CFR Title 45 Public Welfare

CFR CHECKLIST OF FEDERAL REGISTER ACTIVITY

PublishedActionTitleExcerptsFR DocAgencyAgency NameAbstractHTMLPDF
PublishedActionTitleExcerptsFR DocAgencyAgency NameAbstractHTMLPDF
01/16/2018RuleAnnual 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 I … 2018-00558CORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceThe 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.annual-civil-monetary-penalties-inflation-adjustmentFR-Doc-2018-00558
01/16/2018RuleCivil 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 … 2018-00537NATIONAL FOUNDATION FOR THE ARTS AND HUMANITIESNational Foundation on the Arts and the HumanitiesThe 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.civil-penalties-adjustment-for-2018FR-Doc-2018-00537
12/12/2017RuleFederal 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 … 2017-26733NATIONAL FOUNDATION FOR THE ARTS AND HUMANITIESNational Foundation on the Arts and the HumanitiesThe 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.federal-civil-penalties-adjustmentsFR-Doc-2017-26733
12/08/2017Proposed RuleCLASS 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 CLA … 2017-26483DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentOHS 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.class-condition-of-the-head-start-designation-renewal-systemFR-Doc-2017-26483
11/20/2017RuleCost 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 see … 2017-25035LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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.cost-standards-and-procedures-purchasing-and-property-management-correctionFR-Doc-2017-25035
11/02/2017Proposed RulePatient 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 … 2017-23599DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2019FR-Doc-2017-23599
10/13/2017RuleReligious 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 e … 2017-21851DEPARTMENT OF THE TREASURYTreasury DepartmentThe 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.religious-exemptions-and-accommodations-for-coverage-of-certain-preventive-services-under-theFR-Doc-2017-21851
10/13/2017RuleMoral 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 ex … 2017-21852DEPARTMENT OF THE TREASURYTreasury DepartmentThe 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.moral-exemptions-and-accommodations-for-coverage-of-certain-preventive-services-under-the-affordableFR-Doc-2017-21852
10/04/2017Proposed RuleAdministrative 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 r … 2017-21424DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.administrative-simplification-certification-of-compliance-for-health-plans-withdrawalFR-Doc-2017-21424
09/28/2017RuleHead 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 describe … 2017-20499DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.head-start-programFR-Doc-2017-20499
08/10/2017RuleDefinitions; 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).2017-16764LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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).definitions-cost-standards-and-procedures-purchasing-and-property-managementFR-Doc-2017-16764
08/09/2017RuleBonding 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 handl … 2017-16765LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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.bonding-requirements-for-recipientsFR-Doc-2017-16765
06/15/2017RuleImplementing 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 … 2017-12071NATIONAL FOUNDATION FOR THE ARTS AND HUMANITIESNational Foundation on the Arts and the HumanitiesThe 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.implementing-the-federal-civil-penalties-adjustment-act-improvements-act-of-2015FR-Doc-2017-12071
06/09/2017Proposed RuleImplementing 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 rul … 2017-11459NATIONAL FOUNDATION FOR THE ARTS AND HUMANITIESNational Foundation on the Arts and the HumanitiesThis 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.implementing-the-freedom-of-information-actFR-Doc-2017-11459
05/03/2017Proposed RuleBonding 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 wh … 2017-08857LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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.bonding-requirements-for-recipientsFR-Doc-2017-08857
05/02/2017RuleFee-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 regu … 2017-08835LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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.fee-generating-casesFR-Doc-2017-08835
04/18/2017RulePatient 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 av … 2017-07712DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-market-stabilizationFR-Doc-2017-07712
04/03/2017RuleFiling 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 Gua … 2017-06461DEPARTMENT OF JUSTICEJustice DepartmentThe 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.filing-of-claims-under-the-guam-world-war-ii-loyalty-recognition-actFR-Doc-2017-06461
02/17/2017Proposed RulePatient 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 e … 2017-03027DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-market-stabilizationFR-Doc-2017-03027
02/13/2017Proposed RuleFee-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 … 2017-02717LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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.fee-generating-casesFR-Doc-2017-02717
02/13/2017RuleIncome 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 amendm … 2017-02823LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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).income-level-for-individuals-eligible-for-assistanceFR-Doc-2017-02823
02/10/2017RuleUse 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) … 2017-02718LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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.use-of-non-lsc-funds-transfers-of-lsc-funds-program-integrity-subgrants-and-membership-fees-or-duesFR-Doc-2017-02718
02/03/2017RuleAnnual 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 Infla … 2017-02300DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.annual-civil-monetary-penalties-inflation-adjustmentFR-Doc-2017-02300
01/19/2017RuleFederal 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. … 2017-01058DEPARTMENT OF HOMELAND SECURITYHomeland Security DepartmentThe 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.federal-policy-for-the-protection-of-human-subjectsFR-Doc-2017-01058
01/11/2017RuleChild 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 inc … 2017-00093DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.child-care-and-development-fund-ccdf-program-correctionFR-Doc-2017-00093
01/06/2017RuleAnnual 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 I … 2016-31897CORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceThe 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.annual-civil-monetary-penalties-inflation-adjustmentFR-Doc-2016-31897
01/03/2017RuleRegulations 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 … 2016-31521NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesOn 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.regulations-implementing-the-foia-improvement-act-of-2016FR-Doc-2016-31521
12/22/2016RulePatient 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 th … 2016-30433DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2018FR-Doc-2016-30433
12/21/2016Proposed RuleDefinitions; 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, … 2016-30717LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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.definitions-cost-standards-and-procedures-purchasing-and-property-managementFR-Doc-2016-30717
12/20/2016RuleRunaway 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 … 2016-30241DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.runaway-and-homeless-youthFR-Doc-2016-30241
12/20/2016RuleState 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 … 2016-30455DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentIn 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.state-long-term-care-ombudsman-programsFR-Doc-2016-30455
12/20/2016RuleFlexibility, 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 … 2016-29598DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.flexibility-efficiency-and-modernization-in-child-support-enforcement-programsFR-Doc-2016-29598
12/16/2016RuleProcedures 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. … 2016-30144LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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.procedures-for-disclosure-of-information-under-the-freedom-of-information-actFR-Doc-2016-30144
12/14/2016RuleAdoption 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 replac … 2016-29366DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.adoption-and-foster-care-analysis-and-reporting-systemFR-Doc-2016-29366
12/12/2016RuleHealth 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 amen … 2016-29752DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.health-and-human-services-grants-regulationFR-Doc-2016-29752
12/08/2016Proposed RulePrivacy 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 … 2016-29058DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.privacy-act-implementationFR-Doc-2016-29058
12/06/2016RuleHead 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 ta … 2016-29183DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.head-start-programFR-Doc-2016-29183
11/02/2016RuleFamily 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 … 2016-26063DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.family-violence-prevention-and-services-programsFR-Doc-2016-26063
10/31/2016RuleExcepted 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 insuran … 2016-26162DEPARTMENT OF THE TREASURYTreasury DepartmentThis 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.excepted-benefits-lifetime-and-annual-limits-and-short-term-limited-duration-insuranceFR-Doc-2016-26162
10/31/2016RuleProcedures 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 im … 2016-25832LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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.procedures-for-disclosure-of-information-under-the-freedom-of-information-actFR-Doc-2016-25832
10/28/2016RuleFreedom 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 199 … 2016-25684DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.freedom-of-information-regulationsFR-Doc-2016-25684
10/28/2016Proposed RuleDefinitions; 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 … 2016-25831LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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).definitions-cost-standards-and-procedures-purchasing-and-property-managementFR-Doc-2016-25831
10/27/2016RuleIndependent 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 … 2016-25918DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.independent-living-services-and-centers-for-independent-livingFR-Doc-2016-25918
10/19/2016RuleONC 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 … 2016-24908DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.onc-health-it-certification-program-enhanced-oversight-and-accountabilityFR-Doc-2016-24908
09/30/2016RuleChild 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 … 2016-22986DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.child-care-and-development-fund-ccdf-programFR-Doc-2016-22986
09/06/2016Proposed RulePatient 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 Excha … 2016-20896DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2018FR-Doc-2016-20896
09/06/2016RuleAdjustment 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 ta … 2016-18680DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.adjustment-of-civil-monetary-penalties-for-inflationFR-Doc-2016-18680
08/11/2016RulePatient 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 … 2016-19108DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2017FR-Doc-2016-19108
07/22/2016Proposed RuleCoverage for Contraceptive ServicesThis 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 g … 2016-17242DEPARTMENT OF THE TREASURYTreasury DepartmentThis 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 accommodation, while still ensuring that women enrolled in the organizations' health plans have access to seamless coverage of the full range of Food and Drug Administration-approved contraceptives without cost sharing. This information is being solicited in light of the Supreme Court's opinion in Zubik v. Burwell, 136 S. Ct. 1557 (2016). The Departments of Health and Human Services (HHS), Labor, and the Treasury (collectively, the Departments) invite public comments via this request for information.coverage-for-contraceptive-servicesFR-Doc-2016-17242
07/22/2016RuleHealth Information Technology Standards, Implementation Specifications, and Certification Criteria and Certification Programs for Health Information Technology2016-17365DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services Department health-information-technology-standards-implementation-specifications-and-certification-criteria-andFR-Doc-2016-17365
07/18/2016RuleNondiscrimination 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.''2016-16680DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.''nondiscrimination-in-health-programs-and-activities-correctionFR-Doc-2016-16680
07/13/2016Proposed RuleHealth 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 Aud … 2016-15014DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.health-and-human-services-grants-regulationFR-Doc-2016-15014
06/27/2016RuleImplementation 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 … 2016-14795NATIONAL SCIENCE FOUNDATIONNational Science FoundationThe 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.implementation-of-the-federal-civil-penalties-inflation-adjustment-act-improvements-act-of-2015FR-Doc-2016-14795
06/23/2016RuleCivil 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 Infla … 2016-14675CORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceThe 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.civil-monetary-penalties-inflation-adjustmentFR-Doc-2016-14675
06/15/2016Proposed RuleFreedom 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 F … 2016-13994DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.freedom-of-information-regulationsFR-Doc-2016-13994
06/10/2016Proposed RuleExpatriate 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 als … 2016-13583DEPARTMENT OF THE TREASURYTreasury DepartmentThis 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.expatriate-health-plans-expatriate-health-plan-issuers-and-qualified-expatriates-excepted-benefitsFR-Doc-2016-13583
06/03/2016RuleState 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 provi … 2016-13136DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.state-health-insurance-assistance-program-shipFR-Doc-2016-13136
06/03/2016RuleAdministration 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 ar … 2016-13138DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.administration-for-community-living-regulatory-consolidationFR-Doc-2016-13138
06/02/2016RuleComprehensive 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 r … 2016-12509DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.comprehensive-child-welfare-information-systemFR-Doc-2016-12509
05/18/2016RuleNondiscrimination 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 activit … 2016-11458DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.nondiscrimination-in-health-programs-and-activitiesFR-Doc-2016-11458
05/11/2016RuleNational 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 t … 2016-10853DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.national-institute-on-disability-independent-living-and-rehabilitation-researchFR-Doc-2016-10853
05/11/2016RulePatient 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).2016-11017DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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).patient-protection-and-affordable-care-act-amendments-to-special-enrollment-periods-and-the-consumerFR-Doc-2016-11017
04/26/2016Proposed RuleSubgrants 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 … 2016-09384LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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.subgrants-and-membership-fees-or-duesFR-Doc-2016-09384
04/07/2016Proposed RuleAdoption 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 requirem … 2016-07920DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentOn 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.adoption-and-foster-care-analysis-and-reporting-systemFR-Doc-2016-07920
04/04/2016RuleFederal 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 f … 2016-07401DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.federal-awarding-agency-regulatory-implementation-of-office-of-management-and-budgets-uniformFR-Doc-2016-07401
04/04/2016RuleFederal 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 … 2016-07339DEPARTMENT OF EDUCATIONEducation DepartmentThe 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.federal-agency-final-regulations-implementing-executive-order-13559-fundamental-principles-andFR-Doc-2016-07339
03/10/2016RuleChange 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, 2016.2016-05347CORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceThe 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.change-of-address-for-the-corporation-for-national-and-community-service-cncsFR-Doc-2016-05347
03/08/2016RulePatient 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 Exchang … 2016-04439DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2017FR-Doc-2016-04439
03/02/2016Proposed RuleONC 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 fo … 2016-04531DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.onc-health-it-certification-program-enhanced-oversight-and-accountabilityFR-Doc-2016-04531
02/25/2016Proposed RuleCost 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 Stand … 2016-03954LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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.cost-standards-and-procedures-property-acquisition-and-management-manualFR-Doc-2016-03954
02/05/2016RuleIncome 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 amendm … 2016-02241LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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).income-level-for-individuals-eligible-for-assistanceFR-Doc-2016-02241
02/04/2016RuleState 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 D … 2016-02055DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.state-health-insurance-assistance-program-shipFR-Doc-2016-02055
01/20/2016RuleFederal 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 t … 2015-32101DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.federal-awarding-agency-regulatory-implementation-of-office-of-management-and-budgets-uniformFR-Doc-2015-32101
01/15/2016RuleTemporary 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 use … 2016-00608DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.temporary-assistance-for-needy-families-tanf-program-state-reporting-on-policies-and-practices-toFR-Doc-2016-00608
01/06/2016RuleHealth 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 … 2015-33181DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.health-insurance-portability-and-accountability-act-hipaa-privacy-rule-and-the-national-instantFR-Doc-2015-33181
12/24/2015Proposed RuleChild 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 provision … 2015-31883DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.child-care-and-development-fund-ccdf-programFR-Doc-2015-31883
12/21/2015Proposed RuleNational 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 … 2015-31907DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.national-institute-on-disability-independent-living-and-rehabilitation-researchFR-Doc-2015-31907
12/16/2015RuleWaivers 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 wit … 2015-31563DEPARTMENT OF THE TREASURYTreasury DepartmentThis 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.waivers-for-state-innovationFR-Doc-2015-31563
12/11/2015Rule2015 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 Hea … 2015-31255DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.''2015-edition-health-information-technology-health-it-certification-criteria-2015-edition-baseFR-Doc-2015-31255
12/04/2015Proposed RuleOutside 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 pu … 2015-30643LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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.outside-practice-of-law-fee-generating-cases-financial-eligibility-private-attorney-involvementFR-Doc-2015-30643
12/04/2015RuleMedicaid 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 … 2015-30591DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.medicaid-program-mechanized-claims-processing-and-information-retrieval-systems-9010FR-Doc-2015-30591
12/02/2015Proposed RulePatient 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 … 2015-29884DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2017FR-Doc-2015-29884
11/25/2015Proposed RuleFederal 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 rulemakin … 2015-30122DEPARTMENT OF HOMELAND SECURITYHomeland Security DepartmentThe 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.federal-policy-for-the-protection-of-human-subjectsFR-Doc-2015-30122
11/18/2015RuleFinal 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 … 2015-29294DEPARTMENT OF THE TREASURYTreasury DepartmentThis 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.final-rules-for-grandfathered-plans-preexisting-condition-exclusions-lifetime-and-annual-limitsFR-Doc-2015-29294
11/17/2015RuleImplementation 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) … 2015-28733CORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceThe 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.implementation-of-uniform-administrative-requirements-cost-principles-and-audit-requirements-forFR-Doc-2015-28733
11/16/2015Proposed RuleIndependent 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 … 2015-28888DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.independent-living-services-and-centers-for-independent-livingFR-Doc-2015-28888
11/04/2015Proposed RuleComprehensive 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 … 2015-28057DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.comprehensive-child-welfare-information-systemFR-Doc-2015-28057
10/20/2015RuleVolunteers 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 … 2015-25790CORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceThe 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.volunteers-in-service-to-americaFR-Doc-2015-25790
10/16/2015Rule2015 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 modifyin … 2015-25597DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.2015-edition-health-information-technology-health-it-certification-criteria-2015-edition-baseFR-Doc-2015-25597
10/14/2015Proposed RuleFamily 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 up … 2015-25726DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.family-violence-prevention-and-services-programsFR-Doc-2015-25726
10/09/2015Proposed RuleCost 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 … 2015-25735LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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.cost-standards-and-procedures-property-acquisition-and-management-manualFR-Doc-2015-25735
09/21/2015RuleUniform 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.2015-23407NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesThe Institute of Museum and Library Services (``IMLS'') finalizes its portion of the uniform federal assistance rule published by the Office of Management and Budget.uniform-administrative-requirements-cost-principles-and-audit-requirements-for-federal-awardsFR-Doc-2015-23407
09/16/2015RuleUniform 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.2015-23186NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesThe 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.uniform-administrative-requirements-cost-principles-and-audit-requirements-for-federal-awardsFR-Doc-2015-23186
09/08/2015Proposed RuleFederal 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 NP … 2015-21756DEPARTMENT OF HOMELAND SECURITYHomeland Security DepartmentThe 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.federal-policy-for-the-protection-of-human-subjectsFR-Doc-2015-21756
09/08/2015Proposed RuleNondiscrimination 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, n … 2015-22043DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.nondiscrimination-in-health-programs-and-activitiesFR-Doc-2015-22043
08/11/2015Proposed RuleComprehensive 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 … 2015-19087DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.comprehensive-child-welfare-information-systemFR-Doc-2015-19087
