81_FR_11708 81 FR 11664 - New Animal Drugs for Use in Animal Feeds; Removal of Obsolete and Redundant Regulations

81 FR 11664 - New Animal Drugs for Use in Animal Feeds; Removal of Obsolete and Redundant Regulations

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 81, Issue 44 (March 7, 2016)

Page Range11664-11665
FR Document2016-04945

The Food and Drug Administration (FDA) is removing regulations that required sponsors to submit data regarding the subtherapeutic use of certain antibiotic, nitrofuran, and sulfonamide drugs administered in animal feed as these regulations have been determined to be obsolete. FDA has other strategies for assessing the safety of antimicrobial new animal drugs with regard to their microbiological effects on bacteria of human health concern, and the only remaining animal drug use listed in these regulations is now listed elsewhere in the new animal drug regulations.

Federal Register, Volume 81 Issue 44 (Monday, March 7, 2016)
[Federal Register Volume 81, Number 44 (Monday, March 7, 2016)]
[Rules and Regulations]
[Pages 11664-11665]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-04945]



[[Page 11664]]

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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

21 CFR Part 558

[Docket No. FDA-2003-N-0446 (formerly 2003N-0324)]


New Animal Drugs for Use in Animal Feeds; Removal of Obsolete and 
Redundant Regulations

AGENCY: Food and Drug Administration, HHS.

ACTION: Final rule.

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

SUMMARY: The Food and Drug Administration (FDA) is removing regulations 
that required sponsors to submit data regarding the subtherapeutic use 
of certain antibiotic, nitrofuran, and sulfonamide drugs administered 
in animal feed as these regulations have been determined to be 
obsolete. FDA has other strategies for assessing the safety of 
antimicrobial new animal drugs with regard to their microbiological 
effects on bacteria of human health concern, and the only remaining 
animal drug use listed in these regulations is now listed elsewhere in 
the new animal drug regulations.

DATES: This rule is effective April 6, 2016.

ADDRESSES: For access to the docket to read background documents or 
comments received, go to http://www.regulations.gov and insert the 
docket number found in brackets in the heading of this final rule into 
the ``Search'' box and follow the prompts, and/or go to the Division of 
Dockets Management, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: William T. Flynn, Center for 
Veterinary Medicine (HFV-1), 7519 Standish Pl., Rockville, MD 20855, 
240-402-5704, email: [email protected].

SUPPLEMENTARY INFORMATION:

I. Background

    In the Federal Register of August 8, 2003 (68 FR 47272), FDA 
published a notice of proposed rulemaking to remove 21 CFR 558.15, 
Antibiotic, nitrofuran, and sulfonamide drugs in the feed of animals 
(Sec.  558.15), on the grounds that these regulations were obsolete or 
redundant. The proposed rule explained the nature and purpose of Sec.  
558.15, and noted that most of the products and use combinations 
subject to the listings in that section had approvals that were already 
codified in part 558, subpart B of this chapter.
    In the same issue of the Federal Register as the proposed rule, 
FDA's Center for Veterinary Medicine (CVM) published a Notice of 
Opportunity for Hearing (NOOH), which announced CVM's findings of 
effectiveness for nine products and use combinations that were listed 
in Sec.  558.15, but which were subject to the Drug Efficacy Study 
Implementation (DESI) program (68 FR 47332). CVM proposed to withdraw 
the new animal drug applications (NADAs) for those nine products and 
use combinations lacking substantial evidence of effectiveness, 
following an opportunity to supplement the NADAs with labeling 
conforming to the relevant findings of effectiveness. For applications 
proposed to be withdrawn, the Agency provided an opportunity for 
hearing.
    The Agency received only one set of comments on the 2003 proposed 
rule, from Pennfield Oil Co. (Pennfield). At that time, Pennfield was 
the sponsor of NADA 141-137, a bacitracin methylene disalicylate (BMD) 
Type A medicated article that is listed in the table in Sec.  
558.15(g)(1). In the table, the listing is under Fermenta Animal Health 
Co., which was a predecessor in interest to Pennfield. In response to 
the NOOH, Pennfield submitted a hearing request regarding this product. 
In its comments on the 2003 proposed rule, Pennfield objected to the 
removal of Sec.  558.15 until the issues in the NOOH were addressed. It 
argued that the BMD listing in Sec.  558.15 provides evidence of 
Pennfield's approval, and that removal of that section, without 
updating the BMD listing in part 558, subpart B, would result in a lack 
of recognition in the regulations of the approval that Pennfield 
currently has. Pharmgate LLC (Pharmgate) is the current sponsor of NADA 
141-137 (80 FR 13226, March 13, 2015).
    For the eight other products and use combinations subject to the 
NOOH, FDA received supplemental applications with labeling conforming 
to the relevant findings of effectiveness. FDA approved those 
applications in 2006 and 2009 and amended part 558 subpart B to reflect 
those approvals (71 FR 16222 (March 31, 2006); 71 FR 16223 (March 31, 
2006); and 74 FR 40723 (August 13, 2009)). Subsequent to those 
approvals, FDA finalized portions of the 2003 proposed rule by removing 
from the tables in Sec.  558.15(g) the products and use combinations 
that were not approved, and the products and use combinations whose 
approval was reflected in part 558, subpart B (71 FR 16219 (March 31, 
2006) and 75 FR 16001 (March 31, 2010)). FDA retained only the listing 
in the table in Sec.  558.15(g)(1) relating to NADA 141-137 as well as 
Sec.  558.15(a) through (f). In both the 2006 and 2010 final rules, FDA 
stated it intended to continue to finalize the proposed rule to remove 
all of Sec.  558.15.
    Recently, Pharmgate filed a supplemental application to NADA 141-
137 which provided labeling conforming to the relevant findings of 
effectiveness announced in the NOOH. FDA approved this supplement on 
October 6, 2015. Also on October 6, 2015, Pharmgate withdrew the 
hearing request relating to NADA 141-137. FDA has since published in 
the Federal Register a notice amending Sec.  558.76 of subpart B to 
reflect this supplemental approval (80 FR 79474, December 22, 2015).
    Because the approval of NADA 141-137 is now listed in Sec.  558.76 
of subpart B, FDA is removing its associated listing in Sec.  
558.15(g)(1) as obsolete. In addition, FDA is finalizing the proposed 
rule by removing all of the other remaining portions of Sec.  558.15 
because they are also obsolete. A conforming change is made in Sec.  
558.4.

