CFR Title 45 Public Welfare

CFR Title 45 Public Welfare

CFR DataTable of FEDERAL REGISTER Activity

PublishedTypeAgencyAgency NameTitleExcerptsFRDocPDFHTMLAbstract
PublishedTypeAgencyAgency NameTitleExcerptsFRDocPDFHTMLAbstract
05/03/2018RuleDEPARTMENT OF THE TREASURYTreasury DepartmentClarification of Final Rules for Grandfathered Plans, Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, Dependent Coverage, Appeals, and Patient Protections Under the Affordable Care ActOn November 18, 2015, the Departments of Labor, Health and Human Services, and the Treasury (the Departments) published a final rule in the Federal Register titled ``Final Rules for Grandfathered Plans, Preexisting Condition Exclusions, Lifetime and...2018-09369FR-Doc-2018-09369Clarification-Of-Final-Rules-For-Grandfathered-Plans-Preexisting-Condition-Exclusions-Lifetime-AndOn November 18, 2015, the Departments of Labor, Health and Human Services, and the Treasury (the Departments) published a final rule in the Federal Register titled ``Final Rules for Grandfathered Plans, Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, Dependent Coverage, Appeals, and Patient Protections Under the Affordable Care Act'' (the November 2015 final rule), regarding, in part, the coverage of emergency services by non-grandfathered group health plans and health insurance issuers offering non-grandfathered group or individual health insurance coverage, including the requirement that non-grandfathered group health plans and health insurance issuers offering non-grandfathered group or individual health insurance coverage limit cost-sharing for out-of-network emergency services and, as part of that rule, pay at least a minimum amount for out-of-network emergency services. The American College of Emergency Physicians (ACEP) filed a complaint in the United States District Court for the District of Columbia, which on August 31, 2017 granted in part and denied in part without prejudice ACEP's motion for summary judgment and remanded the case to the Departments to respond to the public comments from ACEP and others. In response, the Departments are issuing this notice of clarification to provide a more thorough explanation of the Departments' decision not to adopt recommendations made by ACEP and certain other commenters in the November 2015 final rule.
04/26/2018Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentAdoption and Foster Care Analysis and Reporting SystemThis document corrects the Regulatory Identification Number (RIN) that appeared in the heading of a Notice of Proposed Rulemaking published in the Federal Register of March 15, 2018. Through that document, the Children's Bureau proposed to delay the...2018-08736FR-Doc-2018-08736Adoption-And-Foster-Care-Analysis-And-Reporting-SystemThis document corrects the Regulatory Identification Number (RIN) that appeared in the heading of a Notice of Proposed Rulemaking published in the Federal Register of March 15, 2018. Through that document, the Children's Bureau proposed to delay the compliance and effective dates in the Adoption and Foster Care Analysis and Reporting System (AFCARS) 2016 final rule for title IV-E agencies to comply with agency rules for an additional two fiscal years.
04/20/2018Proposed RuleDEPARTMENT OF HOMELAND SECURITYHomeland Security DepartmentFederal Policy for the Protection of Human Subjects: Proposed Six Month Delay of the General Compliance Date While Allowing the Use of Three Burden-Reducing Provisions During the Delay PeriodIn a final rule published on January 19, 2017, federal departments and agencies made revisions to the Federal Policy for the Protection of Human Subjects (hereafter the ``2018 Requirements''). The Consumer Product Safety Commission (CPSC) adopted the...2018-08231FR-Doc-2018-08231Federal-Policy-For-The-Protection-Of-Human-Subjects-Proposed-Six-Month-Delay-Of-The-GeneralIn a final rule published on January 19, 2017, federal departments and agencies made revisions to the Federal Policy for the Protection of Human Subjects (hereafter the ``2018 Requirements''). The Consumer Product Safety Commission (CPSC) adopted the same regulatory changes in a separate final rule published on September 18, 2017. The 2018 Requirements were scheduled to become effective on January 19, 2018, with a general compliance date of January 19, 2018 (with the exception of the revisions to the cooperative research provision). The departments and agencies listed in this document have also published an interim final rule delaying the effective date and general compliance date for the 2018 Requirements for six months, to cover the time period of January 19, 2018 until July 19, 2018. As per the interim final rule, the effective date of the 2018 Requirements is now July 19, 2018. The departments and agencies listed in this document propose delaying the general compliance date for the 2018 Requirements for an additional six months, for the time period of July 19, 2018 until January 21, 2019. This proposed rule is intended to provide additional time to regulated entities for the preparations necessary to implement the 2018 Requirements. This proposed rule, if finalized, would require regulated entities to continue to comply with the requirements of the current Federal Policy for the Protection of Human Subjects (hereafter the ``pre-2018 Requirements'') until January 21, 2019. This proposal also takes comment on whether to permit institutions to implement, for certain research studies, the following provisions in the 2018 Requirements during the period from July 19, 2018, until January 21, 2019, that the general compliance date is delayed. Those three provisions, intended to reduce burdens on regulated entities, are the 2018 Requirements' definition of ``research,'' which deems certain activities not to be research, the allowance for no annual continuing review of certain categories of research, and the elimination of the requirement that institutional review boards (IRBs) review grant applications related to the research. The way that this option is proposed, regulated entities would be required to comply with all pre- 2018 Requirements during the period that the general compliance date is delayed, except for provisions substituted by the three burden-reducing provisions of the 2018 Requirements. As described in section III, below, this flexibility is proposed only for studies for which an institution makes a choice to transition to comply with the 2018 Requirements, beginning on July 19, 2018. In order to clearly describe this proposed flexibility, including how it would impact institutions choosing to transition research to comply with the 2018 Requirements, this document proposes a redrafted transition provision.
04/18/2018RuleLEGAL SERVICES CORPORATIONLegal Services CorporationRequests for Documents and TestimonyThis final rule governs subpoenas and requests for LSC documents and testimony by non-federal litigants in cases in which LSC is not a party. This rule provides the public with guidance on where to send requests and establishes procedures by which...2018-07964FR-Doc-2018-07964Requests-For-Documents-And-TestimonyThis final rule governs subpoenas and requests for LSC documents and testimony by non-federal litigants in cases in which LSC is not a party. This rule provides the public with guidance on where to send requests and establishes procedures by which those requests will be processed.
04/17/2018RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2019This final rule sets forth payment parameters and provisions related to the risk adjustment and risk adjustment data validation programs; cost-sharing parameters; and user fees for Federally- facilitated Exchanges and State Exchanges on the Federal...2018-07355FR-Doc-2018-07355Patient-Protection-And-Affordable-Care-Act-Hhs-Notice-Of-Benefit-And-Payment-Parameters-For-2019This final rule sets forth payment parameters and provisions related to the risk adjustment and risk adjustment data validation programs; cost-sharing parameters; and user fees for Federally- facilitated Exchanges and State Exchanges on the Federal platform. It finalizes changes that provide additional flexibility to States to apply the definition of essential health benefits (EHB) to their markets, enhance the role of States regarding the certification of qualified health plans (QHPs); and provide States with additional flexibility in the operation and establishment of Exchanges, including the Small Business Health Options Program (SHOP) Exchanges. It includes changes to standards related to Exchanges; the required functions of the SHOPs; actuarial value for stand-alone dental plans; the rate review program; the medical loss ratio program; eligibility and enrollment; exemptions; and other related topics.
04/17/2018RuleLEGAL SERVICES CORPORATIONLegal Services CorporationState Advisory CouncilsThis final rule removes the Legal Services Corporation (LSC) regulation on state advisory councils. LSC believes this action is appropriate because the state advisory councils are no longer active and their oversight functions have been replaced...2018-07963FR-Doc-2018-07963State-Advisory-CouncilsThis final rule removes the Legal Services Corporation (LSC) regulation on state advisory councils. LSC believes this action is appropriate because the state advisory councils are no longer active and their oversight functions have been replaced adequately by other offices and processes established since the regulation was promulgated. Executive Orders 13563, ``Improving Regulation and Regulatory Review,'' and 13771, ``Reducing Regulation and Controlling Regulatory Costs,'' direct agencies to review their existing regulations and repeal or revise any that are obsolete or unnecessarily burdensome. Although LSC is not an agency of the Federal government subject to either Executive order, LSC regularly reviews its regulations and has determined that this regulation can be eliminated.
04/03/2018RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPrivacy Act; ImplementationThe Department of Health and Human Services (HHS or Department), through the National Institutes of Health (NIH), is issuing this final rule to make effective the exemptions that HHS/NIH proposed for a subset of records covered in a new Privacy Act...2018-06676FR-Doc-2018-06676Privacy-Act-ImplementationThe Department of Health and Human Services (HHS or Department), through the National Institutes of Health (NIH), is issuing this final rule to make effective the exemptions that HHS/NIH proposed for a subset of records covered in a new Privacy Act system of records, System No. 09-25-0225, NIH Electronic Research Administration (eRA) Records (NIH eRA Records). The new system covers records used in managing NIH research and development applications and awards throughout the award lifecycle. The listed exemptions are necessary to maintain the integrity of the NIH extramural peer review and award processes, and will enable the agency to prevent, when appropriate, individual record subjects from having access to, and other rights under the Privacy Act with respect to, confidential source-identifying material in the records.
03/15/2018Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentAdoption and Foster Care Analysis and Reporting SystemThe Children's Bureau proposes to delay the compliance and effective dates in the Adoption and Foster Care Analysis and Reporting System (AFCARS) 2016 final rule for title IV-E agencies to comply with agency rules for an additional two fiscal years. We...2018-05038FR-Doc-2018-05038Adoption-And-Foster-Care-Analysis-And-Reporting-SystemThe Children's Bureau proposes to delay the compliance and effective dates in the Adoption and Foster Care Analysis and Reporting System (AFCARS) 2016 final rule for title IV-E agencies to comply with agency rules for an additional two fiscal years. We propose to delay the compliance and effective dates at the same time we seek public comment through an Advance Notice of Proposed Rulemaking (ANPRM), published elsewhere in this issue of the Federal Register, on suggestions to streamline the AFCARS data elements and remove any undue burden related to reporting AFCARS.
03/15/2018Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentAdoption and Foster Care Analysis and Reporting SystemACF is seeking public suggestions, in particular from state and tribal title IV-E agencies and Indian tribes and tribal consortiums and other stakeholders, for streamlining the Adoption and Foster Care Analysis and Reporting System (AFCARS) data...2018-05042FR-Doc-2018-05042Adoption-And-Foster-Care-Analysis-And-Reporting-SystemACF is seeking public suggestions, in particular from state and tribal title IV-E agencies and Indian tribes and tribal consortiums and other stakeholders, for streamlining the Adoption and Foster Care Analysis and Reporting System (AFCARS) data elements and removing any undue burden related to reporting AFCARS.
02/21/2018Proposed RuleDEPARTMENT OF THE TREASURYTreasury DepartmentShort-Term, Limited-Duration InsuranceThis rule contains proposals amending the definition of short- term, limited-duration insurance for purposes of its exclusion from the definition of individual health insurance coverage. This action is being taken to lengthen the maximum period of...2018-03208FR-Doc-2018-03208Short-Term-Limited-Duration-InsuranceThis rule contains proposals amending the definition of short- term, limited-duration insurance for purposes of its exclusion from the definition of individual health insurance coverage. This action is being taken to lengthen the maximum period of short-term, limited- duration insurance, which will provide more affordable consumer choice for health coverage.
02/14/2018Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentHead Start Designation Renewal System ImprovementsOHS issues this request for comments to invite public feedback on information we inadvertently omitted from the ``CLASS Condition of the Head Start Designation Renewal System,'' request for comments, published on December 8, 2017. The document...2018-02902FR-Doc-2018-02902Head-Start-Designation-Renewal-System-ImprovementsOHS issues this request for comments to invite public feedback on information we inadvertently omitted from the ``CLASS Condition of the Head Start Designation Renewal System,'' request for comments, published on December 8, 2017. The document withdrawing the ``CLASS Condition of the Head Start Designation Renewal System'' request for comments is published elsewhere in this issue of the Federal Register. This request for comments is similar to the withdrawn publication in that it invites the public to comment on specific changes OHS is considering for the CLASS condition, as well as other Designation Renewal System (DRS) conditions and processes more broadly. Additionally, OHS seeks comments on ways it can: Incentivize robust competition to include new applicants, facilitate smooth transitions when there is a new grantee as a result of competition, and improve the DRS processes. The comment period is 30 days to allow for the public to address the additional issues in this reissued request for comments. We will consider comments submitted under the ``CLASS Condition of the Head Start Designation Renewal System'' request for comments.
02/14/2018Proposed RuleCORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceSenior Corps: Senior Companion Program, Foster Grandparent Program, Retired and Senior Volunteer ProgramThe Corporation for National and Community Service (CNCS) proposes changes to existing regulations under the Domestic Volunteer Service Act of 1973, as amended, for the following Senior Corps programs: Foster Grandparent Program (FGP), Senior Companion...2018-01462FR-Doc-2018-01462Senior-Corps-Senior-Companion-Program-Foster-Grandparent-Program-Retired-And-Senior-VolunteerThe Corporation for National and Community Service (CNCS) proposes changes to existing regulations under the Domestic Volunteer Service Act of 1973, as amended, for the following Senior Corps programs: Foster Grandparent Program (FGP), Senior Companion Program (SCP), and the Retired Senior Volunteer Program (RSVP). These amendments will increase flexibility in program administration while maintaining accountability at the local level, correct grammatical errors, update language that is currently used by CNCS, and streamline requirements for more effective administration of projects in local communities.
02/14/2018Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentCLASS Condition of the Head Start Designation Renewal SystemOHS withdraws the ``CLASS Condition of the Head Start Designation Renewal System'' request for comments, published in the Federal Register on December 8, 2017. OHS simultaneously issues the ``Head Start Designation Renewal System Improvements'' request...2018-02901FR-Doc-2018-02901Class-Condition-Of-The-Head-Start-Designation-Renewal-SystemOHS withdraws the ``CLASS Condition of the Head Start Designation Renewal System'' request for comments, published in the Federal Register on December 8, 2017. OHS simultaneously issues the ``Head Start Designation Renewal System Improvements'' request for comments, located elsewhere in the same issue of the Federal Register. The ``Head Start Designation Renewal System Improvements'' request for comments contains information we inadvertently omitted from the ``CLASS Condition of the Head Start Designation Renewal System'' request for comment publication.
02/01/2018Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationState Advisory CouncilsThis proposed rulemaking would remove the Legal Services Corporation's (LSC) regulation on state advisory councils. LSC believes this action is appropriate because the state advisory councils are no longer active and their oversight functions have been...2018-01733FR-Doc-2018-01733State-Advisory-CouncilsThis proposed rulemaking would remove the Legal Services Corporation's (LSC) regulation on state advisory councils. LSC believes this action is appropriate because the state advisory councils are no longer active and their oversight functions have been replaced adequately by other offices and processes established by Congress or LSC. Executive Orders 13563, ``Improving Regulation and Regulatory Review,'' and 13771, ``Reducing Regulation and Controlling Regulatory Costs,'' direct agencies to review their existing regulations and repeal or revise any that are obsolete or unnecessarily burdensome. Although LSC is not an agency of the Federal government subject to either executive order, LSC regularly reviews its regulations and has determined that this regulation can be eliminated.
02/01/2018Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationRequests for Documents and TestimonyThe Legal Services Corporation (LSC) proposes to create a rule governing subpoenas and requests for LSC documents and testimony by non-federal litigants in cases in which LSC is not a party. Currently, LSC has no internal or external procedures in...2018-01731FR-Doc-2018-01731Requests-For-Documents-And-TestimonyThe Legal Services Corporation (LSC) proposes to create a rule governing subpoenas and requests for LSC documents and testimony by non-federal litigants in cases in which LSC is not a party. Currently, LSC has no internal or external procedures in place to process such requests. This rule provides the public with guidance on where to send requests and establishes procedures by which those requests will be processed.
01/26/2018Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentProtecting Statutory Conscience Rights in Health Care; Delegations of AuthorityIn the regulation of health care, the United States has a long history of providing conscience-based protections for individuals and entities with objections to certain activities based on religious belief and moral convictions. Multiple such statutory...2018-01226FR-Doc-2018-01226Protecting-Statutory-Conscience-Rights-In-Health-Care-Delegations-Of-AuthorityIn the regulation of health care, the United States has a long history of providing conscience-based protections for individuals and entities with objections to certain activities based on religious belief and moral convictions. Multiple such statutory protections apply to the Department of Health and Human Services (HHS, or the Department) and the programs or activities it funds or administers. The Department proposes to revise regulations previously promulgated to ensure that persons or entities are not subjected to certain practices or policies that violate conscience, coerce, or discriminate, in violation of such Federal laws. Through this rulemaking, the Department proposes to grant overall responsibility to its Office for Civil Rights (OCR) for ensuring that the Department, its components, HHS programs and activities, and those who participate in HHS programs or activities comply with Federal laws protecting the rights of conscience and prohibiting associated discriminatory policies and practices in such programs and activities. In addition to conducting outreach and providing technical assistance, OCR will have the authority to initiate compliance reviews, conduct investigations, supervise and coordinate compliance by the Department and its components, and use enforcement tools otherwise available in civil rights law to address violations and resolve complaints. In order to ensure that recipients of Federal financial assistance and other Department funds comply with their legal obligations, the Department will require certain recipients to maintain records; cooperate with OCR's investigations, reviews, or other enforcement actions; submit written assurances and certifications of compliance to the Department; and provide notice to individuals and entities about their conscience and associated anti-discrimination rights, as applicable.
01/23/2018RuleLEGAL SERVICES CORPORATIONLegal Services CorporationIncome Level for Individuals Eligible for AssistanceThe Legal Services Corporation (LSC) is required by law to establish maximum income levels for individuals eligible for legal assistance. This document updates the specified income levels to reflect the annual amendments to the Federal Poverty...2018-01138FR-Doc-2018-01138Income-Level-For-Individuals-Eligible-For-AssistanceThe Legal Services Corporation (LSC) is required by law to establish maximum income levels for individuals eligible for legal assistance. This document updates the specified income levels to reflect the annual amendments to the Federal Poverty Guidelines issued by the U.S. Department of Health and Human Services (HHS).
01/22/2018RuleDEPARTMENT OF HOMELAND SECURITYHomeland Security DepartmentFederal Policy for the Protection of Human Subjects: Delay of the Revisions to the Federal Policy for the Protection of Human SubjectsIn a final rule published on January 19, 2017, federal departments and agencies listed in this document made revisions to the Federal Policy for the Protection of Human Subjects. The Consumer Product Safety Commission (CPSC) adopted the same regulatory...2018-00997FR-Doc-2018-00997Federal-Policy-For-The-Protection-Of-Human-Subjects-Delay-Of-The-Revisions-To-The-Federal-Policy-ForIn a final rule published on January 19, 2017, federal departments and agencies listed in this document made revisions to the Federal Policy for the Protection of Human Subjects. The Consumer Product Safety Commission (CPSC) adopted the same regulatory changes in a separate final rule published on September 18, 2017. The revised policy, reflected in both final rules, is described here as the ``2018 Requirements.'' The 2018 Requirements are scheduled to become effective on January 19, 2018, with a general compliance date of January 19, 2018 (with the exception of the revisions to the cooperative research provision). This interim final rule delays the effective date and general compliance date of the 2018 Requirements to July 19, 2018. The federal departments and agencies listed in this document are in the process of developing a proposed rule to further delay implementation of the 2018 Requirements. The limited implementation delay accomplished by this interim final rule both provides additional time to regulated entities for the preparations necessary to implement the 2018 Requirements, and additional time for the departments and agencies listed in this document to seek input from interested stakeholders through a notice and comment rulemaking process that allows for public engagement on the proposal for a further implementation delay.
01/19/2018RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentSecretarial Determination To Lower Head Start Center-Based Service Duration RequirementWith this document, the Secretary exercises his authority to waive the August 1, 2019 Head Start center-based service duration requirements, effectively lowering this requirement from 50 percent to 0 percent. However, the requirement that Early Head...2018-00897FR-Doc-2018-00897Secretarial-Determination-To-Lower-Head-Start-Center-Based-Service-Duration-RequirementWith this document, the Secretary exercises his authority to waive the August 1, 2019 Head Start center-based service duration requirements, effectively lowering this requirement from 50 percent to 0 percent. However, the requirement that Early Head Start programs provide 1,380 annual hours of planned class operations for all center- based enrollment by August 1, 2018 remains in effect.
01/16/2018RuleNATIONAL FOUNDATION FOR THE ARTS AND HUMANITIESNational Foundation on the Arts and the HumanitiesCivil Penalties Adjustment for 2018The National Endowment for the Arts (NEA) is adjusting the maximum civil monetary penalties (CMPs) that may be imposed for violations of the Program Fraud Civil Remedies Act (PFCRA) and the NEA's Restrictions on Lobbying to reflect the requirements of...2018-00537FR-Doc-2018-00537Civil-Penalties-Adjustment-For-2018The National Endowment for the Arts (NEA) is adjusting the maximum civil monetary penalties (CMPs) that may be imposed for violations of the Program Fraud Civil Remedies Act (PFCRA) and the NEA's Restrictions on Lobbying to reflect the requirements of the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015 (the 2015 Act). The 2015 Act further amended the Federal Civil Penalties Inflation Adjustment Act of 1990 (the Inflation Adjustment Act) to improve the effectiveness of civil monetary penalties and to maintain their deterrent effect. This final rule provides the 2018 annual inflation adjustments to the initial ``catch-up'' adjustments made on June 15, 2017.
01/16/2018RuleCORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceAnnual Civil Monetary Penalties Inflation AdjustmentThe Corporation for National and Community Service (CNCS) is updating its regulations to reflect required annual inflation-related increases to the civil monetary penalties in its regulations, pursuant to the Federal Civil Penalties Inflation...2018-00558FR-Doc-2018-00558Annual-Civil-Monetary-Penalties-Inflation-AdjustmentThe Corporation for National and Community Service (CNCS) is updating its regulations to reflect required annual inflation-related increases to the civil monetary penalties in its regulations, pursuant to the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015.
12/12/2017RuleNATIONAL FOUNDATION FOR THE ARTS AND HUMANITIESNational Foundation on the Arts and the HumanitiesFederal Civil Penalties AdjustmentsThe National Endowment for the Arts (NEA) is adjusting the maximum civil monetary penalties that may be imposed for violations of the Program Fraud Civil Remedies Act (PFCRA) and the NEA's Restrictions on Lobbying to reflect the requirements of the...2017-26733FR-Doc-2017-26733Federal-Civil-Penalties-AdjustmentsThe National Endowment for the Arts (NEA) is adjusting the maximum civil monetary penalties that may be imposed for violations of the Program Fraud Civil Remedies Act (PFCRA) and the NEA's Restrictions on Lobbying to reflect the requirements of the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015 (the 2015 Act). The 2015 Act further amended the Federal Civil Penalties Inflation Adjustment Act of 1990 (the Inflation Adjustment Act) to improve the effectiveness of civil monetary penalties and to maintain their deterrent effect. This final rule finalizes the catch-up inflation adjustment interim final rule required by the Inflation Adjustment Act.
12/08/2017Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentCLASS Condition of the Head Start Designation Renewal SystemOHS invites public comment on several specific changes being considered for the CLASS condition of the Designation Renewal System (DRS) as outlined in the Head Start Program Performance Standards. We are considering changes to the CLASS condition with...2017-26483FR-Doc-2017-26483Class-Condition-Of-The-Head-Start-Designation-Renewal-SystemOHS invites public comment on several specific changes being considered for the CLASS condition of the Designation Renewal System (DRS) as outlined in the Head Start Program Performance Standards. We are considering changes to the CLASS condition with a goal of improving implementation and transparency of the DRS. Changes being considered include removal of the ``lowest 10 percent'' provision of the CLASS condition, an increase of the minimum thresholds for the Emotional Support and Classroom Organization domains to a score of 5, removal of the minimum threshold for the Instructional Support domain, and establishment of authority for the Secretary to set an absolute minimum threshold for the Instructional Support domain prior to the start of each fiscal year to be applied for DRS CLASS reviews in the same fiscal year. OHS requests feedback on these possible changes as well as alternative changes to the CLASS condition, particularly ways the Instructional Support threshold could be set and/or adjusted that would incentivize program improvement while acknowledging the current state of the field. OHS also invites feedback on other conditions of the DRS.
11/20/2017RuleLEGAL SERVICES CORPORATIONLegal Services CorporationCost Standards and Procedures; Purchasing and Property Management; CorrectionThe Legal Services Corporation (LSC) is correcting a final rule that appeared in the Federal Register on August 10, 2017. LSC's Property Acquisition and Management Manual (PAMM) and its cost standards rule required grantees to seek approval prior to...2017-25035FR-Doc-2017-25035Cost-Standards-And-Procedures-Purchasing-And-Property-Management-CorrectionThe Legal Services Corporation (LSC) is correcting a final rule that appeared in the Federal Register on August 10, 2017. LSC's Property Acquisition and Management Manual (PAMM) and its cost standards rule required grantees to seek approval prior to making any real estate purchase with LSC funds, regardless of the purchase price. The final rule's language describing this longstanding policy was incorrect. This document corrects the language to remain consistent with LSC's current policy. The document also contained an incorrect cross-reference to another section. This document corrects the final rule by revising that cross-reference.
11/02/2017Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2019This proposed rule sets forth payment parameters and provisions related to the risk adjustment and risk adjustment data validation programs; cost-sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges and...2017-23599FR-Doc-2017-23599Patient-Protection-And-Affordable-Care-Act-Hhs-Notice-Of-Benefit-And-Payment-Parameters-For-2019This proposed rule sets forth payment parameters and provisions related to the risk adjustment and risk adjustment data validation programs; cost-sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges and State-based Exchanges on the Federal platform. It proposes changes that would enhance the role of States as related to essential health benefits (EHB) and qualified health plan (QHP) certification; and would provide States with additional flexibility in the operation and establishment of Exchanges, including the Small Business Health Options Program (SHOP) Exchanges. It includes proposed changes to standards related to Exchanges; the required functions of the SHOPs; actuarial value for stand-alone dental plans; the rate review program; the medical loss ratio program; eligibility and enrollment; exemptions; and other related topics.
10/13/2017RuleDEPARTMENT OF THE TREASURYTreasury DepartmentMoral Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care ActThe United States has a long history of providing conscience protections in the regulation of health care for entities and individuals with objections based on religious beliefs or moral convictions. These interim final rules expand exemptions to...2017-21852FR-Doc-2017-21852Moral-Exemptions-And-Accommodations-For-Coverage-Of-Certain-Preventive-Services-Under-The-AffordableThe United States has a long history of providing conscience protections in the regulation of health care for entities and individuals with objections based on religious beliefs or moral convictions. These interim final rules expand exemptions to protect moral convictions for certain entities and individuals whose health plans are subject to a mandate of contraceptive coverage through guidance issued pursuant to the Patient Protection and Affordable Care Act. These rules do not alter the discretion of the Health Resources and Services Administration, a component of the United States Department of Health and Human Services, to maintain the guidelines requiring contraceptive coverage where no regulatorily recognized objection exists. These rules also provide certain morally objecting entities access to the voluntary ``accommodation'' process regarding such coverage. These rules do not alter multiple other Federal programs that provide free or subsidized contraceptives for women at risk of unintended pregnancy.
10/13/2017RuleDEPARTMENT OF THE TREASURYTreasury DepartmentReligious Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care ActThe United States has a long history of providing conscience protections in the regulation of health care for entities and individuals with objections based on religious beliefs and moral convictions. These interim final rules expand exemptions to...2017-21851FR-Doc-2017-21851Religious-Exemptions-And-Accommodations-For-Coverage-Of-Certain-Preventive-Services-Under-TheThe United States has a long history of providing conscience protections in the regulation of health care for entities and individuals with objections based on religious beliefs and moral convictions. These interim final rules expand exemptions to protect religious beliefs for certain entities and individuals whose health plans are subject to a mandate of contraceptive coverage through guidance issued pursuant to the Patient Protection and Affordable Care Act. These rules do not alter the discretion of the Health Resources and Services Administration (HRSA), a component of the United States Department of Health and Human Services (HHS), to maintain the guidelines requiring contraceptive coverage where no regulatorily recognized objection exists. These rules also leave the ``accommodation'' process in place as an optional process for certain exempt entities that wish to use it voluntarily. These rules do not alter multiple other Federal programs that provide free or subsidized contraceptives for women at risk of unintended pregnancy.
10/04/2017Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentAdministrative Simplification: Certification of Compliance for Health Plans; WithdrawalThis document withdraws the January 2, 2014, proposed rule that would have required a controlling health plan (CHP) to submit information and documentation demonstrating that it is compliant with certain standards and operating rules adopted by the...2017-21424FR-Doc-2017-21424Administrative-Simplification-Certification-Of-Compliance-For-Health-Plans-WithdrawalThis document withdraws the January 2, 2014, proposed rule that would have required a controlling health plan (CHP) to submit information and documentation demonstrating that it is compliant with certain standards and operating rules adopted by the Secretary of Health and Human Services (the Secretary) under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This proposed rule would have also established penalty fees for a CHP that failed to comply with the certification of compliance requirements.
09/28/2017RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentHead Start ProgramThe Office of Head Start will delay the compliance date for background check procedures and the date for programs to participate in their state or local Quality Rating and Improvement Systems (QRIS). Both requirements are described in the Head Start...2017-20499FR-Doc-2017-20499Head-Start-ProgramThe Office of Head Start will delay the compliance date for background check procedures and the date for programs to participate in their state or local Quality Rating and Improvement Systems (QRIS). Both requirements are described in the Head Start Program Performance Standards (HSPPS) final rule that was published in the Federal Register on September 6, 2016. We believe programs and states will benefit from more time to fully implement these changes.
08/10/2017RuleLEGAL SERVICES CORPORATIONLegal Services CorporationDefinitions; Cost Standards and Procedures; Purchasing and Property ManagementThis final rule revises the Legal Services Corporation (LSC or Corporation) regulation on Definitions and Cost Standards and Procedures and creates a new part from LSC's Property Acquisition and Management Manual (PAMM).2017-16764FR-Doc-2017-16764Definitions-Cost-Standards-And-Procedures-Purchasing-And-Property-ManagementThis final rule revises the Legal Services Corporation (LSC or Corporation) regulation on Definitions and Cost Standards and Procedures and creates a new part from LSC's Property Acquisition and Management Manual (PAMM).
08/09/2017RuleLEGAL SERVICES CORPORATIONLegal Services CorporationBonding Requirements for RecipientsThis final rule revises the Legal Services Corporation's (LSC or the Corporation) regulation about bonding requirements for LSC recipients. It requires recipients to bond all their employees and to ensure that third parties who handle recipients' funds...2017-16765FR-Doc-2017-16765Bonding-Requirements-For-RecipientsThis final rule revises the Legal Services Corporation's (LSC or the Corporation) regulation about bonding requirements for LSC recipients. It requires recipients to bond all their employees and to ensure that third parties who handle recipients' funds have bond coverage, allows recipients to use other forms of insurance similar to fidelity bonds, raises the minimum level of coverage, and allows recipients to use LSC funds to pay for bonding costs. This final rule updates regulations to reflect current insurance practices and simplifies the language in the rule to reduce confusion.
06/15/2017RuleNATIONAL FOUNDATION FOR THE ARTS AND HUMANITIESNational Foundation on the Arts and the HumanitiesImplementing the Federal Civil Penalties Adjustment Act Improvements Act of 2015The National Endowment for the Arts (NEA) is adjusting the maximum civil monetary penalties that may be imposed for violations of the Program Fraud and Civil Remedies Act (PFCRA) and the NEA's Restrictions on Lobbying to reflect the requirements of the...2017-12071FR-Doc-2017-12071Implementing-The-Federal-Civil-Penalties-Adjustment-Act-Improvements-Act-Of-2015The National Endowment for the Arts (NEA) is adjusting the maximum civil monetary penalties that may be imposed for violations of the Program Fraud and Civil Remedies Act (PFCRA) and the NEA's Restrictions on Lobbying to reflect the requirements of the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015 (the 2015 Act). The 2015 Act further amended the Federal Civil Penalties Inflation Adjustment Act of 1990 (the Inflation Adjustment Act) to improve the effectiveness of civil monetary penalties and to maintain their deterrent effect.
06/09/2017Proposed RuleNATIONAL FOUNDATION FOR THE ARTS AND HUMANITIESNational Foundation on the Arts and the HumanitiesImplementing the Freedom of Information ActThis proposed rule would amend the National Endowment for the Arts' (NEA) regulations implementing the Freedom of Information Act (FOIA). The NEA proposes these amendments to update the NEA's current FOIA regulation. This proposed rule updates the...2017-11459FR-Doc-2017-11459Implementing-The-Freedom-Of-Information-ActThis proposed rule would amend the National Endowment for the Arts' (NEA) regulations implementing the Freedom of Information Act (FOIA). The NEA proposes these amendments to update the NEA's current FOIA regulation. This proposed rule updates the NEA's regulations to reflect statutory changes to FOIA, current NEA organizational structure, and current NEA policies and practices with respect to FOIA. Finally, the rule uses current cost figures in calculating and charging fees.
05/03/2017Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationBonding Requirements for RecipientsThis proposed rule would revise the Legal Services Corporation's (LSC or Corporation) regulation about bonding requirements for LSC recipients. It would require recipients to bond all their employees and to ensure that third parties who handle...2017-08857FR-Doc-2017-08857Bonding-Requirements-For-RecipientsThis proposed rule would revise the Legal Services Corporation's (LSC or Corporation) regulation about bonding requirements for LSC recipients. It would require recipients to bond all their employees and to ensure that third parties who handle recipients' funds have bond coverage, allow recipients to use other forms of insurance similar to fidelity bonds, raise the minimum level of coverage, and allow recipients to use LSC funds to pay for bonding costs. This proposed rule will update part 1629 to reflect current insurance practices and simplify the language in the rule to reduce confusion.