08/06/2015Proposed RuleImplementation 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 se … 2015-18256DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.implementation-of-executive-order-13559-updating-participation-in-department-of-health-and-humanFR-Doc-2015-18256
07/27/2015RuleDevelopmental 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 statu … 2015-18070DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.developmental-disabilities-programFR-Doc-2015-18070
07/24/2015RuleRecipient 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 o … 2015-18138LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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.recipient-fund-balancesFR-Doc-2015-18138
07/17/2015RuleHealth 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 c … 2015-17047DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.health-resources-priority-and-allocations-system-hrpasFR-Doc-2015-17047
07/16/2015RuleChange 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, … 2015-16844NATIONAL FOUNDATION ON THE ARTS AND HUMANITIESNational Foundation on the Arts and the HumanitiesThe 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.change-of-addressFR-Doc-2015-16844
07/14/2015RuleCoverage 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 in … 2015-17076DEPARTMENT OF THE TREASURYTreasury DepartmentThis 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.coverage-of-certain-preventive-services-under-the-affordable-care-actFR-Doc-2015-17076
07/07/2015RulePatient 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.''2015-16532DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.''patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2016FR-Doc-2015-16532
06/29/2015RuleUniform 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.2015-15736NATIONAL ENDOWMENT FOR THE ARTSNational Endowment for the ArtsThe National Endowment for the Arts (``NEA'') finalizes its portion of the uniform federal assistance rule published by the Office of Management and Budget.uniform-administrative-requirements-cost-principles-and-audit-requirements-for-federal-awardsFR-Doc-2015-15736
06/18/2015RuleRemoval 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.2015-14424DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentMuch 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.removal-of-obsolete-provisionsFR-Doc-2015-14424
06/16/2015RuleSummary 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 Protec … 2015-14559DEPARTMENT OF THE TREASURYTreasury DepartmentThis 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.summary-of-benefits-and-coverage-and-uniform-glossaryFR-Doc-2015-14559
06/11/2015RuleStandards Related to Reinsurance, Risk Corridors, and Risk Adjustment Under the Affordable Care Act2015-14262DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services Department standards-related-to-reinsurance-risk-corridors-and-risk-adjustment-under-the-affordable-care-actFR-Doc-2015-14262
06/11/2015RuleImplementation of OMB Guidance on Drug-Free Workplace RequirementsThe 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 … 2015-14163NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesThe 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 a new regulation to adopt the OMB guidance. This regulatory action implements the OMB's initiative to streamline and consolidate into one title of the CFR all Federal regulations on drug-free workplace requirements for financial assistance. These regulatory actions constitute an administrative simplification that would make no substantive change in NEA's policy or procedures for drug-free workplace.implementation-of-omb-guidance-on-drug-free-workplace-requirementsFR-Doc-2015-14163
06/09/2015RuleAcceptance 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.2015-13510DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.acceptance-and-approval-of-non-governmental-developed-test-procedures-test-tools-and-test-data-forFR-Doc-2015-13510
05/29/2015Proposed RuleRequest 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.2015-13047DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.request-for-information-regarding-the-requirements-for-the-health-plan-identifierFR-Doc-2015-13047
05/22/2015Proposed RuleUse 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 standa … 2015-12371LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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.use-of-non-lsc-funds-transfer-of-lsc-funds-program-integrity-subgrants-and-membership-fees-or-duesFR-Doc-2015-12371
05/13/2015RuleStatewide 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 … 2015-11515DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentOn 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.statewide-data-indicators-and-national-standards-for-child-and-family-services-reviewsFR-Doc-2015-11515
05/05/2015Proposed RuleMedicare 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 ProgramC1-2015-09245DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services Department https://www.federalregister.gov/documents/2015/05/05/C1-2015-09245/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-and-theFR-Doc-C1-2015-09245
05/05/2015Proposed RuleVolunteers in Service to AmericaThe 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 … 2015-09998CORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceThe 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 (VISTA) program, including certain changes to update existing regulations.volunteers-in-service-to-americaFR-Doc-2015-09998
05/04/2015Proposed RuleChild 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 co … 2015-10351DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.child-care-and-development-fund-ccdf-programFR-Doc-2015-10351
04/30/2015Proposed RuleMedicare 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 system … 2015-09245DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentWe 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.medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-and-theFR-Doc-2015-09245
04/30/2015RuleHealth Insurance Issuer Standards Under the Affordable Care Act, Including Standards Related to Exchanges2015-09681DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services Department health-insurance-issuer-standards-under-the-affordable-care-act-including-standards-related-toFR-Doc-2015-09681
04/20/2015Proposed RuleRecipient 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 bala … 2015-08948LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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.recipient-fund-balancesFR-Doc-2015-08948
04/20/2015RuleApplication 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 ther … 2015-08974LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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.application-of-federal-law-to-lsc-recipientsFR-Doc-2015-08974
04/20/2015Proposed RuleUse of Non-LSC Funds, Transfer of LSC Funds, Program Integrity; Subgrants and Membership Fees or Dues; Cost Standards and ProceduresThis 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.2015-08951LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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.use-of-non-lsc-funds-transfer-of-lsc-funds-program-integrity-subgrants-and-membership-fees-or-duesFR-Doc-2015-08951
04/16/2015Proposed RuleMedicaid 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 updati … 2015-08754DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.medicaid-program-mechanized-claims-processing-and-information-retrieval-systems-9010FR-Doc-2015-08754
04/02/2015Proposed RuleAdoption 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 requirem … 2015-07574DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentOn 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.adoption-and-foster-care-analysis-and-reporting-systemFR-Doc-2015-07574
03/30/2015Proposed Rule2015 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 modif … 2015-06612DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.2015-edition-health-information-technology-health-it-certification-criteria-2015-edition-baseFR-Doc-2015-06612
03/30/2015RuleTechnical 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 i … 2015-07238DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.technical-regulation-removal-of-child-abuse-and-neglect-prevention-and-treatment-act-implementingFR-Doc-2015-07238
03/30/2015RulePatient 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 th … 2015-07330OFFICE OF PERSONNEL MANAGEMENTPersonnel Management OfficeThe 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.patient-protection-and-affordable-care-act-establishment-of-the-multi-state-plan-program-for-theFR-Doc-2015-07330
03/18/2015RuleAmendments 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 requi … 2015-06066DEPARTMENT OF THE TREASURYTreasury DepartmentThis 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.amendments-to-excepted-benefitsFR-Doc-2015-06066
03/13/2015RuleOfficial 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.2015-05536DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe U.S. Department of Health and Human Services (HHS) is adopting final regulations containing a description of its official symbol, logo, and seal.official-symbol-logo-and-sealFR-Doc-2015-05536
02/27/2015RulePatient 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 … 2015-03751DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2016FR-Doc-2015-03751
02/24/2015RulePatient 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 A … 2015-03421OFFICE OF PERSONNEL MANAGEMENTPersonnel Management OfficeThe 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.patient-protection-and-affordable-care-act-establishment-of-the-multi-state-plan-program-for-theFR-Doc-2015-03421
02/11/2015RuleState 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 … 2015-01914DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.state-long-term-care-ombudsman-programsFR-Doc-2015-01914
02/10/2015RuleHead Start ProgramThis rule will ensure the neediest children and families in our country benefit from Head Start services first.2015-02491DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis rule will ensure the neediest children and families in our country benefit from Head Start services first.head-start-programFR-Doc-2015-02491
02/09/2015Proposed RuleAdoption 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, publish … 2015-02354DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.adoption-and-foster-care-analysis-and-reporting-systemFR-Doc-2015-02354
02/03/2015Proposed RuleApplication 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 t … 2015-01893LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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.application-of-federal-law-to-lsc-recipientsFR-Doc-2015-01893
02/02/2015RuleIncome 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 … 2015-01892LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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).income-level-for-individuals-eligible-for-assistanceFR-Doc-2015-01892
12/30/2014Proposed RuleSummary 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 Protec … 2014-30243DEPARTMENT OF THE TREASURYTreasury DepartmentThis 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.summary-of-benefits-and-coverage-and-uniform-glossaryFR-Doc-2014-30243
12/24/2014RuleStandards 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.2014-29984DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.standards-to-prevent-detect-and-respond-to-sexual-abuse-and-sexual-harassment-involvingFR-Doc-2014-29984
12/23/2014Proposed RuleAmendments 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 … 2014-30010DEPARTMENT OF THE TREASURYTreasury DepartmentThis 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.amendments-to-excepted-benefitsFR-Doc-2014-30010
11/26/2014Proposed RulePatient 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 … 2014-27858DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2016FR-Doc-2014-27858
11/24/2014Proposed RulePatient 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 … 2014-27793OFFICE OF PERSONNEL MANAGEMENTPersonnel Management OfficeThe 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.patient-protection-and-affordable-care-act-establishment-of-the-multi-state-plan-program-for-theFR-Doc-2014-27793
11/17/2014Proposed RuleFlexibility, 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 proced … 2014-26822DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.flexibility-efficiency-and-modernization-in-child-support-enforcement-programsFR-Doc-2014-26822
11/12/2014RuleImplementing 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 caus … 2014-26507NATIONAL FOUNDATION FOR THE ARTS AND HUMANITIESNational Foundation on the Arts and the HumanitiesThe 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.implementing-the-program-fraud-civil-remedies-actFR-Doc-2014-26507
10/31/2014Proposed RuleNative 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 amendm … 2014-25921DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.native-american-programsFR-Doc-2014-25921
10/15/2014RulePrivate 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.2014-24456LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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.private-attorney-involvementFR-Doc-2014-24456
10/10/2014RuleStatewide 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 … 2014-24204DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentOn 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.statewide-data-indicators-and-national-standards-for-child-and-family-services-reviewsFR-Doc-2014-24204
10/01/2014RuleAmendments 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. Ex … 2014-23323DEPARTMENT OF THE TREASURYTreasury DepartmentThis 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.amendments-to-excepted-benefitsFR-Doc-2014-23323
10/01/2014RulePatient 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-N … 2014-23381DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentIn 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.patient-protection-and-affordable-care-act-exchange-and-insurance-market-standards-for-2015-andFR-Doc-2014-23381
09/16/2014RuleInterim 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) ( … 2014-22051DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.interim-guidance-for-implementation-of-the-organizational-integrity-of-entities-implementingFR-Doc-2014-22051
09/11/2014Rule2014 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 Certif … 2014-21633DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.2014-edition-release-2-electronic-health-record-ehr-certification-criteria-and-the-onc-hitFR-Doc-2014-21633
09/05/2014RulePatient 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 … 2014-21178DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-annual-eligibility-redeterminations-for-exchangeFR-Doc-2014-21178
09/04/2014RuleMedicare 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 requireme … 2014-21021DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.medicare-and-medicaid-programs-modifications-to-the-medicare-and-medicaid-electronic-health-recordFR-Doc-2014-21021
08/27/2014RuleCoverage 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, an … 2014-20252DEPARTMENT OF THE TREASURYTreasury DepartmentThis 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.coverage-of-certain-preventive-services-under-the-affordable-care-actFR-Doc-2014-20252
08/27/2014Proposed RuleCoverage 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 … 2014-20254DEPARTMENT OF THE TREASURYTreasury DepartmentThis 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).coverage-of-certain-preventive-services-under-the-affordable-care-actFR-Doc-2014-20254
08/13/2014Proposed RuleImplementing 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 … 2014-19034NATIONAL ENDOWMENT FOR THE ARTSNational Endowment for the ArtsThe 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.implementing-the-program-fraud-civil-remedies-actFR-Doc-2014-19034
08/04/2014RuleAdministrative 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 co … 2014-18347DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.administrative-simplification-change-to-the-compliance-date-for-the-international-classification-ofFR-Doc-2014-18347
07/24/2014RulePatient 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 Sta … 2014-17403DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.''patient-protection-and-affordable-care-act-exchange-and-insurance-market-standards-for-2015-andFR-Doc-2014-17403
07/02/2014RulePatient 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 … 2014-15560DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentIn 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.patient-protection-and-affordable-care-act-program-integrity-exchange-premium-stabilization-programsFR-Doc-2014-15560
07/01/2014Proposed RulePatient 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 redeterminatio … 2014-15362DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-annual-eligibility-redeterminations-for-exchangeFR-Doc-2014-15362
06/27/2014RuleGeneral Administrative Requirements2014-15102DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services Department general-administrative-requirementsFR-Doc-2014-15102
06/27/2014RulePatient 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 … 2014-15099DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentIn 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.patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2015FR-Doc-2014-15099
06/25/2014RuleNinety-Day Waiting Period LimitationThese 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 Servi … 2014-14795DEPARTMENT OF THE TREASURYTreasury DepartmentThese 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 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.ninety-day-waiting-period-limitationFR-Doc-2014-14795
06/04/2014RuleOfficial 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 f … 2014-12852DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.official-symbol-logo-and-sealFR-Doc-2014-12852
05/27/2014RuleRestrictions 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 sec … 2014-12110LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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.restrictions-on-legal-assistance-to-aliens-correctionsFR-Doc-2014-12110
05/27/2014RulePatient 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 … 2014-11657DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-exchange-and-insurance-market-standards-for-2015-andFR-Doc-2014-11657
05/23/2014Proposed RuleMedicare 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 2014.2014-11944DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.medicare-and-medicaid-programs-modifications-to-the-medicare-and-medicaid-electronic-health-recordFR-Doc-2014-11944
05/09/2014RuleNondiscrimination 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 … 2014-10644NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesIn 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.nondiscrimination-on-the-basis-of-age-in-federally-assisted-programs-or-activitiesFR-Doc-2014-10644
04/23/2014Proposed RuleStatewide 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 Bur … 2014-09001DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.statewide-data-indicators-and-national-standards-for-child-and-family-services-reviewsFR-Doc-2014-09001
04/18/2014RuleRestrictions 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 be … 2014-08833LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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.restrictions-on-legal-assistance-to-aliensFR-Doc-2014-08833
04/15/2014Proposed RulePrivate 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.2014-08353LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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.private-attorney-involvementFR-Doc-2014-08353
04/15/2014RuleRestrictions 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 f … 2014-08504LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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.restrictions-on-legal-assistance-with-respect-to-criminal-proceedingsFR-Doc-2014-08504
04/14/2014Proposed RuleRunaway 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 cha … 2014-08178DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.runaway-and-homeless-youthFR-Doc-2014-08178
04/14/2014RuleOfficial 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 … 2014-08190DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.official-symbol-logo-and-sealFR-Doc-2014-08190
03/31/2014RuleHealth Insurance Reform Requirements for the Group and Individual Health Insurance Markets2014-07217DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services Department health-insurance-reform-requirements-for-the-group-and-individual-health-insurance-marketsFR-Doc-2014-07217
03/21/2014Proposed RulePatient Protection and Affordable Care Act; Exchange and Insurance Market Standards for 2015 and BeyondThis 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 … 2014-06134DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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 Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act). Specifically, the rule proposes 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 proposes: A modification of HHS's allocation of reinsurance contributions collected if those contributions do not meet our projections; certain changes to the ceiling on allowable administrative expenses in the risk corridors calculation; modifications to the way we calculate certain cost-sharing parameters so that we round those parameters down to the nearest $50 increment; certain approaches we are considering 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 the individual market provisions under the Health Insurance Portability and Accountability Act of 1996; standards for recognition of certain types of foreign group health coverage as minimum essential coverage; amendments to Exchange appeals standards and coverage enrollment and termination standards; and time-limited adjustments to the standards relating to the medical loss ratio program.patient-protection-and-affordable-care-act-exchange-and-insurance-market-standards-for-2015-andFR-Doc-2014-06134
03/19/2014RulePatient 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, othe … 2014-06031DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-third-party-payment-of-qualified-health-plan-premiumsFR-Doc-2014-06031
03/19/2014Proposed RuleVoluntary 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 Upd … 2014-06041DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.voluntary-2015-edition-electronic-health-record-ehr-certification-criteria-interoperability-updatesFR-Doc-2014-06041
03/12/2014RuleBasic 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 … 2014-05299DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.basic-health-program-state-administration-of-basic-health-programs-eligibility-and-enrollment-inFR-Doc-2014-05299
03/11/2014RulePatient 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-facili … 2014-05052DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2015FR-Doc-2014-05052
03/07/2014Proposed RuleRestrictions 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 … 2014-05008LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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.restrictions-on-legal-assistance-to-aliensFR-Doc-2014-05008
03/05/2014Proposed RuleAdministrative 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 propose … 2014-04828DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.administrative-simplification-certification-of-compliance-for-health-plans-extension-of-commentFR-Doc-2014-04828
02/26/2014Proposed RuleVoluntary 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. Unde … 2014-03959DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.voluntary-2015-edition-electronic-health-record-ehr-certification-criteria-interoperability-updatesFR-Doc-2014-03959
02/24/2014RuleNinety-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 incorporate … 2014-03809DEPARTMENT OF THE TREASURYTreasury DepartmentThese 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.ninety-day-waiting-period-limitation-and-technical-amendments-to-certain-health-coverageFR-Doc-2014-03809
02/24/2014Proposed RuleNinety-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 Hea … 2014-03811DEPARTMENT OF THE TREASURYTreasury DepartmentThese 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.ninety-day-waiting-period-limitationFR-Doc-2014-03811
02/20/2014RuleStatement 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 r … 2014-03544NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesThe 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.statement-for-the-guidance-of-the-public-organization-procedure-and-availability-of-informationFR-Doc-2014-03544
