83 FR 48380 - Definition of Domiciliary Care
DEPARTMENT OF VETERANS AFFAIRS Federal Register Volume 83, Issue 186 (September 25, 2018)
Federal Register Volume 83, Issue 186 (September 25, 2018)
| Page Range | 48380-48382 | |
| FR Document | 2018-20707 |
[Federal Register Volume 83, Number 186 (Tuesday, September 25, 2018)] [Rules and Regulations] [Pages 48380-48382] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2018-20707] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF VETERANS AFFAIRS 38 CFR Part 17 RIN 2900-AP00 Definition of Domiciliary Care AGENCY: Department of Veterans Affairs. ACTION: Final rule. ----------------------------------------------------------------------- SUMMARY: The Department of Veterans Affairs (VA) adopts as final, with no [[Page 48381]] changes, a proposed rule amending the definition of domiciliary care to encompass VA's Mental Health Residential Rehabilitation Treatment Program (MH RRTP). This rule aligns regulations with VA's administrative decision in 2005 to designate MH RRTP as a type of domiciliary care. We also proposed clarifying that domiciliary care provides temporary, not permanent, residence to affected veterans. We provided a 60-day comment period on this proposed rule and received 4 comments, all of which were generally supportive of the proposed changes. We make no changes based on public comments and adopt the proposed rule as final. DATES: Effective Date: This rule is effective on October 25, 2018. FOR FURTHER INFORMATION CONTACT: Jamie R. Ploppert, National Director, Mental Health Residential Treatment Programs (10P4M), Veterans Health Administration, Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420; (757) 722-9991 extension 1123. (This is not a toll-free number.) SUPPLEMENTARY INFORMATION: Title 38, United States Code, section 1710(b)(2) authorizes VA to provide needed domiciliary care to veterans whose annual income does not exceed the applicable maximum annual rate of VA pension and to veterans who have no adequate means of support. Prior to the proposed changes to the definition ``domiciliary care'' was defined at 38 CFR 17.30(b) as the furnishing of a home to a veteran, embracing the furnishing of shelter, food, clothing and other comforts of home, including necessary medical services, as well as travel and incidental expenses pursuant to 38 CFR 70.10. Veterans eligible for domiciliary care include only: Those whose annual income does not exceed the maximum annual rate of pension payable to a veteran in need of regular aid and attendance; or those who have no adequate means of support, as this phrase is defined in 38 CFR 17.47(b)(2), who can perform the activities specified in 38 CFR 17.46(b) but who suffer from a chronic disability, disease, or defect that results in the veteran being unable to earn a living for a prospective period. See 38 CFR 17.47(b)(2) and (c). The domiciliary program is authorized to provide eligible veterans with a home and coordinated ambulatory medical care as needed. Typically, domiciliaries are co-located with VA medical centers or exist as designated bed-settings within the centers. While the above-referenced statutory definitions and eligibility criteria still apply as do the regulatory criteria of Sec. Sec. 17.46(b) and 17.47(b)(2), the scope of services furnished under the program has evolved significantly, requiring revision of Sec. Sec. 17.30(b) and 17.47(c). We proposed to amend the definition of domiciliary care to reflect that change. The scope of clinical services available to VA domiciliary residents has necessarily become specialized over time due to the characteristics of the patient populations served by the residential rehabilitation treatment model. In 2005, VA's supervision of domiciliary care facilities was moved from the Office of Geriatrics and Extended Care to the Office of Mental Health Services. In 2010, VA merged domiciliary care facilities and RRTPs (which began in 1995) into one system of residential care under the MH RRTP designation to fully integrate mental health residential rehabilitation and treatment and domiciliary care. MH RRTPs provide comprehensive supervised treatment and rehabilitative services to veterans with mental health or substance use disorders, and coexisting medical or psychosocial needs such as homelessness and unemployment. MH RRTPs identify and address goals of rehabilitation, recovery, health maintenance, improved quality of life, and community integration in addition to specific treatment of medical conditions, mental illnesses, addictive disorders, and homelessness. These services are intended to restore, to the maximum extent possible, the physical, mental, and psychological functioning of veterans receiving residential rehabilitation treatment. VA domiciliaries are used currently for VA's Domiciliary Residential Rehabilitation