80_FR_55462 80 FR 55284 - Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities; Reopening of Comment Period

80 FR 55284 - Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities; Reopening of Comment Period

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

Federal Register Volume 80, Issue 178 (September 15, 2015)

Page Range55284-55285
FR Document2015-23110

This document reopens the comment period for the July 16, 2015 proposed rule entitled ``Reform of Requirements for Long-Term Care Facilities''. The comment period for the proposed rule, which ends on September 14, 2015, is reopened for 30 days.

Federal Register, Volume 80 Issue 178 (Tuesday, September 15, 2015) 
[Federal Register Volume 80, Number 178 (Tuesday, September 15, 2015)]
[Proposed Rules]
[Pages 55284-55285]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-23110]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 405, 431, 447, 482, 483, 485, and 488

[CMS-3260-N]
RIN 0938-AR61


Medicare and Medicaid Programs; Reform of Requirements for Long-
Term Care Facilities; Reopening of Comment Period

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

ACTION: Proposed rule; reopening of comment period.

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SUMMARY: This document reopens the comment period for the July 16, 2015 
proposed rule entitled ``Reform of Requirements for Long-Term Care 
Facilities''. The comment period for the proposed rule, which ends on 
September 14, 2015, is reopened for 30 days.

DATES: The comment period for the proposed rule published on July 16, 
2015 (80 FR 42168), is reopened and ends on October 14, 2015.

ADDRESSES: In commenting, please refer to file code CMS-3260-P. Because 
of staff and resource limitations, we cannot accept comments by 
facsimile (FAX) transmission.
    You may submit comments in one of four ways (please choose only one 
of the ways listed):
    1. Electronically. You may submit electronic comments on this 
regulation to http://www.regulations.gov. Follow the ``Submit a 
comment'' instructions.
    2. By regular mail. You may mail written comments to the following 
address ONLY: Centers for Medicare & Medicaid Services, Department of 
Health and Human Services, Attention: CMS-3260-P, P.O. Box 8010, 
Baltimore, MD 21244.
    Please allow sufficient time for mailed comments to be received 
before the close of the comment period.
    3. By express or overnight mail. You may send written comments to 
the following address ONLY: Centers for Medicare & Medicaid Services, 
Department of Health and Human Services, Attention: CMS-3260-P, Mail 
Stop C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850.
    4. By hand or courier. Alternatively, you may deliver (by hand or 
courier) your written comments ONLY to the following addresses prior to 
the close of the comment period:
    a. For delivery in Washington, DC--Centers for Medicare & Medicaid 
Services, Department of Health and Human Services, Room 445-G, Hubert 
H. Humphrey Building, 200 Independence Avenue SW., Washington, DC 
20201.
    (Because access to the interior of the Hubert H. Humphrey Building 
is not readily available to persons without federal government 
identification, commenters are encouraged to leave their comments in 
the CMS drop slots located in the main lobby of the building. A stamp-
in clock is available for persons wishing to retain a proof of filing 
by stamping in and retaining an extra copy of the comments being 
filed.)
    b. For delivery in Baltimore, MD--Centers for Medicare & Medicaid 
Services, Department of Health and Human Services, 7500 Security 
Boulevard, Baltimore, MD 21244-1850.

[[Page 55285]]

    If you intend to deliver your comments to the Baltimore address, 
call telephone number (410) 786-9994 in advance to schedule your 
arrival with one of our staff members.
    Comments erroneously mailed to the addresses indicated as 
appropriate for hand or courier delivery may be delayed and received 
after the comment period.
    For information on viewing public comments, see the beginning of 
the SUPPLEMENTARY INFORMATION section.

FOR FURTHER INFORMATION CONTACT: Ronisha Blackstone, (410) 786-6633.

SUPPLEMENTARY INFORMATION: On July 16, 2015, we published a proposed 
rule in the Federal Register (80 FR 42168) entitled, ``Reform of 
Requirements for Long-Term Care Facilities'' that would revise the 
requirements that long-term care facilities must meet to participate in 
the Medicare and Medicaid programs. The proposed provisions include 
updating obsolete language, improving clarity, addressing ongoing 
healthcare priorities, and implementing certain Affordable Care Act 
provisions. 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.
    We have received inquiries from Hospital Associations and national 
industry organizations regarding the 60 day period to submit comments 
regarding this proposed rule. The organizations stated that they needed 
additional time to respond to the rule due to the scope and complexity 
of the proposal. Because of the scope of the proposed rule, and since 
we have specifically requested the public's comments on various aspect 
of the rule, we believe that it is important to allow ample time for 
the public to prepare comments on this proposed rule. Therefore, we 
have decided to reopen the comment period for an additional 30 days. 
This document announces the reopening of the public comment period to 
end on October 14, 2015.

