80_FR_35133 80 FR 35016 - Regulatory Agenda

80 FR 35016 - Regulatory Agenda

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary
Department of Homeland Security

Federal Register Volume 80, Issue 117 (June 18, 2015)

Page Range35016-35029
FR Document2015-14352

The Regulatory Flexibility Act of 1980 and Executive Order (E.O.) 12866 require the semiannual issuance of an inventory of rulemaking actions under development throughout the Department, offering for public review summarized information about forthcoming regulatory actions.

Federal Register, Volume 80 Issue 117 (Thursday, June 18, 2015)
[Federal Register Volume 80, Number 117 (Thursday, June 18, 2015)]
[Unknown Section]
[Pages 35016-35029]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-14352]



[[Page 35015]]

Vol. 80

Thursday,

No. 117

June 18, 2015

Part VII





Department of Health and Human Services





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Unified Agenda

Federal Register / Vol. 80 , No. 117 / Thursday, June 18, 2015 / 
Unified Agenda

[[Page 35016]]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary

21 CFR Ch. I

25 CFR Ch. V

42 CFR Chs. I-V

45 CFR Subtitle A; Subtitle B, Chs. II, III, and XIII


Regulatory Agenda

AGENCY: Office of the Secretary, HHS.

ACTION: Semiannual Regulatory Agenda.

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

SUMMARY: The Regulatory Flexibility Act of 1980 and Executive Order 
(E.O.) 12866 require the semiannual issuance of an inventory of 
rulemaking actions under development throughout the Department, 
offering for public review summarized information about forthcoming 
regulatory actions.

FOR FURTHER INFORMATION CONTACT: C'Reda J. Weeden, Executive Secretary, 
Department of Health and Human Services, 200 Independence Avenue SW., 
Washington, DC 20201; (202) 690-5627.

SUPPLEMENTARY INFORMATION: The Department of Health and Human Services 
(HHS) is the Federal government's lead agency for protecting the health 
of all Americans and providing essential human services, especially for 
those who are least able to help themselves. HHS enhances the health 
and well-being of Americans by promoting effective health and human 
services and by fostering sound, sustained advances in the sciences 
underlying medicine, public health, and social services.
    This Agenda presents the rulemaking activities that the Department 
expects to undertake this year to advance this mission. The Agenda 
furthers several Departmental goals, including strengthening health 
care; advancing scientific knowledge and innovation; advancing the 
health, safety, and well-being of the American people; increasing 
efficiency, transparency, and accountability of HHS programs; and 
strengthening the nation's health and human services infrastructure and 
workforce.
    In the rules outlined for this Agenda, HHS continues its work to 
build a better, smarter, and stronger health care delivery system. Our 
aspiration is for patients to receive higher quality of care, for 
medical information to be easy to understand, and for health care 
dollars to be spent more wisely. We welcome the opportunity to build a 
more transparent health care delivery system and strengthen 
partnerships with patients, physicians, governments, and businesses. We 
continue our work by helping more people get and keep health insurance 
coverage and making health care more affordable for working families.
    In addition, HHS strives to lead in the advancement of scientific 
knowledge and innovation to enable our nation's scientists and 
researchers to continue making new and improved vaccines, cures, 
therapies, and rapid diagnostics. The accompanying regulations promote 
advancements in science, research, and innovation to attract the best 
experts to accelerate cures; reduce administrative burdens and 
duplication; and promote data sharing to protect the health of the 
American people.
    HHS has an agency-wide effort to support the Agenda's purpose of 
encouraging more effective public participation in the regulatory 
process and promote increase transparency to the public regarding our 
regulatory activity. For example, to encourage public participation, we 
regularly update our regulatory Web page (http://www.HHS.gov/regulations) which includes links to HHS rules currently open for 
public comment, and also provides a ``regulations toolkit'' with 
background information on regulations, the commenting process, how 
public comments influence the development of a rule, and how the public 
can provide effective comments. HHS also actively encourages meaningful 
public participation in its retrospective review of regulations, 
through a comment form on the HHS retrospective review Web page (http://www.HHS.gov/RetrospectiveReview).
    The rulemaking abstracts included in this paper issue of the 
Federal Register cover, as required by the Regulatory Flexibility Act 
of 1980, those prospective HHS rulemakings likely to have a significant 
economic impact on a substantial number of small entities. The 
Department's complete Regulatory Agenda is accessible online at http://www.Reglnfo.gov.

C'Reda J. Weeden,
Executive Secretary to the Department.

  Substance Abuse and Mental Health Services Administration--Completed
                                 Actions
------------------------------------------------------------------------
                                                           Regulation
       Sequence No.                    Title             Identifier No.
------------------------------------------------------------------------
99........................  SAMHSA User Fees for               0930-AA18
                             Publications.
------------------------------------------------------------------------


            Food and Drug Administration--Proposed Rule Stage
------------------------------------------------------------------------
                                                           Regulation
       Sequence No.                    Title             Identifier No.
------------------------------------------------------------------------
100.......................  Over-the-Counter (OTC)             0910-AF31
                             Drug Review--Cough/Cold
                             (Antihistamine) Products.
101.......................  Over-the-Counter (OTC)             0910-AF69
                             Drug Review--Topical
                             Antimicrobial Drug
                             Products.
102.......................  Abbreviated New Drug               0910-AF97
                             Applications and
                             505(b)(2).
103.......................  Updated Standards for              0910-AG09
                             Labeling of Pet Food.
104.......................  Electronic Distribution of         0910-AG18
                             Prescribing Information
                             for Human Prescription
                             Drugs Including
                             Biological Products.
105.......................  Requirements for the               0910-AG59
                             Testing and Reporting of
                             Tobacco Product
                             Constituents,
                             Ingredients, and
                             Additives.
106.......................  Format and Content of              0910-AG96
                             Reports Intended to
                             Demonstrate Substantial
                             Equivalence.
107.......................  Food Labeling; Gluten-Free         0910-AH00
                             Labeling of Fermented,
                             Hydrolyzed, or Distilled
                             Foods.
108.......................  Radiology Devices;                 0910-AH03
                             Designation of Special
                             Controls for the Computed
                             Tomography X-Ray System.
109.......................  Mammography Quality                0910-AH04
                             Standards Act; Regulatory
                             Amendments.
110.......................  Investigational New Drug           0910-AH07
                             Application Annual
                             Reporting.
111.......................  General and Plastic                0910-AH14
                             Surgery Devices: Sunlamp
                             Products.
112.......................  Requirements for Tobacco           0910-AH22
                             Product Manufacturing
                             Practice.
------------------------------------------------------------------------


[[Page 35017]]


             Food and Drug Administration--Final Rule Stage
------------------------------------------------------------------------
                                                           Regulation
       Sequence No.                    Title             Identifier no.
------------------------------------------------------------------------
113.......................  Requirements for Foreign           0910-AA49
                             and Domestic
                             Establishment
                             Registration and Listing
                             for Human Drugs,
                             Including Drugs That Are
                             Regulated Under a
                             Biologics License
                             Application, and Animal
                             Drugs.
114.......................  Food Labeling; Revision of         0910-AF22
                             the Nutrition and
                             Supplement Facts Labels.
115.......................  Food Labeling: Serving             0910-AF23
                             Sizes of Foods That Can
                             Reasonably Be Consumed At
                             One-Eating Occasion; Dual-
                             Column Labeling;
                             Updating, Modifying, and
                             Establishing Certain
                             RACCs.
116.......................  Laser Products; Amendment          0910-AF87
                             to Performance Standard.
117.......................  Current Good Manufacturing         0910-AG10
                             Practice and Hazard
                             Analysis and Risk-Based
                             Preventive Controls for
                             Food for Animals.
118.......................  Standards for the Growing,         0910-AG35
                             Harvesting, Packing, and
                             Holding of Produce for
                             Human Consumption.
119.......................  Current Good Manufacturing         0910-AG36
                             and Hazard Analysis, and
                             Risk-Based Preventive
                             Controls for Human Food.
120.......................  ``Tobacco Products''               0910-AG38
                             Subject to the Federal
                             Food, Drug, and Cosmetic
                             Act, as Amended by the
                             Family Smoking Prevention
                             and Tobacco Control Act.
121.......................  Human Subject Protection;          0910-AG48
                             Acceptance of Data From
                             Clinical Investigations
                             for Medical Devices.
122.......................  Foreign Supplier                   0910-AG64
                             Verification Program.
123.......................  Supplemental Applications          0910-AG94
                             Proposing Labeling
                             Changes for Approved
                             Drugs and Biological
                             Products.
124.......................  Veterinary Feed Directive.         0910-AG95
125.......................  Sanitary Transportation of         0910-AG98
                             Human and Animal Food.
------------------------------------------------------------------------


             Food and Drug Administration--Long-Term Actions
------------------------------------------------------------------------
                                                           Regulation
       Sequence No.                    Title             Identifier No.
------------------------------------------------------------------------
126.......................  Focused Mitigation                 0910-AG63
                             Strategies To Protect
                             Food Against Intentional
                             Adulteration.
------------------------------------------------------------------------


             Food and Drug Administration--Completed Actions
------------------------------------------------------------------------
                                                           Regulation
       Sequence No.                    Title             Identifier No.
------------------------------------------------------------------------
127.......................  Content and Format of              0910-AF11
                             Labeling for Human
                             Prescription Drugs and
                             Biologics; Requirements
                             for Pregnancy and
                             Lactation Labeling.
128.......................  Food Labeling: Calorie             0910-AG56
                             Labeling of Articles of
                             Food Sold in Vending
                             Machines.
129.......................  Food Labeling: Nutrition           0910-AG57
                             Labeling of Standard Menu
                             Items in Restaurants and
                             Similar Retail Food
                             Establishments.
------------------------------------------------------------------------


      Centers for Medicare & Medicaid Services--Proposed Rule Stage
------------------------------------------------------------------------
                                                           Regulation
       Sequence No.                    Title             Identifier No.
------------------------------------------------------------------------
130.......................  Reform of Requirements for         0938-AR61
                             Long-Term Care Facilities
                             (CMS-3260-P) (Rulemaking
                             Resulting From a Section
                             610 Review).
131.......................  Electronic Health Record           0938-AS26
                             (EHR) Incentive Programs--
                             Stage 3 (CMS-3310-F)
                             (Section 610 Review).
132.......................  Medicare Clinical                  0938-AS33
                             Diagnostic Laboratory
                             Test Payment System (CMS-
                             1621-P) (Section 610
                             Review).
133.......................  CY 2016 Revisions to               0938-AS40
                             Payment Policies Under
                             the Physician Fee
                             Schedule and Other
                             Revisions to Medicare
                             Part B (CMS-1631-P).
134.......................  Hospital Inpatient                 0938-AS41
                             Prospective Payment
                             System for Acute Care
                             Hospitals and the Long-
                             Term Care Hospital
                             Prospective Payment
                             System and FY 2016 Rates
                             (CMS-1632-F).
135.......................  CY 2016 Hospital                   0938-AS42
                             Outpatient PPS Policy
                             Changes and Payment Rates
                             and Ambulatory Surgical
                             Center Payment System
                             Policy Changes and
                             Payment Rates (CMS-1633-
                             P).
136.......................  FY 2016 Inpatient                  0938-AS45
                             Rehabilitation Facility
                             Prospective Payment
                             System (CMS-1624-F)
                             (Section 610 Review).
137.......................  Electronic Health Record           0938-AS58
                             Incentive Program--
                             Modifications to
                             Meaningful Use in 2015
                             through 2017 (CMS-3311-F)
                             (Section 610 Review).
------------------------------------------------------------------------


       Centers for Medicare & Medicaid Services--Final Rule Stage
------------------------------------------------------------------------
                                                           Regulation
       Sequence No.                    Title             Identifier No.
------------------------------------------------------------------------
138.......................  Covered Outpatient Drugs           0938-AQ41
                             (CMS-2345-F) (Section 610
                             Review).
------------------------------------------------------------------------


[[Page 35018]]


       Centers for Medicare & Medicaid Services--Long-Term Actions
------------------------------------------------------------------------
                                                           Regulation
       Sequence No.                    Title             identifier No.
------------------------------------------------------------------------
139.......................  Home Health Agency                 0938-AG81
                             Conditions of
                             Participation (CMS-3819-
                             F) (Rulemaking Resulting
                             From a Section 610
                             Review).
140.......................  Emergency Preparedness             0938-AO91
                             Requirements for Medicare
                             and Medicaid
                             Participating Providers
                             and Suppliers (CMS-3178-
                             F) (Section 610 Review).
141.......................  Medicare Shared Savings            0938-AS06
                             Program; Accountable Care
                             Organizations (CMS-1461-
                             F) (Section 610 Review).
142.......................  Hospital and Critical              0938-AS21
                             Access Hospital (CAH)
                             Changes to Promote
                             Innovation, Flexibility,
                             and Improvement in
                             Patient Care (CMS-3295-P)
                             (Rulemaking Resulting
                             From a Section 610
                             Review).
------------------------------------------------------------------------


DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)

Substance Abuse and Mental Health Services Administration (SAMHSA)

Completed Actions

99. SAMHSA USER FEES FOR PUBLICATIONS

    Legal Authority: 31 U.S.C. 9701; 31 U.S.C. 1111; E.O. 8284; E.O. 
11541; Pub. L. 113-76
    Abstract: SAMSHA is proposing to implement a modest cost recovery 
program to partially offset the high costs of distributing its 
materials to the public. This user fee would apply only to over-the-
limit'' non-governmental orders. An over the limit'' order is defined 
as an order that exceeds either the average weight value (3.75 lbs) or 
the average number of copies (8). The non-governmental orders'' do not 
include: SAMHSA's Recovery Month bulk orders; orders by SAMHSA staff 
for meetings or conferences; and orders from .gov'' and .mil'' 
addresses. Therefore, it is assumed that SAMHSA would not charge 
shipping for orders by other Federal, State, and local government 
agencies. The proposed rule would implement recent legislation allowing 
the funds collected as part of a user fee for publications and data 
requests to be available to SAMHSA until expended.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
Withdrawn...........................   03/19/15  .......................
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Brian Altman, Legislative Director, Department of 
Health and Human Services, Substance Abuse and Mental Health Services 
Administration, 1 Choke Cherry Road, Rockville, MD 02857, Phone: 240 
276-2009, Email: brian.altman@samhsa.gov.
    RIN: 0930-AA18

DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)

Food and Drug Administration (FDA)

Proposed Rule Stage

100. Over-the-Counter (OTC) Drug Review--Cough/Cold (Antihistamine) 
Products

    Legal Authority: 21 U.S.C. 321p; 21 U.S.C. 331; 21 U.S.C. 351 to 
353; 21 U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
    Abstract: FDA will be proposing a rule to add the common cold 
indication to certain over-the-counter (OTC) antihistamine active 
ingredients. This proposed rule is the result of collaboration under 
the U.S.-Canada Regulatory Cooperation Council (RCC) as part of efforts 
to reduce unnecessary duplication and differences. This pilot exercise 
will help determine the feasibility of developing an ongoing mechanism 
for alignment in review and adoption of OTC drug monograph elements.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
Reopening of Administrative Record..   08/25/00  65 FR 51780
Comment Period End..................   11/24/00  .......................
NPRM (Amendment) (Common Cold)......   09/00/15  .......................
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Janice Adams-King, Regulatory Health Project 
Manager, Department of Health and Human Services, Food and Drug 
Administration, Center for Drug Evaluation and Research, WO 22, Room 
5416, 10903 New Hampshire Avenue, Silver Spring, MD 20993, Phone: 301 
796-3713, Fax: 301 796-9899, Email: janice.adams-king@fda.hhs.gov.
    RIN: 0910-AF31

101. Over-the-Counter (OTC) Drug Review--Topical Antimicrobial Drug 
Products

    Legal Authority: 21 U.S.C. 321p; 21 U.S.C. 331; 21 U.S.C. 351 to 
353; 21 U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
    Abstract: The OTC drug review establishes conditions under which 
OTC drugs are considered generally recognized as safe and effective, 
and not misbranded. After a final monograph (i.e., final rule) is 
issued, only OTC drugs meeting the conditions of the monograph, or 
having an approved new drug application, may be legally marketed. This 
action addresses antimicrobial agents in healthcare antiseptic 
products.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM (Healthcare)...................   06/17/94  59 FR 31402
Comment Period End..................   12/15/95  .......................
NPRM (Consumer Hand Wash Products)..   12/17/13  78 FR 76443
NPRM (Healthcare Antiseptic)........   05/01/15  80 FR 25166
NPRM Comment Period End.............   10/28/15  .......................
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Janice Adams-King, Regulatory Health Project 
Manager, Department of Health and Human Services, Food and Drug 
Administration, Center for Drug Evaluation and Research, WO 22, Room 
5416, 10903 New Hampshire Avenue, Silver Spring, MD 20993, Phone: 301 
796-3713, Fax: 301 796-9899, Email: janice.adams-king@fda.hhs.gov.
    RIN: 0910-AF69

102. Abbreviated New Drug Applications and 505(B)(2)

    Legal Authority: Pub. L. 108-173, title XI; 21 U.S.C. 355; 21 
U.S.C. 371
    Abstract: This proposed rule would make changes to certain 
procedures for Abbreviated New Drug Applications

[[Page 35019]]

and related applications to patent certifications, notice to patent 
owners and application holders, the availability of a 30-month stay of 
approval, amendments and supplements, and the types of bioavailability 
and bioequivalence data that can be used to support these applications.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   02/06/15  80 FR 6802
NPRM Comment Period Extended........   04/24/15  80 FR 22953
NPRM Comment Period End.............   05/07/15  .......................
NPRM Comment Period Extended End....   06/08/15  .......................
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Janice L. Weiner, Senior Regulatory Counsel, 
Department of Health and Human Services, Food and Drug Administration, 
Center for Drug Evaluation and Research, WO 51, Room 6268, 10903 New 
Hampshire Avenue, Silver Spring, MD 20993-0002, Phone: 301 796-3601, 
Fax: 301 847-8440, Email: janice.weiner@fda.hhs.gov.
    RIN: 0910-AF97

103. Updated Standards for Labeling of Pet Food

    Legal Authority: 21 U.S.C. 343; 21 U.S.C. 371; Pub. L. 110-85, sec 
1002(a)(3)
    Abstract: FDA is proposing updated standards for the labeling of 
pet food that include nutritional and ingredient information, as well 
as style and formatting standards. FDA is taking this action to provide 
pet owners and animal health professionals more complete and consistent 
information about the nutrient content and ingredient composition of 
pet food products.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   09/00/15  .......................
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: William Burkholder, Veterinary Medical Officer, 
Department of Health and Human Services, Food and Drug Administration, 
Center for Veterinary Medicine, MPN-4, Room 2642, HFV-228, 7519 
Standish Place, Rockville, MD 20855, Phone: 240 402-5900, Email: 
william.burkholder@fda.hhs.gov.
    RIN: 0910-AG09

