83_FR_9251 83 FR 9208 - Reimbursement of Qualifying Adoption Expenses for Certain Veterans

83 FR 9208 - Reimbursement of Qualifying Adoption Expenses for Certain Veterans

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 83, Issue 43 (March 5, 2018)

Page Range9208-9213
FR Document2018-04245

The Department of Veterans Affairs (VA) amends its regulation to provide for reimbursement of qualifying adoption expenses incurred by a veteran with a service-connected disability that results in the inability of the veteran to procreate without the use of fertility treatment. Under the Continuing Appropriations and Military Construction, Veterans Affairs, and Related Agencies Appropriations Act, 2017, and Zika Response and Preparedness Act, VA may use funds appropriated or otherwise made available to VA for the ``Medical Services'' account to provide adoption reimbursement to these veterans. Under the law, reimbursement may be for the adoption-related expenses for an adoption that is finalized after the date of the enactment of this Act under the same terms as apply under the adoption reimbursement program of the Department of Defense (DoD), as authorized in DoD Instruction 1341.09, including the reimbursement limits and requirements set forth in such instruction. This rulemaking implements the new adoption reimbursement benefit for covered veterans.

Federal Register, Volume 83 Issue 43 (Monday, March 5, 2018)
[Federal Register Volume 83, Number 43 (Monday, March 5, 2018)]
[Rules and Regulations]
[Pages 9208-9213]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-04245]


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DEPARTMENT OF VETERANS AFFAIRS

38 CFR Part 17

RIN 2900-AQ01


Reimbursement of Qualifying Adoption Expenses for Certain 
Veterans

AGENCY: Department of Veterans Affairs.

ACTION: Interim final rule.

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SUMMARY: The Department of Veterans Affairs (VA) amends its regulation 
to provide for reimbursement of qualifying adoption expenses incurred 
by a veteran with a service-connected disability that results in the 
inability of the veteran to procreate without the use of fertility 
treatment. Under the Continuing Appropriations and Military 
Construction, Veterans Affairs, and Related Agencies Appropriations 
Act, 2017, and Zika Response and Preparedness Act, VA may use funds 
appropriated or otherwise made available to VA for the ``Medical 
Services'' account to provide adoption reimbursement to these veterans. 
Under the law, reimbursement may be for the adoption-related expenses 
for an

[[Page 9209]]

adoption that is finalized after the date of the enactment of this Act 
under the same terms as apply under the adoption reimbursement program 
of the Department of Defense (DoD), as authorized in DoD Instruction 
1341.09, including the reimbursement limits and requirements set forth 
in such instruction. This rulemaking implements the new adoption 
reimbursement benefit for covered veterans.

DATES: 
    Effective date: This rule is effective on March 5, 2018.
    Comment date: Comments must be received on or before May 4, 2018.

ADDRESSES: Written comments may be submitted by email through 
www.regulations.gov; by mail or hand-delivery to Director, Regulation 
Policy and Management (00REG), Department of Veterans Affairs, 810 
Vermont Avenue NW, Room 1068, Washington, DC 20420; or by fax to (202) 
273-9026. (This is not a toll-free number.) Comments should indicate 
that they are submitted in response to ``RIN 2900-AQ01--reimbursement 
of qualifying adoption expenses for certain veterans.'' Copies of 
comments received will be available for public inspection in the Office 
of Regulation Policy and Management, Room 1068, between the hours of 8 
a.m. and 4:30 p.m. Monday through Friday (except holidays). Please call 
(202) 461-4902 for an appointment. (This is not a toll-free number.) In 
addition, during the comment period, comments may be viewed online 
through the Federal Docket Management System (FDMS) at 
www.regulations.gov.

FOR FURTHER INFORMATION CONTACT: Patricia M. Hayes, Ph.D. Chief 
Consultant, Women's Health Services, Patient Care Services, Veterans 
Health Administration, Department of Veterans Affairs, 810 Vermont Ave. 
NW, Washington, DC 20420. (202) 461-0373. (This is not a toll-free 
number.)

SUPPLEMENTARY INFORMATION: Section 260 of the Continuing Appropriations 
and Military Construction, Veterans Affairs, and Related Agencies 
Appropriations Act, 2017, and Zika Response and Preparedness Act (Pub. 
L.114-223) allows VA to use appropriated funds available to VA for the 
Medical Services account to provide fertility counseling and treatment 
using assisted reproductive technology (ART) to a covered veteran or 
the spouse of a covered veteran, or adoption reimbursement to a covered 
veteran. On January 19, 2017, VA published an interim final rule at 82 
FR 6275 addressing fertility counseling and treatment using ART, 
including in vitro fertilization (IVF) (which is a type of ART), for 
both covered veterans and spouses. We now address reimbursement of 
qualifying adoption expenses in this rulemaking.
    Per the statute, veterans with a service-connected disability that 
results in the inability of the veteran to procreate without the use of 
fertility treatment are authorized to receive reimbursement for certain 
adoption-related expenses for an adoption that is finalized after 
September 29, 2016, (the date the law was enacted) under the same terms 
as apply under the adoption reimbursement program of DoD, as authorized 
in DoD Instruction 1341.09, including the reimbursement limits and 
requirements set forth in that DoD policy. DoD Instruction 1341.09, 
``DoD Adoption Reimbursement Policy'' (July 5, 2016) establishes 
policy, assigns responsibilities within DoD, and provides procedures 
for the reimbursement of qualifying adoption expenses incurred by 
members of the Military Services (including document submission 
requirements) pursuant to 10 U.S.C. 1052. That statute was enacted in 
1991 and establishes the parameters of DoD's adoption reimbursement 
program. VA amends part 17 by adding new section 17.390 to provide for 
reimbursement of qualifying adoption expenses to covered veterans, 
consistent with the policies and procedures established by DoD in 
implementing 10 U.S.C. 1052.
    Paragraph (a) of new Sec.  17.390 addresses general requirements 
for reimbursement. Except as noted, all of these requirements are terms 
of the adoption reimbursement program of DoD, as authorized in DoD 
Instruction 1341.09. A covered veteran may request reimbursement for 
qualifying adoption expenses incurred by the veteran in the adoption of 
a child under 18 years of age. To clarify the scope of adoptions that 
are contemplated, we state that reimbursement for qualifying adoption 
expenses includes expenses for an adoption by a married or single 
person, an infant adoption, an intercountry adoption, and an adoption 
of a child with special needs as defined in section 473(c) of the 
Social Security Act (42 U.S.C. 673(c)). A ``special needs'' child is 
generally assessed by considering whether the child has a specific 
factor or condition that prevents the child from being placed with 
adoptive parents without adoption assistance or medical assistance; or 
whether the child qualifies for disability supplemental security income 
benefits; and whether a reasonable, but unsuccessful, effort was made 
to place the child with adoptive parents without adoption assistance or 
medical assistance. Specific factors or conditions include the child's 
ethnic background, age, membership in a minority or sibling group, or 
the presence of factors such as medical conditions or physical, mental 
or emotional disabilities. In accordance with section 260 of Public Law 
114-223, reimbursement for qualifying adoption expenses may be 
requested only for an adoption that became final after September 29, 
2016, the date Public Law 114-223 was enacted. In addition, the 
application for reimbursement must be submitted no later than 2 years 
after the adoption is final or, in the case of adoption of a foreign 
child, no later than 2 years from the date a certificate of United 
States citizenship is issued. In the case of adoption of a foreign 
child, reimbursement for qualifying adoption expenses may be requested 
only after United States citizenship has been granted to the adopted 
child. VA will not provide reimbursement for qualifying adoption 
expenses for any expense paid to or for a covered veteran under any 
other adoption benefits program administered by the Federal Government 
or under any such program administered by a State or local government.
    In paragraph (b) of new Sec.  17.390, based on the terms in DoD 
Instruction 1341.09, we address limitations on the amount of 
reimbursement for qualifying adoption expenses that a covered veteran, 
or two covered veterans who are spouses, may receive per adopted child, 
and the maximum amount that may be paid to such veterans in any 
calendar year. No more than $2,000 may be reimbursed to a covered 
veteran, or to two covered veterans who are spouses of each other, for 
expenses incurred in the adoption of a child. In the case of two 
married covered veterans, only one spouse may claim reimbursement for 
any one adoption. No more than $5,000 may be paid under this section to 
a covered veteran in any calendar year. In the case of two married 
covered veterans, the couple is limited to a maximum of $5,000 per 
calendar year.
    Relevant definitions are found in paragraph (c) of new Sec.  
17.390. The term ``covered veteran'' is defined as it is in section 260 
of Public Law 114-223: A veteran with a service-connected disability 
that results in the inability of the veteran to procreate without the 
use of fertility treatment. The additional restrictions on the 
eligibility of covered veterans in Sec.  17.380(a)(2) were required to 
implement the term ``assisted reproductive technology'' as defined in 
section 260(b)(3) of Public Law 114-

