81 FR 35644 - Administration for Community Living-Regulatory Consolidation

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Community Living

Federal Register Volume 81, Issue 107 (June 3, 2016)

Page Range		35644-35648
FR Document		2016-13138
The Administration for Community Living (ACL) is amending its regulations to reflect the creation of ACL in 2012 and consolidate all of its regulations under a single subchapter. No substantive changes to the text of the regulations are being made by this rule.
Federal Register, Volume 81 Issue 107 (Friday, June 3, 2016)
[Federal Register Volume 81, Number 107 (Friday, June 3, 2016)]
[Rules and Regulations]
[Pages 35644-35648]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-13138]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

45 CFR Parts 1385, 1386, 1387, and 1388

Administration for Community Living

45 CFR Parts 1321, 1322, 1323, 1324, 1325, 1326, 1327, and 1328


Administration for Community Living--Regulatory Consolidation

AGENCY: Administration for Community Living (ACL), Department of Health 
and Human Services (HHS).

ACTION: Final rule; technical amendments.

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

SUMMARY: The Administration for Community Living (ACL) is amending its 
regulations to reflect the creation of ACL in 2012 and consolidate all 
of its regulations under a single subchapter. No substantive changes to 
the text of the regulations are being made by this rule.

DATES: This final rule is effective on July 1, 2016.

FOR FURTHER INFORMATION CONTACT: Greg Pugh, Administration for 
Community Living, telephone (202) 795-7422 (Voice). This is not a toll-
free number. This document will be made available in alternative 
formats upon request. Written correspondence can be sent to 
Administration for Community Living, U.S. Department of Health and 
Human Services, 330 C St. SW., Washington, DC 20201.

SUPPLEMENTARY INFORMATION: The Administration for Community Living 
(ACL) was created in 2012 by merging the HHS Administration on Aging 
(AoA), Administration on Intellectual and Developmental Disabilities 
(AIDD), and the Office of Disability (Statement of Organization 
Functions, and Delegations of Authority; Administration for Community 
Living, 77 FR 23250 (Apr. 28 2012)). This consolidation reflected these 
organizations' shared mission to maximize the independence, well-being, 
and health of older adults, people with disabilities across the 
lifespan, and their families and caregivers. Since the creation of ACL, 
a number of synergistic programs have been transferred under its 
purview, including the State Health Insurance Assistance Programs 
(SHIPs) from the Centers for Medicare and Medicaid Services (CMS) 
(Department of Health and Human Services Appropriations Act, 2014, 
Public Law 113-76 (Jan 17, 2014)) and the National Institute on 
Disability, Independent Living, and Rehabilitation Research (NIDILRR) 
and the Independent Living Administration from the Department of 
Education in 2014 (Workforce Investment and Opportunity Act of 2014, 
Public Law 113-128 (July 22, 2014)).
    Many of ACL's component programs and organizations had existing 
regulations prior to their transfer. ACL is consolidating these 
regulations in a single place to streamline administration and increase 
access and transparency. This rule renames the Administration on 
Aging's subchapter C of chapter XIII, subtitle B, title 45 from ``The 
Administration on Aging, Older Americans Programs'' to ``The 
Administration for Community Living.'' It then rearranges the existing 
AoA rules sequentially. This rule also transfers the existing AIDD 
rules from subchapter I to ACL's subchapter C. Conforming edits are 
made throughout in order to correct internal citations.

[[Page 35645]]

    Publication of this document constitutes final action on this 
change under the Administrative Procedures Act (5 U.S.C. 553). ACL has 
found that notice and public comment procedures are unnecessary because 
ACL is making a technical change merely updating the location and order 
of existing content.
    This Final Rule will be effective July 1, 2016, in order to allow 
the Long Term Care Ombudsman final rule, one of the sections being 
renumbered within ACL's subchapter, to take effect.
    Although this Final Rule contains no changes to programmatic or 
reporting requirements, we include the following table summarizing the 
changes made in order to simplify public understanding of the Final 
Rule:

----------------------------------------------------------------------------------------------------------------
           Previous part                   Previous heading               New part              New heading
----------------------------------------------------------------------------------------------------------------
45 CFR chapter XIII, subchapter C..  The Administration on Aging  No change..............  The Administration
                                                                                            for Community
                                                                                            Living.
45 CFR part 1321...................  Grants to State and          No change..............  No change.
                                      Community Programs on
                                      Aging.
45 CFR part 1326...................  Grants to Indian Tribes for  1322...................  No change.
                                      Support and Nutrition
                                      Services.
45 CFR part 1327...................  Allotments for Vulnerable    1324...................  No change.
                                      Elder Rights Protection
                                      Activities.
45 CFR part 1328...................  Grants for Supportive and    1323...................  No change.
                                      Nutritional Services for
                                      Older Hawaiian Natives.
45 CFR part 1385...................  Requirements Applicable to   1325...................  No change.
                                      the Developmental
                                      Disabilities Program.
45 CFR part 1386...................  Formula Grant Programs.....  1326...................  Developmental
                                                                                            Disabilities Formula
                                                                                            Grant Programs.
45 CFR part 1387...................  Projects of National         1327...................  Developmental
                                      Significance.                                         Disabilities
                                                                                            Projects of National
                                                                                            Significance.
45 CFR part 1388...................  National Network of          1328...................  No change.
                                      University Centers For
                                      Excellence In
                                      Developmental Disabilities
                                      Education, Research, and
                                      Service.
----------------------------------------------------------------------------------------------------------------

List of Subjects in 45 CFR Parts 1321, 1322, 1323, 1324, 1325, 
1326, 1327, 1328, 1385, 1386, 1387, and 1388

    Administrative practice and procedures, Aged, Colleges and 
universities, Disabled, Grant programs--education, Grant programs--
Indians, Grant programs--social programs, Indians, Individuals with 
disabilities, Legal services, Long-term care, Nutrition, Research, 
Reporting and recordkeeping requirements.

