81_FR_12899 81 FR 12851 - Catastrophic Health Emergency Fund

81 FR 12851 - Catastrophic Health Emergency Fund

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service

Federal Register Volume 81, Issue 48 (March 11, 2016)

Page Range12851-12852
FR Document2016-05555

This document extends the comment period for the Catastrophic Health Emergency Fund (CHEF) notice of proposed rulemaking which was published in the Federal Register on January 26, 2016. The comment period for the notice, which would have ended on March 11, 2016, is extended by 60 days.

Federal Register, Volume 81 Issue 48 (Friday, March 11, 2016)
[Federal Register Volume 81, Number 48 (Friday, March 11, 2016)]
[Proposed Rules]
[Pages 12851-12852]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-05555]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service

42 CFR Part 136

[RIN 0905AC97]


Catastrophic Health Emergency Fund

AGENCY: Indian Health Service, HHS.

ACTION: Notice; extension of the comment period.

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

SUMMARY: This document extends the comment period for the Catastrophic 
Health Emergency Fund (CHEF) notice of proposed rulemaking which was 
published in the Federal Register on January 26, 2016. The comment 
period for the notice, which would have ended on March 11, 2016, is 
extended by 60 days.

DATES: The comment period for the notice published in the January 26, 
2016 Federal Register (81 FR 4239) is extended to May 10, 2016.

ADDRESSES: Because of staff and resource limitations, we cannot accept 
comments by facsimile transmission. You may submit comments in one of 
four ways (please choose only one of the ways listed):
    1. Electronically. You may submit written 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: Betty Gould, Regulations Officer, Indian Health Service, 
Office of Management Services, Division of Regulatory Affairs, 5600 
Fishers Lane, Mailstop 09E70, Rockville, Maryland 20857.
    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 above address.
    4. By hand or courier. If you prefer, you may deliver (by hand or 
courier) your written comments before the close of the comment period 
to the address above. If you intend to deliver your comments to the 
Rockville address, please call telephone number (301) 443-1116 in 
advance to schedule your arrival with a staff member.
    Comments will be made available for public inspection at the 
Rockville

[[Page 12852]]

address from 8:30 a.m. to 5:00 p.m., Monday-Friday, approximately two 
weeks after publication of this notice.

FOR FURTHER INFORMATION CONTACT: Ms. Terri Schmidt, Acting Director, 
Office of Resource Access and Partnerships, Indian Health Service, 5600 
Fishers Lane, Mailstop 10E85C, Rockville, Maryland 20857. Telephone: 
(301) 443-1553.

SUPPLEMENTARY INFORMATION: The notice that was published in the Federal 
Register on January 26, 2016 advises the public that the Indian Health 
Service proposes to (1) establish definitions governing the CHEF, 
including definitions of disasters and catastrophic illnesses; (2) 
establish that a Service Unit shall not be eligible for reimbursement 
for the cost of treatment from CHEF until its cost of treating any 
victim of such catastrophic illness or disaster has reached a certain 
threshold cost; (3) establish a procedure for reimbursement of the 
portion of the costs for authorized services that exceed such threshold 
costs; (4) establish a procedure for payment from CHEF for cases in 
which the exigencies of the medical circumstances warrant treatment 
prior to the authorization of such treatment; and (5) establish a 
procedure that will ensure no payment will be made from CHEF to a 
Service Unit to the extent the provider of services is eligible to 
receive payment from any other Federal, State, local, or private source 
of reimbursement for which the patient is eligible.
    This comment period is being extended to allow all interested 
parties the opportunity to comment on the proposed rule. Therefore, we 
are extending the comment period until May 10, 2016.

