Center for Innovation for Care and Payment Update, 60825-60827 [2024-16601]
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Federal Register / Vol. 89, No. 145 / Monday, July 29, 2024 / Rules and Regulations
on locating the docket, see the ‘‘Public
Participation and Request for
Comments’’ portion of this
SUPPLEMENTARY INFORMATION section.
ddrumheller on DSK120RN23PROD with RULES1
G. Protest Activities
The Coast Guard respects the First
Amendment rights of protesters.
Protesters are asked to call or email the
person listed in the FOR FURTHER
INFORMATION CONTACT section to
coordinate protest activities so that your
message can be received without
jeopardizing the safety or security of
people, places, or vessels.
VI. Public Participation and Request for
Comments
We view public participation as
essential to effective rulemaking and
will consider all comments and material
received during the comment period.
Your comment can help shape the
outcome of this rulemaking. If you
submit a comment, please include the
docket number for this rulemaking,
indicate the specific section of this
document to which each comment
applies, and provide a reason for each
suggestion or recommendation.
Submitting comments. We encourage
you to submit comments through the
Federal Decision Making Portal at
https://www.regulations.gov. To do so,
go to https://www.regulations.gov, type
USCG–2024–0658 in the search box and
click ‘‘Search.’’ Next, look for this
document in the Search Results column,
and click on it. Then click on the
Comment option. If your material
cannot be submitted using https://
www.regulations.gov, contact the person
in the FOR FURTHER INFORMATION
CONTACT section of this document for
alternate instructions.
Viewing material in the docket. To
view documents mentioned in this rule
as being available in the docket, find the
docket as described in the previous
paragraph, and then select ‘‘Supporting
& Related Material’’ in the Document
Type column. Public comments will
also be placed in our online docket and
can be viewed by following instructions
on the https://www.regulations.gov
Frequently Asked Questions web page.
We review all comments received, but
we will only post comments that
address the topic of this 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 information
about privacy and submissions to the
docket in response to this document, see
VerDate Sep<11>2014
16:45 Jul 26, 2024
Jkt 262001
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 amends 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.T08–0658 to read as
follows:
■
§ 165.T08–0658 Safety Zone; Lock and
Dam 3 Demolition, Elizabeth, PA.
(a) Location. The following area is a
safety zone: All navigable waters on the
Monongahela River between mile
marker 23.5 and mile marker 24.5.
(b) Definitions. As used in this
section—
Designated representative means any
Coast Guard commissioned, warrant,
petty officer, a Coast Guard coxswain,
petty officer, or other officer operating a
Coast Guard vessel, or any Federal,
State, or local law enforcement officer
who has been designated by the Captain
of the Port Pittsburgh (COTP) to act on
his or her behalf. The designated
representative may be on an official
patrol vessel or may be on shore, and
will communicate with vessels via
VHF–FM radio or loudhailer. In
addition, members of the Coast Guard
Auxiliary may be present to inform
vessel operators of the regulations in
this section.
Official patrol vessels mean any Coast
Guard, Coast Guard Auxiliary, state, or
local law enforcement vessels assigned
or approved by the COTP to enforce this
section.
(c) Regulations. When the safety zone
in paragraph (a) of this section is
enforced, the following regulations,
along with those contained in 33 CFR
165.23 apply:
(1) No person or vessel may enter the
safety zone described in paragraph (a) of
this section without the permission of
the COTP or the COTP’s designated
representative.
(2) Any person or vessel permitted to
enter the safety zone shall comply with
the directions and orders of the COTP
or the COTP’s designated representative.
Any vessel that is granted permission to
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60825
enter or remain in this zone by the
COTP or the COTP’s designated
representative must proceed through the
zone with caution and operate at a
speed no faster than that speed
necessary to maintain a safe course,
unless otherwise required by the
Navigation Rules in 33 CFR chapter I,
subchapter E.
(3) To seek permission to enter the
safety zone, contact the COTP or the
COTP’s representative by VHF Channel
13 or 16, or through the Marine Safety
Unit Pittsburgh at (412) 221–0807.
