Department of Health and Human Services August 2020 – Federal Register Recent Federal Regulation Documents

Submission for OMB Review; Temporary Assistance for Needy Families (TANF) Data Reporting for Work Participation (OMB #0970-0338)
Document Number: 2020-19304
Type: Notice
Date: 2020-08-31
Agency: Department of Health and Human Services, Administration for Children and Families
The Administration for Children and Families (ACF) is requesting a 3-year extension of the Temporary Assistance for Needy Families (TANF) Data Reporting for Work Participation (formerly titled the Deficit Reduction Act of 2005 TANF Final Rule; OMB #0970-0338). Information collections include the TANF data verification procedures, the TANF Data Report, the Separate State Program (SSP)Maintenance of Effort (MOE) Data Report, the Caseload Reduction Documentation Process, and the Reasonable Cause/Corrective Compliance Documentation Process. We are proposing to continue these information collections without change.
Product-Specific Guidances; Draft and Revised Draft Guidances for Industry; Availability
Document Number: 2020-19164
Type: Notice
Date: 2020-08-31
Agency: Food and Drug Administration, Department of Health and Human Services
The Food and Drug Administration (FDA or Agency) is announcing the availability of additional draft and revised draft product-specific guidances. The guidances provide product-specific recommendations on, among other things, the design of bioequivalence (BE) studies to support abbreviated new drug applications (ANDAs). In the Federal Register of June 11, 2010, FDA announced the availability of a guidance for industry entitled ``Bioequivalence Recommendations for Specific Products'' that explained the process that would be used to make product-specific guidances available to the public on FDA's website. The guidances identified in this notice were developed using the process described in that guidance.
National Library of Medicine; Notice of Meetings
Document Number: 2020-19100
Type: Notice
Date: 2020-08-31
Agency: Department of Health and Human Services, National Institutes of Health
Principles for Selecting, Developing, Modifying, and Adapting Patient-Reported Outcome Instruments for Use in Medical Device Evaluation; Draft Guidance for Industry, Food and Drug Administration Staff, and Other Stakeholders; Availability
Document Number: 2020-19094
Type: Notice
Date: 2020-08-31
Agency: Food and Drug Administration, Department of Health and Human Services
The Food and Drug Administration (FDA or Agency) is announcing the availability of the draft guidance entitled ``Principles for Selecting, Developing, Modifying, and Adapting Patient-Reported Outcome Instruments for Use in Medical Device Evaluation.'' The FDA encourages the collection, analysis, and integration of patient perspectives in the development, evaluation, and surveillance of medical devices, including digital health technologies. Patient-reported outcome (PRO) instruments facilitate the systematic collection of patient perspectives as scientific evidence to support the regulatory and healthcare decision-making process. This draft guidance describes principles that should be considered when using PRO instruments in the evaluation of medical devices and provides recommendations about the importance of ensuring the measures are ``fit-for-purpose.'' This draft guidance is not final nor is it in effect at this time.
Agency Information Collection Activities: Proposed Collection; Comment Request
Document Number: 2020-19093
Type: Notice
Date: 2020-08-31
Agency: Agency for Healthcare Research and Quality, Department of Health and Human Services
This notice announces the intention of the Agency for Healthcare Research and Quality (AHRQ) to request that the Office of Management and Budget (OMB) approve the proposed information collection project ``Identifying and Testing Strategies for Management of Opioid Use and Misuse in Older Adults in Primary Care Practices.'' This proposed information collection was previously published in the Federal Register on June 8, 202020 and allowed 60 days for public comment. No comments were received by AHRQ. The purpose of this notice is to allow an additional 30 days for public comment.
Agency Information Collection Activities; Announcement of Office of Management and Budget Approvals
Document Number: 2020-19092
Type: Notice
Date: 2020-08-31
Agency: Food and Drug Administration, Department of Health and Human Services
The Food and Drug Administration (FDA) is publishing a list of information collections that have been approved by the Office of Management and Budget (OMB) under the Paperwork Reduction Act of 1995.
