to personal injury or death caused by the
negligent or wrongful act or omission of any employee of the Government
while acting within the scope of their office or employment, under
circumstances where the United States, if a private person, would be
liable to the claimant in accordance with the law of the place where
the act or omission occurred. This includes medical malpractice claims
filed against a VA medical facility or a VA health care provider. The
beneficiary cannot sue the facility or the provider directly but must
file the claim against the United States Government. The Federal
government assumes responsibility for costs related to a claim
resulting from the performance of a medical, surgical, dental, or
related function.
Therefore, the MOU addresses reporting payments made by VA for
medical malpractice claims, including settlements, made on behalf of a
VA health care provider. The MOU includes an agreement that VA will
identify the licensed practitioner for whose benefit the payment was
made. The MOU also addresses VA's obligation to report: (1) certain
actions to State licensing boards; (2) adverse clinical privileging
actions against all privileged providers; and (3) actions under Section
1128E of the Social Security Act, which is described in more detail
below.
On October 28, 1991, VA published regulations at 38 CFR part 46 to
formalize and interpret the provisions of the MOU. 56 FR 55462. On May
23, 2002, VA subsequently amended this regulation. 67 FR 19678. This
amendment reflected changes in VA's internal processes.
Section 1921 of the Social Security Act and Implementing Regulations
Section 1921 of the Social Security Act (42 U.S.C. 1396r-2), as
amended by section 5(b) of the Medicare and Medicaid Patient and
Program Protection Act of 1987, and the Omnibus Budget Reconciliation
Act of 1990, Public Law 101-508, expanded the State requirements under
the NPDB. Each State is required to adopt a system of reporting to the
Secretary of HHS for the following actions: (1) adverse licensure or
certification actions taken against health care practitioners, health
care entities, providers, and suppliers; and (2) certain final adverse
actions taken by State law and fraud enforcement agencies against
health care practitioners, providers, and suppliers. On January 28,
2010, HHS updated its NPDB regulations to comply with Section 1921 of
the Social Security Act. See 75 FR 4656. The NPDB began collecting and
disclosing section 1921 information on March 1, 2010. 75 FR 4656
(January 28, 2010).
In 1996, the Health Insurance Portability and Accountability Act of
1996, (42 U.S.C. 1320a-7e) added section 1128E to the Social Security
Act, which directed HHS to establish and maintain a national health
care fraud and abuse data collection program for the reporting and
disclosing of certain final adverse actions taken by Federal agencies
and health plans against health care practitioners, providers, or
suppliers. This data was previously collected by the Healthcare
Integrity and Protection Data Bank (HIPDB). The HIPDB began collecting
reports in November 1999, but as of May 6, 2013, this collection is now
included in the NPDB.\1\
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\1\ Section 6403 of the Patient Protection and Affordable Care
Act of 2010, Public Law 111-148, amended sections 1921 and 1128E to:
eliminate duplication between the HIPDB and the NPDB; require the
Secretary of HHS to establish a transition period of transferring
data collected in the HIPDB to the NPDB; and cease HIPDB operations.
Final regulations implementing section 6403 were issued on April 5,
2013 (78 FR 20473) and May 6, 2013 (78 FR 25858).
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Revisions to 45 CFR 60.30 in 2015
On April 5, 2015, HHS amended 45 CFR 60.3 to include VA as a
Federal government agency in NPDB reporting requirements. See 78 FR
20473, 20485. We note that the recognition of VA as a Federal
government agency does not preclude the need for an MOU between VA and
HHS to address circumstances that are not required by the HHS
regulations as mentioned above.
II. Proposed Removal of 38 CFR Part 46
VA has determined, in consultation with HHS, that its NPDB
regulations at 38 CFR part 46 should be removed, and that VA should
instead rely on HHS regulations at 45 CFR part 60 for NPDB reporting,
supplemented with a MOU with HHS and VA policy to address NPDB
compliance on issues involving the delivery of health care by a federal
agency. VA has determined that maintaining separate NPDB rulemaking is
problematic. VA's regulations are not comprehensive and therefore, it
is not always clear to VA health care professionals, which requirements
are applicable.
Since 38 CFR part 46 was drafted to formalize the MOU with HHS, it
did not encompass all of VA's required and permissive reporting
requirements. For example, additional amendments have been made to the
HHS NPDB regulations to include additional reporting requirements that
are applicable to VA such as 45 CFR 60.15 and 60.16 78. FR 20473 (April
5, 2013). These amendments require the reporting of exclusions from
participation in Federal or State health care programs and other
adjudicated actions or decisions. Although required, VA's regulations
at 38 CFR part 46 do not explicitly address this requirement. Also,
part 46 definitions at 38 CFR 46.1 are not wholly consistent with those
found in 45 CFR 60.3. Further, HHS NPDB reporting requirements allow
for voluntarily reporting of adverse actions taken against clinical
privileges by other health care practitioners. 45 CFR 60.12(a)(2).
