81_FR_89350 81 FR 89113 - Council on Graduate Medical Education

81 FR 89113 - Council on Graduate Medical Education

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration

Federal Register Volume 81, Issue 237 (December 9, 2016)

Page Range89113-89114
FR Document2016-29499

HHS is hereby giving notice that the Council on Graduate Medical Education (COGME) has been renewed. The effective date of the renewed charter is September 30, 2016.

Federal Register, Volume 81 Issue 237 (Friday, December 9, 2016)
[Federal Register Volume 81, Number 237 (Friday, December 9, 2016)]
[Notices]
[Pages 89113-89114]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-29499]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Council on Graduate Medical Education

AGENCY: Health Resources and Services Administration (HRSA), Department 
of Health and Human Services (HHS).

ACTION: Notice of charter renewal.

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SUMMARY: HHS is hereby giving notice that the Council on Graduate 
Medical Education (COGME) has been renewed. The effective date of the 
renewed charter is September 30, 2016.

FOR FURTHER INFORMATION CONTACT:  Dr. Kennita Carter, Senior Advisor 
and Designated Federal Official, Division of Medicine and Dentistry, 
HRSA, HHS, 15M116, 5600 Fishers Lane, Rockville, MD 20857. Phone: (301) 
945-3505; email: [email protected].

SUPPLEMENTARY INFORMATION:  COGME is authorized by section 762 (42 
U.S.C. 294o) of the Public Health Service Act,

[[Page 89114]]

as amended. Except where otherwise indicated, COGME is governed by 
provisions of the Federal Advisory Committee Act (5 U.S.C. App. 2), as 
amended, which sets forth standards for the formation and use of 
advisory committees. In accordance with the Federal Advisory Committee 
Act (FACA), COGME was initially chartered on September 30, 1996, and 
has been renewed at appropriate intervals.
    COGME provides advice to the Secretary of HHS (Secretary) on a 
range of issues including: The supply and distribution of physicians in 
the United States; current and future physician shortages or excesses; 
issues relating to foreign medical school graduates; Federal policies 
related to the previously listed topics, including policies concerning 
changes in the financing of medical education training; and the 
development of performance measures and longitudinal evaluation of 
medical education programs. COGME's reports are submitted to the 
Secretary and Chairmen and Ranking Members of the Senate Committee on 
Health, Education, Labor, and Pensions and the House of Representatives 
Committee on Energy and Commerce.
    Renewal of the COGME charter authorizes the Committee to operate 
until September 30, 2018.
    A copy of the COGME charter is available on the COGME Web site at 
http://www.hrsa.gov/advisorycommittees/bhpradvisory/cogme/index.html. A 
copy of the charter also can be obtained by accessing the FACA database 
that is maintained by the Committee Management Secretariat under the 
General Services Administration. The Web site address for the FACA 
database is http://www.facadatabase.gov/.

Jason E. Bennett,
Director, Division of the Executive Secretariat.
[FR Doc. 2016-29499 Filed 12-8-16; 8:45 am]
BILLING CODE 4165-15-P



                                                                               Federal Register / Vol. 81, No. 237 / Friday, December 9, 2016 / Notices                                                 89113