104. Electronic Distribution of Prescribing Information for Human 
Prescription Drugs Including Biological Products

    Legal Authority: 21 U.S.C. 321; 21 U.S.C. 331; 21 U.S.C. 351; 21 
U.S.C. 352; 21 U.S.C. 353; 21 U.S.C. 355; 21 U.S.C. 358; 21 U.S.C. 360; 
21 U.S.C. 360b; 21 U.S.C. 360gg to 360ss; 21 U.S.C. 371; 21 U.S.C. 374; 
21 U.S.C. 379e; 42 U.S.C. 216; 42 U.S.C. 241; 42 U.S.C. 262; 42 U.S.C. 
264
    Abstract: This rule would require electronic package inserts for 
human drug and biological prescription products with limited 
exceptions, in lieu of paper, which is currently used. These inserts 
contain prescribing information intended for healthcare practitioners. 
This would ensure that the information accompanying the product is the 
most up-to-date information regarding important safety and efficacy 
issues about these products.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   12/18/14  79 FR 75506
NPRM Comment Period Extended........   03/09/15  80 FR 12364
NPRM Comment Period End.............   03/18/15  .......................
NPRM Comment Period Extended End....   05/18/15  .......................
Final Action........................   03/00/16  .......................
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Emily Gebbia, Regulatory Counsel, Department of 
Health and Human Services, Food and Drug Administration, Center for 
Drug Evaluation and Research, 10903 New Hampshire Avenue, Building 51, 
Room 6226, Silver Spring, MD 20993, Phone: 240 402-0980, Email: 
emily.gebbia@fda.hhs.gov.
    RIN: 0910-AG18

105. Requirements for the Testing and Reporting of Tobacco Product 
Constituents, Ingredients, and Additives

    Legal Authority: 21 U.S.C. 301 et seq.et seq.; 21 U.S.C. 387; The 
Family Smoking Prevention and Tobacco Control Act
    Abstract: The Federal Food, Drug, and Cosmetic Act, as amended by 
the Family Smoking Prevention and Tobacco Control Act, requires the 
Food and Drug Administration to promulgate regulations that require the 
testing and reporting of tobacco product constituents, ingredients, and 
additives, including smoke constituents, that the Agency determines 
should be tested to protect the public health.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   02/00/16  .......................
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Laura Rich, Senior Regulatory Counsel, Department 
of Health and Human Services, Food and Drug Administration, Center for 
Tobacco Products, 10903 New Hampshire Avenue, Building 71, G335, Silver 
Spring, MD 20993, Phone: 877 287-1373, Email: 
ctpregulations@fda.hhs.gov.
    RIN: 0910-AG59

106. Format and Content of Reports Intended to Demonstrate Substantial 
Equivalence

    Legal Authority: 21 U.S.C. 387e(j); 21 U.S.C. 387j(a); secs 905(j) 
and 910(a) of the Federal Food, Drug, and Cosmetic Act
    Abstract: This regulation would establish the format and content of 
reports intended to demonstrate substantial equivalence. This 
regulation also would provide information as to how the Agency will 
review and act on these submissions.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   11/00/15  .......................
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Annette L. Marthaler, Regulatory Counsel, 
Department of Health and Human Services, Food and Drug Administration, 
Center for Tobacco Products, Document Control Center, Building 71, Room 
G335, 10903 New Hampshire Avenue, Silver Spring, MD 20993, Phone: 877 
287-1373, Fax: 877 287-1426, Email: ctpregulations@fda.hhs.gov.
    RIN: 0910-AG96

107. Food Labeling; Gluten-Free Labeling of Fermented, Hydrolyzed, or 
Distilled Foods

    Legal Authority: sec 206 of the Food Allergen Labeling and Consumer 
Protection Act; 21 U.S.C. 343(a)(1); 21 U.S.C. 321(n); 21 U.S.C. 371(a)
    Abstract: This proposed rule would establish requirements 
concerning compliance for using a ``gluten-free'' labeling claim for 
those foods for which there is no scientifically valid analytical 
method available that can reliably detect and accurately quantify the 
presence of

[[Page 35020]]

20 parts per million (ppm) gluten in the food.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   05/00/15  .......................
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Felicia Billingslea, Director, Food Labeling and 
Standard Staff, Department of Health and Human Services, Food and Drug 
Administration, Room 4D045, HFS 820, 5100 Paint Branch Parkway, College 
Park, MD 20740, Phone: 240 402-1803, Fax: 301 436-2636, Email: 
felicia.billingslea@fda.hhs.gov.
    RIN: 0910-AH00

108. Radiaology Devices; Designation of Special Controls for the 
Computed Tomography X-Ray System

    Legal Authority: 21 U.S.C. 360c
    Abstract: The proposed rule would establish special controls for 
the computed tomography (CT) X-ray system. A CT X-ray system is a 
diagnostic X-ray imaging system intended to produce cross-sectional 
images of the body through use of a computer to reconstruct an image 
from the same axial plane taken at different angles. High doses of 
ionizing radiation can cause acute (deterministic) effects such as 
burns, reddening of the skin, cataracts, hair loss, sterility, and, in 
extremely high doses, radiation poisoning. The design of a CT X-ray 
system should balance the benefits of the device (i.e., the ability of 
the device to produce a diagnostic quality image) with the known risks 
(e.g., exposure to ionizing radiation). FDA is establishing proposed 
special controls, which, when combined with the general controls, would 
provide reasonable assurance of the safety and effectiveness of a class 
II CT X-ray system.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   03/00/16  .......................
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Erica Blake, Regulatory Counsel, Department of 
Health and Human Services, Food and Drug Administration, Center for 
Devices and Radiological Health, WO 66, Room 4426, 10903 New Hampshire 
Avenue, Silver Spring, MD 20993, Phone: 301 796-6248, Fax: 301 847-
8145, Email: erica.blake@fda.hhs.gov.
    RIN: 0910-AH03

109. Mammography Quality Standards Act; Regulatory Amendments

    Legal Authority: 21 U.S.C. 360i; 21 U.S.C. 360nn; 21 U.S.C. 374(e); 
42 U.S.C. 263b
    Abstract: FDA is proposing to amend its regulations governing 
mammography. The amendments would update the regulations issued under 
the Mammography Quality Standards Act of 1992 (MQSA). FDA is taking 
this action to address changes in mammography technology and 
mammography processes, such as breast density reporting, that have 
occurred since the regulations were published in 1997.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   10/00/15
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Nancy Pirt, Regulatory Counsel, Department of 
Health and Human Services, Food and Drug Administration, Center for 
Devices and Radiological Health, WO 66, Room 4438, 10903 New Hampshire 
Avenue, Silver Spring, MD 20993, Phone: 301 796-6248, Fax: 301 847-
8145, Email: nancy.pirt@fda.hhs.gov.
    RIN: 0910-AH04

110. Investigational New Drug Application Annual Reporting

    Legal Authority: 21 U.S.C. 355(i); 21 U.S.C. 371(a); 42 U.S.C. 
262(a)
    Abstract: This proposed rule would revise the requirements 
concerning annual reports submitted to investigational new drug 
applications (INDs) by replacing the current annual reporting 
requirement with a requirement that is generally consistent with the 
format, content, and timing of submission of the development safety 
update report devised by the International Conference on Harmonization 
of Technical Requirements for Registration of Pharmaceuticals for Human 
Use (ICH).
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   12/00/15
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Peter A. Taschenberger, Regulatory Counsel, 
Department of Health and Human Services, Food and Drug Administration, 
10903 New Hampshire Avenue, Building 51, Room 6312, Silver Spring, MD 
20993, Phone: 301 796-0018, Fax: 301 847-3529, Email: 
peter.taschenberger@fda.hhs.gov.
    RIN: 0910-AH07

111. General and Plastic Surgery Devices: Sunlamp Products

    Legal Authority: 21 U.S.C. 360j(e)
    Abstract: This proposed rule would apply device restrictions to 
sunlamp products.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   05/00/15
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Paul Gadiock, Regulatory Counsel, Department of 
Health and Human Services, Food and Drug Administration, Center for 
Devices and Radiological Health, 10903 New Hampshire Avenue, W0-66, 
Room 4432, Silver Spring, MD 20993-0002, Phone: 301 796-5736, Fax: 301 
847-8145, Email: paul.gadiock@fda.hhs.gov.
    RIN: 0910-AH14

112.  Requirements for Tobacco Product Manufacturing Practice

    Legal Authority: 21 U.S.C. 371; 21 U.S.C. 387b; 21 U.S.C. 387f
    Abstract: FDA is proposing requirements that govern the methods 
used in, and the facilities and controls used for, the pre-production 
design validation, manufacture, packing, and storage of tobacco 
products.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
ANPRM...............................   03/19/13  78 FR 16824
ANPRM Comment Period End............   05/20/13
NPRM................................   02/00/16
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Darin Achilles, Senior Regulatory Counsel, 
Department of Health and Human Services, Food and Drug Administration, 
10903 New Hampshire Avenue, Document Control Center, Building 71, Room 
G335, Silver Spring, MD 20993, Phone: 877 287-1373, Fax: 301 595-1426, 
Email: ctpregulations@fda.hhs.gov.
    RIN: 0910-AH22


[[Page 35021]]



DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)

Food and Drug Administration (FDA)

Final Rule Stage

113. Requirements for Foreign and Domestic Establishment Registration 
and Listing for Human Drugs, Including Drugs That are Regulated Under A 
Biologics License Application, and Animal Drugs

    Legal Authority: 21 U.S.C. 321 and 331; 21 U.S.C. 351 to 353; 21 
U.S.C. 355 to 356c; 21 U.S.C. 360 and 360b; 21 U.S.C. 360c to 360f; 21 
U.S.C. 360h to 360j; 21 U.S.C. 371 and 374; 21 U.S.C. 379e and 381; 21 
U.S.C. 393; 15 U.S.C. 1451 to 1561; 42 U.S.C. 262 and 264; 42 U.S.C. 
271
    Abstract: The rule will reorganize, consolidate, clarify, and 
modify current regulations concerning who must register establishments 
and list human drugs, including certain biological drugs, and animal 
drugs. These regulations contain information on when, how, and where to 
register drug establishments and list drugs, and what information must 
be submitted. They also address National Drug Codes.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   08/29/06  71 FR 51276
NPRM Comment Period End.............   02/26/07
Final Action........................   10/00/15
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: David Joy, Senior Regulatory Counsel, Department of 
Health and Human Services, Food and Drug Administration, WO 51, Room 
6254, 10903 New Hampshire Avenue, Silver Spring, MD 20993, Phone: 301 
796-2242, Email: david.joy@fda.hhs.gov.
    RIN: 0910-AA49

114. Food Labeling; Revision of the Nutrition and Supplement Facts 
Labels

    Legal Authority: 21 U.S.C. 321; 21 U.S.C. 343; 21 U.S.C. 371
    Abstract: FDA is amending the labeling regulations for conventional 
foods and dietary supplements to provide updated nutrition information 
on the label to assist consumers in maintaining healthy dietary 
practices. This rule will modernize the nutrition information found on 
the Nutrition Facts label, as well as the format and appearance of the 
label.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
ANPRM...............................   07/11/03  68 FR 41507
ANPRM Comment Period End............   10/09/03
Second ANPRM........................   04/04/05  70 FR 17008
Second ANPRM Comment Period End.....   06/20/05
Third ANPRM.........................   11/02/07  72 FR 62149
Third ANPRM Comment Period End......   01/31/08
NPRM................................   03/03/14  79 FR 11879
NPRM Comment Period End.............   06/02/14
Final Action........................   03/00/16
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Blakeley Fitzpatrick, Interdisciplinary Scientist, 
Department of Health and Human Services, Food and Drug Administration, 
Center for Food Safety and Applied Nutrition (HFS-830), HFS-830, 5100 
Paint Branch Parkway, College Park, MD 20740, Phone: 240 402-5429, 
Email: nutritionprogramstaff@fda.hhs.gov.
    RIN: 0910-AF22

115. Food Labeling: Serving Sizes of Foods That Can Reasonably Be 
Consumed at One-Eating Occasion; Dual-Column Labeling; Updating, 
Modifying, and Establishing Certain RACCS

    Legal Authority: 21 U.S.C. 321; 21 U.S.C. 343; 21 U.S.C. 371; Pub. 
L. 101-535, sec 2(b)(1)(A)
    Abstract: FDA is amending its labeling regulations for foods to 
provide updated Reference Amounts Customarily Consumed (RACCs) for 
certain food categories. This rule would provide consumers with 
nutrition information based on the amount of food that is customarily 
consumed, which would assist consumers in maintaining healthy dietary 
practices. In addition to updating certain RACCs, FDA is also amending 
the definition of single-serving containers; amending the label serving 
size for breath mints; and providing for dual-column labeling, which 
would provide nutrition information per serving and per container or 
unit, as applicable, under certain circumstances.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
ANPRM...............................   04/04/05  70 FR 17010
ANPRM Comment Period End............   06/20/05
NPRM................................   03/03/14  79 FR 11989
NPRM Comment Period End.............   06/02/14
Final Action........................   03/00/16
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Cherisa Henderson, Nutritionist, Department of 
Health and Human Services, Food and Drug Administration, HFS-830, 5100 
Paint Branch Parkway, College Park, MD 20740, Phone: 240 402-5429, Fax: 
301 436-1191, Email: nutritionprogramstaff@fda.hhs.gov.
    RIN: 0910-AF23

116. Laser Products; Amendment to Performance Standard

    Legal Authority: 21 U.S.C. 360hh to 360ss; 21 U.S.C. 371; 21 U.S.C. 
393
    Abstract: The regulation will amend the performance standard for 
laser products to achieve closer harmonization between the current 
standard and the International Electrotechnical Commission (IEC) 
standard for laser products and medical laser products. The amendment 
is intended to update FDA's performance standard to reflect 
advancements in technology.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   06/24/13  78 FR 37723
NPRM Comment Period End.............   09/23/13
Final Action........................   04/00/16
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Nancy Pirt, Regulatory Counsel, Department of 
Health and Human Services, Food and Drug Administration, Center for 
Devices and Radiological Health, WO 66, Room 4438, 10903 New Hampshire 
Avenue, Silver Spring, MD 20993, Phone: 301 796-6248, Fax: 301 847-
8145, Email: nancy.pirt@fda.hhs.gov.
    RIN: 0910-AF87

117. Current Good Manufacturing Practice and Hazard Analysis and Risk-
Based Preventive Controls for Food for Animals

    Legal Authority: 21 U.S.C. 321; 21 U.S.C. 331; 21 U.S.C. 342; 21 
U.S.C. 350c; 21 U.S.C. 350d note; 21 U.S.C. 350g; 21 U.S.C. 350g note; 
21 U.S.C. 371; 21 U.S.C. 374; 42 U.S.C. 264; 42 U.S.C. 243; 42 U.S.C. 
271; * * *
    Abstract: This rule establishes requirements for good manufacturing 
practice, and requires that certain facilities establish and implement 
hazard analysis and risk-based preventive controls for animal food, 
including ingredients and mixed animal feed. This action is intended to 
provide greater assurance that food for all animals, including pets, is 
safe.
    Timetable:

[[Page 35022]]



------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   10/29/13  78 FR 64736
NPRM Comment Period Extension.......   02/03/14  79 FR 6111
NPRM Comment Period End.............   02/26/14
NPRM Comment Period Extension End...   03/31/14
Supplemental NPRM...................   09/29/14  79 FR 58475
Supplemental NPRM Comment Period End   12/15/14
Final Rule..........................   08/00/15
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Jeanette (Jenny) B. Murphy, Consumer Safety 
Officer, Department of Health and Human Services, Food and Drug 
Administration, Center for Veterinary Medicine, Room 2671 (MPN-4, HFV-
200), 7519 Standish Place, Rockville, MD 20855, Phone: 240 453-6845, 
Email: jenny.murphy@fda.hhs.gov.
    RIN: 0910-AG10

118. Standards for the Growing, Harvesting, Packing, and Holding of 
Produce for Human Consumption

    Legal Authority: 21 U.S.C. 342; 21 U.S.C. 350h; 21 U.S.C. 371; 42 
U.S.C. 264; Pub. L. 111-353 (signed on January 4, 2011)
    Abstract: This rule will establish science-based minimum standards 
for the safe production and harvesting of those types of fruits and 
vegetables that are raw agricultural commodities for which the 
Secretary has determined that such standards minimize the risk of 
serious adverse health consequences or death. The purpose of the rule 
is to reduce the risk of illness associated with fresh produce.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   01/16/13  78 FR 3503
NPRM Comment Period End.............   05/16/13
NPRM Comment Period Extended........   04/26/13  78 FR 24692
NPRM Comment Period Extended End....   09/16/13
NPRM Comment Period Extended........   08/09/13  78 FR 48637
NPRM Comment Period Extended End....   11/15/13
Notice of Intent To Prepare an         08/19/13  78 FR 50358
 Environmental Impact Statement for
 the Proposed Rule.
Notice of Intent To Prepare            11/15/13
 Environmental Impact Statement for
 the Proposed Rule Comment Period
 End.
NPRM Comment Period Extended........   11/20/13  78 FR 69605
NPRM Comment Period Extended End....   11/22/13
Environmental Impact Statement for     03/11/14  79 FR 13593
 the Proposed Rule; Comment Period
 Extended.
Environmental Impact Statement for     04/18/14  .......................
 the Proposed Rule; Comment Period
 Extended End.
Supplemental NPRM...................   09/29/14  79 FR 58433
Supplemental NPRM Comment Period End   12/15/14
Draft Environmental Impact Statement   01/14/15  80 FR 1852
Draft Environmental Impact Statement   03/13/15
 Comment Period End.
Final Rule..........................   10/00/15
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Samir Assar, Supervisory Consumer Safety Officer, 
Department of Health and Human Services, Food and Drug Administration, 
Center for Food Safety and Applied Nutrition, Office of Food Safety, 
5100 Paint Branch Parkway, College Park, MD 20740, Phone: 240 402-1636, 
Email: samir.assar@fda.hhs.gov.
    RIN: 0910-AG35

119. Current Good Manufacturing and Hazard Analysis, and Risk-Based 
Preventive Controls for Human Food

    Legal Authority: 21 U.S.C. 342; 21 U.S.C. 371; 42 U.S.C. 264; Pub. 
L. 111-353 (signed on Jan. 4, 2011)
    Abstract: This rule would require a food facility to have and 
implement preventive controls to significantly minimize or prevent the 
occurrence of hazards that could affect food manufactured, processed, 
packed, or held by the facility. This action is intended to prevent or, 
at a minimum, quickly identify foodborne pathogens before they get into 
the food supply.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   01/16/13  78 FR 3646
NPRM Comment Period End.............   05/16/13
NPRM Comment Period Extended........   04/26/13  78 FR 24691
NPRM Comment Period Extended End....   09/16/13
NPRM Comment Period Extended........   08/09/13  78 FR 48636
NPRM Comment Period Extended End....   11/15/13
NPRM Comment Period Extended........   11/20/13  78 FR 69604
NPRM Comment Period Extended End....   11/22/13
Supplemental NPRM...................   09/29/14  79 FR 58523
Supplemental NPRM Comment Period End   12/15/14
Final Rule..........................   08/00/15
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Jenny Scott, Senior Advisor, Department of Health 
and Human Services, Food and Drug Administration, Office of Food 
Safety, 5100 Paint Branch Parkway, College Park, MD 20740, Phone: 240 
402-1488, Email: jenny.scott@fda.hhs.gov.
    RIN: 0910-AG36

120. ``Tobacco Products'' Subject to the Federal Food, Drug, and 
Cosmetic Act, as Amended by the Family Smoking Prevention and Tobacco 
Control Act

    Legal Authority: 21 U.S.C. 301 et seq.; The Federal Food, Drug, and 
Cosmetic Act; Pub. L. 111-31; The Family Smoking Prevention and Tobacco 
Control Act
    Abstract: The Family Smoking Prevention and Tobacco Control Act 
(Tobacco Control Act) provides the Food and Drug Administration (FDA) 
authority to regulate cigarettes, cigarette tobacco, roll-your-own 
tobacco, and smokeless tobacco. The Federal Food, Drug, and Cosmetic 
Act (FD&C Act), as amended by the Tobacco Control Act, permits FDA to 
issue regulations deeming other tobacco products to be