[[Page 9210]]

223, and do not apply to the adoption reimbursement benefit.
    ``Qualifying adoption expenses'' is defined based on the DoD 
Instruction to mean reasonable and necessary expenses that are directly 
related to the legal adoption of a child under 18 years of age, but 
only if such adoption is arranged by a qualified adoption agency. This 
definition includes several important elements. The expense must be 
``reasonable and necessary.'' Based on the DoD Instruction, we define 
``reasonable and necessary'' to include public and private agency fees, 
including adoption fees charged by an agency in a foreign country; 
placement fees, including fees charged to adoptive parents for 
counseling; and legal fees (including court costs). The term also 
includes medical expenses, including hospital expenses of the 
biological mother and medical care of the child to be adopted, as well 
as temporary foster care charges when payment of such charges is 
required before the adoptive child's placement.
    The adoption expenses must be directly related to the legal 
adoption of a child under the age of 18. Certain items are not 
reimbursable including expenses such as clothing, bedding, toys and 
books; travel expenses; and expenses incurred in connection with an 
adoption arranged in violation of Federal, State, or local law.
    To be reimbursable as a qualifying adoption expense the adoption 
must be arranged by a qualified adoption agency. We define ``qualified 
adoption agency'' as it is defined in the DoD Instruction. The term is 
broadly defined to include: a State or local government agency which 
has responsibility under State or local law for child placement through 
adoption; a nonprofit, voluntary adoption agency which is authorized by 
State or local law to place children for adoption; and, any other 
source authorized by a State to provide adoption placement if the 
adoption is supervised by a court under State or local law. In addition 
the term ``qualified adoption agency'' includes a foreign government or 
an agency authorized by a foreign government to place children for 
adoption, in any case in which the adopted child is entitled to 
automatic citizenship under section 320 of the Immigration and 
Nationality Act (8 U.S.C. 1431); or a certificate of citizenship has 
been issued for such child under section 322 of that Act (8 U.S.C. 
1433).
    Definitions in paragraph (c) are consistent with Public Law 114-223 
section 260, the DoD policy referenced in that statute, and the statute 
authorizing DoD to operate its adoption reimbursement program (10 
U.S.C. 1052).
    Paragraph (d) addresses documentation that a covered veteran must 
provide VA to obtain reimbursement of qualifying adoption expenses. It 
mirrors DoD's submission requirements found in the DoD Instruction. The 
request for reimbursement must be submitted on a form prescribed for 
such purpose by VA.
    Paragraph (e) provides that if documents submitted by a covered 
veteran in support of an application for reimbursement do not establish 
eligibility for reimbursement or justify claimed expenses, VA will 
retain the application and advise the covered veteran of additional 
documentation needed. All requested documentation must be submitted to 
VA within 90 calendar days of VA request. This is consistent with the 
DoD Instruction, and VA believes that it provides sufficient time to 
allow a covered veteran to obtain and submit additional documentation 
to support the claim for reimbursement.
    Section 260 of Public Law 114-223 provides that VA is authorized to 
use appropriated funds available to VA for the Medical Services account 
in the Public Law for reimbursement of qualifying adoption expenses. 
Paragraph (f) states that authority to provide reimbursement for 
qualifying adoption expenses incurred by a covered veteran in the 
adoption of a child under 18 years of age expires September 30, 2018, 
to reflect the limitations on the use of appropriated funds in the 
Medical Services account under section 260 of Public Law 114-223.
    VA believes this rulemaking will benefit covered veterans. Whether 
IVF or other fertility treatments using ART are or are not a viable 
option, the covered veteran may elect to adopt. This rulemaking 
decreases the financial burden of making that choice.
    VA is publishing this rulemaking as an interim final rule effective 
on the date of publication. We are providing a 60-day comment period to 
provide the public with an opportunity to submit comments and feedback.

Administrative Procedure Act

    In accordance with 5 U.S.C. 553(b)(B) and (d)(3), the Secretary of 
Veterans Affairs has concluded that there is good cause to publish this 
rule as an interim final rule without prior opportunity for public 
comment and to publish this rule with an immediate effective date. The 
Secretary finds that it is impracticable and contrary to the public 
interest to delay this rule for the purpose of soliciting advance 
public comment or to have a delayed effective date. VA is authorized to 
reimburse qualified adoption expenses incurred by covered veterans only 
through the end of Fiscal Year 2018. Pursuing the standard 
administrative process of publishing a proposed rule, soliciting public 
comment, followed by publication of a final rule with an effective date 
30 days after publication would result in a significant delay in 
implementation. VA believes that electing to follow that course of 
action would severely limit the agency's ability to utilize this 
authority as provided by Congress under Public Law 114-223. VA has 
determined that it is in the public interest to publish this rulemaking 
as an interim final rule effective on the date of publication to ensure 
that covered veterans have access to this benefit for the greatest 
amount of time practicable. VA believes that publishing this rule as an 
interim final rule without prior opportunity for public comment and to 
publish this rule with an immediate effective date will give effect to 
congressional intent that covered veterans have access to this benefit 
in a timely fashion. Further, we note that Public Law 114-223 section 
260(b)(4) establishes strict parameters on VA's administration of this 
benefit, requiring us to operate under the same terms as apply under 
the DoD's adoption reimbursement program, as authorized in DoD 
Instruction 1341.09, including the reimbursement limits and 
requirements set forth in such instruction. Given these restrictions, 
there is very little room for substantive changes to the rule based on 
public comment. For the above reasons, the Secretary issues this rule 
as an interim final rule with an immediate effective date. VA will 
consider and address comments that are received within 60 days of the 
date this interim final rule is published in the Federal Register.

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 interim rule includes a provision constituting a collection of 
information

[[Page 9211]]

under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3521) that 
requires approval by the Office of Management and Budget (OMB). VA has 
requested emergency clearance of information collection under this 
interim final rule. Accordingly, under 44 U.S.C. 3507(d), VA has 
submitted a copy of this rulemaking to OMB for review.
    OMB assigns control numbers to collections of information it 
approves. VA may not conduct or sponsor, and a person is not required 
to respond to, a collection of information unless it displays a 
currently valid OMB control number. Section 17.390 contains a 
collection of information under the Paperwork Reduction Act of 1995. If 
OMB does not approve the collection(s) of information as requested, VA 
will immediately remove the provision(s) containing a collection of 
information or take such other action as is directed by OMB.
    Comments on the collection of information contained in this rule 
should be submitted to the Office of Management and Budget, Attention: 
Desk Officer for the Department of Veterans Affairs, Office of 
Information and Regulatory Affairs, Washington, DC 20503, with copies 
sent by mail or hand delivery to the Director, Regulations Management 
(00REG), Department of Veterans Affairs, 810 Vermont Avenue NW, Room 
1068, Washington, DC 20420; fax to (202) 273-9026 (This is not a toll 
free no.); or through www.Regulations.gov. Comments should indicate 
that they are submitted in response to ``RIN 2900-AQ01 Reimbursement of 
qualifying adoption expenses for certain veterans.''
    OMB is required to make a decision concerning the collections of 
information contained in this rule between 30 and 60 days after 
publication of this document in the Federal Register.
    VA considers comments by the public on proposed collections of 
information in--
     Evaluating whether the proposed collections of information 
are necessary for the proper performance of the functions of VA, 
including whether the information will have practical utility;
     Evaluating the accuracy of VA's estimate of the burden of 
the proposed collections of information, including the validity of the 
methodology and assumptions used;
     Enhancing the quality, usefulness, and clarity of the 
information to be collected; and
     Minimizing the burden of the collections of information on 
those who are to respond, including through the use of appropriate 
automated, electronic, mechanical, or other technological collection 
techniques or other forms of information technology, e.g., permitting 
electronic submission of responses.
    The collections of information contained in regulatory section 38 
CFR 17.390 are described immediately following this paragraph, under 
their respective titles.
    Title: Reimbursement of qualifying adoption expenses for certain 
veterans.
    Summary of collection of information: To receive reimbursement for 
qualifying adoption expenses a covered veteran must provide various 
types of documentation including a copy of the final adoption decree, 
certificate or court order granting the adoption; proof of citizenship 
of the adopted child in the case of a foreign adoption; documentation 
that the adoption was handled by a qualified adoption agency; and 
documentation to substantiate reasonable and necessary expenses paid by 
the covered veteran. In addition, the covered veteran must submit a 
full English translation of any foreign language document, to include 
the translator's certification that he or she is competent to translate 
the foreign language to English and that his or her translation is 
complete and correct. Finally, the covered veteran may be asked to 
provide information to facilitate electronic transfer of funds to 
effectuate the reimbursement. This information collection is consistent 
with DoD requirements imposed on a service member seeking reimbursement 
of qualifying adoption expenses.
    Description of the need for information and proposed use of 
information: The information is needed to determine eligibility for 
reimbursement of qualifying adoption expenses.
    Description of likely respondents: Veterans with a service-
connected disability that results in the inability of the veteran to 
procreate without the use of fertility treatment who incurred 
qualifying adoption expenses related to an adoption that became final 
after September 29, 2016.
    Estimated number of respondents per month/year: 80 annually.
    Estimated frequency of responses per month/year: one response 
total.
    Estimated average burden per response: 6 hours.
    Estimated total annual reporting and recordkeeping burden: 480 
hours.

