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Federal Register Notices Relevant to Rural Health

Selected Federal Register notices of interest to the rural health community from the past 90 days.

Dec 6, 2019 - The Centers for Disease Control and Prevention is seeking comment on changes to an information collection for the Coal Worker's Health Surveillance Program (CWHSP). The program is designed to monitor the health of coal miners and to track trends and patterns in the prevalence of black lung disease. Comments are due by February 4, 2020.
Source: Federal Register
Dec 6, 2019 - The Centers for Medicare and Medicaid Services is seeking comment on the following information collections: 1) Financial Statement of Debtor; 2) Emergency and Non-Emergency Ambulance Transports and Beneficiary Signature Requirements; 3) Attending Physicians Statement and Documentation of Medicare Emergency; 4) Children's Health Insurance Program (CHIP) Report on Payables and Receivables; and 5) Medicaid Report on Payables and Receivables. Comments are due by February 4, 2020.
Source: Federal Register
Dec 6, 2019 - The Health Resources and Services Administration is seeking comments on the extension of an information collection to approve the continued use of the Reviewer Recruitment Module (RRM) to collect information about potential reviewers of competitive grants proposals. Comments are due by February 4, 2020.
Source: Federal Register
Dec 5, 2019 - Notice from the Federal Communications Commission (FCC) of the adoption of rules to help ensure that people who phone 911 from multi-line telephone systems can be located quickly by first responders (Kari's Law) and to implement Ray Baum's Act which requires the FCC to conduct a rulemaking proceeding to consider adopting rules to guarantee that a "dispatchable location" is conveyed with 911 calls. These rules are effective on January 6, 2020.
Source: Federal Register
Dec 5, 2019 - Notice of final rule from the United States Department of Agriculture's Food and Nutrition Service implementing changes to the Supplemental Nutrition Assistance Program (SNAP) as noted in the February 1, 2019 proposed rule. Among other things, the rule revises the conditions under which USDA would waive the able-bodied adult without dependents (ABAWD) time limit in areas that have an unemployment rate of over 10 percent or a lack of sufficient jobs. The rule is effective April 1, 2020, except for the amendment to 7 CFR 273.24(h), which is effective October 1, 2020.
Source: Federal Register
Dec 5, 2019 - Announcement from the Department of Veterans Affairs (VA) of funding and grant application information for the Supportive Services for Veteran Families (SSVF) Program. The program focuses on ending homelessness among veterans and seeks to support services equitably across geographic regions, including rural and tribal areas. Eligibility is limited to existing grantees only. Grant applications are due January 24, 2020.
Source: Federal Register
Dec 3, 2019 - The Center for Disease Control and Prevention is seeking public comment to identify topics of public health importance to inform the Community Preventive Services Task Force (CPSTF) evidence-based recommendations. The CDC will use the information to guide their selection of priority topics for the next five years. Comments are due by January 23, 2020.
Source: Federal Register
Dec 3, 2019 - Notice from the Department of Health and Human Services releasing the Federal Medical Assistance Percentages (FMAP) rates for the period of October 1, 2020 through September 30, 2021. The rates are used to determine the amount of Federal matching for state Medicaid, Temporary Assistance for Needy Family (TANF) Contingency Funds, and Enhanced Federal Medical Assistance Percentages (eFMAP) rates for the Children's Health Insurance Program (CHIP) expenditures, among other federal assistance programs.
Source: Federal Register
Dec 3, 2019 - The Office of the National Coordinator for Health Information Technology (ONC) announces the dates for public meetings of the Health Information Technology Advisory Committee (HITAC) to be held during the 2020 calendar year.
Source: Federal Register
Dec 2, 2019 - Executive Order announcing the creation of the Task Force on Missing and Murdered American Indians and Alaska Natives. The Task Force will consult with tribal governments to learn more about the scope of the issues around missing and murdered American Indians and Alaska Natives and develop model procedures to apply to unsolved cases.
Source: Federal Register
Dec 2, 2019 - Notice from the Health Resources and Services Administration seeking comment on the reinstatement of the Health Center Patient Survey (HCPS) information collection. The HCPS collects information from patients about access and use of healthcare services, sociodemographic characteristics, health behaviors, health conditions, and satisfaction of healthcare received from HRSA-supported health centers. Comments are due January 2, 2020.
Source: Federal Register
Nov 29, 2019 - Notice from the Centers for Medicare and Medicaid Services seeking comment on the following information collections: 1) Health Insurance Common Claims Form and Supporting Regulations at 42 CFR Part 424, Subpart C; 2) Health Reimbursement Arrangements and Other Account-Based Group Health Plans; and 3) Affordable Care Act Internal Claims and Appeals and External Review Procedures for Non-grandfathered Group Health Plans and Issuers and Individual Market Issuers. Comments are due December 30, 2019.
Source: Federal Register
Nov 29, 2019 - Notice from the U.S. Department of Health and Human Services (HHS) announcing the 2020 meetings of the Physician-Focused Payment Model Technical Advisory Committee (PTAC), which will include discussion and voting on proposals for physician-focused payment models (PFPMs). The meetings are open to the public and may be attended in person, via livestream, or by conference call. The 2020 meeting dates are: March 16, June 22-23, September 15-16, and December 7-8.
Source: Federal Register
Nov 29, 2019 - The Substance Abuse and Mental Health Services Administration's Center for Behavioral Health Statistics and Quality is seeking comment on a proposed revision to the National Mental Health Services Survey, which is set to expire on January 31, 2020. The survey provides data on the number and characteristics of mental health treatment facilities and people in treatment in the United States. Comments are due by December 30, 2019.
Source: Federal Register
Nov 27, 2019 - The Centers for Disease Control and Prevention (CDC) announces the extension of a comment request on an information collection titled National Electronic Health Records Survey (NEHRS). NEHRS will be used to collect data on office-based physicians' adoption and use of electronic health record systems, practice information, patient engagement, prescription of controlled substances, use of health information exchange, and documentation and burden associated with medical record systems. Comments are now due within 30 days of this notice.