Determination of Regulatory Review Period for Purposes of Patent Extension; ELZONRIS
Document Number: 2020-19085
Type: Notice
Date: 2020-08-31
Agency: Food and Drug Administration, Department of Health and Human Services
The Food and Drug Administration (FDA or the Agency) has determined the regulatory review period for ELZONRIS and is publishing this notice of that determination as required by law. FDA has made the determination because of the submission of applications to the Director of the U.S. Patent and Trademark Office (USPTO), Department of Commerce, for the extension of a patent which claims that human biological product.
National Institute of Diabetes and Digestive and Kidney Diseases; Notice of Closed Meeting
Document Number: 2020-19073
Type: Notice
Date: 2020-08-31
Agency: Department of Health and Human Services, National Institutes of Health
National Institute on Deafness and Other Communication Disorders; Amended Notice of Meeting
Document Number: 2020-19072
Type: Notice
Date: 2020-08-31
Agency: Department of Health and Human Services, National Institutes of Health
Center for Scientific Review; Notice of Closed Meetings
Document Number: 2020-19071
Type: Notice
Date: 2020-08-31
Agency: Department of Health and Human Services, National Institutes of Health
National Institute on Deafness and Other Communication Disorders; Notice of Closed Meetings
Document Number: 2020-19070
Type: Notice
Date: 2020-08-31
Agency: Department of Health and Human Services, National Institutes of Health
Submission for OMB Review; Cost Study of Trauma-Specific Evidence-Based Programs Used in the Regional Partnership Grants Program (New Collection)
Document Number: 2020-19066
Type: Notice
Date: 2020-08-31
Agency: Department of Health and Human Services, Administration for Children and Families
The Children's Bureau (CB), Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS), is proposing to collect data for a new descriptive studythe Cost Study of Trauma-Specific Evidence-Based Programs used in the Regional Partnership Grants (RPG) Program.
Determination of Regulatory Review Period for Purposes of Patent Extension; POTELIGEO
Document Number: 2020-19036
Type: Notice
Date: 2020-08-31
Agency: Food and Drug Administration, Department of Health and Human Services
The Food and Drug Administration (FDA or the Agency) has determined the regulatory review period for POTELIGEO and is publishing this notice of that determination as required by law. FDA has made the determination because of the submission of applications to the Director of the U.S. Patent and Trademark Office (USPTO), Department of Commerce, for the extension of a patent which claims that human biological product.
Medicare Program; FY 2016 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements; Correcting Amendment
Document Number: 2020-18905
Type: Rule
Date: 2020-08-31
Agency: Centers for Medicare & Medicaid Services, Department of Health and Human Services
In the August 6, 2015 issue of the Federal Register, we published a final rule that provided hospice quality reporting program updates, including finalizing the proposal to codify the Hospice Quality Reporting Program Submission Extension and Exemption Requirements. The effective date of the final rule was October 1, 2015. This correcting amendment corrects an omission identified in the August 6, 2015 final rule.
Submission for OMB Review; Screening Tool for Unaccompanied Alien Children Program Staff and Visitors (New Collection)
Document Number: 2020-19024
Type: Notice
Date: 2020-08-28
Agency: Department of Health and Human Services, Administration for Children and Families
The Office of Refugee Resettlement (ORR), Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS), is proposing to continue use of a coronavirus (COVID- 19) screening form for Unaccompanied Alien Children (UAC) program staff and visitors at ORR-funded programs. The form was originally approved under emergency approval for 6 months. ACF is requesting a 3-year extension of this information collection.
Proposed Data Collection Submitted for Public Comment and Recommendations
Document Number: 2020-19010
Type: Notice
Date: 2020-08-28
Agency: Centers for Disease Control and Prevention, Department of Health and Human Services
The Centers for Disease Control and Prevention (CDC), as part of its continuing effort to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies the opportunity to comment on a proposed and/or continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled ``Cruise Operator COVID-19 Response Plans,'' which will provide CDC with the ability require cruise ship operators to submit plans outlining their response procedures for preventing the spread of COVID-19 onboard, and for preventing the use of scarce U.S. domestic resources in response to COVID-19 cases originating on cruise ships.