(d) Effective period and enforcement
period. The safety zone in paragraph (a)
of this section is in effect from August
1, 2024, through December 31, 2024.
The section is subject to enforcement at
all times during this period. The Coast
Guard anticipates the safety zone will be
enforced for approximately two days per
week throughout the period, but that
may be adjusted based on actual
demolition activities. The COTP, or a
designated representative, will inform
the public through written Local Notice
to Mariners, and Broadcast Notice to
Mariners via VHF–FM marine channel
13 or 16, of the enforcement period of
the safety zone.
(e) Penalties. Those who violate this
section are subject to the penalties set
forth in 46 U.S.C. 70036.
Dated: July 23, 2024.
Justin R. Jolley,
Commander, U.S. Coast Guard, Captain of
the Port, MSU Pittsburgh.
[FR Doc. 2024–16533 Filed 7–26–24; 8:45 am]
BILLING CODE 9110–04–P
DEPARTMENT OF VETERANS
AFFAIRS
38 CFR Part 17
RIN 2900–AR18
Center for Innovation for Care and
Payment Update
Department of Veterans Affairs.
Final rule.
AGENCY:
ACTION:
The Department of Veterans
Affairs (VA) amends its medical
regulations governing the Center for
Innovation for Care and Payment. This
final rule is making several technical
revisions to revise the organizational
alignment of the Center for Innovation
for Care and Payment and to revise
where evaluation results are posted for
public review for the pilot programs.
DATES: This rule is effective July 29,
2024.
FOR FURTHER INFORMATION CONTACT:
David Au, Executive Director, VHA
SUMMARY:
E:\FR\FM\29JYR1.SGM
29JYR1
60826
Federal Register / Vol. 89, No. 145 / Monday, July 29, 2024 / Rules and Regulations
Center for Care and Payment Innovation
(14HIL3), 810 Vermont Ave. NW,
Washington, DC 20420. (202–461–7002).
(This is not a toll-free telephone
number.)
On June 6,
2018, section 152 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 (the MISSION
Act), amended title 38 of the United
States Code (U.S.C.) by adding a new
section 1703E. This new section
established the Center for Innovation for
Care and Payment (the Center) and
authorized the conduct of pilot
programs designed to develop
innovative approaches to testing
payment and care models to reduce
expenditures while preserving or
enhancing the quality of care furnished
by VA.
On October 25, 2019, VA published a
final rule implementing section 1703E
in title 38, Code of Federal Regulations
(CFR) 17.450. See 84 Federal Register
(FR) 57327. This new regulation, which
became effective on November 25, 2019,
established the parameters for the
Center in its conduct of pilot programs.
These parameters included, but were
not limited to, geographic location
decisions, limitations on the number of
pilot programs to be operated at the
same time, VA’s evaluation and
reporting on the pilot programs, and
when VA may expand, modify, and
terminate pilot programs.
As explained in more detail below,
we now amend § 17.450 by making
several technical revisions. VA is not
making any substantive edits to the
content of § 17.450.
SUPPLEMENTARY INFORMATION:
ddrumheller on DSK120RN23PROD with RULES1
38 CFR 17.450(a)(2)
Current paragraph (a) of § 17.450 sets
forth the purpose and organization of
the Center. Paragraph (a)(2) provides
that the Center will not operate within
any specific administration within VA
but rather will operate in VA’s corporate
portfolio, to ensure the limited number
of concurrent pilot programs under
§ 17.450 are not redundant of or
conflicted by ongoing innovation efforts
within any specific administration. We
explained in the proposed rule for
§ 17.450 that the Center will be
operationally independent from any of
VA’s three administrations and will be
responsible for collaborating across VA
to develop and implement pilot
programs under this section. 84 FR
36508 (July 29, 2019). As further
explained in proposed paragraphs (a)(2)
and (3), being operationally
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16:45 Jul 26, 2024
Jkt 262001
independent referred to the decisionmaking authority of the Center regarding
the strategic, procedural, and tactical
aspects of managing the pilot programs
under this section. Id. However, we
received public comments indicating
that the proposed language was unclear.