05/02/2017RuleLEGAL SERVICES CORPORATIONLegal Services CorporationFee-Generating CasesThis final rule revises the Legal Services Corporation (LSC or Corporation) regulation regarding fee-generating cases. This rule clarifies the definition of ``fee-generating case,'' clarifies that brief advice is permitted by the regulation, and...2017-08835FR-Doc-2017-08835Fee-Generating-CasesThis final rule revises the Legal Services Corporation (LSC or Corporation) regulation regarding fee-generating cases. This rule clarifies the definition of ``fee-generating case,'' clarifies that brief advice is permitted by the regulation, and revises how a recipient accounts for attorneys' fees awards.
04/18/2017RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Market StabilizationThis rule finalizes changes that will help stabilize the individual and small group markets and affirm the traditional role of State regulators. This final rule amends standards relating to special enrollment periods, guaranteed availability, and the...2017-07712FR-Doc-2017-07712Patient-Protection-And-Affordable-Care-Act-Market-StabilizationThis rule finalizes changes that will help stabilize the individual and small group markets and affirm the traditional role of State regulators. This final rule amends standards relating to special enrollment periods, guaranteed availability, and the timing of the annual open enrollment period in the individual market for the 2018 plan year; standards related to network adequacy and essential community providers for qualified health plans; and the rules around actuarial value requirements.
04/03/2017RuleDEPARTMENT OF JUSTICEJustice DepartmentFiling of Claims Under the Guam World War II Loyalty Recognition ActThe Guam World War II Loyalty Recognition Act authorizes the Foreign Claims Settlement Commission of the United States to adjudicate claims and determine the eligibility of individuals for payment for harms suffered by residents of Guam resulting from...2017-06461FR-Doc-2017-06461Filing-Of-Claims-Under-The-Guam-World-War-Ii-Loyalty-Recognition-ActThe Guam World War II Loyalty Recognition Act authorizes the Foreign Claims Settlement Commission of the United States to adjudicate claims and determine the eligibility of individuals for payment for harms suffered by residents of Guam resulting from the occupation of Guam by Imperial Japanese military forces during World War II. This rule establishes procedures for the filing and adjudication of claims brought under the Guam Loyalty Recognition Act. The rule also provides definitions for the statutory terms ``severe personal injury'' and ``personal injury,'' and amends regulations concerning the payment of attorney's fees.
02/17/2017Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Market StabilizationThis rule proposes changes that would help stabilize the individual and small group markets. This proposed rule would amend standards relating to special enrollment periods, guaranteed availability, and the timing of the annual open enrollment period...2017-03027FR-Doc-2017-03027Patient-Protection-And-Affordable-Care-Act-Market-StabilizationThis rule proposes changes that would help stabilize the individual and small group markets. This proposed rule would amend standards relating to special enrollment periods, guaranteed availability, and the timing of the annual open enrollment period in the individual market for the 2018 plan year; standards related to network adequacy and essential community providers for qualified health plans; and the rules around actuarial value requirements.
02/13/2017RuleLEGAL SERVICES CORPORATIONLegal Services CorporationIncome Level for Individuals Eligible for AssistanceThe Legal Services Corporation (LSC or the Corporation) is required by law to establish maximum income levels for individuals eligible for legal assistance. This document updates the specified income levels to reflect the annual amendments to the...2017-02823FR-Doc-2017-02823Income-Level-For-Individuals-Eligible-For-AssistanceThe Legal Services Corporation (LSC or the Corporation) is required by law to establish maximum income levels for individuals eligible for legal assistance. This document updates the specified income levels to reflect the annual amendments to the Federal Poverty Guidelines issued by the Department of Health and Human Services (HHS).
02/13/2017Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationFee-Generating CasesThis proposed rule revises the Legal Services Corporation (LSC or Corporation) regulation regarding fee-generating cases. This proposed rule clarifies the definition of ``fee-generating case,'' clarifies that brief advice is permitted by the...2017-02717FR-Doc-2017-02717Fee-Generating-CasesThis proposed rule revises the Legal Services Corporation (LSC or Corporation) regulation regarding fee-generating cases. This proposed rule clarifies the definition of ``fee-generating case,'' clarifies that brief advice is permitted by the regulation, and revises how a recipient accounts for attorneys' fees awards.
02/10/2017RuleLEGAL SERVICES CORPORATIONLegal Services CorporationUse of Non-LSC Funds, Transfers of LSC Funds, Program Integrity; Subgrants and Membership Fees or Dues; Cost Standards and ProceduresThis final rule revises the Legal Services Corporation's (LSC or Corporation) regulations governing subgrants. LSC published a Notice of Proposed Rulemaking (NPRM) on April 20, 2015, and a Further Notice of Proposed Rulemaking (FNPRM) on April 26,...2017-02718FR-Doc-2017-02718Use-Of-Non-Lsc-Funds-Transfers-Of-Lsc-Funds-Program-Integrity-Subgrants-And-Membership-Fees-Or-DuesThis final rule revises the Legal Services Corporation's (LSC or Corporation) regulations governing subgrants. LSC published a Notice of Proposed Rulemaking (NPRM) on April 20, 2015, and a Further Notice of Proposed Rulemaking (FNPRM) on April 26, 2016. This final rule identifies the factors to consider in determining whether an award from an LSC recipient to another organization is a subgrant, establishes a dollar threshold at which recipients must seek LSC's approval to award a subgrant, authorizes recipients to use property or services funded in whole or in part with LSC funds to support a subgrant, and establishes new processes for seeking prior approval of subgrants.
02/03/2017RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentAnnual Civil Monetary Penalties Inflation AdjustmentThe Department of Health and Human Services (HHS) is updating its regulations to reflect required annual inflation-related increases to the civil monetary penalties in its regulations, pursuant to the Federal Civil Penalties Inflation Adjustment Act...2017-02300FR-Doc-2017-02300Annual-Civil-Monetary-Penalties-Inflation-AdjustmentThe Department of Health and Human Services (HHS) is updating its regulations to reflect required annual inflation-related increases to the civil monetary penalties in its regulations, pursuant to the Federal Civil Penalties Inflation Adjustment Act Improvement Act of 2015.
01/19/2017RuleDEPARTMENT OF HOMELAND SECURITYHomeland Security DepartmentFederal Policy for the Protection of Human SubjectsThe departments and agencies listed in this document announce revisions to modernize, strengthen, and make more effective the Federal Policy for the Protection of Human Subjects that was originally promulgated as a Common Rule in 1991. This final rule...2017-01058FR-Doc-2017-01058Federal-Policy-For-The-Protection-Of-Human-SubjectsThe departments and agencies listed in this document announce revisions to modernize, strengthen, and make more effective the Federal Policy for the Protection of Human Subjects that was originally promulgated as a Common Rule in 1991. This final rule is intended to better protect human subjects involved in research, while facilitating valuable research and reducing burden, delay, and ambiguity for investigators. These revisions are an effort to modernize, simplify, and enhance the current system of oversight.
01/11/2017RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentChild Care and Development Fund (CCDF) Program; CorrectionThe Department of Health and Human Services published a final rule in the Federal Register on September 30, 2016 that revised regulations for the Child Care and Development Fund (CCDF) program. The final rule inadvertently included incorrect numbering...2017-00093FR-Doc-2017-00093Child-Care-And-Development-Fund-Ccdf-Program-CorrectionThe Department of Health and Human Services published a final rule in the Federal Register on September 30, 2016 that revised regulations for the Child Care and Development Fund (CCDF) program. The final rule inadvertently included incorrect numbering of two paragraphs. This document corrects the numbering of those two paragraphs.
01/06/2017RuleCORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceAnnual Civil Monetary Penalties Inflation AdjustmentThe Corporation for National and Community Service (CNCS) is updating its regulations to reflect required annual inflation-related increases to the civil monetary penalties in its regulations, pursuant to the Federal Civil Penalties Inflation...2016-31897FR-Doc-2016-31897Annual-Civil-Monetary-Penalties-Inflation-AdjustmentThe Corporation for National and Community Service (CNCS) is updating its regulations to reflect required annual inflation-related increases to the civil monetary penalties in its regulations, pursuant to the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015.
01/03/2017RuleNATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesRegulations Implementing the FOIA Improvement Act of 2016On June 30, 2016, President Obama signed the Freedom of Information Act (``FOIA'') Improvement Act of 2016 (the ``FOIA Improvement Act''). Section 3 of the FOIA Improvement Act requires, that not later than 180 days after the date of its enactment, the...2016-31521FR-Doc-2016-31521Regulations-Implementing-The-Foia-Improvement-Act-Of-2016On June 30, 2016, President Obama signed the Freedom of Information Act (``FOIA'') Improvement Act of 2016 (the ``FOIA Improvement Act''). Section 3 of the FOIA Improvement Act requires, that not later than 180 days after the date of its enactment, the head of each agency review and revise the agency's regulations to implement the FOIA Improvement Act's amendments. The FOIA Improvement Act specifically requires that the regulations of each agency include procedures for engaging in dispute resolution through the FOIA Public Liaison and the Office of Government Information Services. After undertaking a review of its FOIA regulations in accordance with Section 3 of the FOIA Improvement Act, NEH is revising its FOIA regulations to incorporate the statutory mandates.
12/22/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2018; Amendments to Special Enrollment Periods and the Consumer Operated and Oriented Plan ProgramThis final rule sets forth payment parameters and provisions related to the risk adjustment program; cost-sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges and State-based Exchanges on the Federal...2016-30433FR-Doc-2016-30433Patient-Protection-And-Affordable-Care-Act-Hhs-Notice-Of-Benefit-And-Payment-Parameters-For-2018This final rule sets forth payment parameters and provisions related to the risk adjustment program; cost-sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges and State-based Exchanges on the Federal platform. It also provides additional guidance relating to standardized options; qualified health plans; consumer assistance tools; network adequacy; the Small Business Health Options Programs; stand-alone dental plans; fair health insurance premiums; guaranteed availability and guaranteed renewability; the medical loss ratio program; eligibility and enrollment; appeals; consumer-operated and oriented plans; special enrollment periods; and other related topics.
12/21/2016Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationDefinitions; Cost Standards and Procedures; Purchasing and Property ManagementThe Legal Services Corporation (``LSC'') issued a proposed rule in the Federal Register of October 28, 2016 [FR Doc. 2016-25831], concerning proposed amendments to its regulations governing definitions, cost standards and procedures, and purchasing and...2016-30717FR-Doc-2016-30717Definitions-Cost-Standards-And-Procedures-Purchasing-And-Property-ManagementThe Legal Services Corporation (``LSC'') issued a proposed rule in the Federal Register of October 28, 2016 [FR Doc. 2016-25831], concerning proposed amendments to its regulations governing definitions, cost standards and procedures, and purchasing and property management. This notice extends the comment period for 30 days to January 26, 2017.
12/20/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentState Long-Term Care Ombudsman ProgramsIn the February 11, 2015 Federal Register, we published a final rule in order to implement provisions of the Older Americans Act (the Act) regarding States' Long-Term Care Ombudsman programs (Ombudsman programs). The effective date was July 1, 2016....2016-30455FR-Doc-2016-30455State-Long-Term-Care-Ombudsman-ProgramsIn the February 11, 2015 Federal Register, we published a final rule in order to implement provisions of the Older Americans Act (the Act) regarding States' Long-Term Care Ombudsman programs (Ombudsman programs). The effective date was July 1, 2016. This correcting amendment corrects a limited number of technical and typographical errors identified in the February 11, 2015 final rule.
12/20/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentFlexibility, Efficiency, and Modernization in Child Support Enforcement ProgramsThis rule is intended to carry out the President's directives in Executive Order 13563: Improving Regulation and Regulatory Review. The final rule will make Child Support Enforcement program operations and enforcement procedures more flexible, more...2016-29598FR-Doc-2016-29598Flexibility-Efficiency-And-Modernization-In-Child-Support-Enforcement-ProgramsThis rule is intended to carry out the President's directives in Executive Order 13563: Improving Regulation and Regulatory Review. The final rule will make Child Support Enforcement program operations and enforcement procedures more flexible, more effective, and more efficient by recognizing the strength of existing State enforcement programs, advancements in technology that can enable improved collection rates, and the move toward electronic communication and document management. This final rule will improve and simplify program operations, and remove outmoded limitations to program innovations to better serve families. In addition, the final rule clarifies and corrects technical provisions in existing regulations. The rule makes significant changes to the regulations on case closure, child support guidelines, and medical support enforcement. It will improve child support collection rates because support orders will reflect the noncustodial parent's ability to pay support, and more noncustodial parents will support their children.
12/20/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentRunaway and Homeless YouthThis final rule reflects existing statutory requirements in the Runaway and Homeless Youth Act and changes made via the Reconnecting Homeless Youth Act of 2008. More specifically, the rule establishes program performance standards for Runaway and...2016-30241FR-Doc-2016-30241Runaway-And-Homeless-YouthThis final rule reflects existing statutory requirements in the Runaway and Homeless Youth Act and changes made via the Reconnecting Homeless Youth Act of 2008. More specifically, the rule establishes program performance standards for Runaway and Homeless Youth grantees providing services to eligible youth and their families. Revisions have been made to the rule regarding additional requirements that apply to the Basic Center, Transitional Living, and Street Outreach Programs, including non-discrimination, background checks, outreach, and training. Furthermore, the rule updates existing regulations to reflect statutory changes made to the Runaway and Homeless Youth Act, and updates procedures for soliciting and awarding grants. This final rule makes changes to the proposed rule published on April 14, 2014, and is in response to public comments recommending ways to improve the rule.
12/16/2016RuleLEGAL SERVICES CORPORATIONLegal Services CorporationProcedures for Disclosure of Information Under the Freedom of Information ActThe Legal Services Corporation (LSC) is revising its regulation on procedures for disclosure of information under the Freedom of Information Act to implement the statutorily required amendments in the FOIA Improvement Act of 2016. LSC is also making...2016-30144FR-Doc-2016-30144Procedures-For-Disclosure-Of-Information-Under-The-Freedom-Of-Information-ActThe Legal Services Corporation (LSC) is revising its regulation on procedures for disclosure of information under the Freedom of Information Act to implement the statutorily required amendments in the FOIA Improvement Act of 2016. LSC is also making technical changes to improve the structure and clarity of its Freedom of Information Act (FOIA) regulations.
12/14/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentAdoption and Foster Care Analysis and Reporting SystemThe Social Security Act (the Act) requires that ACF regulate a national data collection system that provides comprehensive demographic and case-specific information on children who are in foster care and adopted. This final rule replaces existing...2016-29366FR-Doc-2016-29366Adoption-And-Foster-Care-Analysis-And-Reporting-SystemThe Social Security Act (the Act) requires that ACF regulate a national data collection system that provides comprehensive demographic and case-specific information on children who are in foster care and adopted. This final rule replaces existing Adoption and Foster Care Analysis and Reporting System (AFCARS) regulations and the appendices to require title IV-E agencies to collect and report data to ACF on children in out-of-home care, and who exit out-of-home care to adoption or legal guardianship, children in out-of-home care who are covered by the Indian Child Welfare Act, and children who are covered by a title IV-E adoption or guardianship assistance agreement.
12/12/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentHealth and Human Services Grants RegulationThis final rule makes changes to the Department of Health and Human Services' (HHS) adoption of the Office of Management and Budget's (OMB) (``Uniform Administrative Requirements'') published on December 19, 2014 and the technical amendments published...2016-29752FR-Doc-2016-29752Health-And-Human-Services-Grants-RegulationThis final rule makes changes to the Department of Health and Human Services' (HHS) adoption of the Office of Management and Budget's (OMB) (``Uniform Administrative Requirements'') published on December 19, 2014 and the technical amendments published by HHS on January 20, 2016. HHS codified the OMB language, with noted modifications as explained in the preamble to the December promulgation. The HHS- specific modifications to the Uniform Administrative Requirements adopted prior regulatory language that was not in conflict with OMB's language, and provided additional guidance to the regulated community. Unlike all of the other modifications to the Uniform Administrative Requirements, these additional changes, although based on existing law or HHS policy, were not previously codified in regulation. HHS sought comment on these proposed changes in a notice of proposed rulemaking published on July 13, 2016. This final rule implements these regulatory changes. It also corrects one typographical error that was recently discovered in the most recent promulgation of the Uniform Administrative Requirements.
12/08/2016Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPrivacy Act; ImplementationThe Department of Health and Human Services (HHS or Department), through the National Institutes of Health (NIH), proposes to exempt, from certain requirements of the Privacy Act, a subset of records in a new system of records, System No. 09-25-0225,...2016-29058FR-Doc-2016-29058Privacy-Act-ImplementationThe Department of Health and Human Services (HHS or Department), through the National Institutes of Health (NIH), proposes to exempt, from certain requirements of the Privacy Act, a subset of records in a new system of records, System No. 09-25-0225, NIH Electronic Research Administration (eRA) Records (NIH eRA Records), which covers records used in managing NIH research and development applications and awards throughout the award lifecycle. Elsewhere in today's Federal Register, HHS has published a proposed System of Records Notice (SORN) for System No. 09-25-0225 for public notice and comment. The subset of records proposed to be exempted is material that would inappropriately reveal the identities of referees who provide letters of recommendation and peer reviewers who provide written evaluative input and recommendations to NIH about particular funding applications under an express promise by the government that their identities in association with the written work products they authored and provided to the government will be kept confidential. Only material that would inappropriately reveal a particular referee or peer reviewer as the author of a specific work product (e.g., reference or recommendation letters, reviewer critiques, preliminary or final individual overall impact/priority scores, and/or assignment of peer reviewers to an application and other evaluative materials and data compiled by NIH/OER) is proposed to be exempted. The exemptions would protect not only an author's name in association with their written work product but any content that could enable the author to be identified from context. The Privacy Act provisions from which the material is proposed to be exempted are those that require the agency to provide an accounting of disclosures, access and amendment, and notification, which are contained in subsections (c)(3) and (d) of the Privacy Act.
12/06/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentHead Start ProgramThe Office of Head Start will delay the compliance date for background checks procedures described in the Head Start Program Performance Standards final rule that was published in the Federal Register on September 6, 2016. We are taking this action to...2016-29183FR-Doc-2016-29183Head-Start-ProgramThe Office of Head Start will delay the compliance date for background checks procedures described in the Head Start Program Performance Standards final rule that was published in the Federal Register on September 6, 2016. We are taking this action to afford programs more time to implement systems that meet the background checks procedures and to align with deadlines for states complying with background check requirements found in the Child Care and Development Block Grant (CCDBG) Act of 2014.
11/02/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentFamily Violence Prevention and Services ProgramsThis rule will better prevent and protect survivors of family violence, domestic violence, and dating violence, by clarifying that all survivors must have access to services and programs funded under the Family Violence Prevention and Services Act....2016-26063FR-Doc-2016-26063Family-Violence-Prevention-And-Services-ProgramsThis rule will better prevent and protect survivors of family violence, domestic violence, and dating violence, by clarifying that all survivors must have access to services and programs funded under the Family Violence Prevention and Services Act. More specifically, the rule enhances accessibility and non-discrimination provisions, clarifies confidentiality rules, promotes coordination among community- based organizations, State Domestic Violence Coalitions, States, and Tribes, as well as incorporates new discretionary grant programs. Furthermore, the rule updates existing regulations to reflect statutory changes made to the Family Violence Prevention and Services Act, and updates procedures for soliciting and awarding grants. The rule also increases clarity and reduces potential confusion over statutory and regulatory standards. The rule codifies standards already used by the program in the Funding Opportunity Announcements and awards, in technical assistance, in reporting requirements, and in sub-regulatory guidance.
10/31/2016RuleDEPARTMENT OF THE TREASURYTreasury DepartmentExcepted Benefits; Lifetime and Annual Limits; and Short-Term, Limited-Duration InsuranceThis document contains final regulations regarding the definition of short-term, limited-duration insurance for purposes of the exclusion from the definition of individual health insurance coverage, and standards for travel insurance and supplemental...2016-26162FR-Doc-2016-26162Excepted-Benefits-Lifetime-And-Annual-Limits-And-Short-Term-Limited-Duration-InsuranceThis document contains final regulations regarding the definition of short-term, limited-duration insurance for purposes of the exclusion from the definition of individual health insurance coverage, and standards for travel insurance and supplemental health insurance coverage to be considered excepted benefits. This document also amends a reference in the final regulations relating to the prohibition on lifetime and annual dollar limits.
10/31/2016RuleLEGAL SERVICES CORPORATIONLegal Services CorporationProcedures for Disclosure of Information Under the Freedom of Information ActThe Legal Services Corporation (LSC) is publishing for public comment a proposed final rule to implement the statutorily required amendments in the FOIA Improvement Act of 2016. LSC is also making technical changes to Part 1602 to improve the structure...2016-25832FR-Doc-2016-25832Procedures-For-Disclosure-Of-Information-Under-The-Freedom-Of-Information-ActThe Legal Services Corporation (LSC) is publishing for public comment a proposed final rule to implement the statutorily required amendments in the FOIA Improvement Act of 2016. LSC is also making technical changes to Part 1602 to improve the structure and clarity of its Freedom of Information Act (FOIA) regulations.
10/28/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentFreedom of Information RegulationsThis rule amends the Department of Health and Human Services (HHS's) Freedom of Information Act (FOIA) regulations. The regulations have been revised in order to incorporate changes made to the FOIA by the Electronic FOIA Act of 1996 (E-FOIA Act), the...2016-25684FR-Doc-2016-25684Freedom-Of-Information-RegulationsThis rule amends the Department of Health and Human Services (HHS's) Freedom of Information Act (FOIA) regulations. The regulations have been revised in order to incorporate changes made to the FOIA by the Electronic FOIA Act of 1996 (E-FOIA Act), the Openness Promotes Effectiveness in our National Government Act of 2007 (OPEN Government Act), and the FOIA Improvement Act of 2016 (FOIA Improvement Act). Additionally, the regulations have been updated to reflect changes to the organization, to make the FOIA process easier for the public to navigate, to update HHS's fee schedule, and to make provisions clearer.
10/28/2016Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationDefinitions; Cost Standards and Procedures; Purchasing and Property ManagementThe Legal Services Corporation (LSC or Corporation) is issuing this notice of proposed rulemaking to request comment on the Corporation's proposed revisions to its Definitions and Cost Standards and Procedures rules and the creation of a new part from...2016-25831FR-Doc-2016-25831Definitions-Cost-Standards-And-Procedures-Purchasing-And-Property-ManagementThe Legal Services Corporation (LSC or Corporation) is issuing this notice of proposed rulemaking to request comment on the Corporation's proposed revisions to its Definitions and Cost Standards and Procedures rules and the creation of a new part from LSC's Property Acquisition and Management Manual (PAMM).
10/27/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentIndependent Living Services and Centers for Independent LivingThis rule implements the Rehabilitation Act as amended by the Workforce Innovation and Opportunity Act, which established an Independent Living Administration within the Administration for Community Living (ACL) of the Department of Health and Human...2016-25918FR-Doc-2016-25918Independent-Living-Services-And-Centers-For-Independent-LivingThis rule implements the Rehabilitation Act as amended by the Workforce Innovation and Opportunity Act, which established an Independent Living Administration within the Administration for Community Living (ACL) of the Department of Health and Human Services (HHS). The rule helps implement changes to the administration of Independent Living Services and the Centers for Independent Living made under the current law in alignment with ACL and HHS policies and practices.
10/19/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentONC Health IT Certification Program: Enhanced Oversight and AccountabilityThis final rule finalizes modifications and new requirements under the ONC Health IT Certification Program (``Program''), including provisions related to the Office of the National Coordinator for Health Information Technology (ONC)'s role in the...2016-24908FR-Doc-2016-24908Onc-Health-It-Certification-Program-Enhanced-Oversight-And-AccountabilityThis final rule finalizes modifications and new requirements under the ONC Health IT Certification Program (``Program''), including provisions related to the Office of the National Coordinator for Health Information Technology (ONC)'s role in the Program. The final rule creates a regulatory framework for ONC's direct review of health information technology (health IT) certified under the Program, including, when necessary, requiring the correction of non-conformities found in health IT certified under the Program and suspending and terminating certifications issued to Complete EHRs and Health IT Modules. The final rule also sets forth processes for ONC to authorize and oversee accredited testing laboratories under the Program. In addition, it includes provisions for expanded public availability of certified health IT surveillance results.
09/30/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentChild Care and Development Fund (CCDF) ProgramThis final rule makes regulatory changes to the Child Care and Development Fund (CCDF) based on the Child Care and Development Block Grant Act of 2014. These changes strengthen requirements to protect the health and safety of children in child care;...2016-22986FR-Doc-2016-22986Child-Care-And-Development-Fund-Ccdf-ProgramThis final rule makes regulatory changes to the Child Care and Development Fund (CCDF) based on the Child Care and Development Block Grant Act of 2014. These changes strengthen requirements to protect the health and safety of children in child care; help parents make informed consumer choices and access information to support child development; provide equal access to stable, high-quality child care for low-income children; and enhance the quality of child care and the early childhood workforce.
09/06/2016Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2018This proposed rule sets forth payment parameters and provisions related to the risk adjustment program; cost-sharing parameters and cost-sharing reductions; and user fees for Federally- facilitated Exchanges and State-based Exchanges on the Federal...2016-20896FR-Doc-2016-20896Patient-Protection-And-Affordable-Care-Act-Hhs-Notice-Of-Benefit-And-Payment-Parameters-For-2018This proposed rule sets forth payment parameters and provisions related to the risk adjustment program; cost-sharing parameters and cost-sharing reductions; and user fees for Federally- facilitated Exchanges and State-based Exchanges on the Federal platform. It also provides additional guidance relating to standardized options; qualified health plans; consumer assistance tools; network adequacy; the Small Business Health Options Program; stand-alone dental plans; fair health insurance premiums; guaranteed renewability; the medical loss ratio program; eligibility and enrollment; appeals; and other related topics.
09/06/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentAdjustment of Civil Monetary Penalties for InflationThe Department of Health and Human Services (HHS) is issuing a new regulation to adjust for inflation the maximum civil monetary penalty amounts for the various civil monetary penalty authorities for all agencies within HHS. We are taking this action...2016-18680FR-Doc-2016-18680Adjustment-Of-Civil-Monetary-Penalties-For-InflationThe Department of Health and Human Services (HHS) is issuing a new regulation to adjust for inflation the maximum civil monetary penalty amounts for the various civil monetary penalty authorities for all agencies within HHS. We are taking this action to comply with the Federal Civil Penalties Inflation Adjustment Act of 1990 (the Inflation Adjustment Act), as amended by the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015. In addition, this interim final rule includes updates to certain agency-specific regulations to identify their updated information, and note the location of HHS-wide regulations.
08/11/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017; CorrectionsThis document corrects technical and typographical errors that appeared in the final rule published in the March 8, 2016 Federal Register (81 FR 12204 through 12352) entitled ``Patient Protection and Affordable Care Act; HHS Notice of Benefit and...2016-19108FR-Doc-2016-19108Patient-Protection-And-Affordable-Care-Act-Hhs-Notice-Of-Benefit-And-Payment-Parameters-For-2017This document corrects technical and typographical errors that appeared in the final rule published in the March 8, 2016 Federal Register (81 FR 12204 through 12352) entitled ``Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017.'' The effective date for the rule was May 9, 2016.
07/22/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentHealth Information Technology Standards, Implementation Specifications, and Certification Criteria and Certification Programs for Health Information TechnologyThis document is a request for information on whether there are alternative ways (other than those offered in current regulations) for eligible organizations that object to providing coverage for contraceptive services on religious grounds to obtain an...2016-17365FR-Doc-2016-17365Health-Information-Technology-Standards-Implementation-Specifications-And-Certification-Criteria-And 
07/18/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentNondiscrimination in Health Programs and Activities; CorrectionThis document corrects a typographical error that appeared in the final rule published in the Federal Register on May 18, 2016, entitled ``Nondiscrimination in Health Programs and Activities.''2016-16680FR-Doc-2016-16680Nondiscrimination-In-Health-Programs-And-Activities-CorrectionThis document corrects a typographical error that appeared in the final rule published in the Federal Register on May 18, 2016, entitled ``Nondiscrimination in Health Programs and Activities.''
07/13/2016Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentHealth and Human Services Grants RegulationThis notice of proposed rulemaking (NPRM) proposes changes to the Department of Health and Human Services' (HHS) adoption of the Office of Management and Budget's (OMB) Uniform Administrative Requirements, Cost Principles, and Audit Requirements for...2016-15014FR-Doc-2016-15014Health-And-Human-Services-Grants-RegulationThis notice of proposed rulemaking (NPRM) proposes changes to the Department of Health and Human Services' (HHS) adoption of the Office of Management and Budget's (OMB) Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (``Uniform Administrative Requirements'') published on December 19, 2014 (79 FR 75871) and the technical amendments published by HHS on January 20, 2016 (81 FR 3004). HHS codified the OMB language, with noted modifications as explained in the preamble to the December promulgation, in 45 CFR part 75. The HHS-specific modifications to the Uniform Administrative Requirements adopted prior regulatory language that was not in conflict with OMB's language, and provided additional guidance to the regulated community. Unlike all of the other modifications to the Uniform Administrative Requirements, these proposed changes, although based on existing law or HHS policy, were not previously codified in regulation. This NPRM seeks comments on these important proposed regulatory changes.
06/27/2016RuleNATIONAL SCIENCE FOUNDATIONNational Science FoundationImplementation of the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015The National Science Foundation (NSF or Foundation) is adjusting the maximum civil monetary penalties that may be imposed for violations of the Antarctic Conservation Act of 1978 (ACA), to reflect the requirements of the Federal Civil Penalties...2016-14795FR-Doc-2016-14795Implementation-Of-The-Federal-Civil-Penalties-Inflation-Adjustment-Act-Improvements-Act-Of-2015The National Science Foundation (NSF or Foundation) is adjusting the maximum civil monetary penalties that may be imposed for violations of the Antarctic Conservation Act of 1978 (ACA), to reflect the requirements of the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015 (the 2015 Act). The 2015 Act further amended the Federal Civil Penalties Inflation Adjustment Act of 1990 (the Inflation Adjustment Act), to improve the effectiveness of civil monetary penalties and to maintain their deterrent effect.
06/23/2016RuleCORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceCivil Monetary Penalties Inflation AdjustmentThe Corporation for National and Community Service (CNCS) is updating its regulations to reflect required inflation-related increases to the civil monetary penalties in its regulations, pursuant to the Federal Civil Penalties Inflation Adjustment Act...2016-14675FR-Doc-2016-14675Civil-Monetary-Penalties-Inflation-AdjustmentThe Corporation for National and Community Service (CNCS) is updating its regulations to reflect required inflation-related increases to the civil monetary penalties in its regulations, pursuant to the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015.
06/15/2016Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentFreedom of Information RegulationsThe Department of Health and Human Services (HHS) is proposing to revise and republish its regulations implementing the Freedom of Information Act (FOIA). The regulations are being revised in order to incorporate changes made to the FOIA by the...2016-13994FR-Doc-2016-13994Freedom-Of-Information-RegulationsThe Department of Health and Human Services (HHS) is proposing to revise and republish its regulations implementing the Freedom of Information Act (FOIA). The regulations are being revised in order to incorporate changes made to the FOIA by the Openness Promotes Effectiveness in our National Government Act of 2007 (OPEN Government Act) and the Electronic FOIA Act of 1996 (E-FOIA Act). Additionally, the regulations are being updated to reflect changes to the organization, to make the FOIA process easier for the public to navigate, to update HHS's fee schedule, and to make provisions clearer. Because of the numerous changes to the organization and to the headings, the regulations are being republished in their entirety.
06/10/2016Proposed RuleDEPARTMENT OF THE TREASURYTreasury DepartmentExpatriate Health Plans, Expatriate Health Plan Issuers, and Qualified Expatriates; Excepted Benefits; Lifetime and Annual Limits; and Short-Term, Limited-Duration InsuranceThis document contains proposed regulations on the rules for expatriate health plans, expatriate health plan issuers, and qualified expatriates under the Expatriate Health Coverage Clarification Act of 2014 (EHCCA). This document also includes proposed...2016-13583FR-Doc-2016-13583Expatriate-Health-Plans-Expatriate-Health-Plan-Issuers-And-Qualified-Expatriates-Excepted-BenefitsThis document contains proposed regulations on the rules for expatriate health plans, expatriate health plan issuers, and qualified expatriates under the Expatriate Health Coverage Clarification Act of 2014 (EHCCA). This document also includes proposed conforming amendments to certain regulations to implement the provisions of the EHCCA. Further, this document proposes standards for travel insurance and supplemental health insurance coverage to be considered excepted benefits and revisions to the definition of short-term, limited- duration insurance for purposes of the exclusion from the definition of individual health insurance coverage. These proposed regulations affect expatriates with health coverage under expatriate health plans and sponsors, issuers and administrators of expatriate health plans, individuals with and plan sponsors of travel insurance and supplemental health insurance coverage, and individuals with short-term, limited- duration insurance. In addition, this document proposes to amend a reference in the final regulations relating to prohibitions on lifetime and annual dollar limits and proposes to require that a notice be provided in connection with hospital indemnity and other fixed indemnity insurance in the group health insurance market for it to be considered excepted benefits.
