80 FR 7975 - Announcement of Ruling: Implementing United States v. Windsor for Purposes of Entitlement and Enrollment in Medicare Hospital Insurance and Supplementary Medical Insurance
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 80, Issue 30 (February 13, 2015)
Centers for Medicare & Medicaid Services
Federal Register Volume 80, Issue 30 (February 13, 2015)
| Page Range | 7975-7977 | |
| FR Document | 2015-03069 |
[Federal Register Volume 80, Number 30 (Friday, February 13, 2015)] [Rules and Regulations] [Pages 7975-7977] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-03069] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 406, 407, and 408 [CMS-4176-NR] Announcement of Ruling: Implementing United States v. Windsor for Purposes of Entitlement and Enrollment in Medicare Hospital Insurance and Supplementary Medical Insurance AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice of CMS ruling. ----------------------------------------------------------------------- SUMMARY: This document announces a CMS Ruling that states the CMS policies for implementing United States v. Windsor (``Windsor''), in which the Supreme Court held that section 3 of the Defense of Marriage Act (DOMA), enacted in 1996, is unconstitutional. Section 3 of DOMA defined ``marriage'' and ``spouse'' as excluding same-sex marriages and same-sex spouses, and effectively precluded the Federal government from recognizing same-sex marriages and spouses. DATES: The CMS ruling announced in this document is applicable beginning February 9, 2015, with respect to appeals pending on, initiated, or reopened in accordance with applicable rules after February 9, 2015, for entitlement and enrollment determinations made on or after June 26, 2013. This ruling does not apply to appeals of entitlement and enrollment determinations made before June 26, 2013. FOR FURTHER INFORMATION CONTACT: Patty Helphenstine (410) 786-0622. SUPPLEMENTARY INFORMATION: In ``Windsor,'' (570 U.S. 12, 133 S. Ct. 2675 (2013), the Supreme Court held that section 3 of the Defense of Marriage Act (DOMA), enacted in 1996 (codified at 1 U.S.C. 7), is unconstitutional. The CMS Administrator signed Ruling CMS-4176-R on February 9, 2015. This CMS Ruling, as well as other CMS Rulings are available at http://www.cms.gov/Regulations-and-Guidance/Guidance/Rulings/index.html. For the readers' convenience, the text of the CMS Ruling 4176-R is set forth in the Appendix to this notice of CMS ruling. (Catalog of Federal Domestic Assistance Program No. 93.773, Medicare--Hospital Insurance; and Program No. 93.774, Medicare-- Supplementary Medical Insurance Program) Dated: February 9, 2015. Marilyn Tavenner, Administrator, Centers for Medicare & Medicaid Services. APPENDIX CMS Rulings Department of Health and Human Services Centers for Medicare & Medicaid Services Ruling No.: CMS-4176-R Date: February 9, 2015 Centers for Medicare & Medicaid Services (CMS) Rulings are decisions of the Administrator of CMS that serve as precedential final opinions, orders and statements of policy and interpretation. They provide clarification and interpretation of complex provisions of the law or regulations relating to Medicare, Medicaid, Utilization and Quality Control Peer Review, private health insurance, and related matters. They are published under the authority of the Administrator. CMS Rulings are binding on all CMS components, Part A and Part B Medicare Administrative Contractors (MACs), Qualified Independent Contractors (QICs), the Provider Reimbursement Review Board, the Medicare Geographic Classification Review Board, and on the Medicare Appeals Council and Administrative Law Judges (ALJs) who hear Medicare appeals. Rulings promote consistency in interpretation of policy and adjudication of disputes. This Ruling states the CMS policies for implementing United States v. Windsor, 570 U.S. 12, 133 S. Ct. 2675 (2013) (``Windsor''), in which the Supreme Court held that section 3 of the Defense of Marriage Act (DOMA), enacted in 1996 (codified at 1 U.S.C. 7), is unconstitutional. Section 3 of DOMA defined ``marriage'' and ``spouse'' as excluding same-sex marriages and same-sex spouses, and effectively precluded the Federal government from recognizing same-sex marriages and spouses. MEDICARE PROGRAM Entitlement and Enrollment in Medicare Hospital Insurance (Part A) and Medicare Supplementary Medical