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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.

Jan 17, 2020 - The Federal Communications Commission has released the implementation schedule for newly adopted reforms in the Rural Health Care Promoting Telehealth Report and Order. Changes are intended to promote transparency and the efficient allocation of program resources within the Rural Health Care Program.
Source: Federal Register
Jan 17, 2020 - Notice of final rule from the Department of Health and Human Services to update regulations to reflect required annual inflation-related increases to the civil monetary penalties in its regulations. The rule is effective January 17, 2020.
Source: Federal Register
Jan 17, 2020 - Announces the updated 2020 Department of Health and Human Services (HHS) federal poverty guidelines for the 48 contiguous states, Alaska, and Hawaii, which took effect January 14, 2020. The HHS poverty guidelines are a simplified version of the poverty thresholds issued by the U.S. Census Bureau and are used to determine eligibility for several federal programs.
Source: Federal Register
Jan 17, 2020 - Proposed rule from the Department of Health and Human Services (HHS) to amend general regulations in order to provide clarity about the rights and obligations of faith-based organizations participating in HHS programs. Comments on this proposed rule are due by February 18, 2020.
Source: Federal Register
Jan 17, 2020 - Makes corrections to a date published in the December 27, 2019 final rule with the same title.
Source: Federal Register
Jan 17, 2020 - Notice from the Centers for Medicare and Medicaid Services and Department of Health and Human Services seeking information on and best practices for the coordination of care from out-of-state providers for Medicaid-eligible children with medically complex conditions. Information received will be used to develop guidance provided to Medicaid directors. Comments are due within 60 days of publication of this notice, which is scheduled for January 21, 2020.
Source: Federal Register
Jan 17, 2020 - Notice from the Rural Housing Service (RHS) is seeking comment on the extension of a currently approved information collection for the Community Facility Loan program. Comments are due by March 17, 2020.
Source: Federal Register
Jan 16, 2020 - The Administration for Children and Families (ACF) is seeking comments on a data collection to evaluate the program, Community Collaborations to Strengthen and Preserve Families. Comments due within 30 days of publication.
Source: Federal Register
Jan 16, 2020 - Notice from the Substance Abuse and Mental Health Services Administration (SAMHSA) of a Center for Mental Health Services National Advisory Council public meeting on February 20, 2020. Agenda items include updates from SAMHSA Centers Directors and discussion on Trauma Informed Care and Certified Community Behavioral Health Clinics.
Source: Federal Register
Jan 15, 2020 - The Government Accountability Office is accepting nominations for appointment to the Medicare Payment Advisory Commission (MedPAC) by February 14, 2020. Appointments are effective May 2020.
Source: Federal Register
Jan 14, 2020 - The Centers for Medicare & Medicaid Services (CMS) is requesting public comment on a revision to the currently approved collection: Medicare Current Beneficiary Survey. Comments must be received by March 16, 2020.
Source: Federal Register
Jan 14, 2020 - The Centers for Medicare & Medicaid Services (CMS) is requesting comments on three proposed collections of information. The first is the extension of a currently approved collection: Electronic Funds Transfer Authorization Agreement; the second is a new collection of Medicare Enrollment Application for Clinics/Group Practices and Other Suppliers Revision; and the third is a revision to the currently approved collection: Contract Year 2021 Plan Benefit Package (PBP) Software and Formulary Submission. All comments must be received by February 13, 2020.
Source: Federal Register
Jan 13, 2020 - Final rule from the Federal Communications Commission to establish procedures for the administration of the voluntary process for the long-form applicants in the Connect America Phase II Auction to facilitate post-auction review of the defined deployment obligations on a state-by-state basis when the total number of actual locations in eligible areas is less than the number of funded locations. These procedures are effective February 12, 2020.
Source: Federal Register
Jan 13, 2020 - Announces a public meeting of the U.S. Department of Health and Human Services, Advisory Committee on Minority Health (ACMH) on January 30-31, 2020. The meeting will focus on the discussion of strategies to improve access to and success of clinical prevention services among racial and ethnic minorities. Registration for the call is required by January 24, 2020.