II. Economic Analysis of Impacts

    We have examined the impacts of the final rule under Executive 
Order 12866, the Regulatory Flexibility Act (5 U.S.C. 601-602), and the 
Unfunded Mandates Reform Act of 1995 (Pub. L. 104-4). Executive Order 
12866 directs us to assess all 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, and other 
advantages; distributive impacts; and equity). We believe that this 
final rule is not a significant regulatory action as defined by 
Executive Order 12866.
    The Regulatory Flexibility Act requires us to analyze regulatory 
options to minimize any significant impact on a substantial number of 
small entities. We have determined that this final rule does not impose 
compliance costs on the sponsors of any products that are currently 
marketed. Further, it does not cause any drugs that are currently 
marketed to lose their marketing ability. Therefore, FDA certifies that 
the final rule will not have a significant economic impact on a 
substantial number of small entities.
    The Unfunded Mandates Reform Act of 1995 (section 202(a)) requires 
us to prepare a written statement, which includes an assessment of 
anticipated costs and benefits, before proposing ``any rule that may 
result in an annual expenditure by State, local and tribal

[[Page 11665]]

governments, in the aggregate, or by the private sector, of $100 
million (adjusted annually for inflation) in any one year.'' The 
current threshold after adjustment for inflation is $144 million, using 
the most current (2014) Implicit Price Deflator for the Gross Domestic 
Product. This final rule would not result in any 1-year expenditure 
that meets or exceeds this amount.
    FDA proposed the removal of Sec.  558.15 on August 8, 2003, because 
it was obsolete or redundant. The original purpose of Sec.  558.15 was 
to require the submission of the results of studies on the long-term 
administration of then-marketed antimicrobial drugs in animal feed on 
the occurrence of multiple drug-resistant bacteria associated with 
these animals. FDA determined that this section was obsolete as FDA had 
a new strategy and concept for assessing the safety of antimicrobial 
new animal drugs, including subtherapeutic use of antimicrobials in 
animal feed, with regard to their microbiological effects on bacteria 
of human health concern. This final rule removes the only remaining 
animal drug use listed in Sec.  558.15(g), which is obsolete since 
approval of its NADA is now listed elsewhere in part 558.
    Only one set of comments to the proposal was received by FDA. Since 
these comments did not question the benefits as described in the 
proposed rule, we retain the benefits for the final rule. This final 
rule is expected to provide greater clarity in the regulations for new 
animal drugs for use in animal feeds by deleting obsolete provisions in 
Sec.  558.15. We do not expect this final rule to result in any direct 
human or animal health benefit. Rather, this final rule would remove 
regulations that are no longer necessary.
    We do not expect the final rule that revokes the remaining portions 
of Sec.  558.15 to have a substantive effect on any approved new animal 
drug or to cause any approved new animal drug to lose its marketing 
ability or experience a loss of sales.