    Dated: September 9, 2015.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2015-23110 Filed 9-11-15; 8:45 am]
 BILLING CODE 4120-01-P

55284 Federal Register / Vol. 80, No. 178 / Tuesday, September 15, 2015 / Proposed Rules our incorporation by reference of 40 Act of 1995 (15 U.S.C. 272 note) because proposed rule entitled ‘‘Reform of CFR 52.2470(c)—Table 4 ‘‘Additional this action does not involve technical Requirements for Long-Term Care Regulations Approved for the Benton standards; and Facilities’’. The comment period for the Clean Air Agency (BCAA) Jurisdiction’’ • does not provide the EPA with the proposed rule, which ends on to reflect the regulations shown in the discretionary authority to address, as September 14, 2015, is reopened for 30 tables in section III.A. Regulations to appropriate, disproportionate human days. Approve and Incorporate by Reference health or environmental effects, using DATES: The comment period for the into the SIP and the rules proposed for practicable and legally permissible proposed rule published on July 16, removal from the SIP in section III.C. methods, under Executive Order 12898 2015 (80 FR 42168), is reopened and Regulations to Remove from the SIP. (59 FR 7629, February 16, 1994). ends on October 14, 2015. The EPA has made, and will continue In addition, this rule does not have ADDRESSES: In commenting, please refer to make, these documents generally tribal implications as specified by to file code CMS–3260–P. Because of available electronically through Executive Order 13175 (65 FR 67249, staff and resource limitations, we cannot www.regulations.gov and/or in hard November 9, 2000), because it will not accept comments by facsimile (FAX) copy at the appropriate EPA office (see impose substantial direct costs on tribal transmission. the ADDRESSES section of this preamble governments or preempt tribal law. As You may submit comments in one of for more information). discussed above, the SIP is not four ways (please choose only one of the approved to apply in Indian ways listed): V. Statutory and Executive Order reservations in the state, except for non- 1. Electronically. You may submit Reviews trust land within the exterior electronic comments on this regulation Under the Clean Air Act, the boundaries of the Puyallup Indian to http://www.regulations.gov. Follow Administrator is required to approve a Reservation (also known as the 1873 the ‘‘Submit a comment’’ instructions. SIP submission that complies with the Survey Area), or any other area where 2. By regular mail. You may mail provisions of the Act and applicable the EPA or an Indian tribe has written comments to the following Federal regulations. 42 U.S.C. 7410(k); demonstrated that a tribe has address ONLY: Centers for Medicare & 40 CFR 52.02(a). Thus, in reviewing SIP jurisdiction. Medicaid Services, Department of submissions, the EPA’s role is to List of Subjects in 40 CFR Part 52 Health and Human Services, Attention: approve state choices, provided that CMS–3260–P, P.O. Box 8010, Baltimore, they meet the criteria of the Clean Air Environmental protection, Air MD 21244. Act. Accordingly, this action merely pollution control, Carbon monoxide, Please allow sufficient time for mailed approves state law as meeting Federal Incorporation by reference, comments to be received before the requirements and does not impose Intergovernmental relations, Lead, close of the comment period. additional requirements beyond those Nitrogen dioxide, Ozone, Particulate 3. By express or overnight mail. You imposed by state law. For that reason, matter, Reporting and recordkeeping may send written comments to the this action: requirements, Sulfur oxides, Volatile following address ONLY: Centers for • Is not a ‘‘significant regulatory organic compounds. Medicare & Medicaid Services, action’’ subject to review by the Office Authority: 42 U.S.C. 7401 et seq. Department of Health and Human of Management and Budget under Dated: September 2, 2015. Services, Attention: CMS–3260–P, Mail Executive Orders 12866 (58 FR 51735, Dennis J. McLerran, Stop C4–26–05, 7500 Security October 4, 1993) and 13563 (76 FR 3821, Boulevard, Baltimore, MD 21244–1850. January 21, 2011); Regional Administrator, Region 10. • does not impose an information 4. By hand or courier. Alternatively, [FR Doc. 2015–23144 Filed 9–14–15; 8:45 am] collection burden under the provisions you may deliver (by hand or courier) BILLING CODE 6560–50–P of the Paperwork Reduction Act (44 your written comments ONLY to the U.S.C. 3501 et seq.); following addresses prior to the close of • is certified as not having a the comment period: DEPARTMENT OF HEALTH AND a. For delivery in Washington, DC— significant economic impact on a HUMAN SERVICES Centers for Medicare & Medicaid substantial number of small entities under the Regulatory Flexibility Act (5 Services, Department of Health and Centers for Medicare & Medicaid Human Services, Room 445–G, Hubert U.S.C. 601 et seq.); Services • does not contain any unfunded H. Humphrey Building, 200 mandate or significantly or uniquely Independence Avenue SW., 42 CFR Parts 405, 431, 447, 482, 483, Washington, DC 20201. affect small governments, as described 485, and 488 in the Unfunded Mandates Reform Act (Because access to the interior of the of 1995 (Pub. L. 104–4); [CMS–3260–N] Hubert H. Humphrey Building is not • does not have Federalism readily available to persons without RIN 0938–AR61 federal government identification, implications as specified in Executive Order 13132 (64 FR 43255, August 10, commenters are encouraged to leave Medicare and Medicaid Programs; 1999); their comments in the CMS drop slots Reform of Requirements for Long- • is not an economically significant Term Care Facilities; Reopening of located in the main lobby of the building. A stamp-in clock is available mstockstill on DSK4VPTVN1PROD with PROPOSALS regulatory action based on health or Comment Period safety risks subject to Executive Order for persons wishing to retain a proof of 13045 (62 FR 19885, April 23, 1997); AGENCY: Centers for Medicare & filing by stamping in and retaining an • is not a significant regulatory action Medicaid Services (CMS), HHS. extra copy of the comments being filed.) subject to Executive Order 13211 (66 FR ACTION: Proposed rule; reopening of b. For delivery in Baltimore, MD— 28355, May 22, 2001); comment period. Centers for Medicare & Medicaid • is not subject to the requirements of Services, Department of Health and Section 12(d) of the National SUMMARY:This document reopens the Human Services, 7500 Security Technology Transfer and Advancement comment period for the July 16, 2015 Boulevard, Baltimore, MD 21244–1850. VerDate Sep<11>2014 18:46 Sep 14, 2015 Jkt 235001 PO 00000 Frm 00012 Fmt 4702 Sfmt 4702 E:\FR\FM\15SEP1.SGM 15SEP1