06/03/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentState Health Insurance Assistance Program (SHIP)The Department of Health and Human Services is issuing a final regulation that adopts, without change, the interim final rule (IFR) entitled ``State Health Insurance Assistance Program (SHIP).'' This final rule implements a provision enacted by the...2016-13136FR-Doc-2016-13136State-Health-Insurance-Assistance-Program-ShipThe Department of Health and Human Services is issuing a final regulation that adopts, without change, the interim final rule (IFR) entitled ``State Health Insurance Assistance Program (SHIP).'' This final rule implements a provision enacted by the Consolidated Appropriations Act of 2014 and reflects the transfer of the State Health Insurance Assistance Program (SHIP) from the Centers for Medicare & Medicaid Services (CMS), in the Department of Health and Human Services (HHS) to the Administration for Community Living (ACL) in HHS. Prior to the interim final rule, prior regulations were issued by CMS under the authority granted by the Omnibus Budget Reconciliation Act of 1990 (OBRA), Section 4360.
06/03/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentAdministration for Community Living-Regulatory ConsolidationThe Administration for Community Living (ACL) is amending its regulations to reflect the creation of ACL in 2012 and consolidate all of its regulations under a single subchapter. No substantive changes to the text of the regulations are being made by...2016-13138FR-Doc-2016-13138Administration-For-Community-Living-Regulatory-ConsolidationThe Administration for Community Living (ACL) is amending its regulations to reflect the creation of ACL in 2012 and consolidate all of its regulations under a single subchapter. No substantive changes to the text of the regulations are being made by this rule.
06/02/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentComprehensive Child Welfare Information SystemThis final rule replaces the Statewide and Tribal Automated Child Welfare Information Systems (S/TACWIS) rule with the Comprehensive Child Welfare Information System (CCWIS) rule. The rule also makes conforming amendments in rules in related...2016-12509FR-Doc-2016-12509Comprehensive-Child-Welfare-Information-SystemThis final rule replaces the Statewide and Tribal Automated Child Welfare Information Systems (S/TACWIS) rule with the Comprehensive Child Welfare Information System (CCWIS) rule. The rule also makes conforming amendments in rules in related requirements. This rule will assist title IV-E agencies in developing information management systems that leverage new innovations and technology in order to better serve children and families. More specifically, this final rule supports the use of cost-effective, innovative technologies to automate the collection of high-quality case management data and to promote its analysis, distribution, and use by workers, supervisors, administrators, researchers, and policy makers.
05/18/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentNondiscrimination in Health Programs and ActivitiesThis final rule implements Section 1557 of the Affordable Care Act (ACA) (Section 1557). Section 1557 prohibits discrimination on the basis of race, color, national origin, sex, age, or disability in certain health programs and activities. The final...2016-11458FR-Doc-2016-11458Nondiscrimination-In-Health-Programs-And-ActivitiesThis final rule implements Section 1557 of the Affordable Care Act (ACA) (Section 1557). Section 1557 prohibits discrimination on the basis of race, color, national origin, sex, age, or disability in certain health programs and activities. The final rule clarifies and codifies existing nondiscrimination requirements and sets forth new standards to implement Section 1557, particularly with respect to the prohibition of discrimination on the basis of sex in health programs other than those provided by educational institutions and the prohibition of various forms of discrimination in health programs administered by the Department of Health and Human Services (HHS or the Department) and entities established under Title I of the ACA. In addition, the Secretary is authorized to prescribe the Department's governance, conduct, and performance of its business, including, here, how HHS will apply the standards of Section 1557 to HHS-administered health programs and activities.
05/11/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Amendments to Special Enrollment Periods and the Consumer Operated and Oriented Plan ProgramThis interim final rule with comment establishes provisions that alter the parameters of select special enrollment periods and that revise certain rules governing consumer operated and oriented plans (CO-OPs).2016-11017FR-Doc-2016-11017Patient-Protection-And-Affordable-Care-Act-Amendments-To-Special-Enrollment-Periods-And-The-ConsumerThis interim final rule with comment establishes provisions that alter the parameters of select special enrollment periods and that revise certain rules governing consumer operated and oriented plans (CO-OPs).
05/11/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentNational Institute on Disability, Independent Living, and Rehabilitation ResearchThis rule implements the Workforce Innovation and Opportunity Act of 2014 and reflects the transfer of the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) from the Department of Education to the Department of...2016-10853FR-Doc-2016-10853National-Institute-On-Disability-Independent-Living-And-Rehabilitation-ResearchThis rule implements the Workforce Innovation and Opportunity Act of 2014 and reflects the transfer of the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) from the Department of Education to the Department of Health and Human Services (HHS). The previous regulations were issued by the Department of Education. The rulemaking consolidates the NIDILRR regulations into a single part, aligns the regulations with the current statute and HHS policies, and provides guidance to NIDILRR grantees.
04/26/2016Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationSubgrants and Membership Fees or DuesThe Legal Services Corporation (LSC or Corporation) proposes to revise its regulations governing subgrants to third parties. LSC published a Notice of Proposed Rulemaking (NPRM) on April 20, 2015, 80 FR 21692. In response to the NPRM, LSC received...2016-09384FR-Doc-2016-09384Subgrants-And-Membership-Fees-Or-DuesThe Legal Services Corporation (LSC or Corporation) proposes to revise its regulations governing subgrants to third parties. LSC published a Notice of Proposed Rulemaking (NPRM) on April 20, 2015, 80 FR 21692. In response to the NPRM, LSC received comments from five organizations. The commenters requested that LSC reconsider some of the proposed changes to the regulations. LSC has considered the comments and now proposes additional revisions to the rules. In this Further Notice of Proposed Rulemaking (FNPRM), LSC seeks comments on five proposed revisions to the NPRM.
04/07/2016Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentAdoption and Foster Care Analysis and Reporting SystemOn February 9, 2015, the Administration for Children and Families (ACF) published a Notice of Proposed Rulemaking (NPRM) to amend the Adoption and Foster Care Analysis and Reporting System (AFCARS) regulations to modify the requirements for title IV-E...2016-07920FR-Doc-2016-07920Adoption-And-Foster-Care-Analysis-And-Reporting-SystemOn February 9, 2015, the Administration for Children and Families (ACF) published a Notice of Proposed Rulemaking (NPRM) to amend the Adoption and Foster Care Analysis and Reporting System (AFCARS) regulations to modify the requirements for title IV-E agencies to collect and report data to ACF on children in out-of-home care and who were adopted or in a legal guardianship with a title IV-E subsidized adoption or guardianship agreement. In this supplemental notice of proposed rulemaking (SNPRM), ACF proposes to require that state title IV-E agencies collect and report additional data elements related to the Indian Child Welfare Act of 1978 (ICWA) in the AFCARS. ACF will consider the public comments on this SNPRM as well as comments already received on the February 9, 2015 NPRM and issue one final AFCARS rule.
04/04/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentFederal Awarding Agency Regulatory Implementation of Office of Management and Budget's Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; Correction and Technical AmendmentsThe Department of Health and Human Services published a document containing technical amendments in the Federal Register on January 20, 2016, revising the Uniform Administrative Requirements, Cost Principles and Audit Requirements for HHS Awards. That...2016-07401FR-Doc-2016-07401Federal-Awarding-Agency-Regulatory-Implementation-Of-Office-Of-Management-And-Budgets-UniformThe Department of Health and Human Services published a document containing technical amendments in the Federal Register on January 20, 2016, revising the Uniform Administrative Requirements, Cost Principles and Audit Requirements for HHS Awards. That document inadvertently failed to update the following: A provision in Appendix II; an improper citation; a recent OMB change; and a grammatical error. This document makes correcting amendments to correct these sections.
04/04/2016RuleDEPARTMENT OF EDUCATIONEducation DepartmentFederal Agency Final Regulations Implementing Executive Order 13559: Fundamental Principles and Policymaking Criteria for Partnerships With Faith-Based and Other Neighborhood OrganizationsThe Agencies publishing this final rule amend or establish their regulations to implement Executive Order 13279, as amended by Executive Order 13559. Executive Order 13279 established fundamental principles to guide the policies of Federal agencies...2016-07339FR-Doc-2016-07339Federal-Agency-Final-Regulations-Implementing-Executive-Order-13559-Fundamental-Principles-AndThe Agencies publishing this final rule amend or establish their regulations to implement Executive Order 13279, as amended by Executive Order 13559. Executive Order 13279 established fundamental principles to guide the policies of Federal agencies regarding the participation of faith-based and other community organizations in programs that the Federal agencies administer. Executive Order 13559 amended Executive Order 13279 to clarify those principles and add certain protections for beneficiaries of Federal social service programs.
03/10/2016RuleCORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceChange of Address for the Corporation for National and Community Service (CNCS)The Corporation for National and Community Service (CNCS) is updating its regulations to reflect a change of address. CNCS headquarters moved to 250 E Street SW., Washington, DC 20525, effective January 25, 2016.2016-05347FR-Doc-2016-05347Change-Of-Address-For-The-Corporation-For-National-And-Community-Service-CncsThe Corporation for National and Community Service (CNCS) is updating its regulations to reflect a change of address. CNCS headquarters moved to 250 E Street SW., Washington, DC 20525, effective January 25, 2016.
03/08/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017This final rule sets forth payment parameters and provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost-sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges. It also...2016-04439FR-Doc-2016-04439Patient-Protection-And-Affordable-Care-Act-Hhs-Notice-Of-Benefit-And-Payment-Parameters-For-2017This final rule sets forth payment parameters and provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost-sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges. It also provides additional amendments regarding the annual open enrollment period for the individual market for the 2017 and 2018 benefit years; essential health benefits; cost sharing; qualified health plans; Exchange consumer assistance programs; network adequacy; patient safety; the Small Business Health Options Program; stand-alone dental plans; third-party payments to qualified health plans; the definitions of large employer and small employer; fair health insurance premiums; student health insurance coverage; the rate review program; the medical loss ratio program; eligibility and enrollment; exemptions and appeals; and other related topics.
03/02/2016Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentONC Health IT Certification Program: Enhanced Oversight and AccountabilityThis notice of proposed rulemaking (``proposed rule'') introduces modifications and new requirements under the ONC Health IT Certification Program (``Program''), including provisions related to the Office of the National Coordinator for Health...2016-04531FR-Doc-2016-04531Onc-Health-It-Certification-Program-Enhanced-Oversight-And-AccountabilityThis notice of proposed rulemaking (``proposed rule'') introduces modifications and new requirements under the ONC Health IT Certification Program (``Program''), including provisions related to the Office of the National Coordinator for Health Information Technology (ONC)'s role in the Program. The proposed rule proposes to establish processes for ONC to directly review health IT certified under the Program and take action when necessary, including requiring the correction of non-conformities found in health IT certified under the Program and suspending and terminating certifications issued to Complete EHRs and Health IT Modules. The proposed rule includes processes for ONC to authorize and oversee accredited testing laboratories under the Program. It also includes a provision for the increased transparency and availability of surveillance results.
02/25/2016Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationCost Standards and Procedures; Property Acquisition and Management ManualThe Operations and Regulations Committee (Committee) of the Board of Directors for the Legal Services Corporation (LSC) is conducting three rulemaking workshops (Workshops) and is requesting public comments on revising LSC's Cost Standards and...2016-03954FR-Doc-2016-03954Cost-Standards-And-Procedures-Property-Acquisition-And-Management-ManualThe Operations and Regulations Committee (Committee) of the Board of Directors for the Legal Services Corporation (LSC) is conducting three rulemaking workshops (Workshops) and is requesting public comments on revising LSC's Cost Standards and Procedures rule, 45 CFR part 1630, and LSC's Property Acquisition and Management Manual (PAMM). The discussions in the Workshops and the other comments received will be considered in connection with rulemaking by LSC. LSC is soliciting expressions of interest in participating as a panelist in the Workshops from LSC grantees and other interested stakeholders with relevant experience, such as other funders of civil legal aid programs.
02/05/2016RuleLEGAL SERVICES CORPORATIONLegal Services CorporationIncome Level for Individuals Eligible for AssistanceThe Legal Services Corporation (LSC or the Corporation) is required by law to establish maximum income levels for individuals eligible for legal assistance. This document updates the specified income levels to reflect the annual amendments to the...2016-02241FR-Doc-2016-02241Income-Level-For-Individuals-Eligible-For-AssistanceThe Legal Services Corporation (LSC or the Corporation) is required by law to establish maximum income levels for individuals eligible for legal assistance. This document updates the specified income levels to reflect the annual amendments to the Federal Poverty Guidelines issued by the Department of Health and Human Services (HHS).
02/04/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentState Health Insurance Assistance Program (SHIP)This rule implements a provision enacted by the Consolidated Appropriations Act of 2014 and reflects the transfer of the State Health Insurance Assistance Program (SHIP) from the Centers for Medicare & Medicaid Services (CMS), in the Department of...2016-02055FR-Doc-2016-02055State-Health-Insurance-Assistance-Program-ShipThis rule implements a provision enacted by the Consolidated Appropriations Act of 2014 and reflects the transfer of the State Health Insurance Assistance Program (SHIP) from the Centers for Medicare & Medicaid Services (CMS), in the Department of Health and Human Services (HHS) to the Administration for Community Living (ACL) in HHS. The previous regulations were issued by CMS under the authority granted by the Omnibus Budget Reconciliation Act of 1990 (OBRA `90), Section 4360.
01/20/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentFederal Awarding Agency Regulatory Implementation of Office of Management and Budget's Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards; Technical AmendmentsThis document contains technical amendments to HHS regulations regarding Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. The regulatory content is being amended to add information that was erroneously...2015-32101FR-Doc-2015-32101Federal-Awarding-Agency-Regulatory-Implementation-Of-Office-Of-Management-And-Budgets-UniformThis document contains technical amendments to HHS regulations regarding Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. The regulatory content is being amended to add information that was erroneously omitted, to include updated cross-references within HHS' regulations, and to make grammatical corrections.
01/15/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentTemporary Assistance for Needy Families (TANF) Program, State Reporting On Policies and Practices To Prevent Use of TANF Funds in Electronic Benefit Transfer Transactions in Specified LocationsThis final rule makes regulatory changes to the Temporary Assistance for Needy Families (TANF) regulations to require states, subject to penalty, to maintain policies and practices that prevent TANF funded assistance from being used in any electronic...2016-00608FR-Doc-2016-00608Temporary-Assistance-For-Needy-Families-Tanf-Program-State-Reporting-On-Policies-And-Practices-ToThis final rule makes regulatory changes to the Temporary Assistance for Needy Families (TANF) regulations to require states, subject to penalty, to maintain policies and practices that prevent TANF funded assistance from being used in any electronic benefit transfer transaction in any liquor store; any casino, gambling casino, or gaming establishment; or any retail establishment that provides adult-oriented entertainment in which performers disrobe or perform in an unclothed state for entertainment. This rule implements provisions of Section 4004 of the Middle Class Tax Relief and Job Creation Act of 2012.
01/06/2016RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentHealth Insurance Portability and Accountability Act (HIPAA) Privacy Rule and the National Instant Criminal Background Check System (NICS)The Department of Health and Human Services (HHS or ``the Department'') is issuing this final rule to modify the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule to expressly permit certain HIPAA covered entities to...2015-33181FR-Doc-2015-33181Health-Insurance-Portability-And-Accountability-Act-Hipaa-Privacy-Rule-And-The-National-InstantThe Department of Health and Human Services (HHS or ``the Department'') is issuing this final rule to modify the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule to expressly permit certain HIPAA covered entities to disclose to the National Instant Criminal Background Check System (NICS) the identities of individuals who are subject to a Federal ``mental health prohibitor'' that disqualifies them from shipping, transporting, possessing, or receiving a firearm. The NICS is a national system maintained by the Federal Bureau of Investigation (FBI) to conduct background checks on persons who may be disqualified from receiving firearms based on Federally prohibited categories or State law. Among the persons subject to the Federal mental health prohibitor established under the Gun Control Act of 1968 and implementing regulations issued by the Department of Justice (DOJ) are individuals who have been involuntarily committed to a mental institution; found incompetent to stand trial or not guilty by reason of insanity; or otherwise have been determined by a court, board, commission, or other lawful authority to be a danger to themselves or others or to lack the mental capacity to contract or manage their own affairs, as a result of marked subnormal intelligence or mental illness, incompetency, condition, or disease. Under this final rule, only covered entities with lawful authority to make the adjudications or commitment decisions that make individuals subject to the Federal mental health prohibitor, or that serve as repositories of information for NICS reporting purposes, are permitted to disclose the information needed for these purposes. The disclosure is restricted to limited demographic and certain other information needed for NICS purposes. The rule specifically prohibits the disclosure of diagnostic or clinical information, from medical records or other sources, and any mental health information beyond the indication that the individual is subject to the Federal mental health prohibitor.
12/24/2015Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentChild Care and Development Fund (CCDF) ProgramThe Department of Health and Human Services, Administration for Children and Families, proposes to amend the Child Care and Development Fund (CCDF) regulations. This proposed rule makes changes to CCDF regulations to detail provisions of the Child Care...2015-31883FR-Doc-2015-31883Child-Care-And-Development-Fund-Ccdf-ProgramThe Department of Health and Human Services, Administration for Children and Families, proposes to amend the Child Care and Development Fund (CCDF) regulations. This proposed rule makes changes to CCDF regulations to detail provisions of the Child Care and Development Block Grant Act of 2014 in order to protect the health and safety of children in child care; help parents make informed consumer choices and access information to support child development; provide equal access to stable, high quality child care for low-income children; and enhance the overall quality of child care and the early childhood workforce.
12/21/2015Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentNational Institute on Disability, Independent Living, and Rehabilitation ResearchThis proposed rule would implement the Workforce Innovation and Opportunity Act of 2014 and reflect the transfer of the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) from the Department of Education to the...2015-31907FR-Doc-2015-31907National-Institute-On-Disability-Independent-Living-And-Rehabilitation-ResearchThis proposed rule would implement the Workforce Innovation and Opportunity Act of 2014 and reflect the transfer of the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR) from the Department of Education to the Department of Health and Human Services. The previous regulations were issued by the Department of Education. The rulemaking will consolidate the NIDILRR regulations into a single part, align the regulations with the current statute and HHS policies, and will provide guidance to NIDILRR grantees.
12/16/2015RuleDEPARTMENT OF THE TREASURYTreasury DepartmentWaivers for State InnovationThis guidance relates to Section 1332 of the Patient Protection and Affordable Care Act (ACA) and its implementing regulations. Section 1332 provides the Secretary of Health and Human Services and the Secretary of the Treasury with the discretion to...2015-31563FR-Doc-2015-31563Waivers-For-State-InnovationThis guidance relates to Section 1332 of the Patient Protection and Affordable Care Act (ACA) and its implementing regulations. Section 1332 provides the Secretary of Health and Human Services and the Secretary of the Treasury with the discretion to approve a state's proposal to waive specific provisions of the ACA (a State Innovation Waiver), provided the proposal meets certain requirements. In particular, the Secretaries can only exercise their discretion to approve a waiver if they find that the waiver would provide coverage to a comparable number of residents of the state as would be provided coverage absent the waiver, would provide coverage that is at least as comprehensive and affordable as would be provided absent the waiver, and would not increase the Federal deficit. If the waiver is approved, the state may receive funding equal to the amount of forgone Federal financial assistance that would have been provided to its residents pursuant to specified ACA programs, known as pass- through funding. State Innovation Waivers are available for effective dates beginning on or after January 1, 2017. They may be approved for periods up to 5 years and can be renewed. The Departments promulgated implementing regulations in 2012. This document provides additional information about the requirements that must be met, the Secretaries' application review procedures, the amount of pass-through funding, certain analytical requirements, and operational considerations.
12/11/2015RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services Department2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification Program Modifications; Corrections and ClarificationsThis document corrects errors and clarifies provisions of the final rule entitled ``2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT...2015-31255FR-Doc-2015-312552015-Edition-Health-Information-Technology-Health-It-Certification-Criteria-2015-Edition-BaseThis document corrects errors and clarifies provisions of the final rule entitled ``2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification Program Modifications.''
12/04/2015RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentMedicaid Program; Mechanized Claims Processing and Information Retrieval Systems (90/10)This final rule will extend enhanced funding for Medicaid eligibility systems as part of a state's mechanized claims processing system, and will update conditions and standards for such systems, including adding to and updating current Medicaid...2015-30591FR-Doc-2015-30591Medicaid-Program-Mechanized-Claims-Processing-And-Information-Retrieval-Systems-9010This final rule will extend enhanced funding for Medicaid eligibility systems as part of a state's mechanized claims processing system, and will update conditions and standards for such systems, including adding to and updating current Medicaid Management Information Systems (MMIS) conditions and standards. These changes will allow states to improve customer service and support the dynamic nature of Medicaid eligibility, enrollment, and delivery systems.
12/04/2015Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationOutside Practice of Law; Fee-Generating Cases; Financial Eligibility; Private Attorney Involvement; Restrictions on Legal Assistance to Aliens; Timekeeping RequirementThe Legal Services Corporation (``LSC'') Office of Inspector General (``OIG'') intends to revise the Compliance Supplement for Audits of LSC Recipients for the fiscal year ending December 31, 2015, and thereafter and is soliciting public comment on the...2015-30643FR-Doc-2015-30643Outside-Practice-Of-Law-Fee-Generating-Cases-Financial-Eligibility-Private-Attorney-InvolvementThe Legal Services Corporation (``LSC'') Office of Inspector General (``OIG'') intends to revise the Compliance Supplement for Audits of LSC Recipients for the fiscal year ending December 31, 2015, and thereafter and is soliciting public comment on the proposed changes. The proposed revisions primarily affect certain regulatory requirements to be audited pursuant to LSC regulations. In addition, the LSC OIG is proposing to include for audit certain regulatory requirements which impact recipient staff's involvement in the outside practice of law. Finally, suggested audit procedures for several regulations have been updated and revised for clarification and simplification purposes.
12/02/2015Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2017This proposed rule sets forth payment parameters and provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges. It also...2015-29884FR-Doc-2015-29884Patient-Protection-And-Affordable-Care-Act-Hhs-Notice-Of-Benefit-And-Payment-Parameters-For-2017This proposed rule sets forth payment parameters and provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges. It also provides additional standards for the annual open enrollment period for the individual market for the 2017 benefit year; essential health benefits; cost-sharing requirements; qualified health plans; updated standards for Exchange consumer assistance programs; network adequacy; patient safety standards; the Small Business Health Options Program; stand-alone dental plans; acceptance of third-party payments by qualified health plans; the definitions of large employer and small employer; fair health insurance premiums; guaranteed availability; student health insurance coverage; the rate review program; the medical loss ratio program; eligibility and enrollment; exemptions and appeals; and other related topics.
11/25/2015Proposed RuleDEPARTMENT OF HOMELAND SECURITYHomeland Security DepartmentFederal Policy for the Protection of Human SubjectsThe Department of Health and Human Services and the other Federal Departments and Agencies listed in this document are extending the comment period on the Federal Policy for the Protection of Human Subjects notice of proposed rulemaking. The NPRM...2015-30122FR-Doc-2015-30122Federal-Policy-For-The-Protection-Of-Human-SubjectsThe Department of Health and Human Services and the other Federal Departments and Agencies listed in this document are extending the comment period on the Federal Policy for the Protection of Human Subjects notice of proposed rulemaking. The NPRM requests comment on proposed revisions to modernize, strengthen, and make more effective the Federal Policy for the Protection of Human Subjects that was promulgated as a Common Rule in 1991. The NPRM was published in the Federal Register on September 8, 2015.
11/18/2015RuleDEPARTMENT OF THE TREASURYTreasury DepartmentFinal Rules for Grandfathered Plans, Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, Dependent Coverage, Appeals, and Patient Protections Under the Affordable Care ActThis document contains final regulations regarding grandfathered health plans, preexisting condition exclusions, lifetime and annual dollar limits on benefits, rescissions, coverage of dependent children to age 26, internal claims and appeal and...2015-29294FR-Doc-2015-29294Final-Rules-For-Grandfathered-Plans-Preexisting-Condition-Exclusions-Lifetime-And-Annual-LimitsThis document contains final regulations regarding grandfathered health plans, preexisting condition exclusions, lifetime and annual dollar limits on benefits, rescissions, coverage of dependent children to age 26, internal claims and appeal and external review processes, and patient protections under the Affordable Care Act. It finalizes changes to the proposed and interim final rules based on comments and incorporates subregulatory guidance issued since publication of the proposed and interim final rules.
11/17/2015RuleCORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceImplementation of Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal AwardsThe Corporation for National and Community Service (CNCS) published an interim final rule adopting and implementing the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) on December 19,...2015-28733FR-Doc-2015-28733Implementation-Of-Uniform-Administrative-Requirements-Cost-Principles-And-Audit-Requirements-ForThe Corporation for National and Community Service (CNCS) published an interim final rule adopting and implementing the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (Uniform Guidance) on December 19, 2014. CNCS publishes this final rule to adopt and implement the interim final rule without change.
11/16/2015Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentIndependent Living Services and Centers for Independent LivingThis proposed rule would implement the Workforce Innovation and Opportunity Act enacted on July 22, 2014 and reflects the transfer of Independent Living Services and Centers for Independent Living programs from the Department of Education to the...2015-28888FR-Doc-2015-28888Independent-Living-Services-And-Centers-For-Independent-LivingThis proposed rule would implement the Workforce Innovation and Opportunity Act enacted on July 22, 2014 and reflects the transfer of Independent Living Services and Centers for Independent Living programs from the Department of Education to the Department of Health and Human Services. The previous regulations were issued by the Department of Education. This proposed rule will consolidate the Independent Living (IL) regulations into a single part, align the regulations with the current statute and HHS policies, and will provide guidance to IL grantees.
11/04/2015Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentComprehensive Child Welfare Information SystemThe Administration for Children and Families reopens the comment period for the notice of proposed rulemaking entitled, ``Comprehensive Child Welfare Information System.'' We take this action to respond to requests from the public for more time to...2015-28057FR-Doc-2015-28057Comprehensive-Child-Welfare-Information-SystemThe Administration for Children and Families reopens the comment period for the notice of proposed rulemaking entitled, ``Comprehensive Child Welfare Information System.'' We take this action to respond to requests from the public for more time to submit comments. The notice of proposed rulemaking and our request for comments appeared in the Federal Register on August 11, 2015. We initially set October 13, 2015 as the deadline for the comment period. The Web site for submitting public comments, http:// www.regulations.gov, experienced technical difficulties and was unavailable for periods of time during the several days prior to this deadline and many commenters reported difficulty submitting their comments using this mechanism. To allow the public more time, we are reopening the comment period for an additional 7 days.
10/20/2015RuleCORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceVolunteers in Service to AmericaThe Corporation for National and Community Service (CNCS) publishes new regulations under the Domestic Volunteer Service Act of 1973, as amended, and the National and Community Service Act of 1990, as amended, for the Volunteers in Service to America...2015-25790FR-Doc-2015-25790Volunteers-In-Service-To-AmericaThe Corporation for National and Community Service (CNCS) publishes new regulations under the Domestic Volunteer Service Act of 1973, as amended, and the National and Community Service Act of 1990, as amended, for the Volunteers in Service to America (VISTA) program, including certain changes to update existing regulations.
10/16/2015RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services Department2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification Program ModificationsThis final rule finalizes a new edition of certification criteria (the 2015 Edition health IT certification criteria or ``2015 Edition'') and a new 2015 Edition Base Electronic Health Record (EHR) definition, while also modifying the ONC Health IT...2015-25597FR-Doc-2015-255972015-Edition-Health-Information-Technology-Health-It-Certification-Criteria-2015-Edition-BaseThis final rule finalizes a new edition of certification criteria (the 2015 Edition health IT certification criteria or ``2015 Edition'') and a new 2015 Edition Base Electronic Health Record (EHR) definition, while also modifying the ONC Health IT Certification Program to make it open and accessible to more types of health IT and health IT that supports various care and practice settings. The 2015 Edition establishes the capabilities and specifies the related standards and implementation specifications that Certified Electronic Health Record Technology (CEHRT) would need to include to, at a minimum, support the achievement of meaningful use by eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) under the Medicare and Medicaid EHR Incentive Programs (EHR Incentive Programs) when such edition is required for use under these programs.
10/14/2015Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentFamily Violence Prevention and Services ProgramsThe Administration for Children and Families proposes to revise regulations applying to the Family Violence Prevention and Services Programs. These proposed revisions would update existing rules to reflect statutory changes, would update procedures for...2015-25726FR-Doc-2015-25726Family-Violence-Prevention-And-Services-ProgramsThe Administration for Children and Families proposes to revise regulations applying to the Family Violence Prevention and Services Programs. These proposed revisions would update existing rules to reflect statutory changes, would update procedures for soliciting and awarding grants, and would make other changes to increase clarity and reduce potential confusion over statutory and regulatory standards. The proposed revisions would codify standards already used by the program in the Funding Opportunity Announcements and awards, in technical assistance, in reporting requirements, and in sub-regulatory guidance.
10/09/2015Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationCost Standards and Procedures; Property Acquisition and Management ManualThe Legal Services Corporation (LSC or the Corporation) is issuing this advance notice of proposed rulemaking (ANPRM) to request comment on the Corporation's considerations for revising 45 CFR part 1630 and the Property Acquisition and Management...2015-25735FR-Doc-2015-25735Cost-Standards-And-Procedures-Property-Acquisition-And-Management-ManualThe Legal Services Corporation (LSC or the Corporation) is issuing this advance notice of proposed rulemaking (ANPRM) to request comment on the Corporation's considerations for revising 45 CFR part 1630 and the Property Acquisition and Management Manual (PAMM). The Corporation has chosen to address both part 1630 and the PAMM in a single rulemaking due to the level of similarity and overlap between them, particularly with regard to the provisions governing real and personal property acquisition and prior approval procedures. This ANPRM seeks input and recommendations on how to address most effectively those provisions of part 1630 and the PAMM that impact LSC's ability to promote clarity, efficiency, and accountability in its grant-making and grants oversight practices.
09/21/2015RuleNATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesUniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal AwardsThe Institute of Museum and Library Services (``IMLS'') finalizes its portion of the uniform federal assistance rule published by the Office of Management and Budget.2015-23407FR-Doc-2015-23407Uniform-Administrative-Requirements-Cost-Principles-And-Audit-Requirements-For-Federal-AwardsThe Institute of Museum and Library Services (``IMLS'') finalizes its portion of the uniform federal assistance rule published by the Office of Management and Budget.
09/16/2015RuleNATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesUniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal AwardsThe National Endowment for the Humanities (NEH) has adopted as final its interim final rule outlining uniform administrative requirements, cost principles, and audit requirements for Federal awards.2015-23186FR-Doc-2015-23186Uniform-Administrative-Requirements-Cost-Principles-And-Audit-Requirements-For-Federal-AwardsThe National Endowment for the Humanities (NEH) has adopted as final its interim final rule outlining uniform administrative requirements, cost principles, and audit requirements for Federal awards.
09/08/2015Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentNondiscrimination in Health Programs and ActivitiesThe Department of Health and Human Services (HHS or ``the Department'') is issuing this proposed rule on Section 1557 of the Affordable Care Act (ACA) (Section 1557). Section 1557 prohibits discrimination on the basis of race, color, national origin,...2015-22043FR-Doc-2015-22043Nondiscrimination-In-Health-Programs-And-ActivitiesThe Department of Health and Human Services (HHS or ``the Department'') is issuing this proposed rule on Section 1557 of the Affordable Care Act (ACA) (Section 1557). Section 1557 prohibits discrimination on the basis of race, color, national origin, sex, age, or disability in certain health programs and activities. Section 1557(c) of the ACA authorizes the Secretary of the Department to promulgate regulations to implement the nondiscrimination requirements of Section 1557. In addition, the Secretary is authorized to prescribe regulations for the Department's governance, conduct, and performance of its business, including, here, how HHS will apply the standards of Section 1557 to HHS-administered health programs and activities.
09/08/2015Proposed RuleDEPARTMENT OF HOMELAND SECURITYHomeland Security DepartmentFederal Policy for the Protection of Human SubjectsThe departments and agencies listed in this document propose revisions to modernize, strengthen, and make more effective the Federal Policy for the Protection of Human Subjects that was promulgated as a Common Rule in 1991. This NPRM seeks comment on...2015-21756FR-Doc-2015-21756Federal-Policy-For-The-Protection-Of-Human-SubjectsThe departments and agencies listed in this document propose revisions to modernize, strengthen, and make more effective the Federal Policy for the Protection of Human Subjects that was promulgated as a Common Rule in 1991. This NPRM seeks comment on proposals to better protect human subjects involved in research, while facilitating valuable research and reducing burden, delay, and ambiguity for investigators. This proposed rule is an effort to modernize, simplify, and enhance the current system of oversight. The participating departments and agencies propose these revisions to the human subjects regulations because they believe these changes would strengthen protections for research subjects while facilitating important research.
08/11/2015Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentComprehensive Child Welfare Information SystemThe Administration for Children and Families proposes to revise the Statewide and Tribal Automated Child Welfare Information System regulations. This proposed rule will remove the requirement for a single comprehensive system and allow title IV-E...2015-19087FR-Doc-2015-19087Comprehensive-Child-Welfare-Information-SystemThe Administration for Children and Families proposes to revise the Statewide and Tribal Automated Child Welfare Information System regulations. This proposed rule will remove the requirement for a single comprehensive system and allow title IV-E agencies to implement systems that support current child welfare practice. It also proposes to establish requirements around design, data quality, and data exchange standards in addition to aligning these regulations with current and emerging technology developments to support the administration of title IV-E and IV-B programs under the Social Security Act.
