80 FR 44318 - Payment of Emergency Medication by VA
DEPARTMENT OF VETERANS AFFAIRS Federal Register Volume 80, Issue 143 (July 27, 2015)
Federal Register Volume 80, Issue 143 (July 27, 2015)
| Page Range | 44318-44320 | |
| FR Document | 2015-18331 |
[Federal Register Volume 80, Number 143 (Monday, July 27, 2015)] [Proposed Rules] [Pages 44318-44320] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-18331] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF VETERANS AFFAIRS 38 CFR Part 17 RIN 2900-AP34 Payment of Emergency Medication by VA AGENCY: Department of Veterans Affairs. ACTION: Proposed rule. ----------------------------------------------------------------------- SUMMARY: The Department of Veterans Affairs (VA) proposes to amend its medical regulations that govern reimbursement of emergency treatment provided by non-VA medical care providers. VA proposes to clarify its regulations insofar as it involves the reimbursement of medications prescribed or provided to the veteran during the episode of non-VA emergency treatment. DATES: Comments must be received by VA on or before September 25, 2015. ADDRESSES: Written comments may be submitted through http://www.Regulations.gov; by mail or hand-delivery to: Director, Regulation Policy and Management (02REG), Department of Veterans Affairs, 810 Vermont Ave. NW., Room 1068, Washington, DC 20420; or by fax to (202) 273-9026. (This is not a toll-free telephone number.) Comments should indicate that they are submitted in response to ``RIN 2900-AP34-Payment of Emergency Medication by VA.'' Copies of comments received will be available for public inspection in the Office of Regulation Policy and Management, Room 1068, between the hours of 8:00 a.m. and 4:30 p.m., Monday through Friday (except holidays). Please call (202) 461-4902 for an appointment. (This is not a toll-free telephone number.) In addition, during the comment period, comments may be viewed online through the Federal Docket Management System (FDMS) at http://www.Regulations.gov. FOR FURTHER INFORMATION CONTACT: Kristin J. Cunningham, Director, Business Policy, Chief Business Office (10NB6), Veterans Health Administration, Department of Veterans Affairs, 810 Vermont Ave. NW., Washington, DC 20420; (202) 382-2508. (This is not a toll-free number.) SUPPLEMENTARY INFORMATION: VA is authorized under 38 U.S.C. 1725 to reimburse an eligible veteran (or the provider of the emergency treatment or another person or entity who paid such expenses on the veteran's behalf) for the reasonable value of emergency treatment furnished to the Veteran at a non-VA medical facility. Under 38 U.S.C. 1728, VA is authorized to reimburse eligible veterans (or the provider of the emergency treatment or another person or entity who paid such expenses on the veteran's behalf) for the customary and usual charges of non-VA emergency treatment furnished to the veteran. Section 1725 provides that in order for VA to reimburse a veteran for the reasonable value of non-VA emergency treatment under that section, such veteran must, among other things, be personally liable for the emergency treatment received in a non-VA medical facility, be enrolled in the VA health care system, and must have received medical care under chapter 17 of title 38 U.S.C. within the 24-month period prior to the receipt of such emergency [[Page 44319]] treatment. Reimbursement is authorized under section 1728 when non-VA emergency treatment was rendered to such veteran for: The treatment of an adjudicated service-connected disability; a non-service-connected disability associated with and held to be aggravating a service- connected disability; any disability of a veteran if the veteran has a total disability permanent in nature from a service-connected disability; and for any illness, injury or dental condition if the veteran is participating in a vocational rehabilitation program and is determined to be in medical need of care or treatment to make possible the veteran's entrance into a course of training, or prevent interruption of a course of training, or hasten the return to a course of training which was interrupted because of such illness, injury, or dental condition. Current VA regulations implementing 38 U.S.C. 1725 and 1728 each state that covered emergency treatment includes ``medication, including a short course of medication related to and necessary for the treatment of the emergency condition that is provided directly to the patient for use after the emergency condition is stabilized and the patient is discharged.'' See 38 CFR 17.120(b) and 17.1002. It is undisputed that medications directly provided to the veteran or administered to the veteran as part of the emergency treatment are covered. However, the language ``provided directly to the patient'' has been found to be vague inasmuch as it does not clearly indicate that it also extends to a short course of necessary medication