See 84 FR 57328–57329 (October 25,
2019). We thus eliminated the reference
to and definition of operational
independence in proposed paragraph
(a)(2) and redesignated paragraph (a)(3)
to paragraph (a)(2), which is the
language in current 38 CFR 17.450(a)(2).
We further clarified in the final rule that
the Center is part of VA and acts at the
direction of the Secretary, so it is not
‘‘independent’’ from VA. 84 FR 57329.
Consistent with paragraph (a)(2), the
Center had operated under VA’s Office
of Enterprise Integration (OEI), which is
a VA corporate level office, since
November 25, 2019.
However, since April 5, 2021, the
Center has operated under the Office of
Discovery, Education, and Affiliate
Networks (DEAN) under the Veterans
Health Administration (VHA). The
Center moved from OEI to DEAN to
align these pilot programs with other
established, complementary innovation
programs that are health-care focused
initiatives within VHA and to enable
more efficient and effective oversight
and execution of all pilot programming
which enhances care and service
delivery for veterans. As a result, this
move has facilitated more efficient daily
operations, while continuing to
maintain Department-wide connections
across VA. More specifically, this move
has allowed the Center to leverage the
well-established practices of advancing
innovation through the VA innovation
lifecycle developed and maintained by
DEAN and the Office of Healthcare
Innovation and Learning (HIL) while
still permitting VA to ensure that the
pilots managed by the Center are not
redundant of or conflict with ongoing
innovation efforts within VA; DEAN
and HIL have several existing
partnerships with programs across VA
and have established connections to
ensure feedback is considered and
integrated into pilot-programming
decision-making. This has been
achieved through formal governance
and through structured collaborations
with programs across VA’s three
administrations (that is, health, benefits,
and memorial affairs). This facilitates
cross-agency communication, prevents
redundant or conflicting efforts, and
ensures pilots drive transformational
change across VA.
Because the organizational alignment
of the Center has moved from VA’s
corporate portfolio to VHA, we now
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Frm 00032
Fmt 4700
Sfmt 4700
amend § 17.450(a)(2) to reflect that
change. However, in order to avoid
amending § 17.450(a)(2) in the future in
the event that the name of the office
under which the Center will operate
changes, we will not add the name of
DEAN and will instead state in
§ 17.450(a)(2) that the Center for
Innovation for Care and Payment will
operate within the Veterans Health
Administration. We are also making a
technical edit to the last part of
§ 17.450(a)(2), which currently states in
part that concurrent pilot programs
under § 17.450 are not redundant of or
conflicted by ongoing innovation efforts
within any specific administration. We
are removing the phrase ‘‘conflicted by’’
and replacing it with ‘‘conflicting with’’
for clarity. This edit will not change the
meaning of the text.
38 CFR 17.450(g)
Current § 17.450(g) establishes
evaluation and reporting provisions
related to the Center. This paragraph
states that VA will evaluate each pilot
program operated under this section and
report its findings. Such evaluations
may be based on quantitative data,
qualitative data, or both; and whenever
appropriate, evaluations will include a
survey of participants or beneficiaries to
determine their satisfaction with the
pilot program. This paragraph further
states that VA will make the evaluation
results available to the public on the VA
Innovation Center website on the
schedule identified in VA’s proposal for
the pilot program. As part of this
rulemaking, we are revising the last
sentence of paragraph (g) to state that
VA will make the evaluation results
available to the public on a VA website
on the schedule identified in VA’s
proposal for the pilot program. We
reference a VA website instead of the
VA Innovation Center website because
the specific name of the website and
sub-pages for pilot programs vary, and
referencing a VA website provides
consistency and avoids the potential
need for additional regulatory updates;
we believe that the broader
identification of a VA website in the
regulation will allow VA to more
accurately and consistently identify the
location of the website where the
evaluation results for the relevant pilot
program will be published. The website
will still be identified on the schedule
in the proposal for such pilot program.