02/19/2014RuleImplementing 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 … 2014-03545NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesIMLS 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.implementing-the-freedom-of-information-actFR-Doc-2014-03545
02/19/2014RulePublic 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), … 2014-03549NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesThe 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.public-access-to-neh-records-under-the-freedom-of-information-actFR-Doc-2014-03549
02/14/2014RuleIncome 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 l … 2014-03273LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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.income-level-for-individuals-eligible-for-assistanceFR-Doc-2014-03273
02/06/2014RuleCLIA 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 pa … 2014-02280DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.clia-program-and-hipaa-privacy-rule-patients-access-to-test-reportsFR-Doc-2014-02280
02/06/2014Proposed RuleTemporary 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 as … 2014-02488DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.temporary-assistance-for-needy-families-tanf-program-state-reporting-on-policies-and-practices-toFR-Doc-2014-02488
02/05/2014RuleIncome 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 … 2014-02299LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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).income-level-for-individuals-eligible-for-assistanceFR-Doc-2014-02299
02/05/2014Proposed RuleRestrictions 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 … 2014-02394LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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.restrictions-on-legal-assistance-to-aliensFR-Doc-2014-02394
01/07/2014Proposed RuleHealth 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 ce … 2014-00055DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.health-insurance-portability-and-accountability-act-hipaa-privacy-rule-and-the-national-instantFR-Doc-2014-00055
01/02/2014Proposed RuleAdministrative 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 Servi … 2013-31318DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.administrative-simplification-certification-of-compliance-for-health-plansFR-Doc-2013-31318
12/31/2013RulePatient 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, … 2013-31319DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.''patient-protection-and-affordable-care-act-program-integrity-exchange-premium-stabilization-programsFR-Doc-2013-31319
12/24/2013Proposed RuleAmendments 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 ben … 2013-30553DEPARTMENT OF THE TREASURYTreasury DepartmentThis 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.amendments-to-excepted-benefitsFR-Doc-2013-30553
12/17/2013RulePatient 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 … 2013-29918DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-maximizing-january-1-2014-coverage-opportunitiesFR-Doc-2013-29918
12/02/2013Proposed RulePatient 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-facili … 2013-28610DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2015FR-Doc-2013-28610
11/13/2013RuleFinal 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/sur … 2013-27086DEPARTMENT OF THE TREASURYTreasury DepartmentThis 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.final-rules-under-the-paul-wellstone-and-pete-domenici-mental-health-parity-and-addiction-equity-actFR-Doc-2013-27086
11/06/2013RulePatient 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 se … 2013-26579DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentIn 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.patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2014FR-Doc-2013-26579
11/04/2013Rule2014 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 electr … 2013-26290DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.2014-edition-electronic-health-record-certification-criteria-revision-to-the-definition-of-commonFR-Doc-2013-26290
11/04/2013Proposed RuleRestrictions 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 f … 2013-26102LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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.restrictions-on-legal-assistance-with-respect-to-criminal-proceedingsFR-Doc-2013-26102
10/30/2013RulePatient 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 … 2013-25326DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-program-integrity-exchange-premium-stabilization-programsFR-Doc-2013-25326
09/25/2013Proposed RuleBasic 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-inc … 2013-23292DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.basic-health-program-state-administration-of-basic-health-programs-eligibility-and-enrollment-inFR-Doc-2013-23292
08/30/2013RulePatient 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 rul … 2013-21338DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-program-integrity-exchange-shop-and-eligibility-appealsFR-Doc-2013-21338
08/29/2013RuleAvailability 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, … 2013-21053NATIONAL SCIENCE FOUNDATIONNational Science FoundationThis 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.availability-of-records-and-informationFR-Doc-2013-21053
08/21/2013Proposed RuleRestrictions 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 g … 2013-20040LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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.restrictions-on-legal-assistance-to-aliensFR-Doc-2013-20040
08/13/2013Proposed RuleChild 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 … 2013-19704DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.child-care-and-development-fund-ccdf-program-reopening-of-comment-periodFR-Doc-2013-19704
08/12/2013Proposed RulePrivate 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 … 2013-19383LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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.private-attorney-involvementFR-Doc-2013-19383
08/05/2013RuleNational 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 re … 2013-18598DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThese 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.national-practitioner-data-bank-and-privacy-act-exempt-records-system-technical-correctionFR-Doc-2013-18598
07/17/2013RulePatient 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 S … 2013-17125DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-exchange-functions-standards-for-navigators-andFR-Doc-2013-17125
07/15/2013RuleMedicaid 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 M … 2013-16271DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.medicaid-and-childrens-health-insurance-programs-essential-health-benefits-in-alternative-benefitFR-Doc-2013-16271
07/08/2013Proposed RuleStatement 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 r … 2013-15620NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesThe 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.statement-for-the-guidance-of-the-public-organization-procedure-and-availability-of-informationFR-Doc-2013-15620
07/02/2013RuleCoverage 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 in … 2013-15866DEPARTMENT OF THE TREASURYTreasury DepartmentThis 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.coverage-of-certain-preventive-services-under-the-affordable-care-actFR-Doc-2013-15866
07/01/2013RulePrivacy 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 … 2013-15599DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.privacy-act-exempt-record-system-implementationFR-Doc-2013-15599
07/01/2013RulePrivacy 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 mi … 2013-15596DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.privacy-act-implementationFR-Doc-2013-15596
07/01/2013RulePatient 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 sh … 2013-15530DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-exchange-functions-eligibility-for-exemptionsFR-Doc-2013-15530
06/19/2013Proposed RulePatient 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 th … 2013-14540DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-program-integrity-exchange-shop-premium-stabilizationFR-Doc-2013-14540
06/18/2013Proposed RuleState 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 prov … 2013-14325DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.state-long-term-care-ombudsman-programFR-Doc-2013-14325
06/11/2013RuleTechnical 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 … 2013-13730NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesThe 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.technical-amendments-to-reflect-the-authorizing-legislation-of-the-institute-of-museum-and-libraryFR-Doc-2013-13730
06/07/2013RuleTechnical 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 164.2013-13472DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThese 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.technical-corrections-to-the-hipaa-privacy-security-and-enforcement-rulesFR-Doc-2013-13472
06/04/2013RulePatient 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 He … 2013-13149DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-establishment-of-exchanges-and-qualified-health-plansFR-Doc-2013-13149
06/03/2013RuleIncentives 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 re … 2013-12916DEPARTMENT OF THE TREASURYTreasury DepartmentThis 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.incentives-for-nondiscriminatory-wellness-programs-in-group-health-plansFR-Doc-2013-12916
05/22/2013RulePre-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 s … 2013-12145DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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).pre-existing-condition-insurance-plan-programFR-Doc-2013-12145
05/20/2013Proposed RuleChild 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 req … 2013-11673DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.child-care-and-development-fund-ccdf-programFR-Doc-2013-11673
05/15/2013Proposed RuleNondiscrimination 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 … 2013-10844NATIONAL FOUNDATION ON THE ARTS AND HUMANITIESNational Foundation on the Arts and the HumanitiesThe 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.nondiscrimination-on-the-basis-of-age-in-federally-assisted-programs-or-activitiesFR-Doc-2013-10844
05/14/2013Proposed RuleAvailability 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 pr … 2013-10697NATIONAL SCIENCE FOUNDATIONNational Science FoundationThis 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.availability-of-records-and-informationFR-Doc-2013-10697
05/10/2013Proposed RuleRestrictions 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 (th … 2013-11070LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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.restrictions-on-legal-assistance-with-respect-to-criminal-proceedings-in-tribal-courtsFR-Doc-2013-11070
05/10/2013Proposed RulePrivate 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 Tas … 2013-11071LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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.private-attorney-involvementFR-Doc-2013-11071
05/03/2013RuleNational 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 tex … 2013-10566DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.national-practitioner-data-bankFR-Doc-2013-10566
05/02/2013RulePatient 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 … 2013-10425OFFICE OF PERSONNEL MANAGEMENTPersonnel Management OfficeThis 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.''patient-protection-and-affordable-care-act-establishment-of-the-multi-state-plan-program-for-theFR-Doc-2013-10425
04/23/2013Proposed RuleHIPAA 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 … 2013-09602DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentOn 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.hipaa-privacy-rule-and-the-national-instant-criminal-background-check-system-nicsFR-Doc-2013-09602
04/16/2013Proposed RuleImplementing 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 t … 2013-08890NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesThis 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.implementing-the-freedom-of-information-actFR-Doc-2013-08890
04/05/2013Proposed RulePatient 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, includin … 2013-07951DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.patient-protection-and-affordable-care-act-exchange-functions-standards-for-navigators-andFR-Doc-2013-07951
04/05/2013RuleNational 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 … 2013-07521DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.national-practitioner-data-bankFR-Doc-2013-07521
03/26/2013RulePatient 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 P … 2013-06782OFFICE OF PERSONNEL MANAGEMENTPersonnel Management OfficeThis 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.patient-protection-and-affordable-care-act-establishment-of-the-multi-state-plan-program-for-theFR-Doc-2013-06782
03/21/2013Proposed RuleNinety-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 incorporate … 2013-06454DEPARTMENT OF THE TREASURYTreasury DepartmentThese 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.ninety-day-waiting-period-limitation-and-technical-amendments-to-certain-health-coverageFR-Doc-2013-06454
03/11/2013Proposed RulePatient 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 Bus … 2013-04952DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-establishment-of-exchanges-and-qualified-health-plansFR-Doc-2013-04952
03/11/2013RulePatient 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 calc … 2013-04904DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-amendments-to-the-hhs-notice-of-benefit-and-paymentFR-Doc-2013-04904
03/11/2013RulePatient 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 Reconc … 2013-04954OFFICE OF PERSONNEL MANAGEMENTPersonnel Management OfficeThe 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.patient-protection-and-affordable-care-act-establishment-of-the-multi-state-plan-program-for-theFR-Doc-2013-04954
03/11/2013RulePatient 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 cr … 2013-04902DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2014FR-Doc-2013-04902
02/27/2013RulePatient 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 Affo … 2013-04335DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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).patient-protection-and-affordable-care-act-health-insurance-market-rules-rate-reviewFR-Doc-2013-04335
02/25/2013RulePatient 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 collective … 2013-04084DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-standards-related-to-essential-health-benefits-actuarialFR-Doc-2013-04084
02/13/2013RuleLimited 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 imme … 2013-03241LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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.limited-reductions-of-funding-termination-and-debarment-procedures-recompetition-enforcementFR-Doc-2013-03241
02/11/2013Proposed RulePublic 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), … 2013-01746NATIONAL FOUNDATION ON THE ARTS AND HUMANITIESNational Foundation on the Arts and the HumanitiesThe 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.public-access-to-neh-records-under-the-freedom-of-information-actFR-Doc-2013-01746
02/06/2013Proposed RuleCoverage 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 incorporate … 2013-02420DEPARTMENT OF THE TREASURYTreasury DepartmentThis 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.coverage-of-certain-preventive-services-under-the-affordable-care-actFR-Doc-2013-02420
02/04/2013RuleIncome 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 … 2013-02325LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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.income-level-for-individuals-eligible-for-assistanceFR-Doc-2013-02325
02/01/2013Proposed RulePatient 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 … 2013-02139DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-exchange-functions-eligibility-for-exemptionsFR-Doc-2013-02139
01/30/2013Proposed RuleMedicaid, 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 Alterna … 2013-02094DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.medicaid-childrens-health-insurance-programs-and-exchanges-essential-health-benefits-in-alternativeFR-Doc-2013-02094
01/25/2013RuleModifications 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 statuto … 2013-01073DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.modifications-to-the-hipaa-privacy-security-enforcement-and-breach-notification-rules-under-theFR-Doc-2013-01073
01/22/2013Proposed RuleMedicaid, 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 Childre … 2013-00659DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.medicaid-childrens-health-insurance-programs-and-exchanges-essential-health-benefits-in-alternativeFR-Doc-2013-00659
01/15/2013RulePrivacy 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 … 2013-00723DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.privacy-act-exempt-record-system-withdrawalFR-Doc-2013-00723
01/15/2013RulePrivacy 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 Pr … 2013-00726DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.privacy-act-exempt-record-system-withdrawalFR-Doc-2013-00726
12/07/2012Proposed RulePatient 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 pr … 2012-29184DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-hhs-notice-of-benefit-and-payment-parameters-for-2014FR-Doc-2012-29184
12/07/2012RuleHealth 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 a … 2012-29607DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.health-information-technology-revisions-to-the-2014-edition-electronic-health-record-certificationFR-Doc-2012-29607
12/05/2012Proposed RulePatient 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 Healt … 2012-29118OFFICE OF PERSONNEL MANAGEMENTPersonnel Management OfficeThe 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.patient-protection-and-affordable-care-act-establishment-of-the-multi-state-plan-program-for-theFR-Doc-2012-29118
11/26/2012Proposed RulePatient 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 collective … 2012-28362DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-standards-related-to-essential-health-benefits-actuarialFR-Doc-2012-28362
11/26/2012Proposed RuleIncentives 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 perm … 2012-28361DEPARTMENT OF THE TREASURYTreasury DepartmentThis 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.incentives-for-nondiscriminatory-wellness-programs-in-group-health-plansFR-Doc-2012-28361
11/26/2012Proposed RulePatient 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 t … 2012-28428DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-health-insurance-market-rules-rate-reviewFR-Doc-2012-28428
10/05/2012RuleCriminal 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 … 2012-24467CORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceTo 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.criminal-history-check-requirements-for-americorps-statenational-senior-companions-fosterFR-Doc-2012-24467
10/04/2012RuleAdministrative 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 … 2012-24329DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.administrative-simplification-adoption-of-a-standard-for-a-unique-health-plan-identifier-addition-toFR-Doc-2012-24329
09/27/2012RuleState Plan Approval and Grant Procedures2012-23893Health and Human Services DepartmentHealth and Human Services Department state-plan-approval-and-grant-proceduresFR-Doc-2012-23893
09/05/2012RuleAdministrative 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 SetsThis 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 ident … 2012-21238DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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 identifier for entities that are not health plans, health care providers, or individuals, but that need to be identified in standard transactions. This final rule also specifies 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 a National Provider Identifier (NPI). Lastly, this final rule changes 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.administrative-simplification-adoption-of-a-standard-for-a-unique-health-plan-identifier-addition-toFR-Doc-2012-21238
09/04/2012RuleHealth 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 … 2012-20982DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentWith 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.health-information-technology-standards-implementation-specifications-and-certification-criteria-forFR-Doc-2012-20982
08/30/2012RulePre-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 n … 2012-21519DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.pre-existing-condition-insurance-plan-programFR-Doc-2012-21519
08/28/2012RulePrivacy 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. … 2012-20886DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.privacy-act-implementationFR-Doc-2012-20886
08/28/2012Proposed RulePrivacy 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 prop … 2012-20890DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.privacy-act-exempt-record-systemFR-Doc-2012-20890
08/28/2012RulePrivacy 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 ex … 2012-20889DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.privacy-act-exempt-record-systemFR-Doc-2012-20889
08/28/2012Proposed RulePrivacy 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. … 2012-20887DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.privacy-act-implementationFR-Doc-2012-20887
08/10/2012RuleAdministrative 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.2012-19557DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.administrative-simplification-adoption-of-operating-rules-for-health-care-electronic-funds-transfersFR-Doc-2012-19557
08/07/2012Proposed RuleTermination, 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 pr … 2012-19073LEGAL SERVICES CORPORATIONLegal Services CorporationThis 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.termination-limited-reductions-in-funding-and-debarment-procedures-recompetition-enforcementFR-Doc-2012-19073
07/20/2012RulePatient 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 … 2012-17831DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-data-collection-to-support-standards-related-to-essentialFR-Doc-2012-17831
06/05/2012Proposed RulePatient 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 defi … 2012-13489DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-data-collection-to-support-standards-related-to-essentialFR-Doc-2012-13489
05/29/2012RulePatient 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; Establishme … 2012-12914DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.''patient-protection-and-affordable-care-act-establishment-of-exchanges-and-qualified-health-plansFR-Doc-2012-12914
05/17/2012RulePatient 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, … 2012-11994DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.''patient-protection-and-affordable-care-act-standards-related-to-reinsurance-risk-corridors-and-riskFR-Doc-2012-11994
05/16/2012RuleMedical 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 m … 2012-11753DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.medical-loss-ratio-requirements-under-the-patient-protection-and-affordable-care-actFR-Doc-2012-11753
05/16/2012RuleHealth 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 Pat … 2012-11773DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.''health-insurance-issuers-implementing-medical-loss-ratio-mlr-under-the-patient-protection-andFR-Doc-2012-11773
05/15/2012Proposed RuleNationwide 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 Ec … 2012-11775DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.nationwide-health-information-network-conditions-for-trusted-exchangeFR-Doc-2012-11775
04/25/2012Proposed RuleTANF 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 … 2012-9260DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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.tanf-assistance-and-electronic-benefit-transfer-transactions-request-for-public-commentFR-Doc-2012-9260
04/17/2012Proposed RuleAdministrative 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 … 2012-8718DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.administrative-simplification-adoption-of-a-standard-for-a-unique-health-plan-identifier-addition-toFR-Doc-2012-8718