                                                  information as ‘‘confidential.’’ Any                    suspect product entering the                          practices regulation (21 CFR 10.115).
                                                  information marked as ‘‘confidential’’                  pharmaceutical distribution supply                    The guidance represents the current
                                                  will not be disclosed except in                         chain, and provides recommendations                   thinking of FDA on ‘‘Drug Supply Chain
                                                  accordance with 21 CFR 10.20 and other                  on how trading partners can identify                  Security Act Implementation:
                                                  applicable disclosure law. For more                     such product and determine whether                    Identification of Suspect Product and
                                                  information about FDA’s posting of                      the product is a suspect product as soon              Notification.’’ It does not establish any
                                                  comments to public dockets, see 80 FR                   as practicable.                                       rights for any person and, with the
                                                  56469, September 18, 2015, or access                       Beginning January 1, 2015, section                 exception of section IV.B, is not binding
                                                  the information at http://www.fda.gov/                  582 of the FD&C Act required trading                  on FDA or the public. You can use an
                                                  regulatoryinformation/dockets/                          partners, upon determining that a                     alternative approach if it satisfies the
                                                  default.htm.                                            product in their possession or control is             requirements of the applicable statutes
                                                     Docket: For access to the docket to                  illegitimate, to notify: (1) FDA and (2)              and regulations.
                                                  read background documents or the                        all immediate trading partners that they
                                                                                                          have reason to believe may have                       II. Electronic Access
                                                  electronic and written/paper comments
                                                  received, go to https://                                received the illegitimate product, not                   Persons with access to the Internet
                                                  www.regulations.gov and insert the                      later than 24 hours after making the                  may obtain the guidance at http://
                                                  docket number, found in brackets in the                 determination. Manufacturers are                      www.fda.gov/Drugs/Guidance
                                                  heading of this document, into the                      additionally required under section                   ComplianceRegulatoryInformation/
                                                  ‘‘Search’’ box, and follow the prompts;                 582(b)(4)(B)(ii)(II) of the FD&C Act to               Guidances/default.htm, http://
                                                  and/or go to the Division of Dockets                    notify FDA and any immediate trading                  www.fda.gov/BiologicsBloodVaccines/
                                                  Management, 5630 Fishers Lane, Rm.                      partners that the manufacturer has                    GuidanceComplianceRegulatory
                                                  1061, Rockville, MD 20852.                              reason to believe may possess a product               Information/Guidances/default.htm, or
                                                     Submit written requests for single                   manufactured by (or purported to be                   https://www.regulations.gov.
                                                  copies of this guidance to the Division                 manufactured by) the manufacturer, not
                                                                                                          later than 24 hours after the                         III. Paperwork Reduction Act of 1995
                                                  of Drug Information, Center for Drug
                                                  Evaluation and Research, Food and                       manufacturer determines or is notified                   This guidance contains information
                                                  Drug Administration, 10001 New                          by FDA or a trading partner that there                collection provisions that are subject to
                                                  Hampshire Ave., Hillandale Bldg. 4th                    is a high risk that a product is                      review by the Office of Management and
                                                  Floor, Silver Spring, MD 20993–0002; or                 illegitimate. Section III.C of this                   Budget (OMB) under the Paperwork
                                                  the Office of Communication, Outreach                   guidance, entitled ‘‘For Manufacturers:               Reduction Act of 1995 (44 U.S.C. 3501–
                                                  and Development, Center for Biologics                   High Risk of Illegitimacy Notification’’              3520). The collection of information in
                                                  Evaluation and Research, Food and                       and highlighted in grey, describes                    this guidance was approved under OMB
                                                  Drug Administration, 10903 New                          notifications related to products that                control number 0910–0806.
                                                  Hampshire Ave., Bldg. 71, Rm. 3128,                     pose a high risk of illegitimacy, and is                Dated: December 5, 2016.
                                                  Silver Spring, MD 20993–0002. Send                      marked ‘‘for comment purposes only’’ to               Leslie Kux,
                                                  one self-addressed adhesive label to                    provide an opportunity for comment
                                                                                                                                                                Associate Commissioner for Policy.
                                                  assist that office in processing your                   before it is finalized. The guidance also
                                                                                                                                                                [FR Doc. 2016–29588 Filed 12–8–16; 8:45 am]
                                                  requests. See the SUPPLEMENTARY                         addresses how trading partners should
                                                                                                          notify FDA using Form FDA 3911. In                    BILLING CODE 4164–01–P
                                                  INFORMATION section for electronic
                                                  access to the guidance document.                        addition, in accordance with section
                                                                                                          582(h)(2) of the FD&C Act, the guidance
                                                  FOR FURTHER INFORMATION CONTACT:
                                                                                                          sets forth the process by which trading               DEPARTMENT OF HEALTH AND
                                                  Office of Compliance, Center for Drug                   partners must terminate the                           HUMAN SERVICES
                                                  Evaluation and Research, Food and                       notifications using Form FDA 3911, in
                                                  Drug Administration, 10903 New                                                                                Health Resources and Services
                                                                                                          consultation with FDA, regarding                      Administration
                                                  Hampshire Ave., Silver Spring, MD                       illegitimate product and, for a
                                                  20993–0002, 301–796–3130,                               manufacturer, a product with a high risk              Council on Graduate Medical
                                                  drugtrackandtrace@fda.hhs.gov.                          of illegitimacy, under section                        Education
                                                  SUPPLEMENTARY INFORMATION:                              582(b)(4)(B), (c)(4)(B), (d)(4)(B), and
                                                                                                          (e)(4)(B) of the FD&C Act.                            AGENCY: Health Resources and Services
                                                  I. Background                                                                                                 Administration (HRSA), Department of
                                                                                                             In the Federal Register of June 11,
                                                    FDA is announcing the availability of                 2014 (79 FR 33564), FDA announced the                 Health and Human Services (HHS).
                                                  a guidance for industry entitled ‘‘Drug                 availability of a draft guidance entitled             ACTION: Notice of charter renewal.
                                                  Supply Chain Security Act                               ‘‘Drug Supply Chain Security Act
                                                  Implementation: Identification of                       Implementation: Identification of                     SUMMARY:   HHS is hereby giving notice
                                                  Suspect Product and Notification.’’ The                 Suspect Product and Notification.’’ FDA               that the Council on Graduate Medical
                                                  guidance addresses provisions in the                    has carefully considered the comments                 Education (COGME) has been renewed.
                                                  FD&C Act, as amended by the DSCSA                       received and made the following                       The effective date of the renewed
                                                  (Pub. L. 113–54). Section 202 of the                    changes in response to the comments:                  charter is September 30, 2016.
                                                  DSCSA adds section 582(h)(2) to the                     Section C, ‘‘For Manufacturers: High                  FOR FURTHER INFORMATION CONTACT: Dr.
                                                  FD&C Act (21 U.S.C. 360eee–1(h)(2)),                    Risk of Illegitimacy Notifications,’’ on              Kennita Carter, Senior Advisor and
                                                  which requires FDA to issue guidance to                 pgs. 8–11 of the guidance, is a new                   Designated Federal Official, Division of
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                                                  aid certain trading partners                            section added in response to comments                 Medicine and Dentistry, HRSA, HHS,
                                                  (manufacturers, repackagers, wholesale                  and questions received. In addition,                  15M116, 5600 Fishers Lane, Rockville,
                                                  distributors, and dispensers) in                        FDA made minor changes to the Form                    MD 20857. Phone: (301) 945–3505;
                                                  identifying a suspect product and                       FDA 3911 and to the instructions for                  email: kcarter@hrsa.gov.
                                                  terminating notifications. The guidance                 completing the form.                                  SUPPLEMENTARY INFORMATION: COGME is
                                                  identifies specific scenarios that could                   This guidance is being issued                      authorized by section 762 (42 U.S.C.
                                                  significantly increase the risk of a                    consistent with FDA’s good guidance                   294o) of the Public Health Service Act,