Insurance (Part B) CITATIONS: Sections 216(h), 226, 226A, 1818(c)-(d), 1837(i) and 1839 of the Social Security Act (42 U.S.C. Sections 416, 426, 426-1, 1395i-2, 1395p and 1395r); 42 CFR 406.5, 406.10, 406.13, 406.24, 406.32(c)-(d), 406.33, 406.34, 407.20, 407.22(a)(5), 407.25(c), 407.27(b), 408.22 and 408.24. [[Page 7976]] BACKGROUND Section 3 of the Defense of Marriage Act (DOMA), enacted in 1996 (codified at 1 U.S.C. 7), defined ``marriage'' and ``spouse'' as follows: ``The word `marriage' means only a legal union between one man and one woman as husband and wife, and the word `spouse' refers only to a person of the opposite sex who is a husband or a wife.'' However, in June 2013, the United States Supreme Court ruled that Section 3 of DOMA is unconstitutional. United States v. Windsor, 570 U.S. 12, 133 S. Ct. 2675 (2013) (``Windsor''). After the Supreme Court's opinion in Windsor, section 3 of DOMA no longer prohibits the Federal government from recognizing same-sex marriages when administering Federal statutes and programs and no longer controls the definition and recognition of a marital relationship in that context. Marital status is relevant to certain Medicare entitlements, premiums, benefits, and enrollment provisions. This Ruling provides binding CMS policy for the application of these provisions in the context of a same-sex marriage. RULING This Ruling states the CMS policies for implementing United States v. Windsor, 570 U.S. 12, 133 S. Ct. 2675 (2013) for purposes of certain entitlement, eligibility and enrollment provisions for Medicare. Note that the rules for recognizing a same-sex marriage (and treatment of a same-sex relationship that is not a marriage) for purposes of eligibility and entitlement controlled by Title II of the Social Security Act (the Act) are different than the rules for recognizing a same-sex marriage (and treatment of a same-sex relationship that is not a marriage) for benefits provided under Title XVIII of the Act. POLICY Because section 3 of DOMA is unconstitutional, it no longer defines or controls the recognition of a marital relationship by the Federal government. In the absence of controlling law to the contrary, the Department of Health and Human Services (HHS) has adopted a policy of treating same-sex marriages on the same terms as opposite-sex marriages to the greatest extent reasonably possible and of recognizing marriages between individuals of the same sex who were lawfully married under the law of the state, territory, or foreign jurisdiction where the marriage was entered into (``celebration rule''), regardless of where the couple resides. As a general matter, for determinations made solely under Title II of the Act, we note that rules applicable specifically to Title II of the Act apply. In addition, for determinations made under Title XVIII, we note that rules applicable specifically to Title XVIII of the Act apply. Title II Provisions Title II determinations within the scope of this Ruling are eligibility for Medicare based on age or end-stage renal disease under sections 226 and 226A of the Act. Section 216 of the Act explicitly provides the definitions of terms describing the marital relationship and directs recognition and deeming of marital relationships for all of Title II of the Act. As a result, section 216 of the Act is the controlling provision in determining family and marital status for purposes of eligibility for Medicare when eligibility is based on a provision under Title II of the Act. Section 216(h)(1)(A)(i) explicitly controls recognition of a marriage: An applicant is the wife, husband, widow, or widower of a fully or currently insured individual for purposes of this subchapter if the courts of the State in which such insured individual is domiciled at the time such applicant files an application, or, if such insured individual is dead, the courts of the State in which he was domiciled at the time of death, or, if such insured individual is or was not so domiciled in any State, the courts of the District of Columbia, would find that such applicant and such insured individual were validly married at the time such applicant files such application or, if such insured individual is dead, at the time he died. The Social Security Administration (SSA) has issued policies interpreting and implementing section 216 of the Act in the context of same-sex