Administrative Procedure Act
This final rule will neither amend the
substantive content of the regulations
cited nor have a substantive impact on
the public. We are merely providing
technical revisions to revise the
E:\FR\FM\29JYR1.SGM
29JYR1
Federal Register / Vol. 89, No. 145 / Monday, July 29, 2024 / Rules and Regulations
organizational alignment of the Center
for Innovation for Care and Payment
and to revise the location of the website
where evaluation results are posted for
public review for the pilot programs.
Consequently, this rule is exempt from
the notice-and-comment and delayedeffective-date requirements as a rule of
agency organization, procedure, or
practice pursuant to section 553(b)(A) in
Title 5 of United States Code.
Executive Orders 12866, 13563 and
14094
Executive Order 12866 (Regulatory
Planning and Review) 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. Executive Order
14094 (Executive Order on Modernizing
Regulatory Review) supplements and
reaffirms the principles, structures, and
definitions governing contemporary
regulatory review established in
Executive Order 12866 of September 30,
1993 (Regulatory Planning and Review),
and Executive Order 13563 of January
18, 2011 (Improving Regulation and
Regulatory Review). The Office of
Information and Regulatory Affairs has
determined that this rulemaking is not
a significant regulatory action under
Executive Order 12866, as amended by
Executive Order 14094. The Regulatory
Impact Analysis associated with this
rulemaking can be found as a
supporting document at
www.regulations.gov.
such effect on State, local, and Tribal
governments, or on the private sector.
electronically as an official document of
the Department of Veterans Affairs.
Paperwork Reduction Act
Consuela Benjamin,
Regulations Development Coordinator, Office
of Regulation Policy & Management, Office
of General Counsel, Department of Veterans
Affairs.
This final rule contains no provisions
constituting a collection of information
under the Paperwork Reduction Act of
1995 (44 U.S.C. 3501–3521).
Congressional Review Act
Pursuant to Subtitle E of the Small
Business Regulatory Enforcement
Fairness Act of 1996 (known as the
Congressional Review Act) (5 U.S.C. 801
et seq.), the Office of Information and
Regulatory Affairs designated this rule
as not satisfying the criteria under 5
U.S.C. 804(2).
Assistance Listing
The Assistance Listing numbers and
titles for the programs affected by this
document are as follows: 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; 64.014, Veterans
State Domiciliary Care; 64.015, Veterans
State Nursing Home Care; 64.016,
Veterans State Hospital Care; 64.018,
Sharing Specialized Medical Resources;
64.019, Veterans Rehabilitation Alcohol
and Drug Dependence; and 64.022,
Veterans Home Based Primary Care.
List of Subjects in 38 CFR Part 17
For the reasons stated in the
preamble, the Department of Veterans
Affairs amends 38 CFR part 17 as set
forth below:
PART 17—MEDICAL
1. The general authority citation for
part 17 continues to read as follows:
■
Authority: 38 U.S.C. 501, and as noted in
specific sections.
2. Amend § 17.450 by revising
paragraphs (a)(2) and (g) to read as
follows:
■
§ 17.450 Center for Innovation for Care
and Payment.
(a) * * *
(2) The Center for Innovation for Care
and Payment will operate within the
Veterans Health Administration, which
will ensure that the limited number of
concurrent pilots under this section are
not redundant of or conflicting with
ongoing innovation efforts within any
specific administration.
*
*
*
*
*
(g) Evaluation and reporting. VA will
evaluate each pilot program operated
under this section and report its
findings. Evaluations may be based on
quantitative data, qualitative data, or
both. Whenever appropriate,
evaluations will include a survey of
participants or beneficiaries to
determine their satisfaction with the
pilot program. VA will make the
evaluation results available to the public
on a VA website on the schedule
identified in VA’s proposal for the pilot
program.
*
*
*
*
*
The Regulatory Flexibility Act, 5
U.S.C. 601–612, is not applicable to this
rulemaking because notice of proposed
rulemaking is not required. 5 U.S.C.
601(2), 603(a), 604(a).