08/06/2015Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentImplementation of Executive Order 13559 Updating Participation in Department of Health and Human Services Programs by Faith-Based or Religious Organizations and Providing for Equal Treatment of Department of Health and Human Services Program ParticipantsThe United States Department Health and Human Services (HHS) proposes to amend its general regulations regarding the equal treatment of religious organizations in HHS programs and the protection of religious liberty for HHS social service providers and...2015-18256FR-Doc-2015-18256Implementation-Of-Executive-Order-13559-Updating-Participation-In-Department-Of-Health-And-HumanThe United States Department Health and Human Services (HHS) proposes to amend its general regulations regarding the equal treatment of religious organizations in HHS programs and the protection of religious liberty for HHS social service providers and beneficiaries. Specifically, this proposed rule would: Clarify the definition of direct and indirect financial assistance, replace the term ``inherently religious activities'' with the term ``explicitly religious activities,'' require faith-based organizations administering a program supported with direct HHS financial assistance to provide beneficiaries with a written notice informing them of their religious liberty protections, including the right to a referral to an alternative provider if the beneficiary objects to the religious character of the organization providing services, and add a provision stating that decisions about awards of Federal financial assistance must be free from political interference and based on merit.
07/27/2015RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentDevelopmental Disabilities ProgramThis rule implements the Developmental Disabilities Assistance and Bill of Rights Act of 2000. The previous regulations were completed in 1997 before the current law was passed. The rule will align the regulations and current statute and will provide...2015-18070FR-Doc-2015-18070Developmental-Disabilities-ProgramThis rule implements the Developmental Disabilities Assistance and Bill of Rights Act of 2000. The previous regulations were completed in 1997 before the current law was passed. The rule will align the regulations and current statute and will provide guidance to AIDD grantees.
07/24/2015RuleLEGAL SERVICES CORPORATIONLegal Services CorporationRecipient Fund BalancesThis final rule revises the Legal Services Corporation (LSC or Corporation) regulation on recipient fund balances to give the Corporation more discretion to grant a recipient's request for a waiver to retain a fund balance in excess of 25% of its...2015-18138FR-Doc-2015-18138Recipient-Fund-BalancesThis final rule revises the Legal Services Corporation (LSC or Corporation) regulation on recipient fund balances to give the Corporation more discretion to grant a recipient's request for a waiver to retain a fund balance in excess of 25% of its annual LSC support. This final rule also provides that recipients facing a fund balance in excess of 25% of their annual LSC support may submit a waiver request prior to submitting their annual audited financial statements.
07/17/2015RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentHealth Resources Priority and Allocations System (HRPAS)This interim final rule establishes standards and procedures by which the U.S. Department of Health and Human Services (HHS) may require that certain contracts or orders that promote the national defense be given priority over other contracts or...2015-17047FR-Doc-2015-17047Health-Resources-Priority-And-Allocations-System-HrpasThis interim final rule establishes standards and procedures by which the U.S. Department of Health and Human Services (HHS) may require that certain contracts or orders that promote the national defense be given priority over other contracts or orders. This rule also sets new standards and procedures by which HHS may allocate materials, services, and facilities to promote the national defense. This rule will implement HHS's administration of priorities and allocations actions, and establish the Health Resources Priorities and Allocation System (HRPAS). The HRPAS will cover health resources pursuant to the authority under Section 101(c) of the Defense Production Act as delegated to HHS by Executive Order 13603. Priorities authorities (and other authorities delegated to the Secretary in E.O. 13603, but not covered by this regulation) may be re-delegated by the Secretary. The Secretary retains the authority for allocations.
07/16/2015RuleNATIONAL FOUNDATION ON THE ARTS AND HUMANITIESNational Foundation on the Arts and the HumanitiesChange of AddressThe National Endowment for the Humanities (NEH) is amending its Freedom of Information Act (FOIA) regulations to reflect changes to its address as a result of an office move. These amendments are nonsubstantive, editorial in nature, and are intended to...2015-16844FR-Doc-2015-16844Change-Of-AddressThe National Endowment for the Humanities (NEH) is amending its Freedom of Information Act (FOIA) regulations to reflect changes to its address as a result of an office move. These amendments are nonsubstantive, editorial in nature, and are intended to improve the accuracy of the regulations of NEH.
07/14/2015RuleDEPARTMENT OF THE TREASURYTreasury DepartmentCoverage of Certain Preventive Services Under the Affordable Care ActThis document contains final regulations regarding coverage of certain preventive services under section 2713 of the Public Health Service Act (PHS Act), added by the Patient Protection and Affordable Care Act, as amended, and incorporated into the...2015-17076FR-Doc-2015-17076Coverage-Of-Certain-Preventive-Services-Under-The-Affordable-Care-ActThis document contains final regulations regarding coverage of certain preventive services under section 2713 of the Public Health Service Act (PHS Act), added by the Patient Protection and Affordable Care Act, as amended, and incorporated into the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code. Section 2713 of the PHS Act requires coverage without cost sharing of certain preventive health services by non-grandfathered group health plans and health insurance coverage. These regulations finalize provisions from three rulemaking actions: Interim final regulations issued in July 2010 related to coverage of preventive services, interim final regulations issued in August 2014 related to the process an eligible organization uses to provide notice of its religious objection to the coverage of contraceptive services, and proposed regulations issued in August 2014 related to the definition of ``eligible organization,'' which would expand the set of entities that may avail themselves of an accommodation with respect to the coverage of contraceptive services.
07/07/2015RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2016; Correcting AmendmentThis document corrects a technical error that appeared in the final rule published in the February 27, 2015 Federal Register (80 FR 10749) entitled ``Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2016.''2015-16532FR-Doc-2015-16532Patient-Protection-And-Affordable-Care-Act-Hhs-Notice-Of-Benefit-And-Payment-Parameters-For-2016This document corrects a technical error that appeared in the final rule published in the February 27, 2015 Federal Register (80 FR 10749) entitled ``Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2016.''
06/29/2015RuleNATIONAL ENDOWMENT FOR THE ARTSNational Endowment for the ArtsUniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal AwardsThe National Endowment for the Arts (``NEA'') finalizes its portion of the uniform federal assistance rule published by the Office of Management and Budget.2015-15736FR-Doc-2015-15736Uniform-Administrative-Requirements-Cost-Principles-And-Audit-Requirements-For-Federal-AwardsThe National Endowment for the Arts (``NEA'') finalizes its portion of the uniform federal assistance rule published by the Office of Management and Budget.
06/18/2015RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentRemoval of Obsolete ProvisionsMuch of the information set out in certain regulations regarding HHS's programs and activities is obsolete. Also, electronic resources are now available that did not exist when this part was first codified. This rule removes these obsolete regulations.2015-14424FR-Doc-2015-14424Removal-Of-Obsolete-ProvisionsMuch of the information set out in certain regulations regarding HHS's programs and activities is obsolete. Also, electronic resources are now available that did not exist when this part was first codified. This rule removes these obsolete regulations.
06/16/2015RuleDEPARTMENT OF THE TREASURYTreasury DepartmentSummary of Benefits and Coverage and Uniform GlossaryThis document contains final regulations regarding the summary of benefits and coverage (SBC) and the uniform glossary for group health plans and health insurance coverage in the group and individual markets under the Patient Protection and Affordable...2015-14559FR-Doc-2015-14559Summary-Of-Benefits-And-Coverage-And-Uniform-GlossaryThis document contains final regulations regarding the summary of benefits and coverage (SBC) and the uniform glossary for group health plans and health insurance coverage in the group and individual markets under the Patient Protection and Affordable Care Act. It finalizes changes to the regulations that implement the disclosure requirements under section 2715 of the Public Health Service Act to help plans and individuals better understand their health coverage, as well as to gain a better understanding of other coverage options for comparison.
06/11/2015RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentStandards Related to Reinsurance, Risk Corridors, and Risk Adjustment Under the Affordable Care ActThe National Endowment for the Arts (NEA) is adopting the Office of Management and Budget (OMB) guidance on drug-free workplace requirements for financial assistance. It is removing its regulation implementing the Governmentwide common rule and issuing...2015-14262FR-Doc-2015-14262Standards-Related-To-Reinsurance-Risk-Corridors-And-Risk-Adjustment-Under-The-Affordable-Care-Act 
06/09/2015RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentAcceptance and Approval of Non-Governmental Developed Test Procedures, Test Tools, and Test Data for Use Under the ONC Health IT Certification ProgramThis document further informs the public of ONC's policy that permits any person or entity to submit test procedures, test tools, and test data for approval and use under the ONC Health IT Certification Program.2015-13510FR-Doc-2015-13510Acceptance-And-Approval-Of-Non-Governmental-Developed-Test-Procedures-Test-Tools-And-Test-Data-ForThis document further informs the public of ONC's policy that permits any person or entity to submit test procedures, test tools, and test data for approval and use under the ONC Health IT Certification Program.
05/29/2015Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentRequest for Information Regarding the Requirements for the Health Plan IdentifierThis request for information seeks public comment regarding the health plan identifier (HPID) including the requirements regarding health plan enumeration and the requirement, to use the HPID in electronic health care transactions.2015-13047FR-Doc-2015-13047Request-For-Information-Regarding-The-Requirements-For-The-Health-Plan-IdentifierThis request for information seeks public comment regarding the health plan identifier (HPID) including the requirements regarding health plan enumeration and the requirement, to use the HPID in electronic health care transactions.
05/22/2015Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationUse of Non-LSC Funds, Transfer of LSC Funds, Program Integrity; Subgrants and Membership Fees or Dues; Cost Standards and Procedures-Extension of Comment PeriodThe Legal Services Corporation (``LSC'') issued a proposed rule in the Federal Register of April 20, 2015, concerning proposed amendments to its regulations governing transfers of LSC funds, subgrants to third parties, and cost standards and...2015-12371FR-Doc-2015-12371Use-Of-Non-Lsc-Funds-Transfer-Of-Lsc-Funds-Program-Integrity-Subgrants-And-Membership-Fees-Or-DuesThe Legal Services Corporation (``LSC'') issued a proposed rule in the Federal Register of April 20, 2015, concerning proposed amendments to its regulations governing transfers of LSC funds, subgrants to third parties, and cost standards and procedures. This notice extends the comment period for 21 days, to June 10, 2015.
05/13/2015RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentStatewide Data Indicators and National Standards for Child and Family Services ReviewsOn October 10, 2014, the Administration of Children and Families (ACF) published a document in the Federal Register (79 FR 61241). The document provided CB's final plan to replace the statewide data indicators used to determine a state's substantial...2015-11515FR-Doc-2015-11515Statewide-Data-Indicators-And-National-Standards-For-Child-And-Family-Services-ReviewsOn October 10, 2014, the Administration of Children and Families (ACF) published a document in the Federal Register (79 FR 61241). The document provided CB's final plan to replace the statewide data indicators used to determine a state's substantial conformity with titles IV-B and IV-E of the Social Security Act through the Child and Family Services Reviews (CFSRs). This document provides corrections to errors and misstatements in that document and some of the calculations of the statewide data indicators.
05/05/2015Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentMedicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System Policy Changes and Fiscal Year 2016 Rates; Revisions of Quality Reporting Requirements for Specific Providers, Including Changes Related to the Electronic Health Record Incentive ProgramThe Corporation for National and Community Service (CNCS) proposes new regulations under the Domestic Volunteer Service Act of 1973, as amended, and the National and Community Service Act of 1990, as amended, for the Volunteers in Service to America...C1-2015-09245FR-Doc-C1-2015-09245https://www.federalregister.gov/documents/2015/05/05/C1-2015-09245/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-and-the 
05/04/2015Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentChild Care and Development Fund (CCDF) ProgramThe Office of Child Care (OCC) in the Administration for Children and Families (ACF) within the Department of Health and Human Services (HHS) is withdrawing a previously published notice of proposed rulemaking that solicited public comment on reforms...2015-10351FR-Doc-2015-10351Child-Care-And-Development-Fund-Ccdf-ProgramThe Office of Child Care (OCC) in the Administration for Children and Families (ACF) within the Department of Health and Human Services (HHS) is withdrawing a previously published notice of proposed rulemaking that solicited public comment on reforms to the Child Care and Development Fund (CCDF) program.
04/30/2015Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentMedicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System Policy Changes and Fiscal Year 2016 Rates; Revisions of Quality Reporting Requirements for Specific Providers, Including Changes Related to the Electronic Health Record Incentive ProgramWe are proposing to revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems for FY 2016....2015-09245FR-Doc-2015-09245Medicare-Program-Hospital-Inpatient-Prospective-Payment-Systems-For-Acute-Care-Hospitals-And-TheWe are proposing to revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems for FY 2016. Some of these changes implement certain statutory provisions contained in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively known as the Affordable Care Act), the Pathway for Sustainable Growth Reform (SGR) Act of 2013, the Protecting Access to Medicare Act of 2014, and other legislation. We also are addressing the update of the rate-of-increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis subject to these limits for FY 2016. We also are proposing to update the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs) for FY 2016 and implement certain statutory changes to the LTCH PPS under the Affordable Care Act and the Pathway for Sustainable Growth Rate (SGR) Reform Act of 2013 and the Protecting Access to Medicare Act of 2014. In addition, we are proposing to establish new requirements or to revise existing requirements for quality reporting by specific providers (acute care hospitals, PPS-exempt cancer hospitals, and LTCHs) that are participating in Medicare, including related proposals for eligible hospitals and critical access hospitals participating in the Medicare Electronic Health Record (EHR) Incentive Program. We also are proposing to update policies relating to the Hospital Value-Based Purchasing (VBP) Program, the Hospital Readmissions Reduction Program, and the Hospital-Acquired Condition (HAC) Reduction Program.
04/30/2015RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentHealth Insurance Issuer Standards Under the Affordable Care Act, Including Standards Related to ExchangesThis proposed rule revises the Legal Services Corporation (LSC or Corporation) regulations governing transfers of LSC funds, subgrants to third parties, and cost standards and procedures.2015-09681FR-Doc-2015-09681Health-Insurance-Issuer-Standards-Under-The-Affordable-Care-Act-Including-Standards-Related-To 
04/20/2015Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationRecipient Fund BalancesThis proposed rule would revise the Legal Services Corporation (LSC or Corporation) regulation on recipient fund balances to provide the Corporation with more discretion to grant a recipient's request for a waiver to retain a fund balance in excess of...2015-08948FR-Doc-2015-08948Recipient-Fund-BalancesThis proposed rule would revise the Legal Services Corporation (LSC or Corporation) regulation on recipient fund balances to provide the Corporation with more discretion to grant a recipient's request for a waiver to retain a fund balance in excess of 25% of its annual LSC support. This proposed rule would also provide that recipients that face extraordinary and compelling circumstances may submit a waiver request to retain a fund balance in excess of 25% of their annual LSC support prior to the submission of their annual audited financial statements.
04/20/2015RuleLEGAL SERVICES CORPORATIONLegal Services CorporationApplication of Federal Law to LSC RecipientsThis final rule updates the Legal Services Corporation (LSC or Corporation) regulation on the application of Federal law to LSC recipients. The FY 1996 appropriations act (incorporated in LSC's appropriations by reference annually thereafter) subjects...2015-08974FR-Doc-2015-08974Application-Of-Federal-Law-To-Lsc-RecipientsThis final rule updates the Legal Services Corporation (LSC or Corporation) regulation on the application of Federal law to LSC recipients. The FY 1996 appropriations act (incorporated in LSC's appropriations by reference annually thereafter) subjects LSC recipients and its employees and board members to Federal law relating to the proper use of Federal funds. This final rule provides recipients with notice of the applicable Federal laws each recipient and its employees and board members must agree to be subject to under this rule, the consequences of a violation of an applicable Federal law, and where LSC will maintain the list of applicable laws.
04/16/2015Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentMedicaid Program; Mechanized Claims Processing and Information Retrieval Systems (90/10)This proposed rule would extend enhanced funding for Medicaid eligibility systems as part of a state's mechanized claims processing system, and would update conditions and standards for such systems, including adding to and updating current Medicaid...2015-08754FR-Doc-2015-08754Medicaid-Program-Mechanized-Claims-Processing-And-Information-Retrieval-Systems-9010This proposed rule would extend enhanced funding for Medicaid eligibility systems as part of a state's mechanized claims processing system, and would update conditions and standards for such systems, including adding to and updating current Medicaid Management Information Systems (MMIS) conditions and standards. These changes would allow states to improve customer service and support the dynamic nature of Medicaid eligibility, enrollment, and delivery systems.
04/02/2015Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentAdoption and Foster Care Analysis and Reporting SystemOn February 9, 2015, the Administration for Children and Families (ACF) published a Notice of Proposed Rulemaking (NPRM) to amend the Adoption and Foster Care Analysis and Reporting System (AFCARS) regulations to modify the requirements for title IV-E...2015-07574FR-Doc-2015-07574Adoption-And-Foster-Care-Analysis-And-Reporting-SystemOn February 9, 2015, the Administration for Children and Families (ACF) published a Notice of Proposed Rulemaking (NPRM) to amend the Adoption and Foster Care Analysis and Reporting System (AFCARS) regulations to modify the requirements for title IV-E agencies to collect and report data to ACF on children in out-of-home care and who were adopted or in a legal guardianship with a title IV-E subsidized adoption or guardianship agreement. However, we did not propose that title IV-E agencies report data in AFCARS on American Indian and Alaskan Native children related to the Indian Child Welfare Act of 1978 (ICWA). In this notice, we are announcing that we intend to publish a supplemental notice of proposed rulemaking (SNPRM), which will propose that title IV-E agencies collect and report additional ICWA-related data elements in AFCARS. We will consider the public comments on that SNPRM (related to ICWA-related data elements) and the February 9, 2015 NPRM (related to all other data elements) and issue one final rule on AFCARS.
03/30/2015Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services Department2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification Program ModificationsThis notice of proposed rulemaking introduces a new edition of certification criteria (the 2015 Edition health IT certification criteria or ``2015 Edition''), proposes a new 2015 Edition Base EHR definition, and proposes to modify the ONC Health IT...2015-06612FR-Doc-2015-066122015-Edition-Health-Information-Technology-Health-It-Certification-Criteria-2015-Edition-BaseThis notice of proposed rulemaking introduces a new edition of certification criteria (the 2015 Edition health IT certification criteria or ``2015 Edition''), proposes a new 2015 Edition Base EHR definition, and proposes to modify the ONC Health IT Certification Program to make it open and accessible to more types of health IT and health IT that supports various care and practice settings. The 2015 Edition would also establish the capabilities and specify the related standards and implementation specifications that Certified Electronic Health Record (EHR) Technology (CEHRT) would need to include to, at a minimum, support the achievement of meaningful use by eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) under the Medicare and Medicaid EHR Incentive Programs (EHR Incentive Programs) when such edition is required for use under these programs.
03/30/2015RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentTechnical Regulation: Removal of Child Abuse and Neglect Prevention and Treatment Act Implementing RegulationsThe Administration for Children and Families is removing the Child Abuse Prevention and Treatment Act (CAPTA) regulations in their entirety. These regulations no longer apply to the CAPTA programs they were originally designed to implement because of...2015-07238FR-Doc-2015-07238Technical-Regulation-Removal-Of-Child-Abuse-And-Neglect-Prevention-And-Treatment-Act-ImplementingThe Administration for Children and Families is removing the Child Abuse Prevention and Treatment Act (CAPTA) regulations in their entirety. These regulations no longer apply to the CAPTA programs they were originally designed to implement because of major legislative changes to CAPTA since the regulations were issued.
03/30/2015RuleOFFICE OF PERSONNEL MANAGEMENTPersonnel Management OfficePatient Protection and Affordable Care Act; Establishment of the Multi-State Plan Program for the Affordable Insurance Exchanges; CorrectionThe Office of Personnel Management (OPM) is correcting a final rule that appeared in the Federal Register of February 24, 2015 (80 FR 9649). The document implementing modifications to the Multi-State Plan (MSP) Program based on the experience of the...2015-07330FR-Doc-2015-07330Patient-Protection-And-Affordable-Care-Act-Establishment-Of-The-Multi-State-Plan-Program-For-TheThe Office of Personnel Management (OPM) is correcting a final rule that appeared in the Federal Register of February 24, 2015 (80 FR 9649). The document implementing modifications to the Multi-State Plan (MSP) Program based on the experience of the Program to date.
03/18/2015RuleDEPARTMENT OF THE TREASURYTreasury DepartmentAmendments to Excepted BenefitsThis document contains final regulations that amend the regulations regarding excepted benefits under the Employee Retirement Income Security Act of 1974, the Internal Revenue Code, and the Public Health Service Act to specify requirements for limited...2015-06066FR-Doc-2015-06066Amendments-To-Excepted-BenefitsThis document contains final regulations that amend the regulations regarding excepted benefits under the Employee Retirement Income Security Act of 1974, the Internal Revenue Code, and the Public Health Service Act to specify requirements for limited wraparound coverage to qualify as an excepted benefit. Excepted benefits are generally exempt from the requirements that were added to those laws by the Health Insurance Portability and Accountability Act and the Affordable Care Act.
03/13/2015RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentOfficial Symbol, Logo and SealThe U.S. Department of Health and Human Services (HHS) is adopting final regulations containing a description of its official symbol, logo, and seal.2015-05536FR-Doc-2015-05536Official-Symbol-Logo-And-SealThe U.S. Department of Health and Human Services (HHS) is adopting final regulations containing a description of its official symbol, logo, and seal.
02/27/2015RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2016This final rule sets forth payment parameters and provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges. It also...2015-03751FR-Doc-2015-03751Patient-Protection-And-Affordable-Care-Act-Hhs-Notice-Of-Benefit-And-Payment-Parameters-For-2016This final rule sets forth payment parameters and provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges. It also finalizes additional standards for the individual market annual open enrollment period for the 2016 benefit year, essential health benefits, qualified health plans, network adequacy, quality improvement strategies, the Small Business Health Options Program, guaranteed availability, guaranteed renewability, minimum essential coverage, the rate review program, the medical loss ratio program, and other related topics.
02/24/2015RuleOFFICE OF PERSONNEL MANAGEMENTPersonnel Management OfficePatient Protection and Affordable Care Act; Establishment of the Multi-State Plan Program for the Affordable Insurance ExchangesThe U.S. Office of Personnel Management (OPM) is issuing a final rule implementing modifications to the Multi-State Plan (MSP) Program based on the experience of the Program to date. OPM established the MSP Program pursuant to the Affordable Care Act....2015-03421FR-Doc-2015-03421Patient-Protection-And-Affordable-Care-Act-Establishment-Of-The-Multi-State-Plan-Program-For-TheThe U.S. Office of Personnel Management (OPM) is issuing a final rule implementing modifications to the Multi-State Plan (MSP) Program based on the experience of the Program to date. OPM established the MSP Program pursuant to the Affordable Care Act. This rule clarifies the approach used to enforce the applicable standards of the Affordable Care Act with respect to health insurance issuers that contract with OPM to offer MSP options; amends MSP standards related to coverage area, benefits, and certain contracting provisions under section 1334 of the Affordable Care Act; and makes non-substantive technical changes.
02/11/2015RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentState Long-Term Care Ombudsman ProgramsThe Administration on Aging (AoA) of the Administration for Community Living (ACL) within the Department of Health and Human Services (HHS) is issuing this final rule in order to implement provisions of the Older Americans Act (the Act) regarding...2015-01914FR-Doc-2015-01914State-Long-Term-Care-Ombudsman-ProgramsThe Administration on Aging (AoA) of the Administration for Community Living (ACL) within the Department of Health and Human Services (HHS) is issuing this final rule in order to implement provisions of the Older Americans Act (the Act) regarding States' Long- Term Care Ombudsman programs (Ombudsman programs). Since its creation in the 1970s, the functions of the Nursing Home Ombudsman program (later, changed to Long-Term Care Ombudsman program) have been delineated in the Act; however, regulations have not been promulgated specifically focused on States' implementation of this program. In the absence of regulation, there has been significant variation in the interpretation and implementation of these provisions among States. HHS expects that a number of States may need to update their statutes, regulations, policies, procedures and/or practices in order to operate the Ombudsman program consistent with Federal law and this final rule.
02/10/2015RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentHead Start ProgramThis rule will ensure the neediest children and families in our country benefit from Head Start services first.2015-02491FR-Doc-2015-02491Head-Start-ProgramThis rule will ensure the neediest children and families in our country benefit from Head Start services first.
02/09/2015Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentAdoption and Foster Care Analysis and Reporting SystemThe Administration for Children and Families (ACF) proposes to amend the Adoption and Foster Care Analysis and Reporting System (AFCARS) regulations. This notice of proposed rulemaking (NPRM) builds on an earlier proposed rule, published January 11,...2015-02354FR-Doc-2015-02354Adoption-And-Foster-Care-Analysis-And-Reporting-SystemThe Administration for Children and Families (ACF) proposes to amend the Adoption and Foster Care Analysis and Reporting System (AFCARS) regulations. This notice of proposed rulemaking (NPRM) builds on an earlier proposed rule, published January 11, 2008 that addressed the requirements for State title IV-E agencies to collect and report data to ACF on children who are in out-of-home care and in subsidized adoption or guardianship arrangements with the State and AFCARS penalty requirements of the Adoption Promotion Act of 2003. This NPRM proposes many of the same changes and additions as the earlier NPRM and includes several new modifications to address changes made by the Fostering Connections to Success and Increasing Adoptions Act of 2008, such as collecting and reporting data related to the title IV-E guardianship assistance program, sibling placement, the extension of title IV-E assistance to children age 18 or older, educational stability plans and transition plans for children in foster care and the inclusion of Tribal title IV-E agencies. Additionally, modifications were made to address new requirements in the Preventing Sex Trafficking and Strengthening Families Act, which was enacted on September 29, 2014 to include information on: Victims of sex trafficking, children in foster care who are pregnant or parenting, and children in non-foster family settings.
02/03/2015Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationApplication of Federal Law to LSC RecipientsThis proposed rule updates the Legal Services Corporation (LSC or Corporation) regulation on the application of Federal law to LSC recipients. The FY 1996 appropriations act (incorporated in LSC's appropriations by reference annually thereafter)...2015-01893FR-Doc-2015-01893Application-Of-Federal-Law-To-Lsc-RecipientsThis proposed rule updates the Legal Services Corporation (LSC or Corporation) regulation on the application of Federal law to LSC recipients. The FY 1996 appropriations act (incorporated in LSC's appropriations by reference annually thereafter) subjects LSC recipients to Federal law relating to the proper use of Federal funds. This proposed rule will provide recipients with notice of the applicable Federal laws each recipient must agree to be subject to under this rule, the consequences of a violation of an applicable Federal law, and where LSC will maintain the list of applicable laws.
02/02/2015RuleLEGAL SERVICES CORPORATIONLegal Services CorporationIncome Level for Individuals Eligible for AssistanceThe Legal Services Corporation (Corporation) is required by law to establish maximum income levels for individuals eligible for legal assistance. This document updates the specified income levels to reflect the annual amendments to the Federal Poverty...2015-01892FR-Doc-2015-01892Income-Level-For-Individuals-Eligible-For-AssistanceThe Legal Services Corporation (Corporation) is required by law to establish maximum income levels for individuals eligible for legal assistance. This document updates the specified income levels to reflect the annual amendments to the Federal Poverty Guidelines issued by the Department of Health and Human Services (HHS).
12/30/2014Proposed RuleDEPARTMENT OF THE TREASURYTreasury DepartmentSummary of Benefits and Coverage and Uniform GlossaryThis document contains proposed regulations regarding the summary of benefits and coverage (SBC) and the uniform glossary for group health plans and health insurance coverage in the group and individual markets under the Patient Protection and...2014-30243FR-Doc-2014-30243Summary-Of-Benefits-And-Coverage-And-Uniform-GlossaryThis document contains proposed regulations regarding the summary of benefits and coverage (SBC) and the uniform glossary for group health plans and health insurance coverage in the group and individual markets under the Patient Protection and Affordable Care Act. It proposes changes to the regulations that implement the disclosure requirements under section 2715 of the Public Health Service Act to help plans and individuals better understand their health coverage, as well as to gain a better understanding of other coverage options for comparison. It proposes changes to documents required for compliance with section 2715 of the Public Health Service Act, including a template for the SBC, instructions, sample language, a guide for coverage example calculations, and the uniform glossary.
12/24/2014RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentStandards To Prevent, Detect, and Respond to Sexual Abuse and Sexual Harassment Involving Unaccompanied ChildrenThis IFR proposes standards and procedures to prevent, detect, and respond to sexual abuse and sexual harassment involving unaccompanied children (UCs) in ORR's care provider facilities.2014-29984FR-Doc-2014-29984Standards-To-Prevent-Detect-And-Respond-To-Sexual-Abuse-And-Sexual-Harassment-InvolvingThis IFR proposes standards and procedures to prevent, detect, and respond to sexual abuse and sexual harassment involving unaccompanied children (UCs) in ORR's care provider facilities.
12/23/2014Proposed RuleDEPARTMENT OF THE TREASURYTreasury DepartmentAmendments to Excepted BenefitsThis document contains proposed rules that would amend the regulations regarding excepted benefits under the Employee Retirement Income Security Act of 1974, the Internal Revenue Code (the Code), and the Public Health Service Act related to limited...2014-30010FR-Doc-2014-30010Amendments-To-Excepted-BenefitsThis document contains proposed rules that would amend the regulations regarding excepted benefits under the Employee Retirement Income Security Act of 1974, the Internal Revenue Code (the Code), and the Public Health Service Act related to limited wraparound coverage. Excepted benefits are generally exempt from the requirements that were added to those laws by the Health Insurance Portability and Accountability Act and the Patient Protection and Affordable Care Act.
11/26/2014Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2016This proposed rule would set forth payment parameters and provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges. It...2014-27858FR-Doc-2014-27858Patient-Protection-And-Affordable-Care-Act-Hhs-Notice-Of-Benefit-And-Payment-Parameters-For-2016This proposed rule would set forth payment parameters and provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges. It would also provide additional standards for the annual open enrollment period for the individual market for benefit years beginning on or after January 1, 2016, essential health benefits, qualified health plans, network adequacy, quality improvement strategies, the Small Business Health Options Program, guaranteed availability, guaranteed renewability, minimum essential coverage, the rate review program, the medical loss ratio program, and other related topics.
11/24/2014Proposed RuleOFFICE OF PERSONNEL MANAGEMENTPersonnel Management OfficePatient Protection and Affordable Care Act; Establishment of the Multi-State Plan Program for the Affordable Insurance ExchangesThe U.S. Office of Personnel Management (OPM) is issuing a proposed rule to implement modifications to the Multi-State Plan (MSP) Program based on the experience of the Program to date. OPM established the MSP Program pursuant to section 1334 of the...2014-27793FR-Doc-2014-27793Patient-Protection-And-Affordable-Care-Act-Establishment-Of-The-Multi-State-Plan-Program-For-TheThe U.S. Office of Personnel Management (OPM) is issuing a proposed rule to implement modifications to the Multi-State Plan (MSP) Program based on the experience of the Program to date. OPM established the MSP Program pursuant to section 1334 of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. This proposed rule clarifies the approach used to enforce the applicable requirements of the Affordable Care Act with respect to health insurance issuers that contract with OPM to offer MSP options. This proposed rule amends MSP standards related to coverage area, benefits, and certain contracting provisions under section 1334 of the Affordable Care Act. This document also makes non-substantive technical changes.
11/17/2014Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentFlexibility, Efficiency, and Modernization in Child Support Enforcement ProgramsThis NPRM is intended to carry out the President's directives in Executive Order 13563: Improving Regulation and Regulatory Review. The NPRM proposes revisions to make Child Support Enforcement program operations and enforcement procedures more...2014-26822FR-Doc-2014-26822Flexibility-Efficiency-And-Modernization-In-Child-Support-Enforcement-ProgramsThis NPRM is intended to carry out the President's directives in Executive Order 13563: Improving Regulation and Regulatory Review. The NPRM proposes revisions to make Child Support Enforcement program operations and enforcement procedures more flexible, more effective, and more efficient by recognizing the strength of existing state enforcement programs, advancements in technology that can enable improved collection rates, and the move toward electronic communication and document management. This NPRM proposes to improve and simplify program operations, and remove outmoded limitations to program innovations to better serve families. In addition, changes are proposed to clarify and correct technical provisions in existing regulations.
11/12/2014RuleNATIONAL FOUNDATION FOR THE ARTS AND HUMANITIESNational Foundation on the Arts and the HumanitiesImplementing the Program Fraud Civil Remedies ActThe National Endowment for the Arts (NEA) implements the Program Fraud Civil Remedies Act of 1986 (PFCRA). Any person who makes, submits, or presents a false, fictitious, or fraudulent claim or written statement to the agency causing such fraudulent...2014-26507FR-Doc-2014-26507Implementing-The-Program-Fraud-Civil-Remedies-ActThe National Endowment for the Arts (NEA) implements the Program Fraud Civil Remedies Act of 1986 (PFCRA). Any person who makes, submits, or presents a false, fictitious, or fraudulent claim or written statement to the agency causing such fraudulent actions to occur is subject to civil penalties and assessments. The regulations authorizes the NEA to impose civil penalties and assessments through administrative adjudication. The regulations also establish the procedures the NEA will follow in implementing the provisions of the PFCRA and specifies the hearing and appeal rights of persons subject to penalties and assessments under the PFCRA.
10/31/2014Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentNative American ProgramsThe Department of Health and Human Services, Administration for Children and Families, Administration for Native Americans (ANA) is seeking comments, data, and information from the public related to planned revisions and amendments to regulations...2014-25921FR-Doc-2014-25921Native-American-ProgramsThe Department of Health and Human Services, Administration for Children and Families, Administration for Native Americans (ANA) is seeking comments, data, and information from the public related to planned revisions and amendments to regulations implementing the Native American Programs Act of 1974 (the NAPA). ANA anticipates making revisions and amendments to update and revise procedures and policies involved in executing the requirements of 42 U.S.C. 2991b, 2991b-1, 2991b-2, 2991b-3, 2991d, 2991g, 2991h, 2992, and 2992b-1 (Section 803, 803A, 803B, 803C, 805, 809, 810, 811, and 814 of the NAPA) currently found in our regulations. ANA is interested in receiving feedback to this advance notice of proposed rulemaking (ANPRM) about potential means of streamlining applicable regulations, removing undue burdens, and clarifying procedures and policies related to accessing programs. We are also interested in receiving recommendations related to the activities of the Commissioner of the Administration for Native Americans as an advocate on behalf of Native Americans.
