80_FR_16471 80 FR 16412 - Medicare Program; Renewal of the Medicare Evidence Development & Coverage Advisory Committee (MEDCAC)

80 FR 16412 - Medicare Program; Renewal of the Medicare Evidence Development & Coverage Advisory Committee (MEDCAC)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services

Federal Register Volume 80, Issue 59 (March 27, 2015)

Page Range16412-16412
FR Document2015-07105

This notice announces the renewal of the Medicare Evidence Development & Coverage Advisory Committee (MEDCAC).

Federal Register, Volume 80 Issue 59 (Friday, March 27, 2015)
[Federal Register Volume 80, Number 59 (Friday, March 27, 2015)]
[Notices]
[Page 16412]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-07105]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-3318-N]


Medicare Program; Renewal of the Medicare Evidence Development & 
Coverage Advisory Committee (MEDCAC)

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

ACTION: Notice.

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

SUMMARY: This notice announces the renewal of the Medicare Evidence 
Development & Coverage Advisory Committee (MEDCAC).

FOR FURTHER INFORMATION CONTACT: Maria Ellis, (410) 786-0309. 
Additional information on the MEDCAC, including a copy of the Charter, 
is available at http://www.cms.gov/Regulations-and-Guidance/Guidance/FACA/MEDCAC.html. A copy of the charter may also be obtained by 
submitting a request to Maria Ellis via phone or via email at 
[email protected].

SUPPLEMENTARY INFORMATION:

I. Background

    On December 14, 1998, we published a notice in the Federal Register 
(63 FR 68780) announcing the establishment of the Medicare Coverage 
Advisory Committee (MCAC). The Secretary signed the initial charter for 
the MCAC on November 24, 1998. The MCAC was originally established to 
provide independent guidance and expert advice to CMS on specific 
clinical topics. In 2007, the Charter was renewed and the name MCAC was 
modified to Medicare Evidence Development and Coverage Advisory 
Committee (MEDCAC) to more accurately reflect the Committee's role. The 
MEDCAC is advisory, with the final decision on all issues resting with 
CMS. Under the current charter, the MEDCAC advises the Secretary of the 
Department of Health and Human Services (DHHS) (the Secretary) and the 
Administrator of the Centers for Medicare & Medicaid Services (CMS) on 
the quality of evidence on clinical topics under review by CMS.
    The MEDCAC consists of a pool of 100 appointed members who serve 
overlapping 2-year terms. Members shall be invited to serve for two 
terms (up to 4 years total). Members are selected from among 
authorities in clinical and administrative medicine, biologic and 
physical sciences, public health administration, health care data and 
information management and analysis, the economics of health care, 
medical ethics, and other related professions, as well as advocates for 
patients. Of the pool of 100 members, a maximum of 94 members shall be 
at-large standing members (this includes 6 members who shall be patient 
advocates) and 6 shall be members representing industry interests. The 
Secretary or designee appoints a Chair and Vice-Chair from among the 
pool of at-large members.

II. Provisions of This Notice

    This notice announces the renewal of the MEDCAC charter by the 
Secretary, effective November 24, 2014. The MEDCAC charter is effective 
for 2 years. Among other things, the new charter states that the 
committee will hold four to eight meetings over the life of the 
committee. Formerly, the charter allowed up to 16 meetings over the 
life of the committee.
    The MEDCAC functions on a committee basis. The MEDCAC hears public 
testimony; reviews medical literature, technology assessments and other 
relevant evidence; and advises CMS on the strength and weaknesses of 
that evidence. The MEDCAC also advises CMS of any evidence gaps that 
may exist and recommends the types of evidence that should be developed 
to fill those evidentiary gaps. The Committee may be asked to develop 
recommendations about specific issues related to Medicare coverage, 
and/or to review and comment upon proposed or existing Medicare 
coverage policies. The Committee may also be asked to comment on 
pertinent aspects of coverage proposals being considered and other 
policies. The Committee works from an agenda provided by a designated 
Federal official, which lists specific issues to be reviewed.

    Authority: 5 U.S.C. App. 2, section 10(a)(1) and (a)(2).