Administrative practice and
procedure, Alcohol abuse, Alcoholism,
Claims, Day care, Dental health, Drug
abuse, Foreign relations, Government
contracts, Grant programs-health, Grant
programs-veterans, Health care, Health
facilities, Health professions, Health
records, Homeless, Medical and dental
schools, Medical devices, Medical
research, Mental health programs,
Nursing homes, Philippines, Reporting
and recordkeeping requirements,
Scholarships and fellowships, Travel
and transportation expenses, Veterans.
Unfunded Mandates
Signing Authority
40 CFR Part 81
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 final rule will have no
Denis McDonough, Secretary of
Veterans Affairs, approved this
document on July 23, 2024, and
authorized the undersigned to sign and
submit the document to the Office of the
Federal Register for publication
[EPA–R01–OAR–2024–0325; FRL–12126–
01–R1]
Regulatory Flexibility Act
ddrumheller on DSK120RN23PROD with RULES1
60827
VerDate Sep<11>2014
16:45 Jul 26, 2024
Jkt 262001
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[FR Doc. 2024–16601 Filed 7–26–24; 8:45 am]
BILLING CODE 8320–01–P
ENVIRONMENTAL PROTECTION
AGENCY
Designations of Areas for Air Quality
Planning Purposes; Connecticut;
Greater Connecticut 2015 8-Hour
Ozone Nonattainment Area;
Reclassification to Serious
Environmental Protection
Agency (EPA).
AGENCY:
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]]>Agencies
[Federal Register Volume 89, Number 145 (Monday, July 29, 2024)]
[Rules and Regulations]
[Pages 60825-60827]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-16601]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
38 CFR Part 17
RIN 2900-AR18
Center for Innovation for Care and Payment Update
AGENCY: Department of Veterans Affairs.
ACTION: Final rule.
-----------------------------------------------------------------------
SUMMARY: The Department of Veterans Affairs (VA) amends its medical
regulations governing the Center for Innovation for Care and Payment.
This final rule is making several technical revisions to revise the
organizational alignment of the Center for Innovation for Care and
Payment and to revise where evaluation results are posted for public
review for the pilot programs.
DATES: This rule is effective July 29, 2024.
FOR FURTHER INFORMATION CONTACT: David Au, Executive Director, VHA
[[Page 60826]]
Center for Care and Payment Innovation (14HIL3), 810 Vermont Ave. NW,
Washington, DC 20420. (202-461-7002). (This is not a toll-free
telephone number.)
SUPPLEMENTARY INFORMATION: On June 6, 2018, section 152 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 (the MISSION Act), amended title 38 of the United
States Code (U.S.C.) by adding a new section 1703E. This new section
established the Center for Innovation for Care and Payment (the Center)
and authorized the conduct of pilot programs designed to develop
innovative approaches to testing payment and care models to reduce
expenditures while preserving or enhancing the quality of care
furnished by VA.
On October 25, 2019, VA published a final rule implementing section
1703E in title 38, Code of Federal Regulations (CFR) 17.450. See 84
Federal Register (FR) 57327. This new regulation, which became
effective on November 25, 2019, established the parameters for the
Center in its conduct of pilot programs. These parameters included, but
were not limited to, geographic location decisions, limitations on the
number of pilot programs to be operated at the same time, VA's
evaluation and reporting on the pilot programs, and when VA may expand,
modify, and terminate pilot programs.
As explained in more detail below, we now amend Sec. 17.450 by
making several technical revisions. VA is not making any substantive
edits to the content of Sec. 17.450.
38 CFR 17.450(a)(2)
Current paragraph (a) of Sec. 17.450 sets forth the purpose and
organization of the Center. Paragraph (a)(2) provides that the Center
will not operate within any specific administration within VA but
rather will operate in VA's corporate portfolio, to ensure the limited
number of concurrent pilot programs under Sec. 17.450 are not
redundant of or conflicted by ongoing innovation efforts within any
specific administration. We explained in the proposed rule for Sec.
17.450 that the Center will be operationally independent from any of
VA's three administrations and will be responsible for collaborating
across VA to develop and implement pilot programs under this section.