Source: Federal Register
Nov 27, 2019 - The Department of Transportation (DOT) is seeking public comment on unmet transportation needs in rural areas to inform their Rural Opportunities to Use Transportation for Economic Success (ROUTES) initiative. The DOT is specifically looking for information on infrastructure needs, barriers to addressing these needs, applicants' experiences with applying for DOT grant and credit programs, and opportunities to improve DOT services and technical assistance to rural communities related to grant and credit programs. Comments are due within 30 days of this notice.
Source: Federal Register
Nov 27, 2019 - Notice of proposed rule from the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services, Internal Revenue Service, and Employee Benefits Security Administration proposing requirements for group health plans and health insurance issuers to publicly disclose cost-sharing information, upon request, to participants, beneficiaries and enrollees. Also amends medical loss ratio program rules to allow insurance providers to receive credit in their medical loss calculations for savings shared with enrollees. Comments on the proposed rule are due January 14, 2020.
Source: Federal Register
Nov 27, 2019 - Notice of final rule from the U.S. Department of Health and Human Services and the Centers for Medicare and Medicaid Services requiring all hospitals to publicly publish a list of standard charges for the items and services they provide. The final rule will be effective on January 1, 2021.
Source: Federal Register
Nov 26, 2019 - Notice from the Substance Abuse and Mental Health Services Administration (SAMHSA) seeking comment on methodological field tests for the National Survey on Drug Use and Health (NSDUH). These tests are used to test the reliability and validity of survey questions and to assess the impact of new sampling techniques on respondent behavior and reporting, among other things. Comments are due January 27, 2020.
Source: Federal Register
Nov 25, 2019 - The Centers for Medicare and Medicaid Services announces an interim final rule, with comment period, that further delays the inclusion of U.S. Territories in the definition of "States" and "United States" that was originally announced in the Medicaid Covered Outpatient Drug final rule on February 1, 2016. The delay is in effect through April 1, 2022. Comments on this announcement are due by January 24, 2020.
Source: Federal Register
Nov 25, 2019 - The Centers for Medicare and Medicaid Services announces the continued approval of the Accreditation Commission for Health Care (ACHC) as an accrediting organization for hospice agencies participating in Medicare and Medicaid programs, effective November 27, 2019 through November 27, 2025.
Source: Federal Register
Nov 25, 2019 - The Centers for Medicare and Medicaid Services announces the receipt of an application from the Accreditation Commission for Health Care (ACHC) for initial recognition as an accrediting organization for suppliers of home infusion therapy services participating in the Medicare program. Comments on the application are due by December 26, 2019.
Source: Federal Register
Nov 25, 2019 - Notice of proposed rule from USDA's Rural Housing Service amending regulations that would update and improve the direct Single Family Housing loan and grant programs, providing more flexibility within the program and enabling the program to be more response to economic trends. Comments on the proposed rule are due by January 24, 2020.
Source: Federal Register
Nov 21, 2019 - Notice from the Centers for Medicare and Medicaid Services correcting errors found in the November 18, 2019 Federal Register Notice for Model Medicare Advantage and Medicare Prescription Drug Plan Individual Enrollment Request Form. These corrections do not change the comment due date of January 17, 2020.
Source: Federal Register
Nov 21, 2019 - Notice of proposed rule from the Department of Veterans Affairs (VA) to amend regulations regarding the VA's collection of reimbursement for medical services provided for the treatment of nonservice-connected conditions. Comments on the proposed rule are due by January 21, 2020.
Source: Federal Register
Nov 19, 2019 - The U.S. Census Bureau is seeking comment on changes to the National Survey of Children's Health (NSCH) which is designed to collect data on the physical and emotional health of children age 18 and younger, including information related to access to healthcare, family interactions, and school and after-school experiences, among other things. Comments are due by January 21, 2020.
Source: Federal Register
Nov 19, 2019 - The Centers for Medicare and Medicaid Services is seeking comment on an extension of a currently approved information collection for the Examination and Treatment for Emergency Medical Conditions and Women in Labor (EMTALA). Comments are due by January 21, 2020.
Source: Federal Register
Nov 19, 2019 - Notice of rule from the U.S. Department of Health and Human Services (HHS) stating that the HHS rulemaking regarding HHS's grant regulations, raises significant concerns about compliance with the Regulatory Flexibility Act which were published on December 12, 2016. The provisions will not be enforced, pending a Federal Register notice that complies with the Act.
Source: Federal Register
Nov 19, 2019 - The U.S. Department of Health and Human Services (HHS) is seeking comment on a proposed rule to republish certain regulatory provisions of the Department of Health and Human Services, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for HHS Awards. Comments are due by December 19, 2019.
Source: Federal Register
Nov 19, 2019 - Announcement of a virtual public meeting of the Substance Abuse and Mental Health Services Administration's Interdepartmental Serious Mental Illness Coordinating Committee (ISMICC) to be held on December 10, 2019. Agenda items include information on federal efforts related to serious mental illness (SMI) and serious emotional disturbance (SED), including updates on the following focus areas: Data, Access and Engagement, Treatment and Recovery, Justice, and Finance; and discussion on Pediatric Behavioral Health Federal Work.
Source: Federal Register
Nov 18, 2019 - The Centers for Medicare and Medicaid Services is seeking comment on a variety of information collections, including: 1) Medicare Advantage and Prescription Drug Program: Final Marketing Provisions in 42 CFR 422.111(a)(3) and 423.128(a)(3); 2) Request for Employment Information; 3) Request for Enrollment in Supplementary Medical Insurance (SMI) and Supporting Regulations in 42 CFR 407.10, 407.11 and 408.40(a)(2); 4) Model Medicare Advantage and Medicare Prescription Drug Plan Individual Enrollment Request Form; and 5) Notice of Denial of Medicare Prescription Drug Coverage. Comments are due by January 17, 2020.