Federal Register / Vol. 80, No. 178 / Tuesday, September 15, 2015 / Proposed Rules 55285 If you intend to deliver your DEPARTMENT OF TRANSPORTATION received will be posted without change comments to the Baltimore address, call to http://www.regulations.gov, including telephone number (410) 786–9994 in Federal Railroad Administration any personal information provided. advance to schedule your arrival with [Docket No. FRA–2009–0038] Please see the Privacy Act heading in one of our staff members. the SUPPLEMENTARY INFORMATION section Comments erroneously mailed to the 49 CFR Part 271 of this document for Privacy Act addresses indicated as appropriate for information related to any submitted RIN 2130–AC11 hand or courier delivery may be delayed comments or materials. and received after the comment period. Risk Reduction Program Docket: FRA has posted a transcript of the August 27, 2015, public hearing to For information on viewing public AGENCY: Federal Railroad the public docket in this proceeding. comments, see the beginning of the Administration (FRA), Department of For access to the docket to read SUPPLEMENTARY INFORMATION section. Transportation (DOT). background documents or comments FOR FURTHER INFORMATION CONTACT: ACTION: Proposed rule; notice of received, go to http:// Ronisha Blackstone, (410) 786–6633. comment period reopening. www.regulations.gov at any time or to the Docket Management Facility, U.S. SUPPLEMENTARY INFORMATION: On July SUMMARY: On February 27, 2015, FRA Department of Transportation, 1200 16, 2015, we published a proposed rule published a Notice of Proposed New Jersey Avenue SE., Washington, in the Federal Register (80 FR 42168) Rulemaking (NPRM) that would require DC 20590, Room W–12–140 on the entitled, ‘‘Reform of Requirements for certain railroads to develop a Risk ground level of the West Building, Long-Term Care Facilities’’ that would Reduction Program (RRP). On August between 9 a.m. and 5 p.m., Monday revise the requirements that long-term 27, 2015, FRA held a public hearing to through Friday, except Federal holidays. care facilities must meet to participate provide interested persons an in the Medicare and Medicaid programs. opportunity to provide oral comments FOR FURTHER INFORMATION CONTACT: The proposed provisions include on the proposal. FRA is reopening the Miriam Kloeppel, Staff Director, Risk updating obsolete language, improving comment period for this proceeding to Reduction Program Division, Office of clarity, addressing ongoing healthcare allow additional time for interested Safety Analysis, FRA, 1200 New Jersey priorities, and implementing certain parties to submit written comments in Avenue SE., Mail Stop 25, Washington, Affordable Care Act provisions. These response to views or information DC 20590, (202) 493–6224, proposed changes are necessary to provided at the public hearing. Miriam.Kloeppel@dot.gov; or Elizabeth reflect the substantial advances that Gross, Trial Attorney, Office of Chief DATES: The comment period for this have been made over the past several Counsel, FRA, 1200 New Jersey Avenue proceeding, consisting of the proposed years in the theory and practice of SE., Mail Stop 10, Washington, DC rule published February 27, 2015, at 80 service delivery and safety. These 20590, (202) 493–1342, FR 10950, and the August 27, 2015, proposals are also an integral part of our Elizabeth.Gross@dot.gov. hearing, announced at 80 FR 45500, July efforts to achieve broad-based 30, 2015, is reopened. Written SUPPLEMENTARY INFORMATION: The Rail improvements both in the quality of comments must be received by Safety Improvement Act of 2008 health care furnished through federal September 18th, 2015. Comments requires the development and programs, and