[[Page 35023]]

subject to the FD&C Act. This rule would deem additional products 
meeting the statutory definition of ``tobacco product'' to be subject 
to the FD&C Act, and would specify additional restrictions.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   04/25/14  79 FR 23142
NPRM Comment Period End.............   07/09/14
NPRM Comment Period Extended........   06/24/14  79 FR 35711
NPRM Comment Period End.............   08/08/14
Final Action........................   06/00/15
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Gerie Voss, Senior Regulatory Counsel, Department 
of Health and Human Services, Food and Drug Administration, Center for 
Tobacco Products, Document Control Center, Building 71, Room G335, 
10903 New Hampshire Avenue, Silver Spring, MD 20993, Phone: 877 287-
1373, Fax: 301 595-1426, Email: ctpregulations@fda.hhs.gov.
    Laura Rich, Senior Regulatory Counsel, Department of Health and 
Human Services, Food and Drug Administration, Center for Tobacco 
Products, 10903 New Hampshire Avenue, Building 71, G335, Silver Spring, 
MD 20993, Phone: 877 287-1373, Email: ctpregulations@fda.hhs.gov.
    RIN: 0910-AG38

121. Human Subject Protection; Acceptance of Data From Clinical 
Investigations for Medical Devices

    Legal Authority: 21 U.S.C. 321; 21 U.S.C. 331; 21 U.S.C. 351; 21 
U.S.C. 352; 21 U.S.C. 360; 21 U.S.C. 360c; 21 U.S.C. 360e; 21 U.S.C. 
360i; 21 U.S.C. 360j; 21 U.S.C. 371; 21 U.S.C. 374; 21 U.S.C. 381; 21 
U.S.C. 393; 42 U.S.C. 264; 42 U.S.C. 271; * * *
    Abstract: This rule will amend FDA's regulations on acceptance of 
data for medical devices to require that clinical investigations 
submitted in support of a premarket approval application, humanitarian 
device exemption application, an investigational device exemption 
application, or a premarket notification submission be conducted in 
accordance with good clinical practice if conducted outside the United 
States.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   02/25/13  78 FR 12664
NPRM Comment Period End.............   05/28/13
Final Action........................   12/00/15
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Aaliyah K. Eaves, Policy Advisor, Office of the 
Director, Department of Health and Human Services, Food and Drug 
Administration, Center for Devices and Radiological Health, WO 66, Room 
5422, 10903 New Hampshire Avenue, Silver Spring, MD 20993, Phone: 301 
796-2948, Fax: 301 847-8120, Email: aaliyah.eaves-leanos@fda.hhs.gov.
    RIN: 0910-AG48

122. Foreign Supplier Verification Program

    Legal Authority: 21 U.S.C. 384a; title III, sec 301 of FDA Food 
Safety Modernization Act; Pub. L. 111-353, establishing sec 805 of the 
Federal Food, Drug, and Cosmetic Act (FD&C Act)
    Abstract: This rule describes what a food importer must do to 
verify that its foreign suppliers produce food that is as safe as food 
produced in the United States. FDA is taking this action to improve the 
safety of food that is imported into the United States.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   07/29/13  78 FR 45729
NPRM Comment Period End.............   11/26/13
NPRM Comment Period Extended........   11/20/13  78 FR 69602
NPRM Comment Period Extended End....   01/27/14
Supplemental NPRM...................   09/29/14  79 FR 58573
Supplemental NPRM Comment Period End   12/15/14
Final Rule..........................   10/00/15
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Brian L. Pendleton, Senior Policy Advisor, 
Department of Health and Human Services, Food and Drug Administration, 
Office of Policy, WO 32, Room 4245, 10903 New Hampshire Avenue, Silver 
Spring, MD 20993-0002, Phone: 301 796-4614, Fax: 301 847-8616, Email: 
brian.pendleton@fda.hhs.gov.
    RIN: 0910-AG64

123. Supplemental Applications Proposing Labeling Changes for Approved 
Drugs and Biological Products

    Legal Authority: 21 U.S.C. 321; 21 U.S.C. 331; 21 U.S.C. 352; 21 
U.S.C. 353; 21 U.S.C. 355; 21 U.S.C. 371; 42 U.S.C. 262; * * *
    Abstract: This rule would amend the regulations regarding new drug 
applications (NDAs), abbreviated new drug applications (ANDAs), and 
biologics license applications (BLAs) to revise and clarify procedures 
for changes to the labeling of an approved drug to reflect certain 
types of newly acquired information in advance of FDA's review of such 
change.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   11/13/13  78 FR 67985
NPRM Comment Period Extended........   12/27/13  78 FR 78796
NPRM Comment Period End.............   01/13/14
NPRM Comment Period Extended End....   03/13/14
NPRM Comment Period Reopened........   02/18/15  80 FR 8577
NPRM Comment Period Reopened End....   04/27/15
Final Rule..........................   02/00/16
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Janice L. Weiner, Senior Regulatory Counsel, 
Department of Health and Human Services, Food and Drug Administration, 
Center for Drug Evaluation and Research, WO 51, Room 6268, 10903 New 
Hampshire Avenue, Silver Spring, MD 20993-0002, Phone: 301 796-3601, 
Fax: 301 847-8440, Email: janice.weiner@fda.hhs.gov.
    RIN: 0910-AG94

124. Veterinary Feed Directive

    Legal Authority: 21 U.S.C. 354; 21 U.S.C. 360b; 21 U.S.C. 360ccc; 
21 U.S.C. 360ccc-1; 21 U.S.C. 371
    Abstract: The Animal Drug Availability Act created a new category 
of products called veterinary feed directive (VFD) drugs. This 
rulemaking is intended to provide for the increased efficiency of the 
VFD program.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
ANPRM...............................   03/29/10  75 FR 15387
ANPRM Comment Period End............   06/28/10
NPRM................................   12/12/13  78 FR 75515

[[Page 35024]]

 
NPRM Comment Period End.............   03/12/14
Final Rule..........................   05/00/15
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Sharon Benz, Supervisory Animal Scientist, 
Department of Health and Human Services, Food and Drug Administration, 
Center for Veterinary Medicine, MPN-4, Room 2648, HFV-220, 7519 
Standish Place, Rockville, MD 20855, Phone: 240 402-5939, Email: 
sharon.benz@fda.hhs.gov.
    RIN: 0910-AG95

125. Sanitary Transportation of Human and Animal Food

    Legal Authority: 21 U.S.C. 350e; 21 U.S.C. 373; 21 U.S.C. 331; 21 
U.S.C. 342; 21 U.S.C. 371; * * *
    Abstract: This rule would establish requirements for parties 
including shippers, carriers by motor vehicle or rail vehicle, and 
receivers engaged in the transportation of food, including food for 
animals, to use sanitary transportation practices to ensure that food 
is not transported under conditions that may render the food 
adulterated.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
ANPRM...............................   04/30/10  75 FR 22713
ANPRM Comment Period End............   08/30/10
NPRM................................   02/05/14  79 FR 7005
NPRM Comment Period Extended........   05/23/14  79 FR 29699
NPRM Comment Period End.............   05/31/14
NPRM Comment Period Extended End....   07/30/14
Final Rule..........................   03/00/16
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Michael E. Kashtock, Supervisory Consumer Safety 
Officer, Department of Health and Human Services, Food and Drug 
Administration, Center for Food Safety and Applied Nutrition, Office of 
Food Safety, 5100 Paint Branch Parkway, College Park, MD 20740, Phone: 
240 402-2022, Fax: 301 346-2632, Email: michael.kashtock@fda.hhs.gov.
    RIN: 0910-AG98

DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)

Food and Drug Administration (FDA)

Long-Term Actions

126. Focused Mitigation Strategies to Protect Food Against Intentional 
Adulteration

    Legal Authority: 21 U.S.C. 331; 21 U.S.C. 342; 21 U.S.C. 350g; 21 
U.S.C. 350i; 21 U.S.C. 371; 21 U.S.C. 374; Pub. L. 111-353
    Abstract: This rule would require domestic and foreign food 
facilities that are required to register under the Federal Food, Drug, 
and Cosmetic Act to address hazards that may be intentionally 
introduced by acts of terrorism. These food facilities would be 
required to identify and implement focused mitigation strategies to 
significantly minimize or prevent significant vulnerabilities 
identified at actionable process steps in a food operation.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   12/24/13  78 FR 78014
NPRM Comment Period Extended........   03/25/14  79 FR 16251
NPRM Comment Period End.............   03/31/14
NPRM Comment Period Extended End....   06/30/14
Final Rule..........................   05/00/16
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Jody Menikheim, Supervisory General Health 
Scientist, Department of Health and Human Services, Food and Drug 
Administration, Center for Food Safety and Applied Nutrition (HFS-005), 
5100 Paint Branch Parkway, College Park, MD 20740, Phone: 240 402-1864, 
Fax: 301 436-2633, Email: fooddefense@fda.hhs.gov.
    RIN: 0910-AG63

DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)

Food and Drug Administration (FDA)

Completed Actions

127. Content and Format of Labeling for Human Prescription Drugs and 
Biologics; Requirements for Pregnancy and Lactation Labeling

    Legal Authority: 21 U.S.C. 321; 21 U.S.C. 331; 21 U.S.C. 351 to 
353; 21 U.S.C. 355; 21 U.S.C. 358; 21 U.S.C. 360; 21 U.S.C. 360b; 21 
U.S.C. 360gg to 360ss; 21 U.S.C. 371; 21 U.S.C. 374; 21 U.S.C. 379e; 42 
U.S.C. 216; 42 U.S.C. 241; 42 U.S.C. 262; 42 U.S.C. 264
    Abstract: This final rule will amend the content and format of the 
``Pregnancy,'' ``Labor and delivery,'' and ``Nursing mothers'' 
subsections of the ``Use in Specific Populations'' section of 
regulations regarding the labeling for human prescription drug and 
biological products to better communicate risks.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   05/29/08  73 FR 30831
NPRM Comment Period End.............   08/27/08
Final Action........................   12/04/14  79 FR 72064
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Kathy Schreier, Regulatory Counsel, Department of 
Health and Human Services, Food and Drug Administration, Center for 
Drug Evaluation and Research, 10903 New Hampshire Ave., WO51, Rm. 6246, 
Silver Spring, MD 20993, Phone: 301 796-3432, Email: 
kathy.schreier@fda.hhs.gov.
    RIN: 0910-AF11

128. Food Labeling: Calorie Labeling of Articles of Food Sold in 
Vending Machines

    Legal Authority: 21 U.S.C. 321; 21 U.S.C. 343; 21 U.S.C. 371
    Abstract: FDA published a proposed rule to establish requirements 
for nutrition labeling of certain food items sold in certain vending 
machines. FDA also proposed the terms and conditions for vending 
machine operators registering to voluntarily be subject to the 
requirements. FDA is issuing a final rule, and taking this action to 
carry out section 4205 of the Patient Protection and Affordable Care 
Act.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   04/06/11  76 FR 19238
NPRM Comment Period End.............   07/05/11
Final Action........................   12/01/14  79 FR 71259
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Daniel Reese, Food Technologist, Department of 
Health and Human Services, Food and Drug Administration, Center for 
Food Safety and Applied Nutrition (HFS-820), 5100 Paint Branch Parkway, 
College Park, MD 20740, Phone: 240 402-2126, Email: 
daniel.reese@fda.hhs.gov.
    RIN: 0910-AG56

[[Page 35025]]

129. Food Labeling: Nutrition Labeling of Standard Menu Items in 
Restaurants and Similar Retail Food Establishments

    Legal Authority: 21 U.S.C. 321; 21 U.S.C. 343; 21 U.S.C. 371
    Abstract: FDA published a proposed rule in the Federal Register to 
establish requirements for nutrition labeling of standard menu items in 
chain restaurants and similar retail food establishments. FDA also 
proposed the terms and conditions for restaurants and similar retail 
food establishments registering to voluntarily be subject to the 
Federal requirements. FDA is issuing a final rule, and taking this 
action to carry out section 4205 of the Patient Protection and 
Affordable Care Act.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   04/06/11  76 FR 19192
NPRM Comment Period End.............   07/05/11
Final Action........................   12/01/14  79 FR 71156
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Daniel Reese, Food Technologist, Department of 
Health and Human Services, Food and Drug Administration, Center for 
Food Safety and Applied Nutrition (HFS-820), 5100 Paint Branch Parkway, 
College Park, MD 20740, Phone: 240 402-2126, Email: 
daniel.reese@fda.hhs.gov.
    RIN: 0910-AG57

DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)

Centers for Medicare & Medicaid Services (CMS)

Proposed Rule Stage

130. Reform of Requirements for Long-Term Care Facilities (CMS-3260-P) 
(Rulemaking Resulting From a Section 610 Review)

    Legal Authority: Pub. L. 111-148, sec 6102; 42 U.S.C. 263a; 42 
U.S.C. 1302; 42 U.S.C. 1395hh; 42 U.S.C. 1395rr
    Abstract: This proposed rule would revise the requirements that 
Long-Term Care facilities must meet to participate in the Medicare and 
Medicaid programs. These proposed changes are necessary to reflect the 
substantial advances that have been made over the past several years in 
the theory and practice of service delivery and safety. These proposals 
are also an integral part of our efforts to achieve broad-based 
improvements both in the quality of health care furnished through 
Federal programs, and in patient safety, while at the same time 
reducing procedural burdens on providers.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   06/00/15
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Ronisha Davis, Health Insurance Specialist, 
Department of Health and Human Services, Centers for Medicare & 
Medicaid Services, Center for Clinical Standards and Quality, Mail Stop 
S3-02-01, 7500 Security Boulevard, Baltimore, MD 21244, Phone: 410 786-
6882, Email: ronisha.davis@cms.hhs.gov.
    RIN: 0938-AR61

131. Electronic Health Record (EHR) Incentive Programs--Stage 3 (CMS-
3310-F) (Section 610 Review)

    Legal Authority: Pub. L. 111-5, title IV of Division B
    Abstract: This final rule specifies the meaningful use criteria 
that eligible professionals (EPs), eligible hospitals, and critical 
access hospitals (CAHs) must meet in order to qualify for Medicare and/
or Medicaid electronic health record (EHR) incentive payments and avoid 
downward payment adjustments under Medicare for Stage 3 of the EHR 
Incentive Programs. This rule also establishes an EHR reporting period 
for all providers under a calendar year timeline except for providers 
in the first year of the Medicaid EHR Incentive Program where states 
may continue to allow an introductory 90-day period; requires the 
electronic submission of clinical quality measures (CQMs); creates a 
single set of meaningful use requirements for Stage 3 which will be 
optional for providers in 2017 and applicable for all providers 
beginning in 2018; and ensure privacy and security requirements 
continue to protect patient health information (PHI).
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   03/30/15  80 FR 16732
NPRM Comment Period End.............   05/29/15
Final Action........................   03/00/18
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Elizabeth S. Holland, Director, Division of HIT 
Initiatives, Department of Health and Human Services, Centers for 
Medicare & Medicaid Services, Center for Clinical Standards and 
Quality, Mail Stop S2-26-17, 7500 Security Boulevard, Baltimore, MD 
21244, Phone: 410 786-1309, Email: elizabeth.holland@cms.hhs.gov.
    RIN: 0938-AS26

132. Medicare Clinical Diagnostic Laboratory Test Payment System (CMS-
1621-P) (Section 610 Review)

    Legal Authority: Pub. L. 113-93, sec 216
    Abstract: This proposed rule would require Medicare payment for 
clinical laboratory tests to be based on private payor rates beginning 
January 1, 2017, as required by section 216(a) of the Protecting Access 
to Medicare Act of 2014.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   06/00/15
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Valerie Miller, Deputy Director, Division of 
Ambulatory Services, Department of Health and Human Services, Centers 
for Medicare & Medicaid Services, Center for Medicare, Mail Stop C4-01-
26, 7500 Security Boulevard, Baltimore, MD 21244, Phone: 410 786-4535, 
Email: valerie.miller@cms.hhs.gov.
    Sarah Harding, Health Insurance Specialist, Department of Health 
and Human Services, Centers for Medicare & Medicaid Services, Center 
for Medicare, MS: C4-01-26, 7500 Security Boulevard, Baltimore, MD 
21244, Phone: 410 786-4535, Email: sarah.harding@cms.hhs.gov.
    RIN: 0938-AS33

133. CY 2016 Revisions to Payment Policies Under the Physician Fee 
Schedule and Other Revisions to Medicare Part B (CMS-1631-P)

    Legal Authority: Social Security Act, secs 1102, 1871, 1848
    Abstract: This annual proposed rule would revise payment polices 
under the Medicare physician fee schedule, and make other policy 
changes to payment under Medicare Part B. These changes would apply to 
services furnished beginning January 1, 2016.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   06/00/15
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: John McInnes, Acting Director, Division of 
Practitioner Services, Department of Health and Human Services, Centers 
for Medicare & Medicaid Services, Center for Medicare, MS: C4-01-15, 
7500 Security

[[Page 35026]]

Boulevard, Baltimore, MD 21244, Phone: 410 786-0791, Email: 
john.mcinnes@cms.hhs.gov.
    RIN: 0938-AS40

134. Hospital Inpatient Prospective Payment System for Acute Care 
Hospitals and the Long-Term Care Hospital Prospective Payment System 
and FY 2016 Rates (CMS-1632-F)

    Legal Authority: sec 1886(d) of the Social Security Act
    Abstract: This annual final rule revises the Medicare hospital 
inpatient and long-term care hospital prospective payment systems for 
operating and capital-related costs. This rule implements changes 
arising from our continuing experience with these systems.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   04/30/15  80 FR 24323
NPRM Comment Period End.............   06/16/15
Final Action........................   08/00/15
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Donald Thompson, Deputy Director, Division of Acute 
Care, Department of Health and Human Services, Centers for Medicare & 
Medicaid Services, Center for Medicare, MS: C4-01-26, 7500 Security 
Boulevard, Baltimore, MD 21244, Phone: 410 786-6504, Email: 
donald.thompson@cms.hhs.gov.
    RIN: 0938-AS41

135. CY 2016 Hospital Outpatient PPS Policy Changes and Payment Rates 
and Ambulatory Surgical Center Payment System Policy Changes and 
Payment Rates (CMS-1633-P)

    Legal Authority: Sec 1833 of the Social Security Act
    Abstract: This annual proposed rule would revise the Medicare 
hospital outpatient prospective payment system to implement statutory 
requirements and changes arising from our continuing experience with 
this system. The proposed rule describes changes to the amounts and 
factors used to determine payment rates for services. In addition, the 
rule proposes changes to the ambulatory surgical center payment system 
list of services and rates.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   06/00/15
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Marjorie Baldo, Health Insurance Specialist, 
Department of Health and Human Services, Centers for Medicare & 
Medicaid Services, Center for Medicare, MS: C4-03-06, 7500 Security 
Boulevard, Baltimore, MD 21244, Phone: 410 786-4617, Email: 
marjorie.baldo@cms.hhs.gov.
    RIN: 0938-AS42