marriages and other relationships. Generally, such policies look to the law of the domicile of the social security number holder to determine whether to recognize a marriage. Such interpretations of section 216(h) are applicable for purposes of entitlement and eligibility determinations under sections 226 and 226A. The SSA has interpreted and directed the application of section 216(h) in the following Program Operations Manual System (POMS) sections issued by SSA:GN 00210.002: Same-Sex Marriage--Determining Marital Status for Title II and Medicare Benefits. GN 00210.003: Same-Sex Marriage--Dates States Permitted or Recognized Same-Sex Marriage. GN 00210.004: Non-Marital Relationships (Such as Civil Unions and Domestic Partnerships). GN 00210.006: Same-Sex Marriages Celebrated in Foreign Jurisdictions. CMS follows SSA interpretations on the application of section 216(h) to same sex marriages and same sex spouses for purposes of Title II. CMS policy illustrating the application of these policies to determinations made under sections 226 and 226A is articulated in the following POMS sections issued by SSA: Entitlement under section 226 and 42 CFR 406.5 and 406.10: GN 00210.100: Same-Sex Marriage and Non-Marital Legal Relationships--Benefits for Aged Spouses. GN 00210.400: Same-Sex Marriage--Benefits for Surviving Spouses. Entitlement under section 226A and 42 CFR 406.5 and 406.13: GN 00210.705: Same-Sex Marriage--Medicare Based on End- Stage Renal Disease (ESRD). Title XVIII Provisions There are no controlling provisions in Title XVIII of the Act or regulations implementing the Title XVIII provisions within the scope of this Ruling that define or direct recognition or deeming of marital relationships. Therefore, CMS has adopted a policy of interpreting sections 1818(d), 1837(i) and 1839 of the Act in a manner that treats same-sex marriages on the same terms as opposite-sex marriages to the greatest extent reasonably possible and uses a celebration rule where possible. ``Celebration rule'' means that a same-sex marriage is recognized and treated as a lawful marriage (where marital status is relevant to a determination of entitlement) if the same-sex marriage was lawful where and when it occurred. Individuals in non-marital same- sex relationships (such as domestic partnerships or civil unions that are not marriages) are not considered married. The SSA processes applications and initial eligibility determinations under these statutes by applying CMS policy. CMS policy for the implementation of Windsor in the context of these Title XVIII provisions is articulated in the POMS sections issued by the SSA as follows: Calculation of hospital insurance (Part A) premium under section 1818(d) and 42 CFR 406.32(c): GN 00210.706: Same-Sex Marriage--HI Premium Reduction for Aged and Disabled Individuals. Eligibility for a special enrollment period based on enrollment in a group health plan by reason of a spouse's [[Page 7977]] current employment under sections 1818(c) and 1837(i) and 42 CFR 406.24, 407.20, 407.22, 407.25, and 407.27: GN 00210.700: Same-Sex Marriage--Eligibility for Medicare Special Enrollment Period (SEP). Calculation of late enrollment penalty for premium hospital insurance (Premium Part A) and supplemental medical insurance (Part B) under section 1818(c) and 1839 and 42 CFR 406.32(d), 406.33, 406.34, 408.22, and 408.24: GN 00210.701: Same-Sex Marriage--Premium Surcharge Rollback. EFFECTIVE DATE This Ruling is effective on February 9, 2015, with respect to appeals on, initiated, or reopened in accordance with applicable rules after February 9, 2015, for entitlement and enrollment determinations made on or after June 26, 2013. This ruling does not apply to appeals of entitlement and enrollment determinations made before June 26, 2013. Dated: February 9, 2015 ----------------------------------------------------------------------- Marilyn Tavenner, Administrator, Centers for Medicare & Medicaid Services. [FR Doc. 2015-03069 Filed 2-12-15; 8:45 am] BILLING CODE 4120-01-P
![Federal Register / Vol. 80, No. 30 / Friday, February 13, 2015 / Rules and Regulations 7975
described under Title II of the Unfunded DEPARTMENT OF HEALTH AND Dated: February 9, 2015.
Mandates Reform Act (UMRA) (2 U.S.C. HUMAN SERVICES Marilyn Tavenner,
1501 et seq.). Administrator, Centers for Medicare &
Centers for Medicare & Medicaid Medicaid Services.
