82_FR_45942 82 FR 45753 - Food Labeling: Revision of the Nutrition and Supplement Facts Labels and Serving Sizes of Foods That Can Reasonably Be Consumed at One Eating Occasion; Dual-Column Labeling; Updating, Modifying, and Establishing Certain Reference Amounts Customarily Consumed; Serving Size for Breath Mints; and Technical Amendments; Proposed Extension of Compliance Dates

82 FR 45753 - Food Labeling: Revision of the Nutrition and Supplement Facts Labels and Serving Sizes of Foods That Can Reasonably Be Consumed at One Eating Occasion; Dual-Column Labeling; Updating, Modifying, and Establishing Certain Reference Amounts Customarily Consumed; Serving Size for Breath Mints; and Technical Amendments; Proposed Extension of Compliance Dates

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration

Federal Register Volume 82, Issue 189 (October 2, 2017)

Page Range45753-45756
FR Document2017-21019

The Food and Drug Administration (FDA or we) is proposing to extend the compliance dates by approximately 1.5 years for the final rules providing updated nutrition information on the label of food, including dietary supplements; defining a single-serving container; requiring dual-column labeling for certain containers; updating, modifying, and establishing certain reference amounts customarily consumed (RACCs); and amending the label serving size for breath mints. The final rules appeared in the Federal Register of May 27, 2016. We are taking this action because, after careful consideration, we have tentatively determined that additional time would help ensure that all manufacturers covered by the final rules have guidance from FDA to address, for example, certain technical questions we received after publication of the final rules, and that they are able to complete and print updated Nutrition Facts labels for their products before they are expected to be in compliance with the final rules.

Federal Register, Volume 82 Issue 189 (Monday, October 2, 2017)
[Federal Register Volume 82, Number 189 (Monday, October 2, 2017)]
[Proposed Rules]
[Pages 45753-45756]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-21019]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Food and Drug Administration

21 CFR Part 101

[Docket Nos. FDA-2012-N-1210 and FDA-2004-N-0258]
RIN 0910-ZA49


Food Labeling: Revision of the Nutrition and Supplement Facts 
Labels and Serving Sizes of Foods That Can Reasonably Be Consumed at 
One Eating Occasion; Dual-Column Labeling; Updating, Modifying, and 
Establishing Certain Reference Amounts Customarily Consumed; Serving 
Size for Breath Mints; and Technical Amendments; Proposed Extension of 
Compliance Dates

AGENCY: Food and Drug Administration, HHS.

ACTION: Proposed rule.

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SUMMARY: The Food and Drug Administration (FDA or we) is proposing to 
extend the compliance dates by approximately 1.5 years for the final 
rules providing updated nutrition information on the label of food, 
including dietary supplements; defining a single-serving container; 
requiring dual-column labeling for certain containers; updating, 
modifying, and establishing certain reference amounts customarily 
consumed (RACCs); and amending the label serving size for breath mints. 
The final rules appeared in the Federal Register of May 27, 2016. We 
are taking this action because, after careful consideration, we have 
tentatively determined that additional time would help ensure that all 
manufacturers covered by the final rules have guidance from FDA to 
address, for example, certain technical questions we received after 
publication of the final rules, and that they are able to complete and 
print updated Nutrition Facts labels for their products before they are 
expected to be in compliance with the final rules.

DATES: Submit either electronic or written comments on the proposed 
rule by November 1, 2017.

ADDRESSES: You may submit comments on the extension of the compliance 
period as follows. Please note that late, untimely filed comments will 
not be considered. Electronic comments must be submitted on or before 
November 1, 2017. The https://www.regulations.gov electronic filing 
system will accept comments until midnight Eastern Time at the end of 
November 1, 2017. Comments received by mail/hand delivery/courier (for 
written/paper submissions) will be considered timely if they are 
postmarked or the delivery service acceptance receipt is on or before 
that date.

Electronic Submissions

    Submit electronic comments in the following way:
     Federal eRulemaking Portal: https://www.regulations.gov. 
Follow the instructions for submitting comments. Comments submitted 
electronically, including attachments, to https://www.regulations.gov 
will be posted to the docket unchanged. Because your comment will be 
made public, you are solely responsible for ensuring that your comment 
does not include any confidential information that you or a third party 
may not wish to be posted, such as medical information, your or anyone 
else's Social Security number, or confidential business information, 
such as a manufacturing process. Please note that if you include your 
name, contact information, or other information that identifies you in 
the body of your comments, that information will be posted on https://www.regulations.gov.
     If you want to submit a comment with confidential 
information that you do not wish to be made available to the public, 
submit the comment as a written/paper submission and in the manner 
detailed (see ``Written/Paper Submissions'' and ``Instructions'').

Written/Paper Submissions

    Submit written/paper submissions as follows:
     Mail/Hand delivery/Courier (for written/paper 
submissions): Dockets Management Staff (HFA-305), Food and Drug 
Administration, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852.
     For written/paper comments submitted to the Dockets 
Management Staff, FDA will post your comment, as well as any 
attachments, except for information submitted, marked and identified, 
as confidential, if submitted as detailed in ``Instructions.''
    Instructions: All submissions received must include the Docket Nos. 
FDA-2012-N-1210 and FDA-2004-N-0258 for ``Food Labeling: Revision of 
the Nutrition and Supplement Facts Labels and Serving Sizes of Foods 
That Can Reasonably Be Consumed at One Eating Occasion; Dual-Column 
Labeling; Updating, Modifying, and Establishing Certain Reference 
Amounts Customarily Consumed; Serving Size for Breath Mints; and 
Technical Amendments; Extension of Compliance Date.'' Received 
comments, those filed in a timely manner (see ADDRESSES), will be 
placed in the docket and, except for those submitted as ``Confidential 
Submissions,'' publicly viewable at https://www.regulations.gov or at 
the Dockets Management Staff between 9 a.m. and 4 p.m., Monday through 
Friday.
     Confidential Submissions--To submit a comment with 
confidential information that you do not wish to be made publicly 
available, submit your comments only as a written/paper submission. You 
should submit two copies total. One copy will include the information 
you claim to be confidential with a heading or cover note that states 
``THIS DOCUMENT CONTAINS CONFIDENTIAL INFORMATION.'' We will review 
this copy, including the claimed confidential information, in our 
consideration of comments. The second copy, which will have the claimed 
confidential information redacted/blacked out, will be available for 
public viewing and posted on https://www.regulations.gov. Submit both 
copies to the Dockets Management Staff. If you do not wish your name 
and contact information to be made publicly available, you can provide 
this information on the cover sheet and not in the body of your 
comments and you must identify this information as ``confidential.'' 
Any information marked as ``confidential'' will not be disclosed except 
in accordance with 21 CFR 10.20 and other applicable disclosure law. 
For more information about FDA's posting of comments to public dockets, 
see 80 FR 56469, September 18, 2015, or access the information at: 
https://www.thefederalregister.org/fdsys/pkg/FR-2015-09-18/pdf/2015-23389.pdf.
    Docket: For access to the docket to read background documents or 
the electronic and written/paper comments received, go to https://www.regulations.gov and insert the docket number, found in brackets in 
the heading of this document, into the ``Search'' box and follow the 
prompts and/or go to the Dockets Management Staff, 5630 Fishers Lane, 
Rm. 1061, Rockville, MD 20852.