    Dated: May 4, 2016.
Kathy Greenlee,
Administrator, Administration for Community Living.
    Dated: May 26, 2016.
Sylvia M. Burwell
Secretary, U.S. Department of Health and Human Services.

    For the reasons discussed in the preamble, under the authority at 5 
U.S.C. 301, 42 U.S.C. 3001 et seq., and 42 U.S.C. 15001 et seq., the 
Department of Health and Human Services, the Administration for 
Community Living, and the Administration for Children and Families 
amend title 45, chapter XIII, subchapter C, and title 45, chapter XIII, 
subchapter I, respectively, as follows:

Subchapter C--The Administration for Community Living

0
1. The heading for 45 CFR chapter XIII, subchapter C, is revised to 
read as set forth above.

PARTS 1326, 1327, 1328, 1385, 1386, 1387, and 1388 [REDESIGNATED AS 
PARTS 1322, 1324, 1323, 1325, 1326, 1327, and 1328]

0
2. Parts 1326, 1327, 1328, 1385, 1386, 1387, and 1388 are redesignated 
as parts 1322, 1324, 1323, 1325, 1326, 1327, and 1328, respectively.

PART 1321--GRANTS TO STATE AND COMMUNITY PROGRAMS ON AGING

0
3. The authority citation for part 1321 continues to read as follows:

    Authority:  42 U.S.C. 3001 et seq.; title III of the Older 
Americans Act as amended.


Sec.  1321.11  [Amended]

0
4. In Sec.  1321.11, amend paragraph (b) by removing the reference 
``Sec.  1327.11(e)(3)'' and adding in its place the reference ``Sec.  
1324.11(e)(3)''.

PART 1322--GRANTS TO INDIAN TRIBES FOR SUPPORT AND NUTRITION 
SERVICES

0
5. The authority citation for newly redesignated part 1322 continues to 
read as follows:

    Authority:  42 U.S.C. 3001; Title VI, Part A of the Older 
Americans Act.


Sec. Sec.  1322.3 and 1322.19  [Amended]

0
6. In the table below, for each section and paragraph indicated in the 
first two columns, remove the reference indicated in the third column 
and add the reference indicated in the fourth column:

----------------------------------------------------------------------------------------------------------------
  Newly redesignated section            Paragraph(s)                   Remove                      Add
----------------------------------------------------------------------------------------------------------------
Sec.   1322.3................  Definition of ``Budgeting      Sec.   1326.19 of this    Sec.   1322.19.
                                period''.                      part.
Sec.   1322.3................  Definition of ``Project        Sec.   1326.19 of this    Sec.   1322.19.
                                period''.                      part.
Sec.   1322.3................  Definition of ``Service        Sec.   1326.9(b)........  Sec.   1322.9(b).
                                area''.
Sec.   1322.3................  Definition of ``Tribal         Sec.   1326.7...........  Sec.   1322.7.
                                organization''.
Sec.   1322.19...............  (d)(5).......................  Sec.  Sec.   1326.7       Sec.  Sec.   1322.7
                                                               through 1326.17.          through 1322.17.
----------------------------------------------------------------------------------------------------------------


[[Page 35646]]

PART 1323--GRANTS FOR SUPPORTIVE AND NUTRITIONAL SERVICES FOR OLDER 
HAWAIIAN NATIVES

0
7. The authority citation for newly redesignated part 1323 continues to 
read as follows:

    Authority:  42 U.S.C. 3001; Title VI Part B of the Older 
Americans Act.


Sec. Sec.  1323.3 and 1323.19  [Amended]

0
8. In the table below, for each section and paragraph indicated in the 
first two columns, remove the reference indicated in the third column 
and add the reference indicated in the fourth column:

----------------------------------------------------------------------------------------------------------------
  Newly redesignated section            Paragraph(s)                   Remove                      Add
----------------------------------------------------------------------------------------------------------------
Sec.   1323.3................  Definition of ``Budgeting      Sec.   1328.19 of this    Sec.   1323.19.
                                period''.                      part.
Sec.   1323.3................  Definition of ``Project        Sec.   1328.19 of this    Sec.   1323.19.
                                period''.                      part.
Sec.   1323.3................  Definition of ``Service        Sec.   1328.9(b)........  Sec.   1323.9(b).
                                area''.
Sec.   1323.19...............  (d)(5).......................  Sec.  Sec.   1328.7       Sec.  Sec.   1323.7
                                                               through 1328.17.          through 1323.17.
----------------------------------------------------------------------------------------------------------------

PART 1324--ALLOTMENTS FOR VULNERABLE ELDER RIGHTS PROTECTION 
ACTIVITIES

0
9. The authority citation for newly redesignated part 1324 is revised 
to read as follows:

    Authority:  42 U.S.C. 3001 et seq.