Proposed Data Collection Submitted for Public Comment and Recommendations
Document Number: 2020-18997
Type: Notice
Date: 2020-08-28
Agency: Centers for Disease Control and Prevention, Department of Health and Human Services
The Centers for Disease Control and Prevention (CDC), as part of its continuing effort to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies the opportunity to comment on a proposed and/or continuing information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled ``Evaluation of Medication- Assisted Treatment (MAT) for Opioid use disorder.'' CDC will use the collection to continue the epidemiologic study to assess the type of MAT (methadone maintenance; buprenorphine; naltrexone; or, counseling, no MAT), and the contextual, provider, and individual factors that influence implementation and improved patient wellbeing.
Proposed Data Collection Submitted for Public Comment and Recommendations
Document Number: 2020-18996
Type: Notice
Date: 2020-08-28
Agency: Centers for Disease Control and Prevention, Department of Health and Human Services
The Centers for Disease Control and Prevention (CDC), as part of its continuing efforts to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies to take this opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995. This notice invites comment on ``Availability, Use, and Public Health Impact of Emergency Supply Kits among Disaster- Affected Populations.'' The goal of this study is to determine the efficacy and public health impact of emergency supply kits among disaster-affected populations to understand how emergency supply kits are used during and after a natural disaster, if public health outcomes are associated with access to emergency supply kits, and what the most useful items to include in an emergency supply kit are across different types of disasters.
Agency Forms Undergoing Paperwork Reduction Act Review
Document Number: 2020-18995
Type: Notice
Date: 2020-08-28
Agency: Centers for Disease Control and Prevention, Department of Health and Human Services
Agency Forms Undergoing Paperwork Reduction Act Review
Document Number: 2020-18994
Type: Notice
Date: 2020-08-28
Agency: Centers for Disease Control and Prevention, Department of Health and Human Services
Prospective Grant of an Exclusive Patent License: Anti-CD56 as an Antibody-Drug Conjugate (“ADC”) or Non-ADC To Target Glioblastoma Either Alone or in Combination With Other Potential Immuno-Oncology Drugs.
Document Number: 2020-18988
Type: Notice
Date: 2020-08-28
Agency: Department of Health and Human Services, National Institutes of Health
The National Cancer Institute, an institute of the National Institutes of Health, Department of Health and Human Services, is contemplating the grant of an Exclusive Patent License to practice the inventions embodied in the Patents and Patent Applications listed in the Supplementary Information section of this notice to Connectyx Technologies Holdings Group (``Connectyx'') located in Boca Raton, FL.
National Cancer Institute; Notice of Meeting
Document Number: 2020-18986
Type: Notice
Date: 2020-08-28
Agency: Department of Health and Human Services, National Institutes of Health
Vaccines and Related Biological Products Advisory Committee; Notice of Meeting
Document Number: 2020-18985
Type: Notice
Date: 2020-08-28
Agency: Food and Drug Administration, Department of Health and Human Services
The Food and Drug Administration (FDA or Agency) announces a forthcoming public advisory committee meeting of the Vaccines and Related Biological Products Advisory Committee. The general function of the committee is to provide advice and recommendations to the Agency on FDA's regulatory issues. The meeting will be open to the public.
Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting
Document Number: 2020-18957
Type: Notice
Date: 2020-08-28
Agency: Department of Health and Human Services, National Institutes of Health
Center for Scientific Review; Notice of Closed Meeting
Document Number: 2020-18955
Type: Notice
Date: 2020-08-28
Agency: Department of Health and Human Services, National Institutes of Health
Patient Engagement Advisory Committee; Notice of Meeting
Document Number: 2020-18953
Type: Notice
Date: 2020-08-28
Agency: Food and Drug Administration, Department of Health and Human Services
The Food and Drug Administration (FDA) is announcing a forthcoming public advisory committee meeting of the Patient Engagement Advisory Committee. The general function of the committee is to provide advice to the Commissioner, or designee, on complex issues relating to medical devices, the regulation of devices, and their use by patients. The meeting will be open to the public.
