82 FR 50802 - Guaranteed Loanmaking
DEPARTMENT OF AGRICULTURE
Rural Business-Cooperative Service
Rural Utilities Service Federal Register Volume 82, Issue 211 (November 2, 2017)
Rural Business-Cooperative Service
Rural Utilities Service
Federal Register Volume 82, Issue 211 (November 2, 2017)
| Page Range | 50802-50802 | |
| FR Document | 2017-23912 |
[Federal Register Volume 82, Number 211 (Thursday, November 2, 2017)] [Rules and Regulations] [Page 50802] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-23912] ----------------------------------------------------------------------- DEPARTMENT OF AGRICULTURE Rural Business-Cooperative Service Rural Utilities Service 7 CFR Part 4279 Guaranteed Loanmaking CFR Correction In Title 7 of the Code of Federal Regulations, Part 2000 to End, revised as of January 1, 2017, on page 749, Sec. 4279.162 is added to read as follows: Sec. 4279.162 Strategic economic and community development. Applicants with projects that support the implementation of strategic economic development and community development plans are encouraged to review and consider 7 CFR part 1980, subpart K, which contains provisions for providing priority to projects that support the implementation of strategic economic development and community development plans on a Multi-jurisdictional basis. [81 FR 10457, Mar. 1, 2016] [FR Doc. 2017-23912 Filed 11-1-17; 8:45 am] BILLING CODE 1301-00-D
![50802 Federal Register / Vol. 82, No. 211 / Thursday, November 2, 2017 / Rules and Regulations
Section 301.75–15 issued under Sec. 204, provide detailed and updated criteria medication to control diabetes. As
Title II, Public Law 106–113, 113 Stat. for evaluation of endocrine disorders. stated in the proposed rule, VA is not
1501A–293; sections 301.75–15 and 301.75– proposing any change to the evaluation
DATES: This rule is effective on
16 issued under Sec. 203, Title II, Public Law criteria for DC 7913 at this time other
106–224, 114 Stat. 400 (7 U.S.C. 1421 note). December 10, 2017.
FOR FURTHER INFORMATION CONTACT: than requiring ‘‘one or more daily
Done in Washington, DC, this 30th day of injection’’ of insulin for a 20-, 40- or 60-
Ioulia Vvedenskaya, Medical Officer,
October 2017. percent rating and instead intends to
Part 4 VASRD Regulations Staff (211C),
Michael C. Gregoire, Compensation Service, Veterans establish a work group to specifically
Acting Administrator, Animal and Plant Benefits Administration, Department of address this condition. Therefore, these
Health Inspection Service. Veterans Affairs, 810 Vermont Avenue comments are beyond the scope of this
[FR Doc. 2017–23897 Filed 11–1–17; 8:45 am] NW., Washington, DC 20420, rulemaking. However, VA will take
BILLING CODE 3410–34–P Ioulia.Vvedenskaya@va.gov, (202) 461– these comments into consideration in
9700 (this is not a toll-free telephone connection with a possible future
number). rulemaking.
DEPARTMENT OF AGRICULTURE One commenter suggested changing
SUPPLEMENTARY INFORMATION: VA the terminology for a 100-percent rating
Rural Business-Cooperative Service published a proposed rule in the under DC 7903, ‘‘Hypothyroidism’’ from
Federal Register at 80 FR 39011 on July ‘‘myxedema’’ to ‘‘myxedema coma or
Rural Utilities Service 8, 2015, to amend the portion of the crisis’’ because myxedema can be
VASRD dealing with endocrine present without causing the requisite
7 CFR Part 4279 disorders. VA provided a 60-day public level of symptoms for a 100-percent
comment period, and interested persons rating. Myxedema is a term used to
Guaranteed Loanmaking were invited to submit written denote severe hypothyroidism, and
comments, suggestions, or objections on myxedema coma or myxedema crisis is
CFR Correction or before September 8, 2015. VA a medical emergency and represents a
In Title 7 of the Code of Federal received comments from four specific rare life-threatening clinical
Regulations, Part 2000 to End, revised as individuals. In addition, VA received a condition. Because the clinical picture
of January 1, 2017, on page 749, comment from a veterans service of myxedema appears in the most
§ 4279.162 is added to read as follows: organization. Unless otherwise extreme cases of hypothyroidism, we
indicated below, VA adopts the changes believe that this manifestation of the
§ 4279.162 Strategic economic and
community development.
set forth in the proposed rule. disability warrants a 100-percent rating
Public Comments (See Greenspan’s Basic & Clinical
Applicants with projects that support
Endocrinology (D.G. Gardner et al. eds.,
the implementation of strategic One commenter asked whether VA 9th ed. 2011) available at http://
economic development and community would recognize polycystic ovarian accessmedicine.mhmedical.com/
development plans are encouraged to syndrome (PCOS) under the VA rating content.aspx?bookid=380&
review and consider 7 CFR part 1980, schedule. VA has a mechanism in place sectionid=39744047#8401831).
subpart K, which contains provisions to address PCOS under 38 CFR 4.116. Therefore, VA makes no changes based
for providing priority to projects that Specifically, the rating schedule for on this comment.
support the implementation of strategic Gynecological Conditions and Disorders The same commenter proposed that
economic development and community of the Breast addresses various ovarian VA retain a 10-percent minimum
development plans on a Multi- conditions under Diagnostic Code (DC) evaluation in the DCs for endocrine
jurisdictional basis. 7615, ‘‘Ovary, disease, injury, or disabilities because of the need for
[81 FR 10457, Mar. 1, 2016] adhesions of’’ and allows VA to rate continuous medication to control the
[FR Doc. 2017–23912 Filed 11–1–17; 8:45 am] based on whether symptoms are symptoms of these disabilities. VA
BILLING CODE 1301–00–D controlled by or require continuous disagrees. In the absence of symptoms,
treatment. In exceptional cases where medical management of chronic
the schedular evaluation is inadequate, endocrine disorders does not present a
DEPARTMENT OF VETERANS 38 CFR 3.321 allows for extraschedular significant lifestyle adjustment, and it
AFFAIRS evaluation. Therefore, VA makes no does not result in impairment of earning
changes based on this comment. capacity (see 38 U.S.C. 1155). Therefore,
38 CFR Part 4 Two commenters proposed additional VA makes no changes based on this
modifications to DC 7913, ‘‘Diabetes comment.
RIN 2900–AO44 mellitus.’’ One commenter suggested The same commenter noted a
adding a note to address the issue of typographical error in the text of
Schedule for Rating Disabilities; The
regulation of activities. Another proposed DC 7911. The word
Endocrine System
commenter suggested not changing the ‘‘adrenocortical’’ was misspelled as
AGENCY: Department of Veterans Affairs. insulin requirements within DC 7913 ‘‘adrenalcortical.’’ VA has changed the
ACTION: Final rule. without considering the other spelling of the term based on this
requirements in the DC such as comment.
SUMMARY: This document amends the regulation of activities. The same One commenter was supportive of the
Department of Veterans Affairs (VA) commenter suggested removing the overall changes and additions to this
insulin requirement for a 20-percent section of the VASRD, such as
nlaroche on DSK9F9SC42PROD with RULES
Schedule for Rating Disabilities
(VASRD) by revising the portion of the rating and the regulation of activities additional DCs, clarification of notes on
Schedule that addresses endocrine requirement at all disability ratings residuals affecting other body systems,
conditions and disorders of the under the DC. The commenter stated instructions to rate some residuals
endocrine system. The effect of this that the functional impairment caused separately, accounting for additional
action is to ensure that the VASRD uses by required use of insulin is greater than symptoms, and formation of a new work
current medical terminology and to impairment caused by ingestion of oral group for diabetes mellitus. The
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Document Created: 2017-11-02 02:40:46
Document Modified: 2017-11-02 02:40:46
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Rules and Regulations | |
| FR Citation | 82 FR 50802 |
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