This action does not involve any
Services
technical standards that would require APPENDIX
Agency consideration of voluntary 42 CFR Parts 406, 407, and 408 CMS Rulings
consensus standards pursuant to section
12(d) of the National Technology [CMS–4176–NR] Department of Health and Human
Transfer and Advancement Act Services
Announcement of Ruling:
(NTTAA) (15 U.S.C. 272 note). Centers for Medicare & Medicaid
Implementing United States v. Windsor
for Purposes of Entitlement and Services
VII. Congressional Review Act
Enrollment in Medicare Hospital Ruling No.: CMS–4176–R
Pursuant to the Congressional Review Insurance and Supplementary Medical
Act (5 U.S.C. 801 et seq.), EPA will Date: February 9, 2015
Insurance
submit a report containing this rule and Centers for Medicare & Medicaid
other required information to the U.S. AGENCY: Centers for Medicare & Services (CMS) Rulings are decisions of
Senate, the U.S. House of Medicaid Services (CMS), HHS. the Administrator of CMS that serve as
Representatives, and the Comptroller ACTION: Notice of CMS ruling. precedential final opinions, orders and
General of the United States prior to statements of policy and interpretation.
SUMMARY: This document announces a
publication of the rule in the Federal They provide clarification and
CMS Ruling that states the CMS policies
Register. This action is not a ‘‘major interpretation of complex provisions of
for implementing United States v.
rule’’ as defined by 5 U.S.C. 804(2). the law or regulations relating to
Windsor (‘‘Windsor’’), in which the
Medicare, Medicaid, Utilization and
List of Subjects in 40 CFR Part 180 Supreme Court held that section 3 of the
Quality Control Peer Review, private
Defense of Marriage Act (DOMA),
health insurance, and related matters.
Environmental protection, enacted in 1996, is unconstitutional.
They are published under the authority
Administrative practice and procedure, Section 3 of DOMA defined ‘‘marriage’’
of the Administrator.
Agricultural commodities, Pesticides and ‘‘spouse’’ as excluding same-sex
CMS Rulings are binding on all CMS
and pests, Reporting and recordkeeping marriages and same-sex spouses, and
components, Part A and Part B Medicare
requirements. effectively precluded the Federal
Administrative Contractors (MACs),
government from recognizing same-sex
Dated: February 6, 2015. Qualified Independent Contractors
marriages and spouses.
Daniel J. Rosenblatt, (QICs), the Provider Reimbursement
DATES: The CMS ruling announced in Review Board, the Medicare Geographic
Director, Registration Division, Office of this document is applicable beginning
Pesticide Programs. Classification Review Board, and on the
February 9, 2015, with respect to Medicare Appeals Council and
Therefore, 40 CFR chapter I is appeals pending on, initiated, or Administrative Law Judges (ALJs) who
amended as follows: reopened in accordance with applicable hear Medicare appeals. Rulings promote
rules after February 9, 2015, for consistency in interpretation of policy
PART 180—AMENDED entitlement and enrollment and adjudication of disputes.
determinations made on or after June This Ruling states the CMS policies
■ 1. The authority citation for part 180 26, 2013. This ruling does not apply to for implementing United States v.
continues to read as follows: appeals of entitlement and enrollment Windsor, 570 U.S. 12, 133 S. Ct. 2675
determinations made before June 26, (2013) (‘‘Windsor’’), in which the
Authority: 21 U.S.C. 321(q), 346a and 371.
2013. Supreme Court held that section 3 of the
■ 2. In § 180.518, alphabetically add the FOR FURTHER INFORMATION CONTACT: Defense of Marriage Act (DOMA),
commodity ‘‘Pomegranate’’ to the table Patty Helphenstine (410) 786–0622. enacted in 1996 (codified at 1 U.S.C. 7),
in paragraph (a)(1) to read as follows: SUPPLEMENTARY INFORMATION: In is unconstitutional. Section 3 of DOMA
‘‘Windsor,’’ (570 U.S. 12, 133 S. Ct. 2675 defined ‘‘marriage’’ and ‘‘spouse’’ as
§ 180.518 Pyrimethanil; tolerance for excluding same-sex marriages and same-
residues.
(2013), the Supreme Court held that
section 3 of the Defense of Marriage Act sex spouses, and effectively precluded
(a) * * * (DOMA), enacted in 1996 (codified at 1 the Federal government from
(1) * * * U.S.C. 7), is unconstitutional. recognizing same-sex marriages and
The CMS Administrator signed Ruling spouses.
