Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2025; Updating Section 1332 Waiver Public Notice Procedures; Medicaid; Consumer Operated and Oriented Plan (CO-OP) Program; and Basic Health Program; Correcting Amendment, 85431-85432 [2024-24910]

Download as PDF Federal Register / Vol. 89, No. 208 / Monday, October 28, 2024 / Rules and Regulations II. Summary of Errors in the Regulation Text DEPARTMENT OF THE TREASURY 31 CFR Part 33 On page 26424, in the amendatory instruction for § 156.111, we inadvertently noted changes to paragraph (b)(2) and not specifically paragraphs (b)(2)(i) and (ii). Therefore, paragraphs (b)(2)(iii) through (v) were inadvertently deleted. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 435 and 600 III. Waiver of Proposed Rulemaking and Delay in Effective Date Office of the Secretary We ordinarily publish a notice of proposed rulemaking in the Federal Register to provide a period for public comment before the provisions of a rule take effect in accordance with section 553(b) of the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we can waive this notice and comment procedure if the Secretary finds, for good cause, that the notice and comment process is impracticable, unnecessary, or contrary to the public interest, and incorporates a statement of the finding and the reasons therefore in the notice. Section 553(d) of the APA ordinarily requires a 30-day delay in effective date of final rules after the date of their publication in the Federal Register. This 30-day delay in effective date can be waived, however, if an agency finds for good cause that the delay is impracticable, unnecessary, or contrary to the public interest, and the agency incorporates a statement of the findings and its reasons in the rule issued. Our policy on streamlining the process for States to update their Essential Health Benefits (EHB) benchmark plans in the 2025 Payment Notice has previously been subjected to notice and comment procedures. This correcting amendment is consistent with the discussion of this policy in the 2025 Payment Notice and does not make substantive changes to this policy. Instead this correcting amendment merely corrects technical errors, specifically an unintended deletion, in the regulations text caused by an error in the amendatory instructions of the 2025 Payment Notice. As a result, this correcting amendment is intended to ensure that the 2025 Payment Notice accurately reflects the policy adopted in the final rule, which did not otherwise indicate any intention to delete the regulations text that was unintentionally deleted. Therefore, we find that undertaking further notice and comment procedures to incorporate these corrections into the final rule is unnecessary and contrary to the public interest. For the same reasons, we are also waiving the 30-day delay in effective 45 CFR Parts 153, 155, and 156 [CMS–9895–F2] RIN–0938–AV22 Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2025; Updating Section 1332 Waiver Public Notice Procedures; Medicaid; Consumer Operated and Oriented Plan (CO–OP) Program; and Basic Health Program; Correcting Amendment Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Correcting amendment. AGENCY: This document corrects technical and typographical errors in the final rule that appeared in the April 15, 2024 issue of the Federal Register entitled, ‘‘Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2025; Updating Section 1332 Waiver Public Notice Procedures; Medicaid; Consumer Operated and Oriented Plan (CO–OP) Program; and Basic Health Program.’’ The effective date of the final rule was June 4, 2024. DATES: Effective October 28, 2024 and applicable beginning June 4, 2024. FOR FURTHER INFORMATION CONTACT: Dolma Tsering, (301) 448–3925. SUPPLEMENTARY INFORMATION: lotter on DSK11XQN23PROD with RULES1 SUMMARY: I. Background In FR Doc. 2024–07274 of April 15, 2024 (89 FR 26218), the final rule entitled ‘‘Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2025; Updating Section 1332 Waiver Public Notice Procedures; Medicaid; Consumer Operated and Oriented Plan (CO–OP) Program; and Basic Health Program’’ (hereinafter referred to as the 2025 Payment Notice), there were technical errors that are identified and corrected in the regulations text of this correcting amendment. The provisions of this correcting amendment are effective October 28, 2024 and are applicable beginning June 4, 2024. VerDate Sep<11>2014 15:57 Oct 25, 2024 Jkt 265001 PO 00000 Frm 00009 Fmt 4700 Sfmt 4700 85431 date for this correcting amendment. We believe that it is in the public interest to ensure that the regulations text accurately reflects the policy set forth in the 2025 Payment Notice streamlining the process for States to update their EHB-benchmark plans. Thus, delaying the effective date of this correcting amendment would be contrary to the public interest. Therefore, we also find good cause to waive the 30-day delay in effective date. List of Subjects in 45 CFR Part 156 Administrative practice and procedure, Advertising, Advisory committees, Brokers, Conflict of interests, Consumer protection, Grant programs—health, Grants administration, Health care, Health insurance, Health maintenance organization (HMO), Health records, Hospitals, Indians, Individuals with disabilities, Loan programs—health, Medicaid, Organization and functions (Government agencies), Public assistance programs, Reporting and recordkeeping requirements, State and local governments, Sunshine Act, Technical assistance, Women, Youth. For the reasons set forth in the preamble, HHS corrects 45 CFR part 156 by making the following correcting amendments: PART 156—HEALTH INSURANCE ISSUER STANDARDS UNDER THE AFFORDABLE CARE ACT, INCLUDING STANDARDS RELATED TO EXCHANGES 1. The authority citation for part 156 continues to read as follows: ■ Authority: 42 U.S.C. 18021–18024, 18031– 18032, 18041–18042, 18044, 18054, 18061, 18063, 18071, 18082, and 26 U.S.C. 36B. 2. Section 156.111 is amended by adding paragraphs (b)(2)(iii) through (v) to read as follows: ■ § 156.111 State selection of EHBbenchmark plan for plan years beginning on or after January 1, 2020. * * * * * (b) * * * (2) * * * (iii) Not have benefits unduly weighted towards any of the categories of benefits at § 156.110(a); (iv) Provide benefits for diverse segments of the population, including women, children, persons with disabilities, and other groups; and (v) Not include discriminatory benefit designs that contravene the non- E:\FR\FM\28OCR1.SGM 28OCR1 85432 Federal Register / Vol. 89, No. 208 / Monday, October 28, 2024 / Rules and Regulations discrimination standards