Agency Information Collection Activities: Proposed Collection; Comment Request, 99871-99873 [2024-29002]
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Federal Register / Vol. 89, No. 238 / Wednesday, December 11, 2024 / Notices
The Director, Office of Strategic
Business Initiatives, Office of the Chief
Operating Officer, Centers for Disease
Control and Prevention, has been
delegated the authority to sign Federal
Register notices pertaining to
announcements of meetings and other
committee management activities, for
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The Director, Office of Strategic
Business Initiatives, Office of the Chief
Operating Officer, Centers for Disease
Control and Prevention, has been
delegated the authority to sign Federal
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announcements of meetings and other
committee management activities, for
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Prevention and the Agency for Toxic
Substances and Disease Registry.
Kalwant Smagh,
Director, Office of Strategic Business
Initiatives, Office of the Chief Operating
Officer, Centers for Disease Control and
Prevention.
Kalwant Smagh,
Director, Office of Strategic Business
Initiatives, Office of the Chief Operating
Officer, Centers for Disease Control and
Prevention.
[FR Doc. 2024–29004 Filed 12–10–24; 8:45 am]
[FR Doc. 2024–29008 Filed 12–10–24; 8:45 am]
BILLING CODE 4163–18–P
BILLING CODE 4163–18–P
99871
Time: 10 a.m.–5 p.m., EST.
The meeting is closed to the public.
The Director, Office of Strategic
Business Initiatives, Office of the Chief
Operating Officer, Centers for Disease
Control and Prevention, has been
delegated the authority to sign Federal
Register notices pertaining to
announcements of meetings and other
committee management activities, for
both the Centers for Disease Control and
Prevention and the Agency for Toxic
Substances and Disease Registry.
Kalwant Smagh,
Director, Office of Strategic Business
Initiatives, Office of the Chief Operating
Officer, Centers for Disease Control and
Prevention.
lotter on DSK11XQN23PROD with NOTICES1
[FR Doc. 2024–29009 Filed 12–10–24; 8:45 am]
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
Centers for Disease Control and
Prevention
Notice of Closed Meeting
Disease, Disability, and Injury
Prevention and Control Special
Emphasis Panel (SEP)—TS25–036,
Identify and Evaluate Potential Risk
Factors for ALS; Amended Notice of
Closed Meeting
Pursuant to 5 U.S.C. 1009(d), notice is
hereby given of the following meeting.
The meeting will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended, and the Determination of
the Director, Office of Strategic Business
Initiatives, Office of the Chief Operating
Officer, Centers for Disease Control and
Prevention, pursuant to Public Law 92–
463. The grant applications and the
discussions could disclose confidential
trade secrets or commercial property
such as patentable material, and
personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: Disease,
Disability, and Injury Prevention and
Control Special Emphasis Panel (SEP)—
CE25–026, Rigorously Evaluating
Programs and Policies to Prevent Child
Sexual Abuse and Problematic Sexual
Behavior among Youth.
Dates: April 29–30, 2025.
Times: 10 a.m.–5 p.m., EDT.
Place: Web Conference.
Agenda: To review and evaluate grant
applications.
For Further Information Contact:
Aisha L. Wilkes, M.P.H., Scientific
Review Officer, National Center for
Injury Prevention and Control, Centers
for Disease Control and Prevention,
4770 Buford Highway NE, Mailstop
S106–9, Atlanta, Georgia 30341.
Telephone: (404) 639–6473; Email:
AWilkes@cdc.gov.
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18:17 Dec 10, 2024
Jkt 265001
Centers for Disease Control and
Prevention, Department of Health and
Human Services.
ACTION: Notice.
AGENCY:
FOR FURTHER INFORMATION CONTACT:
Carlisha Gentles, Pharm.D., B.C.P.S.,
C.D.C.E.S., Scientific Review Officer,
National Center for Injury Prevention
and Control, Centers for Disease Control
and Prevention, 4770 Buford Highway
NE, Mailstop S106–9, Atlanta, Georgia
30341. Telephone: (770) 488–1504;
Email: CGentles@cdc.gov.