Sec. Sec.  1324.1, 1324.11, 1324.13, 1324.15, and 1324.19  [Amended]

0
10. In the table below, for each section and paragraph indicated in the 
first two columns, remove the reference indicated in the third column 
and add the reference indicated in the fourth column:

----------------------------------------------------------------------------------------------------------------
  Newly redesignated section            Paragraph(s)                   Remove                      Add
----------------------------------------------------------------------------------------------------------------
Sec.   1324.1................  Definition of                  Sec.   1327.19(a).......  Sec.   1324.19(a).
                                ``Representatives of the
                                Office of the State Long-
                                Term Care Ombudsman''.
Sec.   1324.1................  Definition of ``State Long-    Sec.  Sec.   1327.13 and  Sec.  Sec.   1324.13 and
                                Term Care Ombudsman, or        1327.19.                  1324.19.
                                Ombudsman''.
Sec.   1324.1................  Definition of ``Willful        Sec.   1327.13..........  Sec.   1324.13.
                                interference''.
Sec.   1324.1................  Definition of ``Willful        Sec.   1327.19..........  Sec.   1324.19.
                                interference''.
Sec.   1324.11...............  (a)..........................  Sec.   1327.13..........  Sec.   1324.13.
Sec.   1324.11...............  (a)..........................  Sec.   1327.19..........  Sec.   1324.19.
Sec.   1324.11...............  (c) introductory text........  Sec.  Sec.   1327.13 and  Sec.  Sec.   1324.13 and
                                                               1327.19.                  1324.19.
Sec.   1324.11...............  (e)(1)(i)....................  Sec.   1327.13..........  Sec.   1324.13.
Sec.   1324.11...............  (e)(2)(ii) and (iii).........  Sec.  Sec.   1327.13 and  Sec.  Sec.   1324.13 and
                                                               1327.19.                  1324.19.
Sec.   1324.11...............  (e)(3)(i)....................  Sec.   1327.13(e).......  Sec.   1324.13(e).
Sec.   1324.11...............  (e)(3)(ii) introductory text.  Sec.   1327.19(b)(5)      Sec.   1324.19(b)(5)
                                                               through (8).              through (8).
Sec.   1324.11...............  (e)(3)(iv)...................  Sec.   1327.19(b)(5)      Sec.   1324.19(b)(5)
                                                               through (8).              through (8).
Sec.   1324.11...............  (e)(4) introductory text and   Sec.   1327.21..........  Sec.   1324.21.
                                (e)(6)(i).
Sec.   1324.13...............  (b)(1).......................  Sec.   1327.11(e).......  Sec.   1324.11(e).
Sec.   1324.13...............  (b)(2).......................  Sec.   1327.19..........  Sec.   1324.19.
Sec.   1324.13...............  (c) introductory text........  Sec.   1327.11(e)(6)....  Sec.   1324.11(e)(6).
Sec.   1324.13...............  (c)(3) introductory text.....  Sec.   1327.19..........  Sec.   1324.19.
Sec.   1324.15...............  (b)..........................  Sec.   1327.11(e)(2)....  Sec.   1324.11(e)(2).
Sec.   1324.15...............  (e)..........................  Sec.  Sec.   1327.13 and  Sec.  Sec.   1324.13 and
                                                               1327.19.                  1324.19.
Sec.   1324.15...............  (f)..........................  Sec.  Sec.                Sec.  Sec.
                                                               1327.11(e)(3) and         1324.11(e)(3) and
                                                               1327.13(e).               1324.13(e).
Sec.   1324.15...............  (h)..........................  Sec.   1327.13(h).......  Sec.   1324.13(h).
Sec.   1324.15...............  (i)(1)(ii)...................  Sec.  Sec.   1327.13 and  Sec.  Sec.   1324.13 and
                                                               1327.19.                  1324.19.
Sec.   1324.15...............  (k)(1).......................  Sec.   1327.13(g).......  Sec.   1324.13(g).
Sec.   1324.15...............  (k)(4).......................  Sec.   1327.13(c)(2)....  Sec.   1324.13(c)(2).
Sec.   1324.15...............  (k)(5).......................  Sec.   1327.13(h).......  Sec.   1324.13(h).
Sec.   1324.19...............  (b)(3) introductory text,      Sec.   1327.11(e)(3)....  Sec.   1324.11(e)(3).
                                (b)(6) introductory text,
                                (b)(7) introductory text,
                                and (b)(8) introductory text.
Sec.   1324.21...............  (d)(1).......................  Sec.   1327.11(e)(4)....  Sec.   1324.11(e)(4).
Sec.   1324.21...............  (d)(1).......................  Sec.   1327.21(c).......  Sec.   1324.21(c).
----------------------------------------------------------------------------------------------------------------


[[Page 35647]]

PART 1325--REQUIREMENTS APPLICABLE TO THE DEVELOPMENTAL 
DISABILITIES PROGRAM

0
11. The authority citation for newly redesignated part 1325 continues 
to read as follows:

    Authority:  42 U.S.C. 15001 et seq.


Sec. Sec.  1325.1, 1325.3, 1325.6, and 1325.9  [Amended]

0
12. In the table below, for each section and paragraph indicated in the 
first two columns, remove the reference indicated in the third column 
and add the reference indicated in the fourth column:

----------------------------------------------------------------------------------------------------------------
  Newly redesignated section            Paragraph(s)                   Remove                      Add
----------------------------------------------------------------------------------------------------------------
Sec.   1325.1................  Introductory text............  Sec.   1385.4...........  Sec.   1325.4.
Sec.   1325.3................  Introductory text............  parts 1385 through 1388.  parts 1325 through 1328.
Sec.   1325.3................  Definition of ``Required       Sec.   1386.30..........  Sec.   1326.30.
                                planning documents''.
Sec.   1325.3................  Definition of ``Required       Sec.   1386.22(c).......  Sec.   1326.22(c).
                                planning documents''.
Sec.   1325.3................  Definition of ``Required       Sec.   1388.7...........  Sec.   1328.7.
                                planning documents''.
Sec.   1325.6................  Last sentence of paragraph...  subpart E of 45 CFR part  subpart E of 45 CFR part
                                                               1386.                     1326.
Sec.   1325.9................  (a) introductory text........  parts 1386 and 1388.....  parts 1326 and 1328.
----------------------------------------------------------------------------------------------------------------

PART 1326--DEVELOPMENTAL DISABILITIES FORMULA GRANT PROGRAMS

0
13. The authority citation for newly redesignated part 1326 continues 
to read as follows:

    Authority:  42 U.S.C. 15001 et seq.