Source: Federal Register
Nov 18, 2019 - The Centers for Medicare and Medicaid Services is seeking comment on two information collections: 1) The Medicare Outpatient Observation Notice (MOON) which requires hospitals and Critical Access Hospitals to provide notice and explanation to patients who receive observation services as outpatients for more than 24 hours; and 2) Health Plan Appeals and Grievance Data Collection and Reporting Requirements, Data Disclosure Requirements under section 422.111. Comments are due by December 18, 2019.
Source: Federal Register
Nov 18, 2019 - Notice of proposed rule from the Centers for Medicare and Medicaid Services creating new reporting requirements for states to address the financing of supplemental and base Medicaid payments through the non-federal share, including states' uses of health care-related taxes and legitimate provider-related donations, as well as the requirements on the non-federal share of any Medicaid payment. Comments are due by January 17, 2020.
Source: Federal Register
Nov 15, 2019 - Notice of final rule and interim final rule from the Centers for Medicare and Medicaid Services to be published in the Federal Register on November 15, 2019. The final rule includes changes to the Physician Fee Schedule and Medicare Part B payment policies; updates to quality reporting requirements for the Medicare Shared Savings Program; Medicaid Promoting Interoperability Program requirements for eligible professionals; the establishment of an ambulance data collection system; updates to the Quality Payment Program; Medicare enrollment of Opioid Treatment Programs and enhancements to provider enrollment regulations concerning improper prescribing and patient harm; and amendments to Physician Self-Referral Law advisory opinion regulations. The interim final rule with comment period establishes coding and payment for evaluation and management, observation, and the provision of self-administered Esketamine to facilitate beneficiary access to care for treatment-resistant depression as efficiently as possible. Comments on the interim final rule are due by December 31, 2019. No comments will be accepted on the final rule. Both rules are effective January 1, 2020.
Source: Federal Register
Nov 14, 2019 - The Centers for Medicare and Medicaid Services is seeking comment on the following information collections: 1) Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions, which includes requirements for states related to eligibility determinations for certificates of exemption from shared responsibility payments; and 2) Electronic Medical Documentation Interoperability (EMDI) Pre and Post Pilot Measures Survey, which is used in the evaluation of the performance of CMS policies for the interoperability and collection of data, and assessment of a provider's ability to send and receive electronic health information. Comments are due by January 13, 2020.
Source: Federal Register
Nov 14, 2019 - The Health Resources and Services Administration, Bureau of Health Workforce is seeking comment on a new requirement to use the SWP form to submit work plans when submitting applications for training and research grants and cooperative agreements, as opposed to submitting the work plan in their own format. This change is being made to allow for standardized review of applications and monitoring of awards throughout the project period. Comments are due by December 16, 2019.
Source: Federal Register
Nov 13, 2019 - The Census Bureau is seeking public comments on an extension of a previously approved information collection related to how the Bureau can improve efficiency, data quality, and response rates while reducing respondent burden in future census data collections. Comments are due within 30 days of this notice.
Source: Federal Register
Nov 13, 2019 - Notice from the Centers for Medicare and Medicaid Services (CMS) announcing the inpatient hospital deductible and coinsurance amounts for hospital and extended care services provided during calendar year 2020 under Medicare's Hospital Insurance Program (Medicare Part A). These rates are effective on January 1, 2020.
Source: Federal Register
Nov 13, 2019 - Notice from the Centers for Medicare and Medicaid Services (CMS) announcing Medicare's Hospital Insurance (Part A) premium for uninsured enrollees in calendar year (CY) 2020. The premium is paid by enrollees age 65 and over who are not otherwise eligible for Part A benefits and by certain disabled individuals who have exhausted other entitlement. This premium is effective on January 1, 2020.
Source: Federal Register
Nov 13, 2019 - Notice from the Centers for Medicare and Medicaid Services (CMS) announcing the monthly actuarial rates for beneficiaries enrolled in Part B of the Medicare Supplementary Medical Insurance (SMI) program beginning January 1, 2019. It also announced the monthly premium, the deductible for 2019, and income-related monthly adjustment amounts for beneficiaries with modified adjusted gross income above certain threshold amounts. These rates are effective as of January 1, 2020.
Source: Federal Register
Nov 13, 2019 - The United States Department of Agriculture's Rural Business-Cooperative Service has set the maximum loan amount awarded to of $1 million for application under the Rural Economic Development Loan and Grant (REDLG) Programs during the second, third, and fourth quarter of fiscal year 2020.
Source: Federal Register
Nov 13, 2019 - Announcement of virtual public subcommittee meetings of the Substance Abuse and Mental Health Services Administration's Interdepartmental Serious Mental Illness Coordinating Committee (ISMICC) to be held throughout the day on December 4, 2019. The five subcommittee focus areas include treatment and recovery, data, justice, access and engagement, and finance.
Source: Federal Register
Nov 13, 2019 - Final rule from the Department of Veterans Affairs updating regulations for scholarships for certain healthcare professionals and establishing a pilot program to fund medical education of eligible veterans enrolled in covered medical schools. Includes the VA's response to comments received on the previously published proposed rule. The final rule is effective on December 13, 2019.
Source: Federal Register
Nov 12, 2019 - Notice of final rule with comment period from the Centers for Medicare and Medicaid Services to revise the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for the 2020 calendar year and update associated quality reporting requirements. Establishes a process and requirements for prior authorization for certain covered outpatient department services and revises conditions for coverage of organ procurement organizations, among other things. Also announces the closure of two teaching hospitals and the opportunity to apply for indirect medical education (IME) and direct graduate medical education (DGME) payment slots. Includes rural references throughout. Comments are due by December 2, 2019 and the final rule will be effective on January 1, 2020.