03/27/2012RulePatient 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 o … 2012-6125DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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.patient-protection-and-affordable-care-act-establishment-of-exchanges-and-qualified-health-plansFR-Doc-2012-6125
03/23/2012RulePatient 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 … 2012-6594DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis 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).patient-protection-and-affordable-care-act-standards-related-to-reinsurance-risk-corridors-and-riskFR-Doc-2012-6594
03/21/2012RuleStudent Health Insurance CoverageThis final rule establishes requirements for student health insurance coverage under the Public Health Service (PHS) Act and the Patient Protection and Affordable Care Act (Affordable Care Act). The final rule defines ``student health … 2012-6359DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis final rule establishes requirements for student health insurance coverage under the Public Health Service (PHS) Act and the Patient Protection and Affordable Care Act (Affordable Care Act). The final rule defines ``student health insurance coverage'' as a type of individual health insurance coverage, and specifies that certain PHS Act requirements are inapplicable to this type of individual health insurance coverage. This final rule also amends the medical loss ratio and annual limits requirements for student health insurance coverage under the PHS Act.student-health-insurance-coverageFR-Doc-2012-6359
03/21/2012Proposed RuleCertain 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 provis … 2012-6689DEPARTMENT OF THE TREASURYTreasury DepartmentThis 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.certain-preventive-services-under-the-affordable-care-actFR-Doc-2012-6689
03/07/2012Proposed RuleHealth Information Technology: Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology, 2014 Edition; Revisions to the Permanent Certification Program for Health Information TechnologyUnder section 3004 of the Public Health Service Act, the Secretary of Health and Human Services is proposing to revise the initial set of standards, implementation specifications, and certification criteria adopted in an interim fina … 2012-4430DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentUnder section 3004 of the Public Health Service Act, the Secretary of Health and Human Services is proposing to revise the initial set of standards, implementation specifications, and certification criteria adopted in an interim final rule published on January 13, 2010, and a subsequent final rule that was published on July 28, 2010, as well as to adopt new standards, implementation specifications, and certification criteria. The proposed new and revised certification criteria would establish the technical capabilities and specify the related standards and implementation specifications that Certified Electronic Health Record (EHR) Technology would 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 notice of proposed rulemaking also proposes revisions to the permanent certification program for health information technology, which includes changing the program's name.health-information-technology-standards-implementation-specifications-and-certification-criteria-forFR-Doc-2012-4430
02/27/2012RuleApplication, Review, and Reporting Process for Waivers for State InnovationThis final rule sets forth a procedural framework for submission and review of initial applications for a Waiver for State Innovation described in section 1332 of the Patient Protection and the Affordable Care Act including … 2012-4395DEPARTMENT OF THE TREASURYTreasury DepartmentThis final rule sets forth a procedural framework for submission and review of initial applications for a Waiver for State Innovation described in section 1332 of the Patient Protection and the Affordable Care Act including processes to ensure opportunities for public input in the development of such applications by States and in the Federal review of the applications.application-review-and-reporting-process-for-waivers-for-state-innovationFR-Doc-2012-4395
02/21/2012Proposed RuleTribal Consultation Meetings Regarding Requirements Applicable to Title IV-B Child and Family Services PlanThe title IV-B regulations regarding the title IV-B plan and fiscal requirements are outdated due to statutory changes over the last 15 years. The Children's Bureau (CB) is deciding whether to revise the regulations accordingly. … 2012-3442DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe title IV-B regulations regarding the title IV-B plan and fiscal requirements are outdated due to statutory changes over the last 15 years. The Children's Bureau (CB) is deciding whether to revise the regulations accordingly. Per the ACF Tribal Consultation Policy (76 FR 55678, published September 8, 2011), we request comments from Indian Tribes that operate a title IV-B, subpart 1 and/or title IV-B, subpart 2 program and any other interested party. We provide further information on these statutory changes below, under SUPPLEMENTARY INFORMATION.tribal-consultation-meetings-regarding-requirements-applicable-to-title-iv-b-child-and-familyFR-Doc-2012-3442
02/15/2012Proposed RuleNational Practitioner Data BankThis proposed 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 sta … 2012-3014DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis proposed 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 section 6403 of the Patient Protection and Affordable Care Act of 2010 (Affordable Care Act), Public Law 111-148. The Department of Health and Human Services (HHS) also is removing Title 45 of the Code of Federal Regulations (CFR) part 61, 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 (established under section 1128E of the Social Security Act) and the National Practitioner Data Bank. Section 6403 of the Affordable Care Act 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 through the Healthcare Integrity and Protection Data Bank will then be collected and disclosed through the National Practitioner Data Bank. This regulatory action consolidates the collection and disclosure of information from both data banks into one part of the CFR.national-practitioner-data-bankFR-Doc-2012-3014
02/14/2012RuleSummary of Benefits and Coverage and Uniform GlossaryThis document contains final regulations regarding the summary of benefits and coverage and the uniform glossary for group health plans and health insurance coverage in the group and individual markets under the Patient Protection and … 2012-3228DEPARTMENT OF THE TREASURYTreasury DepartmentThis document contains final regulations regarding the summary of benefits and coverage 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. This document implements 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 other coverage options. A guidance document published elsewhere in this issue of the Federal Register provides further guidance regarding compliance.summary-of-benefits-and-coverage-and-uniform-glossaryFR-Doc-2012-3228
02/14/2012RuleSummary of Benefits and Coverage and Uniform Glossary-Templates, Instructions, and Related Materials; and Guidance for ComplianceThe Departments of Health and Human Services, Labor, and the Treasury are simultaneously publishing in the Federal Register this guidance document and final regulations under the Patient Protection and Affordable Care Act to implement … 2012-3230DEPARTMENT OF THE TREASURYTreasury DepartmentThe Departments of Health and Human Services, Labor, and the Treasury are simultaneously publishing in the Federal Register this guidance document and final regulations under the Patient Protection and Affordable Care Act to implement the disclosure for group health plans and health insurance issuers of the summary of benefits and coverage (SBC), notice of modifications, and the uniform glossary. This guidance document provides guidance for compliance with section 2715 of the Public Health Service Act and the Departments' final regulations, including a template for the SBC, instructions, sample language, a guide for coverage example calculations, and the uniform glossary.summary-of-benefits-and-coverage-and-uniform-glossary-templates-instructions-and-related-materialsFR-Doc-2012-3230
02/03/2012RuleConservation of Antarctic Animals and PlantsPursuant to the Antarctic Conservation Act of 1978, The National Science Foundation (NSF) is amending its regulations to reflect newly designated Antarctic Specially Protected Areas (ASPA), Antarctic Specially Managed Areas (ASMA) and … 2012-1392NATIONAL SCIENCE FOUNDATIONNational Science FoundationPursuant to the Antarctic Conservation Act of 1978, The National Science Foundation (NSF) is amending its regulations to reflect newly designated Antarctic Specially Protected Areas (ASPA), Antarctic Specially Managed Areas (ASMA) and Historical Sites or Monuments (HSM). These additions reflect measures already adopted by the Antarctic Treaty Parties at recent Antarctic Treaty Consultative Meetings (ATCM). Finally, the regulation is being revised to correct some typographical and numbering errors.conservation-of-antarctic-animals-and-plantsFR-Doc-2012-1392
02/01/2012RuleIncome 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 … 2012-2098LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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.income-level-for-individuals-eligible-for-assistanceFR-Doc-2012-2098
01/31/2012Proposed RuleTermination, Limited Reductions in Funding, and Debarment Procedures; Recompetition; Enforcement; Suspension ProceduresThis Notice of Proposed Rulemaking (NPRM) proposes amendments to the Legal Services Corporation's regulations on termination procedures, enforcement, and suspension procedures.2012-1984LEGAL SERVICES CORPORATIONLegal Services CorporationThis Notice of Proposed Rulemaking (NPRM) proposes amendments to the Legal Services Corporation's regulations on termination procedures, enforcement, and suspension procedures.termination-limited-reductions-in-funding-and-debarment-procedures-recompetition-enforcementFR-Doc-2012-1984
01/10/2012RuleAdministrative Simplification: Adoption of Standards for Health Care Electronic Funds Transfers (EFTs) and Remittance AdviceThis interim final rule with comment period implements parts of section 1104 of the Affordable Care Act which requires the adoption of a standard for electronic funds transfers (EFT). It defines EFT and explains how the adopted st … 2012-132DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis interim final rule with comment period implements parts of section 1104 of the Affordable Care Act which requires the adoption of a standard for electronic funds transfers (EFT). It defines EFT and explains how the adopted standards support and facilitate health care EFT transmissions.administrative-simplification-adoption-of-standards-for-health-care-electronic-funds-transfers-eftsFR-Doc-2012-132
01/06/2012RuleTribal Child WelfareThe Administration for Children and Families (ACF) is issuing this interim final rule to implement statutory provisions related to the Tribal title IV-E program. Effective October 1, 2009, section 479B(b) of the Social Security Act ( … 2011-32911DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Administration for Children and Families (ACF) is issuing this interim final rule to implement statutory provisions related to the Tribal title IV-E program. Effective October 1, 2009, section 479B(b) of the Social Security Act (the Act) authorizes direct Federal funding of Indian Tribes, Tribal organizations, and Tribal consortia that choose to operate a foster care, adoption assistance and, at Tribal option, a kinship guardianship assistance program under title IV-E of the Act. The Fostering Connections to Success and Increasing Adoptions Act of 2008 requires that ACF issue interim final regulations which address procedures to ensure that a transfer of responsibility for the placement and care of a child under a State title IV-E plan to a Tribal title IV-E plan occurs in a manner that does not affect the child's eligibility for title IV-E benefits or medical assistance under title XIX of the Act (Medicaid) and such services or payments; in-kind expenditures from third-party sources for the Tribal share of administration and training expenditures under title IV-E; and other provisions to carry out the Tribal-related amendments to title IV-E. This interim final rule includes these provisions and technical amendments necessary to implement a Tribal title IV-E program.tribal-child-welfareFR-Doc-2011-32911
01/05/2012Proposed RuleNotice of Tribal Consultation Meetings Regarding How the Current SACWIS Regulations Affect Tribes Administering a Title IV-E ProgramTitle IV-E rules provide Federal Financial Participation (FFP) through a beneficial cost allocation methodology if a State or Tribe implements a comprehensive Statewide Automated Child Welfare Information System (SACWIS) to tra … 2011-33336DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentTitle IV-E rules provide Federal Financial Participation (FFP) through a beneficial cost allocation methodology if a State or Tribe implements a comprehensive Statewide Automated Child Welfare Information System (SACWIS) to track and manage child protection, foster care and adoption assistance activities. With the continuing implementation of the Fostering Connections to Success and Increasing Adoptions Act of 2008 (Pub. L. 110-351) we wish to analyze the impact of the State-centric SACWIS rules on Tribes and Tribal child welfare agencies, to determine if Tribes have sufficient flexibility and latitude to build information systems that will meet their business needs. The Children's Bureau's (CB) Division of State Systems (DSS) has been assigned responsibility to undertake consultation with Tribes in this area. To offer Tribes the opportunity for informed comment on the implications that the State-centric rules have on their ability to build and operate information systems that will support their title IV- E programs, we will provide an education session on the SACWIS regulations. This will be followed by a consultation to listen to the concerns and ideas from Tribal leaders and their representatives about the existing SACWIS rules and how CB can support title IV-E Tribal agencies in building information systems that will meet their business needs. We propose two such combined meetings via teleconferences to reach a broad audience of interested parties. The teleconference on February 15, 2012, is intended for consultation with Tribal leaders; the teleconference on February 16, 2012, is intended to engage in consultation with their representatives.notice-of-tribal-consultation-meetings-regarding-how-the-current-sacwis-regulations-affect-tribesFR-Doc-2011-33336
12/13/2011RulePatient Protection and Affordable Care Act; Establishment of Consumer Operated and Oriented Plan (CO-OP) ProgramThis final rule implements the Consumer Operated and Oriented Plan (CO-OP) program, which provides loans to foster the creation of consumer-governed, private, nonprofit health insurance issuers to offer qualified health plans in the A … 2011-31864DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis final rule implements the Consumer Operated and Oriented Plan (CO-OP) program, which provides loans to foster the creation of consumer-governed, private, nonprofit health insurance issuers to offer qualified health plans in the Affordable Insurance Exchanges (Exchanges). The goal of this program is to create a new CO-OP in every State in order to expand the number of health plans available in the Exchanges with a focus on integrated care and greater plan accountability.patient-protection-and-affordable-care-act-establishment-of-consumer-operated-and-oriented-planFR-Doc-2011-31864
12/07/2011RuleMedical Loss Ratio Requirements Under the Patient Protection and Affordable Care ActThis final rule with comment period revises the regulations implementing medical loss ratio (MLR) requirements for health insurance issuers under the Public Health Service Act in order to address the treatment of ``mini-med'' and expat … 2011-31289DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis final rule with comment period revises the regulations implementing medical loss ratio (MLR) requirements for health insurance issuers under the Public Health Service Act in order to address the treatment of ``mini-med'' and expatriate policies under these regulations for years after 2011; modify the way the regulations treat ICD-10 conversion costs; change the rules on deducting community benefit expenditures; and revise the rules governing the distribution of rebates by issuers in group markets.medical-loss-ratio-requirements-under-the-patient-protection-and-affordable-care-actFR-Doc-2011-31289
12/07/2011RuleMedical Loss Ratio Rebate Requirements for Non-Federal Governmental PlansThis interim final rule with comment period revises the regulations implementing medical loss ratio (MLR) requirements for health insurance issuers under the Public Health Service Act in order to establish rules governing the distrib … 2011-31291DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis interim final rule with comment period revises the regulations implementing medical loss ratio (MLR) requirements for health insurance issuers under the Public Health Service Act in order to establish rules governing the distribution of rebates by issuers in group markets for non-Federal governmental plans.medical-loss-ratio-rebate-requirements-for-non-federal-governmental-plansFR-Doc-2011-31291
11/25/2011RulePermanent Certification Program for Health Information Technology; Revisions to ONC-Approved Accreditor ProcessesUnder the authority granted to the National Coordinator for Health Information Technology by section 3001(c)(5) of the Public Health Service Act (PHSA) as added by the Health Information Technology for Economic and Clinical Health (HIT … 2011-30177DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentUnder the authority granted to the National Coordinator for Health Information Technology by section 3001(c)(5) of the Public Health Service Act (PHSA) as added by the Health Information Technology for Economic and Clinical Health (HITECH) Act, this final rule establishes a process for addressing instances where the ONC-Approved Accreditor (ONC-AA) engages in improper conduct or does not perform its responsibilities under the permanent certification program. This rule also addresses the status of ONC-Authorized Certification Bodies (ONC- ACBs) in instances where there may be a change in the accreditation organization serving as the ONC-AA and clarifies the responsibilities of the new ONC-AA.permanent-certification-program-for-health-information-technology-revisions-to-onc-approvedFR-Doc-2011-30177
11/23/2011RulePrivacy Act; Exempt Record SystemThis final rule exempts the system of records (09-15-0054, the National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners, HHS/HRSA/BHPr) for the National Practitioner Data Bank (NPDB) fro … 2011-30292DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis final rule exempts the system of records (09-15-0054, the National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners, HHS/HRSA/BHPr) for the National Practitioner Data Bank (NPDB) from certain provisions of the Privacy Act (5 U.S.C. 552a). The exemption is necessary due to the recent expansion of the NPDB under section 1921 of the Social Security Act to include the investigative materials compiled for law enforcement purposes reported to the Healthcare Integrity and Protection Data Bank (HIPDB). The system of records for the HIPDB is exempt from certain provisions of the Privacy Act (see 45 CFR 5b.11(b)(2)(ii)(F)). In order to maintain the exemption for the HIPDB investigative materials, which will now also be available through the NPDB, it is necessary to extend the same exemption to the NPDB.privacy-act-exempt-record-systemFR-Doc-2011-30292
11/09/2011RuleHead Start ProgramThis final rule amends the Head Start Program regulations to implement statutory provisions of the Improving Head Start for School Readiness Act of 2007 to establish a system of designation renewal to determine if Head Start and Early … 2011-28880DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis final rule amends the Head Start Program regulations to implement statutory provisions of the Improving Head Start for School Readiness Act of 2007 to establish a system of designation renewal to determine if Head Start and Early Head Start agencies are delivering high-quality and comprehensive Head Start and Early Head Start programs that meet the educational, health, nutritional, and social needs of the children and families they serve and meet program and financial management requirements and standards. This system of designation renewal will determine which grantees must compete for on-going funding. This final rule is consistent with Executive Order 13563 and in particular its requirement, in section 6, of ``periodic review of existing significant regulations.''head-start-programFR-Doc-2011-28880
09/30/2011Proposed RulePatient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans, and Standards Related to Reinsurance, Risk Corridors and Risk Adjustment; Extension of Comment PeriodThis document extends the comment period for two proposed rules published in the Federal Register on July 15, 2011. One proposed rule would implement the new Affordable Insurance Exchanges (``Exchanges''), consistent with Title I of th … 2011-25202DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis document extends the comment period for two proposed rules published in the Federal Register on July 15, 2011. One proposed rule would 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 other proposed rule would implement 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 Affordable Care Act. The comment period for both proposed rules, which would have ended on September 28, 2011, is extended to October 31, 2011.patient-protection-and-affordable-care-act-establishment-of-exchanges-and-qualified-health-plans-andFR-Doc-2011-25202
09/14/2011Proposed RuleCLIA Program and HIPAA Privacy Rule; Patients' Access to Test ReportsThis proposed rule would amend the Clinical Laboratory Improvement Amendments of 1988 (CLIA) regulations to specify that, upon a patient's request, the laboratory may provide access to completed test reports that, using the laborato … 2011-23525DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis proposed rule would amend the Clinical Laboratory Improvement Amendments of 1988 (CLIA) regulations to specify that, upon a patient's request, the laboratory may provide access to completed test reports that, using the laboratory's authentication process, can be identified as belonging to that patient. Subject to conforming amendments, the proposed rule would retain the existing provisions that provide for release of test reports to authorized persons and, if applicable, the individuals (or their personal representative) responsible for using the test reports and, in the case of reference laboratories, the laboratory that initially requested the test. In addition, this proposed rule would also amend the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule to provide individuals the right to receive their test reports directly from laboratories 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.clia-program-and-hipaa-privacy-rule-patients-access-to-test-reportsFR-Doc-2011-23525
09/06/2011RuleRate Increase Disclosure and Review: Definitions of \u201cIndividual Market\u201d and \u201cSmall Group Market\u201dThis final rule amends a May 23, 2011, final rule entitled ``Rate Increase Disclosure and Review''. The final rule provided that, for purposes of rate review only, definitions of ``individual market'' and ``small group market'' unde … 2011-22663DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis final rule amends a May 23, 2011, final rule entitled ``Rate Increase Disclosure and Review''. The final rule provided that, for purposes of rate review only, definitions of ``individual market'' and ``small group market'' under State rate filing laws would govern even if those definitions departed from the definitions that otherwise apply under title XXVII of the Public Health Service Act (PHS Act). The preamble to the final rule requested comments on whether this policy should apply in cases in which State rate filing law definitions of ``individual market'' and ``small group market'' exclude association insurance policies that would be included in these definitions for other purposes under the PHS Act. In response to comments, this final rule amends the definitions of ``individual market'' and ``small group market'' that apply for rate review purposes to include coverage sold to individuals and small groups through associations even if the State does not include such coverage in its definitions of individual and small group market. This final rule also updates standards for health insurance issuers regarding disclosure and review of unreasonable premium increases under section 2794 of the Public Health Service Act.rate-increase-disclosure-and-review-definitions-of-individual-market-and-small-group-marketFR-Doc-2011-22663