0
14. The part heading for newly redesignated part 1326 is revised to 
read as set forth above.


Sec. Sec.  1326.21, 1326.26, 1326.93, and 1326.94  [Amended]

0
15. In the table below, for each section and paragraph indicated in the 
first two columns, remove the reference indicated in the third column 
and add the reference indicated in the fourth column:

----------------------------------------------------------------------------------------------------------------
  Newly redesignated section            Paragraph(s)                   Remove                      Add
----------------------------------------------------------------------------------------------------------------
Sec.   1326.21...............  (c)..........................  Sec.   1386.23(c).......  Sec.   1326.23(c).
Sec.   1326.26...............  First sentence of paragraph..  Sec.   1386.25..........  Sec.   1326.25.
Sec.   1326.93...............  (e)..........................  Sec.   1386.90..........  Sec.   1326.90.
Sec.   1326.94...............  (b)(2) introductory text.....  Sec.   1386.85(b).......  Sec.   1326.85(b).
----------------------------------------------------------------------------------------------------------------

PART 1327--DEVELOPMENTAL DISABILITIES PROJECTS OF NATIONAL 
SIGNIFICANCE

0
16. The authority citation for newly redesignated part 1327 continues 
to read as follows:

    Authority:  42 U.S.C. 15001 et seq.

0
17. The part heading for newly redesignated part 1327 is revised to 
read as set forth above.

PART 1328--THE NATIONAL NETWORK OF UNIVERSITY CENTERS FOR 
EXCELLENCE IN DEVELOPMENTAL DISABILITIES, EDUCATION, RESEARCH, AND 
SERVICE

0
18. The authority citation for newly redesignated part 1328 continues 
to read as follows:

    Authority:  42 U.S.C. 15001 et seq.


Sec. Sec.  1328.2, 1328.3, and 1328.5  [Amended]

0
19. In the table below, for each section and paragraph indicated in the 
first two columns, remove the reference indicated in the third column 
and add the reference indicated in the fourth column:

----------------------------------------------------------------------------------------------------------------
  Newly redesignated section            Paragraph(s)                   Remove                      Add
----------------------------------------------------------------------------------------------------------------
Sec.   1328.2................  (a)(2).......................  Sec.   1388.3...........  Sec.   1328.3.
Sec.   1328.2................  (a)(2).......................  Sec.   1385.3...........  Sec.   1325.3.
Sec.   1328.2................  (b)..........................  Sec.   1388.4...........  Sec.   1328.4.
Sec.   1328.3................  Introductory text............  Sec.   1388.2...........  Sec.   1328.2.
Sec.   1328.5................  (a)..........................  Sec.   1388.2...........  Sec.   1328.2.
Sec.   1328.5................  (b)(1).......................  Sec.   1385.3...........  Sec.   1325.3.
Sec.   1328.5................  (c)(3).......................  Sec.   1388.2(a)(1) and   Sec.   1328.2(a)(1) and
                                                               (2).                      (2).
----------------------------------------------------------------------------------------------------------------


[[Page 35648]]

Subchapter I [Removed and Reserved]

0
20. 45 CFR chapter XIII, subchapter I, is removed and reserved.
[FR Doc. 2016-13138 Filed 6-2-16; 8:45 am]
 BILLING CODE P
35644 Federal Register / Vol. 81, No. 107 / Friday, June 3, 2016 / Rules and Regulations

