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Interim rules for group health plans and health insurance issuers under the Newborns' and Mothers' Health Protection Act--IRS; DoL; HCFA. Interim rules with request for comments.

This document contains interim rules governing the Newborns' and Mothers' Health Protection Act of 1996 (NMHPA). The interim rules provide guidance to employers, group health plans, health insurance issuers, and participants and beneficiaries relating to new requirements for hospital lengths of stay in connection with childbirth. The rules contained in this document implement changes to the Employee Retirement Income Security Act of 1974 (ERISA) and the Public Health Service Act (PHS Act) made by NMHPA, and changes to the Internal Revenue Code of 1986 (Code) enacted as part of the Taxpayer Relief Act of 1997 (TRA '97). Interested persons are invited to submit comments on the interim rules for consideration by the Department of the Treasury, the Department of Labor, and the Department of Health and Human Services (Departments) in developing final rules.

Centers for Medicare and Medicaid Services, U.S.↗

Medicare program; schedules of per-visit and per-beneficiary limitations on home health agency costs for cost reporting periods beginning on or after October 1, 1998; correction--HCFA. Correction of notice with comment period.

In the August 11, 1998 issue of the Federal Register (63 FR 42912), we published a notice with comment period setting forth revised schedules of limitations on home health agency costs that may be paid under the Medicare program for cost reporting periods beginning on or after October 1, 1998. This document corrects technical and typographical errors made in that document.

Budgets↗

Medical participation in control of certain open-panel medical prepayment plans: Federal Trade Commission. Request for comment and advance notice of proposed rulemaking.

This Notice requests comments on two staff reports dealing with medical participation in control of Blue Shield and certain other open-panel medical prepayment plans and on alternative courses of action that the Commission might take to deal with this subject, one of which might be rulemaking.

Blue Cross Blue Shield Insurance Plans↗

Health Care Financing Administration: adoption of the National Bureau of Standards fire safety evaluation system for health care facilities. Notice of comment period.

The Department of Health, Education, and Welfare is proposing to extend use of the new Fire Safety Evaluation System (FSES) to all hospitals participating in the Medicare and Medicaid programs. We are seeking public comment on this proposal and on whether to apply the FSES to intermediate care and skilled nursing facilities. The Fire Safety Evaluation System (FSES) was designed by the National Bureau of Standards. It defines the combinations of widely accepted fire safety systems and structural arrangements which can be used by health care facilities to meet safety standards equal to or exceeding those in the Life Safety Code. The FSES provides a framework which guarantees that the high standards of fire safety necessary to protect patients will be met and which is flexible enough to allow for new advances in safety technology and practice. It is based on our experience, which clearly demonstrates that the Life Safety Code can be implemented more effectively and without waste if certain changes are made in the procedures for achieving these mandated levels of safety.

Accident Prevention↗

Proposed procedural regulations--Equal Employment Opportunity Commission. Proposed regulations; request for comments.

The Equal Employment Opportunity Commission is publishing for comment proposed procedural regulations (29 CFR Part 1626). These regulations advise the public as to the procedures the Commission proposes to follow in processing charges and issuing interpretations and opinions under the Age Discrimination in Employment Act. These regulations will complement the Commission's existing procedural regulations under Title VII of the Civil Rights Act of 1964.

Civil Rights↗

Hazardous waste management system--Environmental Protection Agency. Notice of regulatory reform actions; request for comments.

In response to Executive Order 12291 and the President's Task Force on Regulatory Relief, the Environmental Protection Agency is reviewing and reassessing the hazardous waste regulations developed under the Resource Conservation and Recovery Act (RCRA). A variety of activities are underway that will simplify procedures and reduce paperwork, modify existing regulations to make them more workable and cost effective, and control new wastes and new processes. The purpose of this notice is to inform the public of these activities and invite comments on the general approaches being taken.

Refuse Disposal↗

Evaluation of the administrative compliance costs and the impact of the inflation factor for Titles VI and XVI assisted facilities--Health Resources and Services Administration. Rule related notice; request for comments.

The purpose of this notice is to solicit comments on an evaluation plan which has been developed to examine the impact of the administrative compliance costs and the inflation factor on health facilities obligated under Titles VI and XVI of the Public Health Service Act to provide a reasonable volume of services to persons unable to pay.

Facility Regulation and Control↗

Medicare program; list of covered surgical procedures for ambulatory surgical centers--HCFA. Proposed notice and request for comment.