III. Analysis of Environmental Impact

    We have determined under 21 CFR 25.30(h) that this action is of a 
type that does not individually or cumulatively have a significant 
effect on the human environment. Therefore, neither an environmental 
assessment nor an environmental impact statement is required.

IV. Paperwork Reduction Act

    This final rule contains no collection of information. Therefore, 
clearance by the Office of Management and Budget under the Paperwork 
Reduction Act of 1995 is not required.

List of Subjects in 21 CFR Part 558

    Animal drugs, Animal feeds.

    Therefore, under the Federal Food, Drug, and Cosmetic Act and under 
authority delegated to the Commissioner of Food and Drugs, 21 CFR part 
558 is amended as follows:

PART 558--NEW ANIMAL DRUGS FOR USE IN ANIMAL FEEDS

0
1. The authority citation for 21 CFR part 558 continues to read as 
follows:

    Authority: 21 U.S.C. 354, 360b, 360ccc, 360ccc-1, 371.


Sec.  558.4  [Amended]

0
2. In paragraph (c) of Sec.  558.4, remove ``and in Sec.  558.15 of 
this chapter''.


Sec.  558.15  [Removed]

0
3. Remove Sec.  558.15.

    Dated: March 1, 2016.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2016-04945 Filed 3-4-16; 8:45 am]
BILLING CODE 4164-01-P