F. Unfunded Mandates Reform Act The Department certifies that this rule No substantive changes to the text of the
Section 202 of the Unfunded does not have a substantial direct effect regulations are being made by this rule.
Mandates Reform Act of 1995 requires on States, on the relationship between DATES: This final rule is effective on July
that a covered agency prepare a the Federal government and the States, 1, 2016.
budgetary impact statement before or on the distribution of power and
responsibilities among the various FOR FURTHER INFORMATION CONTACT: Greg
promulgating a rule that includes any Pugh, Administration for Community
Federal mandate that may result in levels of government.
ACL and CMS are not aware of any Living, telephone (202) 795–7422
expenditures by State, local, or Tribal (Voice). This is not a toll-free number.
specific state laws that would be
governments, in the aggregate, or by the This document will be made available
preempted by the adoption of the
private sector, of $100 million, adjusted in alternative formats upon request.
regulation.
for inflation, or more in any one year. Written correspondence can be sent to
ACL and CMS have determined that this List of Subjects Administration for Community Living,
rule does not result in the expenditure U.S. Department of Health and Human
42 CFR Part 403
by State, local, and Tribal government Services, 330 C St. SW., Washington, DC
in the aggregate or by the private sector Grant programs, Health insurance,
20201.
of more than $100 million in any one Medicare, Reporting and recordkeeping
year. requirements. SUPPLEMENTARY INFORMATION: The
Administration for Community Living
G. Congressional Review 45 CFR Part 1331 (ACL) was created in 2012 by merging
This rule is not a major rule as Grant programs, health insurance, the HHS Administration on Aging
defined in 5 U.S.C. Section 804(2). Medicare, reporting and recordkeeping (AoA), Administration on Intellectual
requirements. and Developmental Disabilities (AIDD),
H. Assessment of Federal Regulations Accordingly, the interim final rule and the Office of Disability (Statement
and Policies on Families amending 42 CFR part 403 and adding of Organization Functions, and
Section 654 of the Treasury and 45 CFR part 1331 that published on Delegations of Authority;
General Government Appropriations February 4, 2016 (81 FR 5917), is Administration for Community Living,
Act of 1999 requires Federal agencies to adopted as a final rule without change. 77 FR 23250 (Apr. 28 2012)). This
determine whether a policy or Dated: April 29, 2016.
consolidation reflected these
regulation may affect family wellbeing. organizations’ shared mission to
Andrew M. Slavitt,
If the agency’s conclusion is affirmative, maximize the independence, well-being,
Acting Administrator, Centers for Medicare and health of older adults, people with
then the agency must prepare an impact & Medicaid Services.
assessment addressing seven criteria disabilities across the lifespan, and their
Dated: May 12, 2016. families and caregivers. Since the
specified in the law. These regulations
Kathy Greenlee, creation of ACL, a number of synergistic
do not have an impact on family well-
being as defined in the legislation. Administrator, Administration for programs have been transferred under
Community Living. its purview, including the State Health
I. Executive Order 13132 Approved: May 26, 2016. Insurance Assistance Programs (SHIPs)
Executive Order 13132 on Sylvia M. Burwell, from the Centers for Medicare and
‘‘federalism’’ was signed August 4, Secretary, U.S. Department of Health and Medicaid Services (CMS) (Department
1999. The purposes of the Order are: Human Services. of Health and Human Services
‘‘. . . to guarantee the division of [FR Doc. 2016–13136 Filed 6–2–16; 8:45 am] Appropriations Act, 2014, Public Law
governmental responsibilities between BILLING CODE 4120–01–P 113–76 (Jan 17, 2014)) and the National
the national government and the States Institute on Disability, Independent
that was intended by the Framers of the Living, and Rehabilitation Research
Constitution, to ensure that the DEPARTMENT OF HEALTH AND (NIDILRR) and the Independent Living
principles of federalism established by HUMAN SERVICES Administration from the Department of
the Framers guide the executive Education in 2014 (Workforce
departments and agencies in the 45 CFR Parts 1385, 1386, 1387, and Investment and Opportunity Act of
formulation and implementation of 1388 2014, Public Law 113–128 (July 22,
policies, and to further the policies of 2014)).
the Unfunded Mandates Reform Act Administration for Community Living Many of ACL’s component programs
. . .’’ Executive Order 13132 applies to and organizations had existing
actions with federalism implications, 45 CFR Parts 1321, 1322, 1323, 1324, regulations prior to their transfer. ACL
which are actions that have substantial 1325, 1326, 1327, and 1328 is consolidating these regulations in a
direct effect on States, on the single place to streamline
relationship between the Federal Administration for Community Living— administration and increase access and
government and the States, or on the Regulatory Consolidation transparency. This rule renames the
distribution of power and AGENCY: Administration for Community Administration on Aging’s subchapter C
responsibilities among the various Living (ACL), Department of Health and of chapter XIII, subtitle B, title 45 from
levels of government. For actions that Human Services (HHS). ‘‘The Administration on Aging, Older
have federalism implications and ACTION: Final rule; technical Americans Programs’’ to ‘‘The
mstockstill on DSK3G9T082PROD with RULES

preempt state law or have federalism amendments. Administration for Community Living.’’
implications and impose substantial It then rearranges the existing AoA rules
compliance costs on states and local SUMMARY: The Administration for sequentially. This rule also transfers the
governments, the agency must consult Community Living (ACL) is amending existing AIDD rules from subchapter I to
with state and local officials before its regulations to reflect the creation of ACL’s subchapter C. Conforming edits
publishing the rule and include a ACL in 2012 and consolidate all of its are made throughout in order to correct
federalism statement in the preamble. regulations under a single subchapter. internal citations.

VerDate Sep<11>2014 21:04 Jun 02, 2016 Jkt 238001 PO 00000 Frm 00064 Fmt 4700 Sfmt 4700 E:\FR\FM\03JNR1.SGM 03JNR1
35646 Federal Register / Vol. 81, No. 107 / Friday, June 3, 2016 / Rules and Regulations

PART 1323—GRANTS FOR Authority: 42 U.S.C. 3001; Title VI Part B the reference indicated in the fourth
SUPPORTIVE AND NUTRITIONAL of the Older Americans Act. column:
SERVICES FOR OLDER HAWAIIAN §§ 1323.3 and 1323.19 [Amended]
NATIVES
■ 8. In the table below, for each section
■ 7. The authority citation for newly and paragraph indicated in the first two
redesignated part 1323 continues to read columns, remove the reference
as follows: indicated in the third column and add

Newly
redesignated Paragraph(s) Remove Add
section

§ 1323.3 ............. Definition of ‘‘Budgeting period’’ ............................................. § 1328.19 of this part ............. § 1323.19.
§ 1323.3 ............. Definition of ‘‘Project period’’ .................................................. § 1328.19 of this part ............. § 1323.19.
§ 1323.3 ............. Definition of ‘‘Service area’’ .................................................... § 1328.9(b) ............................. § 1323.9(b).
§ 1323.19 ........... (d)(5) ....................................................................................... §§ 1328.7 through 1328.17 .... §§ 1323.7 through 1323.17.