Source: Federal Register
Jan 9, 2020 - Final rule from the Census Bureau providing notice that, effective January 9, 2020, the Population Estimates Challenge Program will temporarily be suspended during 2020-2021 in order to devote resources toward the 2020 Census.
Source: Federal Register
Jan 9, 2020 - Announcement from the Substance Abuse and Mental Health Services Administration (SAMHSA) of a National Advisory Council (NAC) public meeting on January 28, 2020 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 discussion on clinical trends and emergency issues.
Source: Federal Register
Jan 8, 2020 - The Agency for Healthcare Research and Quality is seeking published and unpublished scientific information submissions to inform their review on Treatments for Acute Pain: A Systematic Review. Submissions are due within 30 days of this notice.
Source: Federal Register
Jan 8, 2020 - Notice from the Federal Communications Commission correcting supplementary information found in the December 9, 2019 notice of final rule with the same title. Changes are effective January 8, 2020.
Source: Federal Register
Jan 7, 2020 - The Agency for Healthcare Research and Quality is seeking nominations to the U.S. Preventive Services Task Force (USPSTF). Specific areas of expertise being sought include public health, health equity and the reduction of health disparities, application of science to health policy, dissemination and implementation, behavioral medicine, and communication of scientific findings to diverse audiences. Nominations of individuals clinical expertise in family medicine, internal medicine, pediatrics, and obstetrics and gynecology will receive the strongest consideration. Nominations are due by March 15th.
Source: Federal Register
Jan 7, 2020 - Notice from the Health Resources and Services Administration to update the guidelines for preventive services and screenings for women to include screening for anxiety. The services included in the guidelines are required to be covered without cost-sharing by non-grandfathered group health plans and health insurance issuers offering non-grandfathered group or individual health insurance coverage. Coverage of this new service is required with the first plan year that begins on or after December 17, 2020.
Source: Federal Register
Jan 6, 2020 - Announcement of a public meeting of the Centers for Disease Control and Prevention (CDC)/Agency for Toxic Substances and Disease Registry (ATSDR) Tribal Advisory Committee (TAC) on March 12-13, 2020. Registration is required and is due by February 21, 2020. Among other things, the meeting is designed to encourage collaboration with American Indian and Alaska Native (AI/AN) tribal nations and to promote health equity and eliminate health disparities among AI/AN populations.
Source: Federal Register
Jan 6, 2020 - Quarterly notice from the Department of Health and Human Services' Office of Medicare Hearings and Appeals (OMHA) listing the instructions finalized during the period of July to September 2019 related to procedures for carrying out adjudicative functions to resolve disagreements with Medicare claims.
Source: Federal Register
Jan 3, 2020 - The U.S. Department of Health and Human Services and Centers for Medicare and Medicaid Services is extending the comment period for the November 27, 2019 proposed Transparency in Coverage rule. The proposed rule outlines requirements for group health plan and health insurance issuers to publicly disclose cost-sharing information to participants, beneficiaries, and enrollees. Comments are now due by January 29, 2020.
Source: Federal Register
Jan 2, 2020 - Notice of proposed rule from the Bureau of Indian Affairs to establish a process for Alaska Native entities that were not recognized as bands or tribes before 1936 to become acknowledged as an Indian Tribe pursuant to the Alaska Amendment to the Indian Reorganization Act. Tribal consultations and public meetings will be held in Juneau, AK on January 28; in Fairbanks, AK on January 30; and by teleconference on February 6, 2020. Comments on the proposed rule are due by March 2, 2020.
Source: Federal Register
Jan 2, 2020 - The Centers for Medicare and Medicaid Services has announced a continuation of, effectiveness of, and extension of the timeline for the publication of a final rule for the Adjustment of Civil Monetary Penalties for Inflation which was originally published as an interim final rule on September 6, 2016. All provisions in remain in effect and the timeline for publication of the final rule has been extended to September 6, 2020.