                                                11664               Federal Register / Vol. 81, No. 44 / Monday, March 7, 2016 / Rules and Regulations

                                                DEPARTMENT OF HEALTH AND                                   In the same issue of the Federal                   § 558.15(g)(1) relating to NADA 141–137
                                                HUMAN SERVICES                                          Register as the proposed rule, FDA’s                  as well as § 558.15(a) through (f). In both
                                                                                                        Center for Veterinary Medicine (CVM)                  the 2006 and 2010 final rules, FDA
                                                Food and Drug Administration                            published a Notice of Opportunity for                 stated it intended to continue to finalize
                                                                                                        Hearing (NOOH), which announced                       the proposed rule to remove all of
                                                21 CFR Part 558                                         CVM’s findings of effectiveness for nine              § 558.15.
                                                                                                        products and use combinations that                       Recently, Pharmgate filed a
                                                [Docket No. FDA–2003–N–0446 (formerly
                                                2003N–0324)]                                            were listed in § 558.15, but which were               supplemental application to NADA
                                                                                                        subject to the Drug Efficacy Study                    141–137 which provided labeling
                                                New Animal Drugs for Use in Animal                      Implementation (DESI) program (68 FR                  conforming to the relevant findings of
                                                Feeds; Removal of Obsolete and                          47332). CVM proposed to withdraw the                  effectiveness announced in the NOOH.
                                                Redundant Regulations                                   new animal drug applications (NADAs)                  FDA approved this supplement on
                                                                                                        for those nine products and use                       October 6, 2015. Also on October 6,
                                                AGENCY:    Food and Drug Administration,                combinations lacking substantial                      2015, Pharmgate withdrew the hearing
                                                HHS.                                                    evidence of effectiveness, following an               request relating to NADA 141–137. FDA
                                                ACTION:   Final rule.                                   opportunity to supplement the NADAs                   has since published in the Federal
                                                                                                        with labeling conforming to the relevant              Register a notice amending § 558.76 of
                                                SUMMARY:   The Food and Drug                            findings of effectiveness. For                        subpart B to reflect this supplemental
                                                Administration (FDA) is removing                        applications proposed to be withdrawn,                approval (80 FR 79474, December 22,
                                                regulations that required sponsors to                   the Agency provided an opportunity for                2015).
                                                submit data regarding the                               hearing.                                                 Because the approval of NADA 141–
                                                subtherapeutic use of certain antibiotic,                  The Agency received only one set of                137 is now listed in § 558.76 of subpart
                                                nitrofuran, and sulfonamide drugs                       comments on the 2003 proposed rule,                   B, FDA is removing its associated listing
                                                administered in animal feed as these                    from Pennfield Oil Co. (Pennfield). At                in § 558.15(g)(1) as obsolete. In addition,
                                                regulations have been determined to be                  that time, Pennfield was the sponsor of               FDA is finalizing the proposed rule by
                                                obsolete. FDA has other strategies for                  NADA 141–137, a bacitracin methylene                  removing all of the other remaining
                                                assessing the safety of antimicrobial                   disalicylate (BMD) Type A medicated                   portions of § 558.15 because they are
                                                new animal drugs with regard to their                   article that is listed in the table in                also obsolete. A conforming change is
                                                microbiological effects on bacteria of                  § 558.15(g)(1). In the table, the listing is          made in § 558.4.
                                                human health concern, and the only                      under Fermenta Animal Health Co.,
                                                remaining animal drug use listed in                                                                           II. Economic Analysis of Impacts
                                                                                                        which was a predecessor in interest to
                                                these regulations is now listed                         Pennfield. In response to the NOOH,                      We have examined the impacts of the
                                                elsewhere in the new animal drug                        Pennfield submitted a hearing request                 final rule under Executive Order 12866,
                                                regulations.                                            regarding this product. In its comments               the Regulatory Flexibility Act (5 U.S.C.
                                                DATES: This rule is effective April 6,                  on the 2003 proposed rule, Pennfield                  601–602), and the Unfunded Mandates
                                                2016.                                                   objected to the removal of § 558.15 until             Reform Act of 1995 (Pub. L. 104–4).
                                                                                                        the issues in the NOOH were addressed.                Executive Order 12866 directs us to
                                                ADDRESSES: For access to the docket to                                                                        assess all costs and benefits of available
                                                                                                        It argued that the BMD listing in
                                                read background documents or                                                                                  regulatory alternatives and, when
                                                                                                        § 558.15 provides evidence of
                                                comments received, go to http://                                                                              regulation is necessary, to select
                                                                                                        Pennfield’s approval, and that removal
                                                www.regulations.gov and insert the                                                                            regulatory approaches that maximize
                                                                                                        of that section, without updating the
                                                docket number found in brackets in the                  BMD listing in part 558, subpart B,                   net benefits (including potential
                                                heading of this final rule into the                     would result in a lack of recognition in              economic, environmental, public health
                                                ‘‘Search’’ box and follow the prompts,                  the regulations of the approval that                  and safety, and other advantages;
                                                and/or go to the Division of Dockets                    Pennfield currently has. Pharmgate LLC                distributive impacts; and equity). We
                                                Management, 5630 Fishers Lane, Rm.                      (Pharmgate) is the current sponsor of                 believe that this final rule is not a
                                                1061, Rockville, MD 20852.                              NADA 141–137 (80 FR 13226, March                      significant regulatory action as defined
                                                FOR FURTHER INFORMATION CONTACT:                        13, 2015).                                            by Executive Order 12866.
                                                William T. Flynn, Center for Veterinary                    For the eight other products and use                  The Regulatory Flexibility Act
                                                Medicine (HFV–1), 7519 Standish Pl.,                    combinations subject to the NOOH, FDA                 requires us to analyze regulatory options
                                                Rockville, MD 20855, 240–402–5704,                      received supplemental applications                    to minimize any significant impact on a
                                                email: william.flynn@fda.hhs.gov.                       with labeling conforming to the relevant              substantial number of small entities. We
                                                SUPPLEMENTARY INFORMATION:                              findings of effectiveness. FDA approved               have determined that this final rule does
                                                                                                        those applications in 2006 and 2009 and               not impose compliance costs on the
                                                I. Background                                                                                                 sponsors of any products that are
                                                                                                        amended part 558 subpart B to reflect
                                                   In the Federal Register of August 8,                 those approvals (71 FR 16222 (March                   currently marketed. Further, it does not
                                                2003 (68 FR 47272), FDA published a                     31, 2006); 71 FR 16223 (March 31,                     cause any drugs that are currently
                                                notice of proposed rulemaking to                        2006); and 74 FR 40723 (August 13,                    marketed to lose their marketing ability.
                                                remove 21 CFR 558.15, Antibiotic,                       2009)). Subsequent to those approvals,                Therefore, FDA certifies that the final
                                                nitrofuran, and sulfonamide drugs in                    FDA finalized portions of the 2003                    rule will not have a significant
                                                the feed of animals (§ 558.15), on the                  proposed rule by removing from the                    economic impact on a substantial
                                                grounds that these regulations were                     tables in § 558.15(g) the products and                number of small entities.
mstockstill on DSK4VPTVN1PROD with RULES