09/01/2011Proposed RuleHuman Subjects Research Protections: Enhancing Protections for Research Subjects and Reducing Burden, Delay, and Ambiguity for Investigators; Extension of Comment PeriodThe Office of the Secretary of the Department of Health and Human Services (HHS) in coordination with the Office of Science and Technology Policy (OSTP) is extending the comment period for an advance notice of proposed rulemaking … 2011-22341DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Office of the Secretary of the Department of Health and Human Services (HHS) in coordination with the Office of Science and Technology Policy (OSTP) is extending the comment period for an advance notice of proposed rulemaking (ANPRM) requesting comment on how current regulations for protecting human subjects who participate in research might be modernized and revised to be more effective. That ANPRM was published in the Federal Register on July 26, 2011.human-subjects-research-protections-enhancing-protections-for-research-subjects-and-reducing-burdenFR-Doc-2011-22341
08/25/2011RuleResponsibility of Applicants for Promoting Objectivity in Research for which Public Health Service Funding is Sought and Responsible Prospective ContractorsThis final rule implements changes to the regulations on the Responsibility of Applicants for Promoting Objectivity in Research for which Public Health Service Funding is Sought and Responsible Prospective Contractors. Since the … 2011-21633DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis final rule implements changes to the regulations on the Responsibility of Applicants for Promoting Objectivity in Research for which Public Health Service Funding is Sought and Responsible Prospective Contractors. Since the promulgation of the regulations in 1995, biomedical and behavioral research and the resulting interactions among government, research Institutions, and the private sector have become increasingly complex. This complexity, as well as a need to strengthen accountability, led to changes that expand and add transparency to Investigators' disclosure of Significant Financial Interests (SFIs), enhance regulatory compliance and effective institutional oversight and management of Investigators' financial conflicts of interests, as well as increase the Department of Health and Human Services' (HHS) compliance oversight.responsibility-of-applicants-for-promoting-objectivity-in-research-for-which-public-health-serviceFR-Doc-2011-21633
08/22/2011Proposed RuleSummary of Benefits and Coverage and Uniform Glossary-Templates, Instructions, and Related Materials Under the Public Health Service ActThe Departments of the Health and Human Services, Labor, and the Treasury (the Departments) are simultaneously publishing in the Federal Register this document and proposed regulations (2011 proposed regulations) under the Pat … 2011-21192DEPARTMENT OF THE TREASURYTreasury DepartmentThe Departments of the Health and Human Services, Labor, and the Treasury (the Departments) are simultaneously publishing in the Federal Register this document and proposed regulations (2011 proposed regulations) under the Patient Protection and Affordable Care Act to implement the disclosure for group health plans and health insurance issuers of the summary of benefits and coverage (SBC) and the uniform glossary. This document proposes a template for an SBC; instructions, sample language, and a guide for coverage examples calculations to be used in completing the template; and a uniform glossary that would satisfy the disclosure requirements under section 2715 of the Public Health Service (PHS) Act. Comments are invited on these materials.summary-of-benefits-and-coverage-and-uniform-glossary-templates-instructions-and-related-materialsFR-Doc-2011-21192
08/22/2011Proposed RuleSummary of Benefits and Coverage and the Uniform GlossaryThis document contains proposed regulations regarding disclosure of the summary of benefits and coverage and the uniform glossary for group health plans and health insurance coverage in the group and individual markets under the Pat … 2011-21193DEPARTMENT OF THE TREASURYTreasury DepartmentThis document contains proposed regulations regarding disclosure of the summary of benefits and coverage 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. This document implements the disclosure requirements to help plans and individuals better understand their health coverage, as well as other coverage options. The templates and instructions to be used in making these disclosures are being issued separately in today's Federal Register.summary-of-benefits-and-coverage-and-the-uniform-glossaryFR-Doc-2011-21193
08/17/2011Proposed RulePatient Protection and Affordable Care Act; Exchange Functions in the Individual Market: Eligibility Determinations; Exchange Standards for EmployersThis proposed rule would implement certain functions of 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 Educa … 2011-20776DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis proposed rule would implement certain functions of 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. The specific Exchange functions proposed in this rule include: Eligibility determinations for Exchange participation and insurance affordability programs and standards for employer participation in SHOP.patient-protection-and-affordable-care-act-exchange-functions-in-the-individual-market-eligibilityFR-Doc-2011-20776
08/09/2011Proposed RuleMetadata Standards To Support Nationwide Electronic Health Information ExchangeThrough this advance notice of proposed rulemaking (ANPRM), the Office of the National Coordination for Health Information Technology (ONC) is soliciting public comments on metadata standards to support nationwide electronic health in … 2011-20219DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThrough this advance notice of proposed rulemaking (ANPRM), the Office of the National Coordination for Health Information Technology (ONC) is soliciting public comments on metadata standards to support nationwide electronic health information exchange. We are specifically interested in public comments on the following categories of metadata recommended by both the HIT Policy Committee and HIT Standards Committee: patient identity; provenance; and privacy. We also request public comments on any additional metadata categories, metadata elements, or metadata syntax that should be considered. The immediate scope of this ANPRM is the association of metadata with summary care records. More specifically, in the scenario where a patient obtains a summary care record from a health care provider's electronic health record technology or requests for it to be transmitted to their personal health record. Public comment, however, is also welcome on the use of metadata relative to other electronic health information contexts.metadata-standards-to-support-nationwide-electronic-health-information-exchangeFR-Doc-2011-20219
08/03/2011RuleGroup Health Plans and Health Insurance Issuers Relating to Coverage of Preventive Services Under the Patient Protection and Affordable Care ActThis document contains amendments to the interim final regulations implementing the rules for group health plans and health insurance coverage in the group and individual markets under provisions of the Patient Protection and Affordabl … 2011-19684DEPARTMENT OF THE TREASURYTreasury DepartmentThis document contains amendments to the interim final regulations implementing the rules for group health plans and health insurance coverage in the group and individual markets under provisions of the Patient Protection and Affordable Care Act regarding preventive health services.group-health-plans-and-health-insurance-issuers-relating-to-coverage-of-preventive-services-underFR-Doc-2011-19684
07/26/2011Proposed RuleHuman Subjects Research Protections: Enhancing Protections for Research Subjects and Reducing Burden, Delay, and Ambiguity for InvestigatorsThe Office of the Secretary of the Department of Health and Human Services (HHS) in coordination with the Office of Science and Technology Policy (OSTP) is issuing this advance notice of proposed rulemaking (ANPRM) to request com … 2011-18792DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Office of the Secretary of the Department of Health and Human Services (HHS) in coordination with the Office of Science and Technology Policy (OSTP) is issuing this advance notice of proposed rulemaking (ANPRM) to request comment on how current regulations for protecting human subjects who participate in research might be modernized and revised to be more effective. This ANPRM seeks comment on how to better protect human subjects who are involved in research, while facilitating valuable research and reducing burden, delay, and ambiguity for investigators. The current regulations governing human subjects research were developed years ago when research was predominantly conducted at universities, colleges, and medical institutions, and each study generally took place at only a single site. Although the regulations have been amended over the years, they have not kept pace with the evolving human research enterprise, the proliferation of multi-site clinical trials and observational studies, the expansion of health services research, research in the social and behavioral sciences, and research involving databases, the Internet, and biological specimen repositories, and the use of advanced technologies, such as genomics. Revisions to the current human subjects regulations are being considered because OSTP and HHS believe these changes would strengthen protections for research subjects.human-subjects-research-protections-enhancing-protections-for-research-subjects-and-reducing-burdenFR-Doc-2011-18792
07/26/2011RuleGroup Health Plans and Health Insurance Issuers: Rules Relating to Internal Claims and Appeals and External Review Processes; CorrectionThis document corrects technical errors that appeared in the June 24, 2011 amendment to the interim final rules (76 FR 37208) entitled, ``Group Health Plans and Health Insurance Issuers: Rules Relating to Internal Claims and Appeals … 2011-18820DEPARTMENT OF THE TREASURYTreasury DepartmentThis document corrects technical errors that appeared in the June 24, 2011 amendment to the interim final rules (76 FR 37208) entitled, ``Group Health Plans and Health Insurance Issuers: Rules Relating to Internal Claims and Appeals and External Review Processes.''group-health-plans-and-health-insurance-issuers-rules-relating-to-internal-claims-and-appeals-andFR-Doc-2011-18820
07/20/2011Proposed RulePatient Protection and Affordable Care Act; Establishment of Consumer Operated and Oriented Plan (CO-OP) ProgramThis proposed rule would implement the Consumer Operated and Oriented Plan (CO-OP) program, which provides loans to foster the creation of consumer-governed, private, nonprofit health insurance issuers to offer qualified health plan … 2011-18342DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis proposed rule would implement the Consumer Operated and Oriented Plan (CO-OP) program, which provides loans to foster the creation of consumer-governed, private, nonprofit health insurance issuers to offer qualified health plans in the Affordable Insurance Exchanges (Exchanges). The purpose of this program is to create a new CO-OP in every State in order to expand the number of health plans available in the Exchanges with a focus on integrated care and greater plan accountability.patient-protection-and-affordable-care-act-establishment-of-consumer-operated-and-oriented-planFR-Doc-2011-18342
07/15/2011Proposed RulePatient Protection and Affordable Care Act; Standards Related to Reinsurance, Risk Corridors and Risk AdjustmentThis proposed rule would implement 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 Pat … 2011-17609DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis proposed rule would implement 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 the uncertainty of insurance risk in the individual market by making payments for high- cost cases. The temporary Federally-administered risk corridor program serves to protect against uncertainty in the Exchange by limiting the extent of issuer losses (and gains). On an ongoing basis, the State- based risk adjustment program is intended to provide adequate payments to health insurance issuers that attract high-risk populations (such as individuals with chronic conditions).patient-protection-and-affordable-care-act-standards-related-to-reinsurance-risk-corridors-and-riskFR-Doc-2011-17609
07/15/2011Proposed RulePatient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health PlansThis proposed rule would implement the new Affordable Insurance Exchanges (``Exchanges''), consistent with title I of the Patient Protection and Affordable Care Act of 2010 (Pub. L. 111-148) as amended by the Health Care and Education … 2011-17610DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis proposed rule would implement the new Affordable Insurance Exchanges (``Exchanges''), consistent with title I of the Patient Protection and Affordable Care Act of 2010 (Pub. L. 111-148) as amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. 111-152), 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. A detailed Preliminary Regulatory Impact Analysis associated with this proposed rule is available at http://cciio.cms.gov under ``Regulations and Guidance.'' A summary of the aforementioned analysis is included as part of this proposed rule.patient-protection-and-affordable-care-act-establishment-of-exchanges-and-qualified-health-plansFR-Doc-2011-17610
07/08/2011RuleAdministrative Simplification: Adoption of Operating Rules for Eligibility for a Health Plan and Health Care Claim Status TransactionsSection 1104 of the Administrative Simplification provisions of the Patient Protection and Affordable Care Act (hereafter referred to as the Affordable Care Act) establishes new requirements for administrative transactions that will im … 2011-16834DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentSection 1104 of the Administrative Simplification provisions of the Patient Protection and Affordable Care Act (hereafter referred to as the Affordable Care Act) establishes new requirements for administrative transactions that will improve the utility of the existing HIPAA transactions and reduce administrative costs. Specifically, in section 1104(b)(2) of the Affordable Care Act, Congress required the adoption of operating rules for the health care industry and directed the Secretary of Health and Human Services to ``adopt a single set of operating rules for each transaction * * * with the goal of creating as much uniformity in the implementation of the electronic standards as possible.'' This interim final rule with comment period adopts operating rules for two Health Insurance Portability and Accountability Act of 1996 (HIPAA) transactions: eligibility for a health plan and health care claim status. This rule also defines the term ``operating rules'' and explains the role of operating rules in relation to the adopted transaction standards. In general, transaction standards adopted under HIPAA enable electronic data interchange through a common interchange structure, thus minimizing the industry's reliance on multiple formats. Operating rules, in turn, attempt to define the rights and responsibilities of all parties, security requirements, transmission formats, response times, liabilities, exception processing, error resolution and more, in order to facilitate successful interoperability between data systems of different entities.administrative-simplification-adoption-of-operating-rules-for-eligibility-for-a-health-plan-andFR-Doc-2011-16834
07/06/2011Proposed RuleAmeriCorps State/National, Senior Companions, Foster Grandparents, and Retired and Senior Volunteer ProgramThe Corporation for National and Community Service (the Corporation) proposes amendments to its National Service Criminal History Check regulations to require grantees to conduct and document criminal history checks (including both sta … 2011-16509CORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceThe Corporation for National and Community Service (the Corporation) proposes amendments to its National Service Criminal History Check regulations to require grantees to conduct and document criminal history checks (including both state criminal history checks and FBI fingerprint checks) on Senior Companions, Foster Grandparents, Retired Senior Volunteer Program grant-funded staff, Learn and Serve America, AmeriCorps State/National (including Education Award Program) participants, and other Corporation grant-funded participants and grant-funded staff in all Corporation programs, who, on a recurring basis, have access to children, persons age 60 and older, or individuals with disabilities.americorps-statenational-senior-companions-foster-grandparents-and-retired-and-senior-volunteerFR-Doc-2011-16509
06/24/2011RuleGroup Health Plans and Health Insurance Issuers: Rules Relating to Internal Claims and Appeals and External Review ProcessesThis document contains amendments to interim final regulations implementing the requirements regarding internal claims and appeals and external review processes for group health plans and health insurance coverage in the group and indi … 2011-15890DEPARTMENT OF THE TREASURYTreasury DepartmentThis document contains amendments to interim final regulations implementing the requirements regarding internal claims and appeals and external review processes for group health plans and health insurance coverage in the group and individual markets under provisions of the Affordable Care Act. These rules are intended to respond to feedback from a wide range of stakeholders on the interim final regulations and to assist plans and issuers in coming into full compliance with the law through an orderly and expeditious implementation process.group-health-plans-and-health-insurance-issuers-rules-relating-to-internal-claims-and-appeals-andFR-Doc-2011-15890
05/31/2011Proposed RulePermanent Certification Program for Health Information Technology; Revisions to ONC-Approved Accreditor ProcessesUnder the authority granted to the National Coordinator for Health Information Technology (the National Coordinator) by section 3001(c)(5) of the Public Health Service Act (PHSA) as added by the Health Information Technology for Ec … 2011-13372DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentUnder the authority granted to the National Coordinator for Health Information Technology (the National Coordinator) by section 3001(c)(5) of the Public Health Service Act (PHSA) as added by the Health Information Technology for Economic and Clinical Health (HITECH) Act, this rule proposes a process for addressing instances where the ONC-Approved Accreditor (ONC-AA) engages in improper conduct or does not perform its responsibilities under the permanent certification program. This rule also proposes to address the status of ONC- Authorized Certification Bodies (ONC-ACBs) in instances where there may be a change in the accreditation organization serving as the ONC-AA and clarifies the responsibilities of the new ONC-AA.permanent-certification-program-for-health-information-technology-revisions-to-onc-approvedFR-Doc-2011-13372
05/31/2011Proposed RuleHIPAA Privacy Rule Accounting of Disclosures Under the Health Information Technology for Economic and Clinical Health ActThe 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's standard for accoun … 2011-13297DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe 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's standard for accounting of disclosures of protected health information. The purpose of these modifications is, in part, to implement the statutory requirement under the Health Information Technology for Economic and Clinical Health Act (``the HITECH Act'' or ``the Act'') to require covered entities and business associates to account for disclosures of protected health information to carry out treatment, payment, and health care operations if such disclosures are through an electronic health record. Pursuant to both the HITECH Act and its more general authority under HIPAA, the Department proposes to expand the accounting provision to provide individuals with the right to receive an access report indicating who has accessed electronic protected health information in a designated record set. Under its more general authority under HIPAA, the Department also proposes changes to the existing accounting requirements to improve their workability and effectiveness.hipaa-privacy-rule-accounting-of-disclosures-under-the-health-information-technology-for-economicFR-Doc-2011-13297
05/23/2011RuleRate Increase Disclosure and ReviewThis final rule with comment period implements requirements for health insurance issuers regarding disclosure and review of unreasonable premium increases under section 2794 of the Public Health Service Act. The final rule establ … 2011-12631DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis final rule with comment period implements requirements for health insurance issuers regarding disclosure and review of unreasonable premium increases under section 2794 of the Public Health Service Act. The final rule establishes a rate review program to ensure that all rate increases that meet or exceed a specified threshold are reviewed by a State or CMS to determine whether they are unreasonable and that certain rate information be made public.rate-increase-disclosure-and-reviewFR-Doc-2011-12631
04/27/2011RuleFee-Generating CasesThis final rule amends the Legal Services Corporation's regulation on fee-generating cases to clarify that it applies only to LSC and private non-LSC funds.2011-10116LEGAL SERVICES CORPORATIONLegal Services CorporationThis final rule amends the Legal Services Corporation's regulation on fee-generating cases to clarify that it applies only to LSC and private non-LSC funds.fee-generating-casesFR-Doc-2011-10116
04/12/2011RuleRetired and Senior Volunteer Program AmendmentsThe Corporation for National and Community Service (Corporation) is issuing a final rule that sets forth a competitive process for selecting grant recipients for the Retired and Service Volunteer Program (RSVP), including perf … 2011-8556CORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceThe Corporation for National and Community Service (Corporation) is issuing a final rule that sets forth a competitive process for selecting grant recipients for the Retired and Service Volunteer Program (RSVP), including performance measurement requirements, as required by the Domestic Volunteer Service Act (DVSA), as amended by the Edward M. Kennedy Serve America Act (Serve America Act) (Pub. L. 111-13) of April 21, 2009.retired-and-senior-volunteer-program-amendmentsFR-Doc-2011-8556
04/05/2011Proposed RuleFederal Monitoring of Child and Family Service Programs; Request for Public Comment and Consultation MeetingsThe Children's Bureau is interested in improving the process by which we review title IV-B and IV-E plan requirements. CB currently reviews a State's compliance through Child and Family Service Reviews (CFSRs). Following two rounds of … 2011-8044DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Children's Bureau is interested in improving the process by which we review title IV-B and IV-E plan requirements. CB currently reviews a State's compliance through Child and Family Service Reviews (CFSRs). Following two rounds of CFSRs in every State and the passage of several amendments to Federal child welfare laws since the CFSRs began, we believe it is time to reassess how CB reviews title IV-B and IV-E programs through the CFSR and identify enhancements and system improvements we could make.federal-monitoring-of-child-and-family-service-programs-request-for-public-comment-and-consultationFR-Doc-2011-8044
03/29/2011RuleAmericorps Participants, Programs, and Applicants2011-7439CORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community Service americorps-participants-programs-and-applicantsFR-Doc-2011-7439