SUPPLEMENTARY INFORMATION: Notice is
hereby given of a change in the meeting
of the Disease, Disability, and Injury
Prevention and Control Special
Emphasis Panel (SEP)—TS25–036,
Identify and Evaluate Potential Risk
Factors for ALS; February 25–26, 2025,
10 a.m.–5 p.m., EST, web conference, in
the original Federal Register notice. The
meeting notice was published in the
Federal Register on December 2, 2024,
89 FR 95215.
This meeting notice is being amended
to change the meeting dates from a twoday meeting to a one-day meeting. The
notice should read as follows:
Name of Committee: Disease,
Disability, and Injury Prevention and
Control Special Emphasis Panel (SEP)—
TS25–036, Identify and Evaluate
Potential Risk Factors for ALS.
Date: February 25, 2025.
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BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10515 and
CMS–10780]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
AGENCY:
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995
(PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information (including each proposed
extension or reinstatement of an existing
collection of information) and to allow
60 days for public comment on the
proposed action. Interested persons are
invited to send comments regarding our
burden estimates or any other aspect of
this collection of information, including
the necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions,
the accuracy of the estimated burden,
ways to enhance the quality, utility, and
clarity of the information to be
collected, and the use of automated
collection techniques or other forms of
information technology to minimize the
information collection burden.
DATES: Comments must be received by
February 10, 2025.
SUMMARY:
E:\FR\FM\11DEN1.SGM
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99872
Federal Register / Vol. 89, No. 238 / Wednesday, December 11, 2024 / Notices
When commenting, please
reference the document identifier or
OMB control number. To be assured
consideration, comments and
recommendations must be submitted in
any one of the following ways:
1. Electronically. You may send your
comments electronically to https://
www.regulations.gov. Follow the
instructions for ‘‘Comment or
Submission’’ or ‘‘More Search Options’’
to find the information collection
document(s) that are accepting
comments.
2. By regular mail. You may mail
written comments to the following
address: CMS, Office of Strategic
Operations and Regulatory Affairs;
Division of Regulations Development;
Attention: Document Identifier/OMB
Control Number:__Room C4–26–05;
7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, please access the CMS PRA
website by copying and pasting the
following web address into your web
browser: https://www.cms.gov/
Regulations-and-Guidance/Legislation/
PaperworkReductionActof1995/PRAListing
FOR FURTHER INFORMATION CONTACT:
William N. Parham at (410) 786–4669.
SUPPLEMENTARY INFORMATION:
lotter on DSK11XQN23PROD with NOTICES1
ADDRESSES:
Contents
This notice sets out a summary of the
use and burden associated with the
following information collections. More
detailed information can be found in
each collection’s supporting statement
and associated materials (see
ADDRESSES).
CMS–10515 Payment Collections
Operations Contingency Plan
CMS–10780 Requirements Related to
Surprise Billing: Qualifying Payment
Amount, Notice and Consent,
Disclosure on Patient Protections
Against Balance Billing, and State
Law Opt-in
Under the PRA (44 U.S.C. 3501–
3520), federal agencies must obtain
approval from the Office of Management
and Budget (OMB) for each collection of
information they conduct or sponsor.
The term ‘‘collection of information’’ is
defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests
or requirements that members of the
public submit reports, keep records, or
provide information to a third party.
Section 3506(c)(2)(A) of the PRA
requires federal agencies to publish a
60-day notice in the Federal Register
concerning each proposed collection of
VerDate Sep<11>2014
18:17 Dec 10, 2024
Jkt 265001
information, including each proposed
extension or reinstatement of an existing
collection of information, before
submitting the collection to OMB for
approval. To comply with this
requirement, CMS is publishing this
notice.
Information Collections
1. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Payment
Collections Operations Contingency
Plan; Use: The Patient Protection and
Affordable Care Act, Public Law 111–
148, enacted on March 23, 2010, and the
Health Care and Education
Reconciliation Act, Public Law 111–
152, enacted on March 30, 2010
[collectively, the ‘‘Affordable Care Act’’
(ACA)], provides for consumers to
receive subsidies based on income to
purchase affordable health care on the
Exchanges. The U.S. Department of
Health and Human Services (HHS) uses
a manual process to obtain enrollment
and payment data from issuers in States
transitioning from Federally-facilitated
Exchanges (FFEs) and State-based
Exchanges on the Federal platform
(SBE–FPs) to State-based Exchanges
(SBEs) to facilitate the payment of
subsidies to issuers on behalf of eligible
enrollees. This document describes the
data collection requirements related to
this manual process, known as the
Enrollment and Payment Data template.