136. FY 2016 Inpatient Rehabilitation Facility Prospective Payment 
System (CMS-1624-F) (Section 610 Review)

    Legal Authority: Social Security Act, sec 1886(j); Pub. L. 106-554; 
Pub. L. 106-113
    Abstract: This annual final rule updates the prospective payment 
rates for inpatient rehabilitation facilities (IRFs) for fiscal year 
2016.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   04/27/15  80 FR 23332
NPRM Comment Period End.............   06/22/15
Final Action........................   08/00/15
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Gwendolyn Johnson, Health Insurance Specialist, 
Department of Health and Human Services, Centers for Medicare & 
Medicaid Services, Center for Medicare, MS: C5-06-27, 7500 Security 
Boulevard, Baltimore, MD 21244, Phone: 410 786-6954, Email: 
gwendolyn.johnson@cms.hhs.gov.
    RIN: 0938-AS45

137.  Electronic Health Record Incentive Program--Modifications 
to Meaningful Use in 2015 Through 2017 (CMS-3311-F) (Section 610 
Review)

    Legal Authority: 42 U.S.C. 1302 and 1395hh; Pub. L. 111-5
    Abstract: This final rule changes the Medicare and Medicaid 
Electronic Health Record (EHR) Incentive Program EHR reporting period 
in 2015 to a 90-day period aligned with the calendar year, and also 
aligns the reporting period in 2016 with the calendar year. In 
addition, this rule modifies the patient action measures in the Stage 2 
objectives related to patient engagement. Finally, it streamlines the 
program by removing reporting requirements on measures which have 
become redundant, duplicative, or topped out through advancements in 
EHR function and provider performance for Stage 1 and Stage 2 of the 
Medicare and Medicaid EHR Incentive Programs.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   04/15/15  80 FR 20346
NPRM Comment Period End.............   06/15/15
Final Action........................   04/00/18
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Elizabeth S. Holland, Director, Division of HIT 
Initiatives, Department of Health and Human Services, Centers for 
Medicare & Medicaid Services, Center for Clinical Standards and 
Quality, Mail Stop S2-26-17, 7500 Security Boulevard, Baltimore, MD 
21244, Phone: 410 786-1309, Email: elizabeth.holland@cms.hhs.gov.
    RIN: 0938-AS58

DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)

Centers for Medicare & Medicaid Services (CMS)

Final Rule Stage

138. Covered Outpatient Drugs (CMS-2345-F) (Section 610 Review)

    Legal Authority: Pub. L. 111- 48, secs 2501; Pub. L. 111- 48, 2503; 
Pub. L. 111- 48, 3301(d)(2); Pub. L. 111-152, sec 1206; Pub. L. 111-8, 
sec 221
    Abstract: This final rule revises requirements pertaining to 
Medicaid reimbursement for covered outpatient drugs to implement 
provisions of the Affordable Care Act. This rule also revises other 
requirements related to covered outpatient drugs, including key aspects 
of Medicaid coverage, payment, and the drug rebate program.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   02/02/12  77 FR 5318
NPRM Comment Period End.............   04/02/12
Final Action........................   08/00/15
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Wendy Tuttle, Health Insurance Specialist, 
Department of Health and Human Services, Centers for Medicare & 
Medicaid Services, Center for Medicaid and State Operations, Mail Stop 
S2-14-26, 7500 Security Boulevard, Baltimore, MD 21244, Phone: 410 786-
8690, Email: wendy.tuttle@cms.hhs.gov.
    RIN: 0938-AQ41


[[Page 35027]]



DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)

Centers for Medicare & Medicaid Services (CMS)

Long-Term Actions

139. Home Health Agency Conditions of Participation (CMS-3819-F) 
(Rulemaking Resulting From a Section 610 Review)

    Legal Authority: 42 U.S.C. 1302; 42 U.S.C. 1395x; 42 U.S.C. 
1395cc(a); 42 U.S.C. 1395hh; 42 U.S.C. 1395bb
    Abstract: This final rule revises the existing Conditions of 
Participation that Home Health Agencies (HHA) must meet to participate 
in the Medicare program. The new requirements focus on the actual care 
delivered to patients by HHAs, reflect an interdisciplinary view of 
patient care, allow HHAs greater flexibility in meeting quality 
standards, and eliminate unnecessary procedural requirements. These 
changes are an integral part of our efforts to improve patient safety 
and achieve broad-based improvements in the quality of care furnished 
through Federal programs, while at the same time reducing procedural 
burdens on providers.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   03/10/97  62 FR 11005
NPRM Comment Period End.............   06/09/97
Second NPRM.........................   10/09/14  79 FR 61163
NPRM Comment Period Extended........   12/01/14  79 FR 71081
Second NPRM Comment Period End......   01/07/15
Final Action........................   10/00/17
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: No.
    Agency Contact: Danielle Shearer, Health Insurance Specialist, 
Department of Health and Human Services, Centers for Medicare & 
Medicaid Services, Center for Clinical Standards & Quality, MS: S3-02-
01, 7500 Security Boulevard, Baltimore, MD 21244, Phone: 410 786-6617, 
Email: danielle.shearer@cms.hhs.gov.
    RIN: 0938-AG81

140. Emergency Preparedness Requirements for Medicare and Medicaid 
Participating Providers and Suppliers (CMS-3178-F) (Section 610 Review)

    Legal Authority: 42 U.S.C. 1821; 42 U.S.C. 1861ff (3)(B)(i)(ii); 42 
U.S.C. 1913(c)(1) et al
    Abstract: This rule finalizes emergency preparedness requirements 
for Medicare and Medicaid participating providers and suppliers to 
ensure that they adequately plan for both natural and man-made 
disasters and coordinate with Federal, State, tribal, regional, and 
local emergency preparedness systems. This rule ensures providers and 
suppliers are adequately prepared to meet the needs of patients, 
residents, clients, and participants during disasters and emergency 
situations.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   12/27/13  78 FR 79082
NPRM Comment Period Extended........   02/21/14  79 FR 9872
NPRM Comment Period End.............   03/31/14
Final Action........................   12/00/16
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Janice Graham, Health Insurance Specialist, 
Department of Health and Human Services, Centers for Medicare & 
Medicaid Services, Center for Clincial Standards and Quality, Mail Stop 
S3-02-01, 7500 Security Boulevard, Baltimore, MD 21244-1850, Phone: 410 
786-8020, Email: janice.graham@cms.hhs.gov.
    RIN: 0938-AO91

141. Medicare Shared Savings Program; Accountable Care Organizations 
(CMS-1461-F) (Section 610 Review)

    Legal Authority: Pub. L. 111-148, sec 3022
    Abstract: This rule finalizes changes to the Medicare Shared 
Savings Program (Shared Savings Program), including provisions relating 
to the payment of Accountable Care Organizations (ACOs) participating 
in the Shared Savings Program. Under the Shared Savings Program, 
providers of services and suppliers that participate in an ACO continue 
to receive traditional Medicare fee for service (FFS) payments under 
Parts A and B and are eligible for additional payments from the ACO if 
they meet specified quality and savings requirements.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   12/08/14  79 FR 72760
NPRM Comment Period End.............   02/06/15
Final Action........................   12/00/17
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: Terri Postma, Medical Officer, Department of Health 
and Human Services, Centers for Medicare & Medicaid Services, Mail Stop 
C5-15-24, 7500 Security Boulevard, Baltimore, MD 21244 Phone: 410 786-
4169, Email: terri.postma@cms.hhs.gov.
    RIN: 0938-AS06

142. Hospital and Critical Access Hospital (CAH) Changes To Promote 
Innovation, Flexibility, and Improvement in Patient Care (CMS-3295-P) 
(Rulemaking Resulting From a Section 610 Review)

    Legal Authority: 42 U.S.C. 1302; 42 U.S.C. 1395hh and 1395rr
    Abstract: This proposed rule would update the requirements that 
hospitals and CAHs must meet to participate in the Medicare and 
Medicaid programs. These proposals are intended to conform the 
requirements to current standards of practice and support improvements 
in quality of care, reduce barriers to care, and reduce some issues 
that may exacerbate workforce shortage concerns.
    Timetable:

------------------------------------------------------------------------
               Action                    Date            FR Cite
------------------------------------------------------------------------
NPRM................................   12/00/16
------------------------------------------------------------------------

    Regulatory Flexibility Analysis Required: Yes.
    Agency Contact: CDR Scott Cooper, Senior Technical Advisor, 
Department of Health and Human Services, Centers for Medicare & 
Medicaid Services, Center for Clinical Standards and Quality, Mail Stop 
S3-01-02, 7500 Security Boulevard, Baltimore, MD 21244, Phone: 410 786-
9465, Email: scott.cooper@cms.hhs.gov.
    RIN: 0938-AS21

[FR Doc. 2015-14352 Filed 6-17-15; 8:45 am]
 BILLING CODE 4150-03-P



                                                  35016                            Federal Register / Vol. 80, No. 117 / Thursday, June 18, 2015 / Unified Agenda

                                                  DEPARTMENT OF HEALTH AND                services and by fostering sound,                                                                  innovation to attract the best experts to
                                                  HUMAN SERVICES                          sustained advances in the sciences                                                                accelerate cures; reduce administrative
                                                                                          underlying medicine, public health, and                                                           burdens and duplication; and promote
                                                  Office of the Secretary                 social services.                                                                                  data sharing to protect the health of the
                                                                                             This Agenda presents the rulemaking                                                            American people.
                                                  21 CFR Ch. I                            activities that the Department expects to
                                                                                                                                                                                               HHS has an agency-wide effort to
                                                                                          undertake this year to advance this
                                                                                                                                                                                            support the Agenda’s purpose of
                                                  25 CFR Ch. V                            mission. The Agenda furthers several
                                                                                                                                                                                            encouraging more effective public
                                                                                          Departmental goals, including
                                                                                                                                                                                            participation in the regulatory process
                                                  42 CFR Chs. I–V                         strengthening health care; advancing
                                                                                                                                                                                            and promote increase transparency to
                                                                                          scientific knowledge and innovation;
                                                                                                                                                                                            the public regarding our regulatory
                                                  45 CFR Subtitle A; Subtitle B, Chs. II, advancing the health, safety, and well-
                                                                                                                                                                                            activity. For example, to encourage
                                                  III, and XIII                           being of the American people;
                                                                                          increasing efficiency, transparency, and                                                          public participation, we regularly
                                                  Regulatory Agenda                       accountability of HHS programs; and                                                               update our regulatory Web page (http://
                                                                                          strengthening the nation’s health and                                                             www.HHS.gov/regulations) which
                                                  AGENCY: Office of the Secretary, HHS.                                                                                                     includes links to HHS rules currently
                                                                                          human services infrastructure and
                                                  ACTION: Semiannual Regulatory Agenda. workforce.                                                                                          open for public comment, and also
                                                                                             In the rules outlined for this Agenda,                                                         provides a ‘‘regulations toolkit’’ with
                                                  SUMMARY: The Regulatory Flexibility Act                                                                                                   background information on regulations,
                                                  of 1980 and Executive Order (E.O.)      HHS    continues its work to build a
                                                                                          better, smarter, and stronger health care                                                         the commenting process, how public
                                                  12866 require the semiannual issuance                                                                                                     comments influence the development of
                                                                                          delivery system. Our aspiration is for
                                                  of an inventory of rulemaking actions                                                                                                     a rule, and how the public can provide
                                                                                          patients to receive higher quality of
                                                  under development throughout the                                                                                                          effective comments. HHS also actively
                                                                                          care, for medical information to be easy
                                                  Department, offering for public review                                                                                                    encourages meaningful public
                                                                                          to understand, and for health care
                                                  summarized information about                                                                                                              participation in its retrospective review
                                                                                          dollars to be spent more wisely. We
                                                  forthcoming regulatory actions.                                                                                                           of regulations, through a comment form
                                                                                          welcome the opportunity to build a
                                                  FOR FURTHER INFORMATION CONTACT:        more transparent health care delivery                                                             on the HHS retrospective review Web
                                                  C’Reda J. Weeden, Executive Secretary,  system and strengthen partnerships                                                                page (http://www.HHS.gov/
                                                  Department of Health and Human          with patients, physicians, governments,                                                           RetrospectiveReview).
                                                  Services, 200 Independence Avenue       and businesses. We continue our work                                                                 The rulemaking abstracts included in
                                                  SW., Washington, DC 20201; (202) 690– by helping more people get and keep                                                                 this paper issue of the Federal Register
                                                  5627.                                   health insurance coverage and making                                                              cover, as required by the Regulatory
                                                  SUPPLEMENTARY INFORMATION: The          health care more affordable for working                                                           Flexibility Act of 1980, those
                                                  Department of Health and Human          families.                                                                                         prospective HHS rulemakings likely to
                                                  Services (HHS) is the Federal              In addition, HHS strives to lead in the                                                        have a significant economic impact on
                                                  government’s lead agency for protecting advancement of scientific knowledge                                                               a substantial number of small entities.
                                                  the health of all Americans and         and innovation to enable our nation’s                                                             The Department’s complete Regulatory
                                                  providing essential human services,     scientists and researchers to continue                                                            Agenda is accessible online at http://
                                                  especially for those who are least able making new and improved vaccines,                                                                 www.Reglnfo.gov.
                                                  to help themselves. HHS enhances the    cures, therapies, and rapid diagnostics.
                                                  health and well-being of Americans by   The accompanying regulations promote                                                              C’Reda J. Weeden,
                                                  promoting effective health and human    advancements in science, research, and                                                            Executive Secretary to the Department.

                                                                                SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION—COMPLETED ACTIONS
                                                                                                                                                                                                                                     Regulation
                                                    Sequence No.                                                                                      Title                                                                         Identifier No.

                                                  99 ......................      SAMHSA User Fees for Publications ..............................................................................................................      0930–AA18


                                                                                                       FOOD AND DRUG ADMINISTRATION—PROPOSED RULE STAGE
                                                                                                                                                                                                                                     Regulation
                                                    Sequence No.                                                                                      Title                                                                         Identifier No.

                                                  100    ....................    Over-the-Counter (OTC) Drug Review—Cough/Cold (Antihistamine) Products .............................................                                  0910–AF31
                                                  101    ....................    Over-the-Counter (OTC) Drug Review—Topical Antimicrobial Drug Products ...............................................                                0910–AF69
                                                  102    ....................    Abbreviated New Drug Applications and 505(b)(2) .........................................................................................             0910–AF97
                                                  103    ....................    Updated Standards for Labeling of Pet Food ..................................................................................................         0910–AG09
                                                  104    ....................    Electronic Distribution of Prescribing Information for Human Prescription Drugs Including Biological Prod-                                            0910–AG18
                                                                                   ucts.
tkelley on DSK3SPTVN1PROD with PROPOSALS 7




                                                  105    ....................    Requirements for the Testing and Reporting of Tobacco Product Constituents, Ingredients, and Additives                                                0910–AG59
                                                  106    ....................    Format and Content of Reports Intended to Demonstrate Substantial Equivalence ......................................                                  0910–AG96
                                                  107    ....................    Food Labeling; Gluten-Free Labeling of Fermented, Hydrolyzed, or Distilled Foods .....................................                                0910–AH00
                                                  108    ....................    Radiology Devices; Designation of Special Controls for the Computed Tomography X-Ray System ...........                                               0910–AH03
                                                  109    ....................    Mammography Quality Standards Act; Regulatory Amendments ...................................................................                          0910–AH04
                                                  110    ....................    Investigational New Drug Application Annual Reporting .................................................................................               0910–AH07
                                                  111    ....................    General and Plastic Surgery Devices: Sunlamp Products ..............................................................................                  0910–AH14
                                                  112    ....................    Requirements for Tobacco Product Manufacturing Practice ...........................................................................                   0910–AH22



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                                                                                 Federal Register / Vol. 80, No. 117 / Thursday, June 18, 2015 / Unified Agenda                                                                                    35017

                                                                                                            FOOD AND DRUG ADMINISTRATION—FINAL RULE STAGE
                                                                                                                                                                                                                                             Regulation
                                                    Sequence No.                                                                                        Title                                                                               Identifier no.

                                                  113 ....................     Requirements for Foreign and Domestic Establishment Registration and Listing for Human Drugs, Includ-                                                           0910–AA49
                                                                                  ing Drugs That Are Regulated Under a Biologics License Application, and Animal Drugs.
                                                  114 ....................     Food Labeling; Revision of the Nutrition and Supplement Facts Labels ........................................................                                   0910–AF22
                                                  115 ....................     Food Labeling: Serving Sizes of Foods That Can Reasonably Be Consumed At One-Eating Occasion;                                                                   0910–AF23
                                                                                  Dual-Column Labeling; Updating, Modifying, and Establishing Certain RACCs.
                                                  116 ....................     Laser Products; Amendment to Performance Standard ..................................................................................                            0910–AF87
                                                  117 ....................     Current Good Manufacturing Practice and Hazard Analysis and Risk-Based Preventive Controls for Food                                                             0910–AG10
                                                                                  for Animals.
                                                  118 ....................     Standards for the Growing, Harvesting, Packing, and Holding of Produce for Human Consumption ...........                                                        0910–AG35
                                                  119 ....................     Current Good Manufacturing and Hazard Analysis, and Risk-Based Preventive Controls for Human Food                                                               0910–AG36
                                                  120 ....................     ‘‘Tobacco Products’’ Subject to the Federal Food, Drug, and Cosmetic Act, as Amended by the Family                                                              0910–AG38
                                                                                  Smoking Prevention and Tobacco Control Act.
                                                  121   ....................   Human Subject Protection; Acceptance of Data From Clinical Investigations for Medical Devices ...............                                                   0910–AG48
                                                  122   ....................   Foreign Supplier Verification Program .............................................................................................................             0910–AG64
                                                  123   ....................   Supplemental Applications Proposing Labeling Changes for Approved Drugs and Biological Products .......                                                         0910–AG94
                                                  124   ....................   Veterinary Feed Directive ................................................................................................................................      0910–AG95
                                                  125   ....................   Sanitary Transportation of Human and Animal Food ......................................................................................                         0910–AG98


                                                                                                          FOOD AND DRUG ADMINISTRATION—LONG-TERM ACTIONS
                                                                                                                                                                                                                                             Regulation
                                                    Sequence No.                                                                                        Title                                                                               Identifier No.

                                                  126 ....................     Focused Mitigation Strategies To Protect Food Against Intentional Adulteration ...........................................                                      0910–AG63


                                                                                                          FOOD AND DRUG ADMINISTRATION—COMPLETED ACTIONS
                                                                                                                                                                                                                                             Regulation
                                                    Sequence No.                                                                                        Title                                                                               Identifier No.

                                                  127 ....................     Content and Format of Labeling for Human Prescription Drugs and Biologics; Requirements for Preg-                                                               0910–AF11
                                                                                 nancy and Lactation Labeling.
                                                  128 ....................     Food Labeling: Calorie Labeling of Articles of Food Sold in Vending Machines ............................................                                       0910–AG56
                                                  129 ....................     Food Labeling: Nutrition Labeling of Standard Menu Items in Restaurants and Similar Retail Food Estab-                                                          0910–AG57
                                                                                 lishments.


                                                                                           CENTERS FOR MEDICARE & MEDICAID SERVICES—PROPOSED RULE STAGE
                                                                                                                                                                                                                                             Regulation
                                                    Sequence No.                                                                                        Title                                                                               Identifier No.