10/15/2014RuleLEGAL SERVICES CORPORATIONLegal Services CorporationPrivate Attorney InvolvementThis final rule updates the Legal Services Corporation (LSC or Corporation) regulation on private attorney involvement (PAI) in the delivery of legal services to eligible clients.2014-24456FR-Doc-2014-24456Private-Attorney-InvolvementThis final rule updates the Legal Services Corporation (LSC or Corporation) regulation on private attorney involvement (PAI) in the delivery of legal services to eligible clients.
10/10/2014RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentStatewide Data Indicators and National Standards for Child and Family Services ReviewsOn April 23, 2014, the Administration of Children and Families (ACF) published a document in the Federal Register (79 FR 22604). The document provided the Children's Bureau's plan to replace the statewide data indicators used to determine a state's...2014-24204FR-Doc-2014-24204Statewide-Data-Indicators-And-National-Standards-For-Child-And-Family-Services-ReviewsOn April 23, 2014, the Administration of Children and Families (ACF) published a document in the Federal Register (79 FR 22604). The document provided the Children's Bureau's plan to replace the statewide data indicators used to determine a state's substantial conformity with titles IV-B and IV-E of the Social Security Act through the Child and Family Services Reviews (CFSRs). After consideration of the public comments and additional Children's Bureau analysis, the Children's Bureau is now publishing its final plan. Where relevant, this document addresses key comments from the field in response to the April 23, 2014 Federal Register document.
10/01/2014RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Exchange and Insurance Market Standards for 2015 and Beyond; Correcting AmendmentIn the May 27, 2014 issue of the Federal Register (79 FR 30240), we published a final rule which addressed various requirements applicable to health insurance issuers, Affordable Insurance Exchanges (``Exchanges''), Navigators, non-Navigator assistance...2014-23381FR-Doc-2014-23381Patient-Protection-And-Affordable-Care-Act-Exchange-And-Insurance-Market-Standards-For-2015-AndIn the May 27, 2014 issue of the Federal Register (79 FR 30240), we published a final rule which addressed various requirements applicable to health insurance issuers, Affordable Insurance Exchanges (``Exchanges''), Navigators, non-Navigator assistance personnel, and other entities under the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act). The effective date of the rule was July 28, 2014, except for amendments to 45 CFR 155.705, which were effective May 27, 2014. This correcting amendment corrects a limited number of technical and typographical errors identified in the ``Patient Protection and Affordable Care Act; Exchange and Insurance Market Standards for 2015 and Beyond'' final rule.
10/01/2014RuleDEPARTMENT OF THE TREASURYTreasury DepartmentAmendments to Excepted BenefitsThis document contains final regulations that amend the regulations regarding excepted benefits under the Employee Retirement Income Security Act of 1974, the Internal Revenue Code (the Code), and the Public Health Service Act. Excepted benefits are...2014-23323FR-Doc-2014-23323Amendments-To-Excepted-BenefitsThis document contains final regulations that amend the regulations regarding excepted benefits under the Employee Retirement Income Security Act of 1974, the Internal Revenue Code (the Code), and the Public Health Service Act. Excepted benefits are generally exempt from the health reform requirements that were added to those laws by the Health Insurance Portability and Accountability Act and the Patient Protection and Affordable Care Act. In addition, eligibility for excepted benefits does not preclude an individual from eligibility for a premium tax credit under section 36B of the Code if an individual chooses to enroll in coverage under a Qualified Health Plan through an Affordable Insurance Exchange. These regulations finalize some but not all of the proposed rules with minor modifications; additional guidance on limited wraparound coverage is forthcoming.
09/16/2014RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentInterim Guidance for Implementation of the Organizational Integrity of Entities Implementing Programs and Activities Under the Leadership ActThis document provides interim guidance on the implementation of section 301(f) of the Leadership Act in light of the Supreme Court's decision in Agency for Int'l Dev. v. Alliance for Open Soc'y Int'l, Inc., 133 S. Ct. 2321 (2013) (``AOSI decision'')....2014-22051FR-Doc-2014-22051Interim-Guidance-For-Implementation-Of-The-Organizational-Integrity-Of-Entities-ImplementingThis document provides interim guidance on the implementation of section 301(f) of the Leadership Act in light of the Supreme Court's decision in Agency for Int'l Dev. v. Alliance for Open Soc'y Int'l, Inc., 133 S. Ct. 2321 (2013) (``AOSI decision''). While HHS awarding agencies have implemented the AOSI decision since its issuance, this document serves to clarify HHS policy. HHS is also currently developing an amendment to its regulations listed under ``Organizational Integrity of Entities Implementing Programs and Activities under the Leadership Act'' to ensure consistency with the decision. HHS has been coordinating its implementation activities with the Department of State, Office of the Global AIDS Coordinator (OGAC) and with the United States Agency for International Development (USAID). While issued through OGA, this guidance represents the views of the various agencies within HHS that issue awards with Leadership Act HIV/AIDS funds, namely, the Centers for Disease Control and Prevention, the National Institutes of Health, and the Health Resources and Services Administration.
09/11/2014RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services Department2014 Edition Release 2 Electronic Health Record (EHR) Certification Criteria and the ONC HIT Certification Program; Regulatory Flexibilities, Improvements, and Enhanced Health Information ExchangeThis final rule introduces regulatory flexibilities and general improvements for certification to the 2014 Edition EHR certification criteria (2014 Edition). It also codifies a few revisions and updates to the ONC HIT Certification Program for...2014-21633FR-Doc-2014-216332014-Edition-Release-2-Electronic-Health-Record-Ehr-Certification-Criteria-And-The-Onc-HitThis final rule introduces regulatory flexibilities and general improvements for certification to the 2014 Edition EHR certification criteria (2014 Edition). It also codifies a few revisions and updates to the ONC HIT Certification Program for certification to the 2014 Edition and future editions of certification criteria as well as makes administrative updates to the Code of Federal Regulations.
09/05/2014RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Annual Eligibility Redeterminations for Exchange Participation and Insurance Affordability Programs; Health Insurance Issuer Standards Under the Affordable Care Act, Including Standards Related to ExchangesThis final rule specifies additional options for annual eligibility redeterminations and renewal and re-enrollment notice requirements for qualified health plans offered through the Exchange, beginning with annual redeterminations for coverage for...2014-21178FR-Doc-2014-21178Patient-Protection-And-Affordable-Care-Act-Annual-Eligibility-Redeterminations-For-ExchangeThis final rule specifies additional options for annual eligibility redeterminations and renewal and re-enrollment notice requirements for qualified health plans offered through the Exchange, beginning with annual redeterminations for coverage for benefit year 2015. This final rule provides additional flexibility for Exchanges, including the ability to propose unique approaches that meet the specific needs of their state, while streamlining the consumer experience.
09/04/2014RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentMedicare and Medicaid Programs; Modifications to the Medicare and Medicaid Electronic Health Record (EHR) Incentive Program for 2014 and Other Changes to the EHR Incentive Program; and Health Information Technology: Revisions to the Certified EHR Technology Definition and EHR Certification Changes Related to StandardsThis final rule changes the meaningful use stage timeline and the definition of certified electronic health record technology (CEHRT) to allow options in the use of CEHRT for the EHR reporting period in 2014. It also sets the requirements for reporting...2014-21021FR-Doc-2014-21021Medicare-And-Medicaid-Programs-Modifications-To-The-Medicare-And-Medicaid-Electronic-Health-RecordThis final rule changes the meaningful use stage timeline and the definition of certified electronic health record technology (CEHRT) to allow options in the use of CEHRT for the EHR reporting period in 2014. It also sets the requirements for reporting on meaningful use objectives and measures as well as clinical quality measure (CQM) reporting in 2014 for providers who use one of the CEHRT options finalized in this rule for their EHR reporting period in 2014. In addition, it finalizes revisions to the Medicare and Medicaid EHR Incentive Programs to adopt an alternate measure for the Stage 2 meaningful use objective for hospitals to provide structured electronic laboratory results to ambulatory providers; to correct the regulation text for the measures associated with the objective for hospitals to provide patients the ability to view online, download, and transmit information about a hospital admission; and to set a case number threshold exemption for CQM reporting applicable for eligible hospitals and critical access hospitals (CAHs) beginning with FY 2013. Finally, this rule finalizes the provisionally adopted replacement of the Data Element Catalog (DEC) and the Quality Reporting Document Architecture (QRDA) Category III standards with updated versions of these standards.
08/27/2014Proposed RuleDEPARTMENT OF THE TREASURYTreasury DepartmentCoverage of Certain Preventive Services Under the Affordable Care ActThis document proposes a change to the definition of an eligible organization that can avail itself of an accommodation with respect to coverage of certain preventive services under section 2713 of the Public Health Service Act (PHS Act), added by the...2014-20254FR-Doc-2014-20254Coverage-Of-Certain-Preventive-Services-Under-The-Affordable-Care-ActThis document proposes a change to the definition of an eligible organization that can avail itself of an accommodation with respect to coverage of certain preventive services under section 2713 of the Public Health Service Act (PHS Act), added by the Patient Protection and Affordable Care Act, as amended, and incorporated into the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code. Section 2713 of the PHS Act requires coverage without cost sharing of certain preventive health services by non-grandfathered group health plans and health insurance coverage. Among these services are women's preventive health services, as specified in guidelines supported by the Health Resources and Services Administration (HRSA). As authorized by the current regulations, and consistent with the HRSA Guidelines, group health plans established or maintained by certain religious employers (and group health insurance coverage provided in connection with such plans) are exempt from the otherwise applicable requirement to cover certain contraceptive services. Additionally, under current regulations, accommodations are available with respect to the contraceptive coverage requirement for group health plans established or maintained by eligible organizations (and group health insurance coverage provided in connection with such plans), and student health insurance coverage arranged by eligible organizations that are institutions of higher education, that effectively exempt them from this requirement. The regulations establish a mechanism for separately furnishing payments for contraceptive services on behalf of participants and beneficiaries of the group health plans of eligible organizations that avail themselves of an accommodation, and enrollees and dependents of student health insurance coverage arranged by eligible organizations that are institutions of higher education that avail themselves of an accommodation. These rules propose and seek comments on potential changes to the definition of ``eligible organization'' in the Departments' regulations in light of the Supreme Court's decision in Burwell v. Hobby Lobby Stores, Inc., 134 S. Ct. 2751 (2014), to ensure that participants and beneficiaries in group health plans (and enrollees and dependents in student health insurance coverage arranged by institutions of higher education) obtain, without additional cost, coverage of the full range of Food and Drug Administration (FDA) approved contraceptive services, as prescribed by a health care provider, while respecting certain closely held for-profit entities' religion-based objections to contraceptive coverage. These proposed rules also seek comments on any additional steps the government should take to help ensure coverage of the full range of FDA-approved contraceptives, as prescribed by a health care provider, without cost sharing, for participants and beneficiaries in group health plans of such entities (and enrollees and dependents in student health insurance coverage arranged by such entities that are institutions of higher education).
08/27/2014RuleDEPARTMENT OF THE TREASURYTreasury DepartmentCoverage of Certain Preventive Services Under the Affordable Care ActThis document contains interim final regulations regarding coverage of certain preventive services under section 2713 of the Public Health Service Act (PHS Act), added by the Patient Protection and Affordable Care Act, as amended, and incorporated into...2014-20252FR-Doc-2014-20252Coverage-Of-Certain-Preventive-Services-Under-The-Affordable-Care-ActThis document contains interim final regulations regarding coverage of certain preventive services under section 2713 of the Public Health Service Act (PHS Act), added by the Patient Protection and Affordable Care Act, as amended, and incorporated into the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code. Section 2713 of the PHS Act requires coverage without cost sharing of certain preventive health services by non-grandfathered group health plans and health insurance coverage. Among these services are women's preventive health services, as specified in guidelines supported by the Health Resources and Services Administration (HRSA). As authorized by the current regulations, and consistent with the HRSA Guidelines, group health plans established or maintained by certain religious employers (and group health insurance coverage provided in connection with such plans) are exempt from the otherwise applicable requirement to cover certain contraceptive services. Additionally, under current regulations, accommodations are available with respect to the contraceptive coverage requirement for group health plans established or maintained by eligible organizations (and group health insurance coverage provided in connection with such plans), and student health insurance coverage arranged by eligible organizations that are institutions of higher education, that effectively exempt them from this requirement. The regulations establish a mechanism for separately furnishing payments for contraceptive services on behalf of participants and beneficiaries of the group health plans of eligible organizations that avail themselves of an accommodation, and enrollees and dependents of student health coverage arranged by eligible organizations that are institutions of higher education that avail themselves of an accommodation. These interim final regulations augment current regulations in light of the Supreme Court's interim order in connection with an application for an injunction in Wheaton College v. Burwell, 134 S. Ct. 2806 (2014) (Wheaton order). These interim final regulations provide an alternative process that an eligible organization may use to provide notice of its religious objections to providing contraceptive coverage, while preserving participants' and beneficiaries' (and enrollees' and dependents') access to coverage for the full range of Food and Drug Administration (FDA)-approved contraceptives, as prescribed by a health care provider, without cost sharing.
08/13/2014Proposed RuleNATIONAL ENDOWMENT FOR THE ARTSNational Endowment for the ArtsImplementing the Program Fraud Civil Remedies ActThe National Endowment for the Arts (NEA) proposes rules to implement the Program Fraud Civil Remedies Act of 1986 (PFCRA). Any person who makes, submits, or presents a false, fictitious, or fraudulent claim or written statement to the agency causing...2014-19034FR-Doc-2014-19034Implementing-The-Program-Fraud-Civil-Remedies-ActThe National Endowment for the Arts (NEA) proposes rules to implement the Program Fraud Civil Remedies Act of 1986 (PFCRA). Any person who makes, submits, or presents a false, fictitious, or fraudulent claim or written statement to the agency causing such fraudulent actions to occur is subject to civil penalties and assessments. The proposed rules authorize the NEA to impose civil penalties and assessments through administrative adjudication. The regulations also establish the procedures the NEA will follow in implementing the provisions of the PFCRA and specifies the hearing and appeal rights of persons subject to penalties and assessments under the PFCRA.
08/04/2014RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentAdministrative Simplification: Change to the Compliance Date for the International Classification of Diseases, 10th Revision (ICD-10-CM and ICD-10-PCS) Medical Data Code SetsThis final rule implements section 212 of the Protecting Access to Medicare Act of 2014 by changing the compliance date for the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) for diagnosis coding, including...2014-18347FR-Doc-2014-18347Administrative-Simplification-Change-To-The-Compliance-Date-For-The-International-Classification-OfThis final rule implements section 212 of the Protecting Access to Medicare Act of 2014 by changing the compliance date for the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) for diagnosis coding, including the Official ICD-10-CM Guidelines for Coding and Reporting, and the International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) for inpatient hospital procedure coding, including the Official ICD-10-PCS Guidelines for Coding and Reporting, from October 1, 2014 to October 1, 2015. It also requires the continued use of the International Classification of Diseases, 9th Revision, Clinical Modification, Volumes 1 and 2 (diagnoses), and 3 (procedures) (ICD-9- CM), including the Official ICD-9-CM Guidelines for Coding and Reporting, through September 30, 2015.
07/24/2014RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Exchange and Insurance Market Standards for 2015 and Beyond; CorrectionThis document corrects technical and typographical errors that appeared in the final rule, published in the Federal Register on May 27, 2014, entitled ``Patient Protection and Affordable Care Act; Exchange and Insurance Market Standards for 2015 and...2014-17403FR-Doc-2014-17403Patient-Protection-And-Affordable-Care-Act-Exchange-And-Insurance-Market-Standards-For-2015-AndThis document corrects technical and typographical errors that appeared in the final rule, published in the Federal Register on May 27, 2014, entitled ``Patient Protection and Affordable Care Act; Exchange and Insurance Market Standards for 2015 and Beyond.''
07/02/2014RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Program Integrity: Exchange, Premium Stabilization Programs, and Market Standards; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014; Correcting AmendmentIn the October 30, 2013 issue of the Federal Register (78 FR 65046), we published a final rule entitled, ``Program Integrity: Exchange, Premium Stabilization Programs, and Market Standards; Amendments to the HHS Notice of Benefit and Payment Parameters...2014-15560FR-Doc-2014-15560Patient-Protection-And-Affordable-Care-Act-Program-Integrity-Exchange-Premium-Stabilization-ProgramsIn the October 30, 2013 issue of the Federal Register (78 FR 65046), we published a final rule entitled, ``Program Integrity: Exchange, Premium Stabilization Programs, and Market Standards; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014.'' The effective date was December 30, 2013. This correcting amendment corrects technical and typographical errors identified in the October 30, 2013 final rule.
07/01/2014Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Annual Eligibility Redeterminations for Exchange Participation and Insurance Affordability Programs; Health Insurance Issuer Standards Under the Affordable Care Act, Including Standards Related to ExchangesThis proposed rule would specify additional options for annual eligibility redeterminations and renewal and re-enrollment notice requirements for qualified health plans offered through the Exchange, beginning with annual redeterminations for coverage...2014-15362FR-Doc-2014-15362Patient-Protection-And-Affordable-Care-Act-Annual-Eligibility-Redeterminations-For-ExchangeThis proposed rule would specify additional options for annual eligibility redeterminations and renewal and re-enrollment notice requirements for qualified health plans offered through the Exchange, beginning with annual redeterminations for coverage for plan year 2015. In particular, this proposed rule would provide additional flexibility for Marketplaces, including the ability for Marketplaces to propose unique approaches that meet the specific needs of their State, while streamlining the consumer experience.
06/27/2014RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2015; Correcting AmendmentIn the March 11, 2014 issue of the Federal Register (79 FR 13744), we published a final rule entitled, ``Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2015.'' The effective date was May 12, 2014. This...2014-15099FR-Doc-2014-15099Patient-Protection-And-Affordable-Care-Act-Hhs-Notice-Of-Benefit-And-Payment-Parameters-For-2015In the March 11, 2014 issue of the Federal Register (79 FR 13744), we published a final rule entitled, ``Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2015.'' The effective date was May 12, 2014. This correcting amendment corrects a technical error identified in the March 11, 2014 final rule.
06/27/2014RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentGeneral Administrative RequirementsThese final regulations clarify the maximum allowed length of any reasonable and bona fide employment-based orientation period, consistent with the 90-day waiting period limitation set forth in section 2708 of the Public Health Service Act, as added by...2014-15102FR-Doc-2014-15102General-Administrative-Requirements 
06/04/2014RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentOfficial Symbol, Logo, and SealThe U.S. Department of Health and Human Services (HHS) published a direct final rule in the Federal Register on April 14, 2014, that would have adopted requirements on the use of HHS's official logo and seal. HHS stated in the direct final rule that if...2014-12852FR-Doc-2014-12852Official-Symbol-Logo-And-SealThe U.S. Department of Health and Human Services (HHS) published a direct final rule in the Federal Register on April 14, 2014, that would have adopted requirements on the use of HHS's official logo and seal. HHS stated in the direct final rule that if it received a significant adverse comment, HHS would publish a notice of withdrawal. HHS received two comments and considers at least one of these comments a significant adverse comment. The direct final rule was not withdrawn prior to its effective date. As a result, HHS is now publishing this removal of the direct final rule.
05/27/2014RuleLEGAL SERVICES CORPORATIONLegal Services CorporationRestrictions on Legal Assistance to Aliens; CorrectionsThe Legal Services Corporation (LSC) published a document in the Federal Register on April 18, 2014, amending LSC rules governing restrictions on legal assistance to aliens. That document failed to include paragraph headings in a section. This document...2014-12110FR-Doc-2014-12110Restrictions-On-Legal-Assistance-To-Aliens-CorrectionsThe Legal Services Corporation (LSC) published a document in the Federal Register on April 18, 2014, amending LSC rules governing restrictions on legal assistance to aliens. That document failed to include paragraph headings in a section. This document corrects the final regulations by revising the section.
05/27/2014RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Exchange and Insurance Market Standards for 2015 and BeyondThis final rule addresses various requirements applicable to health insurance issuers, Affordable Insurance Exchanges (``Exchanges''), Navigators, non-Navigator assistance personnel, and other entities under the Patient Protection and Affordable Care...2014-11657FR-Doc-2014-11657Patient-Protection-And-Affordable-Care-Act-Exchange-And-Insurance-Market-Standards-For-2015-AndThis final rule addresses various requirements applicable to health insurance issuers, Affordable Insurance Exchanges (``Exchanges''), Navigators, non-Navigator assistance personnel, and other entities under the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act). Specifically, the rule establishes standards related to product discontinuation and renewal, quality reporting, non-discrimination standards, minimum certification standards and responsibilities of qualified health plan (QHP) issuers, the Small Business Health Options Program, and enforcement remedies in Federally-facilitated Exchanges. It also finalizes: A modification of HHS's allocation of reinsurance collections if those collections do not meet our projections; certain changes to allowable administrative expenses in the risk corridors calculation; modifications to the way we calculate the annual limit on cost sharing so that we round this parameter down to the nearest $50 increment; an approach to index the required contribution used to determine eligibility for an exemption from the shared responsibility payment under section 5000A of the Internal Revenue Code; grounds for imposing civil money penalties on persons who provide false or fraudulent information to the Exchange and on persons who improperly use or disclose information; updated standards for the consumer assistance programs; standards related to the opt-out provisions for self-funded, non-Federal governmental plans and related to the individual market provisions under the Health Insurance Portability and Accountability Act of 1996 including excepted benefits; standards regarding how enrollees may request access to non- formulary drugs under exigent circumstances; amendments to Exchange appeals standards and coverage enrollment and termination standards; and time-limited adjustments to the standards relating to the medical loss ratio (MLR) program. The majority of the provisions in this rule are being finalized as proposed.
05/23/2014Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentMedicare and Medicaid Programs; Modifications to the Medicare and Medicaid Electronic Health Record Incentive Programs for 2014; and Health Information Technology: Revisions to the Certified EHR Technology DefinitionThis proposed rule would change the meaningful use stage timeline and the definition of certified electronic health record technology (CEHRT). It would also change the requirements for the reporting of clinical quality measures for 2014.2014-11944FR-Doc-2014-11944Medicare-And-Medicaid-Programs-Modifications-To-The-Medicare-And-Medicaid-Electronic-Health-RecordThis proposed rule would change the meaningful use stage timeline and the definition of certified electronic health record technology (CEHRT). It would also change the requirements for the reporting of clinical quality measures for 2014.
05/09/2014RuleNATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesNondiscrimination on the Basis of Age in Federally Assisted Programs or ActivitiesIn this final rule, the National Endowment for the Humanities (NEH) is issuing Age Discrimination Act of 1975 (the Act or the Age Act) regulations. These regulations implement provisions of the Act and the general, government-wide age discrimination...2014-10644FR-Doc-2014-10644Nondiscrimination-On-The-Basis-Of-Age-In-Federally-Assisted-Programs-Or-ActivitiesIn this final rule, the National Endowment for the Humanities (NEH) is issuing Age Discrimination Act of 1975 (the Act or the Age Act) regulations. These regulations implement provisions of the Act and the general, government-wide age discrimination regulations promulgated by the United States Department of Health and Human Services (HHS). These regulations are designed to guide the actions of recipients of Federal financial assistance from NEH and incorporate the basic standards set forth in the general, government-wide regulations for determining what constitutes age discrimination. These regulations also discuss the responsibilities of NEH recipients and the investigations, conciliation, and enforcement procedures NEH has been using and will continue to use to ensure compliance with the Act.
04/23/2014Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentStatewide Data Indicators and National Standards for Child and Family Services ReviewsThe Children's Bureau reviews a state's substantial conformity with titles IV-B and IV-E of the Social Security Act through the Child and Family Services Reviews (CFSRs). Statewide data indicators are used to inform the Children's Bureau's...2014-09001FR-Doc-2014-09001Statewide-Data-Indicators-And-National-Standards-For-Child-And-Family-Services-ReviewsThe Children's Bureau reviews a state's substantial conformity with titles IV-B and IV-E of the Social Security Act through the Child and Family Services Reviews (CFSRs). Statewide data indicators are used to inform the Children's Bureau's determination of a state's substantial conformity relative to certain safety and permanency outcomes. This document advises the public of the Children's Bureau's plan to replace the statewide data indicators and the methods for calculating associated national standards on those indicators. We invite the public to comment on these indicators and methods before their use in CFSRs scheduled for Federal Fiscal Years (FFY) 2015 through FY 2018.
04/18/2014RuleLEGAL SERVICES CORPORATIONLegal Services CorporationRestrictions on Legal Assistance to AliensThis final rule updates the Legal Services Corporation (LSC or Corporation) regulation on legal assistance to aliens. The rule implements statutory changes regarding aliens eligible for legal assistance from LSC recipients that have been enacted since...2014-08833FR-Doc-2014-08833Restrictions-On-Legal-Assistance-To-AliensThis final rule updates the Legal Services Corporation (LSC or Corporation) regulation on legal assistance to aliens. The rule implements statutory changes regarding aliens eligible for legal assistance from LSC recipients that have been enacted since the pertinent provisions of the existing regulation were last revised in 1997. Additional information is located in the SUPPLEMENTARY INFORMATION section.
04/15/2014RuleLEGAL SERVICES CORPORATIONLegal Services CorporationRestrictions on Legal Assistance With Respect to Criminal ProceedingsThis final rule updates the Legal Services Corporation (LSC or Corporation) regulation on legal assistance with respect to criminal proceedings. The Tribal Law and Order Act of 2010 (TLOA) amended the LSC Act to authorize LSC funds to be used for...2014-08504FR-Doc-2014-08504Restrictions-On-Legal-Assistance-With-Respect-To-Criminal-ProceedingsThis final rule updates the Legal Services Corporation (LSC or Corporation) regulation on legal assistance with respect to criminal proceedings. The Tribal Law and Order Act of 2010 (TLOA) amended the LSC Act to authorize LSC funds to be used for representation of persons charged with any criminal offense in tribal courts. This proposed rule will bring the regulations into alignment with the amended provisions of the LSC Act. The proposed rule will also revise the conditions under which LSC recipients can accept or decline court appointments to represent defendants in criminal proceedings.
04/15/2014Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationPrivate Attorney InvolvementThis proposed rule updates the Legal Services Corporation (LSC or Corporation) regulation on private attorney involvement (PAI) in the delivery of legal services to eligible clients.2014-08353FR-Doc-2014-08353Private-Attorney-InvolvementThis proposed rule updates the Legal Services Corporation (LSC or Corporation) regulation on private attorney involvement (PAI) in the delivery of legal services to eligible clients.
04/14/2014Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentRunaway and Homeless YouthThis notice of proposed rulemaking would establish program performance standards for Runaway and Homeless Youth grantees providing services to eligible youth and their families. It also proposes revisions to reflect statutory changes, and to update...2014-08178FR-Doc-2014-08178Runaway-And-Homeless-YouthThis notice of proposed rulemaking would establish program performance standards for Runaway and Homeless Youth grantees providing services to eligible youth and their families. It also proposes revisions to reflect statutory changes, and to update procedures for soliciting and awarding grants. The proposed performance standards would be newly specified in regulation, but would build on standards already used by the program as priorities in funding opportunity solicitations and awards, in technical assistance, and in reporting requirements.
04/14/2014RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentOfficial Symbol, Logo and SealThe U.S. Department of Health and Human Services (HHS) is adopting requirements on the use of its official logo and seal. Use by any person or organization may be made only with prior written approval. Wrongful use of an official logo or seal is...2014-08190FR-Doc-2014-08190Official-Symbol-Logo-And-SealThe U.S. Department of Health and Human Services (HHS) is adopting requirements on the use of its official logo and seal. Use by any person or organization may be made only with prior written approval. Wrongful use of an official logo or seal is subject to administrative action and/or criminal penalty. HHS believes that this rule is non-controversial, and HHS anticipates no significant adverse comment. If HHS receives a significant adverse comment, it will withdraw the rule.
03/31/2014RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentHealth Insurance Reform Requirements for the Group and Individual Health Insurance MarketsThis proposed rule addresses various requirements applicable to health insurance issuers, Affordable Insurance Exchanges (``Exchanges''), Navigators, non-Navigator assistance personnel, and other entities under the Patient Protection and Affordable...2014-07217FR-Doc-2014-07217Health-Insurance-Reform-Requirements-For-The-Group-And-Individual-Health-Insurance-Markets 
03/19/2014RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Third Party Payment of Qualified Health Plan PremiumsThis interim final rule requires issuers of qualified health plans (QHPs), including stand-alone dental plans (SADPs), to accept premium and cost-sharing payments made on behalf of enrollees by the Ryan White HIV/AIDS Program, other Federal and State...2014-06031FR-Doc-2014-06031Patient-Protection-And-Affordable-Care-Act-Third-Party-Payment-Of-Qualified-Health-Plan-PremiumsThis interim final rule requires issuers of qualified health plans (QHPs), including stand-alone dental plans (SADPs), to accept premium and cost-sharing payments made on behalf of enrollees by the Ryan White HIV/AIDS Program, other Federal and State government programs that provide premium and cost sharing support for specific individuals, and Indian tribes, tribal organizations, and urban Indian organizations.
03/19/2014Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentVoluntary 2015 Edition Electronic Health Record (EHR) Certification Criteria; Interoperability Updates and Regulatory Improvements; CorrectionThis notice makes the following corrections to the proposed rule that appeared in the February 26, 2014 Federal Register entitled ``Voluntary 2015 Edition Electronic Health Record (EHR) Certification Criteria; Interoperability Updates and Regulatory...2014-06041FR-Doc-2014-06041Voluntary-2015-Edition-Electronic-Health-Record-Ehr-Certification-Criteria-Interoperability-UpdatesThis notice makes the following corrections to the proposed rule that appeared in the February 26, 2014 Federal Register entitled ``Voluntary 2015 Edition Electronic Health Record (EHR) Certification Criteria; Interoperability Updates and Regulatory Improvements'': Corrects the preamble text and gap certification table for four certification criteria that were omitted from the list of certification criteria eligible for gap certification for the 2015 Edition EHR certification criteria; and provides information on inactive web links that appear in the proposed rule.
03/12/2014RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentBasic Health Program: State Administration of Basic Health Programs; Eligibility and Enrollment in Standard Health Plans; Essential Health Benefits in Standard Health Plans; Performance Standards for Basic Health Programs; Premium and Cost Sharing for Basic Health Programs; Federal Funding Process; Trust Fund and Financial IntegrityThis final rule establishes the Basic Health Program (BHP), as required by section 1331 of the Affordable Care Act. The BHP provides states the flexibility to establish a health benefits coverage program for low-income individuals who would otherwise...2014-05299FR-Doc-2014-05299Basic-Health-Program-State-Administration-Of-Basic-Health-Programs-Eligibility-And-Enrollment-InThis final rule establishes the Basic Health Program (BHP), as required by section 1331 of the Affordable Care Act. The BHP provides states the flexibility to establish a health benefits coverage program for low-income individuals who would otherwise be eligible to purchase coverage through the Affordable Insurance Exchange (Exchange, also called Health Insurance Marketplace). The BHP complements and coordinates with enrollment in a QHP through the Exchange, as well as with enrollment in Medicaid and the Children's Health Insurance Program (CHIP). This final rule also sets forth a framework for BHP eligibility and enrollment, benefits, delivery of health care services, transfer of funds to participating states, and federal oversight. Additionally, this final rule amends another rule issued by the Secretary of the Department of Health and Human Services (Secretary) in order to clarify the applicability of that rule to the BHP.
03/11/2014RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2015This final rule sets forth payment parameters and oversight provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges. It...2014-05052FR-Doc-2014-05052Patient-Protection-And-Affordable-Care-Act-Hhs-Notice-Of-Benefit-And-Payment-Parameters-For-2015This final rule sets forth payment parameters and oversight provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges. It also provides additional standards with respect to composite premiums, privacy and security of personally identifiable information, the annual open enrollment period for 2015, the actuarial value calculator, the annual limitation in cost sharing for stand-alone dental plans, the meaningful difference standard for qualified health plans offered through a Federally-facilitated Exchange, patient safety standards for issuers of qualified health plans, and the Small Business Health Options Program.
03/07/2014Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationRestrictions on Legal Assistance to AliensThis proposed program letter serves as a companion to 45 CFR part 1626. The proposed program letter should have been published in the Federal Register with the further notice of proposed rulemaking (FNPRM) on February 5, 2014, 79 FR 6859. LSC seeks...2014-05008FR-Doc-2014-05008Restrictions-On-Legal-Assistance-To-AliensThis proposed program letter serves as a companion to 45 CFR part 1626. The proposed program letter should have been published in the Federal Register with the further notice of proposed rulemaking (FNPRM) on February 5, 2014, 79 FR 6859. LSC seeks comments on the proposed program letter. Additional information on the request for comments is located in the SUPPLEMENTARY INFORMATION section.
03/05/2014Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentAdministrative Simplification: Certification of Compliance for Health Plans; Extension of Comment PeriodThis document extends the comment period for the Administrative Simplification: Certification of Compliance for Health Plans proposed rule, which was published in the January 2, 2014 Federal Register. The comment period for the proposed rule, which...2014-04828FR-Doc-2014-04828Administrative-Simplification-Certification-Of-Compliance-For-Health-Plans-Extension-Of-CommentThis document extends the comment period for the Administrative Simplification: Certification of Compliance for Health Plans proposed rule, which was published in the January 2, 2014 Federal Register. The comment period for the proposed rule, which would have ended on March 3, 2014, is extended to April 3, 2014.