PART 1324—ALLOTMENTS FOR Authority: 42 U.S.C. 3001 et seq. indicated in the third column and add
VULNERABLE ELDER RIGHTS the reference indicated in the fourth
§§ 1324.1, 1324.11, 1324.13, 1324.15, and
PROTECTION ACTIVITIES 1324.19 [Amended] column:

■ 9. The authority citation for newly ■ 10. In the table below, for each section
redesignated part 1324 is revised to read and paragraph indicated in the first two
as follows: columns, remove the reference

Newly
redesignated Paragraph(s) Remove Add
section

§ 1324.1 ............. Definition of ‘‘Representatives of the Office of the State § 1327.19(a) ........................... § 1324.19(a).
Long-Term Care Ombudsman’’.
§ 1324.1 ............. Definition of ‘‘State Long-Term Care Ombudsman, or Om- §§ 1327.13 and 1327.19 ........ §§ 1324.13 and 1324.19.
budsman’’.
§ 1324.1 ............. Definition of ‘‘Willful interference’’ .......................................... § 1327.13 ............................... § 1324.13.
§ 1324.1 ............. Definition of ‘‘Willful interference’’ .......................................... § 1327.19 ............................... § 1324.19.
§ 1324.11 ........... (a) ........................................................................................... § 1327.13 ............................... § 1324.13.
§ 1324.11 ........... (a) ........................................................................................... § 1327.19 ............................... § 1324.19.
§ 1324.11 ........... (c) introductory text ................................................................ §§ 1327.13 and 1327.19 ........ §§ 1324.13 and 1324.19.
§ 1324.11 ........... (e)(1)(i) .................................................................................... § 1327.13 ............................... § 1324.13.
§ 1324.11 ........... (e)(2)(ii) and (iii) ...................................................................... §§ 1327.13 and 1327.19 ........ §§ 1324.13 and 1324.19.
§ 1324.11 ........... (e)(3)(i) .................................................................................... § 1327.13(e) ........................... § 1324.13(e).
§ 1324.11 ........... (e)(3)(ii) introductory text ........................................................ § 1327.19(b)(5) through (8) .... § 1324.19(b)(5) through (8).
§ 1324.11 ........... (e)(3)(iv) .................................................................................. § 1327.19(b)(5) through (8) .... § 1324.19(b)(5) through (8).
§ 1324.11 ........... (e)(4) introductory text and (e)(6)(i) ....................................... § 1327.21 ............................... § 1324.21.
§ 1324.13 ........... (b)(1) ....................................................................................... § 1327.11(e) ........................... § 1324.11(e).
§ 1324.13 ........... (b)(2) ....................................................................................... § 1327.19 ............................... § 1324.19.
§ 1324.13 ........... (c) introductory text ................................................................ § 1327.11(e)(6) ....................... § 1324.11(e)(6).
§ 1324.13 ........... (c)(3) introductory text ............................................................ § 1327.19 ............................... § 1324.19.
§ 1324.15 ........... (b) ........................................................................................... § 1327.11(e)(2) ....................... § 1324.11(e)(2).
§ 1324.15 ........... (e) ........................................................................................... §§ 1327.13 and 1327.19 ........ §§ 1324.13 and 1324.19.
§ 1324.15 ........... (f) ............................................................................................ §§ 1327.11(e)(3) and §§ 1324.11(e)(3) and
1327.13(e). 1324.13(e).
§ 1324.15 ........... (h) ........................................................................................... § 1327.13(h) ........................... § 1324.13(h).
§ 1324.15 ........... (i)(1)(ii) .................................................................................... §§ 1327.13 and 1327.19 ........ §§ 1324.13 and 1324.19.
§ 1324.15 ........... (k)(1) ....................................................................................... § 1327.13(g) ........................... § 1324.13(g).
§ 1324.15 ........... (k)(4) ....................................................................................... § 1327.13(c)(2) ....................... § 1324.13(c)(2).
§ 1324.15 ........... (k)(5) ....................................................................................... § 1327.13(h) ........................... § 1324.13(h).
§ 1324.19 ........... (b)(3) introductory text, (b)(6) introductory text, (b)(7) intro- § 1327.11(e)(3) ....................... § 1324.11(e)(3).
ductory text, and (b)(8) introductory text.
§ 1324.21 ........... (d)(1) ....................................................................................... § 1327.11(e)(4) ....................... § 1324.11(e)(4).
§ 1324.21 ........... (d)(1) ....................................................................................... § 1327.21(c) ........................... § 1324.21(c).
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Federal Register / Vol. 81, No. 107 / Friday, June 3, 2016 / Rules and Regulations 35647

PART 1325—REQUIREMENTS Authority: 42 U.S.C. 15001 et seq. the reference indicated in the fourth
APPLICABLE TO THE column:
§§ 1325.1, 1325.3, 1325.6, and 1325.9
DEVELOPMENTAL DISABILITIES [Amended]
PROGRAM
■ 12. In the table below, for each section
■ 11. The authority citation for newly and paragraph indicated in the first two
redesignated part 1325 continues to read columns, remove the reference
as follows: indicated in the third column and add

Newly
redesignated Paragraph(s) Remove Add
section

§ 1325.1 ............. Introductory text ...................................................................... § 1385.4 ................................. § 1325.4.
§ 1325.3 ............. Introductory text ...................................................................... parts 1385 through 1388 ....... parts 1325 through 1328.
§ 1325.3 ............. Definition of ‘‘Required planning documents’’ ........................ § 1386.30 ............................... § 1326.30.
§ 1325.3 ............. Definition of ‘‘Required planning documents’’ ........................ § 1386.22(c) ........................... § 1326.22(c).
§ 1325.3 ............. Definition of ‘‘Required planning documents’’ ........................ § 1388.7 ................................. § 1328.7.
§ 1325.6 ............. Last sentence of paragraph ................................................... subpart E of 45 CFR part subpart E of 45 CFR part
1386. 1326.
§ 1325.9 ............. (a) introductory text ................................................................ parts 1386 and 1388 ............. parts 1326 and 1328.