    Dated: March 4, 2016.
Elizabeth Fowler,
Deputy Director for Management Operations Indian Health Service.
[FR Doc. 2016-05555 Filed 3-10-16; 8:45 am]
BILLING CODE 4165-16-P



                                                                                Federal Register / Vol. 81, No. 48 / Friday, March 11, 2016 / Proposed Rules                                                12851

                                                      evaluate interference with maintenance.                 beyond those imposed by state law. For                  Dated: March 2, 2016.
                                                      We found no monitors violating the one                  that reason, this action:                             Dennis J. McLerran,
                                                      hour NO2 NAAQS in these previous                           • Is not a ‘‘significant regulatory                Regional Administrator, Region 10.
                                                      periods, as well. Further, monitored                    action’’ subject to review by the Office              [FR Doc. 2016–05557 Filed 3–10–16; 8:45 am]
                                                      values are well below 100 ppb in states                 of Management and Budget under                        BILLING CODE 6560–50–P
                                                      bordering Oregon—63 ppb was the                         Executive Order 12866 (58 FR 51735,
                                                      highest design value for 2012 through                   October 4, 1993) and 13563 (76 FR 3821,
                                                      2014, at the Los Angeles, California,                   January 21, 2011);                                    DEPARTMENT OF HEALTH AND
                                                      monitor.
                                                        We also reviewed provisions in the                       • does not impose an information                   HUMAN SERVICES
                                                      Federally-approved Oregon SIP                           collection burden under the provisions
                                                                                                              of the Paperwork Reduction Act (44                    Indian Health Service
                                                      designed to control emissions of NOX—
                                                      of which NO2 is a subset. Oregon                        U.S.C. 3501 et seq.);
                                                                                                                                                                    42 CFR Part 136
                                                      generally regulates emissions of NOX                       • is certified as not having a
                                                      through its pre-construction permitting                 significant economic impact on a                      [RIN 0905AC97]
                                                      and operating permit regulations.                       substantial number of small entities
                                                                                                                                                                    Catastrophic Health Emergency Fund
                                                      Oregon’s pre-construction permitting                    under the Regulatory Flexibility Act (5
                                                      rules are found at Oregon                               U.S.C. 601 et seq.);                                        Indian Health Service, HHS.
                                                                                                                                                                    AGENCY:
                                                      Administrative Rules Chapter 340,                          • does not contain any unfunded                          Notice; extension of the
                                                                                                                                                                    ACTION:
                                                      Division 224—New Source Review.                         mandate or significantly or uniquely                  comment period.
                                                      Oregon’s Federally-enforceable state                    affect small governments, as described
                                                      operating permit program is found at                                                                          SUMMARY:    This document extends the
                                                                                                              in the Unfunded Mandates Reform Act
                                                      Oregon Administrative Rules Chapter                                                                           comment period for the Catastrophic
                                                                                                              of 1995 (Pub. L. 104–4);
                                                      340, Division 216—Air Contaminant                                                                             Health Emergency Fund (CHEF) notice
                                                      Discharge Permits. These rules are                         • does not have Federalism                         of proposed rulemaking which was
                                                      designed ensure that new or modified                    implications as specified in Executive                published in the Federal Register on
                                                      stationary sources will not cause or                    Order 13132 (64 FR 43255, August 10,                  January 26, 2016. The comment period
                                                      contribute to a violation of the                        1999);                                                for the notice, which would have ended
                                                      applicable NAAQS.                                          • is not an economically significant               on March 11, 2016, is extended by 60