Source: Federal Register
Dec 31, 2019 - The Department of Transportation (DOT) is extending the comment period for a November 27, 2019 notice seeking comments from the public 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 now due on January 27, 2020.
Source: Federal Register
Dec 30, 2019 - The Administration for Community Living is seeking comments on an information collection for the National SHIP-SMP Beneficiary Survey of Group Outreach and Education events. The information will be used to evaluate outreach events held by State Health Insurance Assistance Program (SHIP) or Senior Medicare Patrol (SMP) staff to help beneficiaries understand their Medicare benefits and options. Comments are due by February 28, 2020.
Source: Federal Register
Dec 30, 2019 - The Administration for Community Living is seeking comments on an information collection for the SHIP-SMP Survey of One-on-One Assistance. The information will be used to evaluate outreach assistance provided by State Health Insurance Assistance Program (SHIP) or Senior Medicare Patrol (SMP) staff to help beneficiaries understand their Medicare benefits and options. Comments are due by February 28, 2020.
Source: Federal Register
Dec 30, 2019 - The Administration for Community Living (ACL) is seeking public comment on information collections related to data performance reports and information collection tools for the State Health Insurance Assistance Program (SHIP). The notice also combines reporting for the Senior Medicare Patrol (SMP) program and the Aging and Disability Resource Centers (ADRC) activities into the same tool at the SHIP program. Comments are due by February 28, 2020.
Source: Federal Register
Dec 30, 2019 - The Centers for Medicare and Medicaid Services announces a public meeting of the Advisory Panel on Outreach and Education (APOE) on January 15, 2020. Presentations and written comments much be submitted to the designated federal official by January 7, 2020 to be included in the agenda. Current agenda items include a listening session with CMS leadership, a recap of the previous meeting, information on CMS programs and priorities, and an opportunity for public comment.
Source: Federal Register
Dec 30, 2019 - Notice from the Centers for Medicare and Medicaid Services to extend the comment period for the the proposed rule entitled Medicaid Program; Medicaid Fiscal Accountability Regulation to February 1, 2020.
Source: Federal Register
Dec 30, 2019 - The National Highway Traffic Safety Administration announces a public meeting of the National Emergency Medical Services Advisory Council, to be held on January 14-16, 2020. Registration and comments from those wishing to speak during the meeting are due by January 6, 2020. Agenda items include updates from officials, review and update of the Federal Interagency Committee on Emergency Services (FICEMS) strategic plan, update on the CMS Emergency Triage, Treat and Transport (ET3 Model), and more.
Source: Federal Register
Dec 27, 2019 - Notice of final rule from the Centers for Medicare and Medicaid Services and U.S. Department of Health and Human Services to revise standards for the oversight of state health insurance exchanges. Also provides new requirements for the collection of payment for a portion of a plan's premium for the coverage of certain abortion services. The final rule is effective on February 25, 2020.
Source: Federal Register
Dec 26, 2019 - Final notice from the Centers for Medicare and Medicaid Services to announce the decision to approve an application from Accreditation Association of Hospitals/Health Systems — Healthcare Facilities Accreditation Program as a national accrediting organization for Critical Access Hospitals that wish to participate in the Medicare or Medicaid programs.
Source: Federal Register
Dec 26, 2019 - The Rural Housing Service (RHS) is finalizing a proposed rule from August 23, 2018 to implement changes to the single family housing guaranteed loan program with some revisions. Effective date is April 24, 2020.
Source: Federal Register
Dec 26, 2019 - The Department of Veterans Affairs is seeking comments on a proposed rule that would establish a Specialty Education Loan Repayment Program to assist in meeting staffing needs for physicians in medical specialties that the VA has determined are difficult to fill. Comments are due on or before February 24, 2020.
Source: Federal Register
Dec 23, 2019 - The Centers for Disease Control and Prevention is seeking comment on an information collection to help determine why people are getting sick after vaping/dabbing and to narrow the list of products, substances, and risk factors that require public health action. Comments on the information collection are due by February 21, 2020.