Regulatory Flexibility Act

    The Secretary hereby certifies that this interim 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 interim final rule will directly affect 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 Order 12866 and 13563

    Executive Orders 12866 and 13563 direct agencies to assess the 
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 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,'' requiring review by OMB, unless OMB 
waives such review, 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.''
    The economic, interagency, budgetary, legal, and policy 
implications of this regulatory action have been examined, and it has 
been determined not to be a significant regulatory action under 
Executive Order 12866. VA's impact analysis can be found as a 
supporting document at 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 
www.va.gov/orpm/, by following the link for ``VA Regulations Published 
From FY 2004 Through Fiscal Year to Date.''

[[Page 9212]]

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 interim 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 64.007, Blind Rehabilitation 
Centers; 64.008, Veterans Domiciliary Care; 64.009, Veterans Medical 
Care Benefits; 64.010, Veterans Nursing Home 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; 64.018, Sharing Specialized Medical 
Resources; 64.019, Veterans Rehabilitation Alcohol and Drug Dependence; 
64.022, Veterans Home Based Primary Care; and 64.024, VA Homeless 
Providers Grant and Per Diem Program.

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, or designee, 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. Gina S. 
Farrisee, Deputy Chief of Staff, Department of Veterans Affairs, 
approved this document on August 25, 2017, for publication.

    Dated: February 27, 2018.
Jeffrey Martin,
Impact Analyst, Office of Regulation Policy & Management, Office of the 
Secretary, Department of Veterans Affairs.
    For the reasons set out in the preamble, VA amends 38 CFR part 17 
as follows:

PART 17--MEDICAL

0
1. The authority citation for part 17 is revised to read as follows:

    Authority:  38 U.S.C. 501, and as noted in specific sections.

    Section 17.38 is also issued under 38 U.S.C. 101, 501, 1701, 
1705, 1710, 1710A, 1721, 1722, 1782, and 1786.
    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, Pub. L. 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.
    Sections 17.640 and 17.647 are also issued under sec. 4, Pub. L. 
114-2, 129 Stat. 30.
    Sections 17.641 through 17.646 are also issued under 38 U.S.C. 
501(a) and sec. 4, Pub. L. 114-2, 129 Stat. 30.
    Section 17.655 also issued under 38 U.S.C. 501(a), 7304, 7405.

0
2. Revise the undesignated center heading immediately preceding Sec.  
17.380 to read as follows:
    In Vitro Fertilization and Reimbursement of Adoption Expenses

0
3. Add Sec.  17.390 before the undesignated center heading ``Hospital 
Care and Medical Services for Camp Lejune Veterans and Families'' to 
read as follows:


Sec.  17. 390   Reimbursement for qualifying adoption expenses incurred 
by certain veterans.

    (a) General. A covered veteran may request reimbursement for 
qualifying adoption expenses incurred by the veteran in the adoption of 
a child under 18 years of age.
    (1) An adoption for which expenses may be reimbursed under this 
section includes an adoption by a married or single person, an infant 
adoption, an intercountry adoption, and an adoption of a child with 
special needs (as defined in section 473(c) of the Social Security Act 
(42 U.S.C. 673(c))).
    (2) Reimbursement for qualifying adoption expenses may be requested 
only for an adoption that became final after September 29, 2016, and 
must be requested:
    (i) No later than 2 years after the adoption is final; or,
    (ii) In the case of adoption of a foreign child, no later than 2 
years from the date the certificate of United States citizenship is 
issued.
    (3) In the case of adoption of a foreign child, reimbursement for 
qualifying adoption expenses may be requested only after United States 
citizenship has been granted to the adopted child.
    (4) Reimbursement for qualifying adoption expenses may not be made 
under this section for any expense paid to or for a covered veteran 
under any other adoption benefits program administered by the Federal 
Government or under any such program administered by a State or local 
government.
    (b) Limitations. (1) Reimbursement per adopted child. No more than 
$2,000 may be reimbursed under this section to a covered veteran, or to 
two covered veterans who are spouses of each other, for expenses 
incurred in the adoption of a child. In the case of two married covered 
veterans, only one spouse may claim reimbursement for any one adoption.
    (2) Maximum reimbursement in any calendar year. No more than $5,000 
may be paid under this section to a covered veteran in any calendar 
year. In the case of two married covered veterans, the couple is 
limited to a maximum of $5,000 per calendar year.
    (c) Definitions. For the purposes of this section:
    (1) ``Covered veteran'' means a veteran with a service-connected 
disability that results in the inability of the veteran to procreate 
without the use of fertility treatment.
    (2) ``Qualifying adoption expenses'' means reasonable and necessary 
expenses that are directly related to the legal adoption of a child 
under 18 years of age, but only if such adoption is arranged by a 
qualified adoption agency. Such term does not include any expense 
incurred:
    (i) For items such as clothing, bedding, toys and books;
    (ii) For travel; or
    (iii) In connection with an adoption arranged in violation of 
Federal, State, or local law.
    (3) ``Reasonable and necessary expenses'' include:
    (i) Public and private agency fees, including adoption fees charged 
by an agency in a foreign country;
    (ii) Placement fees, including fees charged to adoptive parents for 
counseling;
    (iii) Legal fees (including court costs) or notary expenses;
    (iv) Medical expenses, including hospital expenses of the 
biological mother and medical care of the child to be adopted; and
    (v) Temporary foster care charges when payment of such charges is

[[Page 9213]]

required before the adoptive child's placement.
    (4) ``Qualified adoption agency'' means any of the following:
    (i) A State or local government agency which has responsibility 
under State or local law for child placement through adoption.
    (ii) A nonprofit, voluntary adoption agency which is authorized by 
State or local law to place children for adoption.
    (iii) Any other source authorized by a State to provide adoption 
placement if the adoption is supervised by a court under State or local 
law.
    (iv) A foreign government or an agency authorized by a foreign 
government to place children for adoption, in any case in which:
    (A) The adopted child is entitled to automatic citizenship under 
section 320 of the Immigration and Nationality Act (8 U.S.C. 1431); or
    (B) A certificate of citizenship has been issued for such child 
under section 322 of that Act (8 U.S.C. 1433).
    (d) Applying for reimbursement of qualifying adoption expenses. An 
application for reimbursement must be submitted on a form prescribed 
for such purpose by VA. Information and documentation must include:
    (1) A copy of the final adoption decree, certificate or court order 
granting the adoption. For U.S. adoptions, the court order must be 
signed by a judge unless either State law or local court rules 
authorize that the adoption order may be signed by a commissioner, 
magistrate or court referee. The covered veteran must submit a full 
English translation of any foreign language document, to include the 
translator's certification that he or she is competent to translate the 
foreign language to English and that his or her translation is complete 
and correct.
    (2) For foreign adoptions, proof of U.S. citizenship of the child, 
including any of the following:
    (i) A copy of Certificate of Citizenship.
    (ii) A copy of a U.S. court order that recognizes the foreign 
adoption, or documents the re-adopting of the child in the United 
States.
    (iii) A letter from the United States Citizenship and Immigration 
Services, which states the status of the child's adoption.
    (iv) A copy of the child's U.S. passport (page with personal 
information only).
    (3) For U.S. adoptions, documentation to show that the adoption was 
handled by a qualified adoption agency or other source authorized by a 
State or local law to provide adoption placement. Acceptable forms of 
proof that the adoption was handled by a qualified adoption agency 
include:
    (i) A copy of placement agreement from the adoption agency showing 
the agreement entered into between the member and the agency.
    (ii) A letter from the adoption agency stating that the agency 
arranged the adoption and that the agency is a licensed child placing 
agency in the United States.
    (iii) Receipts for payment to the adoption agency, as well as 
proof, (e.g., a copy of the agency's web page), of the agency's status 
as a for-profit or non-profit licensed child placing agency.
    (4) For foreign adoptions, documentation to show that the adoption 
was handled by a qualified adoption agency. In addition to the forms of 
acceptable proof that the adoption was handled by a qualified adoption 
agency listed in paragraph (d)(3) of this section, the documentation 
must also include:
    (i) A document that describes the mission of the foreign agency and 
its authority from the foreign government to place children for 
adoption; and
    (ii) A placement agreement from the adoption agency or letter from 
the adoption agency stating the specific services it provided for the 
adoption.
    (5) Documentation to substantiate reasonable and necessary expenses 
paid by the covered veteran. Acceptable forms of documentation include 
receipts, cancelled checks, or a letter from the adoption agency 
showing the amount paid by the member. Receipts from a foreign entity 
should include the U.S. currency equivalency. Reconstruction of expense 
records is permissible when the original records are unavailable and 
the covered veteran submits a notarized affidavit stating the costs.
    (6) Checking or savings account information to facilitate VA 
providing reimbursement to the covered veteran under this section.
    (e) Failure to establish eligibility. If documents submitted by a 
covered veteran in support of an application for reimbursement do not 
establish eligibility for reimbursement or justify claimed expenses, VA 
will retain the application and advise the covered veteran of 
additional documentation needed. All requested documentation must be 
submitted to VA within 90 calendar days of VA request.
    (f) Authority. Authority to provide reimbursement for qualifying 
adoption expenses incurred by a covered veteran in the adoption of a 
child under 18 years of age expires September 30, 2018.
    (Approval for information collection under this section has been 
requested from the Office of Management and Budget)

