80_FR_68661 80 FR 68447 - Exempting Mental Health Peer Support Services From Copayments

80 FR 68447 - Exempting Mental Health Peer Support Services From Copayments

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 80, Issue 214 (November 5, 2015)

Page Range68447-68447
FR Document2015-28259

The Department of Veterans Affairs (VA) published a direct final rule amending its regulation that governs VA services that are not subject to copayment requirements for inpatient hospital care or outpatient medical care. Specifically, the regulation is amended to exempt mental health peer support services from having any required copayment. VA received no adverse comments concerning the direct final rule or its companion substantially identical proposed rule published in the Federal Register on the same date. This document confirms that the direct final rule became effective on January 27, 2015. In a companion document in this issue of the Federal Register, we are withdrawing as unnecessary the proposed rule.

Federal Register, Volume 80 Issue 214 (Thursday, November 5, 2015)
[Federal Register Volume 80, Number 214 (Thursday, November 5, 2015)]
[Rules and Regulations]
[Page 68447]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-28259]


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DEPARTMENT OF VETERANS AFFAIRS

38 CFR Part 17

RIN 2900-AP11


Exempting Mental Health Peer Support Services From Copayments

AGENCY: Department of Veterans Affairs.

ACTION: Direct final rule; confirmation of effective date.

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SUMMARY: The Department of Veterans Affairs (VA) published a direct 
final rule amending its regulation that governs VA services that are 
not subject to copayment requirements for inpatient hospital care or 
outpatient medical care. Specifically, the regulation is amended to 
exempt mental health peer support services from having any required 
copayment. VA received no adverse comments concerning the direct final 
rule or its companion substantially identical proposed rule published 
in the Federal Register on the same date. This document confirms that 
the direct final rule became effective on January 27, 2015. In a 
companion document in this issue of the Federal Register, we are 
withdrawing as unnecessary the proposed rule.

DATES: Effective Date: The effective date of January 27, 2015, for the 
direct final rule published November 28, 2014, 79 FR 70938, is 
confirmed.

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: In a direct final rule published in the 
Federal Register on November 28, 2014, 79 FR 70938, VA amended 38 CFR 
17.108 to eliminate copayments for mental health peer support services. 
VA published a companion substantially identical proposed rule at 79 FR 
70941, on the same date to serve as a proposal for the revisions in the 
direct final rule in case adverse comments were received. The direct 
final rule and proposed rule each provided a 60-day comment period that 
ended on January 27, 2015. No adverse comments were received. Six 
comments that supported the rulemaking were received from the general 
public. One commenter also urged VA to exempt evidence-based, cost-
effective primary care services from having a required copayment. This 
comment is outside the scope of this rulemaking, and therefore, VA is 
not making any changes to this rulemaking based on this comment.
    Under the direct final rule procedures that were described in 79 FR 
70938 and 79 FR 70941, the direct final rule became effective on 
January 27, 2015, because no adverse comments were received within the 
comment period. In a companion document in this issue of the Federal 
Register, VA is withdrawing the proposed rulemaking, RIN 2900-AP10, 
published at 79 FR 70941, as unnecessary.

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 October 26, 2015, for publication.

    Dated: November 2, 2015.
Michael P. Shores,
Chief Impact Analyst, Office of Regulation Policy & Management, Office 
of the General Counsel, Department of Veterans Affairs.
[FR Doc. 2015-28259 Filed 11-4-15; 8:45 am]
BILLING CODE 8320-01-P



                                                                 Federal Register / Vol. 80, No. 214 / Thursday, November 5, 2015 / Rules and Regulations                                             68447