                                                  130 ....................     Reform of Requirements for Long-Term Care Facilities (CMS–3260–P) (Rulemaking Resulting From a                                                                  0938–AR61
                                                                                 Section 610 Review).
                                                  131 ....................     Electronic Health Record (EHR) Incentive Programs—Stage 3 (CMS–3310–F) (Section 610 Review) ......                                                              0938–AS26
                                                  132 ....................     Medicare Clinical Diagnostic Laboratory Test Payment System (CMS–1621–P) (Section 610 Review) .....                                                             0938–AS33
                                                  133 ....................     CY 2016 Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Medi-                                                             0938–AS40
                                                                                 care Part B (CMS–1631–P).
                                                  134 ....................     Hospital Inpatient Prospective Payment System for Acute Care Hospitals and the Long-Term Care Hos-                                                              0938–AS41
                                                                                 pital Prospective Payment System and FY 2016 Rates (CMS–1632–F).
                                                  135 ....................     CY 2016 Hospital Outpatient PPS Policy Changes and Payment Rates and Ambulatory Surgical Center                                                                 0938–AS42
                                                                                 Payment System Policy Changes and Payment Rates (CMS–1633–P).
                                                  136 ....................     FY 2016 Inpatient Rehabilitation Facility Prospective Payment System (CMS–1624–F) (Section 610 Re-                                                              0938–AS45
                                                                                 view).
                                                  137 ....................     Electronic Health Record Incentive Program—Modifications to Meaningful Use in 2015 through 2017                                                                 0938–AS58
                                                                                 (CMS–3311–F) (Section 610 Review).
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                                                                                               CENTERS FOR MEDICARE & MEDICAID SERVICES—FINAL RULE STAGE
                                                                                                                                                                                                                                             Regulation
                                                    Sequence No.                                                                                        Title                                                                               Identifier No.

                                                  138 ....................     Covered Outpatient Drugs (CMS–2345–F) (Section 610 Review) ................................................................                                     0938–AQ41




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                                                  35018                       Federal Register / Vol. 80, No. 117 / Thursday, June 18, 2015 / Unified Agenda

                                                                                       CENTERS FOR MEDICARE & MEDICAID SERVICES—LONG-TERM ACTIONS
                                                                                                                                                                                                      Regulation
                                                    Sequence No.                                                                      Title                                                          identifier No.

                                                  139 ....................   Home Health Agency Conditions of Participation (CMS–3819–F) (Rulemaking Resulting From a Sec-                              0938–AG81
                                                                              tion 610 Review).
                                                  140 ....................   Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers                        0938–AO91
                                                                               (CMS–3178–F) (Section 610 Review).
                                                  141 ....................   Medicare Shared Savings Program; Accountable Care Organizations (CMS–1461–F) (Section 610 Re-                              0938–AS06
                                                                               view).
                                                  142 ....................   Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement                    0938–AS21
                                                                               in Patient Care (CMS–3295–P) (Rulemaking Resulting From a Section 610 Review).



                                                  DEPARTMENT OF HEALTH AND                                    DEPARTMENT OF HEALTH AND                                101. Over-the-Counter (OTC) Drug
                                                  HUMAN SERVICES (HHS)                                        HUMAN SERVICES (HHS)                                    Review—Topical Antimicrobial Drug
                                                                                                                                                                      Products
                                                  Substance Abuse and Mental Health                           Food and Drug Administration (FDA)
                                                  Services Administration (SAMHSA)                                                                                       Legal Authority: 21 U.S.C. 321p; 21
                                                                                                              Proposed Rule Stage                                     U.S.C. 331; 21 U.S.C. 351 to 353; 21
                                                  Completed Actions                                                                                                   U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371
                                                                                                              100. Over-the-Counter (OTC) Drug
                                                                                                                                                                         Abstract: The OTC drug review
                                                  99. SAMHSA USER FEES FOR                                    Review—Cough/Cold (Antihistamine)                       establishes conditions under which
                                                  PUBLICATIONS                                                Products                                                OTC drugs are considered generally
                                                     Legal Authority: 31 U.S.C. 9701; 31                        Legal Authority: 21 U.S.C. 321p; 21                   recognized as safe and effective, and not
                                                  U.S.C. 1111; E.O. 8284; E.O. 11541; Pub.                    U.S.C. 331; 21 U.S.C. 351 to 353; 21                    misbranded. After a final monograph
                                                  L. 113–76                                                   U.S.C. 355; 21 U.S.C. 360; 21 U.S.C. 371                (i.e., final rule) is issued, only OTC
                                                                                                                                                                      drugs meeting the conditions of the
                                                     Abstract: SAMSHA is proposing to                           Abstract: FDA will be proposing a                     monograph, or having an approved new
                                                  implement a modest cost recovery                            rule to add the common cold indication                  drug application, may be legally
                                                  program to partially offset the high costs                  to certain over-the-counter (OTC)                       marketed. This action addresses
                                                  of distributing its materials to the                        antihistamine active ingredients. This                  antimicrobial agents in healthcare
                                                  public. This user fee would apply only                      proposed rule is the result of                          antiseptic products.
                                                  to over-the-limit’’ non-governmental                        collaboration under the U.S.-Canada                        Timetable:
                                                  orders. An over the limit’’ order is                        Regulatory Cooperation Council (RCC)
                                                  defined as an order that exceeds either                     as part of efforts to reduce unnecessary                        Action       Date          FR Cite
                                                  the average weight value (3.75 lbs) or                      duplication and differences. This pilot
                                                  the average number of copies (8). The                                                                               NPRM                06/17/94    59 FR 31402
                                                                                                              exercise will help determine the                          (Healthcare).
                                                  non-governmental orders’’ do not                            feasibility of developing an ongoing                    Comment Period      12/15/95
                                                  include: SAMHSA’s Recovery Month                            mechanism for alignment in review and                     End.
                                                  bulk orders; orders by SAMHSA staff for                     adoption of OTC drug monograph                          NPRM (Consumer      12/17/13    78 FR 76443
                                                  meetings or conferences; and orders                         elements.                                                 Hand Wash
                                                  from .gov’’ and .mil’’ addresses.                                                                                     Products).
                                                  Therefore, it is assumed that SAMHSA                          Timetable:                                            NPRM                05/01/15    80 FR 25166
                                                  would not charge shipping for orders by                                                                               (Healthcare An-
                                                  other Federal, State, and local                                    Action                Date          FR Cite        tiseptic).
                                                  government agencies. The proposed rule                                                                              NPRM Comment        10/28/15
                                                                                                              Reopening of Ad-         08/25/00        65 FR 51780      Period End.
                                                  would implement recent legislation                            ministrative
                                                  allowing the funds collected as part of                       Record.                                                 Regulatory Flexibility Analysis
                                                  a user fee for publications and data                        Comment Period           11/24/00                       Required: Yes.
                                                  requests to be available to SAMHSA                            End.                                                    Agency Contact: Janice Adams-King,
                                                  until expended.                                             NPRM (Amend-             09/00/15                       Regulatory Health Project Manager,
                                                     Timetable:                                                 ment) (Common
                                                                                                                                                                      Department of Health and Human
                                                                                                                Cold).
                                                                                                                                                                      Services, Food and Drug
                                                          Action                Date           FR Cite                                                                Administration, Center for Drug
                                                                                                                Regulatory Flexibility Analysis                       Evaluation and Research, WO 22, Room
                                                  Withdrawn ...........        03/19/15                       Required: Yes.                                          5416, 10903 New Hampshire Avenue,
                                                                                                                Agency Contact: Janice Adams–King,                    Silver Spring, MD 20993, Phone: 301
                                                    Regulatory Flexibility Analysis                           Regulatory Health Project Manager,                      796–3713, Fax: 301 796–9899, Email:
                                                  Required: Yes.                                              Department of Health and Human                          janice.adams-king@fda.hhs.gov.
                                                                                                              Services, Food and Drug                                   RIN: 0910–AF69
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                                                    Agency Contact: Brian Altman,
                                                  Legislative Director, Department of                         Administration, Center for Drug                         102. Abbreviated New Drug
                                                  Health and Human Services, Substance                        Evaluation and Research, WO 22, Room                    Applications and 505(B)(2)
                                                  Abuse and Mental Health Services                            5416, 10903 New Hampshire Avenue,
                                                                                                                                                                        Legal Authority: Pub. L. 108–173, title
                                                  Administration, 1 Choke Cherry Road,                        Silver Spring, MD 20993, Phone: 301                     XI; 21 U.S.C. 355; 21 U.S.C. 371
                                                  Rockville, MD 02857, Phone: 240 276–                        796–3713, Fax: 301 796–9899, Email:                       Abstract: This proposed rule would
                                                  2009, Email: brian.altman@samhsa.gov.                       janice.adams-king@fda.hhs.gov.                          make changes to certain procedures for
                                                    RIN: 0930–AA18                                              RIN: 0910–AF31                                        Abbreviated New Drug Applications


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                                                                            Federal Register / Vol. 80, No. 117 / Thursday, June 18, 2015 / Unified Agenda                                                35019

                                                  and related applications to patent                        104. Electronic Distribution of                         Agency determines should be tested to
                                                  certifications, notice to patent owners                   Prescribing Information for Human                       protect the public health.
                                                  and application holders, the availability                 Prescription Drugs Including Biological                   Timetable:
                                                  of a 30-month stay of approval,                           Products
                                                  amendments and supplements, and the                          Legal Authority: 21 U.S.C. 321; 21                           Action             Date      FR Cite
                                                  types of bioavailability and                              U.S.C. 331; 21 U.S.C. 351; 21 U.S.C. 352;
                                                  bioequivalence data that can be used to                                                                           NPRM ..................   02/00/16
                                                                                                            21 U.S.C. 353; 21 U.S.C. 355; 21 U.S.C.
                                                  support these applications.                               358; 21 U.S.C. 360; 21 U.S.C. 360b; 21                    Regulatory Flexibility Analysis
                                                    Timetable:                                              U.S.C. 360gg to 360ss; 21 U.S.C. 371; 21                Required: Yes.
                                                                                                            U.S.C. 374; 21 U.S.C. 379e; 42 U.S.C.                     Agency Contact: Laura Rich, Senior
                                                         Action               Date           FR Cite        216; 42 U.S.C. 241; 42 U.S.C. 262; 42                   Regulatory Counsel, Department of
                                                                                                            U.S.C. 264                                              Health and Human Services, Food and
                                                  NPRM ..................   02/06/15      80 FR 6802           Abstract: This rule would require
                                                  NPRM Comment              04/24/15      80 FR 22953                                                               Drug Administration, Center for
                                                   Period Ex-
                                                                                                            electronic package inserts for human                    Tobacco Products, 10903 New
                                                   tended.                                                  drug and biological prescription                        Hampshire Avenue, Building 71, G335,
                                                  NPRM Comment              05/07/15                        products with limited exceptions, in                    Silver Spring, MD 20993, Phone: 877
                                                   Period End.                                              lieu of paper, which is currently used.                 287–1373, Email: ctpregulations@
                                                  NPRM Comment               06/08/15                       These inserts contain prescribing                       fda.hhs.gov.
                                                   Period Ex-                                               information intended for healthcare
                                                   tended End.                                                                                                        RIN: 0910–AG59
                                                                                                            practitioners. This would ensure that
                                                                                                            the information accompanying the                        106. Format and Content of Reports
                                                    Regulatory Flexibility Analysis                         product is the most up-to-date                          Intended to Demonstrate Substantial
                                                  Required: Yes.                                            information regarding important safety                  Equivalence
                                                    Agency Contact: Janice L. Weiner,                       and efficacy issues about these                           Legal Authority: 21 U.S.C. 387e(j); 21
                                                  Senior Regulatory Counsel, Department                     products.                                               U.S.C. 387j(a); secs 905(j) and 910(a) of
                                                  of Health and Human Services, Food                           Timetable:
                                                                                                                                                                    the Federal Food, Drug, and Cosmetic
                                                  and Drug Administration, Center for                                                                               Act
                                                  Drug Evaluation and Research, WO 51,                             Action                Date          FR Cite
                                                                                                                                                                      Abstract: This regulation would
                                                  Room 6268, 10903 New Hampshire                            NPRM ..................   12/18/14       79 FR 75506    establish the format and content of
                                                  Avenue, Silver Spring, MD 20993–0002,                     NPRM Comment              03/09/15       80 FR 12364    reports intended to demonstrate
                                                  Phone: 301 796–3601, Fax: 301 847–                          Period Ex-                                            substantial equivalence. This regulation
                                                  8440, Email: janice.weiner@fda.hhs.gov.                     tended.                                               also would provide information as to
                                                    RIN: 0910–AF97                                          NPRM Comment              03/18/15                      how the Agency will review and act on
                                                                                                              Period End.
                                                                                                                                                                    these submissions.
                                                  103. Updated Standards for Labeling of                    NPRM Comment              05/18/15
                                                                                                              Period Ex-                                              Timetable:
                                                  Pet Food
                                                                                                              tended End.
                                                    Legal Authority: 21 U.S.C. 343; 21                      Final Action .........    03/00/16                              Action             Date      FR Cite
                                                  U.S.C. 371; Pub. L. 110–85, sec
                                                                                                              Regulatory Flexibility Analysis                       NPRM ..................   11/00/15
                                                  1002(a)(3)
                                                    Abstract: FDA is proposing updated                      Required: Yes.
                                                                                                              Agency Contact: Emily Gebbia,                           Regulatory Flexibility Analysis
                                                  standards for the labeling of pet food                                                                            Required: Yes.
                                                  that include nutritional and ingredient                   Regulatory Counsel, Department of
                                                                                                            Health and Human Services, Food and                       Agency Contact: Annette L. Marthaler,
                                                  information, as well as style and                                                                                 Regulatory Counsel, Department of
                                                  formatting standards. FDA is taking this                  Drug Administration, Center for Drug
                                                                                                            Evaluation and Research, 10903 New                      Health and Human Services, Food and
                                                  action to provide pet owners and animal                                                                           Drug Administration, Center for
                                                  health professionals more complete and                    Hampshire Avenue, Building 51, Room
                                                                                                            6226, Silver Spring, MD 20993, Phone:                   Tobacco Products, Document Control
                                                  consistent information about the                                                                                  Center, Building 71, Room G335, 10903
                                                  nutrient content and ingredient                           240 402–0980, Email: emily.gebbia@
                                                                                                            fda.hhs.gov.                                            New Hampshire Avenue, Silver Spring,
                                                  composition of pet food products.                                                                                 MD 20993, Phone: 877 287–1373, Fax:
                                                                                                              RIN: 0910–AG18
                                                    Timetable:                                                                                                      877 287–1426, Email: ctpregulations@
                                                                                                            105. Requirements for the Testing and                   fda.hhs.gov.
                                                         Action               Date           FR Cite        Reporting of Tobacco Product                              RIN: 0910–AG96
                                                                                                            Constituents, Ingredients, and
                                                  NPRM ..................    09/00/15                       Additives                                               107. Food Labeling; Gluten-Free
                                                                                                                                                                    Labeling of Fermented, Hydrolyzed, or
                                                                                                              Legal Authority: 21 U.S.C. 301 et
                                                    Regulatory Flexibility Analysis                                                                                 Distilled Foods
                                                                                                            seq.et seq.; 21 U.S.C. 387; The Family
                                                  Required: Yes.                                                                                                      Legal Authority: sec 206 of the Food
                                                                                                            Smoking Prevention and Tobacco
                                                    Agency Contact: William Burkholder,                     Control Act                                             Allergen Labeling and Consumer
                                                  Veterinary Medical Officer, Department                      Abstract: The Federal Food, Drug, and                 Protection Act; 21 U.S.C. 343(a)(1); 21
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                                                  of Health and Human Services, Food                        Cosmetic Act, as amended by the                         U.S.C. 321(n); 21 U.S.C. 371(a)
                                                  and Drug Administration, Center for                       Family Smoking Prevention and                             Abstract: This proposed rule would
                                                  Veterinary Medicine, MPN–4, Room                          Tobacco Control Act, requires the Food                  establish requirements concerning
                                                  2642, HFV–228, 7519 Standish Place,                       and Drug Administration to promulgate                   compliance for using a ‘‘gluten-free’’
                                                  Rockville, MD 20855, Phone: 240 402–                      regulations that require the testing and                labeling claim for those foods for which
                                                  5900, Email: william.burkholder@                          reporting of tobacco product                            there is no scientifically valid analytical
                                                  fda.hhs.gov.                                              constituents, ingredients, and additives,               method available that can reliably detect
                                                    RIN: 0910–AG09                                          including smoke constituents, that the                  and accurately quantify the presence of


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                                                  35020                     Federal Register / Vol. 80, No. 117 / Thursday, June 18, 2015 / Unified Agenda