[FR Doc. 2018-04245 Filed 3-2-18; 8:45 am]
 BILLING CODE 8320-01-P



                                              9208                Federal Register / Vol. 83, No. 43 / Monday, March 5, 2018 / Rules and Regulations

                                                 (2) Create serious inconsistency or                  approaches, we selected those                         fdsys. At this site you can view this
                                              otherwise interfere with an action taken                approaches that maximize net benefits.                document, as well as all other
                                              or planned by another agency;                           Based on the analysis that follows, the               documents of this Department
                                                 (3) Materially alter the budgetary                   Department believes that these final                  published in the Federal Register, in
                                              impacts of entitlement grants, user fees,               regulations are consistent with the                   text or Portable Document Format
                                              or loan programs or the rights and                      principles in Executive Order 13563.                  (PDF). To use PDF you must have
                                              obligations of recipients thereof; or                      We also have determined that this                  Adobe Acrobat Reader, which is
                                                 (4) Raise novel legal or policy issues               regulatory action does not unduly                     available free at the site.
                                              arising out of legal mandates, the                      interfere with State, local, and Tribal                 You may also access documents of the
                                              President’s priorities, or the principles               governments in the exercise of their                  Department published in the Federal
                                              stated in the Executive order.                          governmental functions.                               Register by using the article search
                                                 This final regulatory action is not a                   In accordance with both Executive                  feature at: www.federalregister.gov.
                                              significant regulatory action subject to                orders, the Department has assessed the               Specifically, through the advanced
                                              review by OMB under section 3(f) of                     potential costs and benefits, both                    search feature at this site, you can limit
                                              Executive Order 12866.                                  quantitative and qualitative, of this                 your search to documents published by
                                                 We have also reviewed these                          regulatory action. Because the rescission             the Department.
                                              regulations under Executive Order                       of these regulations comports with
                                              13563, which supplements and                                                                                  List of Subjects in 34 CFR Part 230
                                                                                                      statutory changes that have already
                                              explicitly reaffirms the principles,                    taken effect, this action will not result               Armed forces, Education, Elementary
                                              structures, and definitions governing                   in any additional costs or benefits.                  and secondary education, Teachers,
                                              regulatory review established in                           Under Executive Order 13771, for                   Vocational education.
                                              Executive Order 12866. To the extent                    each new regulation that the                            Dated: February 28, 2018.
                                              permitted by law, Executive Order                       Department proposes for notice and                    Margo Anderson,
                                              13563 requires that an agency—                          comment or otherwise promulgates that                 Acting Assistant Deputy Secretary for
                                                 (1) Propose or adopt regulations only                is a significant regulatory action under              Innovation and Improvement.
                                              on a reasoned determination that their                  Executive Order 12866 and that imposes
                                              benefits justify their costs (recognizing               total costs greater than zero, it must                PART 230—[REMOVED]
                                              that some benefits and costs are difficult              identify two deregulatory actions. For
                                              to quantify);                                           FY 2018, any new incremental costs                    ■ For the reasons discussed in the
                                                 (2) Tailor its regulations to impose the             associated with a new regulation must                 preamble, and under the authority of
                                              least burden on society, consistent with                be fully offset by the elimination of                 section 414 of the Department of
                                              obtaining regulatory objectives and                     existing costs through deregulatory                   Education Organization Act, 20 U.S.C.
                                              taking into account—among other things                  actions. Because this final rule is not a             3474, the Secretary removes 34 CFR part
                                              and to the extent practicable—the costs                 significant regulatory action, the                    230.
                                              of cumulative regulations;                              requirement to offset new regulations in              [FR Doc. 2018–04437 Filed 3–2–18; 8:45 am]
                                                 (3) In choosing among alternative                    Executive Order 13771 does not apply.                 BILLING CODE 4000–01–P
                                              regulatory approaches, select those
                                              approaches that maximize net benefits                   Regulatory Flexibility Act Certification
                                              (including potential economic,                            The Secretary certifies that these                  DEPARTMENT OF VETERANS
                                              environmental, public health and safety,                regulations will not have a significant               AFFAIRS
                                              and other advantages; distributive                      economic impact on a substantial
                                              impacts; and equity);                                   number of small entities. As detailed                 38 CFR Part 17
                                                 (4) To the extent feasible, specify                  above, this regulatory action merely
                                              performance objectives, rather than the                                                                       RIN 2900–AQ01
                                                                                                      removes outdated regulations from the
                                              behavior or manner of compliance a                      Code of Federal Regulations and                       Reimbursement of Qualifying Adoption
                                              regulated entity must adopt; and                        imposes no costs.
                                                 (5) Identify and assess available                                                                          Expenses for Certain Veterans
                                              alternatives to direct regulation,                      Paperwork Reduction Act of 1995                       AGENCY:    Department of Veterans Affairs.
                                              including economic incentives—such as                     These regulations do not contain any                ACTION:   Interim final rule.
                                              user fees or marketable permits—to                      information collection requirements.
                                              encourage the desired behavior, or                                                                            SUMMARY:    The Department of Veterans
                                              provide information that enables the                    Intergovernmental Review                              Affairs (VA) amends its regulation to
                                              public to make choices.                                    This program is subject to Executive               provide for reimbursement of qualifying
                                                 Executive Order 13563 also requires                  Order 12372 and the regulations in 34                 adoption expenses incurred by a veteran
                                              an agency ‘‘to use the best available                   CFR part 79. One of the objectives of the             with a service-connected disability that
                                              techniques to quantify anticipated                      Executive order is to foster an                       results in the inability of the veteran to
                                              present and future benefits and costs as                intergovernmental partnership and a                   procreate without the use of fertility
                                              accurately as possible.’’ The Office of                 strengthened federalism. The Executive                treatment. Under the Continuing
                                              Information and Regulatory Affairs of                   order relies on processes developed by                Appropriations and Military
                                              OMB has emphasized that these                           State and local governments for                       Construction, Veterans Affairs, and
                                              techniques may include ‘‘identifying                    coordination and review of proposed                   Related Agencies Appropriations Act,
                                              changing future compliance costs that                   Federal financial assistance.                         2017, and Zika Response and
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                                              might result from technological                            Electronic Access to This Document:                Preparedness Act, VA may use funds
                                              innovation or anticipated behavioral                    The official version of this document is              appropriated or otherwise made
                                              changes.’’                                              the document published in the Federal                 available to VA for the ‘‘Medical
                                                 We are issuing this final regulatory                 Register. You may access the official                 Services’’ account to provide adoption
                                              action only on a reasoned determination                 edition of the Federal Register and the               reimbursement to these veterans. Under
                                              that its benefits justify its costs. In                 Code of Federal Regulations via the                   the law, reimbursement may be for the
                                              choosing among alternative regulatory                   Federal Digital System at: www.gpo.gov/               adoption-related expenses for an


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                                                                  Federal Register / Vol. 83, No. 43 / Monday, March 5, 2018 / Rules and Regulations                                            9209

                                              adoption that is finalized after the date               fertilization (IVF) (which is a type of               medical assistance. Specific factors or
                                              of the enactment of this Act under the                  ART), for both covered veterans and                   conditions include the child’s ethnic
                                              same terms as apply under the adoption                  spouses. We now address                               background, age, membership in a
                                              reimbursement program of the                            reimbursement of qualifying adoption                  minority or sibling group, or the
                                              Department of Defense (DoD), as                         expenses in this rulemaking.                          presence of factors such as medical
                                              authorized in DoD Instruction 1341.09,                     Per the statute, veterans with a                   conditions or physical, mental or
                                              including the reimbursement limits and                  service-connected disability that results             emotional disabilities. In accordance
                                              requirements set forth in such                          in the inability of the veteran to                    with section 260 of Public Law 114–223,
                                              instruction. This rulemaking                            procreate without the use of fertility                reimbursement for qualifying adoption
                                              implements the new adoption                             treatment are authorized to receive                   expenses may be requested only for an
                                              reimbursement benefit for covered                       reimbursement for certain adoption-                   adoption that became final after
                                              veterans.                                               related expenses for an adoption that is              September 29, 2016, the date Public
                                              DATES:
                                                                                                      finalized after September 29, 2016, (the              Law 114–223 was enacted. In addition,
                                                 Effective date: This rule is effective on            date the law was enacted) under the                   the application for reimbursement must
                                              March 5, 2018.                                          same terms as apply under the adoption                be submitted no later than 2 years after
                                                 Comment date: Comments must be                       reimbursement program of DoD, as                      the adoption is final or, in the case of
                                              received on or before May 4, 2018.                      authorized in DoD Instruction 1341.09,                adoption of a foreign child, no later than
                                              ADDRESSES: Written comments may be
                                                                                                      including the reimbursement limits and                2 years from the date a certificate of
                                              submitted by email through                              requirements set forth in that DoD                    United States citizenship is issued. In
                                              www.regulations.gov; by mail or hand-                   policy. DoD Instruction 1341.09, ‘‘DoD                the case of adoption of a foreign child,
                                              delivery to Director, Regulation Policy                 Adoption Reimbursement Policy’’ (July                 reimbursement for qualifying adoption
                                              and Management (00REG), Department                      5, 2016) establishes policy, assigns                  expenses may be requested only after
                                              of Veterans Affairs, 810 Vermont                        responsibilities within DoD, and                      United States citizenship has been
                                              Avenue NW, Room 1068, Washington,                       provides procedures for the                           granted to the adopted child. VA will
                                              DC 20420; or by fax to (202) 273–9026.                  reimbursement of qualifying adoption                  not provide reimbursement for
                                              (This is not a toll-free number.)                       expenses incurred by members of the                   qualifying adoption expenses for any
                                              Comments should indicate that they are                  Military Services (including document                 expense paid to or for a covered veteran
                                              submitted in response to ‘‘RIN 2900–                    submission requirements) pursuant to                  under any other adoption benefits
                                              AQ01—reimbursement of qualifying                        10 U.S.C. 1052. That statute was enacted              program administered by the Federal
                                              adoption expenses for certain veterans.’’               in 1991 and establishes the parameters                Government or under any such program
                                              Copies of comments received will be                     of DoD’s adoption reimbursement                       administered by a State or local
                                              available for public inspection in the                  program. VA amends part 17 by adding                  government.
                                              Office of Regulation Policy and                         new section 17.390 to provide for
                                                                                                                                                               In paragraph (b) of new § 17.390,
                                              Management, Room 1068, between the                      reimbursement of qualifying adoption
                                                                                                                                                            based on the terms in DoD Instruction
                                              hours of 8 a.m. and 4:30 p.m. Monday                    expenses to covered veterans, consistent
                                                                                                                                                            1341.09, we address limitations on the
                                              through Friday (except holidays). Please                with the policies and procedures
                                                                                                                                                            amount of reimbursement for qualifying
                                              call (202) 461–4902 for an appointment.                 established by DoD in implementing 10
                                                                                                                                                            adoption expenses that a covered
                                              (This is not a toll-free number.) In                    U.S.C. 1052.
                                                                                                         Paragraph (a) of new § 17.390                      veteran, or two covered veterans who
                                              addition, during the comment period,                                                                          are spouses, may receive per adopted
                                                                                                      addresses general requirements for
                                              comments may be viewed online                                                                                 child, and the maximum amount that
                                                                                                      reimbursement. Except as noted, all of
                                              through the Federal Docket Management                                                                         may be paid to such veterans in any
                                                                                                      these requirements are terms of the
                                              System (FDMS) at www.regulations.gov.                                                                         calendar year. No more than $2,000 may
                                                                                                      adoption reimbursement program of
                                              FOR FURTHER INFORMATION CONTACT:                        DoD, as authorized in DoD Instruction                 be reimbursed to a covered veteran, or
                                              Patricia M. Hayes, Ph.D. Chief                          1341.09. A covered veteran may request                to two covered veterans who are
                                              Consultant, Women’s Health Services,                    reimbursement for qualifying adoption                 spouses of each other, for expenses
                                              Patient Care Services, Veterans Health                  expenses incurred by the veteran in the               incurred in the adoption of a child. In
                                              Administration, Department of Veterans                  adoption of a child under 18 years of                 the case of two married covered
                                              Affairs, 810 Vermont Ave. NW,                           age. To clarify the scope of adoptions                veterans, only one spouse may claim
                                              Washington, DC 20420. (202) 461–0373.                   that are contemplated, we state that                  reimbursement for any one adoption. No
                                              (This is not a toll-free number.)                       reimbursement for qualifying adoption                 more than $5,000 may be paid under
                                              SUPPLEMENTARY INFORMATION: Section                      expenses includes expenses for an                     this section to a covered veteran in any
                                              260 of the Continuing Appropriations                    adoption by a married or single person,               calendar year. In the case of two married
                                              and Military Construction, Veterans                     an infant adoption, an intercountry                   covered veterans, the couple is limited
                                              Affairs, and Related Agencies                           adoption, and an adoption of a child                  to a maximum of $5,000 per calendar
                                              Appropriations Act, 2017, and Zika                      with special needs as defined in section              year.
                                              Response and Preparedness Act (Pub.                     473(c) of the Social Security Act (42                    Relevant definitions are found in
                                              L.114–223) allows VA to use                             U.S.C. 673(c)). A ‘‘special needs’’ child             paragraph (c) of new § 17.390. The term
                                              appropriated funds available to VA for                  is generally assessed by considering                  ‘‘covered veteran’’ is defined as it is in
                                              the Medical Services account to provide                 whether the child has a specific factor               section 260 of Public Law 114–223: A
                                              fertility counseling and treatment using                or condition that prevents the child                  veteran with a service-connected
                                              assisted reproductive technology (ART)                  from being placed with adoptive parents               disability that results in the inability of
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                                              to a covered veteran or the spouse of a                 without adoption assistance or medical                the veteran to procreate without the use
                                              covered veteran, or adoption                            assistance; or whether the child                      of fertility treatment. The additional
                                              reimbursement to a covered veteran. On                  qualifies for disability supplemental                 restrictions on the eligibility of covered
                                              January 19, 2017, VA published an                       security income benefits; and whether a               veterans in § 17.380(a)(2) were required
                                              interim final rule at 82 FR 6275                        reasonable, but unsuccessful, effort was              to implement the term ‘‘assisted
                                              addressing fertility counseling and                     made to place the child with adoptive                 reproductive technology’’ as defined in
                                              treatment using ART, including in vitro                 parents without adoption assistance or                section 260(b)(3) of Public Law 114–


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                                              9210                Federal Register / Vol. 83, No. 43 / Monday, March 5, 2018 / Rules and Regulations

                                              223, and do not apply to the adoption                   reimbursement program (10 U.S.C.                      soliciting advance public comment or to
                                              reimbursement benefit.                                  1052).                                                have a delayed effective date. VA is
                                                 ‘‘Qualifying adoption expenses’’ is                     Paragraph (d) addresses                            authorized to reimburse qualified
                                              defined based on the DoD Instruction to                 documentation that a covered veteran                  adoption expenses incurred by covered
                                              mean reasonable and necessary                           must provide VA to obtain                             veterans only through the end of Fiscal
                                              expenses that are directly related to the               reimbursement of qualifying adoption                  Year 2018. Pursuing the standard
                                              legal adoption of a child under 18 years                expenses. It mirrors DoD’s submission                 administrative process of publishing a
                                              of age, but only if such adoption is                    requirements found in the DoD                         proposed rule, soliciting public
                                              arranged by a qualified adoption agency.                Instruction. The request for                          comment, followed by publication of a
                                              This definition includes several                        reimbursement must be submitted on a                  final rule with an effective date 30 days
                                              important elements. The expense must                    form prescribed for such purpose by                   after publication would result in a
                                              be ‘‘reasonable and necessary.’’ Based                  VA.                                                   significant delay in implementation. VA
                                              on the DoD Instruction, we define                          Paragraph (e) provides that if                     believes that electing to follow that
                                              ‘‘reasonable and necessary’’ to include                 documents submitted by a covered                      course of action would severely limit
                                              public and private agency fees,                         veteran in support of an application for              the agency’s ability to utilize this
                                              including adoption fees charged by an                   reimbursement do not establish                        authority as provided by Congress under
                                              agency in a foreign country; placement                  eligibility for reimbursement or justify              Public Law 114–223. VA has
                                              fees, including fees charged to adoptive                claimed expenses, VA will retain the                  determined that it is in the public
                                              parents for counseling; and legal fees                  application and advise the covered                    interest to publish this rulemaking as an
                                              (including court costs). The term also                  veteran of additional documentation                   interim final rule effective on the date
                                              includes medical expenses, including                    needed. All requested documentation                   of publication to ensure that covered
                                              hospital expenses of the biological                     must be submitted to VA within 90                     veterans have access to this benefit for
                                              mother and medical care of the child to                 calendar days of VA request. This is                  the greatest amount of time practicable.
                                              be adopted, as well as temporary foster                 consistent with the DoD Instruction, and              VA believes that publishing this rule as
                                              care charges when payment of such                       VA believes that it provides sufficient               an interim final rule without prior
                                              charges is required before the adoptive                 time to allow a covered veteran to                    opportunity for public comment and to
                                              child’s placement.                                      obtain and submit additional                          publish this rule with an immediate
                                                 The adoption expenses must be                        documentation to support the claim for                effective date will give effect to
                                              directly related to the legal adoption of               reimbursement.                                        congressional intent that covered
                                              a child under the age of 18. Certain                       Section 260 of Public Law 114–223                  veterans have access to this benefit in a
                                              items are not reimbursable including                    provides that VA is authorized to use                 timely fashion. Further, we note that
                                              expenses such as clothing, bedding, toys                appropriated funds available to VA for                Public Law 114–223 section 260(b)(4)
                                              and books; travel expenses; and                         the Medical Services account in the                   establishes strict parameters on VA’s
                                              expenses incurred in connection with                    Public Law for reimbursement of                       administration of this benefit, requiring
                                              an adoption arranged in violation of                    qualifying adoption expenses. Paragraph               us to operate under the same terms as
                                              Federal, State, or local law.                           (f) states that authority to provide                  apply under the DoD’s adoption
                                                 To be reimbursable as a qualifying                   reimbursement for qualifying adoption                 reimbursement program, as authorized
                                              adoption expense the adoption must be                   expenses incurred by a covered veteran                in DoD Instruction 1341.09, including
                                              arranged by a qualified adoption agency.                in the adoption of a child under 18                   the reimbursement limits and
                                              We define ‘‘qualified adoption agency’’                 years of age expires September 30, 2018,              requirements set forth in such
                                              as it is defined in the DoD Instruction.                to reflect the limitations on the use of              instruction. Given these restrictions,
                                              The term is broadly defined to include:                 appropriated funds in the Medical                     there is very little room for substantive
                                              a State or local government agency                      Services account under section 260 of                 changes to the rule based on public
                                              which has responsibility under State or                 Public Law 114–223.                                   comment. For the above reasons, the
                                              local law for child placement through                      VA believes this rulemaking will                   Secretary issues this rule as an interim
                                              adoption; a nonprofit, voluntary                        benefit covered veterans. Whether IVF                 final rule with an immediate effective
                                              adoption agency which is authorized by                  or other fertility treatments using ART               date. VA will consider and address
                                              State or local law to place children for                are or are not a viable option, the                   comments that are received within 60
                                              adoption; and, any other source                         covered veteran may elect to adopt. This              days of the date this interim final rule
                                              authorized by a State to provide                        rulemaking decreases the financial                    is published in the Federal Register.
                                              adoption placement if the adoption is                   burden of making that choice.
                                              supervised by a court under State or                       VA is publishing this rulemaking as                Effect of Rulemaking
                                              local law. In addition the term                         an interim final rule effective on the                  Title 38 of the Code of Federal
                                              ‘‘qualified adoption agency’’ includes a                date of publication. We are providing a               Regulations, as revised by this final
                                              foreign government or an agency                         60-day comment period to provide the                  rulemaking, represents VA’s
                                              authorized by a foreign government to                   public with an opportunity to submit                  implementation of its legal authority on
                                              place children for adoption, in any case                comments and feedback.                                this subject. Other than future
                                              in which the adopted child is entitled                                                                        amendments to this regulation or
                                              to automatic citizenship under section                  Administrative Procedure Act
                                                                                                                                                            governing statutes, no contrary guidance
                                              320 of the Immigration and Nationality                     In accordance with 5 U.S.C. 553(b)(B)              or procedures are authorized. All
                                              Act (8 U.S.C. 1431); or a certificate of                and (d)(3), the Secretary of Veterans                 existing or subsequent VA guidance
                                              citizenship has been issued for such                    Affairs has concluded that there is good              must be read to conform with this
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                                              child under section 322 of that Act (8                  cause to publish this rule as an interim              rulemaking if possible or, if not
                                              U.S.C. 1433).                                           final rule without prior opportunity for              possible, such guidance is superseded
                                                 Definitions in paragraph (c) are                     public comment and to publish this rule               by this rulemaking.
                                              consistent with Public Law 114–223                      with an immediate effective date. The
                                              section 260, the DoD policy referenced                  Secretary finds that it is impracticable              Paperwork Reduction Act
                                              in that statute, and the statute                        and contrary to the public interest to                  This interim rule includes a provision
                                              authorizing DoD to operate its adoption                 delay this rule for the purpose of                    constituting a collection of information


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                                                                  Federal Register / Vol. 83, No. 43 / Monday, March 5, 2018 / Rules and Regulations                                            9211

                                              under the Paperwork Reduction Act of                    use of appropriate automated,                         substantial number of small entities as
                                              1995 (44 U.S.C. 3501–3521) that                         electronic, mechanical, or other                      they are defined in the Regulatory
                                              requires approval by the Office of                      technological collection techniques or                Flexibility Act, 5 U.S.C. 601–612. This
                                              Management and Budget (OMB). VA has                     other forms of information technology,                interim final rule will directly affect
                                              requested emergency clearance of                        e.g., permitting electronic submission of             only individuals and will not directly
                                              information collection under this                       responses.                                            affect small entities. Therefore, pursuant
                                              interim final rule. Accordingly, under                     The collections of information                     to 5 U.S.C. 605(b), this rulemaking is
                                              44 U.S.C. 3507(d), VA has submitted a                   contained in regulatory section 38 CFR                exempt from the initial and final
                                              copy of this rulemaking to OMB for                      17.390 are described immediately                      regulatory flexibility analysis
                                              review.                                                 following this paragraph, under their                 requirements of 5 U.S.C. 603 and 604.
                                                OMB assigns control numbers to                        respective titles.
                                              collections of information it approves.                                                                       Executive Order 12866 and 13563
                                                                                                         Title: Reimbursement of qualifying
                                              VA may not conduct or sponsor, and a                    adoption expenses for certain veterans.                  Executive Orders 12866 and 13563
                                              person is not required to respond to, a                    Summary of collection of information:              direct agencies to assess the costs and
                                              collection of information unless it                     To receive reimbursement for qualifying               benefits of available regulatory
                                              displays a currently valid OMB control                  adoption expenses a covered veteran                   alternatives and, when regulation is
                                              number. Section 17.390 contains a                       must provide various types of                         necessary, to select regulatory
                                              collection of information under the                     documentation including a copy of the                 approaches that maximize net benefits
                                              Paperwork Reduction Act of 1995. If                     final adoption decree, certificate or                 (including potential economic,
                                              OMB does not approve the collection(s)                  court order granting the adoption; proof              environmental, public health and safety
                                              of information as requested, VA will                    of citizenship of the adopted child in                effects, and other advantages;
                                              immediately remove the provision(s)                     the case of a foreign adoption;                       distributive impacts; and equity).
                                              containing a collection of information or               documentation that the adoption was                   Executive Order 13563 (Improving
                                              take such other action as is directed by                handled by a qualified adoption agency;               Regulation and Regulatory Review)
                                              OMB.                                                    and documentation to substantiate                     emphasizes the importance of
                                                Comments on the collection of                         reasonable and necessary expenses paid                quantifying both costs and benefits,
                                              information contained in this rule                      by the covered veteran. In addition, the              reducing costs, harmonizing rules, and
                                              should be submitted to the Office of                    covered veteran must submit a full                    promoting flexibility. Executive Order
                                              Management and Budget, Attention:                       English translation of any foreign                    12866 (Regulatory Planning and
                                              Desk Officer for the Department of                      language document, to include the                     Review) defines a ‘‘significant
                                              Veterans Affairs, Office of Information                 translator’s certification that he or she is          regulatory action,’’ requiring review by
                                              and Regulatory Affairs, Washington, DC                  competent to translate the foreign                    OMB, unless OMB waives such review,
                                              20503, with copies sent by mail or hand                 language to English and that his or her               as ‘‘any regulatory action that is likely
                                              delivery to the Director, Regulations                   translation is complete and correct.                  to result in a rule that may: (1) Have an
                                              Management (00REG), Department of                       Finally, the covered veteran may be                   annual effect on the economy of $100
                                              Veterans Affairs, 810 Vermont Avenue                    asked to provide information to                       million or more or adversely affect in a
                                              NW, Room 1068, Washington, DC                           facilitate electronic transfer of funds to            material way the economy, a sector of
                                              20420; fax to (202) 273–9026 (This is                   effectuate the reimbursement. This                    the economy, productivity, competition,
                                              not a toll free no.); or through                        information collection is consistent with             jobs, the environment, public health or
                                              www.Regulations.gov. Comments                           DoD requirements imposed on a service                 safety, or State, local, or tribal
                                              should indicate that they are submitted                 member seeking reimbursement of                       governments or communities; (2) Create
                                              in response to ‘‘RIN 2900–AQ01                          qualifying adoption expenses.                         a serious inconsistency or otherwise
                                              Reimbursement of qualifying adoption                       Description of the need for                        interfere with an action taken or
                                              expenses for certain veterans.’’                        information and proposed use of                       planned by another agency; (3)
                                                OMB is required to make a decision                    information: The information is needed                Materially alter the budgetary impact of
                                              concerning the collections of                           to determine eligibility for                          entitlements, grants, user fees, or loan
                                              information contained in this rule                      reimbursement of qualifying adoption                  programs or the rights and obligations of
                                              between 30 and 60 days after                            expenses.                                             recipients thereof; or (4) Raise novel
                                              publication of this document in the                        Description of likely respondents:                 legal or policy issues arising out of legal
                                              Federal Register.                                       Veterans with a service-connected                     mandates, the President’s priorities, or
                                                VA considers comments by the public                   disability that results in the inability of           the principles set forth in this Executive
                                              on proposed collections of information                  the veteran to procreate without the use              Order.’’
                                              in—                                                     of fertility treatment who incurred                      The economic, interagency,
                                                • Evaluating whether the proposed                     qualifying adoption expenses related to               budgetary, legal, and policy
                                              collections of information are necessary                an adoption that became final after                   implications of this regulatory action
                                              for the proper performance of the                       September 29, 2016.                                   have been examined, and it has been
                                              functions of VA, including whether the                     Estimated number of respondents per                determined not to be a significant
                                              information will have practical utility;                month/year: 80 annually.                              regulatory action under Executive Order
                                                • Evaluating the accuracy of VA’s                        Estimated frequency of responses per               12866. VA’s impact analysis can be
                                              estimate of the burden of the proposed                  month/year: one response total.                       found as a supporting document at
                                              collections of information, including the                  Estimated average burden per                       www.regulations.gov, usually within 48
                                              validity of the methodology and                         response: 6 hours.                                    hours after the rulemaking document is
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                                              assumptions used;                                          Estimated total annual reporting and               published. Additionally, a copy of the
                                                • Enhancing the quality, usefulness,                  recordkeeping burden: 480 hours.                      rulemaking and its impact analysis are
                                              and clarity of the information to be                                                                          available on VA’s website at
                                              collected; and                                          Regulatory Flexibility Act                            www.va.gov/orpm/, by following the
                                                • Minimizing the burden of the                          The Secretary hereby certifies that                 link for ‘‘VA Regulations Published
                                              collections of information on those who                 this interim final rule will not have a               From FY 2004 Through Fiscal Year to
                                              are to respond, including through the                   significant economic impact on a                      Date.’’


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                                              9212                Federal Register / Vol. 83, No. 43 / Monday, March 5, 2018 / Rules and Regulations

                                              Unfunded Mandates                                         Dated: February 27, 2018.                           the certificate of United States
                                                                                                      Jeffrey Martin,                                       citizenship is issued.
                                                 The Unfunded Mandates Reform Act                     Impact Analyst, Office of Regulation Policy              (3) In the case of adoption of a foreign
                                              of 1995 requires, at 2 U.S.C. 1532, that                & Management, Office of the Secretary,                child, reimbursement for qualifying
                                              agencies prepare an assessment of                       Department of Veterans Affairs.                       adoption expenses may be requested
                                              anticipated costs and benefits before                     For the reasons set out in the                      only after United States citizenship has
                                              issuing any rule that may result in the                 preamble, VA amends 38 CFR part 17 as                 been granted to the adopted child.
                                              expenditure by State, local, and tribal                 follows:                                                 (4) Reimbursement for qualifying
                                              governments, in the aggregate, or by the                                                                      adoption expenses may not be made
                                              private sector, of $100 million or more                 PART 17—MEDICAL                                       under this section for any expense paid
                                              (adjusted annually for inflation) in any                                                                      to or for a covered veteran under any
                                                                                                      ■ 1. The authority citation for part 17 is            other adoption benefits program
                                              one year. This interim final rule will
                                                                                                      revised to read as follows:                           administered by the Federal
                                              have no such effect on State, local, and
                                              tribal governments, or on the private                      Authority: 38 U.S.C. 501, and as noted in          Government or under any such program
                                                                                                      specific sections.                                    administered by a State or local
                                              sector.
                                                                                                         Section 17.38 is also issued under 38              government.
                                              Catalog of Federal Domestic Assistance                  U.S.C. 101, 501, 1701, 1705, 1710, 1710A,                (b) Limitations. (1) Reimbursement
                                                                                                      1721, 1722, 1782, and 1786.                           per adopted child. No more than $2,000
                                                The Catalog of Federal Domestic                          Section 17.169 is also issued under 38             may be reimbursed under this section to
                                              Assistance numbers and titles for the                   U.S.C. 1712C.                                         a covered veteran, or to two covered
                                              programs affected by this document are                     Sections 17.380, 17.390 and 17.412 are also        veterans who are spouses of each other,
                                              64.007, Blind Rehabilitation Centers;                   issued under sec. 260, Pub. L. 114–223, 130           for expenses incurred in the adoption of
                                                                                                      Stat. 857.                                            a child. In the case of two married
                                              64.008, Veterans Domiciliary Care;                         Section 17.410 is also issued under 38
                                              64.009, Veterans Medical Care Benefits;                 U.S.C. 1787.
                                                                                                                                                            covered veterans, only one spouse may
                                              64.010, Veterans Nursing Home Care;                        Section 17.415 is also issued under 38             claim reimbursement for any one
                                              64.011, Veterans Dental Care; 64.012,                   U.S.C. 7301, 7304, 7402, and 7403.                    adoption.
                                              Veterans Prescription Service; 64.013,                     Sections 17.640 and 17.647 are also issued            (2) Maximum reimbursement in any
                                              Veterans Prosthetic Appliances; 64.014,                 under sec. 4, Pub. L. 114–2, 129 Stat. 30.            calendar year. No more than $5,000 may
                                                                                                         Sections 17.641 through 17.646 are also            be paid under this section to a covered
                                              Veterans State Domiciliary Care; 64.015,
                                                                                                      issued under 38 U.S.C. 501(a) and sec. 4,             veteran in any calendar year. In the case
                                              Veterans State Nursing Home Care;                       Pub. L. 114–2, 129 Stat. 30.                          of two married covered veterans, the
                                              64.018, Sharing Specialized Medical                        Section 17.655 also issued under 38 U.S.C.         couple is limited to a maximum of
                                              Resources; 64.019, Veterans                             501(a), 7304, 7405.                                   $5,000 per calendar year.
                                              Rehabilitation Alcohol and Drug                         ■ 2. Revise the undesignated center                      (c) Definitions. For the purposes of
                                              Dependence; 64.022, Veterans Home                       heading immediately preceding § 17.380                this section:
                                              Based Primary Care; and 64.024, VA                      to read as follows:                                      (1) ‘‘Covered veteran’’ means a
                                              Homeless Providers Grant and Per Diem                     In Vitro Fertilization and                          veteran with a service-connected
                                              Program.                                                Reimbursement of Adoption Expenses                    disability that results in the inability of
                                                                                                                                                            the veteran to procreate without the use
                                              List of Subjects in 38 CFR Part 17                      ■ 3. Add § 17.390 before the
                                                                                                                                                            of fertility treatment.
                                                                                                      undesignated center heading ‘‘Hospital
                                                Administrative practice and                                                                                    (2) ‘‘Qualifying adoption expenses’’
                                                                                                      Care and Medical Services for Camp                    means reasonable and necessary
                                              procedure, Alcohol abuse, Alcoholism,                   Lejune Veterans and Families’’ to read                expenses that are directly related to the
                                              Claims, Day care, Dental health, Drug                   as follows:                                           legal adoption of a child under 18 years
                                              abuse, Government contracts, Grant                                                                            of age, but only if such adoption is
                                                                                                      § 17. 390 Reimbursement for qualifying
                                              programs—health, Grant programs—                                                                              arranged by a qualified adoption agency.
                                                                                                      adoption expenses incurred by certain
                                              veterans, Health care, Health facilities,               veterans.                                             Such term does not include any expense
                                              Health professions, Health records,                                                                           incurred:
                                                                                                        (a) General. A covered veteran may
                                              Homeless, Medical and Dental schools,                   request reimbursement for qualifying                     (i) For items such as clothing,
                                              Medical devices, Medical research,                      adoption expenses incurred by the                     bedding, toys and books;
                                              Mental health programs, Nursing                         veteran in the adoption of a child under                 (ii) For travel; or
                                              homes, Reporting and recordkeeping                                                                               (iii) In connection with an adoption
                                                                                                      18 years of age.
                                              requirements, Travel and transportation                                                                       arranged in violation of Federal, State,
                                                                                                         (1) An adoption for which expenses
                                              expenses, Veterans.                                                                                           or local law.
                                                                                                      may be reimbursed under this section
                                                                                                                                                               (3) ‘‘Reasonable and necessary
                                              Signing Authority                                       includes an adoption by a married or                  expenses’’ include:
                                                                                                      single person, an infant adoption, an                    (i) Public and private agency fees,
                                                The Secretary of Veterans Affairs, or                 intercountry adoption, and an adoption                including adoption fees charged by an
                                              designee, approved this document and                    of a child with special needs (as defined             agency in a foreign country;
                                              authorized the undersigned to sign and                  in section 473(c) of the Social Security                 (ii) Placement fees, including fees
                                              submit the document to the Office of the                Act (42 U.S.C. 673(c))).                              charged to adoptive parents for
                                              Federal Register for publication                           (2) Reimbursement for qualifying                   counseling;
                                              electronically as an official document of               adoption expenses may be requested                       (iii) Legal fees (including court costs)
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                                              the Department of Veterans Affairs. Gina                only for an adoption that became final                or notary expenses;
                                              S. Farrisee, Deputy Chief of Staff,                     after September 29, 2016, and must be                    (iv) Medical expenses, including
                                              Department of Veterans Affairs,                         requested:                                            hospital expenses of the biological
                                                                                                         (i) No later than 2 years after the                mother and medical care of the child to
                                              approved this document on August 25,
                                                                                                      adoption is final; or,                                be adopted; and
                                              2017, for publication.
                                                                                                         (ii) In the case of adoption of a foreign             (v) Temporary foster care charges
                                                                                                      child, no later than 2 years from the date            when payment of such charges is