03/18/2011Proposed RuleHead Start ProgramThis proposed rule would amend Head Start program regulations to codify statutory eligibility requirements for Head Start and Early Head Start program enrollment and strengthen procedures to determine, verify, certify, and maintai … 2011-6326DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis proposed rule would amend Head Start program regulations to codify statutory eligibility requirements for Head Start and Early Head Start program enrollment and strengthen procedures to determine, verify, certify, and maintain records regarding eligibility for Head Start and Early Head Start program enrollment. It also proposes to create new requirements for the person seeking services to certify in a signed and dated statement that the documents and information that the person provided concerning eligibility are accurate to the best of the person's knowledge, as well as new requirements for program staff who make the eligibility determination to certify in a signed and dated statement that the information on eligibility in the file is accurate to the best of the person's knowledge, and based on that information, the person has determined the pregnant woman or child to be eligible for services. In addition, it proposes to create a new requirement for agencies to establish policies and procedures describing the actions that will be taken against staff who violate eligibility determination requirements and requires agencies to provide training related to eligibility requirements and the legal consequences of committing fraud. The intent of this rule is to reduce substantially the risk that children or pregnant women who are ineligible for participation in Head Start or Early Head Start programs are enrolled in these programs.head-start-programFR-Doc-2011-6326
03/14/2011Proposed RuleApplication, Review, and Reporting Process for Waivers for State InnovationThis proposed rule sets forth a procedural framework for submission and review of initial applications for a Waiver for State Innovation described in section 1332 of the Patient Protection and the Affordable Care Act including … 2011-5583DEPARTMENT OF THE TREASURYTreasury DepartmentThis proposed rule sets forth a procedural framework for submission and review of initial applications for a Waiver for State Innovation described in section 1332 of the Patient Protection and the Affordable Care Act including processes to ensure opportunities for public input in the development of such applications by States and in the Federal review of the applications.application-review-and-reporting-process-for-waivers-for-state-innovationFR-Doc-2011-5583
03/10/2011RuleInstitute of Museum and Library Services; Evaluation by GranteesThis rule makes a technical amendment to the Institute of Museum and Library Services' (IMLS') reporting guidelines for grantees. The purpose of this rule is to ensure the agency's requirements are consistent with guidance provid … 2011-5014NATIONAL FOUNDATION ON THE ARTS AND HUMANITIESNational Foundation on the Arts and the HumanitiesThis rule makes a technical amendment to the Institute of Museum and Library Services' (IMLS') reporting guidelines for grantees. The purpose of this rule is to ensure the agency's requirements are consistent with guidance provided by the Office of Management and Budget (OMB).institute-of-museum-and-library-services-evaluation-by-granteesFR-Doc-2011-5014
02/23/2011RuleRegulation for the Enforcement of Federal Health Care Provider Conscience Protection LawsThe Department of Health and Human Services issues this final rule which provides that enforcement of the federal statutory health care provider conscience protections will be handled by the Department's Office for Civil Rights, in c … 2011-3993DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Department of Health and Human Services issues this final rule which provides that enforcement of the federal statutory health care provider conscience protections will be handled by the Department's Office for Civil Rights, in conjunction with the Department's funding components. This Final Rule rescinds, in part, and revises, the December 19, 2008 Final Rule entitled ``Ensuring That Department of Health and Human Services Funds Do Not Support Coercive or Discriminatory Policies or Practices in Violation of Federal Law'' (the ``2008 Final Rule''). Neither the 2008 final rule, nor this final rule, alters the statutory protections for individuals and health care entities under the federal health care provider conscience protection statutes, including the Church Amendments, Section 245 of the Public Health Service Act, and the Weldon Amendment. These federal statutory health care provider conscience protections remain in effect.regulation-for-the-enforcement-of-federal-health-care-provider-conscience-protection-lawsFR-Doc-2011-3993
02/17/2011Proposed RulePrivacy Act; Exempt Record SystemThis proposed rule would exempt the system of records (09-15- 0054, the National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners, HHS/HRSA/BHPr) for the National Practitioner Data Bank … 2011-3513DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis proposed rule would exempt the system of records (09-15- 0054, the National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners, HHS/HRSA/BHPr) for the National Practitioner Data Bank (NPDB) from certain provisions of the Privacy Act. The exemption is necessary due to the recent expansion of the NPDB under section 1921 of the Social Security Act to include the investigative materials compiled for law enforcement purposes reported to the Healthcare Integrity and Protection Data Bank (HIPDB). The system of records for the HIPDB has an exemption from certain provisions of the Privacy Act. In order to maintain the exemption for the HIPDB investigative materials, which are now also available through the NPDB, it is necessary to expand the same privacy act exemptions for the HIPDB to the NPDB. This rule specifically seeks public comments on the proposed exemption.privacy-act-exempt-record-systemFR-Doc-2011-3513
02/11/2011Proposed RuleStudent Health Insurance CoverageThis document contains a proposed regulation that would establish rules for student health insurance coverage under the Public Health Service Act and the Affordable Care Act. The proposed rule would define ``student health insurance c … 2011-3109DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis document contains a proposed regulation that would establish rules for student health insurance coverage under the Public Health Service Act and the Affordable Care Act. The proposed rule would define ``student health insurance coverage'' as a type of individual health insurance coverage, and, pursuant to section 1560(c) of the Affordable Care Act, specify certain Public Health Service Act and Affordable Care Act requirements as inapplicable to this type of individual health insurance coverage.student-health-insurance-coverageFR-Doc-2011-3109
02/04/2011Proposed RuleFee-Generating CasesThis Notice of Proposed Rulemaking (NPRM) proposes to amend the Legal Services Corporation's regulation on fee-generating cases to clarify that it applies only to LSC and private non-LSC funds.2011-2488LEGAL SERVICES CORPORATIONLegal Services CorporationThis Notice of Proposed Rulemaking (NPRM) proposes to amend the Legal Services Corporation's regulation on fee-generating cases to clarify that it applies only to LSC and private non-LSC funds.fee-generating-casesFR-Doc-2011-2488
02/02/2011Proposed RulePlanning and Establishment of Consumer Operated and Oriented Plan Program; Request for Comments Regarding Provisions of Consumer Operated and Oriented Plan ProgramThis document is a request for comments regarding the provisions of section 1322 of the Patient Protection and Affordable Care Act (the Affordable Care Act), enacted on March 23, 2010, which requires the Secretary to establish the Co … 2011-2254DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis document is a request for comments regarding the provisions of section 1322 of the Patient Protection and Affordable Care Act (the Affordable Care Act), enacted on March 23, 2010, which requires the Secretary to establish the Consumer Operated and Oriented Plan program. The Secretary of Health and Human Services invites public comments in advance of future rulemaking and grant and loan solicitations.planning-and-establishment-of-consumer-operated-and-oriented-plan-program-request-for-commentsFR-Doc-2011-2254
01/31/2011RuleIncome 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 … 2011-2089LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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.income-level-for-individuals-eligible-for-assistanceFR-Doc-2011-2089
01/26/2011RuleIncome 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 … 2011-1656LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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.income-level-for-individuals-eligible-for-assistanceFR-Doc-2011-1656
01/21/2011RuleNational Science Foundation Rules of Practice and Statutory Conflict-of-Interest ExemptionsThe National Science Foundation (NSF) is amending its regulations to remove the provisions concerning statutory conflict-of- interest exemptions.2011-890NATIONAL SCIENCE FOUNDATIONNational Science FoundationThe National Science Foundation (NSF) is amending its regulations to remove the provisions concerning statutory conflict-of- interest exemptions.national-science-foundation-rules-of-practice-and-statutory-conflict-of-interest-exemptionsFR-Doc-2011-890
01/07/2011RuleEstablishment of the Permanent Certification Program for Health Information TechnologyThis final rule establishes a permanent certification program for the purpose of certifying health information technology (HIT). This final rule is issued pursuant to the authority granted to the National Coordinator for Health Informa … 2010-33174DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis final rule establishes a permanent certification program for the purpose of certifying health information technology (HIT). This final rule is issued pursuant to the authority granted to the National Coordinator for Health Information Technology (the National Coordinator) by section 3001(c)(5) of the Public Health Service Act (PHSA), as added by the Health Information Technology for Economic and Clinical Health (HITECH) Act. The permanent certification program will eventually replace the temporary certification program that was previously established by a final rule. The National Coordinator will use the permanent certification program to authorize organizations to certify electronic health record (EHR) technology, such as Complete EHRs and/or EHR Modules. The permanent certification program could also be expanded to include the certification of other types of HIT.establishment-of-the-permanent-certification-program-for-health-information-technologyFR-Doc-2010-33174
12/30/2010RuleHealth 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 CommentsThis document corrects technical errors that appeared in the interim final rule with request for comments that appeared in the December 1, 2010 Federal Register (FR Doc 2010-29596 (75 FR 74864)) entitled ``Health Insurance Issuers I … 2010-32526DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis document corrects technical errors that appeared in the interim final rule with request for comments that appeared in the December 1, 2010 Federal Register (FR Doc 2010-29596 (75 FR 74864)) entitled ``Health Insurance Issuers Implementing Medical Loss Ratio (MLR) Requirements Under the Patient Protection and Affordable Care Act.''health-insurance-issuers-implementing-medical-loss-ratio-mlr-requirements-under-the-patientFR-Doc-2010-32526
12/29/2010RuleSafeguarding Child Support InformationThe Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) created and expanded State and Federal Child Support Enforcement databases under title IV-D of the Social Security Act (the Act) and significantly … 2010-32424DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) created and expanded State and Federal Child Support Enforcement databases under title IV-D of the Social Security Act (the Act) and significantly enhanced access to information for title IV-D child support purposes. States are moving toward a more integrated service delivery to better serve families and further the mission of the Child Support Enforcement program, while protecting confidential data. This final rule specifies requirements for: State Parent Locator Service responses to authorized location requests; and State Child Support Enforcement program safeguards for confidential information and authorized disclosures of this information. This final rule revises certain aspects of the State Parent Locator Service; Safeguarding Child Support Information final rule published on September 26, 2008 with an effective date delayed until December 30, 2010. This final rule will prohibit the disclosure of confidential and personally identifiable information to private collection agencies and expand disclosure to child welfare programs and the Supplemental Nutrition Assistance Program (SNAP).safeguarding-child-support-informationFR-Doc-2010-32424
12/28/2010Proposed RuleRequest for Information Regarding Value-Based Insurance Design in Connection With Preventive Care BenefitsThis document contains a request for information on how group health plans and health insurance issuers can employ value-based insurance design in the coverage of recommended preventive services.2010-32612DEPARTMENT OF THE TREASURYTreasury DepartmentThis document contains a request for information on how group health plans and health insurance issuers can employ value-based insurance design in the coverage of recommended preventive services.request-for-information-regarding-value-based-insurance-design-in-connection-with-preventive-careFR-Doc-2010-32612
12/23/2010Proposed RuleRate Increase Disclosure and ReviewThis document contains proposed regulations implementing the rules for health insurance issuers regarding the disclosure and review of unreasonable premium increases under section 2794 of the Public Health Service Act. The proposed rul … 2010-32143DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis document contains proposed regulations implementing the rules for health insurance issuers regarding the disclosure and review of unreasonable premium increases under section 2794 of the Public Health Service Act. The proposed rule would establish a rate review program to ensure that all rate increases that meet or exceed an established threshold are reviewed by a State or HHS to determine whether the rate increases are unreasonable.rate-increase-disclosure-and-reviewFR-Doc-2010-32143
12/01/2010RuleHealth Insurance Issuers Implementing Medical Loss Ratio (MLR) Requirements Under the Patient Protection and Affordable Care ActThis document contains the interim final regulation implementing medical loss ratio (MLR) requirements for health insurance issuers under the Public Health Service Act, as added by the Patient Protection and Affordable Care Act (Affordable Care Act).2010-29596DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis document contains the interim final regulation implementing medical loss ratio (MLR) requirements for health insurance issuers under the Public Health Service Act, as added by the Patient Protection and Affordable Care Act (Affordable Care Act).health-insurance-issuers-implementing-medical-loss-ratio-mlr-requirements-under-the-patientFR-Doc-2010-29596
11/17/2010Proposed RuleAffordable Care Act; Federal External Review Process; Request for InformationThis notice is a request for information (RFI) to gain market analysis information in advance of one or more future Requests for Proposals (RFP). On July 23, 2010, the Departments of Health and Human Services, Labor, and the Treasur … 2010-28876DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis notice is a request for information (RFI) to gain market analysis information in advance of one or more future Requests for Proposals (RFP). On July 23, 2010, the Departments of Health and Human Services, Labor, and the Treasury published interim final regulations regarding, among other things, procedures for external review of health plan denials. The regulations include a provision for a Federal external review process in instances where there is no applicable State process. This RFI solicits information that will enable the Departments of Health and Human Services (HHS) and Labor (DOL) to conduct a market analysis and assist the Departments in planning and developing the Federal external review process. HHS and/or DOL may contract for services required to fulfill the statutory and regulatory requirements of the Federal external review process established under section 2719 of the Public Health Service Act, as amended by the Affordable Care Act, and its implementing regulations.affordable-care-act-federal-external-review-process-request-for-informationFR-Doc-2010-28876
11/17/2010RuleAmendment to the Interim Final Rules for Group Health Plans and Health Insurance Coverage Relating to Status as a Grandfathered Health Plan Under the Patient Protection and Affordable Care ActThis document contains an amendment to interim final regulations implementing the rules for group health plans and health insurance coverage in the group and individual markets under provisions of the Patient Protection and Affordable … 2010-28861DEPARTMENT OF THE TREASURYTreasury DepartmentThis document contains an amendment to interim final regulations implementing the rules for group health plans and health insurance coverage in the group and individual markets under provisions of the Patient Protection and Affordable Care Act regarding status as a grandfathered health plan; the amendment permits certain changes in policies, certificates, or contracts of insurance without loss of grandfathered status.amendment-to-the-interim-final-rules-for-group-health-plans-and-health-insurance-coverage-relatingFR-Doc-2010-28861
10/28/2010RuleState Systems Advance Planning Document (APD) ProcessThe Advance Planning Document (APD) process governs the procedure by which States obtain approval for Federal financial participation in the cost of acquiring automated data processing equipment and services. This final rule red … 2010-26727DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Advance Planning Document (APD) process governs the procedure by which States obtain approval for Federal financial participation in the cost of acquiring automated data processing equipment and services. This final rule reduces the submission requirements for lower-risk information technology (IT) projects and procurements and increases oversight over higher-risk IT projects and procurements by making technical changes, conforming changes and substantive revisions in the documentation required to be submitted by States, counties, and territories for approval of their Information Technology plans and acquisition documents.state-systems-advance-planning-document-apd-processFR-Doc-2010-26727
10/26/2010Proposed RuleRetired and Senior Volunteer Program AmendmentsThis proposed rule sets forth a competitive process for selecting grant recipients for the Retired and Service Volunteer Program (``RSVP''), including performance measurement requirements, as required by the Domestic Volunteer Ser … 2010-26960CORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceThis proposed rule sets forth a competitive process for selecting grant recipients for the Retired and Service Volunteer Program (``RSVP''), including performance measurement requirements, as required by the Domestic Volunteer Service Act (DVSA), as amended by the Edward M. Kennedy Serve America Act (Serve America Act) of April 21, 2009.retired-and-senior-volunteer-program-amendmentsFR-Doc-2010-26960
10/13/2010RuleHealth Information Technology: Revisions to Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record TechnologyThe Department of Health and Human Services (HHS) is issuing this interim final rule with a request for comment to remove the implementation specifications related to public health surveillance.2010-25683DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Department of Health and Human Services (HHS) is issuing this interim final rule with a request for comment to remove the implementation specifications related to public health surveillance.health-information-technology-revisions-to-initial-set-of-standards-implementation-specificationsFR-Doc-2010-25683
10/13/2010RuleHealth Insurance Reform; Announcement of Maintenance Changes to Electronic Data Transaction Standards Adopted Under the Health Insurance Portability and Accountability Act of 1996This document announces maintenance changes to some of the Health Insurance Portability and Accountability Act of 1996 standards made by the Designated Standard Maintenance Organizations. The maintenance changes are non-substantive … 2010-25684DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis document announces maintenance changes to some of the Health Insurance Portability and Accountability Act of 1996 standards made by the Designated Standard Maintenance Organizations. The maintenance changes are non-substantive changes to correct minor errors, such as typographical errors, or to provide clarifications of the standards adopted in our regulations entitled ``Health Insurance Reform; Modifications to the Health Insurance Portability and Accountability Act (HIPAA) Electronic Transaction Standards,'' published in the Federal Register on January 16, 2009. This document also instructs interested persons on how to obtain the corrections.health-insurance-reform-announcement-of-maintenance-changes-to-electronic-data-transaction-standardsFR-Doc-2010-25684
09/22/2010Proposed RuleHead Start ProgramThis regulation proposes to amend Head Start Program regulations to implement statutory provisions of the Improving Head Start for School Readiness Act of 2007 for establishing a system of designation renewal to determine if Head S … 2010-23583DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis regulation proposes to amend Head Start Program regulations to implement statutory provisions of the Improving Head Start for School Readiness Act of 2007 for establishing a system of designation renewal to determine if Head Start and Early Head Start agencies are delivering high-quality and comprehensive Head Start and Early Head Start programs that meet the educational, health, nutritional, and social needs of the children and families they serve, and meet program and financial management requirements and standards.head-start-programFR-Doc-2010-23583
08/30/2010RuleNational Endowment for the Humanities Implementation of OMB Guidance on Drug-Free Workplace RequirementsThe National Endowment for the Humanities (NEH) is removing its regulation implementing the Governmentwide common rule on drug-free workplace requirements for financial assistance, currently located within Part 1173 of Title 45 of … 2010-21600NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesThe National Endowment for the Humanities (NEH) is removing its regulation implementing the Governmentwide common rule on drug-free workplace requirements for financial assistance, currently located within Part 1173 of Title 45 of the Code of Federal Regulations (CFR), and issuing a new regulation to adopt the Office of Management and Budget (OMB) guidance at 2 CFR part 182. This regulatory action implements the OMB's initiative to streamline and consolidate into one title of the CFR all Federal regulations on drug-free workplace requirements for financial assistance. These changes constitute an administrative simplification that would make no substantive change in NEH's policy or procedures for drug-free workplace.national-endowment-for-the-humanities-implementation-of-omb-guidance-on-drug-free-workplaceFR-Doc-2010-21600
08/06/2010RuleIncome 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 … 2010-19449LEGAL SERVICES CORPORATIONLegal Services CorporationThe 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.income-level-for-individuals-eligible-for-assistanceFR-Doc-2010-19449
08/03/2010Proposed RulePlanning and Establishment of State-Level Exchanges; Request for Comments Regarding Exchange-Related Provisions in Title I of the Patient Protection and Affordable Care ActThis document is a request for comments regarding the Exchange-related provisions of the Patient Protection and Affordable Care Act (the Affordable Care Act), enacted on March 23, 2010. The Department of Health and Human Services ( … 2010-18924DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis document is a request for comments regarding the Exchange-related provisions of the Patient Protection and Affordable Care Act (the Affordable Care Act), enacted on March 23, 2010. The Department of Health and Human Services (HHS) invites public comments in advance of future rulemaking and grant solicitations.planning-and-establishment-of-state-level-exchanges-request-for-comments-regarding-exchange-relatedFR-Doc-2010-18924