    Dated: March 20, 2015.
Patrick Conway,
Deputy Administrator for Innovation and Quality and CMS Chief Medical 
Officer, Centers for Medicare & Medicaid Services.
[FR Doc. 2015-07105 Filed 3-26-15; 8:45 am]
 BILLING CODE 4120-01-P



                                                  16412                           Federal Register / Vol. 80, No. 59 / Friday, March 27, 2015 / Notices

                                                     • Costs of federal inspections of                      Dated: March 10, 2015.                              overlapping 2-year terms. Members
                                                  laboratories in the state to verify that                Andrew M. Slavitt,                                    shall be invited to serve for two terms
                                                  New York State’s laboratory licensure                   Acting Administrator, Centers for Medicare            (up to 4 years total). Members are
                                                  program requirements are equivalent to                  & Medicaid Services.                                  selected from among authorities in
                                                  or more stringent than those in the CLIA                [FR Doc. 2015–07113 Filed 3–26–15; 8:45 am]           clinical and administrative medicine,
                                                  program, and that they are enforced in                  BILLING CODE 4120–01–P                                biologic and physical sciences, public
                                                  an appropriate manner. The average                                                                            health administration, health care data
                                                  federal hourly rate is multiplied by the                                                                      and information management and
                                                  total hours required to perform federal                 DEPARTMENT OF HEALTH AND                              analysis, the economics of health care,
                                                  validation surveys within the state.                    HUMAN SERVICES                                        medical ethics, and other related
                                                     • Costs incurred for federal surveys,                Centers for Medicare & Medicaid                       professions, as well as advocates for
                                                  including investigations of complaints                  Services                                              patients. Of the pool of 100 members, a
                                                  that are substantiated. We will bill the                                                                      maximum of 94 members shall be at-
                                                                                                          [CMS–3318–N]                                          large standing members (this includes 6
                                                  State of New York on a semiannual
                                                  basis.                                                  Medicare Program; Renewal of the                      members who shall be patient
                                                     • The State of New York’s                            Medicare Evidence Development &                       advocates) and 6 shall be members
                                                  proportionate share of the costs                        Coverage Advisory Committee                           representing industry interests. The
                                                  associated with establishing,                           (MEDCAC)                                              Secretary or designee appoints a Chair
                                                  maintaining, and improving the CLIA                                                                           and Vice-Chair from among the pool of
                                                                                                          AGENCY: Centers for Medicare &                        at-large members.
                                                  computer system, based on the portion                   Medicaid Services (CMS), HHS.
                                                  of those services from which the State                  ACTION: Notice.                                       II. Provisions of This Notice
                                                  of New York received direct benefit or
                                                  which contributed to the CLIA program                   SUMMARY:   This notice announces the                     This notice announces the renewal of
                                                  in the state. Thus, the State of New York               renewal of the Medicare Evidence                      the MEDCAC charter by the Secretary,
                                                  is being charged for a portion of our                   Development & Coverage Advisory                       effective November 24, 2014. The
                                                  direct and indirect costs of                            Committee (MEDCAC).                                   MEDCAC charter is effective for 2 years.
                                                  administering the CLIA program. Such                    FOR FURTHER INFORMATION CONTACT:                      Among other things, the new charter
                                                  costs will be incurred by CMS, the                      Maria Ellis, (410) 786–0309. Additional               states that the committee will hold four
                                                  Centers for Disease Control and                         information on the MEDCAC, including                  to eight meetings over the life of the
                                                  Prevention (CDC), the Food and Drug                     a copy of the Charter, is available at                committee. Formerly, the charter
                                                  Administration (FDA) and contractors                    http://www.cms.gov/Regulations-and-                   allowed up to 16 meetings over the life
                                                  working on behalf of these respective                   Guidance/Guidance/FACA/                               of the committee.
                                                  agencies.                                               MEDCAC.html. A copy of the charter                       The MEDCAC functions on a
                                                                                                          may also be obtained by submitting a                  committee basis. The MEDCAC hears
                                                     To estimate the State of New York’s
                                                                                                          request to Maria Ellis via phone or via
                                                  proportionate share of the general                                                                            public testimony; reviews medical
                                                                                                          email at Maria.Ellis@cms.hhs.gov.
                                                  overhead costs to develop and                                                                                 literature, technology assessments and
                                                                                                          SUPPLEMENTARY INFORMATION:
                                                  implement CLIA, we determined the                                                                             other relevant evidence; and advises
                                                  ratio of laboratories in the state to the               I. Background                                         CMS on the strength and weaknesses of
                                                  total number of laboratories nationally.                   On December 14, 1998, we published                 that evidence. The MEDCAC also
                                                  Approximately 1.5 percent of the                        a notice in the Federal Register (63 FR               advises CMS of any evidence gaps that
                                                  registered laboratories are in the State of             68780) announcing the establishment of                may exist and recommends the types of
                                                  New York. We determined that a                          the Medicare Coverage Advisory                        evidence that should be developed to
                                                  corresponding percentage of the                         Committee (MCAC). The Secretary                       fill those evidentiary gaps. The
                                                  applicable CMS, CDC, FDA, and their                     signed the initial charter for the MCAC               Committee may be asked to develop
                                                  respective contractor costs should be                   on November 24, 1998. The MCAC was                    recommendations about specific issues
                                                  borne by the State of New York.                         originally established to provide                     related to Medicare coverage, and/or to
                                                     The State of New York has agreed to                  independent guidance and expert                       review and comment upon proposed or
                                                  pay the state’s pro rata share of the                   advice to CMS on specific clinical                    existing Medicare coverage policies. The
                                                  anticipated overhead costs and costs of                 topics. In 2007, the Charter was                      Committee may also be asked to
                                                  actual validation (including complaint                  renewed and the name MCAC was                         comment on pertinent aspects of
                                                  investigation surveys). A final                         modified to Medicare Evidence                         coverage proposals being considered
                                                  reconciliation for all laboratories and all             Development and Coverage Advisory                     and other policies. The Committee
                                                  expenses will be made. We will                          Committee (MEDCAC) to more                            works from an agenda provided by a
                                                  reimburse the state for any overpayment                 accurately reflect the Committee’s role.              designated Federal official, which lists
                                                                                                          The MEDCAC is advisory, with the final                specific issues to be reviewed.
                                                  or bill it for any balance.
                                                                                                          decision on all issues resting with CMS.
                                                  II. Approval                                            Under the current charter, the MEDCAC                   Authority: 5 U.S.C. App. 2, section 10(a)(1)
                                                                                                          advises the Secretary of the Department               and (a)(2).
                                                     In light of the foregoing, we grant
mstockstill on DSK4VPTVN1PROD with NOTICES