                                                        Based on the Oregon submittal and                     regulatory action based on health or                  days.
                                                      our review of more recent monitoring                    safety risks subject to Executive Order               DATES: The comment period for the
                                                      data and provisions in the Oregon SIP,                  13045 (62 FR 19885, April 23, 1997);                  notice published in the January 26, 2016
                                                      we believe it is reasonable to conclude                    • is not a significant regulatory action           Federal Register (81 FR 4239) is
                                                      that Oregon emissions will not                          subject to Executive Order 13211 (66 FR               extended to May 10, 2016.
                                                      significantly contribute to                             28355, May 22, 2001);                                 ADDRESSES: Because of staff and
                                                      nonattainment or interfere with                            • is not subject to requirements of                resource limitations, we cannot accept
                                                      maintenance of the 2010 one hour NO2                    Section 12(d) of the National                         comments by facsimile transmission.
                                                      NAAQS in any other state. We are                        Technology Transfer and Advancement                   You may submit comments in one of
                                                      proposing to approve the Oregon SIP as                  Act of 1995 (15 U.S.C. 272 note) because              four ways (please choose only one of the
                                                      meeting the requirements of CAA                         it does not involve technical standards;              ways listed):
                                                      section 110(a)(2)(D)(i)(I) for the 2010                 and                                                      1. Electronically. You may submit
                                                      one hour NO2 NAAQS.                                                                                           written comments on this regulation to
                                                                                                                 • does not provide the EPA with the                http://www.regulations.gov. Follow the
                                                      IV. Proposed Action                                     discretionary authority to address, as                ‘‘Submit a Comment’’ instructions.
                                                        We are proposing to approve the                       appropriate, disproportionate human                      2. By regular mail. You may mail
                                                      Oregon submittal for the purposes of                    health or environmental effects, using                written comments to the following
                                                      meeting CAA section 110(a)(2)(D)(i)(I)                  practicable and legally permissible                   address ONLY: Betty Gould, Regulations
                                                      interstate transport requirements for the               methods, under Executive Order 12898                  Officer, Indian Health Service, Office of
                                                      2008 Pb and 2010 one hour NO2                           (59 FR 7629, February 16, 1994).                      Management Services, Division of
                                                      NAAQS. We intend to address the                         In addition, the SIP is not approved to               Regulatory Affairs, 5600 Fishers Lane,
                                                      remainder of the submittal with respect                 apply on any Indian reservation land or               Mailstop 09E70, Rockville, Maryland
                                                      to the 2010 one hour sulfur dioxide and                 in any other area where the EPA or an                 20857.
                                                      2012 annual fine particulate matter                     Indian tribe has demonstrated that a                     Please allow sufficient time for mailed
                                                      NAAQS in separate, future actions.                      tribe has jurisdiction. In those areas of             comments to be received before the
                                                      V. Statutory and Executive Order                        Indian country, the rule does not have                close of the comment period.
                                                                                                              tribal implications as specified by                      3. By express or overnight mail. You
                                                      Reviews
                                                                                                              Executive Order 13175 (65 FR 67249,                   may send written comments to the
                                                        Under the CAA, the Administrator is                                                                         above address.
                                                                                                              November 9, 2000), nor will it impose
                                                      required to approve a SIP submission                                                                             4. By hand or courier. If you prefer,
                                                                                                              substantial direct costs on tribal
                                                      that complies with the provisions of the                                                                      you may deliver (by hand or courier)
asabaliauskas on DSK3SPTVN1PROD with PROPOSALS