07/30/2010RulePre-Existing Condition Insurance Plan ProgramSection 1101 of Title I of the Patient Protection and Affordable Care Act of 2010 (Affordable Care Act) requires that the Secretary establish, either directly or through contracts with States or nonprofit private entities, a tempora … 2010-18691DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentSection 1101 of Title I of the Patient Protection and Affordable Care Act of 2010 (Affordable Care Act) requires that the Secretary establish, either directly or through contracts with States or nonprofit private entities, a temporary high risk health insurance pool program to provide affordable health insurance coverage to uninsured individuals with pre-existing conditions. This program will continue until January 1, 2014, when Exchanges established under sections 1311 and 1321 of the Affordable Care Act will be available for individuals to obtain health insurance coverage. This interim final rule implements requirements in section 1101 of the Affordable Care Act. Key issues addressed in this interim final rule include administration of the program, eligibility and enrollment, benefits, premiums, funding, and appeals and oversight rules.pre-existing-condition-insurance-plan-programFR-Doc-2010-18691
07/28/2010RuleHealth Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record TechnologyThe Department of Health and Human Services (HHS) is issuing this final rule to complete the adoption of an initial set of standards, implementation specifications, and certification criteria, and to more closely align such standa … 2010-17210DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Department of Health and Human Services (HHS) is issuing this final rule to complete the adoption of an initial set of standards, implementation specifications, and certification criteria, and to more closely align such standards, implementation specifications, and certification criteria with final meaningful use Stage 1 objectives and measures. Adopted certification criteria establish the required 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 Stage 1 by eligible professionals, eligible hospitals, and/or critical access hospitals (hereafter, references to ``eligible hospitals'' in this final rule shall mean ``eligible hospitals and/or critical access hospitals'') under the Medicare and Medicaid EHR Incentive Programs. Complete EHRs and EHR Modules will be tested and certified according to adopted certification criteria to ensure that they have properly implemented adopted standards and implementation specifications and otherwise comply with the adopted certification criteria.health-information-technology-initial-set-of-standards-implementation-specifications-andFR-Doc-2010-17210
07/23/2010RuleInterim Final Rules for Group Health Plans and Health Insurance Issuers Relating to Internal Claims and Appeals and External Review Processes Under the Patient Protection and Affordable Care ActThis document contains interim final regulations implementing the requirements regarding internal claims and appeals and external review processes for group health plans and health insurance coverage in the group and individual market … 2010-18043DEPARTMENT OF THE TREASURYTreasury DepartmentThis document contains interim final regulations implementing the requirements regarding internal claims and appeals and external review processes for group health plans and health insurance coverage in the group and individual markets under the Patient Protection and Affordable Care Act. The regulations will generally affect health insurance issuers; group health plans; and participants, beneficiaries, and enrollees in health insurance coverage and in group health plans. The regulations provide plans and issuers with guidance necessary to comply with the law.interim-final-rules-for-group-health-plans-and-health-insurance-issuers-relating-to-internal-claimsFR-Doc-2010-18043
07/21/2010Proposed RuleResponsibility of Applicants for Promoting Objectivity in Research for Which Public Health Service Funding Is Sought and Responsible Prospective ContractorsThe Department of Health and Human Services (HHS or the Department), including the HHS Public Health Service (PHS), is extending the comment period for a proposed rule that would amend the regulations on the Responsibility of Appli … 2010-17739DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Department of Health and Human Services (HHS or the Department), including the HHS Public Health Service (PHS), is extending the comment period for a proposed rule that would amend the regulations on the Responsibility of Applicants for Promoting Objectivity in Research for which PHS Funding is Sought and Responsible Prospective Contractors, and is clarifying certain elements of the proposed rule for which we are seeking additional comment. The proposed rule was published in the Federal Register on May 21, 2010 (75 FR 28688). The comment period is extended by 30 days and thus will end on August 19, 2010.responsibility-of-applicants-for-promoting-objectivity-in-research-for-which-public-health-serviceFR-Doc-2010-17739
07/19/2010RuleInterim Final Rules for Group Health Plans and Health Insurance Issuers Relating to Coverage of Preventive Services Under the Patient Protection and Affordable Care ActThis document contains interim final regulations implementing the rules for group health plans and health insurance coverage in the group and individual markets under provisions of the Patient Protection and Affordable Care Act regardi … 2010-17242DEPARTMENT OF THE TREASURYTreasury DepartmentThis document contains interim final regulations implementing the rules for group health plans and health insurance coverage in the group and individual markets under provisions of the Patient Protection and Affordable Care Act regarding preventive health services.interim-final-rules-for-group-health-plans-and-health-insurance-issuers-relating-to-coverage-ofFR-Doc-2010-17242
07/14/2010Proposed RuleModifications to the HIPAA Privacy, Security, and Enforcement Rules Under the Health Information Technology for Economic and Clinical Health ActThe Department of Health and Human Services (HHS or ``the Department'') is issuing this notice of proposed rulemaking to modify the Standards for Privacy of Individually Identifiable Health Information (Privacy Rule), the Securit … 2010-16718DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Department of Health and Human Services (HHS or ``the Department'') is issuing this notice of proposed rulemaking to modify the Standards for Privacy of Individually Identifiable Health Information (Privacy Rule), the Security Standards for the Protection of Electronic Protected Health Information (Security Rule), and the rules pertaining to Compliance and Investigations, Imposition of Civil Money Penalties, and Procedures for Hearings (Enforcement Rule) issued under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The purpose of these modifications is to implement recent 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 of health information, and to improve the workability and effectiveness of these HIPAA Rules.modifications-to-the-hipaa-privacy-security-and-enforcement-rules-under-the-health-informationFR-Doc-2010-16718
07/14/2010RuleGovernment in the Sunshine Act Regulations of the National Science BoardThe National Science Board (NSB) National Science Foundation (NSF) is amending part 614 of the Government in the Sunshine Act Regulations of the National Science Board. This document contains minor amendments to the Government … 2010-17120NATIONAL SCIENCE FOUNDATIONNational Science FoundationThe National Science Board (NSB) National Science Foundation (NSF) is amending part 614 of the Government in the Sunshine Act Regulations of the National Science Board. This document contains minor amendments to the Government in the Sunshine Act Regulations of the National Science Board. These technical amendments clarify that the NSB Office will maintain the General Counsel's certificate, the presiding officer's statement, and the transcript or recording of the closed meeting for at least three years (vice two years) and to clarify that announcements required by section 552b(e) of the Sunshine Act will occur via the NSF Web site (vice posting on public notice boards or to journals of general scientific interest, neither of which is required by law). This final rule is an administrative simplification that makes no substantive or major change in NSF or NSB policy or procedures for maintaining official records and information, and informing the public of closed meetings in accordance with the Sunshine Act.government-in-the-sunshine-act-regulations-of-the-national-science-boardFR-Doc-2010-17120
07/08/2010RuleInstitute of Museum and Library Services Implementation of OMB Guidance on Drug-Free Workplace RequirementsThe Institute of Museum and Library Services (IMLS) is removing its regulation implementing the Governmentwide common rule on drug-free workplace requirements for financial assistance, currently located within Part 1186 of Title 45 of … 2010-15395NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIESNational Foundation on the Arts and the HumanitiesThe Institute of Museum and Library Services (IMLS) is removing its regulation implementing the Governmentwide common rule on drug-free workplace requirements for financial assistance, currently located within Part 1186 of Title 45 of the Code of Federal Regulations (CFR), and issuing a new regulation to adopt the Office of Management and Budget (OMB) guidance at 2 CFR part 182. This regulatory action implements the OMB's initiative to streamline and consolidate into one title of the CFR all Federal regulations on drug-free workplace requirements for financial assistance. These changes constitute an administrative simplification that would make no substantive change in IMLS policy or procedures for drug-free workplace.institute-of-museum-and-library-services-implementation-of-omb-guidance-on-drug-free-workplaceFR-Doc-2010-15395
07/02/2010RuleChild Support Enforcement Program; Intergovernmental Child SupportThis rule revises Federal requirements for establishing and enforcing intergovernmental support obligations in Child Support Enforcement (IV-D) program cases receiving services under title IV-D of the Social Security Act (the Act). Thi … 2010-15215DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis rule revises Federal requirements for establishing and enforcing intergovernmental support obligations in Child Support Enforcement (IV-D) program cases receiving services under title IV-D of the Social Security Act (the Act). This final rule revises previous interstate requirements to apply to case processing in all intergovernmental cases; requires the responding State IV-D agency to pay the cost of genetic testing; clarifies responsibility for determining in which State tribunal a controlling order determination is made where multiple support orders exist; recognizes and incorporates electronic communication advancements; and makes conforming changes to the Federal substantial compliance audit and State self-assessment requirements.child-support-enforcement-program-intergovernmental-child-supportFR-Doc-2010-15215
06/28/2010RulePatient Protection and Affordable Care Act: Preexisting Condition Exclusions, Lifetime and Annual Limits, Rescissions, and Patient ProtectionsThis document contains interim final regulations implementing the rules for group health plans and health insurance coverage in the group and individual markets under provisions of the Patient Protection and Affordable Care Act re … 2010-15278DEPARTMENT OF THE TREASURYTreasury DepartmentThis document contains interim final regulations implementing the rules for group health plans and health insurance coverage in the group and individual markets under provisions of the Patient Protection and Affordable Care Act regarding preexisting condition exclusions, lifetime and annual dollar limits on benefits, rescissions, and patient protections.patient-protection-and-affordable-care-act-preexisting-condition-exclusions-lifetime-and-annualFR-Doc-2010-15278
06/24/2010RuleEstablishment of the Temporary Certification Program for Health Information TechnologyThis final rule establishes a temporary certification program for the purposes of testing and certifying health information technology. This final rule is established under the authority granted to the National Coordinator for … 2010-14999DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis final rule establishes a temporary certification program for the purposes of testing and certifying health information technology. This final rule is established under the authority granted to the National Coordinator for Health Information Technology (the National Coordinator) by section 3001(c)(5) of the Public Health Service Act (PHSA), as added by the Health Information Technology for Economic and Clinical Health (HITECH) Act. The National Coordinator will utilize the temporary certification program to authorize organizations to test and certify Complete Electronic Health Records (EHRs) and/or EHR Modules, thereby making Certified EHR Technology available prior to the date on which health care providers seeking incentive payments available under the Medicare and Medicaid EHR Incentive Programs may begin demonstrating meaningful use of Certified EHR Technology.establishment-of-the-temporary-certification-program-for-health-information-technologyFR-Doc-2010-14999
06/17/2010RuleInterim Final Rules for Group Health Plans and Health Insurance Coverage Relating to Status as a Grandfathered Health Plan Under the Patient Protection and Affordable Care ActThis document contains interim final regulations implementing the rules for group health plans and health insurance coverage in the group and individual markets under provisions of the Patient Protection and Affordable Care Act re … 2010-14488DEPARTMENT OF THE TREASURYTreasury DepartmentThis document contains interim final regulations implementing the rules for group health plans and health insurance coverage in the group and individual markets under provisions of the Patient Protection and Affordable Care Act regarding status as a grandfathered health plan.interim-final-rules-for-group-health-plans-and-health-insurance-coverage-relating-to-status-as-aFR-Doc-2010-14488
06/07/2010Proposed RuleSafeguarding Child Support InformationThe Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) created and expanded State and Federal Child Support Enforcement databases under title IV-D of the Social Security Act and significantly enhanced ac … 2010-13021DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) created and expanded State and Federal Child Support Enforcement databases under title IV-D of the Social Security Act and significantly enhanced access to information for title IV-D child support purposes. States are moving toward more integrated service delivery to better serve the families and further the mission of the child support enforcement program, while protecting confidential data. This Notice of Proposed Rulemaking (NPRM) proposes requirements for: State Parent Locator Service responses to authorized location requests; and State Child Support Enforcement program safeguards for confidential information and authorized disclosures of this information. This proposed rule would revise certain aspects of the final rule State Parent Locator Service; Safeguarding Child Support Information Final Rule published on September 26, 2008 and effective December 30, 2010. This NPRM will prohibit disclosure of confidential and personally identifiable information to private collection agencies and expand disclosure to child welfare programs and the Supplemental Nutrition Assistance Program (SNAP).safeguarding-child-support-informationFR-Doc-2010-13021
05/21/2010Proposed RuleResponsibility of Applicants for Promoting Objectivity in Research for Which Public Health Service Funding Is Sought and Responsible Prospective ContractorsThe Department of Health and Human Services (HHS or the Department) and the HHS Public Health Service (PHS), proposes to amend its regulations on the Responsibility of Applicants for Promoting Objectivity in Research for which PHS Fu … 2010-11885DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Department of Health and Human Services (HHS or the Department) and the HHS Public Health Service (PHS), proposes to amend its regulations on the Responsibility of Applicants for Promoting Objectivity in Research for which PHS Funding is Sought and Responsible Prospective Contractors. Since the promulgation of the regulations in 1995, biomedical and behavioral research and the resulting interactions among Government, research institutions, and the private sector have become increasingly complex. This complexity, as well as a need to strengthen accountability, have led to the proposal of amendments that would expand and add transparency to investigator disclosure of significant financial interests, enhance regulatory compliance and effective institutional oversight and management of investigators' financial conflicts of interests, as well as NIH's compliance oversight.responsibility-of-applicants-for-promoting-objectivity-in-research-for-which-public-health-serviceFR-Doc-2010-11885
05/13/2010RuleInterim Final Rules for Group Health Plans and Health Insurance Issuers Relating to Dependent Coverage of Children to Age 26 Under the Patient Protection and Affordable Care ActThis document contains interim final regulations implementing the requirements for group health plans and health insurance issuers in the group and individual markets under provisions of the Patient Protection and Affordable Care Act … 2010-11391DEPARTMENT OF THE TREASURYTreasury DepartmentThis document contains interim final regulations implementing the requirements for group health plans and health insurance issuers in the group and individual markets under provisions of the Patient Protection and Affordable Care Act regarding dependent coverage of children who have not attained age 26.interim-final-rules-for-group-health-plans-and-health-insurance-issuers-relating-to-dependentFR-Doc-2010-11391
05/05/2010RuleHealth Care Reform Insurance Web Portal RequirementsThe Patient Protection and Affordable Care Act (the Affordable Care Act) was enacted on March 23, 2010. It requires the establishment of an internet Web site (hereinafter referred to as a Web portal) through which individuals and s … 2010-10504DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Patient Protection and Affordable Care Act (the Affordable Care Act) was enacted on March 23, 2010. It requires the establishment of an internet Web site (hereinafter referred to as a Web portal) through which individuals and small businesses can obtain information about the insurance coverage options that may be available to them in their State. The Department of Health and Human Services (HHS) is issuing this interim final rule in order to implement this mandate. This interim final rule adopts the categories of information that will be collected and displayed as Web portal content, and the data we will require from issuers and request from States, associations, and high risk pools in order to create this content.health-care-reform-insurance-web-portal-requirementsFR-Doc-2010-10504
05/05/2010RuleEarly Retiree Reinsurance ProgramThis interim final rule with comment period (IFC) implements the Early Retiree Reinsurance Program, which was established by section 1102 of the Patient Protection and Affordable Care Act (the Affordable Care Act). The Congress appropr … 2010-10658DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis interim final rule with comment period (IFC) implements the Early Retiree Reinsurance Program, which was established by section 1102 of the Patient Protection and Affordable Care Act (the Affordable Care Act). The Congress appropriated funding of $5 billion for the temporary program. Section 1102(a)(1) requires the Secretary to establish this temporary program not later than 90 days after enactment of the statute, which is June 21, 2010. The program ends no later than January 1, 2014. The program provides reimbursement to participating employment-based plans for a portion of the cost of health benefits for early retirees and their spouses, surviving spouses and dependents. The Secretary will reimburse plans for certain claims between $15,000 and $90,000 (with those amounts being indexed for plan years starting on or after October 1, 2011). The purpose of the reimbursement is to make health benefits more affordable for plan participants and sponsors so that health benefits are accessible to more Americans than they would otherwise be without this program.early-retiree-reinsurance-programFR-Doc-2010-10658
05/03/2010Proposed RuleHIPAA Privacy Rule Accounting of Disclosures Under the Health Information Technology for Economic and Clinical Health Act; Request for InformationSection 13405(c) of the Health Information Technology for Economic and Clinical Health (HITECH) Act expands an individual's right under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule to recei … 2010-10054DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentSection 13405(c) of the Health Information Technology for Economic and Clinical Health (HITECH) Act expands an individual's right under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule to receive an accounting of disclosures of protected health information made by HIPAA covered entities and their business associates. In particular, section 13405(c) of the HITECH Act requires the Department of Health and Human Services (``Department'' or ``HHS'') to revise the HIPAA Privacy Rule to require covered entities to account for disclosures of protected health information to carry out treatment, payment, and health care operations if such disclosures are through an electronic health record. This document is a request for information (RFI) to help us better understand the interests of individuals with respect to learning of such disclosures, the administrative burden on covered entities and business associates of accounting for such disclosures, and other information that may inform the Department's rulemaking in this area.hipaa-privacy-rule-accounting-of-disclosures-under-the-health-information-technology-for-economicFR-Doc-2010-10054
04/28/2010RuleImplementation of OMB Guidance on Drug-Free Workplace RequirementsThe Corporation for National and Community Service (CNCS or the Corporation) is removing its regulation implementing the Government-wide common rule on drug-free workplace requirements for financial assistance, currently located within … 2010-8989CORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceThe Corporation for National and Community Service (CNCS or the Corporation) is removing its regulation implementing the Government-wide common rule on drug-free workplace requirements for financial assistance, currently located within part 2545 of title 45 of the Code of Federal Regulations (CFR), and issuing a new regulation to adopt the Office of Management and Budget (OMB) guidance at 2 CFR part 182. This regulatory action implements the OMB's initiative to streamline and consolidate into one title of the CFR all federal regulations on drug-free workplace requirements for financial assistance. These changes constitute an administrative simplification that would make no substantive change in the Corporation's policy or procedures for drug-free workplace.implementation-of-omb-guidance-on-drug-free-workplace-requirementsFR-Doc-2010-8989
04/26/2010RuleFee-Generating Cases; Use of Non-LSC Funds, Transfers of LSC Funds, Program Integrity; Attorneys' FeesOn February 11, 2010, LSC issued an Interim Final Rule and Request for Comments repealing its regulatory prohibition on the claiming of, and the collection and retention of attorneys' fees pursuant to Federal and State law permitti … 2010-9397LEGAL SERVICES CORPORATIONLegal Services CorporationOn February 11, 2010, LSC issued an Interim Final Rule and Request for Comments repealing its regulatory prohibition on the claiming of, and the collection and retention of attorneys' fees pursuant to Federal and State law permitting or requiring the awarding of such fees. The action was taken in accordance with the elimination on the statutory prohibition on attorneys' fees in LSC's FY 2010 appropriation legislation. The rule moved provisions on accounting for and use of attorneys' fees and acceptance of reimbursements from clients from part 1642 (which was eliminated) to part 1609 of LSC's regulations. LSC also made technical changes to its regulations to remove cross references to the obsolete statutory and regulatory citations. With this document, LSC is responding to the comments received and confirming the February 11 rule as final without change.fee-generating-cases-use-of-non-lsc-funds-transfers-of-lsc-funds-program-integrity-attorneys-feesFR-Doc-2010-9397
04/14/2010Proposed RulePremium Review Process; Request for Comments Regarding Section 2794 of the Public Health Service ActThis document is a request for comments regarding Section 1003 of the Patient Protection and Affordable Care Act (PPACA), Pub. L. 111- 148, which added Section 2794 to the Public Health Service Act (the PHS Act). Section 2794 of the P … 2010-8600DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis document is a request for comments regarding Section 1003 of the Patient Protection and Affordable Care Act (PPACA), Pub. L. 111- 148, which added Section 2794 to the Public Health Service Act (the PHS Act). Section 2794 of the PHS Act requires the Secretary to work with States to establish an annual review of unreasonable rate increases, to monitor premium increases and to award grants to States to carry out their rate review process. The Department of Health and Human Services (HHS) invites public comments in advance of future rulemaking.premium-review-process-request-for-comments-regarding-section-2794-of-the-public-health-service-actFR-Doc-2010-8600