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                                                  89114                        Federal Register / Vol. 81, No. 237 / Friday, December 9, 2016 / Notices

                                                  as amended. Except where otherwise                      ACTION:   Notice.                                     children’s hospitals are now required to
                                                  indicated, COGME is governed by                                                                               electronically communicate their
                                                  provisions of the Federal Advisory                      SUMMARY:    In compliance with the                    financial information to the Payment
                                                  Committee Act (5 U.S.C. App. 2), as                     requirement for opportunity for public                Management System through the
                                                  amended, which sets forth standards for                 comment on proposed data collection                   Electronic Handbook.
                                                  the formation and use of advisory                       projects (Section 3506(c)(2)(A) of the                   The form changes are only applicable
                                                  committees. In accordance with the                      Paperwork Reduction Act of 1995),                     to the HRSA 99–1 (also known as
                                                  Federal Advisory Committee Act                          HRSA announces plans to submit an                     Exhibit O (2)) and HRSA 99–5 forms.
                                                  (FACA), COGME was initially chartered                   Information Collection Request (ICR),                 All other hospital and auditor forms are
                                                  on September 30, 1996, and has been                     described below, to the Office of                     the same as currently approved. The
                                                  renewed at appropriate intervals.                       Management and Budget (OMB). Prior                    changes to the HRSA 99–1 and HRSA
                                                     COGME provides advice to the                         to submitting the ICR to OMB, HRSA                    99–5 forms require OMB approval and
                                                  Secretary of HHS (Secretary) on a range                 seeks comments from the public                        are as follows:
                                                  of issues including: The supply and                     regarding the burden estimate, below, or                 1. HRSA 99–1: Add additional
                                                  distribution of physicians in the United                any other aspect of the ICR.                          description to Line 4.06 (both Page 2
                                                  States; current and future physician                    DATES: Comments on this ICR should be                 and Page 2 Supplemental), 5.06 and
                                                  shortages or excesses; issues relating to               received no later than January 9, 2017.               6.06. The current description is ‘‘FTE
                                                  foreign medical school graduates;                       ADDRESSES: Submit your comments to                    adjusted cap.’’ The new description will
                                                  Federal policies related to the                         paperwork@hrsa.gov or mail the HRSA                   be ‘‘FTE adjusted cap or 2013 CHGME
                                                  previously listed topics, including                     Information Collection Clearance                      Reauthorization cap due to Public Law
                                                  policies concerning changes in the                      Officer, Room 14N–39, 5600 Fishers                    113–98.’’
                                                  financing of medical education training;                Lane, Rockville, MD 20857.                               2. HRSA 99–5: Remove Payment
                                                  and the development of performance                                                                            Information question and check boxes,
                                                                                                          FOR FURTHER INFORMATION CONTACT: To
                                                  measures and longitudinal evaluation of                                                                       applicable only to: (1) Hospitals which
                                                                                                          request more information on the                       have not previously participated in the
                                                  medical education programs. COGME’s                     proposed project or to obtain a copy of
                                                  reports are submitted to the Secretary                                                                        CHGME Payment Program, and (2)
                                                                                                          the data collection plans and draft                   hospitals in which financial institution
                                                  and Chairmen and Ranking Members of                     instruments, email paperwork@hrsa.gov
                                                  the Senate Committee on Health,                                                                               information has changed since
                                                                                                          or call the HRSA Information Collection               submission of its last application.
                                                  Education, Labor, and Pensions and the                  Clearance Officer at (301) 443–1984.
                                                  House of Representatives Committee on                                                                            Need and Proposed Use of the
                                                                                                          SUPPLEMENTARY INFORMATION: When                       Information: Data on the number of FTE
                                                  Energy and Commerce.
                                                     Renewal of the COGME charter                         submitting comments or requesting                     residents trained are collected from
                                                  authorizes the Committee to operate                     information, please include the                       children’s hospitals applying for
                                                  until September 30, 2018.                               information request collection title for              CHGME Payment Program funding.
                                                     A copy of the COGME charter is                       reference.                                            These data are used to determine the