Source: Federal Register
Nov 12, 2019 - Notice from the Centers for Medicare and Medicaid Services announcing the application fee for providers that are initially enrolling in the Medicare or Medicaid programs, or the Children's Health Insurance Program (CHIP); revalidating their Medicare, Medicaid, or CHIP enrollment; or adding a new Medicare practice location. The new fee is $595 and is required for applications submitted January 1, 2020 through December 31, 2020.
Source: Federal Register
Nov 8, 2019 - Notice of final rule with comment period from the Centers for Medicare and Medicaid Services regarding updates to the home health prospective payment system (HH PPS) and wage index for CY 2020. Among other things, the final rule implements changes to the unit payment from 60-day episodes of care to 30-day periods of care, allows physical, occupational, and speech-language pathology therapist assistants to provide maintenance therapy, makes changes to home health quality reporting program measures, and updates home infusion therapy payment rates for CY 2020. The final rule will be effective January 1, 2010 and comments are due by December 30, 2019.
Source: Federal Register
Nov 8, 2019 - Notice of final rule from the Centers for Medicare and Medicaid Services making changes related to End-Stage Renal Disease (ESRD) payments and Quality Incentive Program (QIP) requirements and updates to the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) payments, bidding, and ordering requirements, among other things. Includes impacts on rural throughout. The final rule will be effective on January 1, 2020.
Source: Federal Register
Nov 8, 2019 - The Department of Health and Human Services is seeking public comment and burden estimates by January 7, 2020 on the Project Abstract Summary, which is used as part of the federal grant proposal process.
Source: Federal Register
Nov 7, 2019 - The Federal Communications Commission announces a rule to promote the deployment of advanced, hardened networks in Puerto Rico and the U.S. Virgin Islands in an effort to continue to restore broadband service to areas impacted by hurricanes in 2017, as well as develop systems that are better able to withstand the effects of future natural disasters. Most sections of this rule are effective on December 9, 2019, with effective dates for specific sections to be announced at a later date.
Source: Federal Register
Nov 6, 2019 - Quarterly listing of Centers for Medicare and Medicaid Services (CMS) manual instructions, substantive and interpretive regulations, and Federal Register notices published from July through September 2019, including contact information for general questions or additional information about specific sections.
Source: Federal Register
Nov 5, 2019 - The National Advisory Council for Healthcare Research and Quality will hold an open meeting on November 21, 2019. Agenda items include an update on the Agency for Healthcare Research and Quality's (AHRQ) budget, programs, and initiatives, as well as a discussion of challenges and opportunities to leverage AHRQ's Clinical Decision Support (CDS) Connect project to improve care, and a discussion focusing on social determinants of health and related opportunities to improve care.
Source: Federal Register
Nov 5, 2019 - Notice from the Centers for Medicare & Medicaid Services (CMS) of a final rule determining 2019 and 2020 federal payment methodology for states establishing a Basic Health Program offering benefits to low-income individuals that would be eligible to purchase insurance through the Affordable Insurance Exchanges. This rule is January 6, 2020.
Source: Federal Register
Nov 5, 2019 - Notice of rulemaking from the Federal Communications Commission (FCC) as a result of an August 2019 federal court ruling in the case of United Keetoowah Band of Cherokee Indians vs. FCC. The rule repeals a section of the Commission's rules implementing the small wireless facilities exemption and deletes a cross-reference to that section contained in another part of the Commission's rules.
Source: Federal Register
Nov 5, 2019 - Announcement from the Federal Communications Commission of a public meeting of the Broadband Deployment Advisory Committee on December 3, 2019. The agenda includes status reports and updates from three working groups: Disaster Response and Recovery, Increasing Broadband Investment in Low-Income Communities, and Broadband Infrastructure Deployment Job Skills and Training Opportunities. Participants may attend in person or via webinar.
Source: Federal Register
Nov 4, 2019 - Notice from the Centers for Disease Control and Prevention extending the comment period for an earlier notice making revisions to an information collection related to the Resources and Services Database of the CDC National Prevention Information Network (NPIN). NPIN serves as the reference and referral service for information on HIV/AIDS, hepatitis, sexually transmitted diseases, and tuberculosis. Comments are due by within 30 days of this notice.
Source: Federal Register
Nov 4, 2019 - Announcement from the Health Resources and Services Administration (HRSA) of a public meeting of the Advisory Committee on Infant Mortality (ACIM) to be held on December 4-5, 2019. Agenda items include updates from HRSA's Maternal and Child Health Bureau (MCHB), the Centers for Disease Control and Prevention, and the MCHB Healthy Start program. Other items for discussion include a briefing on infant mortality and health disparity data and the Prematurity Research Expansion and Education for Mothers who deliver Infants Early (PREEMIE) Act. The meeting will be held via webinar and in-person.
Source: Federal Register
Nov 1, 2019 - The Agency for Healthcare Research and Quality (AHRQ) has extended the comment period for the reapproval request for the Medical Expenditure Panel Survey — Insurance Component information collection. The survey is used to measure the extent, cost, and coverage of employer-sponsored health insurance and will provide statistics at the national, state, and sub-state (metropolitan area) level for private industry. Comments are due within 30 days of this notice.
Source: Federal Register
Nov 1, 2019 - Announces a public meeting of the Food and Drug Administration's Office of Minority Health and Health Equity focused on strategies to improve health equity among racial and ethnic minorities, and underrepresented and underserved populations being impacted by the opioid crisis. The meeting will be take place on November 21, 2019 and is also available via webcast.
Source: Federal Register
Nov 1, 2019 - Announcement from the USDA Food and Nutrition Services correcting a date published in the August 7, 2019 Federal Register notice and establishing new reimbursement rates for Guam and the Virgin Islands to match the reimbursement rate provided to Puerto Rico. Updated rates are effective from July 1, 2019, through June 30, 2020.