provided to the veteran by way of a prescription that is written or called in to an outpatient or commercial pharmacy by the emergency non-VA provider with instructions to the veteran-patient to obtain and use the medication post-discharge, as directed. We note this issue was not addressed in the original rulemakings associated with the implementation of section 1725; it was raised however in subsequent amendatory rulemaking in 2011. In 2011, final rulemaking for Sec. Sec. 17.120(b) and 17.1002 included changes to further define ``emergency treatment.'' Among other things, new language was added to Sec. Sec. 17.120(b) and 17.1002 to indicate that emergency treatment includes ``medication, including a short course of medication related to and necessary for the treatment of the emergency condition that is provided directly to the patient for use after the emergency condition is stabilized and the patient is discharged.'' It was explained that such change merely reflected VA's original intention and was done for clarification purposes only, in response to a commenter's concerns. See 76 FR 79067, 79069-79070 (Dec. 21, 2011). VA has interpreted, and still interprets, emergency treatment, for purposes of both Sec. Sec. 17.120 and 17.1002, to extend to situations where the veteran receives, during the emergency treatment episode, a prescription from the non-VA emergency provider for a short course of necessary medication (related to and necessary for treatment of the emergency condition post-stabilization) which the veteran-patient is directed to obtain post-discharge and use at home as directed. Nor should it matter whether the non-VA emergency provider, in the course of providing such emergency treatment, provides the prescription in writing or, at the request of a patient, calls it into an outpatient or commercial pharmacy on the patient's behalf. Again it was never intended or contemplated that the language ``directly provided to the patient'' would be interpreted to mean only medications actually administered to the patient during the emergency treatment episode and exclude such related prescriptions. The proposed amendments would be consistent with VA policy and would help ensure our regulations are not interpreted more narrowly than VA intends (as discussed herein). Specifically, we propose to amend Sec. 17.120(b) to clarify that VA would reimburse the cost of a short course of medication prescribed for the veteran at the time that the veteran was receiving emergency treatment, by stating that emergency treatment would include ``a short course of medication related to and necessary for the treatment of the emergency condition that is provided directly to or prescribed for the patient for use after the emergency condition is stabilized and the patient is discharged.'' We propose to make similar amendment to the introductory paragraph of Sec. 17.1002. Effect of Rulemaking Title 38 of the Code of Federal Regulations, as proposed to be revised by this rulemaking, would represent the exclusive legal authority on this subject. No contrary rules or procedures would be authorized. All VA guidance would be read to conform with this proposed rulemaking if possible or, if not possible, such guidance would be superseded by this rulemaking. Paperwork Reduction Act This proposed rule contains no provisions constituting a collection of information under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3521). Regulatory Flexibility Act The Secretary hereby certifies that this proposed rule would not have a significant economic impact on a substantial number of small entities as they are defined in the Regulatory Flexibility Act, 5 U.S.C. 601-612. This proposed rule would directly affect only individuals and would not directly affect small entities. Therefore, pursuant to 5 U.S.C. 605(b), this rulemaking is exempt from the initial and final regulatory flexibility analysis requirements of 5 U.S.C. 603 and 604. Executive Orders 12866 and 13563 Executive Orders 12866 and 13563 direct agencies to assess the costs and benefits of available regulatory alternatives and, when regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, and other advantages; distributive impacts; and equity). Executive Order 13563 (Improving Regulation and Regulatory Review) emphasizes the importance of quantifying both costs and benefits, reducing costs, harmonizing rules, and promoting flexibility. Executive Order 12866 (Regulatory Planning and Review) defines a ``significant regulatory action,'' requiring review by the Office of Management and Budget (OMB), unless OMB waives such review, as ``any regulatory action that is likely to result in a rule that may: (1) Have an annual effect on the economy of $100 million or more or adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities; (2) Create a serious inconsistency or otherwise interfere with an action taken or planned by