Joint Meeting of the Psychopharmacologic Drugs Advisory Committee and the Drug Safety and Risk Management Advisory Committee; Notice of Meeting; Establishment of a Public Docket; Request for Comments
Document Number: 2020-18951
Type: Notice
Date: 2020-08-28
Agency: Food and Drug Administration, Department of Health and Human Services
The Food and Drug Administration (FDA) announces a forthcoming public advisory committee meeting of the Joint Meeting of the Psychopharmacologic Drugs Advisory Committee and the Drug Safety and Risk Management Advisory Committee. The general function of the committee is to provide advice and recommendations to FDA on regulatory issues. The meeting will be open to the public. FDA is establishing a docket for public comment on this document.
Center for Scientific Review; Notice of Closed Meetings
Document Number: 2020-18929
Type: Notice
Date: 2020-08-28
Agency: Department of Health and Human Services, National Institutes of Health
National Institute on Aging; Notice of Closed Meeting
Document Number: 2020-18927
Type: Notice
Date: 2020-08-28
Agency: Department of Health and Human Services, National Institutes of Health
NIH Bethesda Surgery, Radiology and Laboratory Medicine Record of Decision
Document Number: 2020-18926
Type: Notice
Date: 2020-08-28
Agency: Department of Health and Human Services, National Institutes of Health
The Department of Health and Human Services, the National Institutes of Health (NIH), has decided, after completion of a Final Environmental Impact Statement (FEIS) and a thorough consideration of the public comments on the Draft EIS, to implement the Proposed Action, referred to as the Proposed Action in the Final EIS. The Surgery, Radiology and Laboratory Medicine (SRLM) action is for construction of an additional 527,100 gross square feet (gsf) to the exiting Building 10. In addition to 527,100 gsf of space in the new building, the Proposed Action will include renovation of 102,600 gsf of existing space within the West Laboratory Wing of the Clinical Research Center. The footprint of the SRLM will occupy 55,500 gsf. A proposed patient parking garage is also included in the proposed action. The proposed garage will be a multi-level, self-park garage, accommodating approximately 780 cars.
Meeting of the National Clinical Care Commission
Document Number: 2020-18917
Type: Notice
Date: 2020-08-28
Agency: Department of Health and Human Services
The National Clinical Care Commission (the Commission) will conduct a virtual meeting on September 11, 2020. The Commission is charged to evaluate and make recommendations to the U.S. Department of Health and Human Services (HHS) Secretary and Congress regarding improvements to the coordination and leveraging of federal programs related to diabetes and its complications.
Head Start Designation Renewal System
Document Number: 2020-17746
Type: Rule
Date: 2020-08-28
Agency: Department of Health and Human Services, Administration for Children and Families
This final rule refines how the Office of Head Start uses deficiencies, Classroom Assessment Scoring System: Pre-K (CLASS[supreg]) scores, and audit findings for designation renewal. It also streamlines and updates the regulatory provisions on designation renewal to make them easier to understand.
Medicare Program; FY 2021 Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) and Special Requirements for Psychiatric Hospitals for Fiscal Year Beginning October 1, 2020 (FY 2021); Correction
Document Number: 2020-18902
Type: Rule
Date: 2020-08-27
Agency: Centers for Medicare & Medicaid Services, Department of Health and Human Services
In the August 4, 2020 issue of the Federal Register, we published a final rule entitled ``FY 2021 Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) and Special Requirements for Psychiatric Hospitals for Fiscal Year Beginning October 1, 2020 (FY 2021)''. The August 4, 2020 final rule updates the prospective payment rates, the outlier threshold, and the wage index for Medicare inpatient hospital services provided by Inpatient Psychiatric Facilities (IPF), which include psychiatric hospitals and excluded psychiatric units of an Inpatient Prospective Payment System (IPPS) hospital or critical access hospital. In addition, we adopted more recent Office of Management and Budget (OMB) statistical area delineations, and applied a 2-year transition for all providers negatively impacted by wage index changes. This correction document corrects the statement of economic significance in the August 4, 2020 final rule.