                                                                                                              governments or preempt tribal law.
                                                      CAA and applicable Federal regulations.                                                                       your written comments before the close
                                                      42 U.S.C. 7410(k); 40 CFR 52.02(a).                     List of Subjects in 40 CFR Part 52                    of the comment period to the address
                                                      Thus, in reviewing SIP submissions, the                                                                       above. If you intend to deliver your
                                                      EPA’s role is to approve state choices,                   Environmental protection, Air                       comments to the Rockville address,
                                                      provided that they meet the criteria of                 pollution control, Incorporation by                   please call telephone number (301) 443–
                                                      the CAA. Accordingly, this action                       reference, Intergovernmental relations,               1116 in advance to schedule your
                                                      merely proposes to approve state law as                 Lead, Nitrogen dioxide, Reporting and                 arrival with a staff member.
                                                      meeting Federal requirements and does                   recordkeeping requirements.                              Comments will be made available for
                                                      not impose additional requirements                        Authority: 42 U.S.C. 7401 et seq.                   public inspection at the Rockville


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                                                      12852                     Federal Register / Vol. 81, No. 48 / Friday, March 11, 2016 / Proposed Rules

                                                      address from 8:30 a.m. to 5:00 p.m.,                    DEPARTMENT OF TRANSPORTATION                             Privacy Act: Anyone is able to search
                                                      Monday–Friday, approximately two                                                                              the electronic form of all comments
                                                      weeks after publication of this notice.                 National Highway Traffic Safety                       received into any of our dockets by the
                                                                                                              Administration                                        name of the individual submitting the
                                                      FOR FURTHER INFORMATION CONTACT:    Ms.                                                                       comment (or signing the comment, if
                                                      Terri Schmidt, Acting Director, Office of               49 CFR Part 595                                       submitted on behalf of an association,
                                                      Resource Access and Partnerships,                                                                             business, labor union, etc.). You may
                                                      Indian Health Service, 5600 Fishers                     [Docket No. NHTSA–2016–0031]
                                                                                                                                                                    review DOT’s complete Privacy Act
                                                      Lane, Mailstop 10E85C, Rockville,                       RIN 2127–AL67                                         Statement in the Federal Register
                                                      Maryland 20857. Telephone: (301) 443–                                                                         published on April 11, 2000 (65 FR
                                                      1553.                                                   Make Inoperative Exemptions; Vehicle                  19477–78).
                                                                                                              Modifications To Accommodate People                      For access to the docket to read
                                                      SUPPLEMENTARY INFORMATION:       The notice             With Disabilities, Roof Crush                         background documents or comments
                                                      that was published in the Federal                       Resistance                                            received, go to http://
                                                      Register on January 26, 2016 advises the
                                                                                                              AGENCY: National Highway Traffic                      www.regulations.gov or the street
                                                      public that the Indian Health Service
                                                                                                              Safety Administration (NHTSA),                        address listed above. Follow the online
                                                      proposes to (1) establish definitions                                                                         instructions for accessing the dockets.
                                                      governing the CHEF, including                           Department of Transportation (DOT).
                                                                                                              ACTION: Notice of proposed rulemaking                 FOR FURTHER INFORMATION CONTACT:
                                                      definitions of disasters and catastrophic
                                                                                                              (NPRM).                                               Christopher J. Wiacek, NHTSA Office of
                                                      illnesses; (2) establish that a Service                                                                       Crash Avoidance Standards, NVS–122
                                                      Unit shall not be eligible for                          SUMMARY:    This NPRM proposes to                     (telephone 202–366–4801) (fax 202–
                                                      reimbursement for the cost of treatment                 amend 49 CFR part 595, subpart C,                     493–2739), or Jesse Chang, NHTSA
                                                      from CHEF until its cost of treating any                ‘‘Make Inoperative Exemptions, Vehicle                Office of Chief Counsel, NCC–112
                                                      victim of such catastrophic illness or                  Modifications to Accommodate People                   (telephone 202–366–2992) (fax 202–
                                                      disaster has reached a certain threshold                With Disabilities,’’ to include a new                 366–3820). The mailing address for
                                                      cost; (3) establish a procedure for                     exemption relating to the Federal motor               these officials is: National Highway
                                                      reimbursement of the portion of the                     vehicle safety standard for roof crush                Traffic Safety Administration, 1200 New
                                                      costs for authorized services that exceed               resistance. The exemption would                       Jersey Avenue SE., Washington, DC
                                                      such threshold costs; (4) establish a                   facilitate the mobility of physically                 20590.
                                                      procedure for payment from CHEF for                     disabled drivers and passengers. This                 SUPPLEMENTARY INFORMATION:
