83_FR_61870 83 FR 61639 - Medicare Program; Request for Nominations for Members for the Medicare Evidence Development & Coverage Advisory Committee

83 FR 61639 - Medicare Program; Request for Nominations for Members for the Medicare Evidence Development & Coverage Advisory Committee

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services

Federal Register Volume 83, Issue 231 (November 30, 2018)

Page Range61639-61640
FR Document2018-26090

This notice announces the request for nominations for membership on the Medicare Evidence Development & Coverage Advisory Committee (MEDCAC). Among other duties, the MEDCAC provides advice and guidance to the Secretary of the Department of Health and Human Services (the Secretary) and the Administrator of the Centers for Medicare & Medicaid Services (CMS) concerning the adequacy of scientific evidence available to CMS in making coverage determinations under the Medicare program. The MEDCACs fundamental purpose is to support the principles of an evidence-based determination process for Medicare's coverage policies. MEDCAC panels provide advice to CMS on the strength of the evidence available for specific medical treatments and technologies through a public, participatory, and accountable process.

Federal Register, Volume 83 Issue 231 (Friday, November 30, 2018)
[Federal Register Volume 83, Number 231 (Friday, November 30, 2018)]
[Notices]
[Pages 61639-61640]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-26090]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-3374-N]


Medicare Program; Request for Nominations for Members for the 
Medicare Evidence Development & Coverage Advisory Committee

AGENCY: Centers for Medicare & Medicaid Services, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: This notice announces the request for nominations for 
membership on the Medicare Evidence Development & Coverage Advisory 
Committee (MEDCAC). Among other duties, the MEDCAC provides advice and 
guidance to the Secretary of the Department of Health and Human 
Services (the Secretary) and the Administrator of the Centers for 
Medicare & Medicaid Services (CMS) concerning the adequacy of 
scientific evidence available to CMS in making coverage determinations 
under the Medicare program.
    The MEDCACs fundamental purpose is to support the principles of an 
evidence-based determination process for Medicare's coverage policies. 
MEDCAC panels provide advice to CMS on the strength of the evidence 
available for specific medical treatments and technologies through a 
public, participatory, and accountable process.

DATES: Nominations must be received by Monday, January 7, 2019.

ADDRESSES: You may mail nominations for membership to the following 
address: Centers for Medicare & Medicaid Services, Center for Clinical 
Standards and Quality, Attention: Leah Cromwell or Maria Ellis, 7500 
Security Boulevard, Mail Stop: S3-02-01, Baltimore, MD 21244 or send 
via email to [email protected].

FOR FURTHER INFORMATION CONTACT: Maria Ellis, Executive Secretary for 
the MEDCAC, Centers for Medicare & Medicaid Services, Center for 
Clinical Standards and Quality, Coverage and Analysis Group, S3-02-01, 
7500 Security Boulevard, Baltimore, MD 21244 or contact Ms. Ellis by 
phone (410-786-0309) or via email at [email protected].

SUPPLEMENTARY INFORMATION: 

I. Background

    The Secretary signed the initial charter for the Medicare Coverage 
Advisory Committee (MCAC) on November 24, 1998. A notice in the

[[Page 61640]]

Federal Register (63 FR 68780) announcing establishment of the MCAC was 
published on December 14, 1998. The MCAC name was updated to more 
accurately reflect the purpose of the committee and on January 26, 
2007, the Secretary published a notice in the Federal Register (72 FR 
3853), announcing that the Committee's name changed to the Medicare 
Evidence Development & Coverage Advisory Committee (MEDCAC). The 
current Secretary's Charter for the MEDCAC is available on the CMS 
website at: http://www.cms.hhs.gov/FACA/Downloads/medcaccharter.pdf, or 
you may obtain a copy of the charter by submitting a request to the 
contact listed in the FOR FURTHER INFORMATION section of this notice.
    The MEDCAC is governed by provisions of the Federal Advisory 
Committee Act, Public Law 92-463, as amended (5 U.S.C. App. 2), which 
sets forth standards for the formulation and use of advisory 
committees, and is authorized by section 222 of the Public Health 
Service Act as amended (42 U.S.C. 217A).
    We are requesting nominations for candidates to serve on the 
MEDCAC. Nominees are selected based upon their individual 
qualifications and not solely as representatives of professional 
associations or societies. We wish to ensure adequate representation of 
the interests of both women and men, members of all ethnic groups, and 
physically challenged individuals. Therefore, we encourage nominations 
of qualified candidates who can represent these interests.
    The MEDCAC consists of a pool of 100 appointed members including: 
90 at-large standing members (10 of whom are patient advocates), and 10 
representatives of industry interests. Members generally are recognized 
authorities in clinical medicine including subspecialties, 
administrative medicine, public health, biological and physical 
sciences, epidemiology and biostatistics, clinical trial design, health 
care data management and analysis, patient advocacy, health care 
economics, medical ethics or other relevant professions.
    The MEDCAC works from an agenda provided by the Designated Federal 
Official. The MEDCAC reviews and evaluates medical literature and 
technology assessments, and hears public testimony on the evidence 
available to address the impact of medical items and services on health 
outcomes of Medicare beneficiaries. The MEDCAC may also advise the 
Centers for Medicare & Medicaid Services (CMS) as part of Medicare's 
``coverage with evidence development'' initiative.

II. Provisions of the Notice

    As of June 2019, there will be 20 membership terms expiring. Of the 
20 memberships expiring, 1 is an industry representative and the 
remaining 19 membership openings are for the at-large standing MEDCAC 
membership.
    All nominations must be accompanied by curricula vitae. Nomination 
packages should be sent to Leah Cromwell or Maria Ellis at the address 
listed in the ADDRESSES section of this notice. Nominees are selected 
based upon their individual qualifications. Nominees for membership 
must have expertise and experience in one or more of the following 
fields:

 Clinical medicine including subspecialties
 Administrative medicine
 Public health
 Biological and physical sciences
 Epidemiology and biostatistics
 Clinical trial design
 Health care data management and analysis
 Patient advocacy
 Health care economics
 Medical ethics
 Other relevant professions

    We are looking particularly for experts in a number of fields. 
These include cancer screening, genetic testing, clinical epidemiology, 
psychopharmacology, screening and diagnostic testing analysis, and 
vascular surgery. We also need experts in biostatistics in clinical 
settings, dementia treatment, minority health, observational research 
design, stroke epidemiology, and women's health.
    The nomination letter must include a statement that the nominee is 
willing to serve as a member of the MEDCAC and appears to have no 
conflict of interest that would preclude membership. We are requesting 
that all curricula vitae include the following:

 Date of birth
 Place of birth
 Social security number
 Title and current position
 Professional affiliation
 Home and business address
 Telephone and fax numbers
 Email address
 List of areas of expertise

    In the nomination letter, we are requesting that nominees specify 
whether they are applying for a patient advocate position, for an at-
large standing position, or as an industry representative. Potential 
candidates will be asked to provide detailed information concerning 
such matters as financial holdings, consultancies, and research grants 
or contracts in order to permit evaluation of possible sources of 
financial conflict of interest. Department policy prohibits multiple 
committee memberships. A federal advisory committee member may not 
serve on more than one committee within an agency at the same time.
    Members are invited to serve for overlapping 2-year terms. A member 
may continue to serve after the expiration of the member's term until a 
successor is named. Any interested person may nominate one or more 
qualified persons. Self-nominations are also accepted. Individuals 
interested in the representative positions must include a letter of 
support from the organization or interest group they would represent.

III. Collection of Information

    This document does not impose information collection requirements, 
that is, reporting, recordkeeping or third-party disclosure 
requirements. Consequently, there is no need for review by the Office 
of Management and Budget under the authority of the Paperwork Reduction 
Act of 1995 (44 U.S.C. 3501 et seq.).

    Dated: November 21, 2018.
Kate Goodrich,
Director, Center for Clinical Standards and Quality, Chief Medical 
Officer, Centers for Medicare & Medicaid Services.
[FR Doc. 2018-26090 Filed 11-29-18; 8:45 am]
BILLING CODE 4120-01-P



                                                                          Federal Register / Vol. 83, No. 231 / Friday, November 30, 2018 / Notices                                          61639

                                              address: CMS, Office of Strategic                       Secretary shall establish a process under             DEPARTMENT OF HEALTH AND
                                              Operations and Regulatory Affairs,                      which the sponsor of a Prescription                   HUMAN SERVICES
                                              Division of Regulations Development,                    Drug Plan (PDP) that provide
                                              Attention: Document Identifier/OMB                      prescription drug benefits under                      Centers for Medicare & Medicaid
                                              Control Number ll, Room C4–26–05,                       Medicare Part D may request, beginning                Services
                                              7500 Security Boulevard, Baltimore,                     in plan year 2020, that the Secretary                 [CMS–3374–N]
                                              Maryland 21244–1850.                                    provide on a periodic basis and in an
                                                To obtain copies of a supporting                      electronic format standardized extracts               Medicare Program; Request for
                                              statement and any related forms for the                                                                       Nominations for Members for the
                                                                                                      of Medicare claims about its plan
                                              proposed collection(s) summarized in                                                                          Medicare Evidence Development &
                                                                                                      enrollees. Section 50354 of the BBA
                                              this notice, you may make your request                                                                        Coverage Advisory Committee
                                              using one of following:                                 further specifies that PDP sponsors
                                                1. Access CMS’ website address at                     receiving such Medicare claims data for               AGENCY: Centers for Medicare &
                                              website address at https://www.cms.gov/                 their corresponding PDP plan enrollees                Medicaid Services, HHS.
                                              Regulations-and-Guidance/Legislation/                   may use the data for: (1) Optimizing                  ACTION: Notice.
                                              PaperworkReductionActof1995/PRA-                        therapeutic outcomes through improved
                                              Listing.html.                                           medication use, (2) improving care                    SUMMARY:   This notice announces the
                                                2. Email your request, including your                 coordination so as to prevent adverse                 request for nominations for membership
                                              address, phone number, OMB number,                      healthcare outcomes, such as                          on the Medicare Evidence Development
                                              and CMS document identifier, to                         preventable emergency department                      & Coverage Advisory Committee
                                              Paperwork@cms.hhs.gov.                                  visits and hospital readmissions, and (3)             (MEDCAC). Among other duties, the
                                                3. Call the Reports Clearance Office at               for any other purposes determined                     MEDCAC provides advice and guidance
                                              (410) 786–1326.                                         appropriate by the Secretary. Section                 to the Secretary of the Department of
                                              FOR FURTHER INFORMATION CONTACT:                        50354 also states that the PDP sponsor                Health and Human Services (the
                                              William Parham at (410) 786–1326.                       may not use the data: (1) To inform                   Secretary) and the Administrator of the
                                              SUPPLEMENTARY INFORMATION:                              coverage determinations under Part D,                 Centers for Medicare & Medicaid
                                                                                                      (2) to conduct retroactive review of                  Services (CMS) concerning the
                                              Contents                                                                                                      adequacy of scientific evidence
                                                                                                      medically accepted conditions, (3) to
                                                This notice sets out a summary of the                                                                       available to CMS in making coverage
                                                                                                      facilitate enrollment changes to a
                                              use and burden associated with the                                                                            determinations under the Medicare
                                                                                                      different PDP or a MA–PD plan offered
                                              following information collections. More                                                                       program.
                                              detailed information can be found in                    by the same parent organization, (4) to                  The MEDCACs fundamental purpose
                                              each collection’s supporting statement                  inform marketing benefits; and (5) for                is to support the principles of an
                                              and associated materials (see                           any other purpose the Secretary                       evidence-based determination process
                                              ADDRESSES).                                             determines is necessary to include in                 for Medicare’s coverage policies.
                                                                                                      order to protect the identity of                      MEDCAC panels provide advice to CMS
                                              CMS–10691 Data Request and                              individuals entitled to or enrolled in                on the strength of the evidence available
                                              Attestation for PDP Sponsors                            Medicare, and to protect the security of              for specific medical treatments and
                                                Under the PRA (44 U.S.C. 3501–                        personal health information. This                     technologies through a public,
                                              3520), federal agencies must obtain                     proposed information collection request               participatory, and accountable process.
                                              approval from the Office of Management                  would allow the PDP sponsor to submit                 DATES: Nominations must be received
                                              and Budget (OMB) for each collection of                 a request to CMS for claims data for its              by Monday, January 7, 2019.
                                              information they conduct or sponsor.                    enrollees and to attest that it will adhere           ADDRESSES: You may mail nominations
                                              The term ‘‘collection of information’’ is               to the permitted uses and limitations on
                                              defined in 44 U.S.C. 3502(3) and 5 CFR                                                                        for membership to the following
                                                                                                      the use of the Medicare claims data that              address: Centers for Medicare &
                                              1320.3(c) and includes agency requests                  are listed in 42 CFR 423.153. Form
                                              or requirements that members of the                                                                           Medicaid Services, Center for Clinical
                                                                                                      Number: CMS–10691 (OMB control                        Standards and Quality, Attention: Leah
                                              public submit reports, keep records, or                 number: 0938–TBD); Frequency:
                                              provide information to a third party.                                                                         Cromwell or Maria Ellis, 7500 Security
                                                                                                      Occasionally; Affected Public: Private                Boulevard, Mail Stop: S3–02–01,
                                              Section 3506(c)(2)(A) of the PRA
                                                                                                      sector; Number of Respondents: 63;                    Baltimore, MD 21244 or send via email
                                              requires federal agencies to publish a
                                                                                                      Total Annual Responses: 68; Total                     to MEDCACnomination@cms.hhs.gov.
                                              60-day notice in the Federal Register
                                              concerning each proposed collection of                  Annual Hours: 1.36. (For policy                       FOR FURTHER INFORMATION CONTACT:
                                              information, including each proposed                    questions regarding this collection                   Maria Ellis, Executive Secretary for the
                                              extension or reinstatement of an existing               contact Kari Gaare at 410–786–8612.)                  MEDCAC, Centers for Medicare &
                                              collection of information, before                          Dated: November 27, 2018.                          Medicaid Services, Center for Clinical
                                              submitting the collection to OMB for                                                                          Standards and Quality, Coverage and
                                                                                                      William N. Parham, III,
                                              approval. To comply with this                                                                                 Analysis Group, S3–02–01, 7500
                                                                                                      Director, Paperwork Reduction Staff, Office           Security Boulevard, Baltimore, MD
                                              requirement, CMS is publishing this                     of Strategic Operations and Regulatory
                                              notice.                                                                                                       21244 or contact Ms. Ellis by phone
                                                                                                      Affairs.
                                                                                                                                                            (410–786–0309) or via email at
                                              Information Collection                                  [FR Doc. 2018–26052 Filed 11–29–18; 8:45 am]
                                                                                                                                                            Maria.Ellis@cms.hhs.gov.
amozie on DSK3GDR082PROD with NOTICES1




                                                Type of Information Collection                        BILLING CODE 4120–01–P
                                                                                                                                                            SUPPLEMENTARY INFORMATION:
                                              Request: New collection (request for a
                                              new OMB control number); Title of                                                                             I. Background
                                              Information Collection: Data Request                                                                            The Secretary signed the initial
                                              and Attestation for PDP Sponsors; Use:                                                                        charter for the Medicare Coverage
                                              Section 50354 of the Bipartisan Budget                                                                        Advisory Committee (MCAC) on
                                              Act of 2018 (BBA) provides that the                                                                           November 24, 1998. A notice in the


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                                              61640                       Federal Register / Vol. 83, No. 231 / Friday, November 30, 2018 / Notices

                                              Federal Register (63 FR 68780)                          as part of Medicare’s ‘‘coverage with                 concerning such matters as financial
                                              announcing establishment of the MCAC                    evidence development’’ initiative.                    holdings, consultancies, and research
                                              was published on December 14, 1998.                                                                           grants or contracts in order to permit
                                                                                                      II. Provisions of the Notice
                                              The MCAC name was updated to more                                                                             evaluation of possible sources of
                                              accurately reflect the purpose of the                     As of June 2019, there will be 20                   financial conflict of interest. Department
                                              committee and on January 26, 2007, the                  membership terms expiring. Of the 20                  policy prohibits multiple committee
                                              Secretary published a notice in the                     memberships expiring, 1 is an industry                memberships. A federal advisory
                                              Federal Register (72 FR 3853),                          representative and the remaining 19                   committee member may not serve on
                                              announcing that the Committee’s name                    membership openings are for the at-                   more than one committee within an
                                              changed to the Medicare Evidence                        large standing MEDCAC membership.                     agency at the same time.
                                              Development & Coverage Advisory                           All nominations must be                                Members are invited to serve for
                                              Committee (MEDCAC). The current                         accompanied by curricula vitae.                       overlapping 2-year terms. A member
                                              Secretary’s Charter for the MEDCAC is                   Nomination packages should be sent to                 may continue to serve after the
                                              available on the CMS website at: http://                Leah Cromwell or Maria Ellis at the                   expiration of the member’s term until a
                                              www.cms.hhs.gov/FACA/Downloads/                         address listed in the ADDRESSES section               successor is named. Any interested
                                              medcaccharter.pdf, or you may obtain a                  of this notice. Nominees are selected                 person may nominate one or more
                                              copy of the charter by submitting a                     based upon their individual                           qualified persons. Self-nominations are
                                              request to the contact listed in the FOR                qualifications. Nominees for                          also accepted. Individuals interested in
                                              FURTHER INFORMATION section of this                     membership must have expertise and                    the representative positions must
                                              notice.                                                 experience in one or more of the                      include a letter of support from the
                                                 The MEDCAC is governed by                            following fields:                                     organization or interest group they
                                              provisions of the Federal Advisory                      • Clinical medicine including                         would represent.
                                              Committee Act, Public Law 92–463, as                      subspecialties                                      III. Collection of Information
                                              amended (5 U.S.C. App. 2), which sets                   • Administrative medicine
                                              forth standards for the formulation and                 • Public health                                          This document does not impose
                                              use of advisory committees, and is                      • Biological and physical sciences                    information collection requirements,
                                              authorized by section 222 of the Public                 • Epidemiology and biostatistics                      that is, reporting, recordkeeping or
                                              Health Service Act as amended (42                       • Clinical trial design                               third-party disclosure requirements.
                                              U.S.C. 217A).                                           • Health care data management and                     Consequently, there is no need for
                                                 We are requesting nominations for                      analysis                                            review by the Office of Management and
                                              candidates to serve on the MEDCAC.                      • Patient advocacy                                    Budget under the authority of the
                                              Nominees are selected based upon their                  • Health care economics                               Paperwork Reduction Act of 1995 (44
                                              individual qualifications and not solely                • Medical ethics                                      U.S.C. 3501 et seq.).
                                              as representatives of professional                      • Other relevant professions                            Dated: November 21, 2018.
                                              associations or societies. We wish to                     We are looking particularly for                     Kate Goodrich,
                                              ensure adequate representation of the                   experts in a number of fields. These                  Director, Center for Clinical Standards and
                                              interests of both women and men,                        include cancer screening, genetic                     Quality, Chief Medical Officer, Centers for
                                              members of all ethnic groups, and                       testing, clinical epidemiology,                       Medicare & Medicaid Services.
                                              physically challenged individuals.                      psychopharmacology, screening and                     [FR Doc. 2018–26090 Filed 11–29–18; 8:45 am]
                                              Therefore, we encourage nominations of                  diagnostic testing analysis, and vascular             BILLING CODE 4120–01–P
                                              qualified candidates who can represent                  surgery. We also need experts in
                                              these interests.                                        biostatistics in clinical settings,
                                                 The MEDCAC consists of a pool of                     dementia treatment, minority health,                  DEPARTMENT OF HEALTH AND
                                              100 appointed members including: 90                     observational research design, stroke                 HUMAN SERVICES
                                              at-large standing members (10 of whom                   epidemiology, and women’s health.
                                              are patient advocates), and 10                            The nomination letter must include a                Food and Drug Administration
                                              representatives of industry interests.                  statement that the nominee is willing to              [Docket No. FDA–2013–D–1446]
                                              Members generally are recognized                        serve as a member of the MEDCAC and
                                              authorities in clinical medicine                        appears to have no conflict of interest               Self-Monitoring Blood Glucose Test
                                              including subspecialties, administrative                that would preclude membership. We                    Systems for Over-the-Counter Use;
                                              medicine, public health, biological and                 are requesting that all curricula vitae               Draft Guidance for Industry and Food
                                              physical sciences, epidemiology and                     include the following:                                and Drug Administration Staff;
                                              biostatistics, clinical trial design, health            • Date of birth                                       Availability
                                              care data management and analysis,                      • Place of birth                                      AGENCY:   Food and Drug Administration,
                                              patient advocacy, health care                           • Social security number                              HHS.
                                              economics, medical ethics or other                      • Title and current position
                                                                                                                                                            ACTION:   Notice of availability.
                                              relevant professions.                                   • Professional affiliation
                                                 The MEDCAC works from an agenda                      • Home and business address                           SUMMARY:    The Food and Drug
                                              provided by the Designated Federal                      • Telephone and fax numbers                           Administration (FDA or Agency) is
                                              Official. The MEDCAC reviews and                        • Email address                                       announcing the availability of the draft
                                              evaluates medical literature and                        • List of areas of expertise                          guidance for industry and FDA staff
amozie on DSK3GDR082PROD with NOTICES1




                                              technology assessments, and hears                         In the nomination letter, we are                    entitled ‘‘Self-Monitoring Blood Glucose
                                              public testimony on the evidence                        requesting that nominees specify                      Test Systems for Over-the-Counter Use.’’
                                              available to address the impact of                      whether they are applying for a patient               This draft guidance document describes
                                              medical items and services on health                    advocate position, for an at-large                    studies and information that FDA
                                              outcomes of Medicare beneficiaries. The                 standing position, or as an industry                  recommends be used when submitting
                                              MEDCAC may also advise the Centers                      representative. Potential candidates will             premarket notifications (510(k)s) for
                                              for Medicare & Medicaid Services (CMS)                  be asked to provide detailed information              self-monitoring blood glucose test


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Document Created: 2018-11-30 04:36:12
Document Modified: 2018-11-30 04:36:12
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesNominations must be received by Monday, January 7, 2019.
ContactMaria Ellis, Executive Secretary for the MEDCAC, Centers for Medicare & Medicaid Services, Center for Clinical Standards and Quality, Coverage and Analysis Group, S3-02-01, 7500 Security Boulevard, Baltimore, MD 21244 or contact Ms. Ellis by phone (410-786-0309) or via email at [email protected]
FR Citation83 FR 61639 

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