Agency Information Collection Activities: Proposed Collection: Public Comment Request; Information Collection Request Title: Be the Match® Patient Support Center Survey; OMB No. 0906-0004-Revision
Document Number: 2020-18895
Type: Notice
Date: 2020-08-27
Agency: Department of Health and Human Services, Health Resources and Services Administration
In compliance with the Paperwork Reduction Act of 1995, HRSA submitted an Information Collection Request (ICR) to the Office of Management and Budget (OMB) for review and approval. Comments submitted during the first public review of this ICR will be provided to OMB. OMB will accept further comments from the public during the review and approval period. OMB may act on HRSA's ICR only after the 30 day comment period for this notice has closed.
Evaluating Cancer Drugs in Patients With Central Nervous System Metastases; Draft Guidance for Industry; Availability
Document Number: 2020-18894
Type: Notice
Date: 2020-08-27
Agency: Food and Drug Administration, Department of Health and Human Services
The Food and Drug Administration (FDA or Agency) is announcing the availability of a draft guidance for industry entitled ``Evaluating Cancer Drugs in Patients with Central Nervous System Metastases.'' This draft guidance document provides recommendations regarding the design of clinical trials of drugs and biological products regulated by the Center for Drug Evaluation and Research (CDER) and the Center for Biologics Evaluation and Research (CBER) that are intended to support product labeling describing the antitumor activity in patients with central nervous system (CNS) metastases from solid tumors originating outside the CNS. The draft guidance includes study design recommendations regarding the patient population, available therapy, prior therapies, assessment of CNS disease, study endpoints, and leptomeningeal disease.
National Center for Advancing Translational Sciences; Notice of Closed Meeting
Document Number: 2020-18882
Type: Notice
Date: 2020-08-27
Agency: Department of Health and Human Services, National Institutes of Health
National Institute of Dental & Craniofacial Research; Notice of Closed Meeting
Document Number: 2020-18881
Type: Notice
Date: 2020-08-27
Agency: Department of Health and Human Services, National Institutes of Health
National Institute of Dental & Craniofacial Research; Notice of Closed Meeting
Document Number: 2020-18880
Type: Notice
Date: 2020-08-27
Agency: Department of Health and Human Services, National Institutes of Health
Patient Safety Organizations: Voluntary Relinquishment for the Institute for Safe Medication Practices (ISMP)
Document Number: 2020-18877
Type: Notice
Date: 2020-08-27
Agency: Agency for Healthcare Research and Quality, Department of Health and Human Services
The Patient Safety and Quality Improvement Final Rule (Patient Safety Rule) authorizes AHRQ, on behalf of the Secretary of HHS, to list as a patient safety organization (PSO) an entity that attests that it meets the statutory and regulatory requirements for listing. A PSO can be ``delisted'' by the Secretary if it is found to no longer meet the requirements of the Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act) and Patient Safety Rule, when a PSO chooses to voluntarily relinquish its status as a PSO for any reason, or when a PSO's listing expires. AHRQ accepted a notification of proposed voluntary relinquishment from the Institute for Safe Medication Practices (ISMP), PSO number P0009, of its status as a PSO, and has delisted the PSO accordingly.
Medicare Program; Modernizing and Clarifying the Physician Self-Referral Regulations Extension of Timeline for Publication of Final Rule
Document Number: 2020-18867
Type: Proposed Rule
Date: 2020-08-27
Agency: Centers for Medicare & Medicaid Services, Department of Health and Human Services
This notice announces an extension of the timeline for publication of a Medicare final rule in accordance with the Social Security Act, which allows us to extend the timeline for publication of the final rule.
Solicitation of Nominations for Membership To Serve on Tribal Advisory Council
Document Number: 2020-18865
Type: Notice
Date: 2020-08-27
Agency: Department of Health and Human Services, Health Resources and Services Administration
HRSA is seeking additional nominations of qualified tribal officials as candidates for consideration for appointment as voluntary delegate members of the HRSA Tribal Advisory Council (TAC), which is being established. Specifically, HRSA requests submissions of nominations of qualified tribal officials from the Indian Health Service (IHS) geographic areas of: Alaska; Albuquerque; Billings; Navajo; Phoenix; and Tucson. Nominations for membership must be received on or before September 30, 2020. This will allow tribes and tribal serving organizations from the IHS geographic areas noted above, the additional time needed to identify qualified tribal officials as candidates and submit comprehensive nomination packages.