84 FR 36508 (July 29, 2019). As further explained in proposed
paragraphs (a)(2) and (3), being operationally independent referred to
the decision-making authority of the Center regarding the strategic,
procedural, and tactical aspects of managing the pilot programs under
this section. Id. However, we received public comments indicating that
the proposed language was unclear. See 84 FR 57328-57329 (October 25,
2019). We thus eliminated the reference to and definition of
operational independence in proposed paragraph (a)(2) and redesignated
paragraph (a)(3) to paragraph (a)(2), which is the language in current
38 CFR 17.450(a)(2). We further clarified in the final rule that the
Center is part of VA and acts at the direction of the Secretary, so it
is not ``independent'' from VA. 84 FR 57329.
Consistent with paragraph (a)(2), the Center had operated under
VA's Office of Enterprise Integration (OEI), which is a VA corporate
level office, since November 25, 2019.
However, since April 5, 2021, the Center has operated under the
Office of Discovery, Education, and Affiliate Networks (DEAN) under the
Veterans Health Administration (VHA). The Center moved from OEI to DEAN
to align these pilot programs with other established, complementary
innovation programs that are health-care focused initiatives within VHA
and to enable more efficient and effective oversight and execution of
all pilot programming which enhances care and service delivery for
veterans. As a result, this move has facilitated more efficient daily
operations, while continuing to maintain Department-wide connections
across VA. More specifically, this move has allowed the Center to
leverage the well-established practices of advancing innovation through
the VA innovation lifecycle developed and maintained by DEAN and the
Office of Healthcare Innovation and Learning (HIL) while still
permitting VA to ensure that the pilots managed by the Center are not
redundant of or conflict with ongoing innovation efforts within VA;
DEAN and HIL have several existing partnerships with programs across VA
and have established connections to ensure feedback is considered and
integrated into pilot-programming decision-making. This has been
achieved through formal governance and through structured
collaborations with programs across VA's three administrations (that
is, health, benefits, and memorial affairs). This facilitates cross-
agency communication, prevents redundant or conflicting efforts, and
ensures pilots drive transformational change across VA.
Because the organizational alignment of the Center has moved from
VA's corporate portfolio to VHA, we now amend Sec. 17.450(a)(2) to
reflect that change. However, in order to avoid amending Sec.
17.450(a)(2) in the future in the event that the name of the office
under which the Center will operate changes, we will not add the name
of DEAN and will instead state in Sec. 17.450(a)(2) that the Center
for Innovation for Care and Payment will operate within the Veterans
Health Administration. We are also making a technical edit to the last
part of Sec. 17.450(a)(2), which currently states in part that
concurrent pilot programs under Sec. 17.450 are not redundant of or
conflicted by ongoing innovation efforts within any specific
administration. We are removing the phrase ``conflicted by'' and
replacing it with ``conflicting with'' for clarity. This edit will not
change the meaning of the text.
38 CFR 17.450(g)
Current Sec. 17.450(g) establishes evaluation and reporting
provisions related to the Center. This paragraph states that VA will
evaluate each pilot program operated under this section and report its
findings. Such evaluations may be based on quantitative data,
qualitative data, or both; and whenever appropriate, evaluations will
include a survey of participants or beneficiaries to determine their
satisfaction with the pilot program. This paragraph further states that
VA will make the evaluation results available to the public on the VA
Innovation Center website on the schedule identified in VA's proposal
for the pilot program. As part of this rulemaking, we are revising the
last sentence of paragraph (g) to state that VA will make the
evaluation results available to the public on a VA website on the
schedule identified in VA's proposal for the pilot program. We
reference a VA website instead of the VA Innovation Center website
because the specific name of the website and sub-pages for pilot
programs vary, and referencing a VA website provides consistency and
avoids the potential need for additional regulatory updates; we believe
that the broader identification of a VA website in the regulation will
allow VA to more accurately and consistently identify the location of
the website where the evaluation results for the relevant pilot program
will be published. The website will still be identified on the schedule
in the proposal for such pilot program.
Administrative Procedure Act
This final rule will neither amend the substantive content of the
regulations cited nor have a substantive impact on the public. We are
merely providing technical revisions to revise the
[[Page 60827]]
organizational alignment of the Center for Innovation for Care and
Payment and to revise the location of the website where evaluation
results are posted for public review for the pilot programs.