                                                obsolete or redundant. The proposed                     use combinations that were not                           The Unfunded Mandates Reform Act
                                                rule explained the nature and purpose                   approved, and the products and use                    of 1995 (section 202(a)) requires us to
                                                of § 558.15, and noted that most of the                 combinations whose approval was                       prepare a written statement, which
                                                products and use combinations subject                   reflected in part 558, subpart B (71 FR               includes an assessment of anticipated
                                                to the listings in that section had                     16219 (March 31, 2006) and 75 FR                      costs and benefits, before proposing
                                                approvals that were already codified in                 16001 (March 31, 2010)). FDA retained                 ‘‘any rule that may result in an annual
                                                part 558, subpart B of this chapter.                    only the listing in the table in                      expenditure by State, local and tribal


                                           VerDate Sep<11>2014   16:13 Mar 04, 2016   Jkt 238001   PO 00000   Frm 00006   Fmt 4700   Sfmt 4700   E:\FR\FM\07MRR1.SGM   07MRR1


                                                                    Federal Register / Vol. 81, No. 44 / Monday, March 7, 2016 / Rules and Regulations                                           11665

                                                governments, in the aggregate, or by the                under the Paperwork Reduction Act of                     Applicability date: The programmatic
                                                private sector, of $100 million (adjusted               1995 is not required.                                 improvements in this final rule are
                                                annually for inflation) in any one year.’’                                                                    scheduled to take effect as soon as the
                                                                                                        List of Subjects in 21 CFR Part 558
                                                The current threshold after adjustment                                                                        Director, Defense Health Agency can
                                                for inflation is $144 million, using the                  Animal drugs, Animal feeds.                         effectively and efficiently implement
                                                most current (2014) Implicit Price                        Therefore, under the Federal Food,                  through award of a new TRICARE
                                                Deflator for the Gross Domestic Product.                Drug, and Cosmetic Act and under                      Dental Program contract. No change will
                                                This final rule would not result in any                 authority delegated to the Commissioner               be negotiated for existing contracts to
                                                1-year expenditure that meets or                        of Food and Drugs, 21 CFR part 558 is                 implement this rule. Implementation
                                                exceeds this amount.                                    amended as follows:                                   through the new contract will be
                                                   FDA proposed the removal of § 558.15                                                                       effective with the start of care delivery
                                                on August 8, 2003, because it was                       PART 558—NEW ANIMAL DRUGS FOR                         under the new contract (currently
                                                obsolete or redundant. The original                     USE IN ANIMAL FEEDS                                   anticipated to start February 1, 2017).
                                                purpose of § 558.15 was to require the                                                                        FOR FURTHER INFORMATION CONTACT: Col
                                                                                                        ■ 1. The authority citation for 21 CFR                James Honey, Defense Health Agency,
                                                submission of the results of studies on
                                                                                                        part 558 continues to read as follows:                telephone (703) 681–0039.
                                                the long-term administration of then-
                                                marketed antimicrobial drugs in animal                    Authority: 21 U.S.C. 354, 360b, 360ccc,             SUPPLEMENTARY INFORMATION:
                                                feed on the occurrence of multiple drug-                360ccc–1, 371.
                                                                                                                                                              I. Executive Summary
                                                resistant bacteria associated with these                § 558.4    [Amended]
                                                animals. FDA determined that this                                                                             1. Purpose of Regulatory Actions
                                                                                                        ■  2. In paragraph (c) of § 558.4, remove
                                                section was obsolete as FDA had a new
                                                                                                        ‘‘and in § 558.15 of this chapter’’.                  a. Need for Regulatory Actions
                                                strategy and concept for assessing the
                                                safety of antimicrobial new animal                      § 558.15    [Removed]                                 (1) Revision of Nonparticipating
                                                drugs, including subtherapeutic use of                  ■   3. Remove § 558.15.                               Providers’ Reimbursement Rate
                                                antimicrobials in animal feed, with                                                                              Prior to 2006, TRICARE Dental
                                                                                                          Dated: March 1, 2016.
                                                regard to their microbiological effects on                                                                    Program (TDP) participating and
                                                bacteria of human health concern. This                  Leslie Kux,
                                                                                                                                                              nonparticipating providers were
                                                final rule removes the only remaining                   Associate Commissioner for Policy.                    reimbursed at the equivalent of not less
                                                animal drug use listed in § 558.15(g),                  [FR Doc. 2016–04945 Filed 3–4–16; 8:45 am]            than the 50th percentile of prevailing
                                                which is obsolete since approval of its                 BILLING CODE 4164–01–P                                charges made for similar services in the
                                                NADA is now listed elsewhere in part                                                                          same locality (region) or state, or the
                                                558.                                                                                                          provider’s actual charge, whichever is
                                                   Only one set of comments to the                      DEPARTMENT OF DEFENSE                                 lower, less any cost-share amount due
                                                proposal was received by FDA. Since                                                                           for authorized services. This provision
                                                these comments did not question the                     Office of the Secretary                               was included in the regulation to
                                                benefits as described in the proposed                                                                         constitute a significant financial
                                                rule, we retain the benefits for the final              32 CFR Part 199                                       incentive for participation of providers
                                                rule. This final rule is expected to                    [DOD–2014–HA–0133]                                    in the contractor’s network and to
                                                provide greater clarity in the regulations                                                                    ensure a network of quality providers
                                                for new animal drugs for use in animal                  RIN 0720–AB62                                         through use of a higher reimbursement
                                                feeds by deleting obsolete provisions in                                                                      rate. Over time, the Department
                                                                                                        TRICARE; Revision of Nonparticipating
                                                § 558.15. We do not expect this final                                                                         discovered that this provision placed an
                                                                                                        Providers Reimbursement Rate;
                                                rule to result in any direct human or                                                                         unnecessary burden on contractors with
                                                                                                        Removal of Cost Share for Dental
                                                animal health benefit. Rather, this final                                                                     already established, high quality
                                                                                                        Sealants; TRICARE Dental Program
                                                rule would remove regulations that are                                                                        provider networks with reimbursement
                                                no longer necessary.                                    AGENCY:     Office of the Secretary, DoD.             rates below the 50th percentile that
                                                   We do not expect the final rule that                 ACTION:    Final rule.                                were of sufficient size to meet the access
                                                revokes the remaining portions of                                                                             requirements of the TDP. Consequently,
                                                § 558.15 to have a substantive effect on                SUMMARY:    This final rule revises the               the Department of Defense published a
                                                any approved new animal drug or to                      benefit payment provision for                         final rule in the Federal Register on
                                                cause any approved new animal drug to                   nonparticipating providers to more                    January 11, 2006 (71 FR 1695), revising
                                                lose its marketing ability or experience                closely mirror industry practices by                  the participating provider’s
                                                a loss of sales.                                        requiring TDP nonparticipating                        reimbursement rate for the TDP that has
                                                                                                        providers to be reimbursed (minus the                 resulted in significant cost savings to
                                                III. Analysis of Environmental Impact                   appropriate cost-share) at the lesser of              the TDP enrollees and the Government.
                                                  We have determined under 21 CFR                       billed charges or the network maximum                 Since over 80 percent of all TDP care
                                                25.30(h) that this action is of a type that             allowable charge for similar services in              was provided by network dentists, the
                                                does not individually or cumulatively                   that same locality (region) or state. This            need to also change the reimbursement
                                                have a significant effect on the human                  rule also updates the regulatory                      rate for nonparticipating dentists was
                                                environment. Therefore, neither an                      provisions regarding dental sealants to               overlooked and not included in the
                                                environmental assessment nor an                         clearly categorize them as a preventive               2006 rule change. However, over the
mstockstill on DSK4VPTVN1PROD with RULES