National Institute of Biomedical Imaging and Bioengineering; Notice of Closed Meeting
Document Number: 2020-18817
Type: Notice
Date: 2020-08-27
Agency: Department of Health and Human Services, National Institutes of Health
Privacy Act of 1974; System of Records
Document Number: 2020-18805
Type: Notice
Date: 2020-08-27
Agency: Centers for Disease Control and Prevention, Department of Health and Human Services
In accordance with the requirements of the Privacy Act of 1974, as amended, the Department of Health and Human Services (HHS) is establishing a new system of records to be maintained by the Centers for Disease Control and Prevention, 09-20-0180, ``Electronic Import Permit Program Portal (eIPP Portal).'' The system of records will be used by CDC to monitor the importation of infectious biological agents, infectious substances, and vectors of human disease.
National Cancer Institute; Notice of Meeting
Document Number: 2020-18675
Type: Notice
Date: 2020-08-25
Agency: Department of Health and Human Services, National Institutes of Health
Submission for OMB Review; Case Plan Requirement, Title IV-E of the Social Security Act
Document Number: 2020-18652
Type: Notice
Date: 2020-08-25
Agency: Department of Health and Human Services, Administration for Children and Families
The Administration on Children, Youth and Families (ACYF), Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS), is requesting a 3-year extension of the information collectionCase Plan Requirement, Title IV-E of the Social Security Act, (OMB #0970-0428, expiration 3/31/2021). ACF is reporting a change to the information collectionthe burden estimates in the previously-approved request were based on the children in foster care as the respondent instead of the agency completing the case plan. The burden estimates, therefore, are adjusted accordingly.
Issuance of Priority Review Voucher; Rare Pediatric Disease Product
Document Number: 2020-18648
Type: Notice
Date: 2020-08-25
Agency: Food and Drug Administration, Department of Health and Human Services
The Food and Drug Administration (FDA) is announcing the issuance of a priority review voucher to the sponsor of a rare pediatric disease product application. The Federal Food, Drug, and Cosmetic Act (FD&C Act), as amended by the Food and Drug Administration Safety and Innovation Act (FDASIA), authorizes FDA to award priority review vouchers to sponsors of approved rare pediatric disease product applications that meet certain criteria. FDA is required to publish notice of the award of the priority review voucher. FDA has determined that EVRYSDI (risdiplam), manufactured by Genentech Inc., meets the criteria for a priority review voucher.
Agency Information Collection Activities; Submission for Office of Management and Budget Review; Comment Request; Submission of Petitions-Food Additive, Color Additive (Including Labeling), Submission of Information to a Master File in Support of Petitions; and Electronic Submission Using Food and Drug Administration Form 3503
Document Number: 2020-18602
Type: Notice
Date: 2020-08-25
Agency: Food and Drug Administration, Department of Health and Human Services
The Food and Drug Administration (FDA) is announcing that a proposed collection of information has been submitted to the Office of Management and Budget (OMB) for review and clearance under the Paperwork Reduction Act of 1995.
Center for Scientific Review; Notice of Meeting
Document Number: 2020-18571
Type: Notice
Date: 2020-08-25
Agency: Department of Health and Human Services, National Institutes of Health
Meeting of the Advisory Committee on Infant Mortality
Document Number: 2020-18565
Type: Notice
Date: 2020-08-25
Agency: Department of Health and Human Services, Health Resources and Services Administration
In accordance with the Federal Advisory Committee Act, this notice announces that the Secretary's Advisory Committee on Infant Mortality (ACIM or Committee) has scheduled a public meeting. Information about ACIM and the agenda for this meeting can be found on the ACIM website at https://www.hrsa.gov/advisory-committees/infant- mortality/.
Third Amendment to Declaration Under the Public Readiness and Emergency Preparedness Act for Medical Countermeasures Against COVID-19
Document Number: 2020-18542
Type: Notice
Date: 2020-08-24
Agency: Department of Health and Human Services, Office of the Secretary
The Secretary issues this amendment pursuant to section 319F-3 of the Public Health Service Act to add additional categories of Qualified Persons and amend the category of disease, health condition, or threat for which he recommends the administration or use of the Covered Countermeasures.
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