Source: Federal Register
Oct 31, 2019 - Notice from the Department of Health and Human Services renewing the charter for the National Advisory Committee on Rural Health and Human Services (NACRHHS), effective October 29, 2019 through October 29, 2021.
Source: Federal Register
Oct 31, 2019 - Announces meetings of the National Advisory Council on Nurse Education and Practice (NACNEP) to be held throughout 2020. The meetings will be held on February 4, May 12, August 11, and December 2, 2020. Meetings will address nursing education, the nursing workforce, and nursing practice improvement.
Source: Federal Register
Oct 29, 2019 - Notice from the Centers for Medicare and Medicaid Services seeking comment on the potential expansion of the Repetitive, Scheduled Non-Emergent Ambulance Transport (RSNAT) Prior Authorization model to a national program. Comments on the proposal are due by December 30, 2019.
Source: Federal Register
Oct 28, 2019 - The Centers for Medicare and Medicaid Services is seeking comment on the following information collections: 1) End Stage Renal Disease Application and Survey and Certification Report and 2) Durable Medical Equipment Medicare Administrative Contractor Certificate of Medical Necessity and Supporting Documentation Requirements. Comments are due by December 27, 2019.
Source: Federal Register
Oct 28, 2019 - Final rule from the Department of Health and Human Services (HHS) to rescind the unique health plan identifier (HPID) and other entity identifier (OEID) specifications and use requirements as part of HIPAA requirements included in the Affordable Care Act. Also removes the definitions for the "controlling health plan" (CHP) and "subhealth plan" (SHP). The rule will be effective on December 27, 2019.
Source: Federal Register
Oct 28, 2019 - The Department of Veterans Affairs (VA) has released a proposed rule to clarify VA billing practices. Specifically, the proposed rule would amend regulations related to the VA's collection of payment from third-party payers for their treatment of nonservice-connected disabilities. Comments on the proposed rule are due by December 27, 2019.
Source: Federal Register
Oct 25, 2019 - The Centers for Disease Control and Prevention is seeking comments on revisions to the residential care community (RCC) and adult day services center (ADSC) components of the National Study of Long-Term Care Providers. Comments are due by December 24, 2019.
Source: Federal Register
Oct 25, 2019 - The Centers for Disease Control and Prevention is seeking public comment on changes to the Enhanced STD Surveillance Network (SSuN) information collection which is used to monitor trends in STD incidence in the United States. Comments are due by December 24, 2019.
Source: Federal Register
Oct 25, 2019 - Notice of final rule from the Department of Veterans Affairs (VA) establishing parameters and authority for the new Center for Innovation for Care and Payment regarding pilot programs testing payment and service delivery models. The rule will be effective on November 25, 2019.
Source: Federal Register
Oct 24, 2019 - Notice from the Centers for Disease Control and Prevention of a public meeting of the Board of Scientific Counselors, National Center for Injury Prevention and Control (BSC, NCIPC) on December 4-5, 2019. Agenda items include discussions on lung injury, overdose prevention research priorities, the opioid crisis and a request to establish an opioid workgroup, and American Indian/Alaska Native health disparities, among other things. Participants are required to register for the meeting.
Source: Federal Register
Oct 24, 2019 - The Centers for Medicare and Medicaid Services announces a public meeting of the Advisory Panel on Outreach and Education (APOE) on November 14, 2019. Agenda items include a listening session with CMS leadership, recap of the July 2019 meeting, discussion of CMS programs and priorities, and more.
Source: Federal Register
Oct 24, 2019 - The Centers for Medicare and Medicaid Services has received an application from The Joint Commission to be recognized as an accrediting organization for home health agencies participating in Medicare and Medicaid programs. Comments on the application are due by November 25, 2019.
Source: Federal Register
Oct 24, 2019 - Notice of receipt and comment request from the Centers for Medicare and Medicaid Services for an application from the Utilization Review Accreditation Commission to be recognized as an accrediting organization for suppliers of home infusion therapy services participating in the Medicare program. Comments on the application are due by November 25, 2019.
Source: Federal Register
Oct 23, 2019 - Notice from the Administration for Community Living (ACL) seeking public comment on proposed changes to an information collection for the Chronic Disease Self-Management Education grant program. Comments are due November 22, 2019.
Source: Federal Register
Oct 23, 2019 - The Veterans Health Administration is seeking comment on an information collection to implement requirements for the certification of providers, discontinuation of veterans care agreements, and disputes as they relate to the VA MISSION Act. Comments are due by December 23, 2019.
Source: Federal Register
Oct 18, 2019 - The Centers for Medicare and Medicaid Services is seeking comment on the following information collections: 1) PACE State Plan Amendment Preprint for those states that elect to offer PACE as an optional Medicaid benefit; 2) Testing Experience and Functional Tools: Functional Assessment Standardized Items (FASI) Based on the CARE Tool which tests the reliability of data elements in the standardized assessment of individuals across the continuum of care; 3) Implementation of the Medicare Prescription Drug Plan (PDP) and Medicare Advantage (MA) Plan Disenrollment Reasons Survey which is used to determine the reason for beneficiary disenrollment in PDP and MA plans; and 4) Applicable Integrated Plan Coverage Decision Letter. Comments are due by December 17, 2019.
Source: Federal Register
Oct 18, 2019 - The United States Department of Agriculture (USDA) Food and Nutrition Service (FNS) is re-opening and extending the comment period for a July 24, 2019 proposed rule that would have made changes to categorical eligibility for the Supplemental Nutrition Assistance Program (SNAP) based on receipt of Temporary Assistance for Needy Families (TANF) benefits. Provides additional information on the potential impacts of the proposed changes on National School Lunch Program and School Breakfast Program participants. Comments on the new information are now being accepted through November 1, 2019.