                                                  20 parts per million (ppm) gluten in the                  109. Mammography Quality Standards                        RIN: 0910–AH07
                                                  food.                                                     Act; Regulatory Amendments
                                                                                                                                                                   111. General and Plastic Surgery
                                                    Timetable:                                                 Legal Authority: 21 U.S.C. 360i; 21                 Devices: Sunlamp Products
                                                                                                            U.S.C. 360nn; 21 U.S.C. 374(e); 42
                                                         Action               Date           FR Cite        U.S.C. 263b                                              Legal Authority: 21 U.S.C. 360j(e)
                                                                                                               Abstract: FDA is proposing to amend
                                                  NPRM ..................    05/00/15                                                                                Abstract: This proposed rule would
                                                                                                            its regulations governing
                                                                                                                                                                   apply device restrictions to sunlamp
                                                                                                            mammography. The amendments would
                                                     Regulatory Flexibility Analysis                        update the regulations issued under the                products.
                                                  Required: Yes.                                            Mammography Quality Standards Act of                     Timetable:
                                                     Agency Contact: Felicia Billingslea,                   1992 (MQSA). FDA is taking this action
                                                  Director, Food Labeling and Standard                      to address changes in mammography                              Action             Date        FR Cite
                                                  Staff, Department of Health and Human                     technology and mammography
                                                  Services, Food and Drug                                   processes, such as breast density                      NPRM ..................   05/00/15
                                                  Administration, Room 4D045, HFS 820,                      reporting, that have occurred since the
                                                  5100 Paint Branch Parkway, College                        regulations were published in 1997.                      Regulatory Flexibility Analysis
                                                  Park, MD 20740, Phone: 240 402–1803,                         Timetable:                                          Required: Yes.
                                                  Fax: 301 436–2636, Email:
                                                  felicia.billingslea@fda.hhs.gov.                                 Action                Date         FR Cite
                                                                                                                                                                     Agency Contact: Paul Gadiock,
                                                                                                                                                                   Regulatory Counsel, Department of
                                                     RIN: 0910–AH00
                                                                                                            NPRM ..................   10/00/15                     Health and Human Services, Food and
                                                  108. Radiaology Devices; Designation of                                                                          Drug Administration, Center for Devices
                                                  Special Controls for the Computed                           Regulatory Flexibility Analysis                      and Radiological Health, 10903 New
                                                  Tomography X-Ray System                                   Required: Yes.                                         Hampshire Avenue, W0–66, Room 4432,
                                                                                                              Agency Contact: Nancy Pirt,                          Silver Spring, MD 20993–0002, Phone:
                                                    Legal Authority: 21 U.S.C. 360c                         Regulatory Counsel, Department of
                                                    Abstract: The proposed rule would                                                                              301 796–5736, Fax: 301 847–8145,
                                                                                                            Health and Human Services, Food and                    Email: paul.gadiock@fda.hhs.gov.
                                                  establish special controls for the                        Drug Administration, Center for Devices
                                                  computed tomography (CT) X-ray                            and Radiological Health, WO 66, Room                     RIN: 0910–AH14
                                                  system. A CT X-ray system is a                            4438, 10903 New Hampshire Avenue,
                                                  diagnostic X-ray imaging system                                                                                  112. • Requirements for Tobacco
                                                                                                            Silver Spring, MD 20993, Phone: 301                    Product Manufacturing Practice
                                                  intended to produce cross-sectional                       796–6248, Fax: 301 847–8145, Email:
                                                  images of the body through use of a                       nancy.pirt@fda.hhs.gov.                                  Legal Authority: 21 U.S.C. 371; 21
                                                  computer to reconstruct an image from                       RIN: 0910–AH04                                       U.S.C. 387b; 21 U.S.C. 387f
                                                  the same axial plane taken at different
                                                  angles. High doses of ionizing radiation                  110. Investigational New Drug                            Abstract: FDA is proposing
                                                  can cause acute (deterministic) effects                   Application Annual Reporting                           requirements that govern the methods
                                                  such as burns, reddening of the skin,                       Legal Authority: 21 U.S.C. 355(i); 21                used in, and the facilities and controls
                                                  cataracts, hair loss, sterility, and, in                  U.S.C. 371(a); 42 U.S.C. 262(a)                        used for, the pre-production design
                                                  extremely high doses, radiation                             Abstract: This proposed rule would                   validation, manufacture, packing, and
                                                  poisoning. The design of a CT X-ray                       revise the requirements concerning                     storage of tobacco products.
                                                  system should balance the benefits of                     annual reports submitted to                              Timetable:
                                                  the device (i.e., the ability of the device               investigational new drug applications
                                                  to produce a diagnostic quality image)                    (INDs) by replacing the current annual                         Action             Date        FR Cite
                                                  with the known risks (e.g., exposure to                   reporting requirement with a
                                                  ionizing radiation). FDA is establishing                  requirement that is generally consistent               ANPRM ...............     03/19/13   78 FR 16824
                                                  proposed special controls, which, when                    with the format, content, and timing of                ANPRM Comment             05/20/13
                                                  combined with the general controls,                       submission of the development safety                    Period End.
                                                  would provide reasonable assurance of                     update report devised by the                           NPRM ..................   02/00/16
                                                  the safety and effectiveness of a class II                International Conference on
                                                  CT X-ray system.                                          Harmonization of Technical                               Regulatory Flexibility Analysis
                                                    Timetable:                                              Requirements for Registration of
                                                                                                                                                                   Required: Yes.
                                                                                                            Pharmaceuticals for Human Use (ICH).
                                                                                                              Timetable:                                             Agency Contact: Darin Achilles,
                                                         Action               Date           FR Cite
                                                                                                                                                                   Senior Regulatory Counsel, Department
                                                  NPRM ..................    03/00/16                              Action                Date         FR Cite      of Health and Human Services, Food
                                                                                                                                                                   and Drug Administration, 10903 New
                                                                                                            NPRM ..................   12/00/15
                                                    Regulatory Flexibility Analysis                                                                                Hampshire Avenue, Document Control
                                                  Required: Yes.                                              Regulatory Flexibility Analysis                      Center, Building 71, Room G335, Silver
                                                    Agency Contact: Erica Blake,                            Required: Yes.                                         Spring, MD 20993, Phone: 877 287–
                                                  Regulatory Counsel, Department of                           Agency Contact: Peter A.                             1373, Fax: 301 595–1426, Email:
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                                                  Health and Human Services, Food and                       Taschenberger, Regulatory Counsel,                     ctpregulations@fda.hhs.gov.
                                                  Drug Administration, Center for Devices                   Department of Health and Human                           RIN: 0910–AH22
                                                  and Radiological Health, WO 66, Room                      Services, Food and Drug
                                                  4426, 10903 New Hampshire Avenue,                         Administration, 10903 New Hampshire
                                                  Silver Spring, MD 20993, Phone: 301                       Avenue, Building 51, Room 6312, Silver
                                                  796–6248, Fax: 301 847–8145, Email:                       Spring, MD 20993, Phone: 301 796–
                                                  erica.blake@fda.hhs.gov.                                  0018, Fax: 301 847–3529, Email:
                                                    RIN: 0910–AH03                                          peter.taschenberger@fda.hhs.gov.


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                                                                            Federal Register / Vol. 80, No. 117 / Thursday, June 18, 2015 / Unified Agenda                                                   35021

                                                  DEPARTMENT OF HEALTH AND                                         Action                Date          FR Cite        Regulatory Flexibility Analysis
                                                  HUMAN SERVICES (HHS)                                                                                              Required: Yes.
                                                                                                            ANPRM ...............     07/11/03       68 FR 41507      Agency Contact: Cherisa Henderson,
                                                  Food and Drug Administration (FDA)                        ANPRM Comment             10/09/03                      Nutritionist, Department of Health and
                                                  Final Rule Stage                                            Period End.                                           Human Services, Food and Drug
                                                                                                            Second ANPRM ..           04/04/05       70 FR 17008    Administration, HFS–830, 5100 Paint
                                                  113. Requirements for Foreign and                         Second ANPRM              06/20/05                      Branch Parkway, College Park, MD
                                                  Domestic Establishment Registration                         Comment Pe-
                                                                                                                                                                    20740, Phone: 240 402–5429, Fax: 301
                                                  and Listing for Human Drugs, Including                      riod End.
                                                                                                            Third ANPRM ......        11/02/07       72 FR 62149    436–1191, Email:
                                                  Drugs That are Regulated Under A                                                                                  nutritionprogramstaff@fda.hhs.gov.
                                                  Biologics License Application, and                        Third ANPRM               01/31/08
                                                                                                              Comment Pe-                                             RIN: 0910–AF23
                                                  Animal Drugs                                                riod End.
                                                                                                                                                                    116. Laser Products; Amendment to
                                                    Legal Authority: 21 U.S.C. 321 and                      NPRM ..................   03/03/14       79 FR 11879
                                                                                                            NPRM Comment              06/02/14                      Performance Standard
                                                  331; 21 U.S.C. 351 to 353; 21 U.S.C. 355
                                                                                                              Period End.                                             Legal Authority: 21 U.S.C. 360hh to
                                                  to 356c; 21 U.S.C. 360 and 360b; 21                       Final Action .........    03/00/16                      360ss; 21 U.S.C. 371; 21 U.S.C. 393
                                                  U.S.C. 360c to 360f; 21 U.S.C. 360h to                                                                              Abstract: The regulation will amend
                                                  360j; 21 U.S.C. 371 and 374; 21 U.S.C.                      Regulatory Flexibility Analysis                       the performance standard for laser
                                                  379e and 381; 21 U.S.C. 393; 15 U.S.C.                    Required: Yes.                                          products to achieve closer
                                                  1451 to 1561; 42 U.S.C. 262 and 264; 42                     Agency Contact: Blakeley Fitzpatrick,                 harmonization between the current
                                                  U.S.C. 271                                                Interdisciplinary Scientist, Department                 standard and the International
                                                    Abstract: The rule will reorganize,                     of Health and Human Services, Food                      Electrotechnical Commission (IEC)
                                                  consolidate, clarify, and modify current                  and Drug Administration, Center for                     standard for laser products and medical
                                                  regulations concerning who must                           Food Safety and Applied Nutrition                       laser products. The amendment is
                                                  register establishments and list human                    (HFS–830), HFS–830, 5100 Paint Branch                   intended to update FDA’s performance
                                                  drugs, including certain biological                       Parkway, College Park, MD 20740,                        standard to reflect advancements in
                                                  drugs, and animal drugs. These                            Phone: 240 402–5429, Email:                             technology.
                                                  regulations contain information on                        nutritionprogramstaff@fda.hhs.gov.                        Timetable:
                                                  when, how, and where to register drug                       RIN: 0910–AF22
                                                  establishments and list drugs, and what                                                                                   Action             Date        FR Cite
                                                  information must be submitted. They                       115. Food Labeling: Serving Sizes of
                                                  also address National Drug Codes.                         Foods That Can Reasonably Be                            NPRM ..................   06/24/13   78 FR 37723
                                                                                                            Consumed at One-Eating Occasion;                        NPRM Comment              09/23/13
                                                    Timetable:                                                                                                        Period End.
                                                                                                            Dual-Column Labeling; Updating,
                                                                                                            Modifying, and Establishing Certain                     Final Action .........    04/00/16
                                                         Action               Date           FR Cite
                                                                                                            RACCS
                                                                                                                                                                      Regulatory Flexibility Analysis
                                                  NPRM ..................   08/29/06      71 FR 51276         Legal Authority: 21 U.S.C. 321; 21                    Required: Yes.
                                                  NPRM Comment              02/26/07                        U.S.C. 343; 21 U.S.C. 371; Pub. L. 101–
                                                    Period End.
                                                                                                                                                                      Agency Contact: Nancy Pirt,
                                                  Final Action .........     10/00/15
                                                                                                            535, sec 2(b)(1)(A)                                     Regulatory Counsel, Department of
                                                                                                              Abstract: FDA is amending its                         Health and Human Services, Food and
                                                                                                            labeling regulations for foods to provide               Drug Administration, Center for Devices
                                                    Regulatory Flexibility Analysis                         updated Reference Amounts                               and Radiological Health, WO 66, Room
                                                  Required: Yes.                                            Customarily Consumed (RACCs) for                        4438, 10903 New Hampshire Avenue,
                                                    Agency Contact: David Joy, Senior                       certain food categories. This rule would                Silver Spring, MD 20993, Phone: 301
                                                  Regulatory Counsel, Department of                         provide consumers with nutrition                        796–6248, Fax: 301 847–8145, Email:
                                                  Health and Human Services, Food and                       information based on the amount of                      nancy.pirt@fda.hhs.gov.
                                                  Drug Administration, WO 51, Room                          food that is customarily consumed,                        RIN: 0910–AF87
                                                  6254, 10903 New Hampshire Avenue,                         which would assist consumers in
                                                  Silver Spring, MD 20993, Phone: 301                                                                               117. Current Good Manufacturing
                                                                                                            maintaining healthy dietary practices. In
                                                  796–2242, Email: david.joy@                                                                                       Practice and Hazard Analysis and Risk-
                                                                                                            addition to updating certain RACCs,
                                                  fda.hhs.gov.                                                                                                      Based Preventive Controls for Food for
                                                                                                            FDA is also amending the definition of
                                                                                                                                                                    Animals
                                                    RIN: 0910–AA49                                          single-serving containers; amending the
                                                                                                            label serving size for breath mints; and                  Legal Authority: 21 U.S.C. 321; 21
                                                  114. Food Labeling; Revision of the                       providing for dual-column labeling,                     U.S.C. 331; 21 U.S.C. 342; 21 U.S.C.
                                                  Nutrition and Supplement Facts Labels                     which would provide nutrition                           350c; 21 U.S.C. 350d note; 21 U.S.C.
                                                    Legal Authority: 21 U.S.C. 321; 21                      information per serving and per                         350g; 21 U.S.C. 350g note; 21 U.S.C.
                                                  U.S.C. 343; 21 U.S.C. 371                                 container or unit, as applicable, under                 371; 21 U.S.C. 374; 42 U.S.C. 264; 42
                                                                                                            certain circumstances.                                  U.S.C. 243; 42 U.S.C. 271; * * *
                                                    Abstract: FDA is amending the                                                                                     Abstract: This rule establishes
                                                  labeling regulations for conventional                       Timetable:
                                                                                                                                                                    requirements for good manufacturing
                                                  foods and dietary supplements to                                                                                  practice, and requires that certain
                                                                                                                   Action                Date          FR Cite
tkelley on DSK3SPTVN1PROD with PROPOSALS 7




                                                  provide updated nutrition information                                                                             facilities establish and implement
                                                  on the label to assist consumers in                       ANPRM ...............     04/04/05       70 FR 17010    hazard analysis and risk-based
                                                  maintaining healthy dietary practices.                    ANPRM Comment             06/20/05                      preventive controls for animal food,
                                                  This rule will modernize the nutrition                      Period End.                                           including ingredients and mixed animal
                                                  information found on the Nutrition                        NPRM ..................   03/03/14       79 FR 11989    feed. This action is intended to provide
                                                  Facts label, as well as the format and                    NPRM Comment              06/02/14
                                                                                                              Period End.
                                                                                                                                                                    greater assurance that food for all
                                                  appearance of the label.                                                                                          animals, including pets, is safe.
                                                                                                            Final Action .........    03/00/16
                                                    Timetable:                                                                                                        Timetable:


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                                                  35022                     Federal Register / Vol. 80, No. 117 / Thursday, June 18, 2015 / Unified Agenda

                                                         Action               Date           FR Cite               Action                Date          FR Cite      preventive controls to significantly
                                                                                                                                                                    minimize or prevent the occurrence of
                                                  NPRM ..................   10/29/13      78 FR 64736       Notice of Intent          08/19/13       78 FR 50358    hazards that could affect food
                                                  NPRM Comment              02/03/14      79 FR 6111          To Prepare an                                         manufactured, processed, packed, or
                                                    Period Exten-                                             Environmental                                         held by the facility. This action is
                                                    sion.                                                     Impact State-                                         intended to prevent or, at a minimum,
                                                  NPRM Comment              02/26/14                          ment for the
                                                                                                              Proposed Rule.
                                                                                                                                                                    quickly identify foodborne pathogens
                                                    Period End.
                                                                                                            Notice of Intent          11/15/13                      before they get into the food supply.
                                                  NPRM Comment              03/31/14                                                                                  Timetable:
                                                    Period Exten-                                             To Prepare En-
                                                    sion End.                                                 vironmental Im-
                                                                                                              pact Statement                                                Action             Date        FR Cite
                                                  Supplemental              09/29/14      79 FR 58475
                                                    NPRM.                                                     for the Pro-
                                                                                                              posed Rule                                            NPRM ..................   01/16/13   78 FR 3646
                                                  Supplemental              12/15/14                                                                                NPRM Comment              05/16/13
                                                    NPRM Com-                                                 Comment Pe-
                                                                                                              riod End.                                               Period End.
                                                    ment Period                                                                                                     NPRM Comment              04/26/13   78 FR 24691
                                                    End.                                                    NPRM Comment              11/20/13       78 FR 69605
                                                                                                              Period Ex-                                              Period Ex-
                                                  Final Rule ............    08/00/15                                                                                 tended.
                                                                                                              tended.
                                                                                                            NPRM Comment              11/22/13                      NPRM Comment              09/16/13
                                                    Regulatory Flexibility Analysis                           Period Ex-                                              Period Ex-
                                                  Required: Yes.                                              tended End.                                             tended End.
                                                                                                            Environmental Im-         03/11/14       79 FR 13593    NPRM Comment              08/09/13   78 FR 48636
                                                    Agency Contact: Jeanette (Jenny) B.                       pact Statement                                          Period Ex-
                                                  Murphy, Consumer Safety Officer,                            for the Pro-                                            tended.
                                                  Department of Health and Human                              posed Rule;                                           NPRM Comment              11/15/13
                                                  Services, Food and Drug                                     Comment Pe-                                             Period Ex-
                                                  Administration, Center for Veterinary                       riod Extended.                                          tended End.
                                                                                                                                                                    NPRM Comment              11/20/13   78 FR 69604
                                                  Medicine, Room 2671 (MPN–4, HFV–                          Environmental Im-         04/18/14
                                                                                                              pact Statement                                          Period Ex-
                                                  200), 7519 Standish Place, Rockville,                                                                               tended.
                                                  MD 20855, Phone: 240 453–6845, Email:                       for the Pro-
                                                                                                              posed Rule;                                           NPRM Comment              11/22/13
                                                  jenny.murphy@fda.hhs.gov.                                                                                           Period Ex-
                                                                                                              Comment Pe-
                                                    RIN: 0910–AG10                                            riod Extended                                           tended End.
                                                                                                              End.                                                  Supplemental              09/29/14   79 FR 58523
                                                  118. Standards for the Growing,                           Supplemental              09/29/14       79 FR 58433      NPRM.
                                                  Harvesting, Packing, and Holding of                                                                               Supplemental              12/15/14
                                                                                                              NPRM.
                                                  Produce for Human Consumption                                                                                       NPRM Com-
                                                                                                            Supplemental              12/15/14
                                                                                                                                                                      ment Period
                                                                                                              NPRM Com-
                                                     Legal Authority: 21 U.S.C. 342; 21                                                                               End.
                                                                                                              ment Period
                                                  U.S.C. 350h; 21 U.S.C. 371; 42 U.S.C.                                                                             Final Rule ............   08/00/15
                                                                                                              End.
                                                  264; Pub. L. 111–353 (signed on January                   Draft Environ-            01/14/15       80 FR 1852
                                                  4, 2011)                                                    mental Impact                                           Regulatory Flexibility Analysis
                                                                                                              Statement.                                            Required: Yes.
                                                     Abstract: This rule will establish                     Draft Environ-            03/13/15                        Agency Contact: Jenny Scott, Senior
                                                  science-based minimum standards for                         mental Impact                                         Advisor, Department of Health and
                                                  the safe production and harvesting of                       Statement                                             Human Services, Food and Drug
                                                  those types of fruits and vegetables that                   Comment Pe-                                           Administration, Office of Food Safety,
                                                  are raw agricultural commodities for                        riod End.                                             5100 Paint Branch Parkway, College
                                                  which the Secretary has determined that                   Final Rule ............   10/00/15                      Park, MD 20740, Phone: 240 402–1488,
                                                  such standards minimize the risk of                                                                               Email: jenny.scott@fda.hhs.gov.
                                                  serious adverse health consequences or                      Regulatory Flexibility Analysis                         RIN: 0910–AG36
                                                  death. The purpose of the rule is to                      Required: Yes.
                                                  reduce the risk of illness associated with                  Agency Contact: Samir Assar,                          120. ‘‘Tobacco Products’’ Subject to the
                                                  fresh produce.                                            Supervisory Consumer Safety Officer,                    Federal Food, Drug, and Cosmetic Act,
                                                                                                            Department of Health and Human                          as Amended by the Family Smoking
                                                     Timetable:                                                                                                     Prevention and Tobacco Control Act
                                                                                                            Services, Food and Drug
                                                         Action               Date           FR Cite        Administration, Center for Food Safety                    Legal Authority: 21 U.S.C. 301 et seq.;
                                                                                                            and Applied Nutrition, Office of Food                   The Federal Food, Drug, and Cosmetic
                                                  NPRM ..................   01/16/13      78 FR 3503        Safety, 5100 Paint Branch Parkway,                      Act; Pub. L. 111–31; The Family
                                                  NPRM Comment              05/16/13                        College Park, MD 20740, Phone: 240                      Smoking Prevention and Tobacco
                                                   Period End.                                              402–1636, Email: samir.assar@                           Control Act
                                                  NPRM Comment              04/26/13      78 FR 24692       fda.hhs.gov.                                              Abstract: The Family Smoking
                                                   Period Ex-                                                 RIN: 0910–AG35                                        Prevention and Tobacco Control Act
                                                   tended.                                                                                                          (Tobacco Control Act) provides the
                                                                                                            119. Current Good Manufacturing and
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                                                  NPRM Comment               09/16/13                                                                               Food and Drug Administration (FDA)
                                                   Period Ex-                                               Hazard Analysis, and Risk-Based                         authority to regulate cigarettes, cigarette
                                                   tended End.                                              Preventive Controls for Human Food
                                                  NPRM Comment              08/09/13      78 FR 48637
                                                                                                                                                                    tobacco, roll-your-own tobacco, and
                                                   Period Ex-                                                 Legal Authority: 21 U.S.C. 342; 21                    smokeless tobacco. The Federal Food,
                                                   tended.                                                  U.S.C. 371; 42 U.S.C. 264; Pub. L. 111–                 Drug, and Cosmetic Act (FD&C Act), as
                                                  NPRM Comment               11/15/13                       353 (signed on Jan. 4, 2011)                            amended by the Tobacco Control Act,
                                                   Period Ex-                                                 Abstract: This rule would require a                   permits FDA to issue regulations
                                                   tended End.                                              food facility to have and implement                     deeming other tobacco products to be