another agency; (3) Materially alter the budgetary impact of entitlements, grants, user fees, or loan programs or the rights and obligations of recipients thereof; or (4) Raise novel legal or policy issues arising out of legal mandates, the President's priorities, or the principles set forth in this Executive Order.'' The economic, interagency, budgetary, legal, and policy implications of this regulatory action have been examined, and it has been determined not to be a significant regulatory action under Executive Order 12866. VA's impact analysis can be found as a supporting document at http://www.regulations.gov, usually [[Page 44320]] within 48 hours after the rulemaking document is published. Additionally, a copy of the rulemaking and its impact analysis are available on VA's Web site at http://www.va.gov/orpm/, by following the link for ``VA Regulations Published From FY 2004 Through Fiscal Year to Date.'' Unfunded Mandates The Unfunded Mandates Reform Act of 1995 requires, at 2 U.S.C. 1532, that agencies prepare an assessment of anticipated costs and benefits before issuing any rule that may result in the expenditure by State, local, and tribal governments, in the aggregate, or by the private sector, of $100 million or more (adjusted annually for inflation) in any one year. This proposed rule would have no such effect on State, local, and tribal governments, or on the private sector. Catalog of Federal Domestic Assistance The Catalog of Federal Domestic Assistance numbers and titles for the programs affected by this document are 64.007, Blind Rehabilitation Centers; 64.008, Veterans Domiciliary Care; 64.009, Veterans Medical Care Benefits; 64.010, Veterans Nursing Home Care; 64.011, Veterans Dental Care; 64.012, Veterans Prescription Service; 64.014, Veterans State Domiciliary Care; 64.015, Veterans State Nursing Home Care; 64.018, Sharing Specialized Medical Resources; 64.019, Veterans Rehabilitation Alcohol and Drug Dependence; 64.022, Veterans Home Based Primary Care; and 64.024, VA Homeless Providers Grant and Per Diem Program. Signing Authority The Secretary of Veterans Affairs, or designee, approved this document and authorized the undersigned to sign and submit the document to the Office of the Federal Register for publication electronically as an official document of the Department of Veterans Affairs. Robert L. Nabors II, Chief of Staff, Department of Veterans Affairs, approved this document on July 20, 2015, for publication. List of Subjects in 38 CFR Part 17 Administrative practice and procedure, Alcohol abuse, Alcoholism, Claims, Day care, Dental health, Drug abuse, Health care, Health facilities, Health professions, Health records, Homeless, Mental health programs, Nursing homes, Veterans. Dated: July 22, 2015. William F. Russo, Acting Director, Office of Regulation Policy & Management, Office of the General Counsel, Department of Veterans Affairs. For the reasons set out in the preamble, VA proposes to amend 38 CFR part 17 as follows: PART 17--MEDICAL 0 1. The authority citation for part 17 continues to read as follows: Authority: 38 U.S.C. 501, and as noted in specific sections. Sec. 17.120 [Amended] 0 2. Amend the first sentence of Sec. 17.120(b) by adding ``or prescribed for'' immediately after ``provided directly to''. Sec. 17.1002 [Amended] 0 3. Amend the introductory text of Sec. 17.1002 by adding ``or prescribed for'' immediately after ``provided directly to''. [FR Doc. 2015-18331 Filed 7-24-15; 8:45 am] BILLING CODE 8320-01-P
![44318 Federal Register / Vol. 80, No. 143 / Monday, July 27, 2015 / Proposed Rules
report) in effect as of December 31, percent if the value of plan assets used prescribed or provided to the veteran
2007. for minimum funding purposes were during the episode of non-VA
(3) In the case of a plan year for which substituted for the asset value emergency treatment.
a plan is subject to the Cooperative and determined without regard to the DATES: Comments must be received by
Small Employer Charity Pension segment rate stabilized interest VA on or before September 25, 2015.
Flexibility Act, Public Law 113–97, provisions of ERISA section ADDRESSES: Written comments may be
dealing with certain defined benefit 303(h)(2)(iv) for purposes of submitted through http://
pension plans maintained by more than determining such percentage. www.Regulations.gov; by mail or hand-
one employer, the plan must meet the (d) Missed contributions resulting in a delivery to: Director, Regulation Policy
requirements in connection with the lien or outstanding minimum funding and Management (02REG), Department
actuarial valuation report in accordance waivers. Reporting is waived for a of Veterans Affairs, 810 Vermont Ave.
with instructions on PBGC’s Web site, person (that would be a filer if not for NW., Room 1068, Washington, DC
http://www.pbgc.gov. the waiver) for an information year if, 20420; or by fax to (202) 273–9026.