Source: Federal Register
Oct 17, 2019 - Notice of proposed rule from the Centers for Medicare and Medicaid Services regarding the physician self-referral law to allow exceptions to the law for referral for certain value-based compensation arrangements between physicians, providers, and suppliers. Comments on the proposed rule are due by December 31, 2019.
Source: Federal Register
Oct 17, 2019 - Notice of proposed rule from the HHS Office of the Inspector General to add, on a prospective basis only after a final rule is issued, safe harbor protections under the Federal anti-kickback statute for certain coordinated care and associated value-based arrangements between or among clinicians, providers, suppliers, and others that meet all safe harbor conditions. Also adds other protections and new safe harbors related to the Department of Health and Human Services' Regulatory Sprint to Coordinated Care. Comments on the proposed rule are due by December 31, 2019.
Source: Federal Register
Oct 17, 2019 - Announcement of public meetings of the Advisory Committee on Training and Primary Care Medicine and Dentistry (ACTPCMD) to take place throughout the 2020 calendar year. The committee provides recommendations on policy and program development for medicine and dentistry activities under Section 747 Title VII of the Public Health Service Act (PHS Act), as well as developing, publishing, and implementing performance measures and evaluations for programs under Part C of Title VII of the PHS Act.
Source: Federal Register
Oct 17, 2019 - Announcement of public meetings of the Council on Graduate Medical Education (COGME) to take place throughout the 2020 calendar year. The COGME makes recommendations to the Secretary of the U.S. Department of Health and Human Services and Congress on policy and program development for section 762 of Title VII of the Public Health Service Act (PHS Act). COGME The focus of discussion in 2020 will include topics surrounding the rural health workforce.
Source: Federal Register
Oct 15, 2019 - The Health Resources and Services Administration has awarded JBS International, Inc. an additional $3,000,000 annually through FY 2022 through the Rural Communities Opioid Response Program - Technical Assistance (RCORP-TA). The original funding for the RCORP-TA program was designed to allow technical assistance for 75 grantees and additional funds will support technical assistance services to an additional 243 opioid award recipients. Funds are contingent upon availability and satisfactory performance of the recipient.
Source: Federal Register
Oct 15, 2019 - Final rule from the United States Department of Agriculture's Rural Housing Service to formalize a December 2018 proposed rule that eliminates the requirement for annual publication of the Notice of Funding Availability (NOFA). The change allows the agency to accept and process applications in a more fluid manner. The final rule will be effective on November 14, 2019.
Source: Federal Register
Oct 11, 2019 - Notice of rulemaking from the Federal Communications Commission (FCC) to promote transparency and predictability, and the efficient allocation of Rural Health Care Program resources while preventing waste, fraud and abuse. Many parts of the rule will be effective on November 12, 2019, with others sections to be announced in the Federal Register at a later date.
Oct 10, 2019 - The Health Resources and Services Administration is seeking public comment through December 9, 2019 on a new form and changes to existing forms required during the application process for the NURSE Corps Loan Repayment Program (LRP). The NURSE Corps LRP provides loan repayment assistance to registered nurses, nurse practitioners, advanced practice nurses, and nursing school faculty who agree to work in underserved areas.
Source: Federal Register
Oct 9, 2019 - Notice from the U.S. Department of Housing and Urban Development of the implementation of an expedited process for the review of requests for relief from regulatory and administration requirements for Public Housing Agencies affected by major disasters during calendar year 2019.
Source: Federal Register
Oct 8, 2019 - Notice from the Centers for Medicare and Medicare Services announcing a town hall meeting to be held on December 16-17, 2019 to discuss FY 2021 applications for add-on payments for new medical services and technologies under the Medicare Hospital Inpatient Prospective Payment System (IPPS). Registration to participate in the meeting is required by December 9th.
Source: Federal Register
Oct 8, 2019 - Final notice from the Health Resources and Services Administration (HRSA) updating the Scholarships for Disadvantaged Students (SDS) program, which offers scholarships for students with financial need from disadvantaged backgrounds who are enrolled in a nursing school or an eligible health profession program. Includes HRSA's response to comments received on the May 22, 2019 proposed rule and subsequent changes to the program.
Source: Federal Register
Oct 7, 2019 - Notice from the Centers for Medicare and Medicaid Services announcing the annual adjustment in the amount in controversy (AIC) threshold amounts for Administrative Law Judge (ALJ) hearings and judicial review under the Medicare appeals process. The calendar year 2020 AIC threshold amounts are $170 for ALJ hearings and $1,670 for judicial review. These adjustments will be effective for requests filed on or after January 1, 2020.
Source: Federal Register
Oct 7, 2019 - Announcement from the Health Resources and Services Administration (HRSA) of public meetings for calendar year 2020 for the Advisory Committee on Interdisciplinary, Community-Based Linkages (ACICBL). Meetings will be held February 20-21, 2020, May 1, 2020 and October 20, 2020.
Source: Federal Register
Oct 7, 2019 - The Veterans Health Administration is seeking public comment on non-substantive changes to an already approved information collection for the Expanded Access to Non-VA Care through the Mission Program: Veterans Community Care Program (VCCP) to update the title of VA forms and citations, as well as burden hour estimates. Comments on the changes are due by November 6, 2019.
Source: Federal Register
Oct 3, 2019 - Announcement from the USDA Rural Housing Service and Rural Utilities Service of the implementation of provisions from the 2018 Farm Bill, including a population increase to 50,000 as the definition for rural areas for the Community Facilities (CF) Guaranteed Loan Program and the Water and Waste Disposal (WWD) Guaranteed Loan Program for FY 2020. Also provides established fee levels for for the CF Guaranteed Loan Program for FY 2020. The Agency will not act on any applications received under this Notice until December 2, 2019.
Source: Federal Register
Oct 3, 2019 - The Secretary of the U.S. Department of Veterans Affairs (VA) has issued a notice establishing standards for quality for hospital care, medical services, and extended care services provided by the VA and non-VA providers treating veterans.
Source: Federal Register
Oct 2, 2019 - Notice from the Administration for Children and Families (ACF) requesting information on strategies to improve access to high quality, affordable child care across the United States. Includes a series of questions and topics that ACF is looking for public feedback one, including one addressing the need in rural and underserved communities. Comments are due by December 2, 2019.
Source: Federal Register
Oct 2, 2019 - Notice from the Substance Abuse and Mental Health Administration of the extension of a current rule regarding the confidentiality of alcohol and drug abuse patient records. A proposed rule on the same topic was released on August 26, 2019 but is not expected to reach final rule publication status until after the current rule expires, thus requiring the extension.
Source: Federal Register
Sep 30, 2019 - The Centers for Medicare and Medicaid Services is seeking public comment on a proposed information collection titled "Hospital Survey for Specified Covered Outpatient Drugs (SCODs)." Data submitted by hospitals during this information collection will be used to determine payment amounts for drugs acquired under the 340B program. Comments are due by November 29, 2019.
Source: Federal Register
Sep 30, 2019 - Notice of final rule from the Centers for Medicare and Medicaid Services to revise discharge planning requirements that hospitals, Critical Access Hospitals, and home health agencies participating in the Medicare and Medicaid programs must meet. Also implements discharge planning requirements to provide patients and their families with access to information that will help them make informed decisions about post-acute care, and updates a provision regarding patient rights which is intended to promote innovation and flexibility to improve patient care. The final rule will be effective on November 29, 2019.
Source: Federal Register
Sep 30, 2019 - Notice of final rule from the Centers for Medicare and Medicaid that removes unnecessary and burdensome regulations, reduces requirements that impede or divert resources away from providing high quality care, and updates fire safety standards for End-State Renal Disease (ESRD) facilities participating in the Medicare and Medicaid programs. Also updates the requirements that hospitals and Critical Access Hospitals (CAHs) must meet to participate in the Medicare and Medicaid programs. Includes implementation dates for CAHs related to Quality Assessment and Performance Improvement Programs (QAPI) and for hospitals and CAHs related to antibiotic stewardship programs. The final rule will be effective on November 29, 2019.
Source: Federal Register
Sep 30, 2019 - The United States Department of Agriculture Food and Nutrition Service is seeking public comment on a new information collection to obtain information on job characteristics and work histories of non-disabled adult SNAP participants. Comments are due by November 29, 2019.
Source: Federal Register
Sep 30, 2019 - Announces an open meeting of the National Committee on Vital and Health Statistics (NCVHS) on November 13-14, 2019. Agenda items include Committee deliberation of draft recommendations for the Secretary of Health and Human Services regarding the transition from ICD-10 to ICD-11, a continuation of 2019 NCVHS workplan items, and discussion on various health data policy topics.
Source: Federal Register
Sep 30, 2019 - The National Advisory Council on Nurse Education and Practice (NACNEP) will hold a public meeting on November 5-6, 2019. Agenda items include a welcome of new Council members and discussion of priorities in preparation for the development of the Report to Congress.
Source: Federal Register
Sep 26, 2019 - The Centers for Medicare and Medicaid Services is accepting comments on the revision of the Medicare enrollment application for clinics/group practices and other suppliers form, which now includes an attachment to be completed by opioid treatment programs. Comments on the revision are due by November 25, 2019.
Source: Federal Register
Sep 25, 2019 - Notice of final rule from the Centers for Medicare and Medicaid Services outlining the methodology for implementing reductions to annual allotments for Disproportionate Share Hospitals (DSH) beginning in FY 2020 through FY 2025. Provides reference to previous versions of the proposed rule as well as updates that have occurred based on commenter feedback, including those that impact small and rural hospitals. This final rule will be effective on November 25, 2019.
Source: Federal Register
Sep 25, 2019 - Notice from the Department of Health and Human Services (HHS) of a public meeting of the Presidential Advisory Council on HIV/AIDS (PACHA) in Miami, FL on October 21-22, 2019. The meeting will include an update on HIV and the Latinx Community, activities taking place in Florida and Puerto Rico through the President's Ending the HIV Epidemic Initiative, a panel discussion regarding federal efforts to ensure continued community engagement, and a presentation on performance indicators for tracking the Initiative. Preregistration is required and is due by October 15, 2019.
Source: Federal Register
Sep 24, 2019 - The Department of Health and Human Services is requesting public input to inform the National Vaccine Plan for 2020-2025. The five questions/categories that comments should address are: 1) What do you recommend as the top priorities for vaccines and immunizations in the United States; 2) What changes should be made to the 2010 National Vaccine Plan to make it more current and useful; 3) What are the goals, objectives, and strategies for each of your top priority areas; 4) What indicators can be used to measure your top priorities and goals; and 5) Identify which stakeholders you believe should have responsibility for enacting the objectives and strategies listed in the 2020 National Vaccine Plan, as well as for any new objectives and strategies you suggest. Comments are due by October 24, 2019.
Source: Federal Register
Sep 23, 2019 - Notice from the Centers for Medicare and Medicaid Services (CMS) seeking comment and burden estimates on two information collections. 1) The Medicaid Program Face-to-Face Requirements for Home Health Services and Supporting Regulations which requires providers to document a face-to-face encounter with the beneficiary prior to certifying that home health services are required. 2) The Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans requires Medicare Advantage organizations and Prescription Drug Plans to submit an actuarial pricing bid for each plan offered to Medicare beneficiaries for approval by CMS. Comments are due by November 22, 2019.
