82_FR_1359 82 FR 1356 - Delegation of Authority Under Title III, Part D, Section 340B(d)(1)(B)(vi) of the Public Health Service Act (PHSA)

82 FR 1356 - Delegation of Authority Under Title III, Part D, Section 340B(d)(1)(B)(vi) of the Public Health Service Act (PHSA)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary

Federal Register Volume 82, Issue 3 (January 5, 2017)

Page Range1356-1356
FR Document2016-31944

Federal Register, Volume 82 Issue 3 (Thursday, January 5, 2017)
[Federal Register Volume 82, Number 3 (Thursday, January 5, 2017)]
[Notices]
[Page 1356]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-31944]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary


Delegation of Authority Under Title III, Part D, Section 
340B(d)(1)(B)(vi) of the Public Health Service Act (PHSA)

    Notice is hereby given that I have delegated to the Inspector 
General, Office of Inspector General, the authority vested in the 
Secretary of Health and Human Services under Title III, Part D, Section 
340B(d)(1)(B)(vi) of the Public Health Service Act (PHSA), as amended, 
to impose sanctions in the form of civil monetary penalties against 
manufacturers that knowingly and intentionally charge a 340B covered 
entity a price for purchase of a drug that exceeds the maximum 
applicable ceiling price as defined by section 340B(a)(1) of the PHSA. 
In accordance with section 340B(d)(1)(B)(vi)(II) of the PHSA, such 
sanctions shall not exceed $5,000 for each instance of overcharging a 
340B covered entity that may have occurred. This authority may be 
redelegated. This delegation excludes the authority to issue 
regulations.
    I have affirmed and ratified any actions taken by the Inspector 
General, or subordinates, that involved the exercise of the authority 
delegated herein prior to the effective date of the delegation.
    This delegation became effective upon date of signature.

    Authority: 42 U.S.C. 256b(d)(1)(B)(vi)

Sylvia M. Burwell,
Secretary, Department of Health and Human Services.
[FR Doc. 2016-31944 Filed 1-4-17; 8:45 am]
 BILLING CODE 4165-15-P



                                                  1356                          Federal Register / Vol. 82, No. 3 / Thursday, January 5, 2017 / Notices

                                                  Workers’ Compensation Programs                          Geographic Boundaries                                  as amended, to impose sanctions in the
                                                  Performance Measures as it relates to                                                                          form of civil monetary penalties against
                                                                                                          Summary of Comments
                                                  the Black Lung Program, (2) to submit                                                                          manufacturers that knowingly and
                                                  documents relevant to active Black Lung                    A few commenters expressed concern                  intentionally charge a 340B covered
                                                  benefits claims electronically into                     over how HRSA defines the service                      entity a price for purchase of a drug that
                                                  Claimant Online Access Link (C.O.A.L.)                  areas of each clinic. At least two noted               exceeds the maximum applicable
                                                  and (3) to follow other procedures and                  that in some cases, coal miners work or                ceiling price as defined by section
                                                  training related to diagnostic and                      reside in closer proximity to clinics in               340B(a)(1) of the PHSA. In accordance
                                                  medical providers. This last point                      neighboring states than to those within                with section 340B(d)(1)(B)(vi)(II) of the
                                                  encompasses the learning modules                        the same state, but that HRSA limits                   PHSA, such sanctions shall not exceed
                                                  entitled ‘‘Black Lung Disability                        clinics’ ability to conduct outreach in                $5,000 for each instance of overcharging
                                                  Evaluation and Claims Training for                      other states. Another commenter stated                 a 340B covered entity that may have
                                                  Medical Examiners’’ and available at                    that some clinics provide                              occurred. This authority may be
                                                  https://www.publichealthlearning.com/                   complementary services in close                        redelegated. This delegation excludes
                                                  course/category.php?id=35. HRSA will                    proximity to one another.                              the authority to issue regulations.
                                                  continue to work with DOL and BLCP                                                                               I have affirmed and ratified any
                                                                                                          Response
                                                  awardees to strengthen this component                                                                          actions taken by the Inspector General,
                                                  of the BLCP.                                              In certain cases, the FY 2017 BLCP                   or subordinates, that involved the
                                                                                                          FOA allows more than one BLCP                          exercise of the authority delegated
                                                  Pulmonary Rehabilitation                                awardee to provide services to coal                    herein prior to the effective date of the
                                                                                                          miners in a given county, provided                     delegation.
                                                  Summary of Comments                                     those awardees detail how they will                      This delegation became effective upon
                                                     All of the commenters agreed that                    avoid duplicating efforts of other black               date of signature.
                                                  onsite pulmonary rehabilitation is a                    lung clinics. Applicants may also                        Authority: 42 U.S.C. 256b(d)(1)(B)(vi)
                                                  vital service. However, most                            propose to provide services (including
                                                  commenters expressed concerns that                      outreach) to coal miners in counties                   Sylvia M. Burwell,
                                                  this service is not widely available to                 other than the ones listed in the FY                   Secretary, Department of Health and Human
                                                                                                          2017 BLCP FOA, including counties in                   Services.
                                                  miners who need it because it is costly
                                                  to operate, there are low rates of                      neighboring states, provided that they                 [FR Doc. 2016–31944 Filed 1–4–17; 8:45 am]
                                                  reimbursement, and miners often aren’t                  demonstrate how their services will                    BILLING CODE 4165–15–P