PART 1326—DEVELOPMENTAL ■ 14. The part heading for newly columns, remove the reference
DISABILITIES FORMULA GRANT redesignated part 1326 is revised to read indicated in the third column and add
PROGRAMS as set forth above. the reference indicated in the fourth
column:
■ 13. The authority citation for newly §§ 1326.21, 1326.26, 1326.93, and 1326.94
redesignated part 1326 continues to read [Amended]
as follows: ■ 15. In the table below, for each section
Authority: 42 U.S.C. 15001 et seq. and paragraph indicated in the first two

Newly
redesignated Paragraph(s) Remove Add
section

§ 1326.21 ........... (c) ........................................................................................... § 1386.23(c) ........................... § 1326.23(c).
§ 1326.26 ........... First sentence of paragraph ................................................... § 1386.25 ............................... § 1326.25.
§ 1326.93 ........... (e) ........................................................................................... § 1386.90 ............................... § 1326.90.
§ 1326.94 ........... (b)(2) introductory text ............................................................ § 1386.85(b) ........................... § 1326.85(b).

PART 1327—DEVELOPMENTAL PART 1328—THE NATIONAL §§ 1328.2, 1328.3, and 1328.5 [Amended]
DISABILITIES PROJECTS OF NETWORK OF UNIVERSITY CENTERS
■ 19. In the table below, for each section
NATIONAL SIGNIFICANCE FOR EXCELLENCE IN
DEVELOPMENTAL DISABILITIES, and paragraph indicated in the first two
■ 16. The authority citation for newly EDUCATION, RESEARCH, AND columns, remove the reference
redesignated part 1327 continues to read SERVICE indicated in the third column and add
as follows: the reference indicated in the fourth
Authority: 42 U.S.C. 15001 et seq. ■ 18. The authority citation for newly column:
■ 17. The part heading for newly redesignated part 1328 continues to read
redesignated part 1327 is revised to read as follows:
as set forth above. Authority: 42 U.S.C. 15001 et seq.

Newly
redesignated Paragraph(s) Remove Add
section

§ 1328.2 ............. (a)(2) ....................................................................................... § 1388.3 ................................. § 1328.3.
§ 1328.2 ............. (a)(2) ....................................................................................... § 1385.3 ................................. § 1325.3.
§ 1328.2 ............. (b) ........................................................................................... § 1388.4 ................................. § 1328.4.
§ 1328.3 ............. Introductory text ...................................................................... § 1388.2 ................................. § 1328.2.
§ 1328.5 ............. (a) ........................................................................................... § 1388.2 ................................. § 1328.2.
§ 1328.5 ............. (b)(1) ....................................................................................... § 1385.3 ................................. § 1325.3.
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§ 1328.5 ............. (c)(3) ....................................................................................... § 1388.2(a)(1) and (2) ............ § 1328.2(a)(1) and (2).

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35648 Federal Register / Vol. 81, No. 107 / Friday, June 3, 2016 / Rules and Regulations