Source: Federal Register
Dec 23, 2019 - Notice from the Centers for Medicare and Medicaid Services withdrawing the Home Office Cost Statement section of the December 17, 2019 Federal Register notice which had been published in error. All other sections of the notice remain in effect.
Source: Federal Register
Dec 20, 2019 - The Centers for Disease Control and Prevention (CDC) is seeking comment on Cognitive Testing and Pilot Testing for the National Center for Chronic Disease Prevention and Health Promotion. These testing activities will help to improve the quality and efficiency of CDC information collections by testing new survey questions, question formatting, survey protocols, and data collection software. Comments are due within 30 days of this notice.
Source: Federal Register
Dec 19, 2019 - The Health Resources and Services Administration is seeking comments and burden estimates on the National Practitioner Data Bank (NPDB) Attestation of Reports by Hospitals, Medical Malpractice Payers, Health Plans, Health Centers, and Other Eligible Entities. The attestation process requires healthcare entities to affirm that they understand their responsibility and have submitted all required reports to stay in compliance with NPDB protocols. Comments are due by February 18, 2020.
Source: Federal Register
Dec 19, 2019 - The Health Resources and Service Administration (HRSA) announces the 2020 public meetings for the National Advisory Council on the National Health Service Corps (NACNHSC). The NACNHSC provides recommendations to the Secretary of HHS and HRSA Administration on matters related to the National Health Service Corps program.
Source: Federal Register
Dec 19, 2019 - The Centers for Disease Control and Prevention (CDC) and the Health Resources and Services Administration (HRSA) are seeking nominations for the CDC/HRSA Advisory Committee on HIV, Viral Hepatitis and STD Prevention and Treatment (CHACHSPT). The Committee is charged with advising CDC and HRSA on strategies, policies and priorities for HIV, viral hepatitis, and STD prevention and treatment efforts. Nominations will be accepted on a continuous basis.
Source: Federal Register
Dec 18, 2019 - The Centers for Medicare and Medicaid Services is seeking comment on the following items: 1) Medicaid Managed Care Regulations; 2) Testing Experience and Functional Tools: Functional Assessment Standardized Items (FASI) Based on the CARE Tool; 3) Review and Approval Process for Waivers for State Innovation; 4) Medicaid Program Face-to-Face Requirements for Home Health Services and Supporting Regulations; 5) Advance Beneficiary Notice of Noncoverage (ABN); and 6) Administrative Simplification HIPAA Compliance Review. Comments are due by January 17, 2020.
Source: Federal Register
Dec 17, 2019 - The Centers for Medicare and Medicaid Services is seeking comment on the following items: 1) Application for New Medical Services and Technologies Seeking to Qualify for Add-On Payments Under the Hospital Inpatient Prospective Payment System; 2) Physician Certifications/Recertifications in Skilled Nursing Facilities Manual Instructions; 3) Home Office Cost Statement; and 4) Notification of FLS and CMS of Co-Located Medicare Providers. Comments are due by January 16, 2020.
Source: Federal Register
Dec 17, 2019 - The Indian Health Service (IHS) is asking for comments on the extension of a currently approved information collection entitled "Application for Participation in the IHS Scholarship Program." Comments are due by February 18, 2020.
Source: Federal Register
Dec 16, 2019 - The Agency for Healthcare Research and Quality (AHRQ) is seeking published and unpublished scientific information submissions to inform their review on the Management of High-Need, High-Cost Patients: A Realist and Systematic Review. The full review protocol is available for review on the AHRQ website. Submissions are due within 30 days of this notice.
Source: Federal Register
Dec 16, 2019 - The Centers for Medicare and Medicaid Services announces the approval of an application from The Joint Commission (TJC) for initial recognition as an accrediting organization for home infusion therapy suppliers participating in the Medicare program. The approval is effective December 15, 2019 - December 15, 2023.
Source: Federal Register
Dec 13, 2019 - The Health Resources and Services Administration (HRSA) is continuing a comment request and burden estimates of a planned information collection revising the Uniform Data System (UDS), which is used to collect data from health centers. Includes revisions to the 2020 UDS data collection based on feedback received during a previous comment request. Comments on the revisions are due January 13, 2020.
Source: Federal Register
Dec 13, 2019 - The U.S. Department of Veterans Affairs (VA) announces their intent to create a pilot program to increase access to dental care for enrolled veterans who do not otherwise qualify for dental services through the VA. The program will connect veterans with community-based, pro bono or discounted, dental service providers and aims to improve the overall health of veterans while decreasing healthcare related costs. While initial outreach for the program will target veterans in metropolitan areas who have greater access to discounted services and pro bono providers, if the pilot is successful, it could be rolled out in rural areas. Comments on the pilot program are due by January 13, 2020.
Source: Federal Register
Dec 12, 2019 - Announcement from United State Department of Agriculture's Rural Utilities Service (RUS) of the application window and for the second round of funding through the ReConnect Program, which provides loans, grants, and loan-grant combinations for broadband deployment in rural areas. Applications will be accepted from January 31, 2020 to March 16, 2020. RUS is also seeking comments from applicants of the first funding cycle to provide input on the availability of data, frequency of collection, clarity of instructions, and other program elements. Comments are due by March 16, 2020.
Source: Federal Register
Dec 10, 2019 - The Centers for Medicare and Medicaid Services is seeking comment on two information collections: 1) the Reconciliation of State Invoice and Prior Quarter Adjustment Statement which is used by manufacturers to respond to the state's rebate invoice each quarter; and 2) Medicaid Drug Rebate State Reporting Program Forms, which states use to report to drug manufacturers on their use of covered outpatients drugs for reimbursement purposes. Comments are due by February 10, 2020.
Source: Federal Register
Dec 10, 2019 - The United States Department of Agriculture's Food and Nutrition Service is seeking information from tribal and state organizations that administer the Food Distribution Program on Indian Reservations (FDPIR) that will be used to develop additional criteria for a self-determination demonstration project for the purchase of agricultural commodities through the FDPIR. Submissions are due by February 10, 2020.
Source: Federal Register
Dec 9, 2019 - The Administration for Community Living (ACL) and the Advisory Council to Support Grandparents Raising Grandchildren are seeking information on best practices and resources for grandparents and older relatives raising children to be used in the development of a report to Congress. Information on the needs of children impacted by the opioid epidemic and special considerations for Native American populations is also being sought. Comments are due by January 31, 2020.
Source: Federal Register
Dec 9, 2019 - The Administration for Community Living (ACL) and the Family Caregiving Advisory Council are seeking information to be used in the development of a report to Congress, the Family Caregiving Strategy, and public listening sessions being planned for 2020. Information gathered is intended to span the full breadth of the family caregiving experience, including information on caregivers supporting those with long-term care and respite care needs of any age resulting from serious illnesses, conditions, or disabilities, and across all geographic locations. Comments are due by February 7, 2020.
Source: Federal Register
Dec 9, 2019 - The Federal Communications Commission has reviewed performance measures for recipients of Connect America Fund support to ensure that the standards are balanced between the effective use of funds while also allowing flexibility for providers deploying broadband networks. The performance measures are effective January 8, 2020.
Source: Federal Register
Dec 9, 2019 - The Health Resources and Services Administration has extended the comment period for an information collection for State Offices of Rural Health (SORH) grantees, specifically related to new measures in the data collection tool used for program reporting. The new measures will allow for a more accurate representation of the breadth of work done by SORHs. Comments are now due by January 8, 2020.
Source: Federal Register
Dec 6, 2019 - The Centers for Disease Control and Prevention (CDC) 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. The CDC published a withdrawal of this notice on December 12, 2019. A new notice and comment request will be published at a later date.
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

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