Source: Federal Register
Sep 23, 2019 - Notice acknowledging that the Centers for Medicare and Medicaid Services has received an application from The Compliance Team for recognition as an accrediting organization for accrediting entities that wish to furnish diabetes outpatient self-management training services to Medicare beneficiaries. Comments on the application must be received by October 23, 2019.
Source: Federal Register
Sep 23, 2019 - Notice acknowledging that the Centers for Medicare and Medicaid Services has received an application from The Compliance Team for recognition as an accrediting organization for suppliers of home infusion therapy services that participate in the Medicare program. Comments on the application must be received by October 23, 2019.
Source: Federal Register
Sep 20, 2019 - The Bureau of the Census (Census Bureau) provides notice of a meeting of the National Advisory Committee on Racial, Ethnic, and Other Populations (NAC) on November 7-8, 2019. The meeting will provide updates on the 2020 Census, including plans for data products, evaluation, and dissemination.
Sep 17, 2019 - The Centers for Disease Control and Prevention (CDC) is seeking comment on a generic information clearance related to the assessment of private well drinking water. The generic information collection will allow CDC to expedite assessments of private well water in response to specific requests from health departments. Comments are due by November 18, 2019.
Source: Federal Register
Sep 17, 2019 - The Centers for Medicare and Medicaid Services is seeking comment on the Medicare Participation Agreement for Physicians and Suppliers, or the CMS-460 form. The agreement requires medical providers and suppliers to accept Medicare assignment for all services provided to all Medicare patients. Comments are due by October 17, 2019.
Source: Federal Register
Sep 17, 2019 - The U.S. Department of Health and Human Services (HHS), Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030 will hold an open meeting October 2, 2019 via webinar. The Committee will discuss the role of data partnerships and deliberate recommendations for establishing data partnerships designed to implement and achieve the Healthy People 2030 objectives. Public comments on the development of the 2030 objectives can be sent to HP2030@hhs.gov.
Source: Federal Register
Sep 16, 2019 - Announces a public meeting of the U.S. Department of Health and Human Services, Advisory Committee on Minority Health (ACMH) on September 27, 2019 to be held via teleconference. The meeting will focus on the discussion of strategies to address HIV-related health disparities among racial and ethnic minorities. Registration for the call is required by September 25, 2019.
Source: Federal Register
Sep 12, 2019 - The Centers for Medicare and Medicaid Services is seeking comment on the following information collection extensions and reinstatements: 1) Health Insurance Common Claims Form; 2) Independent Diagnostic Testing Facilities (IDTFs) Site Investigation Form Revisions; 3) Applications for Part C Medicare Advantage, 1876 Cost Plans, and Employer Group Waiver Plans to Provide Part C Benefits; 4) Physician Certifications/Recertification's in Skilled Nursing Facilities Manual Instructions; 5) Healthcare Common Procedure Coding System (HCPCS)—Level II Code Modification Request Process; and 6) Home Office Cost Statement. Comments are due by November 12, 2019.
Source: Federal Register
Sep 12, 2019 - Announcement of a meeting of the Centers for Disease Control and Prevention and Health Resources and Services Administration Advisory Committee on HIV, Viral Hepatitis and STD Prevention and Treatment (CHACHSPT) to be held via webinar and in person on November 13-14, 2019. The agenda includes a discussion of the President's Ending the HIV Epidemic: A Plan for America strategy and activities related to building community capacity, engaging those with HIV who are not in care, workforce issues, and more.
Source: Federal Register
Sep 12, 2019 - Announcement from the Substance Abuse and Mental Health Services Administration (SAMHSA) of a National Advisory Council (NAC) public meeting on September 26, 2019 to be held in person and via webinar. Agenda items include remarks from the Assistant Secretary for Mental Health and Substance Use, updates from SAMHSA Centers Directors, and council discussion with SAMHSA NAC members.
Source: Federal Register
Sep 11, 2019 - Notice from the Agency for Healthcare Research and Quality (AHRQ) of the availability of new Common Formats for Nursing Homes Version 1.0 for review and comment. The common formats are intended to standardize the collection of patient safety information so that it is comparable across local, regional, and national levels. AHRQ seeks ongoing public input and there is no deadline for comments.
Source: Federal Register
Sep 11, 2019 - The Centers for Medicare and Medicaid Services is seeking comment on the following items: 1) Revision with change of a previously approved collection for Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516(a); 2) Extension of a currently approved collection for Medical Necessity and Contract Amendments Under Mental Health Parity; 3) Revision of a currently approved collection for External Quality Review (EQR) of Medicaid Managed Care Organizations (MCOs) and Supporting Regulations; 4) Extension of a currently approved collection for Medicare Self-Referral Disclosure Protocol; and 5) Extension of a currently approved collection for Hospital Wage Index Occupational Mix Survey. Comments are due by October 11, 2019.
Source: Federal Register
Sep 10, 2019 - Notice of final rule with comment period from the Centers for Medicare and Medicaid Services (CMS) that requires Medicare, Medicaid, and Children's Health Insurance Program (CHIP) providers and suppliers to disclose affiliations with other providers and suppliers. This rule will allow CMS to address program integrity issues and vulnerabilities to fraudulent activity in the programs. Comments on the rule are due by November 4, 2019 which is also the day the rule goes into effect.
Source: Federal Register
Sep 10, 2019 - Announcement of the availability of supplemental funding through the Rural Housing Service's Community Facilities Program for expenses related to natural disasters that occurred in 2018-2019, including wildfires, tornadoes, flooding, and Hurricanes Michael and Florence. Applications will be accepted on a continual basis until funds are exhausted.
Source: Federal Register
Sep 9, 2019 - Notice from the U.S. Census Bureau of revisions to a currently approved information collection for the 2020 Census - Evaluations and Experiments. Includes detailed information about the different evaluations and experiments that are performed during the census which are then used to inform updates and improvements to the next census. Comments on the proposed items are due within 30 days of publication of this notice.
Source: Federal Register

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