Subchapter I [Removed and Reserved] Viewing Documents the Merchant Mariner Medical Advisory
■ 20. 45 CFR chapter XIII, subchapter I, Navigation and Vessel Inspection Committee (MEDMAC) on waiver
is removed and reserved. Circular (NVIC) 04–08 is available on considerations for mariner applicants
[FR Doc. 2016–13138 Filed 6–2–16; 8:45 am] the Internet at: http://www.uscg.mil/hq/ whose conditions require the use of
cg5/nvic/pdf/2008/NVIC%2004-08% potentially impairing medications while
BILLING CODE P
20CH%201%20with%20Enclosures% operating under the authority of the
2020130607.pdf. It can also be viewed credential. In response to Coast Guard
Task Statement 14–09, Medical
on the Coast Guard’s Web site at:
DEPARTMENT OF HOMELAND Evaluation of Merchant Mariners
www.uscg.mil/nmc.
SECURITY Treated with Potentially Impairing
Background Medications, MEDMAC recommended
Coast Guard Coast Guard regulations contained in that medications with central nervous
46 CFR part 10, subpart C, contain the depressant effects, such as opioid,
46 CFR Part 10 medical and physical standards that benzodiazepine, or non-benzodiazepine
merchant mariner applicants must meet medications, be considered
prior to being issued a merchant disqualifying and generally not
[Docket No. USCG–2016–0029]
mariner medical certificate. NVIC 04–08 waiverable. They also recommended
Change-2 to Navigation and Vessel provides guidance to the regulated that the following medications be
Inspection Circular 04–08: Medical community on how to comply with the determined disqualifying: medications
Certification Standards, Medications, that impair vision, anticoagulants, anti-
regulations pertaining to medical and
and Medical Review Process metabolites and cancer treatments,
physical qualifications for merchant
sedating anti-histamines,
mariners.
AGENCY: Coast Guard, DHS. antipsychotics, opioid-like analgesics,
On December 24, 2013, the Coast
ACTION: Notice of policy; availability. anti-seizure medications, and stimulant
Guard published a final rule in the
medications, such as amphetamine and
Federal Register (78 FR 77796) entitled
SUMMARY: The Coast Guard announces methylphenidate. MEDMAC’s
‘‘Implementation of the Amendments to
the availability of Change-2 to recommendations did not include
the International Convention on
Navigation and Vessel Inspection specific criteria for waiver consideration
Standards of Training, Certification and
Circular (NVIC) 04–08, ‘‘Medical and for mariners whose conditions require
Watchkeeping for Seafarers, 1978, and
Physical Evaluation Guidelines for the use of potentially impairing
Changes to National Endorsements.’’ It
Merchant Mariner Credentials’’ (NVIC medication while operating under the
amended 46 CFR parts 1, 10, 11, 12, 13, authority of the credential.
04–08). Change-2 to NVIC 04–08 and 15 to implement the International
contains revisions to Enclosure (1) On January 28, 2015, the Coast Guard
Convention on Standards of Training, published a notice in the Federal
Medical Certification Standards, Certification and Watchkeeping for
Enclosure (4) Medications, and Register requesting public comments on
Seafarers, 1978 (STCW Convention), a proposed revision to Enclosure (4) that
Enclosure (6) Medical Review Process. including the 2010 amendments to the
The revisions to Enclosures (1) and (6) would provide more in-depth guidance
STCW Convention, and the Seafarers’ on these issues (80 FR 4582).
reflect process and procedural changes Training, Certification and We summarize the policy contained
related to centralization of the Watchkeeping Code, as well as updating in Change-2 to NVIC 04–08 and address
evaluation of credential applications at requirements for national endorsements. the public comments received on the
the National Maritime Center and The final rule also established the proposed revision to Enclosure (4)
implementation of the final rule that merchant mariner medical certificate as below.
aligned Coast Guard regulations with a document issued independently of the
amendments to the International merchant mariner credential. Merchant Discussion
Convention on Standards of Training, mariner credentials issued after January Enclosure (1) and Enclosure (6). The
Certification and Watchkeeping for 24, 2014, and that require a general revised Enclosure (1) Medical
Seafarers and made changes to national medical examination are not valid for Certification Standards summarizes the
endorsements. The revisions to service unless accompanied by a valid medical and physical requirements for
Enclosure (4) provide more detailed medical certificate. Enclosures (1) and mariner endorsements and provides
guidance on medications that are (6) of NVIC 04–08 required revision to additional guidance regarding the
subject to further review, and address reflect changes implemented with the medical certificate. The revision to
comments received in response to a final rule and a reorganization of the Enclosure (6) provides guidance on the
notice published in the Federal Register mariner credentialing function. medical review process used to
on January 28, 2015 seeking input from Guidance on medication use determine if a mariner meets the
the public on this issue. contained in Enclosure (4) to NVIC 04– medical and physical standards for
DATES: Change-2 to NVIC 04–08 is in 08 prior to Change-2 noted that use of issuance of a medical certificate.
effect on June 3, 2016. certain medications was considered Enclosure (4)—Medications. The
ADDRESSES: Submit comments online at
disqualifying for issuance of credentials. revision to Enclosure (4) provides
http://www.regulations.gov in The guidance did not provide details on guidance to the regulated community on
accordance with Web site instructions. the types of medications that might lead medications that may be deemed
to denial of a medical certificate, nor disqualifying for issuance of a medical
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FOR FURTHER INFORMATION CONTACT: If did it provide discussion of the certificate due to risks of impairment or
you have questions on this document, information and criteria that the Coast other safety concerns. The new
call or email LCDR Ian Bird, Office of Guard considers in determining whether guidance also clarifies the extenuating
Commercial Vessel Compliance (CG– to issue a waiver for certain circumstances related to the use of
CVC), 202–372–1255, email medications. potentially impairing medications that
MMCPolicy@uscg.mil. In developing this policy, the Coast the Coast Guard weighs in evaluating
SUPPLEMENTARY INFORMATION: Guard sought recommendations from risks to public and maritime safety, and

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Document Created: 2018-02-08 07:29:43
Document Modified: 2018-02-08 07:29:43
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		Final rule; technical amendments.
Dates		This final rule is effective on July 1, 2016.
Contact		Greg Pugh, Administration for Community Living, telephone (202) 795-7422 (Voice). This is not a toll- free number. This document will be made available in alternative formats upon request. Written correspondence can be sent to Administration for Community Living, U.S. Department of Health and Human Services, 330 C St. SW., Washington, DC 20201.
FR Citation		81 FR 35644
CFR Citation		45 CFR 1321 45 CFR 1322 45 CFR 1323 45 CFR 1324 45 CFR 1325 45 CFR 1326 45 CFR 1327 45 CFR 1328 45 CFR 1385 45 CFR 1386 45 CFR 1387 45 CFR 1388
CFR Associated		Administrative Practice and Procedures; Aged; Colleges and Universities; Disabled; Grant Programs-Education; Grant Programs-Indians; Grant Programs-Social Programs; Indians; Individuals with Disabilities; Legal Services; Long-Term Care; Nutrition; Research and Reporting and Recordkeeping Requirements
81 FR 35644 - Administration for Community Living-Regulatory Consolidation

DEPARTMENT OF HEALTH AND HUMAN SERVICESAdministration for Community Living

Federal Register Volume 81, Issue 107 (June 3, 2016)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Community Living