02/26/2014Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentVoluntary 2015 Edition Electronic Health Record (EHR) Certification Criteria; Interoperability Updates and Regulatory ImprovementsThis notice of proposed rulemaking introduces the beginning of the Office of National Coordinator for Health Information Technology's (ONC's) more frequent approach to health information technology certification regulations. Under this approach ONC...2014-03959FR-Doc-2014-03959Voluntary-2015-Edition-Electronic-Health-Record-Ehr-Certification-Criteria-Interoperability-UpdatesThis notice of proposed rulemaking introduces the beginning of the Office of National Coordinator for Health Information Technology's (ONC's) more frequent approach to health information technology certification regulations. Under this approach ONC intends to update certification criteria editions every 12 to 18 months in order to provide smaller, more incremental regulatory changes and policy proposals. This approach gives stakeholders greater and earlier visibility into our regulatory direction before compliance is required, provides more time for public input on policy proposals under consideration for future rulemakings, and enables our certification processes to more quickly adopt newer industry standards that can enhance interoperability. The 2015 Edition EHR certification criteria proposed in this rule would be voluntary. No EHR technology developer who has certified its EHR technology to the 2014 Edition would need to recertify to the 2015 Edition in order for its customers to participate in the Medicare and Medicaid EHR Incentive Programs (EHR Incentive Programs). Furthermore, eligible professionals, eligible hospitals, and critical access hospitals that participate in the EHR Incentive Programs would not need to ``upgrade'' to EHR technology certified to 2015 Edition in order to have EHR technology that meets the Certified EHR Technology (CEHRT) definition. Instead, the 2015 Edition EHR certification criteria would accomplish three policy objectives: 1) They would enable a more efficient and effective response to stakeholder feedback; 2) they would incorporate ``bug fixes'' to improve on 2014 Edition EHR certification criteria in ways designed to make our rules clearer and easier to implement; and 3) they reference newer standards and implementation specifications that reflect our commitment to promoting innovation and enhancing interoperability. Specific revisions to the ONC HIT Certification Program are also included in this proposed rule. These proposals focus on: Improving regulatory clarity; simplifying the certification of EHR Modules that are designed for purposes other than achieving meaningful use; and discontinuing the use of the Complete EHR definition starting with the 2015 Edition.
02/24/2014RuleDEPARTMENT OF THE TREASURYTreasury DepartmentNinety-Day Waiting Period Limitation and Technical Amendments to Certain Health Coverage Requirements Under the Affordable Care ActThese final regulations implement the 90-day waiting period limitation under section 2708 of the Public Health Service Act, as added by the Patient Protection and Affordable Care Act (Affordable Care Act), as amended, and incorporated into the Employee...2014-03809FR-Doc-2014-03809Ninety-Day-Waiting-Period-Limitation-And-Technical-Amendments-To-Certain-Health-CoverageThese final regulations implement the 90-day waiting period limitation under section 2708 of the Public Health Service Act, as added by the Patient Protection and Affordable Care Act (Affordable Care Act), as amended, and incorporated into the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code. These regulations also finalize amendments to existing regulations to conform to Affordable Care Act provisions. Specifically, these rules amend regulations implementing existing provisions such as some of the portability provisions added by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) because those provisions of the HIPAA regulations have become superseded or require amendment as a result of the market reform protections added by the Affordable Care Act.
02/24/2014Proposed RuleDEPARTMENT OF THE TREASURYTreasury DepartmentNinety-Day Waiting Period LimitationThese proposed regulations would clarify the maximum allowed length of any reasonable and bona fide employment-based orientation period, consistent with the 90-day waiting period limitation set forth in section 2708 of the Public Health Service Act, as...2014-03811FR-Doc-2014-03811Ninety-Day-Waiting-Period-LimitationThese proposed regulations would clarify the maximum allowed length of any reasonable and bona fide employment-based orientation period, consistent with the 90-day waiting period limitation set forth in section 2708 of the Public Health Service Act, as added by the Patient Protection and Affordable Care Act (Affordable Care Act), as amended, and incorporated into the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code.
02/20/2014RuleNATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesStatement for the Guidance of the Public-Organization, Procedure and Availability of InformationThe National Endowment for the Arts (NEA), the National Endowment for the Humanities (NEH), and the Institute of Museum and Library Services (IMLS) are amending their joint Freedom of Information Act (FOIA) regulations, to remove any reference to the...2014-03544FR-Doc-2014-03544Statement-For-The-Guidance-Of-The-Public-Organization-Procedure-And-Availability-Of-InformationThe National Endowment for the Arts (NEA), the National Endowment for the Humanities (NEH), and the Institute of Museum and Library Services (IMLS) are amending their joint Freedom of Information Act (FOIA) regulations, to remove any reference to the NEH, the Federal Council on the Arts and the Humanities (FCAH), an agency for which the NEH provides legal counsel, and the IMLS. The NEA, the NEH and the IMLS are amending these joint regulations because each agency has adopted or plans to adopt its own separate FOIA regulations.
02/19/2014RuleNATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesImplementing the Freedom of Information ActIMLS issues this final rule to implement the Freedom of Information Act (FOIA), as amended. The regulations both describe how IMLS processes requests for records under FOIA and reaffirm the agency's commitment to providing the fullest possible...2014-03545FR-Doc-2014-03545Implementing-The-Freedom-Of-Information-ActIMLS issues this final rule to implement the Freedom of Information Act (FOIA), as amended. The regulations both describe how IMLS processes requests for records under FOIA and reaffirm the agency's commitment to providing the fullest possible disclosure of records to the public. The agency is implementing the regulations to replace its existing joint regulations as part of the National Foundation on the Arts and the Humanities, and to update, clarify, and streamline the language of several procedural provisions, while incorporating changes brought about by amendments to the FOIA.
02/19/2014RuleNATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesPublic Access to NEH Records Under the Freedom of Information ActThe National Endowment for the Humanities (NEH) is unilaterally rescinding its joint Freedom of Information Act (FOIA) regulations with the National Endowment for the Arts (NEA) and the Institute of Museum and Library Services (IMLS), and issuing its...2014-03549FR-Doc-2014-03549Public-Access-To-Neh-Records-Under-The-Freedom-Of-Information-ActThe National Endowment for the Humanities (NEH) is unilaterally rescinding its joint Freedom of Information Act (FOIA) regulations with the National Endowment for the Arts (NEA) and the Institute of Museum and Library Services (IMLS), and issuing its own FOIA regulations. This final rule provides the NEH's procedures for disclosure of its records, as required by the FOIA, 5 U.S.C. 552, as amended. These regulations also provide the procedures for disclosing records of the Federal Council on the Arts and the Humanities (FCAH), an agency for which NEH provides legal counsel.
02/14/2014RuleLEGAL SERVICES CORPORATIONLegal Services CorporationIncome Level for Individuals Eligible for AssistanceThe Legal Services Corporation (Corporation) published a document in the Federal Register on February 5, 2014 (79 FR 6836), revising Corporation rules. The heading for the table in Appendix A to Part 1611 of this document incorrectly lists the...2014-03273FR-Doc-2014-03273Income-Level-For-Individuals-Eligible-For-AssistanceThe Legal Services Corporation (Corporation) published a document in the Federal Register on February 5, 2014 (79 FR 6836), revising Corporation rules. The heading for the table in Appendix A to Part 1611 of this document incorrectly lists the information as the Legal Services Corporation 2013 Income Guidelines, rather than the 2014 Income Guidelines. This document corrects the final regulation by revising Appendix A to Part 1611.
02/06/2014RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentCLIA Program and HIPAA Privacy Rule; Patients' Access to Test ReportsThis final rule amends the Clinical Laboratory Improvement Amendments of 1988 (CLIA) regulations to specify that, upon the request of a patient (or the patient's personal representative), laboratories subject to CLIA may provide the patient, the...2014-02280FR-Doc-2014-02280Clia-Program-And-Hipaa-Privacy-Rule-Patients-Access-To-Test-ReportsThis final rule amends the Clinical Laboratory Improvement Amendments of 1988 (CLIA) regulations to specify that, upon the request of a patient (or the patient's personal representative), laboratories subject to CLIA may provide the patient, the patient's personal representative, or a person designated by the patient, as applicable, with copies of completed test reports that, using the laboratory's authentication process, can be identified as belonging to that patient. Subject to conforming amendments, the final rule retains the existing provisions that require release of test reports only to authorized persons and, if applicable, to the persons responsible for using the test reports and to the laboratory that initially requested the test. In addition, this final rule amends the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule to provide individuals (or their personal representatives) with the right to access test reports directly from laboratories subject to HIPAA (and to direct that copies of those test reports be transmitted to persons or entities designated by the individual) by removing the exceptions for CLIA-certified laboratories and CLIA-exempt laboratories from the provision that provides individuals with the right of access to their protected health information. These changes to the CLIA regulations and the HIPAA Privacy Rule provide individuals with a greater ability to access their health information, empowering them to take a more active role in managing their health and health care.
02/06/2014Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentTemporary Assistance for Needy Families (TANF) Program, State Reporting On Policies and Practices to Prevent Use of TANF Funds in Electronic Benefit Transfer Transactions in Specified LocationsThe Administration for Children and Families (ACF) proposes to amend the Temporary Assistance for Needy Families (TANF) regulations to require states, subject to penalty, to maintain policies and practices that prevent TANF funded assistance from being...2014-02488FR-Doc-2014-02488Temporary-Assistance-For-Needy-Families-Tanf-Program-State-Reporting-On-Policies-And-Practices-ToThe Administration for Children and Families (ACF) proposes to amend the Temporary Assistance for Needy Families (TANF) regulations to require states, subject to penalty, to maintain policies and practices that prevent TANF funded assistance from being used in any electronic benefit transfer transaction in specified locations. This responds to provisions in the Middle Class Tax Relief and Job Creation Act of 2012 requiring states receiving TANF grants to maintain policies and practices as necessary to prevent assistance provided under the program from being used in any electronic benefit transfer transaction in any liquor store; any casino, gambling casino, or gaming establishment; or any retail establishment that provides adult-oriented entertainment in which performers disrobe or perform in an unclothed state for entertainment.
02/05/2014RuleLEGAL SERVICES CORPORATIONLegal Services CorporationIncome Level for Individuals Eligible for AssistanceThe Legal Services Corporation (Corporation) is required by law to establish maximum income levels for individuals eligible for legal assistance. This document updates the specified income levels to reflect the annual amendments to the Federal Poverty...2014-02299FR-Doc-2014-02299Income-Level-For-Individuals-Eligible-For-AssistanceThe Legal Services Corporation (Corporation) is required by law to establish maximum income levels for individuals eligible for legal assistance. This document updates the specified income levels to reflect the annual amendments to the Federal Poverty Guidelines issued by the Department of Health and Human Services (DHHS).
02/05/2014Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationRestrictions on Legal Assistance to AliensThis further notice of proposed rulemaking (FNPRM) proposes modifications to the rule under consideration by the Operations and Regulations Committee (Committee) of the Legal Services Corporation (LSC or Corporation) Board of Directors (Board). The...2014-02394FR-Doc-2014-02394Restrictions-On-Legal-Assistance-To-AliensThis further notice of proposed rulemaking (FNPRM) proposes modifications to the rule under consideration by the Operations and Regulations Committee (Committee) of the Legal Services Corporation (LSC or Corporation) Board of Directors (Board). The FNPRM revises 45 CFR Part 1626, which governs restrictions on legal assistance to aliens. LSC seeks comments limited to the revisions to Sec. 1626.4(c) and the proposed program letter to replace the Appendix to Part 1626. Additional information on the requests for comments is located in the SUPPLEMENTARY INFORMATION section.
01/07/2014Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentHealth Insurance Portability and Accountability Act (HIPAA) Privacy Rule and the National Instant Criminal Background Check System (NICS)The Department of Health and Human Services (HHS or ``the Department'') is issuing this notice of proposed rulemaking to modify the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule to expressly permit certain HIPAA...2014-00055FR-Doc-2014-00055Health-Insurance-Portability-And-Accountability-Act-Hipaa-Privacy-Rule-And-The-National-InstantThe Department of Health and Human Services (HHS or ``the Department'') is issuing this notice of proposed rulemaking to modify the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule to expressly permit certain HIPAA covered entities to disclose to the National Instant Criminal Background Check System (NICS) the identities of individuals who are subject to a Federal ``mental health prohibitor'' that disqualifies them from shipping, transporting, possessing, or receiving a firearm. The NICS is a national system maintained by the Federal Bureau of Investigation (FBI) to conduct background checks on persons who may be disqualified from receiving firearms based on federally prohibited categories or State law. Among the persons subject to the Federal mental health prohibitor are individuals who have been involuntarily committed to a mental institution; found incompetent to stand trial or not guilty by reason of insanity; or otherwise have been determined by a court, board, commission, or other lawful authority to be a danger to themselves or others or to lack the mental capacity to contract or manage their own affairs, as a result of marked subnormal intelligence or mental illness, incompetency, condition, or disease. Under this proposal, only covered entities with lawful authority to make adjudication or commitment decisions that make individuals subject to the Federal mental health prohibitor, or that serve as repositories of information for NICS reporting purposes, would be permitted to disclose the information needed for these purposes. This disclosure would be restricted to limited demographic and certain other information and would not include medical records, or any mental health information beyond the indication that the individual is subject to the Federal mental health prohibitor. HHS notes that the Department of Justice (DOJ) has proposed clarifications to the regulatory definitions relevant to the Federal mental health prohibitor. The DOJ proposal is published elsewhere in this issue of the Federal Register. While commenters should consider this proposed regulation in light of the clarifications proposed in DOJ's proposal, we note that those clarifications would not change how this proposed HIPAA permission would operate.
01/02/2014Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentAdministrative Simplification: Certification of Compliance for Health PlansThis proposed rule would require a controlling health plan (CHP) to submit information and documentation demonstrating that it is compliant with certain standards and operating rules adopted by the Secretary of Health and Human Services (the Secretary)...2013-31318FR-Doc-2013-31318Administrative-Simplification-Certification-Of-Compliance-For-Health-PlansThis proposed rule would require a controlling health plan (CHP) to submit information and documentation demonstrating that it is compliant with certain standards and operating rules adopted by the Secretary of Health and Human Services (the Secretary) under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This proposed rule would also establish penalty fees for a CHP that fails to comply with the certification of compliance requirements.
12/31/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Program Integrity: Exchange, Premium Stabilization Programs, and Market Standards; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014 CorrectionThis document corrects an error that appeared in the final rule published in the Federal Register on October 30, 2013 entitled, ``Patient Protection and Affordable Care Act; Program Integrity: Exchange, Premium Stabilization Programs, and Market...2013-31319FR-Doc-2013-31319Patient-Protection-And-Affordable-Care-Act-Program-Integrity-Exchange-Premium-Stabilization-ProgramsThis document corrects an error that appeared in the final rule published in the Federal Register on October 30, 2013 entitled, ``Patient Protection and Affordable Care Act; Program Integrity: Exchange, Premium Stabilization Programs, and Market Standards; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014.''
12/24/2013Proposed RuleDEPARTMENT OF THE TREASURYTreasury DepartmentAmendments to Excepted BenefitsThis document contains proposed rules that would amend the regulations regarding excepted benefits under the Employee Retirement Income Security Act of 1974, the Internal Revenue Code, and the Public Health Service Act. Excepted benefits are generally...2013-30553FR-Doc-2013-30553Amendments-To-Excepted-BenefitsThis document contains proposed rules that would amend the regulations regarding excepted benefits under the Employee Retirement Income Security Act of 1974, the Internal Revenue Code, and the Public Health Service Act. Excepted benefits are generally exempt from the health reform requirements that were added to those laws by the Health Insurance Portability and Accountability Act and the Patient Protection and Affordable Care Act.
12/17/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Maximizing January 1, 2014 Coverage OpportunitiesThis interim final rule amends the date by which a qualified individual must select a qualified health plan (QHP) through any Exchange for an effective coverage date of January 1, 2014. This rule generally allows consumers to select a QHP until...2013-29918FR-Doc-2013-29918Patient-Protection-And-Affordable-Care-Act-Maximizing-January-1-2014-Coverage-OpportunitiesThis interim final rule amends the date by which a qualified individual must select a qualified health plan (QHP) through any Exchange for an effective coverage date of January 1, 2014. This rule generally allows consumers to select a QHP until December 23, 2013, which is a change from the previously stated regulatory date of December 15, 2013, but permits State Exchanges to select a different date. It also establishes a related policy regarding the date by which a consumer needs to pay any applicable initial premium to ensure timely effectuation of coverage. This rule pertains to the individual market and Small Business Health Options Program in both the Federally- facilitated Exchanges and State Exchanges. This rule does not change the plan selection or premium payment dates for coverage offered outside of the Exchanges.
12/02/2013Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2015This proposed rule sets forth payment parameters and oversight provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost-sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges....2013-28610FR-Doc-2013-28610Patient-Protection-And-Affordable-Care-Act-Hhs-Notice-Of-Benefit-And-Payment-Parameters-For-2015This proposed rule sets forth payment parameters and oversight provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost-sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges. It also proposes additional standards with respect to composite rating, privacy and security of personally identifiable information, the annual open enrollment period for 2015, the actuarial value calculator, the annual limitation in cost sharing for stand-alone dental plans, the meaningful difference standard for qualified health plans offered through a Federally-facilitated Exchange, patient safety standards for issuers of qualified health plans, and the Small Business Health Options Program.
11/13/2013RuleDEPARTMENT OF THE TREASURYTreasury DepartmentFinal Rules Under the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008; Technical Amendment to External Review for Multi-State Plan ProgramThis document contains final rules implementing the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, which requires parity between mental health or substance use disorder benefits and medical/surgical benefits...2013-27086FR-Doc-2013-27086Final-Rules-Under-The-Paul-Wellstone-And-Pete-Domenici-Mental-Health-Parity-And-Addiction-Equity-ActThis document contains final rules implementing the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, which requires parity between mental health or substance use disorder benefits and medical/surgical benefits with respect to financial requirements and treatment limitations under group health plans and group and individual health insurance coverage. This document also contains a technical amendment relating to external review with respect to the multi-state plan program administered by the Office of Personnel Management.
11/06/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014; Correcting AmendmentIn the March 11, 2013 issue of the Federal Register, we published a final rule entitled, ``Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014''. This correcting amendment corrects several technical and...2013-26579FR-Doc-2013-26579Patient-Protection-And-Affordable-Care-Act-Hhs-Notice-Of-Benefit-And-Payment-Parameters-For-2014In the March 11, 2013 issue of the Federal Register, we published a final rule entitled, ``Patient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014''. This correcting amendment corrects several technical and typographical errors identified in the March 11, 2013 final rule.
11/04/2013Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationRestrictions on Legal Assistance With Respect to Criminal ProceedingsThis proposed rule updates the Legal Services Corporation (LSC or Corporation) regulation on legal assistance with respect to criminal proceedings. The Tribal Law and Order Act of 2010 (TLOA) amended the LSC Act to authorize LSC funds to be used for...2013-26102FR-Doc-2013-26102Restrictions-On-Legal-Assistance-With-Respect-To-Criminal-ProceedingsThis proposed rule updates the Legal Services Corporation (LSC or Corporation) regulation on legal assistance with respect to criminal proceedings. The Tribal Law and Order Act of 2010 (TLOA) amended the LSC Act to authorize LSC funds to be used for representation of persons charged with criminal offenses in tribal courts. This proposed rule will bring the regulations into alignment with the amended LSC Act. The proposed rule will also revise the conditions under which LSC recipients can accept or decline tribal court appointments to represent defendants in criminal proceedings.
11/04/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services Department2014 Edition Electronic Health Record Certification Criteria: Revision to the Definition of \u201cCommon Meaningful Use (MU) Data Set\u201dThis interim final rule with comment period revises one paragraph in the Common Meaningful Use (MU) Data Set definition at 45 CFR 170.102 to allow more flexibility with respect to the representation of dental procedures data for electronic health...2013-26290FR-Doc-2013-262902014-Edition-Electronic-Health-Record-Certification-Criteria-Revision-To-The-Definition-Of-CommonThis interim final rule with comment period revises one paragraph in the Common Meaningful Use (MU) Data Set definition at 45 CFR 170.102 to allow more flexibility with respect to the representation of dental procedures data for electronic health record (EHR) technology testing and certification.
10/30/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Program Integrity: Exchange, Premium Stabilization Programs, and Market Standards; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014This final rule implements provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act). Specifically, this final rule outlines financial...2013-25326FR-Doc-2013-25326Patient-Protection-And-Affordable-Care-Act-Program-Integrity-Exchange-Premium-Stabilization-ProgramsThis final rule implements provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act). Specifically, this final rule outlines financial integrity and oversight standards with respect to Affordable Insurance Exchanges, qualified health plan (QHP) issuers in Federally-facilitated Exchanges (FFEs), and States with regard to the operation of risk adjustment and reinsurance programs. It also establishes additional standards for special enrollment periods, survey vendors that may conduct enrollee satisfaction surveys on behalf of QHP issuers, and issuer participation in an FFE, and makes certain amendments to definitions and standards related to the market reform rules. These standards, which include financial integrity provisions and protections against fraud and abuse, are consistent with Title I of the Affordable Care Act. This final rule also amends and adopts as final interim provisions set forth in the Amendments to the HHS Notice of Benefit and Payment Parameters for 2014 interim final rule, published in the Federal Register on March 11, 2013, related to risk corridors and cost-sharing reduction reconciliation.
09/25/2013Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentBasic Health Program: State Administration of Basic Health Programs; Eligibility and Enrollment in Standard Health Plans; Essential Health Benefits in Standard Health Plans; Performance Standards for Basic Health Programs; Premium and Cost Sharing for Basic Health Programs; Federal Funding Process; Trust Fund and Financial IntegrityThis proposed rule would establish the Basic Health Program, as required by section 1331 of the Affordable Care Act. The Basic Health Program provides states the flexibility to establish a health benefits coverage program for low-income individuals who...2013-23292FR-Doc-2013-23292Basic-Health-Program-State-Administration-Of-Basic-Health-Programs-Eligibility-And-Enrollment-InThis proposed rule would establish the Basic Health Program, as required by section 1331 of the Affordable Care Act. The Basic Health Program provides states the flexibility to establish a health benefits coverage program for low-income individuals who would otherwise be eligible to purchase coverage through the state's Affordable Insurance Exchange (Exchange, also called a Health Insurance Marketplace). The Basic Health Program would complement and coordinate with enrollment in a QHP through the Exchange, as well as with enrollment in Medicaid and the Children's Health Insurance Program (CHIP). This proposed rule sets forth a framework for Basic Health Program eligibility and enrollment, benefits, delivery of health care services, transfer of funds to participating states, and federal oversight. Additionally, this rule would amend other rules issued by the Secretary of the Department of Health and Human Services (Secretary) in order to clarify the applicability of those rules to the Basic Health Program.
08/30/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Program Integrity: Exchange, SHOP, and Eligibility AppealsThis final rule implements provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act). Specifically, this final rule outlines Exchange...2013-21338FR-Doc-2013-21338Patient-Protection-And-Affordable-Care-Act-Program-Integrity-Exchange-Shop-And-Eligibility-AppealsThis final rule implements provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act). Specifically, this final rule outlines Exchange standards with respect to eligibility appeals, agents and brokers, privacy and security, issuer direct enrollment, and the handling of consumer cases. It also sets forth standards with respect to a State's operation of the Exchange and Small Business Health Options Program (SHOP). It generally is finalizing previously proposed policies without change.
08/29/2013RuleNATIONAL SCIENCE FOUNDATIONNational Science FoundationAvailability of Records and InformationThis document sets forth revisions of the Foundation's regulations under the Freedom of Information Act (FOIA). The revisions implement the provision of the Open FOIA Act of 2009 which amended Exemption 3, update procedural provisions, and allow for...2013-21053FR-Doc-2013-21053Availability-Of-Records-And-InformationThis document sets forth revisions of the Foundation's regulations under the Freedom of Information Act (FOIA). The revisions implement the provision of the Open FOIA Act of 2009 which amended Exemption 3, update procedural provisions, and allow for multi-track processing of requests.
08/21/2013Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationRestrictions on Legal Assistance to AliensThis proposed rule updates the Legal Services Corporation (LSC or Corporation) regulation on legal assistance to aliens. The revisions are intended to implement three statutory changes on aliens eligible for legal assistance from LSC grant recipients...2013-20040FR-Doc-2013-20040Restrictions-On-Legal-Assistance-To-AliensThis proposed rule updates the Legal Services Corporation (LSC or Corporation) regulation on legal assistance to aliens. The revisions are intended to implement three statutory changes on aliens eligible for legal assistance from LSC grant recipients that have been enacted since the pertinent provisions of the existing regulation were last revised in 1997. Those three changes are described in more detail in the Supplementary Information section of this preamble. LSC seeks comments on the proposed changes to the rule. LSC also seeks comments on specific items that it has identified in this notice.
08/13/2013Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentChild Care and Development Fund (CCDF) Program; Reopening of Comment PeriodThe Administration for Children and Families within the U.S. Department of Health and Human Services (HHS) is reopening and extending the period to submit comments on the proposed rule for the Child Care and Development Fund (CCDF), published in the...2013-19704FR-Doc-2013-19704Child-Care-And-Development-Fund-Ccdf-Program-Reopening-Of-Comment-PeriodThe Administration for Children and Families within the U.S. Department of Health and Human Services (HHS) is reopening and extending the period to submit comments on the proposed rule for the Child Care and Development Fund (CCDF), published in the Federal Register of May 20, 2013. The proposed rule makes changes to the CCDF regulatory provisions in order to strengthen health and safety requirements for child care providers, reflect current State and local practices to improve the quality of child care, infuse new accountability for Federal tax dollars, and leverage the latest knowledge and research in the field of early care and education to better serve low-income children and families.
08/12/2013Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationPrivate Attorney InvolvementThe Legal Services Corporation (LSC) is conducting two Rulemaking Workshops (Workshops), as noticed at 78 FR 27339 (May 10, 2013), and is requesting public comments on revising LSC's Private Attorney Involvement (PAI) rule to respond to Recommendation...2013-19383FR-Doc-2013-19383Private-Attorney-InvolvementThe Legal Services Corporation (LSC) is conducting two Rulemaking Workshops (Workshops), as noticed at 78 FR 27339 (May 10, 2013), and is requesting public comments on revising LSC's Private Attorney Involvement (PAI) rule to respond to Recommendation 2 of LSC's Pro Bono Task Force (PBTF) Report. The discussions in the Workshops and the other comments received will be considered in connection with rulemaking by LSC. On July 23, 2013, LSC hosted the first of the two Workshops. LSC solicits expression of interest in participating as a panelist in the second Workshop on September 17, 2013, from the recipient community, the organized bar, pro bono organizations, and other interested parties. In preparation for that workshop, LSC is publishing the additional questions below. Additionally, LSC is extending the deadline for comments and expressions of interest for that Workshop. The new deadline is August 28 at 5:30 p.m. Eastern Daylight Time. The final deadline for all comments in this stage of rulemaking remains October 17, 2013, at 5:30 p.m. Eastern Daylight Time.
08/05/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentNational Practitioner Data Bank and Privacy Act; Exempt Records System; Technical CorrectionThese correcting amendments update a cross reference cited in the Privacy Act regulations. The National Practitioner Data Bank (NPDB) system of records (09-15-0054) is exempt from certain provisions of the Privacy Act, and the cross reference cited...2013-18598FR-Doc-2013-18598National-Practitioner-Data-Bank-And-Privacy-Act-Exempt-Records-System-Technical-CorrectionThese correcting amendments update a cross reference cited in the Privacy Act regulations. The National Practitioner Data Bank (NPDB) system of records (09-15-0054) is exempt from certain provisions of the Privacy Act, and the cross reference cited refers to the regulations that govern the NPDB. As a result of Section 6403 of the Affordable Care Act, the regulations governing the NPDB were revised and certain section numbers in the NPDB regulations were changed, including the NPDB regulation that was cross referenced. This change is technical in nature and does not significantly alter the current NPDB exemption.
07/17/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel; Consumer Assistance Tools and Programs of an Exchange and Certified Application CounselorsThis final rule addresses various requirements applicable to Navigators and non-Navigator assistance personnel in Federally- facilitated Exchanges, including State Partnership Exchanges, and to non-Navigator assistance personnel in State Exchanges that...2013-17125FR-Doc-2013-17125Patient-Protection-And-Affordable-Care-Act-Exchange-Functions-Standards-For-Navigators-AndThis final rule addresses various requirements applicable to Navigators and non-Navigator assistance personnel in Federally- facilitated Exchanges, including State Partnership Exchanges, and to non-Navigator assistance personnel in State Exchanges that are funded through federal Exchange Establishment grants. It finalizes the requirement that Exchanges must have a certified application counselor program. It creates conflict-of-interest, training and certification, and meaningful access standards; clarifies that any licensing, certification, or other standards prescribed by a state or Exchange must not prevent application of the provisions of title I of the Affordable Care Act; adds entities with relationships to issuers of stop loss insurance to the list of entities that are ineligible to become Navigators; and clarifies that the same ineligibility criteria that apply to Navigators apply to certain non-Navigator assistance personnel. The final rule also directs that each Exchange designate organizations which will then certify their staff members and volunteers to be application counselors that assist consumers and facilitate enrollment in qualified health plans and insurance affordability programs, and provides standards for that designation.
07/15/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentMedicaid and Children's Health Insurance Programs: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and EnrollmentThis final rule implements provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act. This final rule finalizes new Medicaid...2013-16271FR-Doc-2013-16271Medicaid-And-Childrens-Health-Insurance-Programs-Essential-Health-Benefits-In-Alternative-BenefitThis final rule implements provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act. This final rule finalizes new Medicaid eligibility provisions; finalizes changes related to electronic Medicaid and the Children's Health Insurance Program (CHIP) eligibility notices and delegation of appeals; modernizes and streamlines existing Medicaid eligibility rules; revises CHIP rules relating to the substitution of coverage to improve the coordination of CHIP coverage with other coverage; and amends requirements for benchmark and benchmark- equivalent benefit packages consistent with sections 1937 of the Social Security Act (which we refer to as ``alternative benefit plans'') to ensure that these benefit packages include essential health benefits and meet certain other minimum standards. This rule also implements specific provisions including those related to authorized representatives, notices, and verification of eligibility for qualifying coverage in an eligible employer-sponsored plan for Affordable Insurance Exchanges. This rule also updates and simplifies the complex Medicaid premium and cost sharing requirements, to promote the most effective use of services, and to assist states in identifying cost sharing flexibilities. It includes transition policies for 2014 as applicable.
07/08/2013Proposed RuleNATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesStatement for the Guidance of the Public-Organization, Procedure and Availability of InformationThe National Endowment for the Arts (NEA), the National Endowment for the Humanities (NEH), and the Institute of Museum and Library Services (IMLS) are proposing to amend their joint Freedom of Information Act (FOIA) regulations, to remove any...2013-15620FR-Doc-2013-15620Statement-For-The-Guidance-Of-The-Public-Organization-Procedure-And-Availability-Of-InformationThe National Endowment for the Arts (NEA), the National Endowment for the Humanities (NEH), and the Institute of Museum and Library Services (IMLS) are proposing to amend their joint Freedom of Information Act (FOIA) regulations, to remove any reference to the NEH, the Federal Council on the Arts and the Humanities (FCAH), an agency for which the NEH provides legal counsel, and the IMLS. The NEA, the NEH and the IMLS are amending these joint regulations because each agency has proposed or plans to propose its own separate FOIA regulations.
07/02/2013RuleDEPARTMENT OF THE TREASURYTreasury DepartmentCoverage of Certain Preventive Services Under the Affordable Care ActThis document contains final regulations regarding coverage of certain preventive services under section 2713 of the Public Health Service Act (PHS Act), added by the Patient Protection and Affordable Care Act, as amended, and incorporated into the...2013-15866FR-Doc-2013-15866Coverage-Of-Certain-Preventive-Services-Under-The-Affordable-Care-ActThis document contains final regulations regarding coverage of certain preventive services under section 2713 of the Public Health Service Act (PHS Act), added by the Patient Protection and Affordable Care Act, as amended, and incorporated into the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code. Section 2713 of the PHS Act requires coverage without cost sharing of certain preventive health services by non-grandfathered group health plans and health insurance coverage. Among these services are women's preventive health services, as specified in guidelines supported by the Health Resources and Services Administration (HRSA). As authorized by the current regulations, and consistent with the HRSA guidelines, group health plans established or maintained by certain religious employers (and group health insurance coverage provided in connection with such plans) are exempt from the otherwise applicable requirement to cover certain contraceptive services. These final regulations simplify and clarify the religious employer exemption. These final regulations also establish accommodations with respect to the contraceptive coverage requirement for group health plans established or maintained by eligible organizations (and group health insurance coverage provided in connection with such plans), as well as student health insurance coverage arranged by eligible organizations that are institutions of higher education. These regulations also finalize related amendments to regulations concerning Affordable Insurance Exchanges.
07/01/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPrivacy Act; ImplementationThe Department of Health and Human Services (HHS or Department), through the National Institutes of Health (NIH), is exempting a system of records from certain requirements of the Privacy Act to protect the integrity of NIH research misconduct...2013-15596FR-Doc-2013-15596Privacy-Act-ImplementationThe Department of Health and Human Services (HHS or Department), through the National Institutes of Health (NIH), is exempting a system of records from certain requirements of the Privacy Act to protect the integrity of NIH research misconduct proceedings and to protect the identity of confidential sources in such proceedings.
07/01/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPrivacy Act, Exempt Record System; ImplementationThe Food and Drug Administration (FDA or Agency) of the Department of Health and Human Services (HHS or Department) is exempting a system of records from certain requirements of the Privacy Act to protect the integrity of FDA's scientific research...2013-15599FR-Doc-2013-15599Privacy-Act-Exempt-Record-System-ImplementationThe Food and Drug Administration (FDA or Agency) of the Department of Health and Human Services (HHS or Department) is exempting a system of records from certain requirements of the Privacy Act to protect the integrity of FDA's scientific research misconduct proceedings and to protect the identity of confidential sources in such proceedings.
07/01/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions; Miscellaneous Minimum Essential Coverage ProvisionsThis final rule implements certain functions of the Affordable Insurance Exchanges (``Exchanges''). These specific statutory functions include determining eligibility for and granting certificates of exemption from the individual shared responsibility...2013-15530FR-Doc-2013-15530Patient-Protection-And-Affordable-Care-Act-Exchange-Functions-Eligibility-For-ExemptionsThis final rule implements certain functions of the Affordable Insurance Exchanges (``Exchanges''). These specific statutory functions include determining eligibility for and granting certificates of exemption from the individual shared responsibility payment described in section 5000A of the Internal Revenue Code. Additionally, this final rule implements the responsibilities of the Secretary of Health and Human Services, in coordination with the Secretary of the Treasury, to designate other health benefits coverage as minimum essential coverage by providing that certain coverage be designated as minimum essential coverage. It also outlines substantive and procedural requirements that other types of individual coverage must fulfill in order to be certified as minimum essential coverage.
06/19/2013Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Program Integrity: Exchange, SHOP, Premium Stabilization Programs, and Market StandardsThis proposed rule sets forth financial integrity and oversight standards with respect to Affordable Insurance Exchanges; Qualified Health Plan (QHP) issuers in Federally-facilitated Exchanges (FFEs); and States with regard to the operation of risk...2013-14540FR-Doc-2013-14540Patient-Protection-And-Affordable-Care-Act-Program-Integrity-Exchange-Shop-Premium-StabilizationThis proposed rule sets forth financial integrity and oversight standards with respect to Affordable Insurance Exchanges; Qualified Health Plan (QHP) issuers in Federally-facilitated Exchanges (FFEs); and States with regard to the operation of risk adjustment and reinsurance programs. It also proposes additional standards with respect to agents and brokers. These standards, which include financial integrity provisions and protections against fraud and abuse, are consistent with Title I of the Patient Protection and Affordable Care Act as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act.
06/18/2013Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentState Long-Term Care Ombudsman ProgramThe Administration on Aging (AoA) of the Administration for Community Living (ACL) within the Department of Health and Human Services (HHS) is issuing a Notice of Proposed Rulemaking, with request for comments, to implement provisions of the Older...2013-14325FR-Doc-2013-14325State-Long-Term-Care-Ombudsman-ProgramThe Administration on Aging (AoA) of the Administration for Community Living (ACL) within the Department of Health and Human Services (HHS) is issuing a Notice of Proposed Rulemaking, with request for comments, to implement provisions of the Older Americans Act, the State Long-Term Care Ombudsman program. This proposed rule replaces AoA's 1994 Notice of Proposed Rulemaking. Since 1992, the functions of this program have been delineated in the Older Americans Act; however, regulations have not been promulgated for any Title VII program. In the absence of regulatory guidance, there has been significant variation in the interpretation and implementation of these provisions among States. Recent inquiries from States and an AoA compliance review in one State have highlighted the difficulty of determining State compliance in carrying out the Long-Term Care Ombudsman program functions. This rulemaking provides the first regulatory guidance for States' Long-Term Care Ombudsman programs to provide clarity about implementation. HHS estimates that a number of states may need to update their statutes, regulations, policies and/or practices in order to operate the program consistent with federal law and this proposed regulation. The effective date of the rule is anticipated to be one year after publication of any final rule to allow States appropriate time for such changes, if needed. AoA anticipates little or no financial impact on the providers of long-term care ombudsman services, the consumers served by the program, or long-term care providers through implementation of the proposed rules. AoA believes that consumers (particularly residents of long-term care facilities) and long-term care providers will benefit from the implementation of these proposed rules. Consumers and other complainants across the country will receive services from the Long- Term Care Ombudsman program with less variation in the quality, efficiency, and consistency of service delivery. Long-term care ombudsmen and States will also benefit from the implementation of these proposed rules in the establishment and operation of the Long-Term Care Ombudsman program at the State and local levels. For years, States and long-term care ombudsmen at every level have reported to AoA that they have found some provisions of the Act confusing to implement. The proposed rule seeks to provide the clarity that program stakeholders have requested.
06/11/2013RuleNATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesTechnical Amendments To Reflect the Authorizing Legislation of the Institute of Museum and Library ServicesThe Institute of Museum and Library amends its grants regulations by removing outdated regulations and making certain technical amendments to reflect Congress' reauthorization of the Institute of Museum and Library Services under the Museum and Library...2013-13730FR-Doc-2013-13730Technical-Amendments-To-Reflect-The-Authorizing-Legislation-Of-The-Institute-Of-Museum-And-LibraryThe Institute of Museum and Library amends its grants regulations by removing outdated regulations and making certain technical amendments to reflect Congress' reauthorization of the Institute of Museum and Library Services under the Museum and Library Services Act of 2010, as further amended by the Presidential Appointment Efficiency and Streamlining Act of 2011. The amendments also reorganize certain regulations to provide greater clarity for agency applicants and grantees.
06/07/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentTechnical Corrections to the HIPAA Privacy, Security, and Enforcement RulesThese technical corrections address certain inadvertent errors and omissions in the HIPAA Privacy, Security, and Enforcement Rules that are located at 45 CFR parts 160 and 164.2013-13472FR-Doc-2013-13472Technical-Corrections-To-The-Hipaa-Privacy-Security-And-Enforcement-RulesThese technical corrections address certain inadvertent errors and omissions in the HIPAA Privacy, Security, and Enforcement Rules that are located at 45 CFR parts 160 and 164.
06/04/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Small Business Health Options ProgramThis final rule implements provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act) related to the Small Business Health Options...2013-13149FR-Doc-2013-13149Patient-Protection-And-Affordable-Care-Act-Establishment-Of-Exchanges-And-Qualified-Health-PlansThis final rule implements provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act) related to the Small Business Health Options Program (SHOP). Specifically, this final rule amends existing regulations regarding triggering events and special enrollment periods for qualified employees and their dependents and implements a transitional policy regarding employees' choice of qualified health plans (QHPs) in the SHOP.
06/03/2013RuleDEPARTMENT OF THE TREASURYTreasury DepartmentIncentives for Nondiscriminatory Wellness Programs in Group Health PlansThis document contains final regulations, consistent with the Affordable Care Act, regarding nondiscriminatory wellness programs in group health coverage. Specifically, these final regulations increase the maximum permissible reward under a...2013-12916FR-Doc-2013-12916Incentives-For-Nondiscriminatory-Wellness-Programs-In-Group-Health-PlansThis document contains final regulations, consistent with the Affordable Care Act, regarding nondiscriminatory wellness programs in group health coverage. Specifically, these final regulations increase the maximum permissible reward under a health-contingent wellness program offered in connection with a group health plan (and any related health insurance coverage) from 20 percent to 30 percent of the cost of coverage. The final regulations further increase the maximum permissible reward to 50 percent for wellness programs designed to prevent or reduce tobacco use. These regulations also include other clarifications regarding the reasonable design of health-contingent wellness programs and the reasonable alternatives they must offer in order to avoid prohibited discrimination.
05/22/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPre-Existing Condition Insurance Plan ProgramThis interim final rule with comment period sets the payment rates for covered services furnished to individuals enrolled in the Pre-Existing Condition Insurance Plan (PCIP) program administered directly by HHS beginning with covered services furnished...2013-12145FR-Doc-2013-12145Pre-Existing-Condition-Insurance-Plan-ProgramThis interim final rule with comment period sets the payment rates for covered services furnished to individuals enrolled in the Pre-Existing Condition Insurance Plan (PCIP) program administered directly by HHS beginning with covered services furnished on June 15, 2013. This interim final rule also prohibits facilities and providers who, with respect to dates of service beginning on June 15, 2013, accept payment for most covered services furnished to an enrollee in the federally-administered PCIP from charging the enrollee an amount greater than the enrollee's out-of-pocket cost for the covered service as calculated by the plan. The PCIP program was established under Section 1101 of Title I of the Patient Protection and Affordable Care Act (Affordable Care Act).
05/20/2013Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentChild Care and Development Fund (CCDF) ProgramThe Administration for Children and Families (ACF) proposes to amend the Child Care and Development Fund (CCDF) regulations. This proposed rule makes changes to CCDF regulatory provisions in order to strengthen health and safety requirements for child...2013-11673FR-Doc-2013-11673Child-Care-And-Development-Fund-Ccdf-ProgramThe Administration for Children and Families (ACF) proposes to amend the Child Care and Development Fund (CCDF) regulations. This proposed rule makes changes to CCDF regulatory provisions in order to strengthen health and safety requirements for child care providers, reflect current State and local practices to improve the quality of child care, infuse new accountability for Federal tax dollars, and leverage the latest knowledge and research in the field of early care and education to better serve low-income children and families.
05/15/2013Proposed RuleNATIONAL FOUNDATION ON THE ARTS AND HUMANITIESNational Foundation on the Arts and the HumanitiesNondiscrimination on the Basis of Age in Federally Assisted Programs or ActivitiesThe National Endowment for the Humanities (NEH) is issuing Age Discrimination Act of 1975 regulations at 45 CFR part 1172. These regulations implement provisions of the Age Discrimination Act of 1975 and the general, government-wide age discrimination...2013-10844FR-Doc-2013-10844Nondiscrimination-On-The-Basis-Of-Age-In-Federally-Assisted-Programs-Or-ActivitiesThe National Endowment for the Humanities (NEH) is issuing Age Discrimination Act of 1975 regulations at 45 CFR part 1172. These regulations implement provisions of the Age Discrimination Act of 1975 and the general, government-wide age discrimination regulations promulgated by the United States Department of Health and Human Services (HHS). These regulations are designed to guide the actions of recipients of Federal financial assistance from NEH and incorporate the basic standards set forth in the general, government-wide regulations for determining what constitutes age discrimination. The regulations also discuss the responsibilities of NEH recipients and the investigations, conciliation, and enforcement procedures NEH has been using and will continue to use to ensure compliance with the Act.
05/14/2013Proposed RuleNATIONAL SCIENCE FOUNDATIONNational Science FoundationAvailability of Records and InformationThis document sets forth proposed revisions of the Foundation's regulations under the Freedom of Information Act (FOIA). The revisions implement the provision of the Open FOIA Act of 2009 which amended Exemption 3, update procedural provisions, and...2013-10697FR-Doc-2013-10697Availability-Of-Records-And-InformationThis document sets forth proposed revisions of the Foundation's regulations under the Freedom of Information Act (FOIA). The revisions implement the provision of the Open FOIA Act of 2009 which amended Exemption 3, update procedural provisions, and allow for multi-track processing of requests.
05/10/2013Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationRestrictions on Legal Assistance With Respect to Criminal Proceedings in Tribal CourtsThe Legal Services Corporation (LSC) is requesting public comments on issues associated with amending its regulations to align with the statutory authority granted to LSC under the Indian Arts and Crafts Amendment Act of 2010 (the IACAA). The IACAA...2013-11070FR-Doc-2013-11070Restrictions-On-Legal-Assistance-With-Respect-To-Criminal-Proceedings-In-Tribal-CourtsThe Legal Services Corporation (LSC) is requesting public comments on issues associated with amending its regulations to align with the statutory authority granted to LSC under the Indian Arts and Crafts Amendment Act of 2010 (the IACAA). The IACAA amended the LSC Act to provide authority for LSC funds to be used by grantees to represent eligible persons in any and all criminal proceedings in tribal courts. Previously, the LSC Act and related regulations permitted representation only in criminal matters involving misdemeanors or lesser offenses in tribal courts. The information received as a result of this request will be considered in rulemaking undertaken by LSC.
05/10/2013Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationPrivate Attorney InvolvementThe Legal Services Corporation (LSC) is conducting two Rulemaking Workshops (Workshops) and is requesting public comments on revising LSC's Private Attorney Involvement (PAI) rule to respond to Recommendation 2 of LSC's Pro Bono Task Force Report. The...2013-11071FR-Doc-2013-11071Private-Attorney-InvolvementThe Legal Services Corporation (LSC) is conducting two Rulemaking Workshops (Workshops) and is requesting public comments on revising LSC's Private Attorney Involvement (PAI) rule to respond to Recommendation 2 of LSC's Pro Bono Task Force Report. The discussions in the Workshops and the other comments received will be considered in connection with rulemaking by LSC. LSC solicits expression of interest in participating as a panelist in the Workshops from the recipient community, the organized bar, pro bono organizations, and other interested parties.
05/03/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentNational Practitioner Data BankThis document corrects non-substantive technical errors in the final rule entitled ``National Practitioner Data Bank'' which appeared in the April 5, 2013, issue of the Federal Register. The corrections improve the precision of the text, which is...2013-10566FR-Doc-2013-10566National-Practitioner-Data-BankThis document corrects non-substantive technical errors in the final rule entitled ``National Practitioner Data Bank'' which appeared in the April 5, 2013, issue of the Federal Register. The corrections improve the precision of the text, which is intended to enhance the accuracy with which users comply with these regulatory requirements.
05/02/2013RuleOFFICE OF PERSONNEL MANAGEMENTPersonnel Management OfficePatient Protection and Affordable Care Act; Establishment of the Multi-State Plan Program for the Affordable Insurance Exchanges; CorrectionThis document corrects the effective date that appeared in the final rule published in the Federal Register on March 11, 2013, entitled ``Patient Protection and Affordable Care Act; Establishment of the Multi-State Plan Program for the Affordable...2013-10425FR-Doc-2013-10425Patient-Protection-And-Affordable-Care-Act-Establishment-Of-The-Multi-State-Plan-Program-For-TheThis document corrects the effective date that appeared in the final rule published in the Federal Register on March 11, 2013, entitled ``Patient Protection and Affordable Care Act; Establishment of the Multi-State Plan Program for the Affordable Insurance Exchanges.''
04/23/2013Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentHIPAA Privacy Rule and the National Instant Criminal Background Check System (NICS)On January 16, 2013, President Barack Obama announced a series of Executive Actions to reduce gun violence in the United States, including efforts to improve the Federal government's background check system for the sale or transfer of firearms by...2013-09602FR-Doc-2013-09602Hipaa-Privacy-Rule-And-The-National-Instant-Criminal-Background-Check-System-NicsOn January 16, 2013, President Barack Obama announced a series of Executive Actions to reduce gun violence in the United States, including efforts to improve the Federal government's background check system for the sale or transfer of firearms by licensed dealers, called the National Instant Criminal Background Check System (NICS). Among those persons disqualified from possessing or receiving firearms under Federal law are individuals who have been involuntarily committed to a mental institution; found incompetent to stand trial or not guilty by reason of insanity; or otherwise have been determined, through a formal adjudication process, to have a severe mental condition that results in the individuals presenting a danger to themselves or others or being incapable of managing their own affairs (referred to below as the ``mental health prohibitor''). Concerns have been raised that, in certain states, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule may be a barrier to States' reporting the identities of individuals subject to the mental health prohibitor to the NICS. The Department of Health and Human Services (HHS or ``the Department''), which administers the HIPAA regulations, is issuing this Advance Notice of Proposed Rulemaking (ANPRM) to solicit public comments on such barriers to reporting and ways in which these barriers can be addressed. In particular, we are considering creating an express permission in the HIPAA rules for reporting the relevant information to the NICS by those HIPAA covered entities responsible for involuntary commitments or the formal adjudications that would subject individuals to the mental health prohibitor, or that are otherwise designated by the States to report to the NICS. In addition, we are soliciting comments on the best methods to disseminate information on relevant HIPAA policies to State level entities that originate or maintain information that may be reported to NICS. Finally, we are soliciting public input on whether there are ways to mitigate any unintended adverse consequences for individuals seeking needed mental health services that may be caused by creating express regulatory permission to report relevant information to NICS. The Department will use the information it receives to determine how best to address these issues.
04/16/2013Proposed RuleNATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesImplementing the Freedom of Information ActThis rule proposes to implement IMLS's regulations under the Freedom of Information Act (FOIA). The regulations both describe how IMLS processes requests for records under FOIA and reaffirm the agency's commitment to providing the fullest possible...2013-08890FR-Doc-2013-08890Implementing-The-Freedom-Of-Information-ActThis rule proposes to implement IMLS's regulations under the Freedom of Information Act (FOIA). The regulations both describe how IMLS processes requests for records under FOIA and reaffirm the agency's commitment to providing the fullest possible disclosure of records to the public. The agency is implementing the regulations to replace its existing joint regulations as part of the National Foundation on the Arts and the Humanities, and to update, clarify, and streamline the language of several procedural provisions, while incorporating changes brought about by amendments to the FOIA.
04/05/2013Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Exchange Functions: Standards for Navigators and Non-Navigator Assistance PersonnelThe proposed regulations would create conflict-of-interest, training and certification, and meaningful access standards applicable to Navigators and non-Navigator assistance personnel in Federally- facilitated Exchanges, including State Partnership...2013-07951FR-Doc-2013-07951Patient-Protection-And-Affordable-Care-Act-Exchange-Functions-Standards-For-Navigators-AndThe proposed regulations would create conflict-of-interest, training and certification, and meaningful access standards applicable to Navigators and non-Navigator assistance personnel in Federally- facilitated Exchanges, including State Partnership Exchanges, and to non-Navigator assistance personnel in State-based Exchanges that are funded through federal Exchange Establishment grants. These proposed standards would help ensure that Navigators and non-Navigator assistance personnel will be fair and impartial and will be appropriately trained, and that they will provide services and information in a manner that is accessible. The proposed regulations would also make two amendments to the existing regulation for Navigators that would apply to all Navigators in all Affordable Insurance Exchanges (Exchanges), including State- based Exchanges, clarifying that any Navigator licensing, certification, or other standards prescribed by the state or Exchange must not prevent the application of the provisions of title I of the Affordable Care Act; and adding to the list of entities ineligible to become Navigators, those entities with relationships to issuers of stop loss insurance, including those who are compensated directly or indirectly by issuers of stop loss insurance in connection with enrollment in Qualified Health Plans or non-Qualified Health Plans. The proposed regulations would also clarify that the same ineligibility criteria that apply to Navigators would also apply to non-Navigator assistance personnel providing services in any Federally-facilitated Exchanges, including in State Consumer Partnership Exchanges, and to federally funded non-Navigator assistance personnel in State-based Exchanges.
04/05/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentNational Practitioner Data BankThis final rule revises existing regulations under sections 401-432 of the Health Care Quality Improvement Act of 1986 and section 1921 of the Social Security Act, governing the National Practitioner Data Bank, to incorporate statutory requirements...2013-07521FR-Doc-2013-07521National-Practitioner-Data-BankThis final rule revises existing regulations under sections 401-432 of the Health Care Quality Improvement Act of 1986 and section 1921 of the Social Security Act, governing the National Practitioner Data Bank, to incorporate statutory requirements under the Patient Protection and Affordable Care Act of 2010 (Affordable Care Act). The Department of Health and Human Services (HHS) also is removing regulations which implemented the Healthcare Integrity and Protection Data Bank. Section 6403 of the Affordable Care Act, the statutory authority for this regulatory action, was designed to eliminate duplicative data reporting and access requirements between the Healthcare Integrity and Protection Data Bank (HIPDB) (established under section 1128E of the Social Security Act) and the National Practitioner Data Bank (NPDB). It requires the Secretary to establish a transition period to transfer all data in the Healthcare Integrity and Protection Data Bank to the National Practitioner Data Bank, and, once completed, to cease operations of the Healthcare Integrity and Protection Data Bank. Information previously collected and disclosed to eligible parties through the HIPDB will then be collected and disclosed to eligible parties through the NPDB. This regulatory action consolidates the collection and disclosure of information from both data banks into one part of the CFR.
03/26/2013RuleOFFICE OF PERSONNEL MANAGEMENTPersonnel Management OfficePatient Protection and Affordable Care Act; Establishment of the Multi-State Plan Program for the Affordable Insurance Exchanges; CorrectionThis document corrects technical and typographical errors that appeared in the final rule published in the Federal Register on March 11, 2013, entitled ``Patient Protection and Affordable Care Act; Establishment of the Multi-State Plan Program for the...2013-06782FR-Doc-2013-06782Patient-Protection-And-Affordable-Care-Act-Establishment-Of-The-Multi-State-Plan-Program-For-TheThis document corrects technical and typographical errors that appeared in the final rule published in the Federal Register on March 11, 2013, entitled ``Patient Protection and Affordable Care Act; Establishment of the Multi-State Plan Program for the Affordable Insurance Exchanges.'' The changes are not substantive to our policy.
03/21/2013Proposed RuleDEPARTMENT OF THE TREASURYTreasury DepartmentNinety-Day Waiting Period Limitation and Technical Amendments to Certain Health Coverage Requirements Under the Affordable Care ActThese proposed rules implement the 90-day waiting period limitation under section 2708 of the Public Health Service Act, as added by the Patient Protection and Affordable Care Act (Affordable Care Act), as amended, and incorporated into the Employee...2013-06454FR-Doc-2013-06454Ninety-Day-Waiting-Period-Limitation-And-Technical-Amendments-To-Certain-Health-CoverageThese proposed rules implement the 90-day waiting period limitation under section 2708 of the Public Health Service Act, as added by the Patient Protection and Affordable Care Act (Affordable Care Act), as amended, and incorporated into the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code. They also propose amendments to regulations to conform to Affordable Care Act provisions already in effect as well as those that will become effective beginning 2014. The proposed conforming amendments make changes to existing requirements such as preexisting condition limitations and other portability provisions added by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and implementing regulations because they have become moot or need amendment due to new market reform protections under the Affordable Care Act.
03/11/2013Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Small Business Health Options ProgramThis proposed rule would implement provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act) related to the Small Business Health...2013-04952FR-Doc-2013-04952Patient-Protection-And-Affordable-Care-Act-Establishment-Of-Exchanges-And-Qualified-Health-PlansThis proposed rule would implement provisions of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act) related to the Small Business Health Options Program (SHOP). Specifically, this proposed rule would amend existing regulations regarding triggering events and special enrollment periods for qualified employees and their dependents and would implement a transitional policy regarding employees' choice of qualified health plans (QHPs) in the SHOP.
03/11/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014This interim final rule with comment builds upon standards set forth in the HHS Notice of Benefit and Payment Parameters for 2014, published elsewhere in this issue of the Federal Register. This document will adjust risk corridors calculations that...2013-04904FR-Doc-2013-04904Patient-Protection-And-Affordable-Care-Act-Amendments-To-The-Hhs-Notice-Of-Benefit-And-PaymentThis interim final rule with comment builds upon standards set forth in the HHS Notice of Benefit and Payment Parameters for 2014, published elsewhere in this issue of the Federal Register. This document will adjust risk corridors calculations that would align the calculations with the single risk pool provision, and set standards permitting issuers of qualified health plans the option of using an alternate methodology for calculating the value of cost-sharing reductions provided for the purpose of reconciliation of advance payments of cost-sharing reductions.
03/11/2013RuleOFFICE OF PERSONNEL MANAGEMENTPersonnel Management OfficePatient Protection and Affordable Care Act; Establishment of the Multi-State Plan Program for the Affordable Insurance ExchangesThe U.S. Office of Personnel Management (OPM) is issuing a final regulation establishing the Multi-State Plan Program (MSPP) pursuant to the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of...2013-04954FR-Doc-2013-04954Patient-Protection-And-Affordable-Care-Act-Establishment-Of-The-Multi-State-Plan-Program-For-TheThe U.S. Office of Personnel Management (OPM) is issuing a final regulation establishing the Multi-State Plan Program (MSPP) pursuant to the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. Through contracts with OPM, health insurance issuers will offer at least two multi-State plans (MSPs) on each of the Affordable Insurance Exchanges (Exchanges). One of the issuers must be non-profit. Under the law, an MSPP issuer may phase in the States in which it offers coverage over 4 years, but it must offer MSPs on Exchanges in all States and the District of Columbia by the fourth year in which the MSPP issuer participates in the MSPP. This rule aims to balance adhering to the statutory goals of MSPP while aligning its standards to those applying to qualified health plans to promote a level playing field across health plans.
03/11/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014This final rule provides detail and parameters related to: the risk adjustment, reinsurance, and risk corridors programs; cost-sharing reductions; user fees for Federally-facilitated Exchanges; advance payments of the premium tax credit; the...2013-04902FR-Doc-2013-04902Patient-Protection-And-Affordable-Care-Act-Hhs-Notice-Of-Benefit-And-Payment-Parameters-For-2014This final rule provides detail and parameters related to: the risk adjustment, reinsurance, and risk corridors programs; cost-sharing reductions; user fees for Federally-facilitated Exchanges; advance payments of the premium tax credit; the Federally-facilitated Small Business Health Option Program; and the medical loss ratio program. Cost-sharing reductions and advance payments of the premium tax credit, combined with new insurance market reforms, are expected to significantly increase the number of individuals with health insurance coverage, particularly in the individual market. In addition, we expect the premium stabilization programs--risk adjustment, reinsurance, and risk corridors--to protect against the effects of adverse selection. These programs, in combination with the medical loss ratio program and market reforms extending guaranteed availability (also known as guaranteed issue) and prohibiting the use of factors such as health status, medical history, gender, and industry of employment to set premium rates, will help to ensure that every American has access to high-quality, affordable health insurance.
02/27/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Health Insurance Market Rules; Rate ReviewThis final rule implements provisions related to fair health insurance premiums, guaranteed availability, guaranteed renewability, single risk pools, and catastrophic plans, consistent with title I of the Patient Protection and Affordable Care Act, as...2013-04335FR-Doc-2013-04335Patient-Protection-And-Affordable-Care-Act-Health-Insurance-Market-Rules-Rate-ReviewThis final rule implements provisions related to fair health insurance premiums, guaranteed availability, guaranteed renewability, single risk pools, and catastrophic plans, consistent with title I of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. The final rule clarifies the approach used to enforce the applicable requirements of the Affordable Care Act with respect to health insurance issuers and group health plans that are non-federal governmental plans. This final rule also amends the standards for health insurance issuers and states regarding reporting, utilization, and collection of data under the federal rate review program, and revises the timeline for states to propose state- specific thresholds for review and approval by the Centers for Medicare & Medicaid Services (CMS).
02/25/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Standards Related to Essential Health Benefits, Actuarial Value, and AccreditationThis final rule sets forth standards for health insurance issuers consistent with title I of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the...2013-04084FR-Doc-2013-04084Patient-Protection-And-Affordable-Care-Act-Standards-Related-To-Essential-Health-Benefits-ActuarialThis final rule sets forth standards for health insurance issuers consistent with title I of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. Specifically, this final rule outlines Exchange and issuer standards related to coverage of essential health benefits and actuarial value. This rule also finalizes a timeline for qualified health plans to be accredited in Federally-facilitated Exchanges and amends regulations providing an application process for the recognition of additional accrediting entities for purposes of certification of qualified health plans.
02/13/2013RuleLEGAL SERVICES CORPORATIONLegal Services CorporationLimited Reductions of Funding, Termination, and Debarment Procedures; Recompetition; Enforcement; Suspension Procedures; Private Attorney InvolvementThis final rule amends the Legal Services Corporation's regulations on enforcement procedures through the addition of options for limited reductions of funding, expansion of non-audit based suspensions for up to ninety days, and immediate special grant...2013-03241FR-Doc-2013-03241Limited-Reductions-Of-Funding-Termination-And-Debarment-Procedures-Recompetition-EnforcementThis final rule amends the Legal Services Corporation's regulations on enforcement procedures through the addition of options for limited reductions of funding, expansion of non-audit based suspensions for up to ninety days, and immediate special grant conditions for compliance issues. The final rule provides updates and enhancements to the rules regarding enforcement generally, terminations, debarments, and suspensions. It also provides a technical conforming update to a cross-reference in the private attorney involvement regulation.
02/11/2013Proposed RuleNATIONAL FOUNDATION ON THE ARTS AND HUMANITIESNational Foundation on the Arts and the HumanitiesPublic Access to NEH Records Under the Freedom of Information ActThe National Endowment for the Humanities (NEH) is unilaterally rescinding its joint Freedom of Information Act (FOIA) regulations with the National Endowment for the Arts (NEA) and the Institute of Museum and Library Services (IMLS), and issuing its...2013-01746FR-Doc-2013-01746Public-Access-To-Neh-Records-Under-The-Freedom-Of-Information-ActThe National Endowment for the Humanities (NEH) is unilaterally rescinding its joint Freedom of Information Act (FOIA) regulations with the National Endowment for the Arts (NEA) and the Institute of Museum and Library Services (IMLS), and issuing its own FOIA regulations. The new regulations provide the NEH's proposed procedures for disclosure of its records, as required by the FOIA, 5 U.S.C. 552, as amended. These regulations also provide the proposed procedures for disclosing records of the Federal Council on the Arts and the Humanities (FCAH), an agency for which NEH provides legal counsel.
02/06/2013Proposed RuleDEPARTMENT OF THE TREASURYTreasury DepartmentCoverage of Certain Preventive Services Under the Affordable Care ActThis document proposes amendments to rules regarding coverage for certain preventive services under section 2713 of the Public Health Service Act, as added by the Patient Protection and Affordable Care Act, as amended, and incorporated into the...2013-02420FR-Doc-2013-02420Coverage-Of-Certain-Preventive-Services-Under-The-Affordable-Care-ActThis document proposes amendments to rules regarding coverage for certain preventive services under section 2713 of the Public Health Service Act, as added by the Patient Protection and Affordable Care Act, as amended, and incorporated into the Employee Retirement Income Security Act of 1974 and the Internal Revenue Code. Section 2713 of the Public Health Service Act requires coverage without cost sharing of certain preventive health services, including certain contraceptive services, in non-exempt, non-grandfathered group health plans and health insurance coverage. The proposed rules would amend the authorization to exempt group health plans established or maintained by certain religious employers (and group health insurance coverage provided in connection with such plans) with respect to the requirement to cover contraceptive services. The proposed rules would also establish accommodations for group health plans established or maintained by eligible organizations (and group health insurance coverage offered in connection with such plans), including student health insurance coverage arranged by eligible organizations that are religious institutions of higher education. This document also proposes related amendments to regulations concerning excepted benefits and Affordable Insurance Exchanges.
02/04/2013RuleLEGAL SERVICES CORPORATIONLegal Services CorporationIncome Level for Individuals Eligible for AssistanceThe Legal Services Corporation (``Corporation'') is required by law to establish maximum income levels for individuals eligible for legal assistance. This document updates the specified income levels to reflect the annual amendments to the Federal...2013-02325FR-Doc-2013-02325Income-Level-For-Individuals-Eligible-For-AssistanceThe Legal Services Corporation (``Corporation'') is required by law to establish maximum income levels for individuals eligible for legal assistance. This document updates the specified income levels to reflect the annual amendments to the Federal Poverty Guidelines as issued by the Department of Health and Human Services.
02/01/2013Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions; Miscellaneous Minimum Essential Coverage ProvisionsThis proposed rule would implement certain functions of the Affordable Insurance Exchanges (``Exchanges''), consistent with title I of the Patient Protection and Affordable Care Act of 2010, as amended by the Health Care and Education Reconciliation...2013-02139FR-Doc-2013-02139Patient-Protection-And-Affordable-Care-Act-Exchange-Functions-Eligibility-For-ExemptionsThis proposed rule would implement certain functions of the Affordable Insurance Exchanges (``Exchanges''), consistent with title I of the Patient Protection and Affordable Care Act of 2010, as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. These specific statutory functions include determining eligibility for and granting certificates of exemption from the shared responsibility payment for not maintaining minimum essential coverage as described in section 5000A of the Internal Revenue Code. Additionally, this proposed rule implements the responsibility of the Secretary of Health and Human Services, in coordination with the Secretary of the Treasury, to designate other health benefits coverage as minimum essential coverage by providing that certain coverage be designated as minimum essential coverage. It also outlines substantive and procedural requirements that other types of individual coverage must fulfill in order to be certified as minimum essential coverage under the Internal Revenue Code.
01/30/2013Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentMedicaid, Children's Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals and Other Provisions Related to Eligibility and Enrollment for Exchanges, Medicaid and CHIP, and Medicaid Premiums and Cost Sharing; CorrectionThis document makes a technical correction to the proposed rule published in the January 22, 2013 Federal Register entitled ``Medicaid, Children's Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans,...2013-02094FR-Doc-2013-02094Medicaid-Childrens-Health-Insurance-Programs-And-Exchanges-Essential-Health-Benefits-In-AlternativeThis document makes a technical correction to the proposed rule published in the January 22, 2013 Federal Register entitled ``Medicaid, Children's Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals and Other Provisions Related to Eligibility and Enrollment for Exchanges, Medicaid and CHIP, and Medicaid Premiums and Cost Sharing.'' The proposed rule provided for the close of the comment period to be February 13, 2013, whereas the close of the comment period was intended to be February 21, 2013. This document makes this technical correction.