defined in § 156.125. * * * * * Elizabeth J. Gramling, Executive Secretary to the Department, Department of Health and Human Services. [FR Doc. 2024–24910 Filed 10–25–24; 8:45 am] BILLING CODE 4120–01–M DEPARTMENT OF HOMELAND SECURITY Coast Guard 33 CFR Part 165 [Docket Number USCG–2024–0391] RIN 1625–AA00 Safety Zone; Choctawhatchee Bay, FL Coast Guard, DHS. Temporary final rule. AGENCY: ACTION: The Coast Guard is establishing a temporary safety zone for certain navigable waters of the Choctawhatchee Bay where unexploded ordnances were discovered and a moving safety zone around vessels relocating any unexploded ordnance from Choctawhatchee Bay to the disposal location. The safety zones are needed to protect mariners from the hazards associated with unexploded ordnance clearance operations. Entry of vessels or persons into this zone is prohibited unless specifically authorized by the Captain of the Port Sector Mobile (COTP), or a designated representative. SUMMARY: This rule is effective without actual notice from October 28, 2024 through 11:59 p.m. on December 31, 2024. For the purposes of enforcement, actual notice will be used from 1 p.m. on October 22, 2024, until October 28, 2024. ADDRESSES: To view documents mentioned in this preamble as being available in the docket, go to https:// www.regulations.gov, type USCG–2024– 0391 in the search box and click ‘‘Search.’’ Next, in the Document Type column, select ‘‘Supporting & Related Material.’’ DATES: If you have questions about this rule, call or email MSTC Stacy Stevenson, Waterways Management Division, U.S. Coast Guard; telephone 251–382–8653, email Sectormobilewaterways@uscg.mil. SUPPLEMENTARY INFORMATION: lotter on DSK11XQN23PROD with RULES1 FOR FURTHER INFORMATION CONTACT: I. Table of Abbreviations CFR Code of Federal Regulations VerDate Sep<11>2014 15:57 Oct 25, 2024 Jkt 265001 DHS Department of Homeland Security FR Federal Register NPRM Notice of proposed rulemaking § Section U.S.C. United States Code II. Background Information and Regulatory History The Coast Guard is issuing this temporary final rule under authority in 5 U.S.C. 553(b)(B). This statutory provision authorizes an agency to issue a rule without prior notice and opportunity to comment when the agency for good cause finds that those procedures are ‘‘impracticable, unnecessary, or contrary to the public interest.’’ The Coast Guard finds that good cause exists for not publishing a notice of proposed rulemaking (NPRM) with respect to this rule because it is impracticable and contrary to public interest. It is impracticable to publish an NPRM because we must establish this safety zone by October 22, 2024, and lack sufficient time to provide a reasonable comment period and then consider those comments before issuing the rule. Publishing an NPRM is contrary to public interest because immediate action is needed to protect people and property on the waterway from potential hazards associated with unexploded ordnance operations. Also, under 5 U.S.C. 553(d)(3), the Coast Guard finds that good cause exists for making this rule effective less than 30 days after publication in the Federal Register. Delaying the effective date of this rule is contrary to public interest because it would delay the safety measures necessary to respond to potential safety hazards associated with the unexploded ordnance operations. III. Legal Authority and Need for Rule The Coast Guard is issuing this rule under authority in 46 U.S.C. 70034. The Captain of the Port Sector Mobile (COTP) has determined that the safety zones are necessary for the protection of persons and vessels from potential hazards associated with the unexploded ordnance operations. IV. Discussion of the Rule The Coast Guard is establishing a temporary safety zone on certain navigable waters of the Choctawhatchee Bay within a 5,000 foot radius of approximate position 30°25′38.1″ N, 86°33′32.5″ W, and a moving safety zone within a 600 yard radius from any vessel involved with relocating the unexploded ordnance upon leaving the area where the ordnance was discovered until it is safely positioned in the disposal location. The safety zones will be enforced from 1 p.m. on October 22, PO 00000 Frm 00010 Fmt 4700 Sfmt 4700 2024, until 11:59 p.m. on December 31, 2024. The duration of the zone is intended to protect personnel, vessels, and ensure maritime safety and security in these navigable waters during unexploded ordnance clearing operations. No vessel or person will be permitted to enter the safety zones without obtaining permission from the COTP or a designated representative. V. Regulatory Analyses We developed this rule after considering numerous statutes and Executive orders related to rulemaking. Below we summarize our analyses based on a number of these statutes and Executive orders, and we discuss First Amendment rights of protestors. A. Regulatory Planning and Review Executive Orders 12866 and 13563 direct agencies to assess the costs and benefits of available regulatory alternatives and, if regulation is necessary, to select regulatory approaches that maximize net benefits. This rule has not been designated a ‘‘significant regulatory action,’’ under section 3(f) of Executive Order 12866, as amended by Executive Order 14094 (Modernizing Regulatory Review). Accordingly, this rule has not been reviewed by the Office of Management and Budget (OMB). This regulatory action determination is based on the size, location, duration, and time-of-day of the safety zone. This stationary safety zone will be enforced for approximately 11 weeks or less and prohibit vessel movement on a portion of the Choctawhatchee Bay and a moving safety zone around relocating unexploded ordnances to the disposal location. Moreover, the Coast Guard will issue on scene actual notice via VHF– FM marine channel 16 about the zone, and the rule allows vessels to seek permission to enter the zone. B. Impact on Small Entities The Regulatory Flexibility Act of 1980, 5 U.S.C. 601–612, as amended, requires Federal agencies to consider the potential impact of regulations on small entities during rulemaking. The term ‘‘small entities’’ comprises small businesses, not-for-profit organizations that are independently owned and operated and are not dominant in their fields, and governmental jurisdictions with populations of less than 50,000. The Coast Guard certifies under 5 U.S.C. 605(b) that this rule will not have a significant economic impact on a substantial number of small entities. While some owners or operators of vessels intending to transit the safety zone may be small entities, for the E:\FR\FM\28OCR1.SGM 28OCR1