                                                      cases in which the exigencies of the                    document responds to a petition from
                                                      medical circumstances warrant                           Autoregs Consulting, Inc. on behalf of                I. Background
                                                      treatment prior to the authorization of                 The National Mobility Equipment                          The National Traffic and Motor
                                                      such treatment; and (5) establish a                     Dealers Association.                                  Vehicle Safety Act (49 U.S.C. chapter
                                                      procedure that will ensure no payment                   DATES: You should submit your                         301) (‘‘Safety Act’’) and NHTSA’s
                                                      will be made from CHEF to a Service                     comments early enough to ensure that                  regulations require vehicle
                                                      Unit to the extent the provider of                      the Docket receives them not later than               manufacturers to certify that their
                                                      services is eligible to receive payment                 May 10, 2016.                                         vehicles comply with all applicable
                                                      from any other Federal, State, local, or                ADDRESSES: You may submit comments                    Federal motor vehicle safety standards
                                                      private source of reimbursement for                     to the docket number identified in the                (FMVSSs) (see 49 U.S.C. 30112; 49 CFR
                                                      which the patient is eligible.                          heading of this document by any of the                part 567). A vehicle manufacturer,
                                                                                                              following methods:                                    distributor, dealer, or repair business
                                                         This comment period is being
                                                                                                                • Federal eRulemaking Portal: Go to                 generally may not knowingly make
                                                      extended to allow all interested parties                                                                      inoperative any part of a device or
                                                                                                              http://www.regulations.gov. Follow the
                                                      the opportunity to comment on the                       online instructions for submitting                    element of design installed in or on a
                                                      proposed rule. Therefore, we are                        comments.                                             motor vehicle in compliance with an
                                                      extending the comment period until                        • Mail: Docket Management Facility:                 applicable FMVSS (see 49 U.S.C.
                                                      May 10, 2016.                                           U.S. Department of Transportation, 1200               30122). NHTSA has the authority to
                                                        Dated: March 4, 2016.                                 New Jersey Avenue SE., West Building                  issue regulations that exempt regulated
                                                      Elizabeth Fowler,                                       Ground Floor, Room W12–140,                           entities from the ‘‘make inoperative’’
                                                                                                              Washington, DC 20590–0001.                            provision (49 U.S.C. 30122(c)). The
                                                      Deputy Director for Management Operations
                                                      Indian Health Service.
                                                                                                                • Hand Delivery or Courier: 1200                    agency has used that authority to
                                                                                                              New Jersey Avenue SE., West Building                  promulgate 49 CFR part 595 subpart C,
                                                      [FR Doc. 2016–05555 Filed 3–10–16; 8:45 am]
                                                                                                              Ground Floor, Room W12–140, between                   ‘‘Make Inoperative Exemptions, Vehicle
                                                      BILLING CODE 4165–16–P                                  9 a.m. and 5 p.m. ET, Monday through                  Modifications to Accommodate People
                                                                                                              Friday, except Federal holidays.                      with Disabilities.’’
                                                                                                                • Fax: 202–493–2251.                                   49 CFR part 595 subpart C sets forth
                                                                                                                Instructions: For detailed instructions             exemptions from the make inoperative
                                                                                                              on submitting comments and additional                 provision to permit, under limited
asabaliauskas on DSK3SPTVN1PROD with PROPOSALS




                                                                                                              information on the rulemaking process,                circumstances, vehicle modifications
                                                                                                              see the Public Participation heading of               that take the vehicles out of compliance
                                                                                                              the Supplementary Information section                 with certain FMVSSs when the vehicles
                                                                                                              of this document. Note that all                       are modified to be used by persons with
                                                                                                              comments received will be posted                      disabilities after the first retail sale of
                                                                                                              without change to http://                             the vehicle for purposes other than
                                                                                                              www.regulations.gov, including any                    resale. The regulation was promulgated
                                                                                                              personal information provided. Please                 to facilitate the modification of motor
                                                                                                              see the Privacy Act heading below.                    vehicles so that persons with disabilities


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Document Created: 2016-03-11 01:50:45
Document Modified: 2016-03-11 01:50:45
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
ActionNotice; extension of the comment period.
DatesThe comment period for the notice published in the January 26, 2016 Federal Register (81 FR 4239) is extended to May 10, 2016.
ContactMs. Terri Schmidt, Acting Director, Office of Resource Access and Partnerships, Indian Health Service, 5600 Fishers Lane, Mailstop 10E85C, Rockville, Maryland 20857. Telephone: (301) 443-1553.
FR Citation81 FR 12851 

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