■ 5. Section 4010.11 is revised to read for the plan year ending within the (This is not a toll-free telephone
as follows: information year, reporting would have number.) Comments should indicate
§ 4010.11 Waivers and extensions.
been required solely under that they are submitted in response to
§ 4010.4(a)(2) or (3), provided that the ‘‘RIN 2900–AP34–Payment of
(a) Plan funding/participant count missed contributions or minimum Emergency Medication by VA.’’ Copies
waiver. Unless reporting is required by funding waivers (as applicable) were of comments received will be available
§ 4010.4(a)(2) or (3), reporting is waived reported to PBGC under part 4043 of for public inspection in the Office of
for a person (that would be a filer if not this chapter by the due date for the 4010 Regulation Policy and Management,
for the waiver) for an information year filing. Room 1068, between the hours of 8:00
if, for the plan year ending within the (e) Other waiver authority. PBGC may a.m. and 4:30 p.m., Monday through
information year— waive the requirement to submit
(1) The aggregate 4010 funding Friday (except holidays). Please call
information with respect to one or more (202) 461–4902 for an appointment.
shortfall for all plans (including any
filers or plans or may extend the (This is not a toll-free telephone
exempt plans) maintained by the
applicable due date or dates specified in number.) In addition, during the
person’s controlled group (disregarding
§ 4010.10. PBGC will exercise this comment period, comments may be
those plans with no 4010 funding
discretion in appropriate cases where it viewed online through the Federal
shortfall) does not exceed $15 million;
finds convincing evidence supporting a Docket Management System (FDMS) at
and
(2) The aggregate number of waiver or extension; any waiver or http://www.Regulations.gov.
participants in all plans (including any extension may be subject to conditions. FOR FURTHER INFORMATION CONTACT:
exempt plans) maintained by the A request for a waiver or extension must Kristin J. Cunningham, Director,
person’s controlled group is fewer than be filed in writing with PBGC at the Business Policy, Chief Business Office
500. For this purpose, the number of address provided in § 4010.10(c) no (10NB6), Veterans Health
participants in any plan may be later than 15 days before the applicable Administration, Department of Veterans
determined either as of the end of the due date specified in § 4010.10, and Affairs, 810 Vermont Ave. NW.,
plan year ending within the information must state the facts and circumstances Washington, DC 20420; (202) 382–2508.
year or as of the valuation date for that on which the request is based. (This is not a toll-free number.)
plan year. Issued in Washington, DC, this 17th day of SUPPLEMENTARY INFORMATION: VA is
(b) 4010 funding shortfall for waivers July, 2015. authorized under 38 U.S.C. 1725 to
and exemptions—(1) General. A plan’s Alice C. Maroni, reimburse an eligible veteran (or the
4010 funding shortfall for a plan year Acting Director, Pension Benefit Guaranty provider of the emergency treatment or
equals the funding shortfall as provided Corporation. another person or entity who paid such
under ERISA section 303(c)(4) and Code [FR Doc. 2015–18177 Filed 7–24–15; 8:45 am] expenses on the veteran’s behalf) for the
section 430(c)(4) determined as of the BILLING CODE 7709–02–P reasonable value of emergency
valuation date for the plan year, except treatment furnished to the Veteran at a
that the value of plan assets is non-VA medical facility. Under 38
determined without regard to the DEPARTMENT OF VETERANS U.S.C. 1728, VA is authorized to
reduction under ERISA section AFFAIRS reimburse eligible veterans (or the
303(f)(4)(B) and Code section provider of the emergency treatment or
430(f)(4)(B) (dealing with reduction of 38 CFR Part 17 another person or entity who paid such
assets by the amount of prefunding and expenses on the veteran’s behalf) for the
RIN 2900–AP34
funding standard carryover balances). customary and usual charges of non-VA
(2) Multiple employer plans. For Payment of Emergency Medication by emergency treatment furnished to the
purposes of § 4010.8(c) and paragraph VA veteran.
(a) of this section, the entire 4010 Section 1725 provides that in order
funding shortfall of any multiple AGENCY: Department of Veterans Affairs. for VA to reimburse a veteran for the
employer plan of which the filer or any ACTION: Proposed rule. reasonable value of non-VA emergency
member of the filer’s controlled group is treatment under that section, such
mstockstill on DSK4VPTVN1PROD with PROPOSALS
a contributing sponsor is included. SUMMARY: The Department of Veterans veteran must, among other things, be
(c) Alternative 4010 FTAP. Unless Affairs (VA) proposes to amend its personally liable for the emergency
reporting is required by § 4010.4(a)(2) or medical regulations that govern treatment received in a non-VA medical
(3), reporting is waived for a person for reimbursement of emergency treatment facility, be enrolled in the VA health
an information year if the 4010 funding provided by non-VA medical care care system, and must have received
target attainment percentage of each providers. VA proposes to clarify its medical care under chapter 17 of title 38
plan maintained by the person’s regulations insofar as it involves the U.S.C. within the 24-month period prior
controlled group would be at least 80 reimbursement of medications to the receipt of such emergency
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![44320 Federal Register / Vol. 80, No. 143 / Monday, July 27, 2015 / Proposed Rules
within 48 hours after the rulemaking Dated: July 22, 2015. determined allocations for the 2016
document is published. Additionally, a William F. Russo, control periods into the SIP, and amend
copy of the rulemaking and its impact Acting Director, Office of Regulation Policy the regulatory text of the CSAPR Federal
analysis are available on VA’s Web site & Management, Office of the General Counsel, Implementation Plan (FIP) to reflect
at http://www.va.gov/orpm/, by Department of Veterans Affairs. approval and inclusion of the state-
following the link for ‘‘VA Regulations For the reasons set out in the determined allocations. EPA is
Published From FY 2004 Through Fiscal preamble, VA proposes to amend 38 proposing to approve Alabama’s SIP
Year to Date.’’ CFR part 17 as follows: revision because it meets the
requirements of the CAA and the
Unfunded Mandates PART 17—MEDICAL CSAPR requirements to replace EPA’s
allowance allocations for the 2016
The Unfunded Mandates Reform Act ■ 1. The authority citation for part 17 control periods. This action is being
of 1995 requires, at 2 U.S.C. 1532, that continues to read as follows: taken pursuant to the CAA and its
agencies prepare an assessment of Authority: 38 U.S.C. 501, and as noted in implementing regulations. In the Final
anticipated costs and benefits before specific sections. Rules Section of this Federal Register,
issuing any rule that may result in the EPA is approving the State’s
expenditure by State, local, and tribal § 17.120 [Amended]
implementation plan revision as a direct
governments, in the aggregate, or by the ■ 2. Amend the first sentence of final rule without prior proposal
private sector, of $100 million or more § 17.120(b) by adding ‘‘or prescribed because the Agency views this as a
(adjusted annually for inflation) in any for’’ immediately after ‘‘provided noncontroversial submittal and
one year. This proposed rule would directly to’’. anticipates no adverse comments. A
have no such effect on State, local, and detailed rationale for the approval is set
§ 17.1002 [Amended]
tribal governments, or on the private forth in the direct final rule.
sector. ■ 3. Amend the introductory text of DATES: Written comments must be
§ 17.1002 by adding ‘‘or prescribed for’’ received on or before August 26, 2015.
Catalog of Federal Domestic Assistance immediately after ‘‘provided directly
ADDRESSES: Submit your comments,
to’’.
The Catalog of Federal Domestic [FR Doc. 2015–18331 Filed 7–24–15; 8:45 am]
identified by Docket ID No. EPA–R04–
Assistance numbers and titles for the OAR–2015–0313, by one of the
BILLING CODE 8320–01–P
programs affected by this document are following methods:
64.007, Blind Rehabilitation Centers; 1. www.regulations.gov: Follow the
64.008, Veterans Domiciliary Care; on-line instructions for submitting
ENVIRONMENTAL PROTECTION comments.
64.009, Veterans Medical Care Benefits; AGENCY 2. Email: R4-ARMS@epa.gov.
64.010, Veterans Nursing Home Care; 3. Fax: (404) 562–9019.