Consequently, this rule is exempt from the notice-and-comment and
delayed-effective-date requirements as a rule of agency organization,
procedure, or practice pursuant to section 553(b)(A) in Title 5 of
United States Code.
Executive Orders 12866, 13563 and 14094
Executive Order 12866 (Regulatory Planning and Review) 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. Executive Order 14094 (Executive Order on
Modernizing Regulatory Review) supplements and reaffirms the
principles, structures, and definitions governing contemporary
regulatory review established in Executive Order 12866 of September 30,
1993 (Regulatory Planning and Review), and Executive Order 13563 of
January 18, 2011 (Improving Regulation and Regulatory Review). The
Office of Information and Regulatory Affairs has determined that this
rulemaking is not a significant regulatory action under Executive Order
12866, as amended by Executive Order 14094. The Regulatory Impact
Analysis associated with this rulemaking can be found as a supporting
document at www.regulations.gov.
Regulatory Flexibility Act
The Regulatory Flexibility Act, 5 U.S.C. 601-612, is not applicable
to this rulemaking because notice of proposed rulemaking is not
required. 5 U.S.C. 601(2), 603(a), 604(a).
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 final rule will have no such effect on
State, local, and Tribal governments, or on the private sector.
Paperwork Reduction Act
This final rule contains no provisions constituting a collection of
information under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-
3521).
Congressional Review Act
Pursuant to Subtitle E of the Small Business Regulatory Enforcement
Fairness Act of 1996 (known as the Congressional Review Act) (5 U.S.C.
801 et seq.), the Office of Information and Regulatory Affairs
designated this rule as not satisfying the criteria under 5 U.S.C.
804(2).
Assistance Listing
The Assistance Listing numbers and titles for the programs affected
by this document are as follows: 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; 64.014, Veterans State Domiciliary Care; 64.015,
Veterans State Nursing Home Care; 64.016, Veterans State Hospital Care;
64.018, Sharing Specialized Medical Resources; 64.019, Veterans
Rehabilitation Alcohol and Drug Dependence; and 64.022, Veterans Home
Based Primary Care.
List of Subjects in 38 CFR Part 17
Administrative practice and procedure, Alcohol abuse, Alcoholism,
Claims, Day care, Dental health, Drug abuse, Foreign relations,
Government contracts, Grant programs-health, Grant programs-veterans,
Health care, Health facilities, Health professions, Health records,
Homeless, Medical and dental schools, Medical devices, Medical
research, Mental health programs, Nursing homes, Philippines, Reporting
and recordkeeping requirements, Scholarships and fellowships, Travel
and transportation expenses, Veterans.
Signing Authority
Denis McDonough, Secretary of Veterans Affairs, approved this
document on July 23, 2024, 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 stated in the preamble, the Department of Veterans
Affairs amends 38 CFR part 17 as set forth below:
PART 17--MEDICAL
0
1. The general authority citation for part 17 continues to read as
follows:
Authority: 38 U.S.C. 501, and as noted in specific sections.
0
2. Amend Sec. 17.450 by revising paragraphs (a)(2) and (g) to read as
follows:
Sec. 17.450 Center for Innovation for Care and Payment.
(a) * * *
(2) The Center for Innovation for Care and Payment will operate
within the Veterans Health Administration, which will ensure that the
limited number of concurrent pilots under this section are not
redundant of or conflicting with ongoing innovation efforts within any
specific administration.
* * * * *
(g) Evaluation and reporting. VA will evaluate each pilot program
operated under this section and report its findings. Evaluations may be
based on quantitative data, qualitative data, or both. Whenever
appropriate, evaluations will include a survey of participants or
beneficiaries to determine their satisfaction with the pilot program.
VA will make the evaluation results available to the public on a VA
website on the schedule identified in VA's proposal for the pilot
program.
* * * * *
[FR Doc. 2024-16601 Filed 7-26-24; 8:45 am]
BILLING CODE 8320-01-P