However, VA did not include this voluntary reporting requirement in its
regulation which has precluded it from reporting actions by other
health care practitioners. These inconsistencies create confusion and
place self-imposed limitations on VA.
In addition, when HHS amends 45 CFR part 60, VA is not able to
amend 38 CFR part 46 until after HHS publishes a final rule. VA's NPDB
regulation could be inconsistent with HHS's for a significant interim
period. This problem is avoided if VA relies on 45 CFR part 60 as
guidance on NPDB
[[Page 19583]]
reporting requirements. In addition, 38 CFR part 46 address internal
agency processes related to VA medical malpractice review panels that
may be subject to change. Therefore, we believe that it should be
memorialized in VA policy rather than regulation.
We note that VA is the only Federal agency providing health care to
eligible beneficiaries that published regulations on NPDB compliance.
The Department of Defense has not published regulations on NPDB, but
instead cites to 45 CFR part 60 as authority and issued agency policy
to implement the NPDB reporting requirements for the component armed
services. Likewise, the U.S. Public Health Service and Indian Health
Service also issued policies implementing the NPDB reporting
requirements.
The proposed removal of 38 CFR part 46 will not obviate VA's
reporting requirements nor will it alter how malpractice is handled for
VA practitioners. Rather we believe relying on 45 CFR part 60,
supplemented by an MOU with HHS and VA policy, will reduce confusion
and allow VA to adhere to all mandatory and permissive reporting
requirements by eliminating any inconsistency between HHS and VA
regulations.
Based on the foregoing rationale, VA proposes removing part 46 and
marking it as reserved for future use and relying on HHS regulations at
45 CFR part 60 for NPDB reporting requirements, supplemented by an MOU
between HHS and VA policy.
Executive Orders 12866 and 13563
Executive Orders 12866 and 13563 directs 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, 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 Oder
12866. The Regulatory Impact Analysis associated with this rulemaking
can be found as a supporting document at www.regulations.gov.
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 proposed rule would only affect individuals who
are VA employees or independent contractors acting on behalf of VA and
will not directly affect small entities. Therefore, pursuant to 5
U.S.C. 605(b), the initial and final regulatory flexibility analysis
requirements of 5 U.S.C. 603 and 604 do not apply.
Unfunded Mandates
The Unfunded Mandates Reform Act of 1995 requires 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. 2
U.S.C. 1532. This proposed rule would have no such effect on State,
local, and tribal governments, or on the private sector.
Paperwork Reduction Act
This proposed rule contains no provisions constituting a collection
of information under the Paperwork Reduction Act of 1995 (44 U.S.C.
3501-3521).
Assistance Listing
The Assistance listing numbers and titles for the programs affected
by this document are: 64.007, Blind Rehabilitation Centers; 64.008,
Veterans Domiciliary Care; 64.009, Veterans Medical Care Benefits;
64.010, Veterans Nursing Home Care; 64.011, Veterans Dental Care;
64.012, Veterans Prescription Service; 64.013, Veterans Prosthetic
Appliances; 64.018, Sharing Specialized Medical Resources; 64.019,
Veterans Rehabilitation Alcohol and Drug Dependence; 64.022, Veterans
Home Based Primary Care; 64.039 CHAMPVA; 64.040 VHA Inpatient Medicine;
64.041 VHA Outpatient Specialty Care; 64.042 VHA Inpatient Surgery;
64.043 VHA Mental Health Residential; 64.044 VHA Home Care; 64.045 VHA
Outpatient Ancillary Services; 64.046 VHA Inpatient Psychiatry; 64.047
VHA Primary Care; 64.048 VHA Mental Health Clinics; 64.049 VHA
Community Living Center; and 64.050 VHA Diagnostic Care.
List of Subjects in 38 CFR Part 46
Health professions, Reporting and recordkeeping requirements.
Signing Authority
Denis McDonough, Secretary of Veterans Affairs, approved this
document on March 27, 2023, 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.
Consuela Benjamin,
Regulations Development Coordinator, Office of Regulation Policy &
Management, Office of General Counsel, Department of Veterans Affairs.
For the reasons set forth in the preamble, we propose to amend 38
CFR part 46 as follows:
PART 46--[Removed and Reserved]
0
1. Remove and reserve part 46, consisting of Sec. Sec. 46.1 through
46.8.
[FR Doc. 2023-06811 Filed 3-31-23; 8:45 am]
BILLING CODE 8320-01-P