in patient safety, while at received after that date will be implementation of railroad safety risk the same time reducing procedural considered to the extent possible reduction programs. Risk reduction is a burdens on providers. without incurring additional expense or comprehensive, system-oriented We have received inquiries from delay. approach to safety that (1) determines Hospital Associations and national ADDRESSES: Written comments related an operation’s level of risk by industry organizations regarding the 60 to Docket No. FRA–2009–0038 may be identifying and analyzing applicable day period to submit comments submitted by any of the following hazards and (2) involves the regarding this proposed rule. The methods: development of plans to mitigate that organizations stated that they needed • Web site: The Federal eRulemaking risk. Each RRP is statutorily required to additional time to respond to the rule Portal, http://www.regulations.gov. be supported by a risk analysis and a due to the scope and complexity of the Follow the Web site’s online Risk Reduction Program Plan, which proposal. Because of the scope of the instructions for submitting comments. must include a Technology proposed rule, and since we have • Fax: (202) 493–2251. Implementation Plan and a Fatigue specifically requested the public’s • Mail: Docket Management Facility, Management Plan. comments on various aspect of the rule, U.S. Department of Transportation, 1200 FRA held a public hearing on August we believe that it is important to allow New Jersey Avenue SE., Room W12– 27, 2015, to receive oral comments in ample time for the public to prepare 140, Washington, DC 20590. response to an NPRM requesting public comments on this proposed rule. • Hand Delivery: Docket Management comment on a proposed risk reduction Therefore, we have decided to reopen Facility, U.S. Department of rulemaking. See 80 FR 10950, Feb. 27, the comment period for an additional 30 Transportation, 1200 New Jersey 2015 and 80 FR 45500, July 30, 2015. days. This document announces the Avenue SE., Washington, DC 20590, FRA also reopened the comment period reopening of the public comment period Room W12–140 on the ground level of to allow time for interested parties to mstockstill on DSK4VPTVN1PROD with PROPOSALS to end on October 14, 2015. the West Building, between 9 a.m. and submit written comments after the 5 p.m., Monday through Friday, except public hearing, and comments were due Dated: September 9, 2015. Federal holidays. September 10, 2015. To afford interested Andrew M. Slavitt, Instructions: All submissions must parties additional time and opportunity Acting Administrator, Centers for Medicare include the agency name, docket name, to submit written comments in response & Medicaid Services. and docket number or Regulatory to views or information provided at the [FR Doc. 2015–23110 Filed 9–11–15; 8:45 am] Identification Number (RIN) for this public hearing, FRA is again reopening BILLING CODE 4120–01–P rulemaking. Note that all comments the comment period in this proceeding. VerDate Sep<11>2014 18:46 Sep 14, 2015 Jkt 235001 PO 00000 Frm 00013 Fmt 4702 Sfmt 4702 E:\FR\FM\15SEP1.SGM 15SEP1


Document Created: 2015-12-15 10:08:59
Document Modified: 2015-12-15 10:08:59
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionProposed Rules
ActionProposed rule; reopening of comment period.
DatesThe comment period for the proposed rule published on July 16, 2015 (80 FR 42168), is reopened and ends on October 14, 2015.
ContactRonisha Blackstone, (410) 786-6633.
FR Citation80 FR 55284 
RIN Number0938-AR61
CFR Citation42 CFR 405
42 CFR 431
42 CFR 447
42 CFR 482
42 CFR 483
42 CFR 485
42 CFR 488
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