                                                                                                          of Health and Human Services (DHHS)                     Dated: March 20, 2015.
                                                  approval of the State of New York’s                     (the Secretary) and the Administrator of              Patrick Conway,
                                                  laboratory licensure program, CLEP,                     the Centers for Medicare & Medicaid
                                                  under subpart E. All laboratories located                                                                     Deputy Administrator for Innovation and
                                                                                                          Services (CMS) on the quality of                      Quality and CMS Chief Medical Officer,
                                                  within the State of New York that hold                  evidence on clinical topics under                     Centers for Medicare & Medicaid Services.
                                                  valid CLEP permits are CLIA-exempt for                  review by CMS.                                        [FR Doc. 2015–07105 Filed 3–26–15; 8:45 am]
                                                  all specialties and subspecialties until                   The MEDCAC consists of a pool of
                                                  March 27, 2021.                                                                                               BILLING CODE 4120–01–P
                                                                                                          100 appointed members who serve


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Document Created: 2015-12-18 11:37:03
Document Modified: 2015-12-18 11:37:03
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
ContactMaria Ellis, (410) 786-0309. Additional information on the MEDCAC, including a copy of the Charter, is available at http://www.cms.gov/Regulations-and-Guidance/Guidance/ FACA/MEDCAC.html. A copy of the charter may also be obtained by submitting a request to Maria Ellis via phone or via email at [email protected]
FR Citation80 FR 16412 

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