This extension reduces burden
compared to the currently approved
collection based on recent program
experience. Form Number: CMS–10515
(OMB Control Number: 0938–1217);
Frequency: Annually; Affected Public:
Private Sector, Business or other forprofit and not-for-profit institutions;
Number of Respondents: 25; Number of
Responses: 150; Total Annual Hours:
1,500. (For policy questions regarding
this collection, contact Jacquelyn
Rudich at 301–492–5211.)
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Requirements
Related to Surprise Billing: Qualifying
Payment Amount, Notice and Consent,
Disclosure on Patient Protections
Against Balance Billing, and State Law
Opt-in; Use: On December 27, 2020, the
Consolidated Appropriations Act, 2021
(Pub. L. 116–260), which included the
No Surprises Act, was signed into law.
The No Surprises Act provides federal
protections against surprise billing and
limits out-of-network cost sharing under
many of the circumstances in which
surprise medical bills arise most
frequently. The July 13, 2021 interim
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final rules ‘‘Requirements Related to
Surprise Billing; Part I’’ (86 FR 36872,
July 2021 interim final rules) issued by
the Department of Health and Human
Services, the Department of Labor, the
Department of the Treasury, and the
Office of Personnel Management,
implement provisions of the No
Surprises Act that apply to group health
plans, health insurance issuers offering
group or individual health insurance
coverage, and carriers in the Federal
Employees Health Benefits (FEHB)
Program that provide protections against
balance billing and out-of-network cost
sharing with respect to emergency
services, non-emergency services
furnished by nonparticipating providers
related to patient visits to certain types
of participating health care facilities,
and services furnished by
nonparticipating providers of air
ambulance services. The July 2021
interim final rules prohibit
nonparticipating providers, emergency
facilities, and providers of air
ambulance services from balance billing
participants, beneficiaries, and enrollees
in certain situations unless they satisfy
certain notice and consent
requirements.
The No Surprises Act and the July
2021 interim final rules require group
health plans and issuers of health
insurance coverage to provide
information about qualifying payment
amounts (QPAs) to nonparticipating
providers and facilities and to provide
disclosures on patient protections
against balance billing to participants,
beneficiaries and enrollees. Self-insured
plans opting in to a specified state law
are required to provide a disclosure to
participants. Certain nonparticipating
providers and nonparticipating
emergency facilities may provide
participants, beneficiaries, and enrollees
with notice and obtain their consent to
waive balance billing protections,
provided certain requirements are met.
In addition, certain providers and
facilities are required to provide
disclosures on patient protections
against balance billing to participants,
beneficiaries and enrollees. The No
Surprises Act requires the Secretary of
HHS to audit no more than 25 group
health plans and health insurance
issuers offering group or individual
health insurance coverage annually, and
permits additional audits based on
complaints, to ensure that such plans
and coverage are in compliance with the
requirement of applying a QPA and that
the QPA applied satisfies the definition
under the No Surprises Act with respect
to the year involved. Form Number:
CMS–10780 (OMB control number:
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Federal Register / Vol. 89, No. 238 / Wednesday, December 11, 2024 / Notices
0938–1401); Frequency: On Occasion;
Affected Public: Individuals, State,
Local, or Tribal Governments, Private
Sector; Number of Respondents:
2,477,197; Total Annual Responses:
85,148,199; Total Annual Hours:
6,006,654. (For policy questions
regarding this collection, contact Russell
Tipps at 667–290–9640.)