Parts per CMS–4176–R on February 9, 2015. This MEDICARE PROGRAM
Commodity CMS Ruling, as well as other CMS
million
Rulings are available at http:// Entitlement and Enrollment in
www.cms.gov/Regulations-and- Medicare Hospital Insurance (Part A)
* * * * * Guidance/Guidance/Rulings/ and Medicare Supplementary Medical
Pomegranate .............................. 5.0 index.html. For the readers’ Insurance (Part B)
convenience, the text of the CMS Ruling CITATIONS: Sections 216(h), 226,
Rmajette on DSK2VPTVN1PROD with RULES
* * * * * 4176–R is set forth in the Appendix to 226A, 1818(c)–(d), 1837(i) and 1839 of
this notice of CMS ruling. the Social Security Act (42 U.S.C.
* * * * * Sections 416, 426, 426–1, 1395i–2,
(Catalog of Federal Domestic Assistance
[FR Doc. 2015–02949 Filed 2–12–15; 8:45 am] 1395p and 1395r); 42 CFR 406.5, 406.10,
Program No. 93.773, Medicare—Hospital
BILLING CODE 6560–50–P Insurance; and Program No. 93.774, 406.13, 406.24, 406.32(c)–(d), 406.33,
Medicare—Supplementary Medical 406.34, 407.20, 407.22(a)(5), 407.25(c),
Insurance Program) 407.27(b), 408.22 and 408.24.
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![Federal Register / Vol. 80, No. 30 / Friday, February 13, 2015 / Rules and Regulations 7977
current employment under sections adjacent television band as under Texas is amended by removing
1818(c) and 1837(i) and 42 CFR 406.24, expeditiously as possible. channel 51 and adding channel 26 at
407.20, 407.22, 407.25, and 407.27: DATES: Effective February 13, 2015. Longview.
• GN 00210.700: Same-Sex FOR FURTHER INFORMATION CONTACT: [FR Doc. 2015–03168 Filed 2–12–15; 8:45 am]
Marriage—Eligibility for Medicare Jeremy Miller, Jeremy.Miller@fcc.gov, BILLING CODE 6712–01–P
Special Enrollment Period (SEP). Media Bureau, (202) 418–1507.
Calculation of late enrollment penalty
SUPPLEMENTARY INFORMATION: This is a
for premium hospital insurance DEPARTMENT OF COMMERCE
(Premium Part A) and supplemental synopsis of the Commission’s Report
medical insurance (Part B) under and Order, MB Docket No. 14–245,
adopted February 9, 2015, and released National Oceanic and Atmospheric
section 1818(c) and 1839 and 42 CFR Administration
406.32(d), 406.33, 406.34, 408.22, and February 9, 2015. The full text of this
408.24: document is available for public
inspection and copying during normal 50 CFR Parts 223 and 224
• GN 00210.701: Same-Sex
Marriage—Premium Surcharge business hours in the FCC’s Reference [Docket No. 130404330–5117–03]
Rollback. Information Center at Portals II, CY–
RIN 0648–BC76
A257, 445 12th Street SW., Washington,
EFFECTIVE DATE DC 20554. This document will also be Endangered and Threatened Species;
This Ruling is effective on February 9, available via ECFS (http:// Designation of Critical Habitat for the
2015, with respect to appeals on, fjallfoss.fcc.gov/ecfs/). To request Puget Sound/Georgia Basin Distinct
initiated, or reopened in accordance materials in accessible formats for Population Segments of Yelloweye
with applicable rules after February 9, people with disabilities (braille, large Rockfish, Canary Rockfish and
2015, for entitlement and enrollment print, electronic files, audio format), Bocaccio; Correction
determinations made on or after June send an email to fcc504@fcc.gov or call
26, 2013. This ruling does not apply to the Consumer & Governmental Affairs AGENCY: National Marine Fisheries
appeals of entitlement and enrollment Bureau at 202–418–0530 (voice), 202– Service (NMFS), National Oceanic and
determinations made before June 26, 418–0432 (tty). Atmospheric Administration (NOAA),
2013. This document does not contain Commerce.
Dated: February 9, 2015 information collection requirements ACTION: Correcting amendment.
lllllllllllllllllll subject to the Paperwork Reduction Act
Marilyn Tavenner, of 1995, Public Law 104–13. In addition, SUMMARY: This action corrects an
Administrator, Centers for Medicare & therefore, it does not contain any omission in the final rule to designate
Medicaid Services. information collection burden ‘‘for critical habitat for three DPSs of rockfish
small business concerns with fewer than from the Puget Sound/Georgia Basin.