                                                is one week or longer in duration. This                 actively engaged in towing or escorting               FOR FURTHER INFORMATION CONTACT:
                                                rule is categorically excluded from                     those vessels.                                        Kristin J. Cunningham, Director
                                                further review under paragraph 34(g) of                   (2) Regulations. In accordance with                 Business Policy, Chief Business Office
                                                Figure 2–1 of the Commandant                            the general regulations in subpart C of               (10NB6), Veterans Health
                                                Instruction. An environmental analysis                  this section, no persons or vessels may               Administration, Department of Veterans
                                                checklist supporting this determination                 enter these safety zones unless                       Affairs, 810 Vermont Ave. NW.,
                                                and a Categorical Exclusion                             authorized by the Captain of the Port,                Washington, DC 20420; (202) 382–2508.
                                                Determination are available in the                      Puget Sound or his designated                         (This is not a toll-free number.)
                                                docket where indicated under                            representative. To request permission to
                                                ADDRESSES.                                              enter one of these safety zones contact               SUPPLEMENTARY INFORMATION:      In a direct
                                                                                                        the Joint Harbor Operations Center at                 final rule published in the Federal
                                                G. Protest Activities                                   206–217–6001, or the on-scene Law                     Register on November 28, 2014, 79 FR
                                                  The Coast Guard respects the First                    Enforcement patrol craft, if any, via                 70938, VA amended 38 CFR 17.108 to
                                                Amendment rights of all individuals                     VHF–FM CH 16. If permission for entry                 eliminate copayments for mental health
                                                and supports the ability to congregate                  into one of these safety zones is granted,            peer support services. VA published a
                                                and exercise First Amendment free                       vessels must proceed at a minimum                     companion substantially identical
                                                speech rights safely and without                        speed for safe navigation and in                      proposed rule at 79 FR 70941, on the
                                                interfering with other maritime traffic.                accordance with any directions given by               same date to serve as a proposal for the
                                                Of particular note, large vessels                       the Captain of the Port, Puget Sound or               revisions in the direct final rule in case
                                                operating in restricted waters cannot                   his designated representative.                        adverse comments were received. The
                                                maneuver freely, nor can they stop                        (b) Dates. This rule will be enforced               direct final rule and proposed rule each
                                                immediately. As such, any First                         from October 23, 2015 through                         provided a 60-day comment period that
                                                Amendment activity taking place in                      December 31, 2015.                                    ended on January 27, 2015. No adverse
                                                immediate proximity to such vessels                       Dated: October 23, 2015.                            comments were received. Six comments
                                                can quickly result in extremis.
                                                                                                        M.W. Raymond,                                         that supported the rulemaking were
                                                Individuals that desire to exercise their
                                                First Amendment rights are asked to do                  Captain, U.S. Coast Guard, Captain of the             received from the general public. One
                                                                                                        Port, Puget Sound.                                    commenter also urged VA to exempt
                                                so with full regard to vessel traffic
                                                conditions and are requested to contact                 [FR Doc. 2015–28291 Filed 11–4–15; 8:45 am]           evidence-based, cost-effective primary
                                                the person listed in the FOR FURTHER                    BILLING CODE 9110–04–P                                care services from having a required
                                                INTFORMATION CONTACT section to                                                                               copayment. This comment is outside the
                                                coordinate their activities so that their                                                                     scope of this rulemaking, and therefore,
                                                message can be heard, without                           DEPARTMENT OF VETERANS                                VA is not making any changes to this
                                                jeopardizing the safety or security of                  AFFAIRS                                               rulemaking based on this comment.
                                                people, places, or vessels.                                                                                      Under the direct final rule procedures
                                                                                                        38 CFR Part 17
                                                List of Subjects in 33 CFR Part 165                                                                           that were described in 79 FR 70938 and
                                                                                                        RIN 2900–AP11                                         79 FR 70941, the direct final rule
                                                  Harbors, Marine safety, Navigation
                                                                                                                                                              became effective on January 27, 2015,
                                                (water), Reporting and recordkeeping                    Exempting Mental Health Peer Support
                                                requirements, Security measures,                        Services From Copayments                              because no adverse comments were
                                                Waterways.                                                                                                    received within the comment period. In
                                                                                                        AGENCY:   Department of Veterans Affairs.             a companion document in this issue of
                                                  For the reasons discussed in the
                                                                                                        ACTION:  Direct final rule; confirmation of           the Federal Register, VA is withdrawing
                                                preamble, the Coast Guard amends 33
                                                CFR part 165 as follows:                                effective date.                                       the proposed rulemaking, RIN 2900–
                                                                                                                                                              AP10, published at 79 FR 70941, as
                                                                                                        SUMMARY:    The Department of Veterans                unnecessary.
                                                PART 165—REGULATED NAVIGATION                           Affairs (VA) published a direct final rule
                                                AREAS AND LIMITED ACCESS AREAS                          amending its regulation that governs VA               Signing Authority
                                                ■ 1. The authority citation for part 165                services that are not subject to
                                                                                                        copayment requirements for inpatient                    The Secretary of Veterans Affairs, or
                                                continues to read as follows:
                                                                                                        hospital care or outpatient medical care.             designee, approved this document and
                                                  Authority: 33 U.S.C. 1231; 50 U.S.C. 191;                                                                   authorized the undersigned to sign and
                                                                                                        Specifically, the regulation is amended
                                                33 CFR 1.05–1, 6.04–1, 6.04–6, and 160.5;                                                                     submit the document to the Office of the
                                                Department of Homeland Security Delegation              to exempt mental health peer support
                                                No. 0170.1.                                             services from having any required                     Federal Register for publication
                                                                                                        copayment. VA received no adverse                     electronically as an official document of
                                                ■ 2. Add § 165.T13–302 to read as                       comments concerning the direct final                  the Department of Veterans Affairs.
                                                follows:                                                rule or its companion substantially                   Robert L. Nabors II, Chief of Staff,
                                                § 165.T13–302 Safety Zones; Shell Arctic                identical proposed rule published in the              Department of Veterans Affairs,
                                                Drilling/Exploration Vessels, Puget Sound,              Federal Register on the same date. This               approved this document on October 26,
                                                WA.                                                     document confirms that the direct final               2015, for publication.
                                                  (a) Safety Zones—(1) Location. The                    rule became effective on January 27,
                                                                                                                                                                Dated: November 2, 2015.
                                                following areas are designated as safety                2015. In a companion document in this
                                                                                                                                                              Michael P. Shores,
jstallworth on DSK7TPTVN1PROD with RULES




                                                zones: All waters within 500 yards of                   issue of the Federal Register, we are
                                                the following vessels while transiting                  withdrawing as unnecessary the                        Chief Impact Analyst, Office of Regulation
                                                within the U.S. Territorial or Internal                 proposed rule.                                        Policy & Management, Office of the General
                                                                                                                                                              Counsel, Department of Veterans Affairs.
                                                Waters of the Sector Puget Sound                        DATES: Effective Date: The effective date
                                                Captain of the Port Zone as defined in                  of January 27, 2015, for the direct final             [FR Doc. 2015–28259 Filed 11–4–15; 8:45 am]
                                                33 CFR 3.65–10: NOBLE DISCOVERER,                       rule published November 28, 2014, 79                  BILLING CODE 8320–01–P
                                                POLAR PIONEER, and any other vessel                     FR 70938, is confirmed.


                                           VerDate Sep<11>2014   14:34 Nov 04, 2015   Jkt 238001   PO 00000   Frm 00027   Fmt 4700   Sfmt 9990   E:\FR\FM\05NOR1.SGM   05NOR1



Document Created: 2015-12-14 15:02:30
Document Modified: 2015-12-14 15:02:30
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionRules and Regulations
ActionDirect final rule; confirmation of effective date.
ContactKristin 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 Citation80 FR 68447 
RIN Number2900-AP11

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