William N. Parham III,
Director, Division of Information Collections
and Regulatory Impacts, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2024–29002 Filed 12–10–24; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–3460–FN]
Medicare and Medicaid Programs:
Approval of Application by the DNV
Healthcare USA, Inc. for Continued
CMS-Approval of Its Critical Access
Hospital Accreditation Program
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
This notice acknowledges the
approval of an application by the DNV
Healthcare USA, Inc., for continued
recognition as a national accrediting
organization for Critical Access
Hospitals that wish to participate in the
Medicare or Medicaid programs.
FOR FURTHER INFORMATION CONTACT:
Caecilia Andrews, (410) 786–2190.
SUPPLEMENTARY INFORMATION:
SUMMARY:
lotter on DSK11XQN23PROD with NOTICES1
I. Background
Under the Medicare program, eligible
beneficiaries may receive covered
services in a critical access hospital
(CAH), provided that the facility meets
certain requirements. Sections
1820(c)(2)(B), 1820(e), and 1861(mm)(1)
of the Social Security Act (the Act)
establish distinct criteria for facilities
seeking designation as a CAH.
Regulations concerning provider
agreements are at 42 CFR part 489 and
those pertaining to activities relating to
the survey and certification of facilities
are at 42 CFR part 488. Our regulations
at 42 CFR part 485, subpart F specify the
conditions of participation (CoPs) that a
CAH must meet to participate in the
Medicare program, the scope of covered
services, and the conditions for
Medicare payment for CAHs. The
regulations at § 485.647 specify that a
CAH’s psychiatric or rehabilitation
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18:17 Dec 10, 2024
Jkt 265001
distinct part unit (DPU), if any, must
meet the hospital requirements
specified in subparts A, B, C, and D of
part 482 in order for the CAH DPU to
participate in the Medicare program.
Prior to becoming a CAH, to enter into
an agreement, a CAH must first be
certified by a state survey agency as a
hospital complying with the conditions
of participation at 42 CFR part 482. It
then can convert to a CAH by complying
with the conditions or requirements at
part 485, subpart F. Thereafter, the CAH
is subject to regular surveys by a state
survey agency to determine whether it
continues to meet these requirements.
However, there is an alternative to
surveys by state agencies. Certification
by a nationally recognized accreditation
program can substitute for ongoing state
review.
Section 1865(a)(1) of the Act provides
that, if a provider entity demonstrates
through accreditation by a Centers for
Medicare & Medicaid Services (CMS)
approved national accrediting
organization (AO) that all applicable
Medicare requirements are met or
exceeded, we will deem those provider
entities as having met such
requirements. Accreditation by an AO is
voluntary and is not required for
Medicare participation.
If an AO is recognized by the
Secretary of the Department of Health
and Human Services (the Secretary) as
having standards for accreditation that
meet or exceed Medicare requirements,
any provider entity accredited by the
national accrediting body’s approved
program would be deemed to meet the
Medicare requirements. A national AO
applying for approval of its
accreditation program under 42 CFR
part 488, subpart A, must provide CMS
with reasonable assurance that the AO
requires the accredited provider entities
to meet requirements that are at least as
stringent as the Medicare requirements.
Our regulations concerning the
approval of AOs are at §§ 488.4 and
488.5. The regulations at § 488.5(e)(2)(i)
require an AO to reapply for continued
approval of its accreditation program
every 6 years or sooner, as determined
by CMS. This notice is to announce our
continued approval of the DNV
Healthcare USA, Inc.’s (DNV’s) CAH
accreditation program for a period of 4
years.
II. Application Approval Process
Section 1865(a)(3)(A) of the Act
provides a statutory timetable to ensure
that our review of applications for CMSapproval of an accreditation program is
conducted in a timely manner. The Act
provides us 210 days after the date of
receipt of a complete application, with
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Frm 00047
Fmt 4703
Sfmt 4703
99873
any documentation necessary to make
the determination, to complete our
survey activities and application
process. Within 60 days after receiving
a complete application, we must
publish a notice in the Federal Register
that identifies the national accrediting
body making the request, describes the
request, and provides no less than a 30day public comment period. At the end
of the 210-day period, we must publish
a notice in the Federal Register
approving or denying the application.
