81_FR_40842 81 FR 40722 - Advisory Board on Toxic Substances and Worker Health: Subcommittee on Medical Advice re: Weighing Medical Evidence [email protected]"> [email protected]" /> [email protected]" />

81 FR 40722 - Advisory Board on Toxic Substances and Worker Health: Subcommittee on Medical Advice re: Weighing Medical Evidence

DEPARTMENT OF LABOR
Office of Workers' Compensation Programs

Federal Register Volume 81, Issue 120 (June 22, 2016)

Page Range40722-40723
FR Document2016-14822

The subcommittee will meet via teleconference on July 12, 2016, from 1:00 p.m. to 4:00 p.m. Eastern Time. For Press Inquiries Contact: For press inquiries: Ms. Amanda McClure, Office of Public Affairs, U.S. Department of Labor, Room S- 1028, 200 Constitution Avenue NW., Washington, DC 20210; telephone (202) 693-4672; email [email protected]

Federal Register, Volume 81 Issue 120 (Wednesday, June 22, 2016)
[Federal Register Volume 81, Number 120 (Wednesday, June 22, 2016)]
[Notices]
[Pages 40722-40723]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-14822]


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DEPARTMENT OF LABOR

Office of Workers' Compensation Programs


Advisory Board on Toxic Substances and Worker Health: 
Subcommittee on Medical Advice re: Weighing Medical Evidence

AGENCY: Office of Workers' Compensation Programs, Labor.

ACTION: Announcement of meeting of the Subcommittee on Medical Advice 
re: Weighing Medical Evidence of the Advisory Board on Toxic Substances 
and Worker Health (Advisory Board) for the Energy Employees 
Occupational

[[Page 40723]]

Illness Compensation Program Act (EEOICPA).

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

SUMMARY: The subcommittee will meet via teleconference on July 12, 
2016, from 1:00 p.m. to 4:00 p.m. Eastern Time.
    For Press Inquiries Contact: For press inquiries: Ms. Amanda 
McClure, Office of Public Affairs, U.S. Department of Labor, Room S-
1028, 200 Constitution Avenue NW., Washington, DC 20210; telephone 
(202) 693-4672; email [email protected].

SUPPLEMENTARY INFORMATION: The Advisory Board is mandated by Section 
3687 of EEOICPA. The Secretary of Labor established the Board under 
this authority and Executive Order 13699 (June 26, 2015). The purpose 
of the Advisory Board is to advise the Secretary with respect to: (1) 
The Site Exposure Matrices (SEM) of the Department of Labor; (2) 
medical guidance for claims examiners for claims with the EEOICPA 
program, with respect to the weighing of the medical evidence of 
claimants; (3) evidentiary requirements for claims under Part B of 
EEOICPA related to lung disease; and (4) the work of industrial 
hygienists and staff physicians and consulting physicians of the 
Department of Labor and reports of such hygienists and physicians to 
ensure quality, objectivity, and consistency. The Advisory Board 
sunsets on December 19, 2019. This subcommittee is being assembled to 
gather data and begin working on advice under Area #2, Medical Advice 
re: Weighing Medical Evidence.
    The Advisory Board operates in accordance with the Federal Advisory 
Committee Act (FACA) (5 U.S.C. App. 2) and its implementing regulations 
(41 CFR part 102-3).
    Agenda: The tentative agenda for the Subcommittee on Medical Advice 
re: Weighing Medical Evidence meeting includes:
     Defining the issues and scope of the subcommittee's topic 
area: medical advice to claims examiners re: weighing medical evidence;
     Defining data and informational needs (and review) for the 
topic area;
     Drafting the initial work plan with a timetable.
    OWCP transcribes Advisory Board subcommittee meetings. OWCP posts 
the transcripts on the Advisory Board Web page, http://www.dol.gov/owcp/energy/regs/compliance/AdvisoryBoard.htm, along with written 
comments and other materials submitted to the subcommittee or presented 
at subcommittee meetings.

Public Participation, Submissions, and Access to the Public Record

    Subcommittee meeting: The subcommittee will meet via teleconference 
on Tuesday, July 12, 2016, from 1:00 p.m. to 4:00 p.m. Eastern Time. 
Advisory Board subcommittee meetings are open to the public. The 
teleconference number and other details for listening to the meeting 
will be posted on the Advisory Board's Web site no later than 72 hours 
prior to the meeting. This information will be posted at http://www.dol.gov/owcp/energy/regs/compliance/AdvisoryBoard.htm.
    Requests for special accommodations: Please submit requests for 
special accommodations to participate in the subcommittee meeting by 
email, telephone, or hard copy to Ms. Carrie Rhoads, OWCP, Room S-3524, 
U.S. Department of Labor, 200 Constitution Avenue NW., Washington, DC 
20210; telephone (202) 343-5580; email [email protected].
    Submission of written comments for the record: You may submit 
written comments, identified by the subcommittee name and the meeting 
date of July 12, 2016, by any of the following methods:
     Electronically: Send to: [email protected] 
(specify in the email subject line, ``Subcommittee on Medical Advice 
re: Weighing Medical Evidence'').
     Mail, express delivery, hand delivery, messenger, or 
courier service: Submit one copy to the following address: U.S. 
Department of Labor, Office of Workers' Compensation Programs, Advisory 
Board on Toxic Substances and Worker Health, Room S-3522, 200 
Constitution Ave. NW., Washington, DC 20210. Due to security-related 
procedures, receipt of submissions by regular mail may experience 
significant delays.
    Comments must be received by July 5, 2016. OWCP will make available 
publically, without change, any written comments, including any 
personal information that you provide. Therefore, OWCP cautions 
interested parties against submitting personal information such as 
Social Security numbers and birthdates.
    Electronic copies of this Federal Register notice are available at 
http://www.regulations.gov. This notice, as well as news releases and 
other relevant information, are also available on the Advisory Board's 
Web page at http://www.dol.gov/owcp/energy/regs/compliance/AdvisoryBoard.htm.

FOR FURTHER INFORMATION CONTACT: You may contact Antonio Rios, 
Designated Federal Officer, at [email protected], or Carrie Rhoads, 
Alternate Designated Federal Officer, at [email protected], U.S. 
Department of Labor, 200 Constitution Avenue NW., Suite S-3524, 
Washington, DC 20210, telephone (202) 343-5580.
    This is not a toll-free number.

    Signed at Washington, DC, this 17 day of June 2016.
Leonard J. Howie III,
Director, Office of Workers' Compensation Programs.
[FR Doc. 2016-14822 Filed 6-21-16; 8:45 am]
 BILLING CODE 4510-24-P



                                                  40722                        Federal Register / Vol. 81, No. 120 / Wednesday, June 22, 2016 / Notices

                                                     Currently, the Office of Workers’                    (NDC). See 20 CFR 10.809. The FECA                     electronic, mechanical, or other
                                                  Compensation Programs is soliciting                     program does not currently have any                    technological collection techniques or
                                                  comments concerning the proposed                        limitations on payment for opioids                     other forms of information technology,
                                                  collection: Authorization Request form                  generally or for compounded drugs. The                 e.g., permitting electronic submissions
                                                  and Certification/Letter of Medical                     FECA program is establishing a prior                   of responses.
                                                  Necessity for Compounded Drugs (CA–                     authorization policy for opioid and
                                                  26) and Authorization Request form and                  compounded drugs (at this time after                   III. Current Actions
                                                  Certification/Letter of Medical Necessity               first fill) utilizing the pre-authorization              The Department of Labor seeks the
                                                  for Opioid Medications (CA–27). A copy                  authority already contained in its                     approval of this new information
                                                  of the proposed information collection                  regulations at 20 CFR 10.310(a) and                    collection in order to carry out its
                                                  request can be obtained by contacting                   § 10.800(b). In requiring the use of these             responsibility to meet the statutory
                                                  the office listed below in the addresses                forms for opioid and compounded                        requirements of the Federal Employees’
                                                  section of this Notice.                                 drugs, OWCP is implementing a prior-                   Compensation Act.
                                                  DATES: Written comments must be                         authorization process based on medical                   Agency: Office of Workers’
                                                  submitted to the office listed in the                   necessity.                                             Compensation Programs.
                                                  addresses section below on or before                       The forms, Authorization Request                      Type of Review: New Collection
                                                  August 22, 2016.                                        Form and Certification/Letter of Medical               (Request for New OMB control
                                                  ADDRESSES: Ms. Yoon Ferguson, U.S.
                                                                                                          Necessity for Compounded Drugs (CA–                    Number).
                                                  Department of Labor, 200 Constitution                   26) and Authorization Request Form                       Title: Authorization and Certification/
                                                  Ave. NW., Room S–3323, Washington,                      and Certification/Letter of Medical                    Letter of Medical Necessity.
                                                  DC 20210, telephone/fax (202) 354–                      Necessity Certification/Letter of Medical                OMB Number: 1240–0NEW.
                                                  9647, Email ferguson.yoon@dol.gov.                      Necessity for Opioid Medications (CA–                    Agency Number: CA–26 and CA–27.
                                                                                                          27), require an injured worker’s treating                Affected Public: Individuals or
                                                  Please use only one method of
                                                                                                          physician to answer a number of                        households; Businesses or other for-
                                                  transmission for comments (mail or
                                                                                                          questions about the prescribed opioids                 profit.
                                                  Email).
                                                                                                          and/or compounded drugs and certify                      Total Respondents: 80,000.
                                                  SUPPLEMENTARY INFORMATION:                              that they are medically necessary to                     Total Annual Responses: 65,600.
                                                  I. Background                                           treat the work-related injury. The                       Estimated Total Burden Hours:
                                                                                                          responses to the questions on the forms                40,000.
                                                     The Department of Labor (DOL) is                     are intended to ensure that treating                     Estimated Time per Response: 30
                                                  requesting an approval of a new                         physicians have considered non-opioid                  minutes.
                                                  information collection. This information                and non-compounded drug alternatives,                    Frequency: On occasion.
                                                  collection is essential to the mission of               and are only prescribing the most cost                   Total Burden Cost (capital/startup):
                                                  DOL and the Office of Workers’                          effective and medically necessary drugs.               $0.
                                                  Compensation Programs (OWCP), to                        The forms will also permit OWCP to                       Total Burden Cost (operating/
                                                  monitor and assure the appropriate use                  more easily track the volume, type, and                maintenance): $0.
                                                  of opioids and compounded drugs in                      characteristics of opioids and                           Comments submitted in response to
                                                  treating employment-related injuries                    compounded drugs authorized by the                     this notice will be summarized and/or
                                                  under the Federal Employees                             FECA program. The forms will serve as                  included in the request for Office of
                                                  Compensation Act (FECA), 5 U.S.C.                       a means for injured workers to continue                Management and Budget approval of the
                                                  8101 et seq.                                            receiving opioids and compounded                       information collection request; they will
                                                     The FECA statute grants OWCP                                                                                also become a matter of public record.
                                                                                                          drugs only where medically necessary
                                                  discretion to provide an injured
                                                                                                          and simultaneously give OWCP greater                     Dated: June 16, 2016.
                                                  employee the ‘‘services, appliances, and
                                                                                                          oversight in monitoring their                          Yoon Ferguson,
                                                  supplies prescribed or recommended by
                                                                                                          appropriate use and gather additional                  Agency Clearance Officer, Office of Workers’
                                                  a qualified physician’’ which OWCP
                                                                                                          data about their use.                                  Compensation Programs, U.S. Department of
                                                  considers ‘‘likely to cure, give relief,
                                                  reduce the degree or the period of                      II. Review Focus                                       Labor.
                                                  disability, or aid in lessening the                                                                            [FR Doc. 2016–14818 Filed 6–21–16; 8:45 am]
                                                                                                             The Department of Labor is
                                                  amount of the monthly compensation.’’                   particularly interested in comments
                                                                                                                                                                 BILLING CODE 4510–CH–P
                                                  5 U.S.C. 8103. In other words, OWCP is                  which:
                                                  mandated to provide medical supplies                       • Evaluate whether the proposed                     DEPARTMENT OF LABOR
                                                  and services—including prescription                     collection of information is necessary
                                                  drugs such as opioids and compounded                    for the proper performance of the                      Office of Workers’ Compensation
                                                  drugs—that it considers medically                       functions of the agency, including                     Programs
                                                  necessary. 20 CFR 10.310. The FECA                      whether the information will have
                                                  statute and implementing regulations                    practical utility;                                     Advisory Board on Toxic Substances
                                                  are not primarily focused on managing                      • evaluate the accuracy of the                      and Worker Health: Subcommittee on
                                                  doctor/patient decisions relating to                    agency’s estimate of the burden of the                 Medical Advice re: Weighing Medical
                                                  medication therapy and, with the                        proposed collection of information,                    Evidence
                                                  exception of few limitations on fentanyl                including the validity of the
                                                  (an opioid) and other controlled                                                                               AGENCY: Office of Workers’
mstockstill on DSK3G9T082PROD with NOTICES




                                                                                                          methodology and assumptions used;
                                                  substances, the FECA program policy on                     • enhance the quality, utility and                  Compensation Programs, Labor.
                                                  pharmacy benefits has generally been a                  clarity of the information to be                       ACTION: Announcement of meeting of
                                                  policy of payment for prescribed                        collected; and                                         the Subcommittee on Medical Advice
                                                  medications in accordance with a fee                       • minimize the burden of the                        re: Weighing Medical Evidence of the
                                                  schedule based on a percentage of the                   collection of information on those who                 Advisory Board on Toxic Substances
                                                  average wholesale price (AWP) for drugs                 are to respond, including through the                  and Worker Health (Advisory Board) for
                                                  identified by a National Drug Code                      use of appropriate automated,                          the Energy Employees Occupational


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                                                                               Federal Register / Vol. 81, No. 120 / Wednesday, June 22, 2016 / Notices                                                  40723

                                                  Illness Compensation Program Act                        Public Participation, Submissions, and                 Federal Officer, at rios.antonio@dol.gov,
                                                  (EEOICPA).                                              Access to the Public Record                            or Carrie Rhoads, Alternate Designated
                                                                                                             Subcommittee meeting: The                           Federal Officer, at rhoads.carrie@
                                                  SUMMARY:    The subcommittee will meet                                                                         dol.gov, U.S. Department of Labor, 200
                                                                                                          subcommittee will meet via
                                                  via teleconference on July 12, 2016,                                                                           Constitution Avenue NW., Suite
                                                                                                          teleconference on Tuesday, July 12,
                                                  from 1:00 p.m. to 4:00 p.m. Eastern                                                                            S–3524, Washington, DC 20210,
                                                                                                          2016, from 1:00 p.m. to 4:00 p.m.
                                                  Time.                                                                                                          telephone (202) 343–5580.
                                                                                                          Eastern Time. Advisory Board
                                                     For Press Inquiries Contact: For press               subcommittee meetings are open to the                     This is not a toll-free number.
                                                  inquiries: Ms. Amanda McClure, Office                   public. The teleconference number and                    Signed at Washington, DC, this 17 day of
                                                  of Public Affairs, U.S. Department of                   other details for listening to the meeting             June 2016.
                                                  Labor, Room S–1028, 200 Constitution                    will be posted on the Advisory Board’s                 Leonard J. Howie III,
                                                  Avenue NW., Washington, DC 20210;                       Web site no later than 72 hours prior to               Director, Office of Workers’ Compensation
                                                  telephone (202) 693–4672; email                         the meeting. This information will be                  Programs.
                                                  mcclure.amanda.c@dol.gov.                               posted at http://www.dol.gov/owcp/                     [FR Doc. 2016–14822 Filed 6–21–16; 8:45 am]
                                                  SUPPLEMENTARY INFORMATION: The                          energy/regs/compliance/                                BILLING CODE 4510–24–P
                                                  Advisory Board is mandated by Section                   AdvisoryBoard.htm.
                                                  3687 of EEOICPA. The Secretary of                          Requests for special accommodations:
                                                  Labor established the Board under this                  Please submit requests for special                     DEPARTMENT OF LABOR
                                                  authority and Executive Order 13699                     accommodations to participate in the
                                                  (June 26, 2015). The purpose of the                     subcommittee meeting by email,                         Office of Workers’ Compensation
                                                  Advisory Board is to advise the                         telephone, or hard copy to Ms. Carrie                  Programs
                                                  Secretary with respect to: (1) The Site                 Rhoads, OWCP, Room S–3524, U.S.
                                                                                                          Department of Labor, 200 Constitution                  Advisory Board on Toxic Substances
                                                  Exposure Matrices (SEM) of the
                                                                                                          Avenue NW., Washington, DC 20210;                      and Worker Health: Subcommittee on
                                                  Department of Labor; (2) medical
                                                                                                          telephone (202) 343–5580; email                        the Site Exposure Matrices (SEM)
                                                  guidance for claims examiners for
                                                  claims with the EEOICPA program, with                   EnergyAdvisoryBoard@dol.gov.                           AGENCY: Office of Workers’
                                                  respect to the weighing of the medical                     Submission of written comments for                  Compensation Programs, Department of
                                                  evidence of claimants; (3) evidentiary                  the record: You may submit written                     Labor.
                                                  requirements for claims under Part B of                 comments, identified by the                            ACTION: Announcement of meeting of
                                                  EEOICPA related to lung disease; and                    subcommittee name and the meeting                      the Subcommittee on the Site Exposure
                                                  (4) the work of industrial hygienists and               date of July 12, 2016, by any of the                   Matrices of the Advisory Board on Toxic
                                                  staff physicians and consulting                         following methods:                                     Substances and Worker Health
                                                  physicians of the Department of Labor                      • Electronically: Send to:                          (Advisory Board) for the Energy
                                                  and reports of such hygienists and                      EnergyAdvisoryBoard@dol.gov (specify                   Employees Occupational Illness
                                                  physicians to ensure quality, objectivity,              in the email subject line,                             Compensation Program Act (EEOICPA).
                                                  and consistency. The Advisory Board                     ‘‘Subcommittee on Medical Advice re:
                                                  sunsets on December 19, 2019. This                      Weighing Medical Evidence’’).                          SUMMARY:   The subcommittee will meet
                                                  subcommittee is being assembled to                         • Mail, express delivery, hand                      via teleconference on July 11, 2016,
                                                  gather data and begin working on advice                 delivery, messenger, or courier service:               from 1:00 p.m. to 3:00 p.m. Eastern
                                                  under Area #2, Medical Advice re:                       Submit one copy to the following                       Time.
                                                  Weighing Medical Evidence.                              address: U.S. Department of Labor,                        For Press Inquiries Contact: For press
                                                     The Advisory Board operates in                       Office of Workers’ Compensation                        inquiries: Ms. Amanda McClure, Office
                                                  accordance with the Federal Advisory                    Programs, Advisory Board on Toxic                      of Public Affairs, U.S. Department of
                                                  Committee Act (FACA) (5 U.S.C. App.                     Substances and Worker Health, Room                     Labor, Room S–1028, 200 Constitution
                                                  2) and its implementing regulations (41                 S–3522, 200 Constitution Ave. NW.,                     Avenue NW., Washington, DC 20210;
                                                  CFR part 102–3).                                        Washington, DC 20210. Due to security-                 telephone (202) 693–4672; email
                                                                                                          related procedures, receipt of                         mcclure.amanda.c@dol.gov.
                                                     Agenda: The tentative agenda for the
                                                                                                          submissions by regular mail may                        SUPPLEMENTARY INFORMATION: The
                                                  Subcommittee on Medical Advice re:
                                                                                                          experience significant delays.                         Advisory Board is mandated by Section
                                                  Weighing Medical Evidence meeting
                                                                                                             Comments must be received by July 5,                3687 of EEOICPA. The Secretary of
                                                  includes:
                                                                                                          2016. OWCP will make available                         Labor established the Board under this
                                                     • Defining the issues and scope of the               publically, without change, any written                authority and Executive Order 13699
                                                  subcommittee’s topic area: medical                      comments, including any personal                       (June 26, 2015). The purpose of the
                                                  advice to claims examiners re: weighing                 information that you provide. Therefore,               Advisory Board is to advise the
                                                  medical evidence;                                       OWCP cautions interested parties                       Secretary with respect to: (1) The Site
                                                     • Defining data and informational                    against submitting personal information                Exposure Matrices (SEM) of the
                                                  needs (and review) for the topic area;                  such as Social Security numbers and                    Department of Labor; (2) medical
                                                     • Drafting the initial work plan with                birthdates.                                            guidance for claims examiners for
                                                  a timetable.                                               Electronic copies of this Federal                   claims with the EEOICPA program, with
                                                     OWCP transcribes Advisory Board                      Register notice are available at http://               respect to the weighing of the medical
                                                  subcommittee meetings. OWCP posts                       www.regulations.gov. This notice, as                   evidence of claimants; (3) evidentiary
mstockstill on DSK3G9T082PROD with NOTICES




                                                  the transcripts on the Advisory Board                   well as news releases and other relevant               requirements for claims under Part B of
                                                  Web page, http://www.dol.gov/owcp/                      information, are also available on the                 EEOICPA related to lung disease; and
                                                  energy/regs/compliance/                                 Advisory Board’s Web page at http://                   (4) the work of industrial hygienists and
                                                  AdvisoryBoard.htm, along with written                   www.dol.gov/owcp/energy/regs/                          staff physicians and consulting
                                                  comments and other materials                            compliance/AdvisoryBoard.htm.                          physicians of the Department of Labor
                                                  submitted to the subcommittee or                        FOR FURTHER INFORMATION CONTACT: You                   and reports of such hygienists and
                                                  presented at subcommittee meetings.                     may contact Antonio Rios, Designated                   physicians to ensure quality, objectivity,


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Document Created: 2016-06-22 01:05:48
Document Modified: 2016-06-22 01:05:48
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionAnnouncement of meeting of the Subcommittee on Medical Advice re: Weighing Medical Evidence of the Advisory Board on Toxic Substances and Worker Health (Advisory Board) for the Energy Employees Occupational Illness Compensation Program Act (EEOICPA).
ContactYou may contact Antonio Rios, Designated Federal Officer, at [email protected], or Carrie Rhoads, Alternate Designated Federal Officer, at [email protected], U.S. Department of Labor, 200 Constitution Avenue NW., Suite S-3524, Washington, DC 20210, telephone (202) 343-5580.
FR Citation81 FR 40722 

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