FOR FURTHER INFORMATION CONTACT: Paula Trumbo, Center for Food Safety 
and Applied Nutrition (HFS-830), Food and Drug Administration, 5001 
Campus

[[Page 45754]]

Dr., College Park, MD 20740, 240-402-2579.

SUPPLEMENTARY INFORMATION: 

Table of Contents

I. Background
II. Description of the Proposed Rule
III. Proposed Compliance Dates
IV. Economic Analysis of Impacts
V. Analysis of Environmental Impact
VI. Paperwork Reduction Act of 1995
VII. Federalism
VIII. References

I. Background

    In the Federal Register of May 27, 2016 (81 FR 33742 and 81 FR 
34000), we published two final rules entitled ``Food Labeling: Revision 
of the Nutrition and Supplement Facts Labels'' (the Nutrition Facts 
Label Final Rule) and ``Food Labeling: Serving Sizes of Foods That Can 
Reasonably Be Consumed At One Eating Occasion; Dual-Column Labeling; 
Updating, Modifying, and Establishing Certain Reference Amounts 
Customarily Consumed; Serving Size for Breath Mints; and Technical 
Amendments'' (the Serving Size Final Rule). The Nutrition Facts Label 
Final Rule revises the Nutrition Facts label by:
     Removing the declaration of ``Calories from fat'' because 
current science supports a view that the type of fat is more relevant 
than overall total fat intake in increased risk of chronic diseases;
     Requiring the declaration of the gram amount of ``Added 
Sugars'' in a serving of a product, establishing a Daily Reference 
Value (DRV), and requiring the percent Daily Value (DV) declaration for 
added sugars;
     Changing ``Sugars'' to ``Total Sugars'' and requiring that 
``Includes `X' g Added Sugars'' be indented and declared directly below 
``Total Sugars'' on the label;
     Updating the list of vitamins and minerals of public 
health significance. For example, the Nutrition Facts Label Final Rule 
requires the declaration of vitamin D and potassium and permits, rather 
than requires, the declaration of vitamins A and C;
     Updating certain reference values used in the declaration 
of percent DVs of nutrients on the Nutrition Facts and Supplement Facts 
labels;
     Revising the format of the Nutrition Facts and Supplement 
Facts labels to increase the prominence of the term ``Calories;''
     Removing the requirement for the footnote table listing 
the reference values for certain nutrients for 2,000 and 2,500 calorie 
diets; and
     Requiring the maintenance of records to support the 
declarations of certain nutrients under specified circumstances.
    The Serving Size Final Rule requires all containers, including 
containers of products with ``large'' RACCs (i.e., products with RACCs 
of at least 100 grams (g) or 100 milliliters (mL)), containing less 
than 200 percent of the RACC to be labeled as a single-serving 
container. Except for when certain exceptions apply, the Serving Size 
Final Rule further requires that containers and units that contain at 
least 200 percent and up to and including 300 percent of the RACC be 
labeled with a column of nutrition information within the Nutrition 
Facts label that lists the quantitative amounts and percent DVs for the 
entire container, in addition to the required column listing the 
quantitative amounts and percent DVs for a serving that is less than 
the entire container (i.e., the serving size derived from the RACC). 
The Serving Size Final Rule also updates, modifies, and establishes 
RACCs for certain foods and product categories.

II. Description of the Proposed Rule

    We are proposing to extend the compliance date for manufacturers 
with $10 million or more in annual food sales in the final rules 
published on May 27, 2016, from July 26, 2018, to January 1, 2020, and 
the compliance date for manufacturers with less than $10 million in 
annual food sales in the final rules published on May 27, 2016, from 
July 26, 2019, to January 1, 2021.
    We emphasize that this proposed rule would only extend the 
compliance dates. Therefore, comments to this proposed rule should 
pertain to the extension of the compliance dates only. We are proposing 
to extend the compliance dates for the Nutrition Facts Label Final Rule 
and the Serving Size Final Rule, consistent with our authority in 
sections 403(q) and 701(a) of the Federal Food, Drug, and Cosmetic Act 
(the FD&C Act) (21 U.S.C. 343(q) and 371(a), respectively).

III. Proposed Compliance Dates

    This proposed rule would extend the compliance date for 
manufacturers with $10 million or more in annual food sales in the 
final rules published on May 27, 2016, from July 26, 2018, to January 
1, 2020, and the compliance date for manufacturers with less than $10 
million in annual food sales in the final rules published on May 27, 
2016, from July 26, 2019, to January 1, 2021. We are taking this action 
because, after careful consideration, we have tentatively determined 
that additional time would help ensure that all manufacturers covered 
by the rules have guidance from FDA to address, for example, certain 
technical questions we received after publication of the final rules 
(see Docket No. FDA-2016-D-4414 (pertaining to a draft guidance 
entitled ``Questions and Answers on the Nutrition and Supplement Facts 
Labels Related to the Compliance Date, Added Sugars, and Declaration of 
Quantitative Amounts of Vitamins and Minerals: Guidance for 
Industry'')), and that they are able to complete and print updated 
Nutrition Facts labels for their products before they are expected to 
be in compliance with the rules. Companies and trade associations with 
members covered by the rules have informed us that they have 
significant concerns about their ability to update all their labels by 
the compliance dates due to issues regarding (among other things) the 
need for upgrades to labeling software, the need to obtain nutrition 
information from suppliers, the number of products that would need new 
labels, and a limited time for reformulation of products. Consequently, 
we are proposing to extend the compliance dates to provide more time to 
comply with the Nutrition Facts Label and the Serving Size Final Rules. 
We propose extending the compliance date by approximately 1.5 years for 
both categories of manufacturers as a means to balance the importance 
of ensuring that industry has sufficient time to comply with complex 
new requirements, and the importance of decreasing costs, against the 
importance of minimizing the transition period during which consumers 
will see both the old and the new versions of the label in the 
marketplace.
    We are taking this action consistent with Executive Orders 13771 
and 13563 and in response to the continued concern that companies and 
trade associations have shared with us regarding the time needed for 
implementation of the final rules and the need for FDA to provide 
further guidance to manufacturers subject to the final rules. 
Consistent with the policies set forth in these executive orders with 
respect to reducing burdens, reducing costs, maintaining flexibility, 
and improving effectiveness, we are therefore proposing to extend the 
compliance date for manufacturers with $10 million or more in annual 
food sales to January 1, 2020, and the compliance date for 
manufacturers with less than $10 million in annual food sales to 
January 1, 2021.
    Our goal is to complete this rulemaking as quickly as possible. 
However, we are aware that firms are working under the current 
compliance dates to come into compliance. Pending

[[Page 45755]]

completion of this rulemaking, we intend to exercise enforcement 
discretion with respect to the current July 26, 2018, and July 26, 
2019, compliance dates.