III. Provisions of the Proposed Notice
On June 13, 2024, we published a
proposed notice in the Federal Register
(89 FR 50332), announcing DNV’s
request for continued approval of its
Medicare critical hospital accreditation
program. In the proposed notice, we
detailed our evaluation criteria. Under
section 1865(a)(2) of the Act and in our
regulations at § 488.5, we conducted a
review of DNV’s Medicare CAH
accreditation application in accordance
with the criteria specified by our
regulations, which include, but are not
limited to the following:
• An administrative review of DNV’s:
(1) corporate policies; (2) financial and
human resources available to
accomplish the proposed surveys; (3)
procedures for training, monitoring, and
evaluation of its surveyors; (4) ability to
investigate and respond appropriately to
complaints against accredited facilities;
and (5) survey review and decisionmaking process for accreditation.
• A comparison of DNV’s
accreditation to our current Medicare
CAH conditions of participation (CoPs).
• A documentation review of DNV’s
survey process to:
++ Determine the composition of the
survey team, surveyor qualifications,
and DNV’s ability to provide continuing
surveyor training.
++ Compare DNV’s processes to those
of state survey agencies, including
survey frequency, and the ability to
investigate and respond appropriately to
complaints against accredited facilities.
++ Evaluate DNV’s procedures for
monitoring CAHs out of compliance
with DNV’s program requirements. The
monitoring procedures are used only
when DNV identifies noncompliance. If
noncompliance is identified through
validation reviews, the state survey
agency monitors corrections as specified
at § 488.7(d).
++ Assess DNV’s ability to report
deficiencies to the surveyed facilities
and respond to the facility’s plan of
correction in a timely manner.
++ Establish DNV’s ability to provide
CMS with electronic data and reports
necessary for effective validation and
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Agencies
[Federal Register Volume 89, Number 238 (Wednesday, December 11, 2024)]
[Notices]
[Pages 99871-99873]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-29002]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10515 and CMS-10780]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction
Act of 1995 (PRA), federal agencies are required to publish notice in
the Federal Register concerning each proposed collection of information
(including each proposed extension or reinstatement of an existing
collection of information) and to allow 60 days for public comment on
the proposed action. Interested persons are invited to send comments
regarding our burden estimates or any other aspect of this collection
of information, including the necessity and utility of the proposed
information collection for the proper performance of the agency's
functions, the accuracy of the estimated burden, ways to enhance the
quality, utility, and clarity of the information to be collected, and
the use of automated collection techniques or other forms of
information technology to minimize the information collection burden.
DATES: Comments must be received by February 10, 2025.
[[Page 99872]]
ADDRESSES: When commenting, please reference the document identifier or
OMB control number. To be assured consideration, comments and
recommendations must be submitted in any one of the following ways:
1. Electronically. You may send your comments electronically to
https://www.regulations.gov. Follow the instructions for ``Comment or
Submission'' or ``More Search Options'' to find the information
collection document(s) that are accepting comments.
2. By regular mail. You may mail written comments to the following
address: CMS, Office of Strategic Operations and Regulatory Affairs;
Division of Regulations Development; Attention: Document Identifier/OMB
Control Number:__Room C4-26-05; 7500 Security Boulevard, Baltimore,
Maryland 21244-1850.
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, please access
the CMS PRA website by copying and pasting the following web address
into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing
FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the use and burden associated
with the following information collections. More detailed information
can be found in each collection's supporting statement and associated
materials (see ADDRESSES).
CMS-10515 Payment Collections Operations Contingency Plan
CMS-10780 Requirements Related to Surprise Billing: Qualifying Payment
Amount, Notice and Consent, Disclosure on Patient Protections Against
Balance Billing, and State Law Opt-in
Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain
approval from the Office of Management and Budget (OMB) for each
collection of information they conduct or sponsor. The term
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests or requirements that members of
the public submit reports, keep records, or provide information to a
third party. Section 3506(c)(2)(A) of the PRA requires federal agencies
to publish a 60-day notice in the Federal Register concerning each
proposed collection of information, including each proposed extension
or reinstatement of an existing collection of information, before
submitting the collection to OMB for approval. To comply with this
requirement, CMS is publishing this notice.