Agencies

[Federal Register Volume 89, Number 208 (Monday, October 28, 2024)]
[Rules and Regulations]
[Pages 85431-85432]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-24910]



[[Page 85431]]

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DEPARTMENT OF THE TREASURY

31 CFR Part 33

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 435 and 600

Office of the Secretary

45 CFR Parts 153, 155, and 156

[CMS-9895-F2]
RIN-0938-AV22


Patient Protection and Affordable Care Act, HHS Notice of Benefit 
and Payment Parameters for 2025; Updating Section 1332 Waiver Public 
Notice Procedures; Medicaid; Consumer Operated and Oriented Plan (CO-
OP) Program; and Basic Health Program; Correcting Amendment

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

ACTION: Correcting amendment.

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

SUMMARY: This document corrects technical and typographical errors in 
the final rule that appeared in the April 15, 2024 issue of the Federal 
Register entitled, ``Patient Protection and Affordable Care Act, HHS 
Notice of Benefit and Payment Parameters for 2025; Updating Section 
1332 Waiver Public Notice Procedures; Medicaid; Consumer Operated and 
Oriented Plan (CO-OP) Program; and Basic Health Program.'' The 
effective date of the final rule was June 4, 2024.

DATES: Effective October 28, 2024 and applicable beginning June 4, 
2024.

FOR FURTHER INFORMATION CONTACT: Dolma Tsering, (301) 448-3925.

SUPPLEMENTARY INFORMATION:

I. Background

    In FR Doc. 2024-07274 of April 15, 2024 (89 FR 26218), the final 
rule entitled ``Patient Protection and Affordable Care Act, HHS Notice 
of Benefit and Payment Parameters for 2025; Updating Section 1332 
Waiver Public Notice Procedures; Medicaid; Consumer Operated and 
Oriented Plan (CO-OP) Program; and Basic Health Program'' (hereinafter 
referred to as the 2025 Payment Notice), there were technical errors 
that are identified and corrected in the regulations text of this 
correcting amendment. The provisions of this correcting amendment are 
effective October 28, 2024 and are applicable beginning June 4, 2024.