Treatment Programs; Domiciliary Care for Homeless Veterans Program, Health Maintenance Domiciliary beds program; General Domiciliary or Psychosocial Residential Rehabilitation Treatment Program; Domiciliary Substance Abuse programs; and Domiciliary Post-Traumatic Stress Disorder (PTSD) programs. On April 6, 2018, we proposed amending the definition of domiciliary care in Sec. 17.30(b) to also include MH RRTP. (83 FR 14804). We also proposed clarifying in both Sec. Sec. 17.30(b) and 17.47(c) that domiciliary care provides a temporary home, not permanent. This clarification is consistent with VA's long-standing practice of providing domiciliary care as a non-permanent living arrangement for eligible veterans. We provided a 60-day period in which the public had the opportunity to submit comments on the proposed rule. The comment period ended on June 5, 2018, and we received 4 comments, all of which were generally supportive of the proposed changes. One commenter stated that he supported the effort to provide clear and concise rules regarding the scope of domiciliary care. Another commenter stated that providing domiciliary care consistent with the proposed rule supports the services that homeless veterans need such as mental health, counseling, and substance treatment while providing a chance to implement change in their life and creating realistic timelines to facilitate progress. We appreciate the comments and believe that the MH RRTP provides important and necessary support to those veterans requiring such services. We make no changes based on public comments. Based on the rationale set forth in the proposed rule and in this document, VA adopts the proposed rule as final, with no changes. Effect of Rulemaking Title 38 of the Code of Federal Regulations, as revised by this final rulemaking, represents VA's implementation of its legal authority on this subject. Other than future amendments to this regulation or governing statutes, no contrary guidance or procedures are authorized. All existing or subsequent VA guidance must be read to conform with this rulemaking if possible or, if not possible, such guidance is superseded by this rulemaking. Paperwork Reduction Act This final rule contains no provisions constituting a collection of information under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501- 3521). Regulatory Flexibility Act The Secretary hereby certifies that this final rule will not have a significant economic impact on a substantial number of small entities as they are defined in the Regulatory Flexibility Act, 5 U.S.C. 601- 612. This final rule directly affects only individuals and will not directly affect small entities. Therefore, pursuant to 5 U.S.C. 605(b), this rulemaking is exempt from the initial and final regulatory flexibility analysis requirements of 5 U.S.C. 603 and 604. Executive Orders 12866, 13563, and 13771 Executive Orders 12866 and 13563 direct agencies to assess the costs and benefits of available regulatory alternatives and, when regulation is [[Page 48382]] necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, and other advantages; distributive impacts; and equity). Executive Order 13563 (Improving Regulation and Regulatory Review) emphasizes the importance of quantifying both costs and benefits, reducing costs, harmonizing rules, and promoting flexibility. Executive Order 12866 (Regulatory Planning and Review) defines a ``significant regulatory action,'' which requires review by the Office of Management and Budget (OMB), as ``any regulatory action that is likely to result in a rule that may: (1) Have an annual effect on the economy of $100 million or more or adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities; (2) Create a serious inconsistency or otherwise interfere with an action taken or planned by another agency; (3) Materially alter the budgetary impact of entitlements, grants, user fees, or loan programs or the rights and obligations of recipients thereof; or (4) Raise novel legal or policy issues arising out of legal mandates, the President's priorities, or the principles set forth in this Executive Order.'' VA has examined the economic, interagency, budgetary, legal, and policy implications of this regulatory action and determined that the action is not a significant regulatory action under Executive Order 12866. VA's impact analysis can be found as a supporting document at http://www.regulations.gov, usually within 48 hours after the rulemaking document is published. Additionally, a copy of the rulemaking and its impact analysis are available on VA's website at http://www.va.gov/orpm by following the link for VA Regulations Published from FY 2004 through FYTD. This rule is not an E.O. 13771 regulatory action because this rule is not significant under E.O. 12866. Unfunded Mandates The Unfunded Mandates Reform Act of 1995 requires, at 2 U.S.C. 1532, that agencies prepare an assessment of anticipated costs and benefits before issuing any rule that may result in the expenditure by State, local, and tribal governments, in the aggregate, or by the private sector, of $100 million or more (adjusted annually for inflation) in any one year. This final rule will have no such effect on State, local, and tribal governments, or on the private sector. Catalog of Federal Domestic Assistance The Catalog of Federal Domestic Assistance numbers and titles for the programs affected by this document are 64.005--Grants to States for Construction of State Home Facilities; 64.008--Veterans Domiciliary Care; 64.011--Veterans Dental Care; 64.012--Veterans Prescription Service; 64.013--Veterans Prosthetic Appliances; 64.014--Veterans State Domiciliary Care; 64.015--Veterans State Nursing Home Care; 64.024--VA Homeless Providers Grant and Per Diem Program; 64.026--Veterans State Adult Day Health Care; 64.033--VA Supportive Services for Veteran Families Program; 64.035--Veterans Transportation Program; 64.040--VHA Inpatient Medicine; 64.041--VHA Outpatient Specialty Care; 64.042--VHA Inpatient Surgery; 64.043--VHA Mental Health Residential; 64.044--VHA Home Care; 64.045--VHA Outpatient Ancillary Services; 64.046--VHA Inpatient Psychiatry; 64.047--VHA Primary Care; 64.048--VHA Mental Health clinics; 64.049--VHA Community Living Center; 64.050--VHA Diagnostic Care; 64.054--Research and Development. List of Subjects in 38 CFR Part 17 Administrative practice and procedure, Alcohol abuse, Alcoholism, Claims, Day care, Dental health, Drug abuse, Government contracts, Grant programs--health, Grant programs--veterans, Health care, Health facilities, Health professions, Health records, Homeless, Medical and dental schools, Medical devices, Medical research, Mental health programs, Nursing homes, Reporting and recordkeeping requirements, Travel and transportation expenses, Veterans. Signing Authority The Secretary of Veterans Affairs approved this document and authorized the undersigned to sign and submit the document to the Office of the Federal Register for publication electronically as an official document of the Department of Veterans Affairs. Robert L. Wilkie, Secretary, Department of Veterans Affairs, approved this document on September 19, 2018, for publication. Dated: September 19, 2018. Consuela Benjamin, Regulations Development Coordinator, Office of Regulation Policy & Management, Office of the Secretary, Department of Veterans Affairs. For the reasons stated in the preamble, Department of Veterans Affairs amends 38 CFR part 17 as follows: PART 17--MEDICAL 0 1. The authority citation for part 17 continues to read as follows: Authority: 38 U.S.C. 501, and as noted in specific sections. Section 17.35 is also issued under 38 U.S.C. 1724. Section 17.38 is also issued under 38 U.S.C. 101, 501, 1701, 1705, 1710, 1710A, 1721, 1722, 1782, and 1786. Section 17.125 is also issued under 38 U.S.C. 7304. Section 17.169 is also issued under 38 U.S.C. 1712C. Sections 17.380, 17.390 and 17.412 are also issued under sec. 260, Public Law 114-223, 130 Stat. 857. Section 17.410 is also issued under 38 U.S.C. 1787. Section 17.415 is also issued under 38 U.S.C. 7301, 7304, 7402, and 7403. Section 17.417 also issued under 38 U.S.C. 1701 (note), 1709A, 1712A (note), 1722B, 7301, 7330A, 7401-7403, 7406 (note). Sections 17.640 and 17.647 are also issued under sec. 4, Public Law 114-2, 129 Stat. 30. Sections 17.641 through 17.646 are also issued under 38 U.S.C. 501(a) and sec. 4, Public Law 114-2, 129 Stat. 30. Section 17.655 also issued under 38 U.S.C. 501(a), 7304, 7405. 0 2. Amend Sec. 17.30 by revising paragraph (b) to read as follows: Sec. 17.30 Definitions. * * * * * (b) Domiciliary care. The term domiciliary care-- (1) Means the furnishing of: (i) A temporary home to a veteran, embracing the furnishing of shelter, food, clothing and other comforts of home, including necessary medical services; or (ii) A day hospital program consisting of intensive supervised rehabilitation and treatment provided in a therapeutic residential setting for residents with mental health or substance use disorders, and co-occurring medical or psychosocial needs such as homelessness and unemployment. (2) Includes travel and incidental expenses pursuant to Sec. 70.10. (Authority: 38 U.S.C. 1701(4)) Sec. 17.47 [Amended] 0 3. Amend Sec. 17.47(c) by removing the word ``home'' and adding in its place the words ``temporary home''. [FR Doc. 2018-20707 Filed 9-24-18; 8:45 am] BILLING CODE 8320-01-P
![48380 Federal Register / Vol. 83, No. 186 / Tuesday, September 25, 2018 / Rules and Regulations
Small Business Regulatory Enforcement Consultation With Indian Tribes Order 13211. A Statement of Energy
Fairness Act (Executive Order 13175 and Effects in not required.
This rule is not a major rule under 5 Department Policy)
List of Subjects in 36 CFR Part 7
U.S.C. 804(2), the Small Business The Department of the Interior strives District of Columbia, National parks,
Regulatory Enforcement Fairness Act. to strengthen its government-to- Reporting and Recordkeeping
This rule: government relationship with Indian requirements.
(a) Does not have an annual effect on Tribes through a commitment to
In consideration of the foregoing, the
the economy of $100 million or more. consultation with Indian Tribes and
National Park Service amends 36 CFR
(b) Will not cause a major increase in recognition of their right to self-
part 7 as set forth below:
costs or prices for consumers, governance and tribal sovereignty. The
individual industries, Federal, State, or NPS has evaluated this rule under the PART 7—SPECIAL REGULATIONS,
local government agencies, or criteria in Executive Order 13175 and AREAS OF THE NATIONAL PARK
geographic regions. under the Department’s tribal SYSTEM
(c) Does not have significant adverse consultation policy and has determined
effects on competition, employment, that tribal consultation is not required ■ 1. The authority citation for part 7
investment, productivity, innovation, or because the rule will have no continues to read as follows:
the ability of U.S.-based enterprises to substantial direct effect on federally Authority: 54 U.S.C. 100101, 100751,
compete with foreign-based enterprises. recognized Indian tribes. 320102; Sec. 7.96 also issued under DC Code
Nevertheless, the NPS recognizes that 10–137 and DC Code 50–2201.07.
Unfunded Mandates Reform Act
the park contains significant ■ 2. Add § 7.95 to read as follows:
This rule does not impose an archeological sites and the Trail of
unfunded mandate on State, local, or Tears, which are considered very § 7.95 Pea Ridge National Military Park.
tribal governments or the private sector important to the following tribes: (a) Bicycle use. (1) The
of more than $100 million per year. The Absentee Shawnee Tribe, Cherokee Superintendent may designate all or
rule does not have a significant or Nation of Oklahoma, Jena Band of the portions of the following trails as open
unique effect on State, local or tribal Choctaw Indians, The Osage Nation, to bicycle use:
governments or the private sector. It Shawnee Tribe of Oklahoma, Quapaw (i) A trail from U.S. Highway 62 to the
addresses public use of national park Tribe of Oklahoma, United Keetoowah visitor center (approximately 0.55
lands, and imposes no requirements on Band of Cherokee Indians, The miles).
other agencies or governments. A Chickasaw Nation, Caddo Nation, and (ii) A trail from Arkansas Highway 72
statement containing the information the Muscogee (Creek) Nation. The park to the Sugar Creek Greenway on the
required by the Unfunded Mandates consulted with these tribes throughout western edge of the park (approximately
Reform Act (2 U.S.C. 1531 et seq.) is not the development of the EA and 1.17 miles).
required. incorporated comments by adjusting (2) A map showing trails open to
trails to mitigate or avoid impacts to bicycle use will be available at park
Takings (Executive Order 12630)
these areas of interest. visitor centers and posted on the park
This rule does not effect a taking of website. The Superintendent will
private property or otherwise have Paperwork Reduction Act provide notice of all bicycle route
takings implications under Executive This rule does not contain designations in accordance with § 1.7 of
Order 12630. A takings implication information collection requirements, this chapter. The Superintendent may
assessment is not required. and a submission to the Office of limit, restrict, or impose conditions on
Management and Budget under the bicycle use, or close any trail to bicycle
Federalism (Executive Order 13132)
Paperwork Reduction Act is not use, or terminate such conditions,
Under the criteria in section 1 of required. The NPS may not conduct or closures, limits, or restrictions in
Executive Order 13132, the rule does sponsor and you are not required to accordance with § 4.30 of this chapter.
not have sufficient federalism respond to a collection of information (b) [Reserved]
implications to warrant the preparation unless it displays a currently valid OMB Andrea Travnicek,
of a Federalism summary impact control number.
statement. This rule only affects use of Principal Deputy Assistant Secretary—Water
federally-administered lands and National Environmental Policy Act and Science, Exercising the Authority of the
Assistant Secretary for Fish and Wildlife and
waters. It has no outside effects on other This rule does not constitute a major Parks.
areas. A Federalism summary impact Federal action significantly affecting the [FR Doc. 2018–20693 Filed 9–24–18; 8:45 am]
statement is not required. quality of the human environment. A
BILLING CODE 4310–EJ–P
detailed statement under the National
Civil Justice Reform (Executive Order
Environmental Policy Act of 1969 is not
12988)
required because the NPS reached a
This rule complies with the Finding of No Significant Impact. A DEPARTMENT OF VETERANS
requirements of Executive Order 12988. copy of the EA and FONSI can be found AFFAIRS
This rule: online at http://parkplanning.nps.gov/ 38 CFR Part 17
(a) Meets the criteria of section 3(a) peri, by clicking on the link entitled
requiring that all regulations be ‘‘Trail Master Plan/Environmental RIN 2900–AP00
reviewed to eliminate errors and
daltland on DSKBBV9HB2PROD with RULES
Assessment’’ and then clicking on the
ambiguity and be written to minimize link entitled ‘‘Document List.’’ Definition of Domiciliary Care
litigation; and AGENCY: Department of Veterans Affairs.
(b) Meets the criteria of section 3(b)(2) Effects on the Energy Supply (Executive
Order 13211) ACTION: Final rule.
requiring that all regulations be written
in clear language and contain clear legal This rule is not a significant energy SUMMARY: The Department of Veterans
standards. action under the definition in Executive Affairs (VA) adopts as final, with no
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![48382 Federal Register / Vol. 83, No. 186 / Tuesday, September 25, 2018 / Rules and Regulations
necessary, to select regulatory Catalog of Federal Domestic Assistance PART 17—MEDICAL
approaches that maximize net benefits
The Catalog of Federal Domestic
(including potential economic, ■ 1. The authority citation for part 17
Assistance numbers and titles for the
environmental, public health and safety continues to read as follows:
programs affected by this document are
effects, and other advantages;
64.005—Grants to States for Authority: 38 U.S.C. 501, and as noted in
distributive impacts; and equity).
Executive Order 13563 (Improving Construction of State Home Facilities; specific sections.
Regulation and Regulatory Review) 64.008—Veterans Domiciliary Care; Section 17.35 is also issued under 38
emphasizes the importance of 64.011—Veterans Dental Care; 64.012— U.S.C. 1724.
quantifying both costs and benefits, Veterans Prescription Service; 64.013— Section 17.38 is also issued under 38
reducing costs, harmonizing rules, and Veterans Prosthetic Appliances; U.S.C. 101, 501, 1701, 1705, 1710, 1710A,
promoting flexibility. Executive Order 64.014—Veterans State Domiciliary 1721, 1722, 1782, and 1786.
12866 (Regulatory Planning and Care; 64.015—Veterans State Nursing Section 17.125 is also issued under 38
Review) defines a ‘‘significant Home Care; 64.024—VA Homeless U.S.C. 7304.
regulatory action,’’ which requires Providers Grant and Per Diem Program; Section 17.169 is also issued under 38
review by the Office of Management and 64.026—Veterans State Adult Day U.S.C. 1712C.
Health Care; 64.033—VA Supportive Sections 17.380, 17.390 and 17.412 are also
Budget (OMB), as ‘‘any regulatory action
Services for Veteran Families Program; issued under sec. 260, Public Law 114–223,
that is likely to result in a rule that may:
64.035—Veterans Transportation 130 Stat. 857.
(1) Have an annual effect on the
Program; 64.040—VHA Inpatient Section 17.410 is also issued under 38
economy of $100 million or more or
Medicine; 64.041—VHA Outpatient U.S.C. 1787.
adversely affect in a material way the
Specialty Care; 64.042—VHA Inpatient Section 17.415 is also issued under 38
economy, a sector of the economy,
Surgery; 64.043—VHA Mental Health U.S.C. 7301, 7304, 7402, and 7403.
productivity, competition, jobs, the
Residential; 64.044—VHA Home Care; Section 17.417 also issued under 38 U.S.C.
environment, public health or safety, or
64.045—VHA Outpatient Ancillary 1701 (note), 1709A, 1712A (note), 1722B,
State, local, or tribal governments or
Services; 64.046—VHA Inpatient 7301, 7330A, 7401–7403, 7406 (note).
communities; (2) Create a serious
Psychiatry; 64.047—VHA Primary Care; Sections 17.640 and 17.647 are also issued
inconsistency or otherwise interfere
64.048—VHA Mental Health clinics; under sec. 4, Public Law 114–2, 129 Stat. 30.
with an action taken or planned by Sections 17.641 through 17.646 are also
another agency; (3) Materially alter the 64.049—VHA Community Living
Center; 64.050—VHA Diagnostic Care; issued under 38 U.S.C. 501(a) and sec. 4,
budgetary impact of entitlements, Public Law 114–2, 129 Stat. 30.
grants, user fees, or loan programs or the 64.054—Research and Development.
Section 17.655 also issued under 38 U.S.C.
rights and obligations of recipients List of Subjects in 38 CFR Part 17 501(a), 7304, 7405.
thereof; or (4) Raise novel legal or policy
issues arising out of legal mandates, the Administrative practice and ■ 2. Amend § 17.30 by revising
President’s priorities, or the principles procedure, Alcohol abuse, Alcoholism, paragraph (b) to read as follows:
set forth in this Executive Order.’’ VA Claims, Day care, Dental health, Drug
has examined the economic, abuse, Government contracts, Grant § 17.30 Definitions.
interagency, budgetary, legal, and policy programs—health, Grant programs— * * * * *
implications of this regulatory action veterans, Health care, Health facilities, (b) Domiciliary care. The term
and determined that the action is not a Health professions, Health records,
domiciliary care—
significant regulatory action under Homeless, Medical and dental schools,
Executive Order 12866. VA’s impact Medical devices, Medical research, (1) Means the furnishing of:
analysis can be found as a supporting Mental health programs, Nursing (i) A temporary home to a veteran,
document at http:// homes, Reporting and recordkeeping embracing the furnishing of shelter,
www.regulations.gov, usually within 48 requirements, Travel and transportation food, clothing and other comforts of
hours after the rulemaking document is expenses, Veterans. home, including necessary medical
published. Additionally, a copy of the services; or
Signing Authority
rulemaking and its impact analysis are
available on VA’s website at http:// The Secretary of Veterans Affairs (ii) A day hospital program consisting
www.va.gov/orpm by following the link approved this document and authorized of intensive supervised rehabilitation
for VA Regulations Published from FY the undersigned to sign and submit the and treatment provided in a therapeutic
2004 through FYTD. This rule is not an document to the Office of the Federal residential setting for residents with
E.O. 13771 regulatory action because Register for publication electronically as mental health or substance use
this rule is not significant under E.O. an official document of the Department disorders, and co-occurring medical or
12866. of Veterans Affairs. Robert L. Wilkie, psychosocial needs such as
Secretary, Department of Veterans homelessness and unemployment.
Unfunded Mandates
Affairs, approved this document on (2) Includes travel and incidental
The Unfunded Mandates Reform Act September 19, 2018, for publication. expenses pursuant to § 70.10.
of 1995 requires, at 2 U.S.C. 1532, that
Dated: September 19, 2018. (Authority: 38 U.S.C. 1701(4))
agencies prepare an assessment of
anticipated costs and benefits before Consuela Benjamin,
Regulations Development Coordinator, Office § 17.47 [Amended]
issuing any rule that may result in the
expenditure by State, local, and tribal of Regulation Policy & Management, Office
daltland on DSKBBV9HB2PROD with RULES
of the Secretary, Department of Veterans ■ 3. Amend § 17.47(c) by removing the
governments, in the aggregate, or by the word ‘‘home’’ and adding in its place
Affairs.
private sector, of $100 million or more the words ‘‘temporary home’’.
(adjusted annually for inflation) in any For the reasons stated in the
[FR Doc. 2018–20707 Filed 9–24–18; 8:45 am]
one year. This final rule will have no preamble, Department of Veterans
such effect on State, local, and tribal Affairs amends 38 CFR part 17 as BILLING CODE 8320–01–P
governments, or on the private sector. follows:
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Document Created: 2018-09-25 00:21:43
Document Modified: 2018-09-25 00:21:43
| 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 | |
| Action | Final rule. | |
| Dates | Effective Date: This rule is effective on October 25, 2018. | |
| Contact | Jamie R. Ploppert, National Director, Mental Health Residential Treatment Programs (10P4M), Veterans Health Administration, Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420; (757) 722-9991 extension 1123. (This is not a toll-free number.) | |
| FR Citation | 83 FR 48380 | |
| RIN Number | 2900-AP00 | |
| CFR Associated | Administrative Practice and Procedure; Alcohol Abuse; Alcoholism; Claims; Day Care; Dental Health; Drug Abuse; Government Contracts; Grant Programs-Health; Grant Programs-Veterans; Health Care; Health Facilities; Health Professions; Health Records; Homeless; Medical and Dental Schools; Medical Devices; Medical Research; Mental Health Programs; Nursing Homes; Reporting and Recordkeeping Requirements; Travel and Transportation Expenses and Veterans |
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