Information Collections
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Payment
Collections Operations Contingency Plan; Use: The Patient Protection
and Affordable Care Act, Public Law 111-148, enacted on March 23, 2010,
and the Health Care and Education Reconciliation Act, Public Law 111-
152, enacted on March 30, 2010 [collectively, the ``Affordable Care
Act'' (ACA)], provides for consumers to receive subsidies based on
income to purchase affordable health care on the Exchanges. The U.S.
Department of Health and Human Services (HHS) uses a manual process to
obtain enrollment and payment data from issuers in States transitioning
from Federally-facilitated Exchanges (FFEs) and State-based Exchanges
on the Federal platform (SBE-FPs) to State-based Exchanges (SBEs) to
facilitate the payment of subsidies to issuers on behalf of eligible
enrollees. This document describes the data collection requirements
related to this manual process, known as the Enrollment and Payment
Data template. This extension reduces burden compared to the currently
approved collection based on recent program experience. Form Number:
CMS-10515 (OMB Control Number: 0938-1217); Frequency: Annually;
Affected Public: Private Sector, Business or other for-profit and not-
for-profit institutions; Number of Respondents: 25; Number of
Responses: 150; Total Annual Hours: 1,500. (For policy questions
regarding this collection, contact Jacquelyn Rudich at 301-492-5211.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Requirements
Related to Surprise Billing: Qualifying Payment Amount, Notice and
Consent, Disclosure on Patient Protections Against Balance Billing, and
State Law Opt-in; Use: On December 27, 2020, the Consolidated
Appropriations Act, 2021 (Pub. L. 116-260), which included the No
Surprises Act, was signed into law. The No Surprises Act provides
federal protections against surprise billing and limits out-of-network
cost sharing under many of the circumstances in which surprise medical
bills arise most frequently. The July 13, 2021 interim final rules
``Requirements Related to Surprise Billing; Part I'' (86 FR 36872, July
2021 interim final rules) issued by the Department of Health and Human
Services, the Department of Labor, the Department of the Treasury, and
the Office of Personnel Management, implement provisions of the No
Surprises Act that apply to group health plans, health insurance
issuers offering group or individual health insurance coverage, and
carriers in the Federal Employees Health Benefits (FEHB) Program that
provide protections against balance billing and out-of-network cost
sharing with respect to emergency services, non-emergency services
furnished by nonparticipating providers related to patient visits to
certain types of participating health care facilities, and services
furnished by nonparticipating providers of air ambulance services. The
July 2021 interim final rules prohibit nonparticipating providers,
emergency facilities, and providers of air ambulance services from
balance billing participants, beneficiaries, and enrollees in certain
situations unless they satisfy certain notice and consent requirements.
The No Surprises Act and the July 2021 interim final rules require
group health plans and issuers of health insurance coverage to provide
information about qualifying payment amounts (QPAs) to nonparticipating
providers and facilities and to provide disclosures on patient
protections against balance billing to participants, beneficiaries and
enrollees. Self-insured plans opting in to a specified state law are
required to provide a disclosure to participants. Certain
nonparticipating providers and nonparticipating emergency facilities
may provide participants, beneficiaries, and enrollees with notice and
obtain their consent to waive balance billing protections, provided
certain requirements are met. In addition, certain providers and
facilities are required to provide disclosures on patient protections
against balance billing to participants, beneficiaries and enrollees.
The No Surprises Act requires the Secretary of HHS to audit no more
than 25 group health plans and health insurance issuers offering group
or individual health insurance coverage annually, and permits
additional audits based on complaints, to ensure that such plans and
coverage are in compliance with the requirement of applying a QPA and
that the QPA applied satisfies the definition under the No Surprises
Act with respect to the year involved. Form Number: CMS-10780 (OMB
control number:
[[Page 99873]]
0938-1401); Frequency: On Occasion; Affected Public: Individuals,
State, Local, or Tribal Governments, Private Sector; Number of
Respondents: 2,477,197; Total Annual Responses: 85,148,199; Total
Annual Hours: 6,006,654. (For policy questions regarding this
collection, contact Russell Tipps at 667-290-9640.)
William N. Parham III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-29002 Filed 12-10-24; 8:45 am]
BILLING CODE 4120-01-P