HCFA is seeking suggestions for possible additions or revisions to the current list of ambulatory surgical center (ASC) procedures covered under Medicare. Our current list of covered ASC procedures was published in the Federal Register on August 5, 1982 (47 FR 34099). In this notice we are also soliciting comments on additional ASC procedures that have been suggested by the public since publication of our current list.

Centers for Medicare and Medicaid Services, U.S.↗

Services and treatment for disabled infants; interim model guidelines for health care providers to establish infant care review committees--HHS. Notice of opportunity to comment.

These are interim model guidelines to encourage the establishment within health care facilities, especially facilities with tertiary level neonatal care units, of committees for the purposes of educating hospital personnel and families of disabled infants with life-threatening conditions, recommending institutional policies and guidelines concerning the withholding of medically indicated treatment (including appropriate nutrition, hydration, and medication) from such infants, and offering counsel and review in cases involving disabled infants with life-threatening conditions. The publication of these interim model guidelines for public comment is required by section 124(b) of the Child Abuse Amendments of 1984, Pub. L. 98-457.

Abnormalities, Multiple↗

Utilization and quality control Peer Review Program; solicitation of comments on proposed scope of work for waivered and exempt PRO areas--HCFA. Notice.

This notice does not constitute a request for proposal (RFP). The purpose of this notice is to solicit comments on the Scopes of Work prepared as part of the RFPs for Utilization and Quality Control Peer Review Organizations (PROs) for PRO areas waivered or exempted from the Medicare prospective payment system. These areas include Maryland, Massachusetts, New Jersey, New York, Guam, Puerto Rico, and the Virgin Islands.

Centers for Medicare and Medicaid Services, U.S.↗

Indiana application for interim authorization, phase I, hazardous waste management program--Environmental Protection Agency. Notice of public hearing and public comment period.

EPA regulations to protect human health and the environment from the improper management of hazardous waste were published in the Federal Register on May 19, 1980 (45 FR 33063). These regulations include provisions for authorization of State programs to operate in lieu of the Federal program. Today EPA is announcing the availability for public review of the Indiana application for Phase I Interim Authorization, inviting public comment, and giving notice of a public hearing to be held on the application.

Indiana↗

Medicare program; standards and criteria for evaluating intermediary and carrier performance during fiscal year 1985--HCFA. General notice with comment period.

This notice describes the standards and criteria to be used for evaluating the performance of fiscal intermediaries and carriers in the administration of the Medicare program for fiscal year 1985. The results of these evaluations are considered whenever we enter into, renew, or terminate an intermediary or carrier agreement or take other contract actions; assign or reassign providers of services to an intermediary; or designate regional or national intermediaries. This notice is published in accordance with sections 1816(f) and 1842(b)(2) of the Social Security Act, as amended by section 2326 of the Deficit Reduction Act of 1984 (Pub. L. 98-369), which requires us to publish for public comment in the Federal Register those criteria and standards against which we evaluate intermediaries and carriers.

Centers for Medicare and Medicaid Services, U.S.↗

Medicare program; schedules of limits on home health agency costs per visit for cost reporting periods beginning on or after July 1, 1986 but before July 1, 1987 and cost reporting periods beginning on or after July 1, 1987-HCFA. Notice with comment period.

This notice with comment period sets forth, in accordance with section 9315 of the Omnibus Budget Reconciliation Act of 1986, a revised schedule of limits on home health agency (HHA) costs that may be reimbursed under the Medicare program for cost reporting periods beginning on or after July 1, 1986 but before July 1, 1987. It also sets forth an updated schedule of limits applicable to cost reporting periods beginning on or after July 1, 1987.

Centers for Medicare and Medicaid Services, U.S.↗

Medicare: criteria and standards for evaluating intermediary and carrier performance during fiscal year 1989--HCFA. General notice with comment period.

This notice describes the criteria and standards to be used for evaluating the performance of fiscal intermediaries and carriers in the administration of the Medicare program for the fiscal year beginning October 1, 1988. The results of these evaluations are considered whenever we enter into, renew, or terminate an intermediary or carrier agreement or take other contract actions; assign or reassign providers of services to an intermediary; or designate regional or national intermediaries. In addition, this notice describes the methodology for identifying contractors with performance over a period of time in the lowest 20th percentile that HCFA may replace using competitive bidding. This notice is published in accordance with sections 1816(f) and 1842(b)(2) of the Social Security Act, which require us to publish for public comment in the Federal Register those criteria and standards against which we evaluate intermediaries and carriers.

Contract Services↗