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                                                                            Federal Register / Vol. 80, No. 117 / Thursday, June 18, 2015 / Unified Agenda                                                   35023

                                                  subject to the FD&C Act. This rule                               Action                Date          FR Cite      123. Supplemental Applications
                                                  would deem additional products                                                                                    Proposing Labeling Changes for
                                                  meeting the statutory definition of                       Final Action .........    12/00/15                      Approved Drugs and Biological
                                                  ‘‘tobacco product’’ to be subject to the                                                                          Products
                                                  FD&C Act, and would specify additional                      Regulatory Flexibility Analysis                         Legal Authority: 21 U.S.C. 321; 21
                                                  restrictions.                                             Required: Yes.
                                                     Timetable:                                                                                                     U.S.C. 331; 21 U.S.C. 352; 21 U.S.C. 353;
                                                                                                              Agency Contact: Aaliyah K. Eaves,                     21 U.S.C. 355; 21 U.S.C. 371; 42 U.S.C.
                                                         Action               Date           FR Cite        Policy Advisor, Office of the Director,                 262; * * *
                                                                                                            Department of Health and Human                            Abstract: This rule would amend the
                                                  NPRM ..................   04/25/14      79 FR 23142       Services, Food and Drug                                 regulations regarding new drug
                                                  NPRM Comment              07/09/14                        Administration, Center for Devices and                  applications (NDAs), abbreviated new
                                                    Period End.                                                                                                     drug applications (ANDAs), and
                                                  NPRM Comment              06/24/14      79 FR 35711       Radiological Health, WO 66, Room
                                                                                                            5422, 10903 New Hampshire Avenue,                       biologics license applications (BLAs) to
                                                    Period Ex-
                                                    tended.                                                 Silver Spring, MD 20993, Phone: 301                     revise and clarify procedures for
                                                  NPRM Comment              08/08/14                        796–2948, Fax: 301 847–8120, Email:                     changes to the labeling of an approved
                                                    Period End.                                             aaliyah.eaves-leanos@fda.hhs.gov.                       drug to reflect certain types of newly
                                                  Final Action .........     06/00/15                                                                               acquired information in advance of
                                                                                                              RIN: 0910–AG48                                        FDA’s review of such change.
                                                    Regulatory Flexibility Analysis                         122. Foreign Supplier Verification                        Timetable:
                                                  Required: Yes.                                            Program
                                                    Agency Contact: Gerie Voss, Senior                                                                                      Action             Date        FR Cite
                                                  Regulatory Counsel, Department of                            Legal Authority: 21 U.S.C. 384a; title
                                                  Health and Human Services, Food and                                                                               NPRM ..................   11/13/13   78 FR 67985
                                                                                                            III, sec 301 of FDA Food Safety
                                                  Drug Administration, Center for                                                                                   NPRM Comment              12/27/13   78 FR 78796
                                                                                                            Modernization Act; Pub. L. 111–353,                       Period Ex-
                                                  Tobacco Products, Document Control                        establishing sec 805 of the Federal Food,                 tended.
                                                  Center, Building 71, Room G335, 10903                     Drug, and Cosmetic Act (FD&C Act)                       NPRM Comment              01/13/14
                                                  New Hampshire Avenue, Silver Spring,                                                                                Period End.
                                                  MD 20993, Phone: 877 287–1373, Fax:                          Abstract: This rule describes what a
                                                                                                                                                                    NPRM Comment              03/13/14
                                                  301 595–1426, Email: ctpregulations@                      food importer must do to verify that its                  Period Ex-
                                                  fda.hhs.gov.                                              foreign suppliers produce food that is as                 tended End.
                                                    Laura Rich, Senior Regulatory                           safe as food produced in the United                     NPRM Comment              02/18/15   80 FR 8577
                                                  Counsel, Department of Health and                         States. FDA is taking this action to                      Period Re-
                                                  Human Services, Food and Drug                             improve the safety of food that is                        opened.
                                                  Administration, Center for Tobacco                        imported into the United States.                        NPRM Comment              04/27/15
                                                  Products, 10903 New Hampshire                                                                                       Period Re-
                                                                                                               Timetable:                                             opened End.
                                                  Avenue, Building 71, G335, Silver
                                                                                                                                                                    Final Rule ............   02/00/16
                                                  Spring, MD 20993, Phone: 877 287–                                Action                Date          FR Cite
                                                  1373, Email: ctpregulations@
                                                                                                                                                                      Regulatory Flexibility Analysis
                                                  fda.hhs.gov.                                              NPRM ..................   07/29/13       78 FR 45729
                                                    RIN: 0910–AG38                                                                                                  Required: Yes.
                                                                                                            NPRM Comment              11/26/13                        Agency Contact: Janice L. Weiner,
                                                  121. Human Subject Protection;                              Period End.
                                                                                                                                                                    Senior Regulatory Counsel, Department
                                                  Acceptance of Data From Clinical                          NPRM Comment              11/20/13       78 FR 69602
                                                                                                              Period Ex-
                                                                                                                                                                    of Health and Human Services, Food
                                                  Investigations for Medical Devices                                                                                and Drug Administration, Center for
                                                                                                              tended.
                                                    Legal Authority: 21 U.S.C. 321; 21                      NPRM Comment              01/27/14                      Drug Evaluation and Research, WO 51,
                                                  U.S.C. 331; 21 U.S.C. 351; 21 U.S.C. 352;                   Period Ex-                                            Room 6268, 10903 New Hampshire
                                                  21 U.S.C. 360; 21 U.S.C. 360c; 21 U.S.C.                    tended End.                                           Avenue, Silver Spring, MD 20993–0002,
                                                  360e; 21 U.S.C. 360i; 21 U.S.C. 360j; 21                  Supplemental              09/29/14       79 FR 58573    Phone: 301 796–3601, Fax: 301 847–
                                                  U.S.C. 371; 21 U.S.C. 374; 21 U.S.C. 381;                   NPRM.                                                 8440, Email: janice.weiner@fda.hhs.gov.
                                                  21 U.S.C. 393; 42 U.S.C. 264; 42 U.S.C.                   Supplemental              12/15/14                        RIN: 0910–AG94
                                                  271; * * *                                                  NPRM Com-
                                                                                                              ment Period                                           124. Veterinary Feed Directive
                                                    Abstract: This rule will amend FDA’s
                                                                                                              End.                                                     Legal Authority: 21 U.S.C. 354; 21
                                                  regulations on acceptance of data for
                                                                                                            Final Rule ............   10/00/15                      U.S.C. 360b; 21 U.S.C. 360ccc; 21 U.S.C.
                                                  medical devices to require that clinical
                                                  investigations submitted in support of a                                                                          360ccc–1; 21 U.S.C. 371
                                                  premarket approval application,                             Regulatory Flexibility Analysis                          Abstract: The Animal Drug
                                                  humanitarian device exemption                             Required: Yes.                                          Availability Act created a new category
                                                  application, an investigational device                      Agency Contact: Brian L. Pendleton,                   of products called veterinary feed
                                                  exemption application, or a premarket                     Senior Policy Advisor, Department of                    directive (VFD) drugs. This rulemaking
                                                  notification submission be conducted in                   Health and Human Services, Food and                     is intended to provide for the increased
tkelley on DSK3SPTVN1PROD with PROPOSALS 7




                                                  accordance with good clinical practice if                 Drug Administration, Office of Policy,                  efficiency of the VFD program.
                                                  conducted outside the United States.                      WO 32, Room 4245, 10903 New                                Timetable:
                                                    Timetable:
                                                                                                            Hampshire Avenue, Silver Spring, MD
                                                                                                                                                                            Action             Date        FR Cite
                                                         Action               Date           FR Cite        20993–0002, Phone: 301 796–4614, Fax:
                                                                                                            301 847–8616, Email: brian.pendleton@                   ANPRM ...............     03/29/10   75 FR 15387
                                                  NPRM ..................   02/25/13      78 FR 12664       fda.hhs.gov.                                            ANPRM Comment             06/28/10
                                                  NPRM Comment              05/28/13                                                                                 Period End.
                                                                                                              RIN: 0910–AG64
                                                   Period End.                                                                                                      NPRM ..................   12/12/13   78 FR 75515



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                                                  35024                     Federal Register / Vol. 80, No. 117 / Thursday, June 18, 2015 / Unified Agenda

                                                         Action               Date           FR Cite        DEPARTMENT OF HEALTH AND                                360ss; 21 U.S.C. 371; 21 U.S.C. 374; 21
                                                                                                            HUMAN SERVICES (HHS)                                    U.S.C. 379e; 42 U.S.C. 216; 42 U.S.C.
                                                  NPRM Comment              03/12/14                                                                                241; 42 U.S.C. 262; 42 U.S.C. 264
                                                    Period End.                                             Food and Drug Administration (FDA)
                                                                                                                                                                       Abstract: This final rule will amend
                                                  Final Rule ............    05/00/15                       Long-Term Actions                                       the content and format of the
                                                                                                            126. Focused Mitigation Strategies to                   ‘‘Pregnancy,’’ ‘‘Labor and delivery,’’ and
                                                    Regulatory Flexibility Analysis                         Protect Food Against Intentional                        ‘‘Nursing mothers’’ subsections of the
                                                  Required: Yes.                                            Adulteration                                            ‘‘Use in Specific Populations’’ section of
                                                    Agency Contact: Sharon Benz,                                                                                    regulations regarding the labeling for
                                                                                                              Legal Authority: 21 U.S.C. 331; 21                    human prescription drug and biological
                                                  Supervisory Animal Scientist,                             U.S.C. 342; 21 U.S.C. 350g; 21 U.S.C.                   products to better communicate risks.
                                                  Department of Health and Human                            350i; 21 U.S.C. 371; 21 U.S.C. 374;
                                                  Services, Food and Drug                                                                                              Timetable:
                                                                                                            Pub. L. 111–353
                                                  Administration, Center for Veterinary                       Abstract: This rule would require                             Action             Date        FR Cite
                                                  Medicine, MPN–4, Room 2648, HFV–                          domestic and foreign food facilities that
                                                  220, 7519 Standish Place, Rockville, MD                   are required to register under the                      NPRM ..................   05/29/08   73 FR 30831
                                                  20855, Phone: 240 402–5939, Email:                        Federal Food, Drug, and Cosmetic Act to                 NPRM Comment              08/27/08
                                                  sharon.benz@fda.hhs.gov.                                  address hazards that may be                               Period End.
                                                                                                            intentionally introduced by acts of                     Final Action .........    12/04/14   79 FR 72064
                                                    RIN: 0910–AG95
                                                                                                            terrorism. These food facilities would be
                                                  125. Sanitary Transportation of Human                     required to identify and implement                        Regulatory Flexibility Analysis
                                                  and Animal Food                                           focused mitigation strategies to                        Required: Yes.
                                                                                                            significantly minimize or prevent                         Agency Contact: Kathy Schreier,
                                                     Legal Authority: 21 U.S.C. 350e; 21                    significant vulnerabilities identified at               Regulatory Counsel, Department of
                                                  U.S.C. 373; 21 U.S.C. 331; 21 U.S.C. 342;                 actionable process steps in a food                      Health and Human Services, Food and
                                                  21 U.S.C. 371; * * *                                      operation.                                              Drug Administration, Center for Drug
                                                     Abstract: This rule would establish                      Timetable:                                            Evaluation and Research, 10903 New
                                                  requirements for parties including                                                                                Hampshire Ave., WO51, Rm. 6246,
                                                  shippers, carriers by motor vehicle or                           Action                Date          FR Cite      Silver Spring, MD 20993, Phone: 301
                                                  rail vehicle, and receivers engaged in                                                                            796–3432, Email: kathy.schreier@
                                                                                                            NPRM ..................   12/24/13       78 FR 78014    fda.hhs.gov.
                                                  the transportation of food, including                     NPRM Comment              03/25/14       79 FR 16251
                                                  food for animals, to use sanitary                           Period Ex-                                              RIN: 0910–AF11
                                                  transportation practices to ensure that                     tended.                                               128. Food Labeling: Calorie Labeling of
                                                  food is not transported under conditions                  NPRM Comment              03/31/14                      Articles of Food Sold in Vending
                                                                                                              Period End.
                                                  that may render the food adulterated.                     NPRM Comment              06/30/14
                                                                                                                                                                    Machines
                                                     Timetable:                                               Period Ex-                                              Legal Authority: 21 U.S.C. 321; 21
                                                                                                              tended End.                                           U.S.C. 343; 21 U.S.C. 371
                                                         Action               Date           FR Cite        Final Rule ............   05/00/16                        Abstract: FDA published a proposed
                                                                                                                                                                    rule to establish requirements for
                                                  ANPRM ...............     04/30/10      75 FR 22713         Regulatory Flexibility Analysis
                                                                                                                                                                    nutrition labeling of certain food items
                                                  ANPRM Comment             08/30/10                        Required: Yes.
                                                                                                              Agency Contact: Jody Menikheim,                       sold in certain vending machines. FDA
                                                    Period End.
                                                                                                            Supervisory General Health Scientist,                   also proposed the terms and conditions
                                                  NPRM ..................   02/05/14      79 FR 7005
                                                                                                            Department of Health and Human                          for vending machine operators
                                                  NPRM Comment              05/23/14      79 FR 29699
                                                    Period Ex-                                              Services, Food and Drug                                 registering to voluntarily be subject to
                                                    tended.                                                 Administration, Center for Food Safety                  the requirements. FDA is issuing a final
                                                  NPRM Comment              05/31/14                        and Applied Nutrition (HFS–005), 5100                   rule, and taking this action to carry out
                                                    Period End.                                             Paint Branch Parkway, College Park, MD                  section 4205 of the Patient Protection
                                                  NPRM Comment               07/30/14                       20740, Phone: 240 402–1864, Fax: 301                    and Affordable Care Act.
                                                    Period Ex-                                              436–2633, Email: fooddefense@                             Timetable:
                                                    tended End.
                                                                                                            fda.hhs.gov.
                                                  Final Rule ............    03/00/16                         RIN: 0910–AG63                                                Action             Date        FR Cite

                                                                                                                                                                    NPRM ..................   04/06/11   76 FR 19238
                                                    Regulatory Flexibility Analysis                                                                                 NPRM Comment              07/05/11
                                                  Required: Yes.                                                                                                      Period End.
                                                                                                            DEPARTMENT OF HEALTH AND
                                                    Agency Contact: Michael E. Kashtock,                                                                            Final Action .........    12/01/14   79 FR 71259
                                                                                                            HUMAN SERVICES (HHS)
                                                  Supervisory Consumer Safety Officer,
                                                  Department of Health and Human                            Food and Drug Administration (FDA)                        Regulatory Flexibility Analysis
                                                  Services, Food and Drug                                   Completed Actions                                       Required: Yes.
                                                  Administration, Center for Food Safety                                                                              Agency Contact: Daniel Reese, Food
tkelley on DSK3SPTVN1PROD with PROPOSALS 7




                                                                                                            127. Content and Format of Labeling for                 Technologist, Department of Health and
                                                  and Applied Nutrition, Office of Food
                                                                                                            Human Prescription Drugs and                            Human Services, Food and Drug
                                                  Safety, 5100 Paint Branch Parkway,                        Biologics; Requirements for Pregnancy
                                                  College Park, MD 20740, Phone: 240                                                                                Administration, Center for Food Safety
                                                                                                            and Lactation Labeling                                  and Applied Nutrition (HFS–820), 5100
                                                  402–2022, Fax: 301 346–2632, Email:
                                                                                                              Legal Authority: 21 U.S.C. 321; 21                    Paint Branch Parkway, College Park, MD
                                                  michael.kashtock@fda.hhs.gov.
                                                                                                            U.S.C. 331; 21 U.S.C. 351 to 353; 21                    20740, Phone: 240 402–2126, Email:
                                                    RIN: 0910–AG98                                          U.S.C. 355; 21 U.S.C. 358; 21 U.S.C. 360;               daniel.reese@fda.hhs.gov.
                                                                                                            21 U.S.C. 360b; 21 U.S.C. 360gg to                        RIN: 0910–AG56


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                                                                            Federal Register / Vol. 80, No. 117 / Thursday, June 18, 2015 / Unified Agenda                                                35025