01/25/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentModifications to the HIPAA Privacy, Security, Enforcement, and Breach Notification Rules Under the Health Information Technology for Economic and Clinical Health Act and the Genetic Information Nondiscrimination Act; Other Modifications to the HIPAA RulesThe Department of Health and Human Services (HHS or ``the Department'') is issuing this final rule to: Modify the Health Insurance Portability and Accountability Act (HIPAA) Privacy, Security, and Enforcement Rules to implement statutory amendments...2013-01073FR-Doc-2013-01073Modifications-To-The-Hipaa-Privacy-Security-Enforcement-And-Breach-Notification-Rules-Under-TheThe Department of Health and Human Services (HHS or ``the Department'') is issuing this final rule to: Modify the Health Insurance Portability and Accountability Act (HIPAA) Privacy, Security, and Enforcement Rules to implement statutory amendments under the Health Information Technology for Economic and Clinical Health Act (``the HITECH Act'' or ``the Act'') to strengthen the privacy and security protection for individuals' health information; modify the rule for Breach Notification for Unsecured Protected Health Information (Breach Notification Rule) under the HITECH Act to address public comment received on the interim final rule; modify the HIPAA Privacy Rule to strengthen the privacy protections for genetic information by implementing section 105 of Title I of the Genetic Information Nondiscrimination Act of 2008 (GINA); and make certain other modifications to the HIPAA Privacy, Security, Breach Notification, and Enforcement Rules (the HIPAA Rules) to improve their workability and effectiveness and to increase flexibility for and decrease burden on the regulated entities.
01/22/2013Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentMedicaid, Children's Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals and Other Provisions Related to Eligibility and Enrollment for Exchanges, Medicaid and CHIP, and Medicaid Premiums and Cost SharingThis proposed rule would implement provisions of the Patient Protection and Affordable Care Act of 2010 and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act), and the Children's Health...2013-00659FR-Doc-2013-00659Medicaid-Childrens-Health-Insurance-Programs-And-Exchanges-Essential-Health-Benefits-In-AlternativeThis proposed rule would implement provisions of the Patient Protection and Affordable Care Act of 2010 and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act), and the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA). This proposed rule reflects new statutory eligibility provisions; proposes changes to provide states more flexibility to coordinate Medicaid and the Children's Health Insurance Program (CHIP) eligibility notices, appeals, and other related administrative procedures with similar procedures used by other health coverage programs authorized under the Affordable Care Act; modernizes and streamlines existing rules, eliminates obsolete rules, and updates provisions to reflect Medicaid eligibility pathways; revises the rules relating to the substitution of coverage to improve the coordination of CHIP coverage with other coverage; implements other CHIPRA eligibility-related provisions, including eligibility for newborns whose mothers were eligible for and receiving Medicaid or CHIP coverage at the time of birth; amends certain provisions included in the ``State Flexibility for Medicaid Benefit Packages'' final rule published on April 30, 2010; and implements specific provisions including eligibility appeals, notices, and verification of eligibility for qualifying coverage in an eligible employer-sponsored plan for Affordable Insurance Exchanges. This rule also proposes to update and simplify the complex Medicaid premiums and cost sharing requirements, to promote the most effective use of services, and to assist states in identifying cost sharing flexibilities.
01/15/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPrivacy Act, Exempt Record System; WithdrawalThe Department of Health and Human Services (HHS) and the Food and Drug Administration (FDA) are withdrawing the direct final rule that August 28, 2012. HHS/FDA published the direct final rule to exempt scientific research misconduct proceedings...2013-00723FR-Doc-2013-00723Privacy-Act-Exempt-Record-System-WithdrawalThe Department of Health and Human Services (HHS) and the Food and Drug Administration (FDA) are withdrawing the direct final rule that August 28, 2012. HHS/FDA published the direct final rule to exempt scientific research misconduct proceedings records from certain requirements of the Privacy Act of 1974 in order to protect records compiled in the course of misconduct inquiries and investigations, and to safeguard the identity of confidential sources. The comment period closed on November 13, 2012. HHS/FDA is withdrawing the direct final rule because the Agency received significant adverse comment.
01/15/2013RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPrivacy Act, Exempt Record System; WithdrawalThe Department of Health and Human Services (HHS) and the National Institutes of Health (NIH) published in the Federal Register of August 28, 2012, a direct final rule to exempt a new system of records from certain provisions of the Privacy Act of 1974...2013-00726FR-Doc-2013-00726Privacy-Act-Exempt-Record-System-WithdrawalThe Department of Health and Human Services (HHS) and the National Institutes of Health (NIH) published in the Federal Register of August 28, 2012, a direct final rule to exempt a new system of records from certain provisions of the Privacy Act of 1974 in order to protect the integrity of NIH research misconduct proceedings and to protect the identity of confidential sources in such proceedings. The comment period for this direct final rule closed November 13, 2012. HHS is withdrawing the direct final rule because the agency has received significant adverse comment.
12/07/2012RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentHealth Information Technology: Revisions to the 2014 Edition Electronic Health Record Certification Criteria; and Medicare and Medicaid Programs; Revisions to the Electronic Health Record Incentive ProgramThe Department of Health and Human Services (HHS) is issuing this interim final rule with comment period to replace the Data Element Catalog (DEC) standard and the Quality Reporting Document Architecture (QRDA) Category III standard adopted in the...2012-29607FR-Doc-2012-29607Health-Information-Technology-Revisions-To-The-2014-Edition-Electronic-Health-Record-CertificationThe Department of Health and Human Services (HHS) is issuing this interim final rule with comment period to replace the Data Element Catalog (DEC) standard and the Quality Reporting Document Architecture (QRDA) Category III standard adopted in the final rule published on September 4, 2012 in the Federal Register with updated versions of those standards. This interim final rule with comment period also revises the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs by adding an alternative measure for the Stage 2 meaningful use (MU) objective for hospitals to provide structured electronic laboratory results to ambulatory providers, correcting the regulation text for the measures associated with the objective for hospitals to provide patients the ability to view online, download, and transmit information about a hospital admission, and making the case number threshold exemption for clinical quality measure (CQM) reporting applicable for eligible hospitals and critical access hospitals (CAHs) beginning with FY 2013. This rule also provides notice of CMS's intention to issue technical corrections to the electronic specifications for CQMs released on October 25, 2012.
12/07/2012Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; HHS Notice of Benefit and Payment Parameters for 2014This proposed rule provides further detail and parameters related to: the risk adjustment, reinsurance, and risk corridors programs; cost-sharing reductions; user fees for a Federally- facilitated Exchange; advance payments of the premium tax credit; a...2012-29184FR-Doc-2012-29184Patient-Protection-And-Affordable-Care-Act-Hhs-Notice-Of-Benefit-And-Payment-Parameters-For-2014This proposed rule provides further detail and parameters related to: the risk adjustment, reinsurance, and risk corridors programs; cost-sharing reductions; user fees for a Federally- facilitated Exchange; advance payments of the premium tax credit; a Federally-facilitated Small Business Health Option Program; and the medical loss ratio program. The cost-sharing reductions and advanced payments of the premium tax credit, combined with new insurance market reforms, will significantly increase the number of individuals with health insurance coverage, particularly in the individual market. The premium stabilization programs--risk adjustment, reinsurance, and risk corridors--will protect against adverse selection in the newly enrolled population. These programs, in combination with the medical loss ratio program and market reforms extending guaranteed availability (also known as guaranteed issue) protections and prohibiting the use of factors such as health status, medical history, gender, and industry of employment to set premium rates, will help to ensure that every American has access to high-quality, affordable health insurance.
12/05/2012Proposed RuleOFFICE OF PERSONNEL MANAGEMENTPersonnel Management OfficePatient Protection and Affordable Care Act; Establishment of the Multi-State Plan Program for the Affordable Insurance ExchangesThe U.S. Office of Personnel Management (OPM) is issuing a proposed rule to implement the Multi-State Plan Program (MSPP). OPM is establishing the MSPP pursuant to the Patient Protection and Affordable Care Act, as amended by the Health Care and...2012-29118FR-Doc-2012-29118Patient-Protection-And-Affordable-Care-Act-Establishment-Of-The-Multi-State-Plan-Program-For-TheThe U.S. Office of Personnel Management (OPM) is issuing a proposed rule to implement the Multi-State Plan Program (MSPP). OPM is establishing the MSPP pursuant to the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. Through contracts with OPM, health insurance issuers will offer at least two multi-State plans (MSPs) on each of the Affordable Insurance Exchanges (Exchanges). Under the law, an MSPP issuer may phase in the States in which it offers coverage over four years, but it must offer MSPs on Exchanges in all States and the District of Columbia by the fourth year in which the MSPP issuer participates in the MSPP. OPM aims to administer the MSPP in a manner that is consistent with State insurance laws and that is informed by input from a broad array of stakeholders.
11/26/2012Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Health Insurance Market Rules; Rate ReviewThis proposed rule would implement the Affordable Care Act's policies related to fair health insurance premiums, guaranteed availability, guaranteed renewability, risk pools, and catastrophic plans. The proposed rule would clarify the approach used to...2012-28428FR-Doc-2012-28428Patient-Protection-And-Affordable-Care-Act-Health-Insurance-Market-Rules-Rate-ReviewThis proposed rule would implement the Affordable Care Act's policies related to fair health insurance premiums, guaranteed availability, guaranteed renewability, risk pools, and catastrophic plans. The proposed rule would clarify the approach used to enforce the applicable requirements of the Affordable Care Act with respect to health insurance issuers and group health plans that are non-federal governmental plans. This proposed rule would also amend the standards for health insurance issuers and states regarding reporting, utilization, and collection of data under section 2794 of the Public Health Service Act (PHS Act). It also revises the timeline for states to propose state-specific thresholds for review and approval by CMS.
11/26/2012Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Standards Related to Essential Health Benefits, Actuarial Value, and AccreditationThis proposed rule details standards for health insurance issuers consistent with title I of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the...2012-28362FR-Doc-2012-28362Patient-Protection-And-Affordable-Care-Act-Standards-Related-To-Essential-Health-Benefits-ActuarialThis proposed rule details standards for health insurance issuers consistent with title I of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. Specifically, this proposed rule outlines Exchange and issuer standards related to coverage of essential health benefits and actuarial value. This proposed rule also proposes a timeline for qualified health plans to be accredited in Federally-facilitated Exchanges and an amendment which provides an application process for the recognition of additional accrediting entities for purposes of certification of qualified health plans.
11/26/2012Proposed RuleDEPARTMENT OF THE TREASURYTreasury DepartmentIncentives for Nondiscriminatory Wellness Programs in Group Health PlansThis document proposes amendments to regulations, consistent with the Affordable Care Act, regarding nondiscriminatory wellness programs in group health coverage. Specifically, these proposed regulations would increase the maximum permissible reward...2012-28361FR-Doc-2012-28361Incentives-For-Nondiscriminatory-Wellness-Programs-In-Group-Health-PlansThis document proposes amendments to regulations, consistent with the Affordable Care Act, regarding nondiscriminatory wellness programs in group health coverage. Specifically, these proposed regulations would increase the maximum permissible reward under a health-contingent wellness program offered in connection with a group health plan (and any related health insurance coverage) from 20 percent to 30 percent of the cost of coverage. The proposed regulations would further increase the maximum permissible reward to 50 percent for wellness programs designed to prevent or reduce tobacco use. These regulations also include other proposed clarifications regarding the reasonable design of health-contingent wellness programs and the reasonable alternatives they must offer in order to avoid prohibited discrimination.
10/05/2012RuleCORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceCriminal History Check Requirements for AmeriCorps State/National, Senior Companions, Foster Grandparents, the Retired and Senior Volunteer Program, and Other National Service Programs; Final RuleTo implement the Serve America Act, the Corporation for National and Community Service (CNCS) proposed amendments to its National Service Criminal History Check regulation on July 6, 2011. This final rule adopts the proposed amendments, clarifies...2012-24467FR-Doc-2012-24467Criminal-History-Check-Requirements-For-Americorps-Statenational-Senior-Companions-FosterTo implement the Serve America Act, the Corporation for National and Community Service (CNCS) proposed amendments to its National Service Criminal History Check regulation on July 6, 2011. This final rule adopts the proposed amendments, clarifies several requirements, and makes minor technical corrections. The amendments require CNCS grantees to conduct and document a National Service Criminal History Check that includes a fingerprint-based FBI criminal history check on individuals in covered positions who begin work, or who start service, on or after April 21, 2011, and who have recurring access to children 17 years of age or younger, to persons age 60 and older, or to individuals with disabilities. Individuals in covered positions include Senior Companions (SCP), Foster Grandparents (FGP), AmeriCorps State and National participants, and other participants, volunteers, or staff funded under a CNCS grant.
10/04/2012RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentAdministrative Simplification: Adoption of a Standard for a Unique Health Plan Identifier; Addition to the National Provider Identifier Requirements; and a Change to the Compliance Date for the International Classification of Diseases, 10th Edition (ICD-10-CM and ICD-10-PCS) Medical Data Code Sets; CorrectionsThis document corrects technical errors in the final rule titled ``Administrative Simplification: Adoption of a Standard for a Unique Health Plan Identifier; Addition to the National Provider Identifier Requirements; and a Change to the Compliance Date...2012-24329FR-Doc-2012-24329Administrative-Simplification-Adoption-Of-A-Standard-For-A-Unique-Health-Plan-Identifier-Addition-ToThis document corrects technical errors in the final rule titled ``Administrative Simplification: Adoption of a Standard for a Unique Health Plan Identifier; Addition to the National Provider Identifier Requirements; and a Change to the Compliance Date for the International Classification of Diseases, 10th Edition (ICD-10-CM and ICD-10-PCS) Medical Data Code Sets'' that appeared in the September 5, 2012 Federal Register.
09/27/2012RuleHealth and Human Services DepartmentHealth and Human Services DepartmentState Plan Approval and Grant ProceduresThis final rule adopts the standard for a national unique health plan identifier (HPID) and establishes requirements for the implementation of the HPID. In addition, it adopts a data element that will serve as an other entity identifier (OEID), or an...2012-23893FR-Doc-2012-23893State-Plan-Approval-And-Grant-Procedures 
09/04/2012RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentHealth Information Technology: Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology, 2014 Edition; Revisions to the Permanent Certification Program for Health Information TechnologyWith this final rule, the Secretary of Health and Human Services adopts certification criteria that establish the technical capabilities and specify the related standards and implementation specifications that Certified Electronic Health Record (EHR)...2012-20982FR-Doc-2012-20982Health-Information-Technology-Standards-Implementation-Specifications-And-Certification-Criteria-ForWith this final rule, the Secretary of Health and Human Services adopts certification criteria that establish the technical capabilities and specify the related standards and implementation specifications that Certified Electronic Health Record (EHR) Technology will need to include to, at a minimum, support the achievement of meaningful use by eligible professionals, eligible hospitals, and critical access hospitals under the Medicare and Medicaid EHR Incentive Programs beginning with the EHR reporting periods in fiscal year and calendar year 2014. This final rule also makes changes to the permanent certification program for health information technology, including changing the program's name to the ONC HIT Certification Program.
08/30/2012RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPre-Existing Condition Insurance Plan ProgramThis document contains an amendment regarding program eligibility to the interim final regulation implementing the Pre- Existing Condition Plan program under provisions of the Patient Protection and Affordable Care Act. In light of a new process...2012-21519FR-Doc-2012-21519Pre-Existing-Condition-Insurance-Plan-ProgramThis document contains an amendment regarding program eligibility to the interim final regulation implementing the Pre- Existing Condition Plan program under provisions of the Patient Protection and Affordable Care Act. In light of a new process recently announced by the Department of Homeland Security, eligibility for the program is being amended so that the program does not inadvertently expand the scope of that process.
08/28/2012RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPrivacy Act; ImplementationThe Department of Health and Human Services (HHS or Department), through the National Institutes of Health (NIH), is implementing a new system of records, 09-25-0223, ``NIH Records Related to Research Misconduct Proceedings, HHS/NIH.'' HHS is exempting...2012-20886FR-Doc-2012-20886Privacy-Act-ImplementationThe Department of Health and Human Services (HHS or Department), through the National Institutes of Health (NIH), is implementing a new system of records, 09-25-0223, ``NIH Records Related to Research Misconduct Proceedings, HHS/NIH.'' HHS is exempting this system of records from certain provisions of the Privacy Act to protect the integrity of NIH research misconduct proceedings and to protect the identity of confidential sources in such proceedings. HHS is issuing a direct final rule for this action because the agency expects that there will be no significant adverse comment on this rule. Elsewhere in this issue of the Federal Register, HHS is publishing a companion proposed rule under the agency's usual procedure for notice-and-comment rulemaking to provide a procedural framework to finalize the rule in the event the agency receives any significant comments and withdraws this direct final rule. The companion proposed rule and this direct final rule are substantively identical.
08/28/2012Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPrivacy Act, Exempt Record SystemThe Food and Drug Administration (FDA) of the Department of Health and Human Services (HHS) will be implementing a new system of records, 09-10-0020, ``FDA Records Related to Research Misconduct Proceedings, HHS/FDA/OC.'' HHS/FDA proposes to exempt...2012-20890FR-Doc-2012-20890Privacy-Act-Exempt-Record-SystemThe Food and Drug Administration (FDA) of the Department of Health and Human Services (HHS) will be implementing a new system of records, 09-10-0020, ``FDA Records Related to Research Misconduct Proceedings, HHS/FDA/OC.'' HHS/FDA proposes to exempt this system of records from certain requirements of the Privacy Act to protect the integrity of FDA's scientific misconduct inquiries and investigations and to protect the identity of confidential sources in such investigations.
08/28/2012RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPrivacy Act, Exempt Record SystemThe Food and Drug Administration (FDA) of the Department of Health and Human Services (HHS) will be implementing a new system of records, 09-10-0020, ``FDA Records Related to Research Misconduct Proceedings, HHS/FDA/OC.'' HHS/FDA is exempting this...2012-20889FR-Doc-2012-20889Privacy-Act-Exempt-Record-SystemThe Food and Drug Administration (FDA) of the Department of Health and Human Services (HHS) will be implementing a new system of records, 09-10-0020, ``FDA Records Related to Research Misconduct Proceedings, HHS/FDA/OC.'' HHS/FDA is exempting this system of records from certain requirements of the Privacy Act to protect the integrity of FDA's scientific misconduct inquiries and investigations and to protect the identity of confidential sources in such investigations. HHS/FDA is issuing a direct final rule for this action because the Agency expects that there will be no significant adverse comment on this rule.
08/28/2012Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPrivacy Act; ImplementationThe Department of Health and Human Services (HHS or Department), through the National Institutes of Health (NIH), is implementing a new system of records, 09-25-0223, ``NIH Records Related to Research Misconduct Proceedings, HHS/NIH.'' HHS is exempting...2012-20887FR-Doc-2012-20887Privacy-Act-ImplementationThe Department of Health and Human Services (HHS or Department), through the National Institutes of Health (NIH), is implementing a new system of records, 09-25-0223, ``NIH Records Related to Research Misconduct Proceedings, HHS/NIH.'' HHS is exempting this system of records from certain requirements of the Privacy Act to protect the integrity of NIH research misconduct proceedings and to protect the identity of confidential sources in such proceedings. Elsewhere in this issue of the Federal Register, HHS is issuing a direct final rule for this action because the agency expects that there will be no significant adverse comment on this rule. HHS is publishing this companion proposed rule under the agency's usual procedure for notice-and-comment rulemaking, to provide a procedural framework to finalize the rule in the event the agency publishing this companion proposed rule under the agency's usual procedure for notice- and-comment rulemaking, to provide a procedural framework to finalize the rule in the event the agency receives any significant comments and withdraws the direct final rule. The direct final rule and this companion proposed rule are substantively identical.
08/10/2012RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentAdministrative Simplification: Adoption of Operating Rules for Health Care Electronic Funds Transfers (EFT) and Remittance Advice TransactionsThis interim final rule with comment period implements parts of section 1104 of the Affordable Care Act which requires the adoption of operating rules for the health care electronic funds transfers (EFT) and remittance advice transaction.2012-19557FR-Doc-2012-19557Administrative-Simplification-Adoption-Of-Operating-Rules-For-Health-Care-Electronic-Funds-TransfersThis interim final rule with comment period implements parts of section 1104 of the Affordable Care Act which requires the adoption of operating rules for the health care electronic funds transfers (EFT) and remittance advice transaction.
08/07/2012Proposed RuleLEGAL SERVICES CORPORATIONLegal Services CorporationTermination, Limited Reductions in Funding, and Debarment Procedures; Recompetition; Enforcement; Suspension ProceduresThis Further Notice of Proposed Rulemaking (FNPRM) proposes modifications to the January 31, 2012, NPRM regarding amendments to the Legal Services Corporation's regulations on termination procedures, enforcement, and suspension procedures. LSC seeks...2012-19073FR-Doc-2012-19073Termination-Limited-Reductions-In-Funding-And-Debarment-Procedures-Recompetition-EnforcementThis Further Notice of Proposed Rulemaking (FNPRM) proposes modifications to the January 31, 2012, NPRM regarding amendments to the Legal Services Corporation's regulations on termination procedures, enforcement, and suspension procedures. LSC seeks comments limited to the substantively new materials as indicated by the questions in the SUPPLEMENTARY INFORMATION.
07/20/2012RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Data Collection To Support Standards Related to Essential Health Benefits; Recognition of Entities for the Accreditation of Qualified Health PlansThis final rule establishes data collection standards necessary to implement aspects of section 1302 of the Patient Protection and Affordable Care Act (Affordable Care Act), which directs the Secretary of Health and Human Services to define essential...2012-17831FR-Doc-2012-17831Patient-Protection-And-Affordable-Care-Act-Data-Collection-To-Support-Standards-Related-To-EssentialThis final rule establishes data collection standards necessary to implement aspects of section 1302 of the Patient Protection and Affordable Care Act (Affordable Care Act), which directs the Secretary of Health and Human Services to define essential health benefits. This final rule outlines the data on applicable plans to be collected from certain issuers to support the definition of essential health benefits. This final rule also establishes a process for the recognition of accrediting entities for purposes of certification of qualified health plans.
06/05/2012Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Data Collection To Support Standards Related to Essential Health Benefits; Recognition of Entities for the Accreditation of Qualified Health PlansThis proposed rule would establish data collection standards necessary to implement aspects of the Patient Protection and Affordable Care Act (Affordable Care Act), which directs the Secretary of Health and Human Services to define essential health...2012-13489FR-Doc-2012-13489Patient-Protection-And-Affordable-Care-Act-Data-Collection-To-Support-Standards-Related-To-EssentialThis proposed rule would establish data collection standards necessary to implement aspects of the Patient Protection and Affordable Care Act (Affordable Care Act), which directs the Secretary of Health and Human Services to define essential health benefits. This proposed rule outlines the data on applicable plans to be collected from certain issuers to support the definition of essential health benefits. A bulletin on HHS' intended benchmark approach to defining essential health benefits was published for comment on December 16, 2011, and we intend to pursue comprehensive rulemaking on essential health benefits in the future. This proposed rule would also establish a process for the recognition of accrediting entities for purposes of certification of qualified health plans.
05/29/2012RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers; CorrectionThis document corrects technical and typographical errors that appeared in the final rule, interim final rule, published in the Federal Register on March 27, 2012, entitled ``Patient Protection and Affordable Care Act; Establishment of Exchanges and...2012-12914FR-Doc-2012-12914Patient-Protection-And-Affordable-Care-Act-Establishment-Of-Exchanges-And-Qualified-Health-PlansThis document corrects technical and typographical errors that appeared in the final rule, interim final rule, published in the Federal Register on March 27, 2012, entitled ``Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers.''
05/17/2012RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Standards Related to Reinsurance, Risk Corridors, and Risk Adjustment; CorrectionThis document corrects a technical error that appeared in the final rule with comment period published in the Federal Register on March 23, 2012 entitled, ``Patient Protection and Affordable Care Act; Standards Related to Reinsurance, Risk Corridors,...2012-11994FR-Doc-2012-11994Patient-Protection-And-Affordable-Care-Act-Standards-Related-To-Reinsurance-Risk-Corridors-And-RiskThis document corrects a technical error that appeared in the final rule with comment period published in the Federal Register on March 23, 2012 entitled, ``Patient Protection and Affordable Care Act; Standards Related to Reinsurance, Risk Corridors, and Risk Adjustment.''
05/16/2012RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentHealth Insurance Issuers Implementing Medical Loss Ratio (MLR) Under the Patient Protection and Affordable Care Act; Correcting AmendmentThis document corrects technical errors that appeared in the interim final rule published in the Federal Register on December 1, 2010, entitled ``Health Insurance Issuers Implementing Medical Loss Ratio (MLR) Requirements under the Patient Protection...2012-11773FR-Doc-2012-11773Health-Insurance-Issuers-Implementing-Medical-Loss-Ratio-Mlr-Under-The-Patient-Protection-AndThis document corrects technical errors that appeared in the interim final rule published in the Federal Register on December 1, 2010, entitled ``Health Insurance Issuers Implementing Medical Loss Ratio (MLR) Requirements under the Patient Protection and Affordable Care Act'' and in the correction notice published in the Federal Register on December 30, 2010, entitled ``Health Insurance Issuers Implementing Medical Loss Ratio (MLR) Requirements Under the Patient Protection and Affordable Care Act; Corrections to the Medical Loss Ratio Interim Final Rule With Request for Comments.''
05/16/2012RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentMedical Loss Ratio Requirements Under the Patient Protection and Affordable Care ActThis final rule amends the regulations implementing medical loss ratio (MLR) standards for health insurance issuers under the Public Health Service Act in order to establish notice requirements for issuers in the group and individual markets that meet...2012-11753FR-Doc-2012-11753Medical-Loss-Ratio-Requirements-Under-The-Patient-Protection-And-Affordable-Care-ActThis final rule amends the regulations implementing medical loss ratio (MLR) standards for health insurance issuers under the Public Health Service Act in order to establish notice requirements for issuers in the group and individual markets that meet or exceed the applicable MLR standard in the 2011 MLR reporting year.
05/15/2012Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentNationwide Health Information Network: Conditions for Trusted ExchangeThe nationwide health information network is defined as the set of standards, services, and policies that enable secure health information exchange over the Internet. Enacted in February 2009, the Health Information Technology for Economic and Clinical...2012-11775FR-Doc-2012-11775Nationwide-Health-Information-Network-Conditions-For-Trusted-ExchangeThe nationwide health information network is defined as the set of standards, services, and policies that enable secure health information exchange over the Internet. Enacted in February 2009, the Health Information Technology for Economic and Clinical Health (HITECH) Act requires the National Coordinator for Health Information Technology to establish a governance mechanism for the nationwide health information network (section 3001(c)(8) of the Public Health Service Act (PHSA)). This request for information (RFI) is being issued to request public comment on draft proposals the Office of the National Coordinator for Health Information Technology (ONC) is considering in anticipation of developing a notice of proposed rulemaking (NPRM) to establish such a governance mechanism. This RFI seeks broad input on a range of topics, including: The creation of a voluntary program under which entities that facilitate electronic health information exchange could be validated with respect to their conformance to certain ONC-established ``conditions for trusted exchange (CTEs);'' the scope and requirements included in the initial CTEs; the processes that could be used to revise, adopt new, and retire CTEs, including but not limited to the standards development and adoption process provided in section 3004 and other relevant sections of the PHSA; and a process to classify the readiness for nationwide adoption and use of technical standards and implementation specifications to support interoperability related CTEs.
04/25/2012Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentTANF Assistance and Electronic Benefit Transfer Transactions; Request for Public CommentThe Office of Family Assistance (OFA) is interested in learning about how States deliver Temporary Assistance to Needy Families (TANF) assistance to beneficiaries, whether States have implemented policies and practices to prevent electronic benefit...2012-9260FR-Doc-2012-9260Tanf-Assistance-And-Electronic-Benefit-Transfer-Transactions-Request-For-Public-CommentThe Office of Family Assistance (OFA) is interested in learning about how States deliver Temporary Assistance to Needy Families (TANF) assistance to beneficiaries, whether States have implemented policies and practices to prevent electronic benefit transfer transactions involving TANF assistance in liquor stores, casinos, gambling casinos, or other gaming establishments, and retail establishments which provide adult-oriented entertainment in which performers disrobe or perform in an unclothed state for entertainment; what the States' experiences have been in implementing such policies and practices; and whether States place other similar types of restrictions on assistance usage. OFA also is interested in learning about States' current approaches to ensuring that recipients have adequate access to their cash assistance, including policies that provide access to assistance with no fees or charges or current approaches to imposing fees or charges in connection with receipt of assistance, along with other information relevant to considering what might be minimal fees or charges. Additionally, OFA is interested in hearing the perspectives of vendors, consumer advocates, and any other individuals or entities that have information that could be relevant to the development and implementation of policies and procedures to prevent electronic benefit transfer transactions in certain establishments, and to ensuring access to cash assistance with minimal fees or charges, including opportunities to access assistance without fees or charges. The information provided will be used to inform OFA as it develops regulations to implement Section 4004 of the Middle Class Tax Relief and Job Creation Act of 2012 (Pub. L. 112-96), which, among other things, requires States to prevent the use of TANF assistance in electronic benefit transfer transactions at specified locations.
04/17/2012Proposed RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentAdministrative Simplification: Adoption of a Standard for a Unique Health Plan Identifier; Addition to the National Provider Identifier Requirements; and a Change to the Compliance Date for ICD-10-CM and ICD-10-PCS Medical Data Code SetsThis proposed rule would implement section 1104 of the Patient Protection and Affordable Care Act (hereinafter referred to as the Affordable Care Act) by establishing new requirements for administrative transactions that would improve the utility of...2012-8718FR-Doc-2012-8718Administrative-Simplification-Adoption-Of-A-Standard-For-A-Unique-Health-Plan-Identifier-Addition-ToThis proposed rule would implement section 1104 of the Patient Protection and Affordable Care Act (hereinafter referred to as the Affordable Care Act) by establishing new requirements for administrative transactions that would improve the utility of the existing Health Insurance Portability and Accountability Act of 1996 (HIPAA) transactions and reduce administrative burden and costs. It proposes the adoption of the standard for a national unique health plan identifier (HPID) and requirements or provisions for the implementation of the HPID. This rule also proposes the adoption of a data element that will serve as an other entity identifier (OEID), an identifier for entities that are not health plans, health care providers, or ``individuals,'' that need to be identified in standard transactions. This proposed rule would also specify the circumstances under which an organization covered health care provider must require certain noncovered individual health care providers who are prescribers to obtain and disclose an NPI. Finally, this rule proposes to change the compliance date for the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) for diagnosis coding, including the Official ICD-10-CM Guidelines for Coding and Reporting, and the International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) for inpatient hospital procedure coding, including the Official ICD-10-PCS Guidelines for Coding and Reporting, from October 1, 2013 to October 1, 2014.
03/27/2012RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans; Exchange Standards for EmployersThis final rule will implement the new Affordable Insurance Exchanges (``Exchanges''), consistent with title I of the Patient Protection and Affordable Care Act of 2010 as amended by the Health Care and Education Reconciliation Act of 2010, referred to...2012-6125FR-Doc-2012-6125Patient-Protection-And-Affordable-Care-Act-Establishment-Of-Exchanges-And-Qualified-Health-PlansThis final rule will implement the new Affordable Insurance Exchanges (``Exchanges''), consistent with title I of the Patient Protection and Affordable Care Act of 2010 as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. The Exchanges will provide competitive marketplaces for individuals and small employers to directly compare available private health insurance options on the basis of price, quality, and other factors. The Exchanges, which will become operational by January 1, 2014, will help enhance competition in the health insurance market, improve choice of affordable health insurance, and give small businesses the same purchasing clout as large businesses.
03/23/2012RuleDEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentPatient Protection and Affordable Care Act; Standards Related to Reinsurance, Risk Corridors and Risk AdjustmentThis final rule implements standards for States related to reinsurance and risk adjustment, and for health insurance issuers related to reinsurance, risk corridors, and risk adjustment consistent with title I of the Patient Protection and Affordable...2012-6594FR-Doc-2012-6594Patient-Protection-And-Affordable-Care-Act-Standards-Related-To-Reinsurance-Risk-Corridors-And-RiskThis final rule implements standards for States related to reinsurance and risk adjustment, and for health insurance issuers related to reinsurance, risk corridors, and risk adjustment consistent with title I of the Patient Protection and Affordable Care Act as amended by the Health Care and Education Reconciliation Act of 2010, referred to collectively as the Affordable Care Act. These programs will mitigate the impact of potential adverse selection and stabilize premiums in the individual and small group markets as insurance reforms and the Affordable Insurance Exchanges (``Exchanges'') are implemented, starting in 2014. The transitional State-based reinsurance program serves to reduce uncertainty by sharing risk in the individual market through making payments for high claims costs for enrollees. The temporary Federally administered risk corridors program serves to protect against uncertainty in rate setting by qualified health plans sharing risk in losses and gains with the Federal government. The permanent State-based risk adjustment program provides payments to health insurance issuers that disproportionately attract high-risk populations (such as individuals with chronic conditions).
03/21/2012Proposed RuleDEPARTMENT OF THE TREASURYTreasury DepartmentCertain Preventive Services Under the Affordable Care ActThis advance notice of proposed rulemaking announces the intention of the Departments of Health and Human Services, Labor, and the Treasury to propose amendments to regulations regarding certain preventive health services under provisions of the...2012-6689FR-Doc-2012-6689Certain-Preventive-Services-Under-The-Affordable-Care-ActThis advance notice of proposed rulemaking announces the intention of the Departments of Health and Human Services, Labor, and the Treasury to propose amendments to regulations regarding certain preventive health services under provisions of the Patient Protection and Affordable Care Act (Affordable Care Act). The proposed amendments would establish alternative ways to fulfill the requirements of section 2713 of the Public Health Service Act and companion provisions under the Employee Retirement Income Security Act and the Internal Revenue Code when health coverage is sponsored or arranged by a religious organization that objects to the coverage of contraceptive services for religious reasons and that is not exempt under the final regulations published February 15, 2012. This document serves as a request for comments in advance of proposed rulemaking on the potential means of accommodating such organizations while ensuring contraceptive coverage for plan participants and beneficiaries covered under their plans (or, in the case of student health insurance plans, student enrollees and their dependents) without cost sharing.
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