64.011, Veterans Dental Care; 64.012, 40 CFR Part 52 4. Mail: ‘‘EPA–R04–OAR–2015–
Veterans Prescription Service; 64.014, [EPA–R04–OAR–2015–0313; FRL–9931–25– 0313,’’ Air Regulatory Management
Veterans State Domiciliary Care; 64.015, Region 4] Section (formerly Regulatory
Veterans State Nursing Home Care; Development Section), Air Planning and
64.018, Sharing Specialized Medical Approval and Promulgation of Implementation Branch (formerly Air
Resources; 64.019, Veterans Implementation Plans for the State of Planning Branch), Air, Pesticides and
Rehabilitation Alcohol and Drug Alabama: Cross-State Air Pollution Toxics Management Division, U.S.
Dependence; 64.022, Veterans Home Rule Environmental Protection Agency,
Based Primary Care; and 64.024, VA AGENCY: Environmental Protection Region 4, 61 Forsyth Street SW.,
Homeless Providers Grant and Per Diem Agency (EPA). Atlanta, Georgia 30303–8960.
Program. 5. Hand Delivery or Courier: Ms.
ACTION: Proposed rule.
Lynorae Benjamin, Chief, Air Regulatory
Signing Authority Management Section, Air Planning and
SUMMARY: The Environmental Protection
The Secretary of Veterans Affairs, or Agency (EPA) is proposing to approve Implementation Branch, Air, Pesticides
the State of Alabama’s March 27, 2015, and Toxics Management Division, U.S.
designee, approved this document and
State Implementation Plan (SIP) Environmental Protection Agency,
authorized the undersigned to sign and
revision, submitted by the Alabama Region 4, 61 Forsyth Street SW.,
submit the document to the Office of the
Department of Environmental Atlanta, Georgia 30303–8960. Such
Federal Register for publication deliveries are only accepted during the
electronically as an official document of Management. This SIP revision provides
Alabama’s state-determined allowance Regional Office’s normal hours of
the Department of Veterans Affairs. operation. The Regional Office’s official
Robert L. Nabors II, Chief of Staff, allocations for existing electric
generating units (EGUs) in the State for hours of business are Monday through
Department of Veterans Affairs, Friday, 8:30 a.m. to 4:30 p.m., excluding
the 2016 control periods and replaces
approved this document on July 20, Federal holidays.
the allowance allocations for the 2016
2015, for publication. Please see the direct final rule which
control periods established by EPA
under the Cross-State Air Pollution Rule is located in the Rules section of this
mstockstill on DSK4VPTVN1PROD with PROPOSALS
List of Subjects in 38 CFR Part 17
(CSAPR). The CSAPR addresses the Federal Register for detailed
Administrative practice and ‘‘good neighbor’’ provision of the Clean instructions on how to submit
procedure, Alcohol abuse, Alcoholism, Air Act (CAA or Act) that requires states comments.
Claims, Day care, Dental health, Drug to reduce the transport of pollution that FOR FURTHER INFORMATION CONTACT:
abuse, Health care, Health facilities, significantly affects downwind Twunjala Bradley, Air Regulatory
Health professions, Health records, nonattainment and maintenance areas. Management Section, Air Planning and
Homeless, Mental health programs, EPA is proposing to approve Alabama’s Implementation Branch, Air, Pesticides
Nursing homes, Veterans. SIP revision, incorporate the state- and Toxics Management Division, U.S.
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Document Created: 2018-02-23 09:26:46
Document Modified: 2018-02-23 09:26:46
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Proposed Rules | |
| Action | Proposed rule. | |
| Dates | Comments must be received by VA on or before September 25, 2015. | |
| Contact | Kristin J. Cunningham, Director, Business Policy, Chief Business Office (10NB6), Veterans Health Administration, Department of Veterans Affairs, 810 Vermont Ave. NW., Washington, DC 20420; (202) 382-2508. (This is not a toll-free number.) | |
| FR Citation | 80 FR 44318 | |
| RIN Number | 2900-AP34 | |
| CFR Associated | Administrative Practice and Procedure; Alcohol Abuse; Alcoholism; Claims; Day Care; Dental Health; Drug Abuse; Health Care; Health Facilities; Health Professions; Health Records; Homeless; Mental Health Programs; Nursing Homes and Veterans |
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