                                                  129. Food Labeling: Nutrition Labeling                    the same time reducing procedural                       1309, Email: elizabeth.holland@
                                                  of Standard Menu Items in Restaurants                     burdens on providers.                                   cms.hhs.gov.
                                                  and Similar Retail Food Establishments                      Timetable:                                              RIN: 0938–AS26
                                                     Legal Authority: 21 U.S.C. 321; 21                                                                             132. Medicare Clinical Diagnostic
                                                                                                                   Action                Date          FR Cite
                                                  U.S.C. 343; 21 U.S.C. 371                                                                                         Laboratory Test Payment System (CMS–
                                                     Abstract: FDA published a proposed                     NPRM ..................   06/00/15                      1621–P) (Section 610 Review)
                                                  rule in the Federal Register to establish
                                                  requirements for nutrition labeling of                                                                              Legal Authority: Pub. L. 113–93, sec
                                                                                                              Regulatory Flexibility Analysis                       216
                                                  standard menu items in chain                              Required: Yes.                                            Abstract: This proposed rule would
                                                  restaurants and similar retail food                         Agency Contact: Ronisha Davis,                        require Medicare payment for clinical
                                                  establishments. FDA also proposed the                     Health Insurance Specialist, Department                 laboratory tests to be based on private
                                                  terms and conditions for restaurants and                  of Health and Human Services, Centers                   payor rates beginning January 1, 2017,
                                                  similar retail food establishments                        for Medicare & Medicaid Services,
                                                  registering to voluntarily be subject to                                                                          as required by section 216(a) of the
                                                                                                            Center for Clinical Standards and                       Protecting Access to Medicare Act of
                                                  the Federal requirements. FDA is                          Quality, Mail Stop S3–02–01, 7500
                                                  issuing a final rule, and taking this                                                                             2014.
                                                                                                            Security Boulevard, Baltimore, MD                         Timetable:
                                                  action to carry out section 4205 of the                   21244, Phone: 410 786–6882, Email:
                                                  Patient Protection and Affordable Care                    ronisha.davis@cms.hhs.gov.                                      Action             Date      FR Cite
                                                  Act.                                                        RIN: 0938–AR61
                                                     Timetable:                                                                                                     NPRM ..................   06/00/15
                                                                                                            131. Electronic Health Record (EHR)
                                                         Action               Date           FR Cite        Incentive Programs—Stage 3 (CMS–                          Regulatory Flexibility Analysis
                                                                                                            3310–F) (Section 610 Review)                            Required: Yes.
                                                  NPRM ..................   04/06/11      76 FR 19192
                                                  NPRM Comment              07/05/11                           Legal Authority: Pub. L. 111–5, title IV               Agency Contact: Valerie Miller,
                                                    Period End.                                             of Division B                                           Deputy Director, Division of
                                                  Final Action .........     12/01/14     79 FR 71156          Abstract: This final rule specifies the              Ambulatory Services, Department of
                                                                                                            meaningful use criteria that eligible                   Health and Human Services, Centers for
                                                    Regulatory Flexibility Analysis                         professionals (EPs), eligible hospitals,                Medicare & Medicaid Services, Center
                                                  Required: Yes.                                            and critical access hospitals (CAHs)                    for Medicare, Mail Stop C4–01–26, 7500
                                                    Agency Contact: Daniel Reese, Food                      must meet in order to qualify for                       Security Boulevard, Baltimore, MD
                                                  Technologist, Department of Health and                    Medicare and/or Medicaid electronic                     21244, Phone: 410 786–4535, Email:
                                                  Human Services, Food and Drug                             health record (EHR) incentive payments                  valerie.miller@cms.hhs.gov.
                                                  Administration, Center for Food Safety                    and avoid downward payment                                Sarah Harding, Health Insurance
                                                  and Applied Nutrition (HFS–820), 5100                     adjustments under Medicare for Stage 3                  Specialist, Department of Health and
                                                  Paint Branch Parkway, College Park, MD                    of the EHR Incentive Programs. This                     Human Services, Centers for Medicare &
                                                  20740, Phone: 240 402–2126, Email:                        rule also establishes an EHR reporting                  Medicaid Services, Center for Medicare,
                                                  daniel.reese@fda.hhs.gov.                                 period for all providers under a calendar               MS: C4–01–26, 7500 Security
                                                    RIN: 0910–AG57                                          year timeline except for providers in the               Boulevard, Baltimore, MD 21244,
                                                                                                            first year of the Medicaid EHR Incentive                Phone: 410 786–4535, Email:
                                                                                                            Program where states may continue to                    sarah.harding@cms.hhs.gov.
                                                                                                            allow an introductory 90-day period;                      RIN: 0938–AS33
                                                  DEPARTMENT OF HEALTH AND
                                                  HUMAN SERVICES (HHS)                                      requires the electronic submission of                   133. CY 2016 Revisions to Payment
                                                                                                            clinical quality measures (CQMs);                       Policies Under the Physician Fee
                                                  Centers for Medicare & Medicaid                           creates a single set of meaningful use                  Schedule and Other Revisions to
                                                  Services (CMS)                                            requirements for Stage 3 which will be                  Medicare Part B (CMS–1631–P)
                                                  Proposed Rule Stage                                       optional for providers in 2017 and
                                                                                                            applicable for all providers beginning in                 Legal Authority: Social Security Act,
                                                  130. Reform of Requirements for Long-                     2018; and ensure privacy and security                   secs 1102, 1871, 1848
                                                  Term Care Facilities (CMS–3260–P)                         requirements continue to protect patient                  Abstract: This annual proposed rule
                                                  (Rulemaking Resulting From a Section                      health information (PHI).                               would revise payment polices under the
                                                  610 Review)                                                  Timetable:                                           Medicare physician fee schedule, and
                                                                                                                                                                    make other policy changes to payment
                                                     Legal Authority: Pub. L. 111–148, sec
                                                                                                                   Action                Date          FR Cite      under Medicare Part B. These changes
                                                  6102; 42 U.S.C. 263a; 42 U.S.C. 1302; 42
                                                                                                                                                                    would apply to services furnished
                                                  U.S.C. 1395hh; 42 U.S.C. 1395rr                           NPRM ..................   03/30/15       80 FR 16732
                                                     Abstract: This proposed rule would                                                                             beginning January 1, 2016.
                                                                                                            NPRM Comment              05/29/15                        Timetable:
                                                  revise the requirements that Long-Term                      Period End.
                                                  Care facilities must meet to participate                  Final Action .........    03/00/18                              Action             Date      FR Cite
                                                  in the Medicare and Medicaid programs.
                                                  These proposed changes are necessary                        Regulatory Flexibility Analysis                       NPRM ..................   06/00/15
                                                  to reflect the substantial advances that                  Required: Yes.
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                                                  have been made over the past several                        Agency Contact: Elizabeth S. Holland,                   Regulatory Flexibility Analysis
                                                  years in the theory and practice of                       Director, Division of HIT Initiatives,                  Required: Yes.
                                                  service delivery and safety. These                        Department of Health and Human                            Agency Contact: John McInnes,
                                                  proposals are also an integral part of our                Services, Centers for Medicare &                        Acting Director, Division of Practitioner
                                                  efforts to achieve broad-based                            Medicaid Services, Center for Clinical                  Services, Department of Health and
                                                  improvements both in the quality of                       Standards and Quality, Mail Stop S2–                    Human Services, Centers for Medicare &
                                                  health care furnished through Federal                     26–17, 7500 Security Boulevard,                         Medicaid Services, Center for Medicare,
                                                  programs, and in patient safety, while at                 Baltimore, MD 21244, Phone: 410 786–                    MS: C4–01–15, 7500 Security


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                                                  35026                     Federal Register / Vol. 80, No. 117 / Thursday, June 18, 2015 / Unified Agenda

                                                  Boulevard, Baltimore, MD 21244,                             Agency Contact: Marjorie Baldo,                               Action             Date        FR Cite
                                                  Phone: 410 786–0791, Email:                               Health Insurance Specialist, Department
                                                  john.mcinnes@cms.hhs.gov.                                 of Health and Human Services, Centers                   NPRM Comment              06/15/15
                                                    RIN: 0938–AS40                                          for Medicare & Medicaid Services,                         Period End.
                                                                                                            Center for Medicare, MS: C4–03–06,                      Final Action .........    04/00/18
                                                  134. Hospital Inpatient Prospective                       7500 Security Boulevard, Baltimore, MD
                                                  Payment System for Acute Care                             21244, Phone: 410 786–4617, Email:                        Regulatory Flexibility Analysis
                                                  Hospitals and the Long-Term Care                          marjorie.baldo@cms.hhs.gov.
                                                  Hospital Prospective Payment System                                                                               Required: Yes.
                                                                                                              RIN: 0938–AS42
                                                  and FY 2016 Rates (CMS–1632–F)                                                                                      Agency Contact: Elizabeth S. Holland,
                                                                                                            136. FY 2016 Inpatient Rehabilitation                   Director, Division of HIT Initiatives,
                                                    Legal Authority: sec 1886(d) of the                     Facility Prospective Payment System                     Department of Health and Human
                                                  Social Security Act                                       (CMS–1624–F) (Section 610 Review)                       Services, Centers for Medicare &
                                                    Abstract: This annual final rule
                                                  revises the Medicare hospital inpatient                      Legal Authority: Social Security Act,                Medicaid Services, Center for Clinical
                                                  and long-term care hospital prospective                   sec 1886(j); Pub. L. 106–554; Pub. L.                   Standards and Quality, Mail Stop S2–
                                                  payment systems for operating and                         106–113                                                 26–17, 7500 Security Boulevard,
                                                  capital-related costs. This rule                             Abstract: This annual final rule                     Baltimore, MD 21244, Phone: 410 786–
                                                  implements changes arising from our                       updates the prospective payment rates                   1309, Email: elizabeth.holland@
                                                  continuing experience with these                          for inpatient rehabilitation facilities                 cms.hhs.gov.
                                                  systems.                                                  (IRFs) for fiscal year 2016.                              RIN: 0938–AS58
                                                    Timetable:                                                 Timetable:

                                                                                                                   Action                Date          FR Cite
                                                         Action               Date           FR Cite
                                                                                                                                                                    DEPARTMENT OF HEALTH AND
                                                                                                            NPRM ..................   04/27/15       80 FR 23332
                                                  NPRM ..................   04/30/15      80 FR 24323
                                                                                                            NPRM Comment              06/22/15
                                                                                                                                                                    HUMAN SERVICES (HHS)
                                                  NPRM Comment              06/16/15
                                                                                                              Period End.                                           Centers for Medicare & Medicaid
                                                    Period End.
                                                                                                            Final Action .........    08/00/15                      Services (CMS)
                                                  Final Action .........     08/00/15
                                                                                                              Regulatory Flexibility Analysis                       Final Rule Stage
                                                    Regulatory Flexibility Analysis
                                                                                                            Required: Yes.
                                                  Required: Yes.                                              Agency Contact: Gwendolyn Johnson,                    138. Covered Outpatient Drugs (CMS–
                                                    Agency Contact: Donald Thompson,                        Health Insurance Specialist, Department                 2345–F) (Section 610 Review)
                                                  Deputy Director, Division of Acute Care,                  of Health and Human Services, Centers
                                                  Department of Health and Human                                                                                      Legal Authority: Pub. L. 111– 48, secs
                                                                                                            for Medicare & Medicaid Services,
                                                  Services, Centers for Medicare &                                                                                  2501; Pub. L. 111– 48, 2503; Pub. L.
                                                                                                            Center for Medicare, MS: C5–06–27,
                                                  Medicaid Services, Center for Medicare,                                                                           111– 48, 3301(d)(2); Pub. L. 111–152,
                                                                                                            7500 Security Boulevard, Baltimore, MD
                                                  MS: C4–01–26, 7500 Security                               21244, Phone: 410 786–6954, Email:                      sec 1206; Pub. L. 111–8, sec 221
                                                  Boulevard, Baltimore, MD 21244,                           gwendolyn.johnson@cms.hhs.gov.                            Abstract: This final rule revises
                                                  Phone: 410 786–6504, Email:                                 RIN: 0938–AS45                                        requirements pertaining to Medicaid
                                                  donald.thompson@cms.hhs.gov.                                                                                      reimbursement for covered outpatient
                                                    RIN: 0938–AS41                                          137. • Electronic Health Record
                                                                                                            Incentive Program—Modifications to                      drugs to implement provisions of the
                                                  135. CY 2016 Hospital Outpatient PPS                      Meaningful Use in 2015 Through 2017                     Affordable Care Act. This rule also
                                                  Policy Changes and Payment Rates and                      (CMS–3311–F) (Section 610 Review)                       revises other requirements related to
                                                  Ambulatory Surgical Center Payment                                                                                covered outpatient drugs, including key
                                                  System Policy Changes and Payment                           Legal Authority: 42 U.S.C. 1302 and                   aspects of Medicaid coverage, payment,
                                                  Rates (CMS–1633–P)                                        1395hh; Pub. L. 111–5                                   and the drug rebate program.
                                                                                                              Abstract: This final rule changes the
                                                    Legal Authority: Sec 1833 of the                        Medicare and Medicaid Electronic                          Timetable:
                                                  Social Security Act                                       Health Record (EHR) Incentive Program
                                                    Abstract: This annual proposed rule                     EHR reporting period in 2015 to a 90-                           Action             Date        FR Cite
                                                  would revise the Medicare hospital                        day period aligned with the calendar
                                                  outpatient prospective payment system                                                                             NPRM ..................   02/02/12   77 FR 5318
                                                                                                            year, and also aligns the reporting
                                                                                                                                                                    NPRM Comment              04/02/12
                                                  to implement statutory requirements                       period in 2016 with the calendar year.                    Period End.
                                                  and changes arising from our continuing                   In addition, this rule modifies the                     Final Action .........    08/00/15
                                                  experience with this system. The                          patient action measures in the Stage 2
                                                  proposed rule describes changes to the                    objectives related to patient engagement.
                                                  amounts and factors used to determine                     Finally, it streamlines the program by                    Regulatory Flexibility Analysis
                                                  payment rates for services. In addition,                  removing reporting requirements on                      Required: Yes.
                                                  the rule proposes changes to the                          measures which have become                                Agency Contact: Wendy Tuttle,
                                                  ambulatory surgical center payment                        redundant, duplicative, or topped out                   Health Insurance Specialist, Department
                                                  system list of services and rates.                        through advancements in EHR function                    of Health and Human Services, Centers
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                                                    Timetable:                                              and provider performance for Stage 1                    for Medicare & Medicaid Services,
                                                                                                            and Stage 2 of the Medicare and                         Center for Medicaid and State
                                                         Action               Date           FR Cite        Medicaid EHR Incentive Programs.                        Operations, Mail Stop S2–14–26, 7500
                                                                                                              Timetable:                                            Security Boulevard, Baltimore, MD
                                                  NPRM ..................    06/00/15
                                                                                                                                                                    21244, Phone: 410 786–8690, Email:
                                                                                                                   Action                Date          FR Cite
                                                    Regulatory Flexibility Analysis                                                                                 wendy.tuttle@cms.hhs.gov.
                                                  Required: Yes.                                            NPRM ..................   04/15/15       80 FR 20346      RIN: 0938–AQ41


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                                                                            Federal Register / Vol. 80, No. 117 / Thursday, June 18, 2015 / Unified Agenda                                                   35027

                                                  DEPARTMENT OF HEALTH AND                                  140. Emergency Preparedness                             additional payments from the ACO if
                                                  HUMAN SERVICES (HHS)                                      Requirements for Medicare and                           they meet specified quality and savings
                                                                                                            Medicaid Participating Providers and                    requirements.
                                                  Centers for Medicare & Medicaid                           Suppliers (CMS–3178–F) (Section 610                       Timetable:
                                                  Services (CMS)                                            Review)
                                                  Long-Term Actions                                                                                                         Action             Date        FR Cite
                                                                                                               Legal Authority: 42 U.S.C. 1821; 42
                                                  139. Home Health Agency Conditions of                     U.S.C. 1861ff (3)(B)(i)(ii); 42 U.S.C.                  NPRM ..................   12/08/14   79 FR 72760
                                                                                                            1913(c)(1) et al                                        NPRM Comment              02/06/15
                                                  Participation (CMS–3819–F)
                                                                                                               Abstract: This rule finalizes                          Period End.
                                                  (Rulemaking Resulting From a Section
                                                                                                            emergency preparedness requirements                     Final Action .........    12/00/17
                                                  610 Review)                                               for Medicare and Medicaid participating
                                                     Legal Authority: 42 U.S.C. 1302; 42                    providers and suppliers to ensure that                    Regulatory Flexibility Analysis
                                                  U.S.C. 1395x; 42 U.S.C. 1395cc(a); 42                     they adequately plan for both natural                   Required: Yes.
                                                  U.S.C. 1395hh; 42 U.S.C. 1395bb                           and man-made disasters and coordinate                     Agency Contact: Terri Postma,
                                                                                                            with Federal, State, tribal, regional, and              Medical Officer, Department of Health
                                                     Abstract: This final rule revises the                  local emergency preparedness systems.                   and Human Services, Centers for
                                                  existing Conditions of Participation that                 This rule ensures providers and                         Medicare & Medicaid Services, Mail
                                                  Home Health Agencies (HHA) must                           suppliers are adequately prepared to                    Stop C5–15–24, 7500 Security
                                                  meet to participate in the Medicare                       meet the needs of patients, residents,                  Boulevard, Baltimore, MD 21244 Phone:
                                                  program. The new requirements focus                       clients, and participants during                        410 786–4169, Email: terri.postma@
                                                  on the actual care delivered to patients                  disasters and emergency situations.                     cms.hhs.gov.
                                                  by HHAs, reflect an interdisciplinary                        Timetable:                                             RIN: 0938–AS06
                                                  view of patient care, allow HHAs greater
                                                                                                                   Action                Date          FR Cite
                                                                                                                                                                    142. Hospital and Critical Access
                                                  flexibility in meeting quality standards,                                                                         Hospital (CAH) Changes To Promote
                                                  and eliminate unnecessary procedural                                                                              Innovation, Flexibility, and
                                                                                                            NPRM ..................   12/27/13       78 FR 79082
                                                  requirements. These changes are an                        NPRM Comment              02/21/14       79 FR 9872     Improvement in Patient Care (CMS–
                                                  integral part of our efforts to improve                     Period Ex-                                            3295–P) (Rulemaking Resulting From a
                                                  patient safety and achieve broad-based                      tended.                                               Section 610 Review)
                                                  improvements in the quality of care                       NPRM Comment              03/31/14
                                                  furnished through Federal programs,                         Period End.                                             Legal Authority: 42 U.S.C. 1302; 42
                                                                                                            Final Action .........    12/00/16                      U.S.C. 1395hh and 1395rr
                                                  while at the same time reducing
                                                                                                                                                                      Abstract: This proposed rule would
                                                  procedural burdens on providers.
                                                                                                              Regulatory Flexibility Analysis                       update the requirements that hospitals
                                                     Timetable:                                             Required: Yes.                                          and CAHs must meet to participate in
                                                                                                              Agency Contact: Janice Graham,                        the Medicare and Medicaid programs.
                                                         Action               Date           FR Cite        Health Insurance Specialist, Department                 These proposals are intended to
                                                                                                            of Health and Human Services, Centers                   conform the requirements to current
                                                  NPRM ..................   03/10/97      62 FR 11005
                                                                                                            for Medicare & Medicaid Services,                       standards of practice and support
                                                  NPRM Comment              06/09/97
                                                                                                            Center for Clincial Standards and                       improvements in quality of care, reduce
                                                    Period End.
                                                  Second NPRM ....          10/09/14      79 FR 61163       Quality, Mail Stop S3–02–01, 7500                       barriers to care, and reduce some issues
                                                  NPRM Comment              12/01/14      79 FR 71081       Security Boulevard, Baltimore, MD                       that may exacerbate workforce shortage
                                                    Period Ex-                                              21244–1850, Phone: 410 786–8020,                        concerns.
                                                    tended.                                                 Email: janice.graham@cms.hhs.gov.                         Timetable:
                                                  Second NPRM               01/07/15                          RIN: 0938–AO91
                                                    Comment Pe-                                                                                                             Action             Date        FR Cite
                                                                                                            141. Medicare Shared Savings Program;
                                                    riod End.
                                                  Final Action .........     10/00/17
                                                                                                            Accountable Care Organizations (CMS–                    NPRM ..................   12/00/16
                                                                                                            1461–F) (Section 610 Review)
                                                                                                              Legal Authority: Pub. L. 111–148, sec                   Regulatory Flexibility Analysis
                                                    Regulatory Flexibility Analysis                                                                                 Required: Yes.
                                                  Required: No.                                             3022
                                                                                                              Abstract: This rule finalizes changes                   Agency Contact: CDR Scott Cooper,
                                                    Agency Contact: Danielle Shearer,                       to the Medicare Shared Savings Program                  Senior Technical Advisor, Department
                                                  Health Insurance Specialist, Department                   (Shared Savings Program), including                     of Health and Human Services, Centers
                                                  of Health and Human Services, Centers                     provisions relating to the payment of                   for Medicare & Medicaid Services,
                                                  for Medicare & Medicaid Services,                         Accountable Care Organizations (ACOs)                   Center for Clinical Standards and
                                                  Center for Clinical Standards & Quality,                  participating in the Shared Savings                     Quality, Mail Stop S3–01–02, 7500
                                                  MS: S3–02–01, 7500 Security                               Program. Under the Shared Savings                       Security Boulevard, Baltimore, MD
                                                  Boulevard, Baltimore, MD 21244,                           Program, providers of services and                      21244, Phone: 410 786–9465, Email:
                                                  Phone: 410 786–6617, Email:                               suppliers that participate in an ACO                    scott.cooper@cms.hhs.gov.
                                                  danielle.shearer@cms.hhs.gov.                             continue to receive traditional Medicare                  RIN: 0938–AS21
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                                                    RIN: 0938–AG81                                          fee for service (FFS) payments under                    [FR Doc. 2015–14352 Filed 6–17–15; 8:45 am]
                                                                                                            Parts A and B and are eligible for                      BILLING CODE 4150–03–P




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                                                                                                        Vol. 80                           Thursday,
                                                                                                        No. 117                           June 18, 2015




                                                                                                        Part VIII


                                                                                                        Department of Homeland Security
                                                                                                        Unified Agenda
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Document Created: 2018-02-22 11:12:16
Document Modified: 2018-02-22 11:12:16
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionUnknown Section
ActionSemiannual Regulatory Agenda.
ContactC'Reda J. Weeden, Executive Secretary, Department of Health and Human Services, 200 Independence Avenue SW., Washington, DC 20201; (202) 690-5627.
FR Citation80 FR 35016 
CFR Citation21
Title 21 CFR Chapter I
25
Title 25 CFR Chapter V

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