IV. Economic Analysis of Impacts

    We have examined the impacts of this proposed rule under Executive 
Order 12866, Executive Order 13563, Executive Order 13771, the 
Regulatory Flexibility Act (5 U.S.C. 601-612), and the Unfunded 
Mandates Reform Act of 1995 (Pub. L. 104-4). Executive Orders 12866 and 
13563 direct us to assess all costs and benefits of available 
regulatory alternatives and, when regulation is necessary, to select 
regulatory approaches that maximize net benefits (including potential 
economic, environmental, public health and safety, and other 
advantages; distributive impacts; and equity). Executive Order 13771 
requires that the costs associated with significant new regulations 
``shall, to the extent permitted by law, be offset by the elimination 
of existing costs associated with at least two prior regulations.'' We 
believe that this proposed rule is a significant regulatory action as 
defined by Executive Order 12866.
    Executive Order 13771, entitled ``Reducing Regulation and 
Controlling Regulatory Costs,'' was issued on January 30, 2017. Section 
2(a) of Executive Order 13771 requires an Agency, unless prohibited by 
law, to identify at least two existing regulations to be repealed when 
the Agency publicly proposes for notice and comment or otherwise 
promulgates a new regulation. In furtherance of this requirement, 
section 2(c) of Executive Order 13771 requires that the new incremental 
costs associated with new regulations shall, to the extent permitted by 
law, be offset by the elimination of existing costs associated with at 
least two prior regulations. This proposed rule is expected to be an 
Executive Order 13771 deregulatory action. Details on the estimated 
cost savings of this proposed rule can be found in the rule's economic 
analysis.
    The Regulatory Flexibility Act requires us to analyze regulatory 
options that would minimize any significant impact of a rule on small 
entities when ``the agency publishes a general notice of proposed 
rulemaking'' (5 U.S.C. 601(2)). We have analyzed the proposed rule 
under the Regulatory Flexibility Act and propose to certify that, 
because the proposed rule only would extend the compliance dates for 
the Nutrition Facts Label and Serving Size Final Rules, the proposed 
rule would not have a significant economic impact on a substantial 
number of small entities.
    The Unfunded Mandates Reform Act of 1995 (section 202(a)) requires 
us to prepare a written statement, which includes an assessment of 
anticipated costs and benefits, before proposing ``any rule that 
includes any Federal mandate that may result in the expenditure by 
State, local, and tribal governments, in the aggregate, or by the 
private sector, of $100,000,000 or more (adjusted annually for 
inflation) in any one year.'' The current threshold after adjustment 
for inflation is $148 million, using the 2016 Implicit Price Deflator 
for the Gross Domestic Product. We have determined that the proposed 
rule would not result in any expenditure by industry in any year that 
meets or exceeds this amount.
    The principal benefit of this proposed rule to extend the 
compliance dates is the reduction in the costs to industry of meeting 
the compliance dates of the Nutrition Facts Label Final Rule and the 
Serving Size Final Rule. This reduction in costs can be attributed to a 
reduction in the relabeling and reformulation costs of the Nutrition 
Facts Label and Serving Size Final Rules. We estimate that, at the 
mean, the present value of the benefits (i.e., cost savings) of this 
proposed rule to extend the compliance dates over the next 20 years is 
$1.0 billion using either a 3 percent or 7 percent discount rate 
(2016$). This is illustrated in table 1. Extending the compliance dates 
by approximately 1.5 years would reduce the estimated benefits of the 
Nutrition Facts Label and Serving Size Final Rules because it would 
delay the realization by consumers of the full annual welfare gains of 
the Nutrition Facts Label and Serving Size Final Rules. More 
specifically, an extension of the compliance dates would delay the 
incorporation of the provisions of the Nutrition Facts Label and 
Serving Size Final Rules by food manufacturers into their products. We 
estimate that, at the mean, the present value of the forgone benefits 
of this proposed rule to extend the compliance dates over the next 20 
years is $0.9 billion using either a 3 percent or 7 percent discount 
rate (2016$). This is also presented in table 1. We estimate that, at 
the mean, the present value of the net benefits (that is, cost savings 
minus forgone benefits) of this proposed rule to extend the compliance 
dates over the next 20 years is $0.1 billion using either a 3 percent 
or 7 percent discount rate (2016$). This is shown in table 1.

  Table 1--Summary of the Cost Savings to Industry and Foregone Benefits to Consumers of This Proposed Rule To
                                           Extend the Compliance Dates
                                              [In billions of 2016]
----------------------------------------------------------------------------------------------------------------
                                                                                                   Net benefits
                                                   Discount rate                     Foregone     (cost savings-
                                                     (percent)     Cost savings      benefits        foregone
                                                                                                     benefits)
----------------------------------------------------------------------------------------------------------------
Present Value...................................               3            $1.0            $0.9            $0.1
                                                               7             1.0             0.9             0.1
Annualized Amount...............................               3            0.07            0.06            0.01
                                                               7            0.09            0.08            0.01
----------------------------------------------------------------------------------------------------------------
Notes: Cost savings to industry, foregone benefits to consumers, and net benefits reflect mean estimates. This
  proposed rule to extend the compliance dates would extend the compliance dates of the Nutrition Facts Label
  and Serving Size Final Rules by approximately 1.5 years. Annualized Amount = Amount/Annualizing Factor. 3
  percent annualizing factor = 14.88. 7 percent annualizing factor = 10.59. The annualizing factors are
  calculated by summing the inverse of 1 plus the discount rate to the power of the year (t = 1 through t = 20).

    For purposes of this analysis, we use the same methodology for 
estimating costs and benefits that we used in the original Regulatory 
Impact Analysis for the Final Rules. We previously acknowledged 
potential shortcomings with that approach (see 2016 Regulatory Impact 
Analysis at 79 n.34) but have not received comments about ways to

[[Page 45756]]

improve that analysis. We thus follow the same basic approach here.
    The full analysis of economic impacts is available in the docket 
for this proposed rule (Ref. 1) and at https://www.fda.gov/AboutFDA/ReportsManualsForms/Reports/EconomicAnalyses.

V. Analysis of Environmental Impact

    We have determined under 21 CFR 25.30(k) that this action is of a 
type that does not individually or cumulatively have a significant 
effect on the human environment. Therefore, neither an environmental 
assessment nor an environmental impact statement is required.

VI. Paperwork Reduction Act of 1995

    This proposed rule contains no collection of information. 
Therefore, clearance by the Office of Management and Budget under the 
Paperwork Reduction Act of 1995 is not required.

VII. Federalism

    We have analyzed this proposed rule in accordance with the 
principles set forth in Executive Order 13132. Section 4(a) of the 
Executive Order requires Agencies to ``construe * * * a Federal statute 
to preempt State law only where the statute contains an express 
preemption provision or there is some other clear evidence that the 
Congress intended preemption of State law, or where the exercise of 
State authority conflicts with the exercise of Federal authority under 
the Federal statute.'' Section 403A of the FD&C Act (21 U.S.C. 343-1) 
is an express preemption provision. Section 403A(a) of the FD&C Act 
provides that: ``* * * no State or political subdivision of a State may 
directly or indirectly establish under any authority or continue in 
effect as to any food in interstate commerce--(4) any requirement for 
nutrition labeling of food that is not identical to the requirement of 
section 403(q) * * *.'' The express preemption provision of section 
403A(a) of the FD&C Act does not preempt any State or local requirement 
respecting a statement in the labeling of food that provides for a 
warning concerning the safety of the food or component of the food 
(section 6(c)(2) of the Nutrition Labeling and Education Act of 1990, 
Pub. L. 101-535, 104 Stat. 2353, 2364 (1990)). If this proposed rule is 
made final, the final rule would create requirements that fall within 
the scope of section 403A(a) of the FD&C Act.

VIII. References

    The following reference is on display in the Dockets Management 
Staff (see ADDRESSES) and is available for viewing by interested 
persons between 9 a.m. and 4 p.m., Monday through Friday; it is also 
available electronically at https://www.regulations.gov. FDA has 
verified the Web site addresses, as of the date this document publishes 
in the Federal Register, but Web sites are subject to change over time.

1. United States Department of Health and Human Services. United 
States Food and Drug Administration. Preliminary Regulatory Impact 
Analysis, Preliminary Regulatory Flexibility Analysis for Proposed 
Rule on ``Food Labeling: Revision of the Nutrition and Supplement 
Facts Labels and Serving Sizes of Foods That Can Reasonably Be 
Consumed At One Eating Occasion; Dual-Column Labeling; Updating, 
Modifying, and Establishing Certain Reference Amounts Customarily 
Consumed; Serving Size for Breath Mints; and Technical Amendments; 
Extension of Compliance Dates.'' September 2017. Available from 
http://www.fda.gov/AboutFDA/ReportsManualsForms/Reports/EconomicAnalyses.

    Dated: September 26, 2017.
Anna K. Abram,
Deputy Commissioner for Policy, Planning, Legislation, and Analysis.
[FR Doc. 2017-21019 Filed 9-29-17; 8:45 am]
 BILLING CODE 4164-01-P



                                                                         Federal Register / Vol. 82, No. 189 / Monday, October 2, 2017 / Proposed Rules                                          45753

                                                  on December 5, 2016, at 81 FR 87686)                    ADDRESSES:   You may submit comments                  and Serving Sizes of Foods That Can
                                                  (annualized costs of $154 million); and                 on the extension of the compliance                    Reasonably Be Consumed at One Eating
                                                    20. The FMCSA’s final rule on Minimum                 period as follows. Please note that late,             Occasion; Dual-Column Labeling;
                                                  Training Requirements for Entry-Level
                                                  Commercial Motor Vehicle Operators (RIN:
                                                                                                          untimely filed comments will not be                   Updating, Modifying, and Establishing
                                                  2126–AB66) (published on December 8,                    considered. Electronic comments must                  Certain Reference Amounts Customarily
                                                  2016, at 81 FR 88732) (annualized costs of              be submitted on or before November 1,                 Consumed; Serving Size for Breath
                                                  $368 million).                                          2017. The https://www.regulations.gov                 Mints; and Technical Amendments;
                                                  [FR Doc. 2017–21101 Filed 9–29–17; 8:45 am]             electronic filing system will accept                  Extension of Compliance Date.’’
                                                  BILLING CODE 4910–9X–P
                                                                                                          comments until midnight Eastern Time                  Received comments, those filed in a
                                                                                                          at the end of November 1, 2017.                       timely manner (see ADDRESSES), will be
                                                                                                          Comments received by mail/hand                        placed in the docket and, except for
                                                                                                          delivery/courier (for written/paper                   those submitted as ‘‘Confidential
                                                  DEPARTMENT OF HEALTH AND
                                                                                                          submissions) will be considered timely                Submissions,’’ publicly viewable at
                                                  HUMAN SERVICES
                                                                                                          if they are postmarked or the delivery                https://www.regulations.gov or at the
                                                  Food and Drug Administration                            service acceptance receipt is on or                   Dockets Management Staff between 9
                                                                                                          before that date.                                     a.m. and 4 p.m., Monday through
                                                  21 CFR Part 101                                                                                               Friday.
                                                                                                          Electronic Submissions
                                                                                                                                                                   • Confidential Submissions—To
                                                  [Docket Nos. FDA–2012–N–1210 and FDA–                     Submit electronic comments in the                   submit a comment with confidential
                                                  2004–N–0258]                                            following way:                                        information that you do not wish to be
                                                  RIN 0910–ZA49                                             • Federal eRulemaking Portal:                       made publicly available, submit your
                                                                                                          https://www.regulations.gov. Follow the               comments only as a written/paper
                                                  Food Labeling: Revision of the                          instructions for submitting comments.                 submission. You should submit two
                                                  Nutrition and Supplement Facts Labels                   Comments submitted electronically,                    copies total. One copy will include the
                                                  and Serving Sizes of Foods That Can                     including attachments, to https://                    information you claim to be confidential
                                                  Reasonably Be Consumed at One                           www.regulations.gov will be posted to                 with a heading or cover note that states
                                                  Eating Occasion; Dual-Column                            the docket unchanged. Because your                    ‘‘THIS DOCUMENT CONTAINS
                                                  Labeling; Updating, Modifying, and                      comment will be made public, you are                  CONFIDENTIAL INFORMATION.’’ We
                                                  Establishing Certain Reference                          solely responsible for ensuring that your             will review this copy, including the
                                                  Amounts Customarily Consumed;                           comment does not include any                          claimed confidential information, in our
                                                  Serving Size for Breath Mints; and                      confidential information that you or a                consideration of comments. The second
                                                  Technical Amendments; Proposed                          third party may not wish to be posted,                copy, which will have the claimed
                                                  Extension of Compliance Dates                           such as medical information, your or                  confidential information redacted/
                                                                                                          anyone else’s Social Security number, or              blacked out, will be available for public
                                                  AGENCY:    Food and Drug Administration,                confidential business information, such
                                                  HHS.                                                                                                          viewing and posted on https://
                                                                                                          as a manufacturing process. Please note               www.regulations.gov. Submit both
                                                  ACTION:   Proposed rule.                                that if you include your name, contact                copies to the Dockets Management Staff.
                                                  SUMMARY:   The Food and Drug                            information, or other information that                If you do not wish your name and
                                                  Administration (FDA or we) is                           identifies you in the body of your                    contact information to be made publicly
                                                  proposing to extend the compliance                      comments, that information will be                    available, you can provide this
                                                  dates by approximately 1.5 years for the                posted on https://www.regulations.gov.                information on the cover sheet and not
                                                  final rules providing updated nutrition                   • If you want to submit a comment                   in the body of your comments and you
                                                  information on the label of food,                       with confidential information that you                must identify this information as
                                                  including dietary supplements; defining                 do not wish to be made available to the               ‘‘confidential.’’ Any information marked
                                                  a single-serving container; requiring                   public, submit the comment as a                       as ‘‘confidential’’ will not be disclosed
                                                  dual-column labeling for certain                        written/paper submission and in the                   except in accordance with 21 CFR 10.20
                                                  containers; updating, modifying, and                    manner detailed (see ‘‘Written/Paper                  and other applicable disclosure law. For
                                                  establishing certain reference amounts                  Submissions’’ and ‘‘Instructions’’).                  more information about FDA’s posting
                                                  customarily consumed (RACCs); and                       Written/Paper Submissions                             of comments to public dockets, see 80
                                                  amending the label serving size for                       Submit written/paper submissions as                 FR 56469, September 18, 2015, or access
                                                  breath mints. The final rules appeared                  follows:                                              the information at: https://www.gpo.gov/
                                                  in the Federal Register of May 27, 2016.                  • Mail/Hand delivery/Courier (for                   fdsys/pkg/FR-2015-09-18/pdf/2015-
                                                  We are taking this action because, after                written/paper submissions): Dockets                   23389.pdf.
                                                  careful consideration, we have                          Management Staff (HFA–305), Food and                     Docket: For access to the docket to
                                                  tentatively determined that additional                  Drug Administration, 5630 Fishers                     read background documents or the
                                                  time would help ensure that all                         Lane, Rm. 1061, Rockville, MD 20852.                  electronic and written/paper comments
                                                  manufacturers covered by the final rules                  • For written/paper comments                        received, go to https://
                                                  have guidance from FDA to address, for                  submitted to the Dockets Management                   www.regulations.gov and insert the
                                                  example, certain technical questions we                 Staff, FDA will post your comment, as                 docket number, found in brackets in the
                                                  received after publication of the final                 well as any attachments, except for                   heading of this document, into the
sradovich on DSK3GMQ082PROD with PROPOSALS




                                                  rules, and that they are able to complete               information submitted, marked and                     ‘‘Search’’ box and follow the prompts
                                                  and print updated Nutrition Facts labels                identified, as confidential, if submitted             and/or go to the Dockets Management
                                                  for their products before they are                      as detailed in ‘‘Instructions.’’                      Staff, 5630 Fishers Lane, Rm. 1061,
                                                  expected to be in compliance with the                     Instructions: All submissions received              Rockville, MD 20852.
                                                  final rules.                                            must include the Docket Nos. FDA–                     FOR FURTHER INFORMATION CONTACT:
                                                  DATES: Submit either electronic or                      2012–N–1210 and FDA–2004–N–0258                       Paula Trumbo, Center for Food Safety
                                                  written comments on the proposed rule                   for ‘‘Food Labeling: Revision of the                  and Applied Nutrition (HFS–830), Food
                                                  by November 1, 2017.                                    Nutrition and Supplement Facts Labels                 and Drug Administration, 5001 Campus


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                                                  45754                  Federal Register / Vol. 82, No. 189 / Monday, October 2, 2017 / Proposed Rules

                                                  Dr., College Park, MD 20740, 240–402–                   certain nutrients under specified                     FDA to address, for example, certain
                                                  2579.                                                   circumstances.                                        technical questions we received after
                                                  SUPPLEMENTARY INFORMATION:                                 The Serving Size Final Rule requires               publication of the final rules (see Docket
                                                                                                          all containers, including containers of               No. FDA–2016–D–4414 (pertaining to a
                                                  Table of Contents                                       products with ‘‘large’’ RACCs (i.e.,                  draft guidance entitled ‘‘Questions and
                                                  I. Background                                           products with RACCs of at least 100                   Answers on the Nutrition and
                                                  II. Description of the Proposed Rule                    grams (g) or 100 milliliters (mL)),                   Supplement Facts Labels Related to the
                                                  III. Proposed Compliance Dates                          containing less than 200 percent of the               Compliance Date, Added Sugars, and
                                                  IV. Economic Analysis of Impacts                        RACC to be labeled as a single-serving                Declaration of Quantitative Amounts of
                                                  V. Analysis of Environmental Impact                     container. Except for when certain                    Vitamins and Minerals: Guidance for
                                                  VI. Paperwork Reduction Act of 1995
                                                  VII. Federalism
                                                                                                          exceptions apply, the Serving Size Final              Industry’’)), and that they are able to
                                                  VIII. References                                        Rule further requires that containers and             complete and print updated Nutrition
                                                                                                          units that contain at least 200 percent               Facts labels for their products before
                                                  I. Background                                           and up to and including 300 percent of                they are expected to be in compliance
                                                     In the Federal Register of May 27,                   the RACC be labeled with a column of                  with the rules. Companies and trade
                                                  2016 (81 FR 33742 and 81 FR 34000),                     nutrition information within the                      associations with members covered by
                                                  we published two final rules entitled                   Nutrition Facts label that lists the                  the rules have informed us that they
                                                  ‘‘Food Labeling: Revision of the                        quantitative amounts and percent DVs                  have significant concerns about their
                                                  Nutrition and Supplement Facts Labels’’                 for the entire container, in addition to              ability to update all their labels by the
                                                  (the Nutrition Facts Label Final Rule)                  the required column listing the                       compliance dates due to issues
                                                  and ‘‘Food Labeling: Serving Sizes of                   quantitative amounts and percent DVs                  regarding (among other things) the need
                                                  Foods That Can Reasonably Be                            for a serving that is less than the entire            for upgrades to labeling software, the
                                                  Consumed At One Eating Occasion;                        container (i.e., the serving size derived             need to obtain nutrition information
                                                  Dual-Column Labeling; Updating,                         from the RACC). The Serving Size Final                from suppliers, the number of products
                                                  Modifying, and Establishing Certain                     Rule also updates, modifies, and                      that would need new labels, and a
                                                  Reference Amounts Customarily                           establishes RACCs for certain foods and               limited time for reformulation of
                                                  Consumed; Serving Size for Breath                       product categories.                                   products. Consequently, we are
                                                  Mints; and Technical Amendments’’                       II. Description of the Proposed Rule                  proposing to extend the compliance
                                                  (the Serving Size Final Rule). The                                                                            dates to provide more time to comply
                                                  Nutrition Facts Label Final Rule revises                   We are proposing to extend the                     with the Nutrition Facts Label and the
                                                  the Nutrition Facts label by:                           compliance date for manufacturers with                Serving Size Final Rules. We propose
                                                     • Removing the declaration of                        $10 million or more in annual food sales              extending the compliance date by
                                                  ‘‘Calories from fat’’ because current                   in the final rules published on May 27,               approximately 1.5 years for both
                                                  science supports a view that the type of                2016, from July 26, 2018, to January 1,               categories of manufacturers as a means
                                                  fat is more relevant than overall total fat             2020, and the compliance date for                     to balance the importance of ensuring
                                                  intake in increased risk of chronic                     manufacturers with less than $10                      that industry has sufficient time to
                                                  diseases;                                               million in annual food sales in the final             comply with complex new
                                                     • Requiring the declaration of the                   rules published on May 27, 2016, from                 requirements, and the importance of
                                                  gram amount of ‘‘Added Sugars’’ in a                    July 26, 2019, to January 1, 2021.                    decreasing costs, against the importance
                                                  serving of a product, establishing a                       We emphasize that this proposed rule               of minimizing the transition period
                                                  Daily Reference Value (DRV), and                        would only extend the compliance                      during which consumers will see both
                                                  requiring the percent Daily Value (DV)                  dates. Therefore, comments to this                    the old and the new versions of the label
                                                  declaration for added sugars;                           proposed rule should pertain to the                   in the marketplace.
                                                     • Changing ‘‘Sugars’’ to ‘‘Total                     extension of the compliance dates only.                  We are taking this action consistent
                                                  Sugars’’ and requiring that ‘‘Includes ‘X’              We are proposing to extend the                        with Executive Orders 13771 and 13563
                                                  g Added Sugars’’ be indented and                        compliance dates for the Nutrition Facts              and in response to the continued
                                                  declared directly below ‘‘Total Sugars’’                Label Final Rule and the Serving Size                 concern that companies and trade
                                                  on the label;                                           Final Rule, consistent with our                       associations have shared with us
                                                     • Updating the list of vitamins and                  authority in sections 403(q) and 701(a)               regarding the time needed for
                                                  minerals of public health significance.                 of the Federal Food, Drug, and Cosmetic               implementation of the final rules and
                                                  For example, the Nutrition Facts Label                  Act (the FD&C Act) (21 U.S.C. 343(q)                  the need for FDA to provide further
                                                  Final Rule requires the declaration of                  and 371(a), respectively).                            guidance to manufacturers subject to the
                                                  vitamin D and potassium and permits,                                                                          final rules. Consistent with the policies
                                                                                                          III. Proposed Compliance Dates
                                                  rather than requires, the declaration of                                                                      set forth in these executive orders with
                                                  vitamins A and C;                                          This proposed rule would extend the                respect to reducing burdens, reducing
                                                     • Updating certain reference values                  compliance date for manufacturers with                costs, maintaining flexibility, and
                                                  used in the declaration of percent DVs                  $10 million or more in annual food sales              improving effectiveness, we are
                                                  of nutrients on the Nutrition Facts and                 in the final rules published on May 27,               therefore proposing to extend the
                                                  Supplement Facts labels;                                2016, from July 26, 2018, to January 1,               compliance date for manufacturers with
                                                     • Revising the format of the Nutrition               2020, and the compliance date for                     $10 million or more in annual food sales
                                                  Facts and Supplement Facts labels to                    manufacturers with less than $10                      to January 1, 2020, and the compliance
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                                                  increase the prominence of the term                     million in annual food sales in the final             date for manufacturers with less than
                                                  ‘‘Calories;’’                                           rules published on May 27, 2016, from                 $10 million in annual food sales to
                                                     • Removing the requirement for the                   July 26, 2019, to January 1, 2021. We are             January 1, 2021.
                                                  footnote table listing the reference                    taking this action because, after careful                Our goal is to complete this
                                                  values for certain nutrients for 2,000                  consideration, we have tentatively                    rulemaking as quickly as possible.
                                                  and 2,500 calorie diets; and                            determined that additional time would                 However, we are aware that firms are
                                                     • Requiring the maintenance of                       help ensure that all manufacturers                    working under the current compliance
                                                  records to support the declarations of                  covered by the rules have guidance from               dates to come into compliance. Pending


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                                                                                 Federal Register / Vol. 82, No. 189 / Monday, October 2, 2017 / Proposed Rules                                                             45755

                                                  completion of this rulemaking, we                                       incremental costs associated with new                            The principal benefit of this proposed
                                                  intend to exercise enforcement                                          regulations shall, to the extent permitted                    rule to extend the compliance dates is
                                                  discretion with respect to the current                                  by law, be offset by the elimination of                       the reduction in the costs to industry of
                                                  July 26, 2018, and July 26, 2019,                                       existing costs associated with at least                       meeting the compliance dates of the
                                                  compliance dates.                                                       two prior regulations. This proposed                          Nutrition Facts Label Final Rule and the
                                                                                                                          rule is expected to be an Executive                           Serving Size Final Rule. This reduction
                                                  IV. Economic Analysis of Impacts
                                                                                                                          Order 13771 deregulatory action. Details                      in costs can be attributed to a reduction
                                                     We have examined the impacts of this                                 on the estimated cost savings of this                         in the relabeling and reformulation costs
                                                  proposed rule under Executive Order                                     proposed rule can be found in the rule’s                      of the Nutrition Facts Label and Serving
                                                  12866, Executive Order 13563,                                           economic analysis.                                            Size Final Rules. We estimate that, at
                                                  Executive Order 13771, the Regulatory                                                                                                 the mean, the present value of the
                                                                                                                             The Regulatory Flexibility Act
                                                  Flexibility Act (5 U.S.C. 601–612), and                                                                                               benefits (i.e., cost savings) of this
                                                                                                                          requires us to analyze regulatory options
                                                  the Unfunded Mandates Reform Act of                                                                                                   proposed rule to extend the compliance
                                                                                                                          that would minimize any significant
                                                  1995 (Pub. L. 104–4). Executive Orders                                                                                                dates over the next 20 years is $1.0
                                                                                                                          impact of a rule on small entities when
                                                  12866 and 13563 direct us to assess all                                                                                               billion using either a 3 percent or 7
                                                                                                                          ‘‘the agency publishes a general notice
                                                  costs and benefits of available regulatory                                                                                            percent discount rate (2016$). This is
                                                                                                                          of proposed rulemaking’’ (5 U.S.C.
                                                  alternatives and, when regulation is                                                                                                  illustrated in table 1. Extending the
                                                                                                                          601(2)). We have analyzed the proposed
                                                  necessary, to select regulatory                                                                                                       compliance dates by approximately 1.5
                                                                                                                          rule under the Regulatory Flexibility
                                                  approaches that maximize net benefits                                                                                                 years would reduce the estimated
                                                                                                                          Act and propose to certify that, because
                                                  (including potential economic,                                                                                                        benefits of the Nutrition Facts Label and
                                                                                                                          the proposed rule only would extend
                                                  environmental, public health and safety,                                                                                              Serving Size Final Rules because it
                                                  and other advantages; distributive                                      the compliance dates for the Nutrition
                                                                                                                                                                                        would delay the realization by
                                                  impacts; and equity). Executive Order                                   Facts Label and Serving Size Final
                                                                                                                                                                                        consumers of the full annual welfare
                                                  13771 requires that the costs associated                                Rules, the proposed rule would not have
                                                                                                                                                                                        gains of the Nutrition Facts Label and
                                                  with significant new regulations ‘‘shall,                               a significant economic impact on a
                                                                                                                                                                                        Serving Size Final Rules. More
                                                  to the extent permitted by law, be offset                               substantial number of small entities.                         specifically, an extension of the
                                                  by the elimination of existing costs                                       The Unfunded Mandates Reform Act                           compliance dates would delay the
                                                  associated with at least two prior                                      of 1995 (section 202(a)) requires us to                       incorporation of the provisions of the
                                                  regulations.’’ We believe that this                                     prepare a written statement, which                            Nutrition Facts Label and Serving Size
                                                  proposed rule is a significant regulatory                               includes an assessment of anticipated                         Final Rules by food manufacturers into
                                                  action as defined by Executive Order                                    costs and benefits, before proposing                          their products. We estimate that, at the
                                                  12866.                                                                  ‘‘any rule that includes any Federal                          mean, the present value of the forgone
                                                     Executive Order 13771, entitled                                      mandate that may result in the                                benefits of this proposed rule to extend
                                                  ‘‘Reducing Regulation and Controlling                                   expenditure by State, local, and tribal                       the compliance dates over the next 20
                                                  Regulatory Costs,’’ was issued on                                       governments, in the aggregate, or by the                      years is $0.9 billion using either a 3
                                                  January 30, 2017. Section 2(a) of                                       private sector, of $100,000,000 or more                       percent or 7 percent discount rate
                                                  Executive Order 13771 requires an                                       (adjusted annually for inflation) in any                      (2016$). This is also presented in table
                                                  Agency, unless prohibited by law, to                                    one year.’’ The current threshold after                       1. We estimate that, at the mean, the
                                                  identify at least two existing regulations                              adjustment for inflation is $148 million,                     present value of the net benefits (that is,
                                                  to be repealed when the Agency                                          using the 2016 Implicit Price Deflator                        cost savings minus forgone benefits) of
                                                  publicly proposes for notice and                                        for the Gross Domestic Product. We                            this proposed rule to extend the
                                                  comment or otherwise promulgates a                                      have determined that the proposed rule                        compliance dates over the next 20 years
                                                  new regulation. In furtherance of this                                  would not result in any expenditure by                        is $0.1 billion using either a 3 percent
                                                  requirement, section 2(c) of Executive                                  industry in any year that meets or                            or 7 percent discount rate (2016$). This
                                                  Order 13771 requires that the new                                       exceeds this amount.                                          is shown in table 1.

                                                  TABLE 1—SUMMARY OF THE COST SAVINGS TO INDUSTRY AND FOREGONE BENEFITS TO CONSUMERS OF THIS PROPOSED
                                                                                 RULE TO EXTEND THE COMPLIANCE DATES
                                                                                                                                              [In billions of 2016]

                                                                                                                                                                                                                        Net benefits
                                                                                                                                                                                                                            (cost
                                                                                                                                                                     Discount rate                        Foregone
                                                                                                                                                                                      Cost savings                       savings¥
                                                                                                                                                                       (percent)                           benefits      foregone
                                                                                                                                                                                                                          benefits)

                                                  Present Value ..................................................................................................                3              $1.0            $0.9            $0.1
                                                                                                                                                                                  7               1.0             0.9             0.1
                                                  Annualized Amount ..........................................................................................                    3              0.07            0.06            0.01
                                                                                                                                                                                  7              0.09            0.08            0.01
                                                    Notes: Cost savings to industry, foregone benefits to consumers, and net benefits reflect mean estimates. This proposed rule to extend the
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                                                  compliance dates would extend the compliance dates of the Nutrition Facts Label and Serving Size Final Rules by approximately 1.5 years.
                                                  Annualized Amount = Amount/Annualizing Factor. 3 percent annualizing factor = 14.88. 7 percent annualizing factor = 10.59. The annualizing
                                                  factors are calculated by summing the inverse of 1 plus the discount rate to the power of the year (t = 1 through t = 20).


                                                    For purposes of this analysis, we use                                 original Regulatory Impact Analysis for                       with that approach (see 2016 Regulatory
                                                  the same methodology for estimating                                     the Final Rules. We previously                                Impact Analysis at 79 n.34) but have not
                                                  costs and benefits that we used in the                                  acknowledged potential shortcomings                           received comments about ways to



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                                                  45756                  Federal Register / Vol. 82, No. 189 / Monday, October 2, 2017 / Proposed Rules