                                                environmental impact statement is                       service and, consequently, eliminate the              past eight years this has created an
                                                required.                                               current 20 percent cost-share applicable              incentive for some network providers to
                                                                                                        to sealants to conform with the language              leave the TDP network and for other
                                                IV. Paperwork Reduction Act                             in the regulation to the statute.                     providers not to become network
                                                  This final rule contains no collection                DATES:                                                providers. As the rule is currently
                                                of information. Therefore, clearance by                    Effective date: The final rule is                  written, depending on the geographic
                                                the Office of Management and Budget                     effective April 6, 2016.                              location, some non-network providers


                                           VerDate Sep<11>2014   16:13 Mar 04, 2016   Jkt 238001   PO 00000   Frm 00007   Fmt 4700   Sfmt 4700   E:\FR\FM\07MRR1.SGM   07MRR1



Document Created: 2018-02-02 15:08:02
Document Modified: 2018-02-02 15:08:02
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
ActionFinal rule.
DatesThis rule is effective April 6, 2016.
ContactWilliam T. Flynn, Center for Veterinary Medicine (HFV-1), 7519 Standish Pl., Rockville, MD 20855, 240-402-5704, email: [email protected]
FR Citation81 FR 11664 
CFR AssociatedAnimal Drugs and Animal Feeds

2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR