81_FR_52937 81 FR 52783 - Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2017; Medicare Advantage Pricing Data Release; Medicare Advantage and Part D Medical Low Ratio Data Release; Medicare Advantage Provider Network Requirements; Expansion of Medicare Diabetes Prevention Program Model; Correction

81 FR 52783 - Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2017; Medicare Advantage Pricing Data Release; Medicare Advantage and Part D Medical Low Ratio Data Release; Medicare Advantage Provider Network Requirements; Expansion of Medicare Diabetes Prevention Program Model; Correction

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services

Federal Register Volume 81, Issue 154 (August 10, 2016)

Page Range52783-52784
FR Document2016-19012

This document corrects a technical error in the proposed rule that appeared in the July 15, 2016 Federal Register (81 FR 46162-46476) entitled, ``Medicare Program; Revisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2017; Medicare Advantage Pricing Data Release; Medicare Advantage and Part D Medical Low Ratio Data Release; Medicare Advantage Provider Network Requirements; Expansion of Medicare Diabetes Prevention Program Model.''

Federal Register, Volume 81 Issue 154 (Wednesday, August 10, 2016)
[Federal Register Volume 81, Number 154 (Wednesday, August 10, 2016)]
[Proposed Rules]
[Pages 52783-52784]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-19012]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 405, 410, 411, 414, 417, 422, 423, 424, 425, and 460

[CMS-1654-CN]
RIN 0938-AS81


Medicare Program; Revisions to Payment Policies Under the 
Physician Fee Schedule and Other Revisions to Part B for CY 2017; 
Medicare Advantage Pricing Data Release; Medicare Advantage and Part D 
Medical Low Ratio Data Release; Medicare Advantage Provider Network 
Requirements; Expansion of Medicare Diabetes Prevention Program Model; 
Correction

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Proposed rule; correction.

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

SUMMARY: This document corrects a technical error in the proposed rule 
that appeared in the July 15, 2016 Federal Register (81 FR 46162-46476) 
entitled, ``Medicare Program; Revisions to Payment Policies under the 
Physician Fee Schedule and Other Revisions to Part B for CY 2017; 
Medicare Advantage Pricing Data Release; Medicare Advantage and Part D 
Medical Low Ratio Data Release; Medicare Advantage Provider Network 
Requirements; Expansion of Medicare Diabetes Prevention Program 
Model.''

DATES: The proposed rule published July 15, 2016 (81 FR 46162-46476) is 
corrected as of August 9, 2016.

FOR FURTHER INFORMATION CONTACT: Terri Plumb, (410) 786-4481, Gaysha 
Brooks, (410) 786-9649, or Annette Brewer (410) 786-6580.

SUPPLEMENTARY INFORMATION:

I. Background

    In FR Doc. 2016-16097 (81 FR 46162), the proposed rule entitled, 
``Medicare Program; Revisions to Payment Policies under the Physician 
Fee Schedule and Other Revisions to Part B for CY 2017; Medicare 
Advantage Pricing Data Release; Medicare Advantage and Part D Medical 
Low Ratio Data Release; Medicare Advantage Provider Network 
Requirements; Expansion of Medicare Diabetes Prevention Program Model'' 
(referred to hereafter as the ``CY 2017 PFS proposed rule,'') there was 
a technical error that is identified and corrected in this correcting 
document. The correction is applicable as of August 9, 2016.

[[Page 52784]]

II. Summary of Errors in the Preamble

    On page 46457 of the CY 2017 PFS proposed rule, we inadvertently 
stated that comments related to information collection requirements 
were due September 13, 2016. However, on page 46162, in the DATES 
section of the rule, we state that comments are due ``no later than 5 
p.m. on September 6, 2016.'' Accordingly, we are correcting the date on 
page 46457 to align with the DATES section of the rule on page 46162.

III. Waiver of Proposed Rulemaking and Delay in Effective Date

    Under 5 U.S.C. 553(b) of the Administrative Procedure Act (APA), 
the agency is required to publish a notice of the proposed rule in the 
Federal Register and provide a period for public comment before the 
provisions of a rule take effect. In addition, section 553(d) of the 
APA mandates a 30-day delay in effective date after issuance or 
publication of a rule. Sections 553(b)(B) and 553(d)(3) of the APA 
provide for exceptions from the APA notice and comment, and delay in 
effective date requirements. Section 553(b)(B) of the APA authorizes an 
agency to dispense with normal notice and comment rulemaking procedures 
for good cause if the agency makes a finding that the notice and 
comment process is impracticable, unnecessary, or contrary to the 
public interest; and includes a statement of the finding and the 
reasons for it in the rule. In addition, section 553(d)(3) of the APA 
allows the agency to avoid the 30-day delay in effective date where 
such delay is contrary to the public interest and the agency includes 
in the rule a statement of the finding and the reasons for it.
    In our view, this correcting document does not constitute a 
rulemaking that would be subject to these requirements. This document 
merely corrects a technical error in the CY 2017 PFS proposed rule. The 
corrections contained in this document are consistent with, and do not 
make substantive changes to, the policies and payment methodologies 
that were proposed subject to notice and comment procedures in the CY 
2017 PFS proposed rule. As a result, the correction made through this 
correcting document is intended to resolve an inadvertent error so that 
the rule accurately reflects the correct date for comments to be 
submitted in order to assure their consideration in the final rule.
    Even if this were a rulemaking to which the notice and comment and 
delayed effective date requirements applied, we find that there is good 
cause to waive such requirements. Undertaking further notice and 
comment procedures to incorporate the corrections in this document into 
the CY 2017 PFS proposed rule or delaying the effective date of the 
corrections would be contrary to the public interest because it is in 
the public interest to ensure that the rule accurately reflects the 
public comment period. Further, such procedures would be unnecessary, 
because we are not making any substantive revision to the proposed 
rule, but rather, we are simply correcting the Federal Register 
document to reflect the correct date by which public comments must be 
received in order to assure their consideration for the final rule. For 
these reasons, we believe there is good cause to waive the requirements 
for notice and comment and delay in effective date.

IV. Correction of Errors

    In FR Doc. 2016-16097 (81 FR 46162), published July 15, 2016, on 
page 46457, in the first column, in the third paragraph, line 2, the 
phrase ``September 13, 2016'' is corrected to read ``September 6, 
2016''.

    Dated: August 3, 2016.
Madhura Valverde,
Executive Secretary to the Department, Department of Health and Human 
Services.
[FR Doc. 2016-19012 Filed 8-9-16; 8:45 am]
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                                                                   Federal Register / Vol. 81, No. 154 / Wednesday, August 10, 2016 / Proposed Rules                                          52783

                                               definition of ‘‘broadcaster’’ as ‘‘an entity            Proposed Regulations                                  DEPARTMENT OF HEALTH AND
                                               that owns and operates a terrestrial AM                                                                       HUMAN SERVICES
                                               or FM radio station that is licensed by                   In consideration of the foregoing, the
                                               the Federal Communications                              Copyright Royalty Judges propose to                   Centers for Medicare & Medicaid
                                               Commission.’’ Absent this amendment,                    amend 37 CFR part 370 as follows:                     Services
                                               the petitioners contended that                          PART 370—NOTICE AND
                                               noncommercial minimum fee                                                                                     42 CFR Parts 405, 410, 411, 414, 417,
                                                                                                       RECORDKEEPING REQUIREMENTS
                                               broadcasters that were not educational                                                                        422, 423, 424, 425, and 460
                                                                                                       FOR STATUTORY LICENSES
                                               webcasters were excluded from the new                                                                         [CMS–1654–CN]
                                               definition of ‘‘Eligible Minimum Fee
                                                                                                       ■ 1. The authority citation for part 370              RIN 0938–AS81
                                               Webcaster.’’
                                                                                                       continues to read as follows:
                                                  The Judges find that the regulation, as
                                               amended on June 21, 2016, defines the                       Authority: 17 U.S.C. 112(e)(4), 114(f)(4)(A).     Medicare Program; Revisions to
                                               new term ‘‘Eligible Minimum Fee                                                                               Payment Policies Under the Physician
                                                                                                       ■ 2. In § 370.4, in paragraph (b), revise             Fee Schedule and Other Revisions to
                                               Webcaster’’ too narrowly and therefore
                                                                                                       the definition of ‘‘Eligible Minimum Fee              Part B for CY 2017; Medicare
                                               arguably excludes noncommercial
                                                                                                       Webcaster’’ to read as follows:                       Advantage Pricing Data Release;
                                               minimum fee broadcasters, a category
                                               that the Judges had intended to include.                § 370.4 Reports of use of sound
                                                                                                                                                             Medicare Advantage and Part D
                                                  The Judges shall treat the Joint Motion              recordings under statutory license for                Medical Low Ratio Data Release;
                                               as a petition for rulemaking and now                    nonsubscription transmission services,                Medicare Advantage Provider Network
                                               propose to make the necessary changes                   preexisting satellite digital audio radio             Requirements; Expansion of Medicare
                                               to include minimum fee noncommercial                    services, new subscription services and               Diabetes Prevention Program Model;
                                               broadcasters in the definition of                       business establishment services.                      Correction
                                               ‘‘Eligible Minimum Fee Webcasters.’’                    *       *     *     *    *                            AGENCY:  Centers for Medicare &
                                               That inclusion shall ensure that                           (b) * * *                                          Medicaid Services (CMS), HHS.
                                               noncommercial minimum fee                                  Eligible Minimum Fee Webcaster                     ACTION: Proposed rule; correction.
                                               broadcasters qualify fully for the relaxed              means a nonsubscription transmission
                                               reporting requirements in part 370.                     service whose payments for eligible                   SUMMARY:   This document corrects a
                                               How To Submit Comments                                  transmissions do not exceed the annual                technical error in the proposed rule that
                                                                                                       minimum fee established for licensees                 appeared in the July 15, 2016 Federal
                                                  Interested parties must submit                                                                             Register (81 FR 46162–46476) entitled,
                                                                                                       relying upon the statutory licenses set
                                               comments to only one of the following                                                                         ‘‘Medicare Program; Revisions to
                                                                                                       forth in 17 U.S.C. 112(e) and 114; and:
                                               addresses. Unless responding by email,                                                                        Payment Policies under the Physician
                                               claimants must submit an original, five                    (i) Is a Licensee that owns and
                                                                                                                                                             Fee Schedule and Other Revisions to
                                               paper copies, and an electronic version                 operates a terrestrial AM or FM radio
                                                                                                                                                             Part B for CY 2017; Medicare Advantage
                                               on a CD or other portable memory                        station that is licensed by the Federal
                                                                                                                                                             Pricing Data Release; Medicare
                                               device in Portable Document Format                      Communications Commission; or
                                                                                                                                                             Advantage and Part D Medical Low
                                               (PDF) that contains searchable,                            (ii) Is directly operated by, or                   Ratio Data Release; Medicare Advantage
                                               accessible text (not a scanned image of                 affiliated with and officially sanctioned             Provider Network Requirements;
                                               text). Commenters should conform all                    by, a domestically accredited primary or              Expansion of Medicare Diabetes
                                               filed electronic documents to the                       secondary school, college, university, or             Prevention Program Model.’’
                                               Judges’ Guidelines for Electronic                       other post-secondary degree-granting
                                                                                                                                                             DATES: The proposed rule published
                                               Documents posted on the Copyright                       institution; and
                                                                                                                                                             July 15, 2016 (81 FR 46162–46476) is
                                               Royalty Board Web site at http://                          (A) The digital audio transmission                 corrected as of August 9, 2016.
                                               www.loc.gov/crb/docs/Guidelines_for_                    operations of which are, during the                   FOR FURTHER INFORMATION CONTACT:
                                               Electronic_Documents.pdf. Email: crb@                   course of the year, staffed substantially
                                               loc.gov; or                                                                                                   Terri Plumb, (410) 786–4481, Gaysha
                                                                                                       by students enrolled in such institution;             Brooks, (410) 786–9649, or Annette
                                                  U.S. mail: Copyright Royalty Board,
                                                                                                          (B) Is exempt from taxation under                  Brewer (410) 786–6580.
                                               P.O. Box 70977, Washington, DC 20024–
                                                                                                       section 501 of the Internal Revenue                   SUPPLEMENTARY INFORMATION:
                                               0977; or
                                                  Overnight service (only USPS Express                 Code, has applied for such exemption,
                                                                                                       or is operated by a State or possession               I. Background
                                               Mail is acceptable): Copyright Royalty
                                               Board, P.O. Box 70977, Washington, DC                   or any governmental entity or                            In FR Doc. 2016–16097 (81 FR 46162),
                                               20024–0977; or                                          subordinate thereof, or by the United                 the proposed rule entitled, ‘‘Medicare
                                                  Commercial courier: Address package                  States or District of Columbia, for                   Program; Revisions to Payment Policies
                                               to: Copyright Royalty Board, Library of                 exclusively public purposes; and                      under the Physician Fee Schedule and
                                               Congress, James Madison Memorial                           (C) Is not a ‘‘public broadcasting                 Other Revisions to Part B for CY 2017;
                                               Building, LM–403, 101 Independence                      entity’’ (as defined in 17 U.S.C. 118(f))             Medicare Advantage Pricing Data
                                               Avenue SE., Washington, DC 20559–                       qualified to receive funding from the                 Release; Medicare Advantage and Part D
                                               6000. Deliver to: Congressional Courier                 Corporation for Public Broadcasting                   Medical Low Ratio Data Release;
                                               Acceptance Site, 2nd Street NE., and D                  pursuant to the criteria set forth in 47              Medicare Advantage Provider Network
                                                                                                       U.S.C. 396                                            Requirements; Expansion of Medicare
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                                               Street NE., Washington, DC; or
                                                  Hand delivery: Library of Congress,                  *       *     *     *    *                            Diabetes Prevention Program Model’’
                                               James Madison Memorial Building, LM–                                                                          (referred to hereafter as the ‘‘CY 2017
                                                                                                         Dated: July 28, 2016.                               PFS proposed rule,’’) there was a
                                               401, 101 Independence Avenue SE.,
                                                                                                       Suzanne M. Barnett,                                   technical error that is identified and
                                               Washington, DC 20559–6000.
                                                                                                       Chief Copyright Royalty Judge.                        corrected in this correcting document.
                                               List of Subjects in 37 CFR 370                          [FR Doc. 2016–19097 Filed 8–8–16; 11:15 am]           The correction is applicable as of
                                                 Copyright, Sound recordings.                          BILLING CODE 1410–72–P                                August 9, 2016.


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                                               52784               Federal Register / Vol. 81, No. 154 / Wednesday, August 10, 2016 / Proposed Rules

                                               II. Summary of Errors in the Preamble                   to waive such requirements.                           This subsequent adjustment in Phase III,
                                                  On page 46457 of the CY 2017 PFS                     Undertaking further notice and                        referred to as the make-whole
                                               proposed rule, we inadvertently stated                  comment procedures to incorporate the                 adjustment, produces a step function
                                               that comments related to information                    corrections in this document into the                 and does not appropriately reflect
                                               collection requirements were due                        CY 2017 PFS proposed rule or delaying                 operating costs and economies of scale.
                                               September 13, 2016. However, on page                    the effective date of the corrections                 To better address this problem and
                                               46162, in the DATES section of the rule,                would be contrary to the public interest              related issues, the Board is now
                                               we state that comments are due ‘‘no                     because it is in the public interest to               proposing to modify certain inputs into
                                               later than 5 p.m. on September 6, 2016.’’               ensure that the rule accurately reflects              Phase II of URCS and to modify certain
                                               Accordingly, we are correcting the date                 the public comment period. Further,                   cost calculations in Phase III of URCS in
                                               on page 46457 to align with the DATES                   such procedures would be unnecessary,                 order to eliminate the make-whole
                                               section of the rule on page 46162.                      because we are not making any                         adjustment. The Board is also proposing
                                                                                                       substantive revision to the proposed                  certain other related changes to URCS,
                                               III. Waiver of Proposed Rulemaking                      rule, but rather, we are simply                       including proposals for locomotive unit-
                                               and Delay in Effective Date                             correcting the Federal Register                       miles (LUM) and train miles allocations,
                                                  Under 5 U.S.C. 553(b) of the                         document to reflect the correct date by               which would result in more appropriate
                                               Administrative Procedure Act (APA),                     which public comments must be                         rail movement costs.
                                               the agency is required to publish a                     received in order to assure their                     DATES: Comments are due by October
                                               notice of the proposed rule in the                      consideration for the final rule. For                 11, 2016; replies are due by November
                                               Federal Register and provide a period                   these reasons, we believe there is good               7, 2016.
                                               for public comment before the                           cause to waive the requirements for
                                                                                                                                                             ADDRESSES: Comments may be
                                               provisions of a rule take effect. In                    notice and comment and delay in
                                                                                                       effective date.                                       submitted either via the Board’s e-filing
                                               addition, section 553(d) of the APA                                                                           format or in the traditional paper
                                               mandates a 30-day delay in effective                    IV. Correction of Errors                              format. Any person using e-filing should
                                               date after issuance or publication of a                                                                       attach a document and otherwise
                                               rule. Sections 553(b)(B) and 553(d)(3) of                  In FR Doc. 2016–16097 (81 FR 46162),
                                                                                                       published July 15, 2016, on page 46457,               comply with the instructions at the ‘‘E-
                                               the APA provide for exceptions from the                                                                       Filing’’ link on the Board’s Web site, at
                                               APA notice and comment, and delay in                    in the first column, in the third
                                                                                                       paragraph, line 2, the phrase                         http://www.stb.dot.gov. Any person
                                               effective date requirements. Section                                                                          submitting a filing in the traditional
                                               553(b)(B) of the APA authorizes an                      ‘‘September 13, 2016’’ is corrected to
                                                                                                       read ‘‘September 6, 2016’’.                           paper format should send an original
                                               agency to dispense with normal notice                                                                         and 10 copies to: Surface Transportation
                                               and comment rulemaking procedures                         Dated: August 3, 2016.                              Board, Attn: Docket No. EP 431 (Sub-
                                               for good cause if the agency makes a                    Madhura Valverde,                                     No. 4), 395 E Street SW., Washington,
                                               finding that the notice and comment                     Executive Secretary to the Department,                DC 20423–0001.
                                               process is impracticable, unnecessary,                  Department of Health and Human Services.
                                               or contrary to the public interest; and                                                                       FOR FURTHER INFORMATION CONTACT:
                                                                                                       [FR Doc. 2016–19012 Filed 8–9–16; 8:45 am]
                                               includes a statement of the finding and                                                                       Allison Davis at (202) 245–0378.
                                                                                                       BILLING CODE 4120–01–P
                                               the reasons for it in the rule. In addition,                                                                  Assistance for the hearing impaired is
                                               section 553(d)(3) of the APA allows the                                                                       available through the Federal
                                               agency to avoid the 30-day delay in                                                                           Information Relay Service (FIRS) at
                                                                                                       SURFACE TRANSPORTATION BOARD                          (800) 877–8339.
                                               effective date where such delay is
                                               contrary to the public interest and the                 49 CFR Parts 1247 and 1248                            SUPPLEMENTARY INFORMATION: In 1989,
                                               agency includes in the rule a statement                                                                       the Board’s predecessor, the Interstate
                                               of the finding and the reasons for it.                  [Docket No. EP 431 (Sub-No. 4)]                       Commerce Commission (ICC), adopted
                                                  In our view, this correcting document                                                                      URCS as its general purpose costing
                                                                                                       Review of the General Purpose
                                               does not constitute a rulemaking that                                                                         system. Adoption of the Unif. R.R.
                                                                                                       Costing System; Supplement
                                               would be subject to these requirements.                                                                       Costing Sys. as a Gen. Purpose Costing
                                               This document merely corrects a                         AGENCY: Surface Transportation Board.                 Sys. for All Regulatory Costing
                                               technical error in the CY 2017 PFS                      ACTION:Supplemental notice of                         Purposes, 5 I.C.C.2d 894 (1989). The
                                               proposed rule. The corrections                          proposed rulemaking.                                  Board uses URCS for a variety of
                                               contained in this document are                                                                                regulatory functions. URCS is used in
                                               consistent with, and do not make                        SUMMARY:   Through this supplemental                  rate reasonableness proceedings as part
                                               substantive changes to, the policies and                notice of proposed rulemaking                         of the initial market dominance
                                               payment methodologies that were                         (Supplemental NPR), the Surface                       determination. At later stages of rate
                                               proposed subject to notice and comment                  Transportation Board (Board) is revising              reasonableness proceedings, URCS is
                                               procedures in the CY 2017 PFS                           its proposal to eliminate the ‘‘make-                 used in parts of the Board’s
                                               proposed rule. As a result, the                         whole adjustment’’ that is currently                  determination as to whether the
                                               correction made through this correcting                 applied as part of our general purpose                challenged rate is reasonable, and, when
                                               document is intended to resolve an                      costing system, the Uniform Railroad                  warranted, the maximum rate
                                               inadvertent error so that the rule                      Costing System (URCS). The notice of                  prescription. URCS is also used to
                                               accurately reflects the correct date for                proposed rulemaking (NPR) in this                     develop variable costs for making cost
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                                               comments to be submitted in order to                    proceeding, issued on February 4, 2013,               determinations in abandonment
                                               assure their consideration in the final                 explained that when disaggregating data               proceedings; to provide the railroad
                                               rule.                                                   and calculating system-average unit                   industry and shippers with a
                                                  Even if this were a rulemaking to                    costs in Phase II, URCS does not fully                standardized costing model; to cost the
                                               which the notice and comment and                        take into account the economies of scale              Board’s Carload Waybill Sample to
                                               delayed effective date requirements                     realized from larger shipment sizes,                  develop industry cost information; and
                                               applied, we find that there is good cause               necessitating an adjustment in Phase III.             to provide interested parties with basic


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Document Created: 2016-08-10 01:59:44
Document Modified: 2016-08-10 01:59:44
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
ActionProposed rule; correction.
DatesThe proposed rule published July 15, 2016 (81 FR 46162-46476) is corrected as of August 9, 2016.
ContactTerri Plumb, (410) 786-4481, Gaysha Brooks, (410) 786-9649, or Annette Brewer (410) 786-6580.
FR Citation81 FR 52783 
RIN Number0938-AS81
CFR Citation42 CFR 405
42 CFR 410
42 CFR 411
42 CFR 414
42 CFR 417
42 CFR 422
42 CFR 423
42 CFR 424
42 CFR 425
42 CFR 460

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