[FR Doc. 2015–03069 Filed 2–12–15; 8:45 am]
25 employees,’’ pursuant to the Small The final rule for ‘‘Designation of
BILLING CODE 4120–01–P Critical Habitat for the Puget Sound/
Business Paperwork Relief Act of 2002,
Public Law 107–198, see 44 U.S.C. Georgia Basin Distinct Population
3506(c)(4). Provisions of the Regulatory Segments of Yelloweye Rockfish,
FEDERAL COMMUNICATIONS Flexibility Act of 1980 do not apply to Canary Rockfish and Bocaccio’’ failed to
COMMISSION this proceeding. update the columns labeled ‘‘Critical
The Commission will send a copy of habitat,’’ in the tables of threatened and
47 CFR Part 73 the Report and Order in a report to be endangered species to cross reference
sent to Congress and the Government these new rules. Therefore, this
[MB Docket No. 14–245, RM–11740; DA 15–
150] Accountability Office pursuant to the document corrects the tables by citing
Congressional review Act, see 5 U.S.C. the critical habitat designations in the
Television Broadcasting Services; 801(a)(1)(A). columns of the tables.
Longview, Texas List of Subjects in 47 CFR Part 73 DATES: This final rule is effective
February 11, 2015.
AGENCY: Federal Communications Television.
Commission. ADDRESSES: Information regarding this
Federal Communications Commission. final rule may be obtained by contacting
ACTION: Final rule.
Barbara A. Kreisman, NMFS, Endangered Species Division,
SUMMARY: A petition for rulemaking was Chief, Video Division, Media Bureau. 1315 East West Highway, Silver Spring,
filed by KCEB License Company, LLC MD 20910.
For the reasons discussed in the
(‘‘KCEB License’’), the licensee of preamble, the Federal Communications FOR FURTHER INFORMATION CONTACT: Dr.
KCEB(TV), channel 51, Longview, Commission amends 47 CFR part 73 as Dwayne Meadows, NMFS, Office of
Texas, requesting the substitution of follows: Protected Resources (301) 427–8403.
channel 26 for channel 51 at Longview. SUPPLEMENTARY INFORMATION:
KCEB License filed comments PART 73—RADIO BROADCAST
reaffirming its interest in the proposed SERVICES Need for Correction
channel substitution and explained that In a final rule NMFS published on
the channel substitution will replicate ■ 1. The authority citation for part 73 November 13, 2014 (79 FR 68041) to
continues to read as follows:
Rmajette on DSK2VPTVN1PROD with RULES
KCEB(TV)’s current coverage area on designate critical habitat for 3 DPSs of
channel 51 and serve 34,104 more Authority: 47 U.S.C. 154, 303, 334, 336, rockfishes, we did not update the
persons than the current channel 51 and 339. columns labeled ‘‘Critical habitat’’ in
facility. This will eliminate any the tables of threatened and endangered
potential interference with wireless § 73.622 [Amended]
species in 50 CFR 223.102(e) and 50
operations in the Lower 700 MHz A ■ 2. Section 73.622(i), the Post- CFR 224.101(h), respectively, to cross
Block and facilitate the clearing of the Transition Table of DTV Allotments reference these new rules.
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Document Created: 2015-12-18 13:17:55
Document Modified: 2015-12-18 13:17:55
| 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 | Rules and Regulations | |
| Action | Notice of CMS ruling. | |
| Dates | The CMS ruling announced in this document is applicable beginning February 9, 2015, with respect to appeals pending on, initiated, or reopened in accordance with applicable rules after February 9, 2015, for entitlement and enrollment determinations made on or after June 26, 2013. This ruling does not apply to appeals of entitlement and enrollment determinations made before June 26, 2013. | |
| Contact | Patty Helphenstine (410) 786-0622. | |
| FR Citation | 80 FR 7975 | |
| CFR Citation | 42
CFR
406 42 CFR 407 42 CFR 408 |
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