II. Summary of Errors in the Regulation Text

    On page 26424, in the amendatory instruction for Sec.  156.111, we 
inadvertently noted changes to paragraph (b)(2) and not specifically 
paragraphs (b)(2)(i) and (ii). Therefore, paragraphs (b)(2)(iii) 
through (v) were inadvertently deleted.

III. Waiver of Proposed Rulemaking and Delay in Effective Date

    We ordinarily publish a notice of proposed rulemaking in the 
Federal Register to provide a period for public comment before the 
provisions of a rule take effect in accordance with section 553(b) of 
the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we 
can waive this notice and comment procedure if the Secretary finds, for 
good cause, that the notice and comment process is impracticable, 
unnecessary, or contrary to the public interest, and incorporates a 
statement of the finding and the reasons therefore in the notice.
    Section 553(d) of the APA ordinarily requires a 30-day delay in 
effective date of final rules after the date of their publication in 
the Federal Register. This 30-day delay in effective date can be 
waived, however, if an agency finds for good cause that the delay is 
impracticable, unnecessary, or contrary to the public interest, and the 
agency incorporates a statement of the findings and its reasons in the 
rule issued.
    Our policy on streamlining the process for States to update their 
Essential Health Benefits (EHB) benchmark plans in the 2025 Payment 
Notice has previously been subjected to notice and comment procedures. 
This correcting amendment is consistent with the discussion of this 
policy in the 2025 Payment Notice and does not make substantive changes 
to this policy. Instead this correcting amendment merely corrects 
technical errors, specifically an unintended deletion, in the 
regulations text caused by an error in the amendatory instructions of 
the 2025 Payment Notice. As a result, this correcting amendment is 
intended to ensure that the 2025 Payment Notice accurately reflects the 
policy adopted in the final rule, which did not otherwise indicate any 
intention to delete the regulations text that was unintentionally 
deleted. Therefore, we find that undertaking further notice and comment 
procedures to incorporate these corrections into the final rule is 
unnecessary and contrary to the public interest.
    For the same reasons, we are also waiving the 30-day delay in 
effective date for this correcting amendment. We believe that it is in 
the public interest to ensure that the regulations text accurately 
reflects the policy set forth in the 2025 Payment Notice streamlining 
the process for States to update their EHB-benchmark plans. Thus, 
delaying the effective date of this correcting amendment would be 
contrary to the public interest. Therefore, we also find good cause to 
waive the 30-day delay in effective date.

List of Subjects in 45 CFR Part 156

    Administrative practice and procedure, Advertising, Advisory 
committees, Brokers, Conflict of interests, Consumer protection, Grant 
programs--health, Grants administration, Health care, Health insurance, 
Health maintenance organization (HMO), Health records, Hospitals, 
Indians, Individuals with disabilities, Loan programs--health, 
Medicaid, Organization and functions (Government agencies), Public 
assistance programs, Reporting and recordkeeping requirements, State 
and local governments, Sunshine Act, Technical assistance, Women, 
Youth.

    For the reasons set forth in the preamble, HHS corrects 45 CFR part 
156 by making the following correcting amendments:

PART 156--HEALTH INSURANCE ISSUER STANDARDS UNDER THE AFFORDABLE 
CARE ACT, INCLUDING STANDARDS RELATED TO EXCHANGES

0
1. The authority citation for part 156 continues to read as follows:

    Authority:  42 U.S.C. 18021-18024, 18031-18032, 18041-18042, 
18044, 18054, 18061, 18063, 18071, 18082, and 26 U.S.C. 36B.

0
2. Section 156.111 is amended by adding paragraphs (b)(2)(iii) through 
(v) to read as follows:


Sec.  156.111  State selection of EHB-benchmark plan for plan years 
beginning on or after January 1, 2020.

* * * * *
    (b) * * *
    (2) * * *
    (iii) Not have benefits unduly weighted towards any of the 
categories of benefits at Sec.  156.110(a);
    (iv) Provide benefits for diverse segments of the population, 
including women, children, persons with disabilities, and other groups; 
and
    (v) Not include discriminatory benefit designs that contravene the 
non-

[[Page 85432]]

discrimination standards defined in Sec.  156.125.
* * * * *

Elizabeth J. Gramling,
Executive Secretary to the Department, Department of Health and Human 
Services.
[FR Doc. 2024-24910 Filed 10-25-24; 8:45 am]
BILLING CODE 4120-01-M
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