                                                  able to travel to clinics that do offer                 complement—rather than duplicate—
                                                  treatment. Some commenters said that                    existing efforts in those counties. A coal
                                                  consideration should be given for non-                  miner may receive services at a black                  DEPARTMENT OF HEALTH AND
                                                  traditional pulmonary treatment                         lung clinic of his or her choosing,                    HUMAN SERVICES
                                                  programs, such as in-home treatments,                   regardless of that clinic’s location or
                                                                                                          service area designation.                              National Institutes of Health
                                                  and that HRSA should further research
                                                  the effectiveness of these programs. A                  Conclusion                                             Center for Scientific Review; Notice of
                                                  few commenters argued that BLCP                                                                                Closed Meetings
                                                                                                            HRSA considers many of the
                                                  clinics should collaborate more with
                                                                                                          comments received to be useful and                       Pursuant to section 10(d) of the
                                                  hospital-based pulmonary rehabilitation
                                                                                                          informative to future discussions on                   Federal Advisory Committee Act, as
                                                  programs in multiple communities to
                                                                                                          how to strengthen the BLCP in future                   amended (5 U.S.C. App.), notice is
                                                  make it more feasible for miners to
                                                                                                          years and appreciates the interest and                 hereby given of the following meetings.
                                                  receive treatment. Nearly all of the
                                                                                                          dedication of the commenters who are                     The meetings will be closed to the
                                                  commenters expressed concerns that
                                                                                                          committed to serving U.S. coal miners.                 public in accordance with the
                                                  American Association of Cardiovascular
                                                                                                          Any questions or concerns should be                    provisions set forth in sections
                                                  and Pulmonary Rehabilitation
                                                                                                          directed to Blacklung@hrsa.gov.                        552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
                                                  (AACVPR) certification is difficult to
                                                  obtain and financially burdensome to                                                                           as amended. The grant applications and
                                                                                                          Diana Espinosa,
                                                  the clinics, and that it is not cost-                                                                          the discussions could disclose
                                                                                                          Deputy Administrator.
                                                  effective for the clinic to try to meet this                                                                   confidential trade secrets or commercial
                                                                                                          [FR Doc. 2016–32003 Filed 1–4–17; 8:45 am]             property such as patentable material,
                                                  standard for additional grant funding.                  BILLING CODE 4165–15–P                                 and personal information concerning
                                                  Response                                                                                                       individuals associated with the grant
                                                                                                                                                                 applications, the disclosure of which
                                                    In the FY 2014 BLCP FOA, BLCP                         DEPARTMENT OF HEALTH AND                               would constitute a clearly unwarranted
                                                  awardees receiving the highest level of                 HUMAN SERVICES                                         invasion of personal privacy.
                                                  funding were required to provide
                                                                                                          Office of the Secretary                                  Name of Committee: Risk, Prevention and
                                                  AACVPR-certified pulmonary                                                                                     Health Behavior Integrated Review Group;
                                                  rehabilitation programs onsite. The FY                                                                         Psychosocial Risk and Disease Prevention
                                                                                                          Delegation of Authority Under Title III,
                                                  2017 BLCP FOA removes this                                                                                     Study Section.
                                                                                                          Part D, Section 340B(d)(1)(B)(vi) of the
                                                  requirement and instead requires all                                                                             Date: January 23–24, 2017.
                                                                                                          Public Health Service Act (PHSA)
                                                  applicants to propose, at a minimum,                                                                             Time: 8:00 a.m. to 5:00 p.m.
mstockstill on DSK3G9T082PROD with NOTICES




                                                  onsite, contracted, or referral to                         Notice is hereby given that I have                    Agenda: To review and evaluate grant
                                                  accredited Phase II or Phase III                        delegated to the Inspector General,                    applications.
                                                  pulmonary rehab services. BLCP                          Office of Inspector General, the                         Place: The Westgate Hotel, 1055 Second
                                                                                                                                                                 Avenue, San Diego, CA 92101.
                                                  awardees providing AACVPR-certified                     authority vested in the Secretary of                     Contact Person: Stacey FitzSimmons,
                                                  programs to coal miners may maintain                    Health and Human Services under Title                  Ph.D., MPH, Scientific Review Officer, Center
                                                  their certification if they choose, but                 III, Part D, Section 340B(d)(1)(B)(vi) of              for Scientific Review, National Institutes of
                                                  this is no longer a requirement.                        the Public Health Service Act (PHSA),                  Health, 6701 Rockledge Drive, Room 3114,



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Document Created: 2018-02-01 14:50:45
Document Modified: 2018-02-01 14:50:45
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
FR Citation82 FR 1356 

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