                                                  improve that analysis. We thus follow                   ADDRESSES) and is available for viewing               delivery to: Director, Regulation Policy
                                                  the same basic approach here.                           by interested persons between 9 a.m.                  and Management (00REG), Department
                                                     The full analysis of economic impacts                and 4 p.m., Monday through Friday; it                 of Veterans Affairs, 810 Vermont Ave.
                                                  is available in the docket for this                     is also available electronically at https://          NW., Room 1063B, Washington, DC
                                                  proposed rule (Ref. 1) and at https://                  www.regulations.gov. FDA has verified                 20420; or by fax to (202) 273–9026.
                                                  www.fda.gov/AboutFDA/Reports                            the Web site addresses, as of the date                (This is not a toll-free telephone
                                                  ManualsForms/Reports/Economic                           this document publishes in the Federal                number.) Comments should indicate
                                                  Analyses.                                               Register, but Web sites are subject to                that they are submitted in response to
                                                  V. Analysis of Environmental Impact                     change over time.                                     ‘‘RIN 2900–AQ06-Authority of Health
                                                                                                          1. United States Department of Health and             Care Providers to Practice Telehealth.’’
                                                    We have determined under 21 CFR                                                                             Copies of comments received will be
                                                                                                              Human Services. United States Food and
                                                  25.30(k) that this action is of a type that                 Drug Administration. Preliminary                  available for public inspection in the
                                                  does not individually or cumulatively                       Regulatory Impact Analysis, Preliminary           Office of Regulation Policy and
                                                  have a significant effect on the human                      Regulatory Flexibility Analysis for               Management, Room 1068, between the
                                                  environment. Therefore, neither an                          Proposed Rule on ‘‘Food Labeling:                 hours of 8:00 a.m. and 4:30 p.m.,
                                                  environmental assessment nor an                             Revision of the Nutrition and                     Monday through Friday (except
                                                  environmental impact statement is                           Supplement Facts Labels and Serving               holidays). Please call (202) 461–4902 for
                                                  required.                                                   Sizes of Foods That Can Reasonably Be
                                                                                                              Consumed At One Eating Occasion;
                                                                                                                                                                an appointment. (This is not a toll-free
                                                  VI. Paperwork Reduction Act of 1995                         Dual-Column Labeling; Updating,                   telephone number.) In addition, during
                                                                                                              Modifying, and Establishing Certain               the comment period, comments may be
                                                    This proposed rule contains no                                                                              viewed online through the Federal
                                                                                                              Reference Amounts Customarily
                                                  collection of information. Therefore,                       Consumed; Serving Size for Breath                 Docket Management System (FDMS) at
                                                  clearance by the Office of Management                       Mints; and Technical Amendments;                  http://www.regulations.gov.
                                                  and Budget under the Paperwork                              Extension of Compliance Dates.’’                  FOR FURTHER INFORMATION CONTACT:
                                                  Reduction Act of 1995 is not required.                      September 2017. Available from http://
                                                                                                                                                                Kevin Galpin, MD, Executive Director
                                                                                                              www.fda.gov/AboutFDA/Reports
                                                  VII. Federalism                                             ManualsForms/Reports/Economic                     Telehealth Services, Veterans Health
                                                    We have analyzed this proposed rule                       Analyses.                                         Administration Office of Connected
                                                  in accordance with the principles set                                                                         Care, 810 Vermont Avenue NW.,
                                                                                                            Dated: September 26, 2017.
                                                  forth in Executive Order 13132. Section                                                                       Washington, DC 20420. (404) 771–8794.
                                                                                                          Anna K. Abram,                                        (This is not a toll-free number.)
                                                  4(a) of the Executive Order requires
                                                                                                          Deputy Commissioner for Policy, Planning,             Kevin.Galpin@va.gov.
                                                  Agencies to ‘‘construe * * * a Federal                  Legislation, and Analysis.
                                                  statute to preempt State law only where                                                                       SUPPLEMENTARY INFORMATION: Section
                                                                                                          [FR Doc. 2017–21019 Filed 9–29–17; 8:45 am]
                                                  the statute contains an express                                                                               7301 of title 38, United States Code
                                                                                                          BILLING CODE 4164–01–P                                (U.S.C.), establishes the general
                                                  preemption provision or there is some
                                                  other clear evidence that the Congress                                                                        functions of the Veterans Health
                                                  intended preemption of State law, or                                                                          Administration (VHA) within VA, and
                                                  where the exercise of State authority                   DEPARTMENT OF VETERANS                                establishes that its primary function is
                                                  conflicts with the exercise of Federal                  AFFAIRS                                               to ‘‘provide a complete medical and
                                                  authority under the Federal statute.’’                                                                        hospital service for the medical care and
                                                  Section 403A of the FD&C Act (21                        38 CFR Part 17                                        treatment of veterans, as provided in
                                                  U.S.C. 343–1) is an express preemption                  RIN 2900–AQ06                                         this title and in regulations prescribed
                                                  provision. Section 403A(a) of the FD&C                                                                        by the Secretary [of Veterans Affairs
                                                  Act provides that: ‘‘* * * no State or                  Authority of Health Care Providers To                 (Secretary)] pursuant to this title.’’ 38
                                                  political subdivision of a State may                    Practice Telehealth                                   U.S.C. 7301(b). In carrying out this
                                                  directly or indirectly establish under                                                                        function, VHA must ensure that patient
                                                                                                          AGENCY:    Department of Veterans Affairs.            care is appropriate and safe and its
                                                  any authority or continue in effect as to
                                                  any food in interstate commerce—(4)                     ACTION:   Proposed rule.                              health care providers meet or exceed
                                                  any requirement for nutrition labeling of                                                                     generally accepted professional
                                                                                                          SUMMARY:    The Department of Veterans
                                                  food that is not identical to the                                                                             standards for patient care. In addition,
                                                                                                          Affairs (VA) proposes to amend its
                                                  requirement of section 403(q) * * *.’’                                                                        because VA is a national health care
                                                                                                          medical regulations by standardizing
                                                  The express preemption provision of                                                                           provider, VHA must ensure that
                                                                                                          the delivery of care by VA health care
                                                  section 403A(a) of the FD&C Act does                                                                          beneficiaries receive the same high level
                                                                                                          providers through telehealth. This rule
                                                  not preempt any State or local                                                                                of care and access to care no matter
                                                                                                          would ensure that VA health care
                                                  requirement respecting a statement in                                                                         where, in a State, a beneficiary or health
                                                                                                          providers provide the same level of care
                                                  the labeling of food that provides for a                                                                      care provider is located at the time the
                                                                                                          to all beneficiaries, irrespective of the
                                                  warning concerning the safety of the                                                                          health care is provided.
                                                                                                          State or location in a State of the VA                   The Secretary is responsible for the
                                                  food or component of the food (section                  health care provider or the beneficiary.
                                                  6(c)(2) of the Nutrition Labeling and                                                                         proper execution and administration of
                                                                                                          This proposed rule would achieve                      all laws administered by the Department
                                                  Education Act of 1990, Pub. L. 101–535,                 important Federal interests by                        and for the control, direction, and
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                                                  104 Stat. 2353, 2364 (1990)). If this                   increasing the availability of mental
                                                  proposed rule is made final, the final                                                                        management of the Department,
                                                                                                          health, specialty, and general clinical               including agency personnel and
                                                  rule would create requirements that fall                care for all beneficiaries.
                                                  within the scope of section 403A(a) of                                                                        management matters. See 38 U.S.C. 303.
                                                                                                          DATES: Comments must be received on                   To this end, Congress authorized the
                                                  the FD&C Act.
                                                                                                          or before November 1, 2017.                           Secretary ‘‘to prescribe all rules and
                                                  VIII. References                                        ADDRESSES: Written comments may be                    regulations which are necessary or
                                                    The following reference is on display                 submitted through http://                             appropriate to carry out the laws
                                                  in the Dockets Management Staff (see                    www.Regulations.gov by mail or hand-                  administered by the Department and are


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Document Created: 2017-09-30 04:41:22
Document Modified: 2017-09-30 04:41:22
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.
DatesSubmit either electronic or written comments on the proposed rule by November 1, 2017.
ContactPaula Trumbo, Center for Food Safety and Applied Nutrition (HFS-830), Food and Drug Administration, 5001 Campus Dr., College Park, MD 20740, 240-402-2579.
FR Citation82 FR 45753 
RIN Number0910-ZA49

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