                                                  available on the COGME Web site at                         Information Collection Request Title:              amount of direct and indirect medical
                                                  http://www.hrsa.gov/advisory                            Children’s Hospitals Graduate Medical                 education payments to be distributed to
                                                  committees/bhpradvisory/cogme/                          Education Payment Program                             participating children’s hospitals.
                                                  index.html. A copy of the charter also                  Application and Full-Time Equivalent                  Indirect medical education payments
                                                  can be obtained by accessing the FACA                   Resident Assessment Forms OMB No.                     are derived from a formula that requires
                                                  database that is maintained by the                      0915–0247 Revision.                                   the reporting of discharges, beds, and
                                                  Committee Management Secretariat                           Abstract: The Children’s Hospitals                 case mix index information from
                                                  under the General Services                              Graduate Medical Education (CHGME)                    participating children’s hospitals. As
                                                  Administration. The Web site address                    Payment Program was enacted by Public                 required by statute, the FTE resident
                                                  for the FACA database is http://                        Law 106–129, and reauthorized by the                  assessment shall determine any changes
                                                  www.facadatabase.gov/.                                  CHGME Support Reauthorization Act of                  to the FTE resident counts initially
                                                                                                          2013 (Pub. L. 113–98) to provide                      reported to the CHGME Payment
                                                  Jason E. Bennett,                                       Federal support for graduate medical                  Program.
                                                  Director, Division of the Executive Secretariat.        education (GME) to freestanding                          Likely Respondents: The likely
                                                  [FR Doc. 2016–29499 Filed 12–8–16; 8:45 am]             children’s hospitals. The legislation                 respondents include the estimated 60
                                                  BILLING CODE 4165–15–P                                  indicates that eligible children’s                    children’s hospitals that apply and
                                                                                                          hospitals will receive payments for both              receive CHGME Payment Program
                                                                                                          direct and indirect medical education.                funding, as well as the 30 auditors
                                                  DEPARTMENT OF HEALTH AND                                The CHGME Payment Program                             contracted by HRSA to perform the FTE
                                                  HUMAN SERVICES                                          application and full-time equivalent                  resident assessments of the children’s
                                                                                                          (FTE) resident assessment forms                       hospitals participating in the CHGME
                                                  Health Resources and Services                           received OMB clearance on June 30,                    Payment Program. Children’s hospitals
                                                  Administration                                          2014.                                                 applying for CHGME Payment Program
                                                                                                             The CHGME Support Reauthorization                  funding are required by the CHGME
                                                  Agency Information Collection
                                                                                                          Act of 2013 included a provision to                   Payment Program statute to submit data
                                                  Activities: Proposed Collection: Public
                                                                                                          allow certain newly qualified children’s              on the number of FTE residents trained
                                                  Comment Request; Children’s
                                                                                                          hospitals to apply for CHGME Payment                  in an annual application. Once funded
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                                                  Hospitals Graduate Medical Education
                                                                                                          Program funding. The CHGME Payment                    by the CHGME Payment Program, these
                                                  Payment Program Application and
                                                                                                          Program application forms have been                   same children’s hospitals are required to
                                                  Full-Time Equivalent Resident
                                                                                                          revised to accommodate the new statute.               submit audited data on the number of
                                                  Assessment Forms
                                                                                                          In addition, a payment question                       FTE residents trained during the federal
                                                  AGENCY: Health Resources and Services                   included in the CHGME Payment                         fiscal year to participate in the
                                                  Administration (HRSA), Department of                    Program application forms has been                    reconciliation payment process.
                                                  Health and Human Services.                              removed, since the participating                      Contracted auditors are requested by


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Document Created: 2018-02-14 09:03:50
Document Modified: 2018-02-14 09:03:50
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
ActionNotice of charter renewal.
ContactDr. Kennita Carter, Senior Advisor and Designated Federal Official, Division of Medicine and Dentistry, HRSA, HHS, 15M116, 5600 Fishers Lane, Rockville, MD 20857. Phone: (301) 945-3505; email: [email protected]
FR Citation81 FR 89113 

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