04/14/2010Proposed RuleMedical Loss Ratios; Request for Comments Regarding Section 2718 of the Public Health Service ActThis document is a request for comments regarding Section 2718 of the Public Health Service Act (PHS Act), which was added by Sections 1001 and 10101 of the Patient Protection and Affordable Care Act (PPACA), Public Law 111-148, enacte … 2010-8599DEPARTMENT OF THE TREASURYTreasury DepartmentThis document is a request for comments regarding Section 2718 of the Public Health Service Act (PHS Act), which was added by Sections 1001 and 10101 of the Patient Protection and Affordable Care Act (PPACA), Public Law 111-148, enacted on March 23, 2010. Section 2718 of the PHS Act, among other provisions, requires health insurance issuers offering individual or group coverage to submit annual reports to the Secretary on the percentages of premiums that the coverage spends on reimbursement for clinical services and activities that improve health care quality, and to provide rebates to enrollees if this spending does not meet minimum standards for a given plan year. Section 1562 of PPACA also added section 715 of the Employee Retirement Income Security Act of 1974 (ERISA) and section 9815 of the Internal Revenue Code of 1986 (the Code). These two sections effectively incorporate by reference section 2718 and other amendments to title XXVII of the PHS Act. The Departments of Health and Human Services (HHS), Labor, and the Treasury (collectively, the Departments) invite public comments in advance of future rulemaking.medical-loss-ratios-request-for-comments-regarding-section-2718-of-the-public-health-service-actFR-Doc-2010-8599
04/13/2010RuleOrganizational Integrity of Entities That Are Implementing Programs and Activities Under the Leadership ActThe Department is issuing a final rule establishing the organizational integrity requirements for Federal funding recipients under the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (Leadership Act). … 2010-8378DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Department is issuing a final rule establishing the organizational integrity requirements for Federal funding recipients under the United States Leadership Against HIV/AIDS, Tuberculosis, and Malaria Act of 2003 (Leadership Act). This rule requires that funding announcements and agreements with funding recipients include a clause that states that the recipient is opposed to prostitution and sex trafficking because of the psychological and physical risks they pose for women, men and children. This rule also modifies the requirements for recipient-affiliate separation and eliminates the requirement for an additional certification by funding recipients.organizational-integrity-of-entities-that-are-implementing-programs-and-activities-under-theFR-Doc-2010-8378
04/06/2010RuleTemporary Assistance for Needy Families (TANF) Carry-Over FundsThis final rule implements the statutory change to section 404(e) of the Social Security Act as enacted by the American Recovery and Reinvestment Act of 2009. This change allows States, Tribes and Territories to use Temporary Assistanc … 2010-7530DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis final rule implements the statutory change to section 404(e) of the Social Security Act as enacted by the American Recovery and Reinvestment Act of 2009. This change allows States, Tribes and Territories to use Temporary Assistance for Needy Families (TANF) program funds carried over from a prior year for any allowable TANF benefit, service or activity. Previously these funds could be used only to provide assistance. This final rule applies to States, local governments, and Tribes that administer the TANF program.temporary-assistance-for-needy-families-tanf-carry-over-fundsFR-Doc-2010-7530
03/30/2010Proposed RuleServe America Act Amendments to the National and Community Service Act of 1990 and the Domestic Volunteer Service Act of 1973The Corporation for National and Community Service (the Corporation) is correcting a proposed rule to implement changes to the operation of the National Service Trust and the Senior Corps programs under the Serve America Act, that appe … 2010-6962CORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceThe Corporation for National and Community Service (the Corporation) is correcting a proposed rule to implement changes to the operation of the National Service Trust and the Senior Corps programs under the Serve America Act, that appeared in the Federal Register of February 23, 2010 (75 FR 8013). That document incorrectly amended 45 CFR 2527.10(c) by removing current paragraph (c)(2). Additionally, there were two misstatements in the preamble. First, in an example to illustrate the limitation on the value of education awards an individual may receive, the preamble stated that a person who had previously earned the aggregate value of 1.71 awards could enroll in a quarter-time, minimum-time, reduced part-time, or Silver Scholar position. The inclusion of reduced part-time as an option in this example was in error. Second, the preamble incorrectly described the hardship waiver for Senior Companion and Foster Grandparent programs in the preamble. This document corrects the interim final rule by revising the preamble language providing an example of the aggregate value of education awards and the language describing the hardship waiver for Senior Companion and Foster Grandparent programs and by revising the instructions for 45 CFR 2527.10.serve-america-act-amendments-to-the-national-and-community-service-act-of-1990-and-the-domesticFR-Doc-2010-6962
03/10/2010Proposed RuleProposed Establishment of Certification Programs for Health Information TechnologyUnder the authority granted to the National Coordinator for Health Information Technology (the National Coordinator) by section 3001(c)(5) of the Public Health Service Act (PHSA) as added by the Health Information Technology for Ec … 2010-4991DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentUnder the authority granted to the National Coordinator for Health Information Technology (the National Coordinator) by section 3001(c)(5) of the Public Health Service Act (PHSA) as added by the Health Information Technology for Economic and Clinical Health (HITECH) Act, this rule proposes the establishment of two certification programs for purposes of testing and certifying health information technology. While two certification programs are described in this proposed rule, we anticipate issuing separate final rules for each of the programs. The first proposal would establish a temporary certification program whereby the National Coordinator would authorize organizations to test and certify Complete EHRs and/or EHR Modules, thereby assuring the availability of Certified EHR Technology prior to the date on which health care providers seeking the incentive payments available under the Medicare and Medicaid EHR Incentives Program may begin demonstrating meaningful use of Certified EHR Technology. The second proposal would establish a permanent certification program to replace the temporary certification program. The permanent certification program would separate the responsibilities for performing testing and certification, introduce accreditation requirements, establish requirements for certification bodies authorized by the National Coordinator related to the surveillance of Certified EHR Technology, and would include the potential for certification bodies authorized by the National Coordinator to certify other types of health information technology besides Complete EHRs and EHR Modules.proposed-establishment-of-certification-programs-for-health-information-technologyFR-Doc-2010-4991
02/25/2010RuleComputerized Tribal IV-D Systems and Office AutomationThis rule enables Tribes and Tribal organizations currently operating comprehensive Tribal Child Support Enforcement programs under Title IV-D of the Social Security Act (the Act) to apply for and receive direct Federal funding for the … 2010-3572DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis rule enables Tribes and Tribal organizations currently operating comprehensive Tribal Child Support Enforcement programs under Title IV-D of the Social Security Act (the Act) to apply for and receive direct Federal funding for the costs of automated data processing. This rule addresses the Secretary's commitment to provide instructions and guidance to Tribes and Tribal organizations on requirements for applying for, and upon approval, securing Federal Financial Participation (FFP) in the costs of installing, operating, maintaining, and enhancing automated data processing systems.computerized-tribal-iv-d-systems-and-office-automationFR-Doc-2010-3572
02/23/2010Proposed RuleServe America Act Amendments to the National and Community Service Act of 1990On April 21, 2009, President Obama signed into law the Edward M. Kennedy Serve America Act (``The Serve America Act'' or ``SAA''). The Serve America Act reauthorizes and expands national service programs administered by the Corporati … 2010-3385CORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceOn April 21, 2009, President Obama signed into law the Edward M. Kennedy Serve America Act (``The Serve America Act'' or ``SAA''). The Serve America Act reauthorizes and expands national service programs administered by the Corporation for National and Community Service (``the Corporation'') by amending the National and Community Service Act of 1990 (``NCSA'' or ``the Act'') and the Domestic Volunteer Service Act of 1973 (``DVSA''). The Corporation publishes this proposed rule to implement changes to the operation of the National Service Trust under the Serve America Act. This proposed rule provides flexibility for exceptions to the 80 percent cost reimbursement requirement for Senior Companion and Foster Grandparent programs based on hardship. In addition, this proposed rule reorders and renumbers certain parts of the existing regulations, adds new definitions, and makes several minor technical edits.serve-america-act-amendments-to-the-national-and-community-service-act-of-1990FR-Doc-2010-3385
02/11/2010RuleAttorneys' Fees; Fee-Generating Cases; Use of Non-LSC Funds, Transfers of LSC Funds, Program IntegrityLSC is repealing its regulatory prohibition on the claiming of, and the collection and retention of attorneys' fees pursuant to Federal and State law permitting or requiring the awarding of such fees. This action is taken in … 2010-2895LEGAL SERVICES CORPORATIONLegal Services CorporationLSC is repealing its regulatory prohibition on the claiming of, and the collection and retention of attorneys' fees pursuant to Federal and State law permitting or requiring the awarding of such fees. This action is taken in accordance with the elimination on the statutory prohibition on attorneys' fees in LSC's FY 2010 appropriation legislation. LSC is also moving provisions on accounting for and use of attorneys' fees and acceptance of reimbursements from clients from Part 1642 (which is being eliminated) to Part 1609 of LSC's regulations. LSC is also making technical changes to Part 1609 and Part 1610 of its regulations to remove cross references to the obsolete statutory and regulatory citations.attorneys-fees-fee-generating-cases-use-of-non-lsc-funds-transfers-of-lsc-funds-program-integrityFR-Doc-2010-2895
02/02/2010RuleInterim Final Rules Under the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008This document contains interim 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 a … 2010-2167DEPARTMENT OF THE TREASURYTreasury DepartmentThis document contains interim 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 health insurance coverage offered in connection with a group health plan.interim-final-rules-under-the-paul-wellstone-and-pete-domenici-mental-health-parity-and-addictionFR-Doc-2010-2167
01/28/2010RuleNational Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners: Reporting on Adverse and Negative ActionsThis final rule revises existing regulations under sections 401 through 432 of the Health Care Quality Improvement Act of 1986, governing the National Practitioner Data Bank for Adverse Information on Physicians and Other Health Car … 2010-1514DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThis final rule revises existing regulations under sections 401 through 432 of the Health Care Quality Improvement Act of 1986, governing the National Practitioner Data Bank for Adverse Information on Physicians and Other Health Care Practitioners, to incorporate statutory requirements under section 1921 of the Social Security Act, as amended by section 5(b) of the Medicare and Medicaid Patient and Program Protection Act of 1987 (MMPPPA), and as amended by the Omnibus Budget Reconciliation Act of 1990 (OBRA). The MMPPPA, along with certain additional provisions in the OBRA, was designed to protect program beneficiaries from unfit health care practitioners, and otherwise improve the anti-fraud provisions of Medicare and State health care programs. Section 1921, the statutory authority upon which this regulatory action is based, requires each State to adopt a system of reporting to the Secretary of Health and Human Services (the Secretary) certain adverse licensure actions taken against health care practitioners and health care entities licensed or otherwise authorized by a State (or a political subdivision thereof) to provide health care services. It also requires each State to report any negative actions or findings that a State licensing authority, peer review organization, or private accreditation entity has concluded against a health care practitioner or health care entity.national-practitioner-data-bank-for-adverse-information-on-physicians-and-other-health-careFR-Doc-2010-1514
01/13/2010RuleHealth Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record TechnologyThe Department of Health and Human Services (HHS) is issuing this interim final rule with a request for comments to adopt an initial set of standards, implementation specifications, and certification criteria, as required by sectio … E9-31216DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Department of Health and Human Services (HHS) is issuing this interim final rule with a request for comments to adopt an initial set of standards, implementation specifications, and certification criteria, as required by section 3004(b)(1) of the Public Health Service Act. This interim final rule represents the first step in an incremental approach to adopting standards, implementation specifications, and certification criteria to enhance the interoperability, functionality, utility, and security of health information technology and to support its meaningful use. The certification criteria adopted in this initial set establish the capabilities and related standards that certified electronic health record (EHR) technology will need to include in order to, at a minimum, support the achievement of the proposed meaningful use Stage 1 (beginning in 2011) by eligible professionals and eligible hospitals under the Medicare and Medicaid EHR Incentive Programs.https://www.federalregister.gov/documents/2010/01/13/E9-31216/health-information-technology-initial-set-of-standards-implementation-specifications-andFR-Doc-E9-31216
11/23/2009Proposed RuleOrganizational Integrity of Entities Implementing Leadership Act Programs and ActivitiesThe Department of Health and Human Services (HHS) is issuing this Notice of Proposed Rulemaking (NPRM) to obtain input from stakeholders and other interested parties. This is a proposal to amend the rule governing the separation that m … E9-28127DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Department of Health and Human Services (HHS) is issuing this Notice of Proposed Rulemaking (NPRM) to obtain input from stakeholders and other interested parties. This is a proposal to amend the rule governing the separation that must exist between a recipient of HHS funds to implement HIV/AIDS programs and activities under the United States Leadership Against HIV/AIDS, Tuberculosis and Malaria Act of 2003 and an affiliate organization that engages in activities that are not consistent with a policy opposing prostitution and sex trafficking. The proposed rule relaxes the criteria for recipient-- affiliate separation, and simplifies the process for compliance with the statutory requirement that recipients of HHS Leadership Act HIV/ AIDS funds have a policy explicitly opposing prostitution and sex trafficking. This proposal eliminates the requirement that recipients prepare and file additional documentation specifically to demonstrate adherence to this policy. The documentation will instead consist of a statement in the awarding document to which the prime recipient must agree in order to receive Leadership Act HIV/AIDS funds.https://www.federalregister.gov/documents/2009/11/23/E9-28127/organizational-integrity-of-entities-implementing-leadership-act-programs-and-activitiesFR-Doc-E9-28127
11/12/2009RuleImplementation of OMB Guidance on Drug-Free Workplace RequirementsThe Department of Health and Human Services (HHS or the Department) is removing its regulation implementing the Governmentwide common rule on drug-free workplace requirements for financial assistance, and issuing a new regulation … E9-27024DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Department of Health and Human Services (HHS or the Department) is removing its regulation implementing the Governmentwide common rule on drug-free workplace requirements for financial assistance, and issuing a new regulation to adopt Office of Management and Budget (OMB) guidance. This regulatory action implements the OMB's initiative to streamline and consolidate into one title of the CFR all Federal regulations on drug-free workplace requirements for financial assistance. These changes constitute an administrative simplification that would make no substantive change in HHS policy or procedures for drug-free workplace.https://www.federalregister.gov/documents/2009/11/12/E9-27024/implementation-of-omb-guidance-on-drug-free-workplace-requirementsFR-Doc-E9-27024
10/30/2009RuleHIPAA Administrative Simplification: EnforcementThe Secretary of the Department of Health and Human Services (HHS) adopts this interim final rule to conform the enforcement regulations promulgated under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to the … E9-26203DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Secretary of the Department of Health and Human Services (HHS) adopts this interim final rule to conform the enforcement regulations promulgated under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) to the effective statutory revisions made pursuant to the Health Information Technology for Economic and Clinical Health Act (the HITECH Act), which was enacted as part of the American Recovery and Reinvestment Act of 2009 (ARRA). More specifically, this interim final rule amends HIPAA's enforcement regulations, as they relate to the imposition of civil money penalties, to incorporate the HITECH Act's categories of violations, tiered ranges of civil money penalty amounts, and revised limitations on the Secretary's authority to impose civil money penalties for established violations of HIPAA's Administrative Simplification rules (HIPAA rules). This interim final rule does not make amendments with respect to those enforcement provisions of the HITECH Act that are not yet effective under the applicable statutory provisions. Such amendments will be subject to forthcoming rulemaking(s).https://www.federalregister.gov/documents/2009/10/30/E9-26203/hipaa-administrative-simplification-enforcementFR-Doc-E9-26203
10/07/2009Proposed RuleHIPAA Administrative Simplification: Standards for Privacy of Individually Identifiable Health InformationThe Department of Health and Human Services (HHS) proposes to modify certain provisions of the ``Standards for Privacy of Individually Identifiable Health Information'' (Privacy Rule), issued under the Health Insurance Portability and … E9-22492DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Department of Health and Human Services (HHS) proposes to modify certain provisions of the ``Standards for Privacy of Individually Identifiable Health Information'' (Privacy Rule), issued under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The purpose of these proposed modifications is to implement section 105 of Title I of the Genetic Information Nondiscrimination Act of 2008 (GINA) regarding the privacy and confidentiality of genetic information, as well as to make certain other changes to the HIPAA Privacy Rule.https://www.federalregister.gov/documents/2009/10/07/E9-22492/hipaa-administrative-simplification-standards-for-privacy-of-individually-identifiable-healthFR-Doc-E9-22492
10/07/2009RuleInterim Final Rules Prohibiting Discrimination Based on Genetic Information in Health Insurance Coverage and Group Health PlansThis document contains interim final rules implementing sections 101 through 103 of the Genetic Information Nondiscrimination Act of 2008. These provisions prohibit discrimination based on genetic information in health insurance covera … E9-22504DEPARTMENT OF THE TREASURYTreasury DepartmentThis document contains interim final rules implementing sections 101 through 103 of the Genetic Information Nondiscrimination Act of 2008. These provisions prohibit discrimination based on genetic information in health insurance coverage and group health plans.https://www.federalregister.gov/documents/2009/10/07/E9-22504/interim-final-rules-prohibiting-discrimination-based-on-genetic-information-in-health-insuranceFR-Doc-E9-22504
09/25/2009RuleServe America Act Amendments to the National and Community Service Act of 1990 and the Domestic Volunteer Service Act of 1973The Corporation for National and Community Service (the Corporation) is correcting an interim final rule implementing time- sensitive changes required by the Serve America Act to take effect on October 1, 2009, that appeared in the … E9-23248CORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceThe Corporation for National and Community Service (the Corporation) is correcting an interim final rule implementing time- sensitive changes required by the Serve America Act to take effect on October 1, 2009, that appeared in the Federal Register of September 10, 2009. That document included amendments to two incorrectly listed paragraphs in two section, and inadvertently quoted incorrect language from another. This document corrects those errors.https://www.federalregister.gov/documents/2009/09/25/E9-23248/serve-america-act-amendments-to-the-national-and-community-service-act-of-1990-and-the-domesticFR-Doc-E9-23248
09/10/2009RuleServe America Act Amendments to the National and Community Service Act of 1990 and the Domestic Volunteer Service Act of 1973On April 21, 2009, President Obama signed into law the Edward M. Kennedy Serve America Act (Serve America Act). The Serve America Act reauthorizes and expands national service programs administered by the Corporation for National and C … E9-21671CORPORATION FOR NATIONAL AND COMMUNITY SERVICECorporation for National and Community ServiceOn April 21, 2009, President Obama signed into law the Edward M. Kennedy Serve America Act (Serve America Act). The Serve America Act reauthorizes and expands national service programs administered by the Corporation for National and Community Service (``the Corporation'') by amending the National and Community Service Act of 1990 (NCSA) and the Domestic Volunteer Service Act of 1973 (DVSA). The Corporation publishes this interim final rule to implement time-sensitive changes that are required by the Serve America Act to take effect on October 1, 2009. In addition to aligning statutory amendments with the NCSA and DVSA, the interim final rule reorders and renumbers certain parts of the existing regulations and expands the construction and use of defined terms.https://www.federalregister.gov/documents/2009/09/10/E9-21671/serve-america-act-amendments-to-the-national-and-community-service-act-of-1990-and-the-domesticFR-Doc-E9-21671
08/24/2009RuleBreach Notification for Unsecured Protected Health InformationThe Department of Health and Human Services (HHS) is issuing this interim final rule with a request for comments to require notification of breaches of unsecured protected health information. Section 13402 of the Health Information Tec … E9-20169DEPARTMENT OF HEALTH AND HUMAN SERVICESHealth and Human Services DepartmentThe Department of Health and Human Services (HHS) is issuing this interim final