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                                                                  Federal Register / Vol. 83, No. 43 / Monday, March 5, 2018 / Rules and Regulations                                                 9213

                                              required before the adoptive child’s                    adoption was handled by a qualified                   from the Office of Management and
                                              placement.                                              adoption agency include:                              Budget)
                                                 (4) ‘‘Qualified adoption agency’’                       (i) A copy of placement agreement                  [FR Doc. 2018–04245 Filed 3–2–18; 8:45 am]
                                              means any of the following:                             from the adoption agency showing the                  BILLING CODE 8320–01–P
                                                 (i) A State or local government agency               agreement entered into between the
                                              which has responsibility under State or                 member and the agency.
                                              local law for child placement through                      (ii) A letter from the adoption agency
                                                                                                      stating that the agency arranged the                  ENVIRONMENTAL PROTECTION
                                              adoption.
                                                 (ii) A nonprofit, voluntary adoption                 adoption and that the agency is a                     AGENCY
                                              agency which is authorized by State or                  licensed child placing agency in the                  40 CFR Part 52
                                              local law to place children for adoption.               United States.
                                                 (iii) Any other source authorized by a                  (iii) Receipts for payment to the                  [EPA–R09–OAR–2017–0404; FRL–9974–67–
                                              State to provide adoption placement if                  adoption agency, as well as proof, (e.g.,             Region 9]
                                              the adoption is supervised by a court                   a copy of the agency’s web page), of the
                                              under State or local law.                               agency’s status as a for-profit or non-               Approval of California Air Plan
                                                 (iv) A foreign government or an                      profit licensed child placing agency.                 Revisions, Northern Sierra Air Quality
                                              agency authorized by a foreign                             (4) For foreign adoptions,                         Management District
                                              government to place children for                        documentation to show that the                        AGENCY:  Environmental Protection
                                              adoption, in any case in which:                         adoption was handled by a qualified                   Agency (EPA).
                                                 (A) The adopted child is entitled to                 adoption agency. In addition to the                   ACTION: Final rule.
                                              automatic citizenship under section 320                 forms of acceptable proof that the
                                              of the Immigration and Nationality Act                  adoption was handled by a qualified                   SUMMARY:   The Environmental Protection
                                              (8 U.S.C. 1431); or                                     adoption agency listed in paragraph                   Agency (EPA) is taking final action to
                                                 (B) A certificate of citizenship has                 (d)(3) of this section, the documentation             approve a revision to the Northern
                                              been issued for such child under section                must also include:                                    Sierra Air Quality Management District
                                              322 of that Act (8 U.S.C. 1433).                           (i) A document that describes the                  (NSAQMD) portion of the California
                                                 (d) Applying for reimbursement of                    mission of the foreign agency and its                 State Implementation Plan (SIP). This
                                              qualifying adoption expenses. An                        authority from the foreign government                 revision concerns emissions of
                                              application for reimbursement must be                   to place children for adoption; and                   particulate matter (PM) from wood
                                              submitted on a form prescribed for such                    (ii) A placement agreement from the                burning devices. We are approving a
                                              purpose by VA. Information and                          adoption agency or letter from the                    local rule that regulates these emission
                                              documentation must include:                             adoption agency stating the specific                  sources under the Clean Air Act (CAA
                                                 (1) A copy of the final adoption                     services it provided for the adoption.                or the Act).
                                              decree, certificate or court order                         (5) Documentation to substantiate                  DATES: This rule will be effective on
                                              granting the adoption. For U.S.                         reasonable and necessary expenses paid                April 4, 2018.
                                              adoptions, the court order must be                      by the covered veteran. Acceptable
                                                                                                                                                            ADDRESSES: The EPA has established a
                                              signed by a judge unless either State law               forms of documentation include
                                              or local court rules authorize that the                 receipts, cancelled checks, or a letter               docket for this action under Docket ID
                                              adoption order may be signed by a                       from the adoption agency showing the                  No. EPA–R09–OAR–2017–0404. All
                                              commissioner, magistrate or court                       amount paid by the member. Receipts                   documents in the docket are listed on
                                              referee. The covered veteran must                       from a foreign entity should include the              the http://www.regulations.gov website.
                                              submit a full English translation of any                U.S. currency equivalency.                            Although listed in the index, some
                                              foreign language document, to include                   Reconstruction of expense records is                  information is not publicly available,
                                              the translator’s certification that he or               permissible when the original records                 e.g., Confidential Business Information
                                              she is competent to translate the foreign               are unavailable and the covered veteran               (CBI) or other information whose
                                              language to English and that his or her                 submits a notarized affidavit stating the             disclosure is restricted by statute.
                                              translation is complete and correct.                    costs.                                                Certain other material, such as
                                                 (2) For foreign adoptions, proof of                     (6) Checking or savings account                    copyrighted material, is not placed on
                                              U.S. citizenship of the child, including                information to facilitate VA providing                the internet and will be publicly
                                              any of the following:                                   reimbursement to the covered veteran                  available only in hard copy form.
                                                 (i) A copy of Certificate of                         under this section.                                   Publicly available docket materials are
                                              Citizenship.                                               (e) Failure to establish eligibility. If           available through http://
                                                 (ii) A copy of a U.S. court order that               documents submitted by a covered                      www.regulations.gov, or please contact
                                              recognizes the foreign adoption, or                     veteran in support of an application for              the person identified in the FOR FURTHER
                                              documents the re-adopting of the child                  reimbursement do not establish                        INFORMATION CONTACT section for
                                              in the United States.                                   eligibility for reimbursement or justify              additional availability information.
                                                 (iii) A letter from the United States                claimed expenses, VA will retain the                  FOR FURTHER INFORMATION CONTACT:
                                              Citizenship and Immigration Services,                   application and advise the covered                    Christine Vineyard, EPA Region IX,
                                              which states the status of the child’s                  veteran of additional documentation                   (415) 947–4125, vineyard.christine@
                                              adoption.                                               needed. All requested documentation                   epa.gov.
                                                 (iv) A copy of the child’s U.S.                      must be submitted to VA within 90                     SUPPLEMENTARY INFORMATION:
                                              passport (page with personal                            calendar days of VA request.                          Throughout this document, ‘‘we,’’ ‘‘us’’
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                                              information only).                                         (f) Authority. Authority to provide                and ‘‘our’’ refer to the EPA.
                                                 (3) For U.S. adoptions, documentation                reimbursement for qualifying adoption
                                              to show that the adoption was handled                   expenses incurred by a covered veteran                Table of Contents
                                              by a qualified adoption agency or other                 in the adoption of a child under 18                   I. Proposed Action
                                              source authorized by a State or local law               years of age expires September 30, 2018.              II. Public Comments and EPA Responses
                                              to provide adoption placement.                             (Approval for information collection               III. EPA Action
                                              Acceptable forms of proof that the                      under this section has been requested                 IV. Incorporation by Reference



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Document Created: 2018-03-03 02:46:03
Document Modified: 2018-03-03 02:46:03
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionRules and Regulations
ActionInterim final rule.
DatesEffective date: This rule is effective on March 5, 2018.
ContactPatricia M. Hayes, Ph.D. Chief Consultant, Women's Health Services, Patient Care Services, Veterans Health Administration, Department of Veterans Affairs, 810 Vermont Ave. NW, Washington, DC 20420. (202) 461-0373. (This is not a toll-free number.)
FR Citation83 FR 9208 
RIN Number2900-AQ01
CFR AssociatedAdministrative 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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