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Weekly Legislative & Regulatory Round-up

Week of October 31 - November 6

GAO reports

No relevant reports.

OIG reports

Follow-up Review of the Medicaid Drug Rebate Program in Indiana (A-04-08-07006)

Renal Dialysis Facilities’ Dosage Protocols for Administering Erythropoiesis-Stimulating Agents (OEI-03-09-00010)

Medicare Drug Integrity Contractors’ Identification of Potential Part D Fraud and Abuse  (OEI-03-08-00420) 

Reassignment of Medicare Benefits  (OEI-07-08-00180) 

Implementation of the Core Medical Services Requirement in the Ryan White Program (OEI-07-08-00240)

Review of Massachusetts’ Compliance With the “Reimbursement of State Costs for Provision of Part D Drugs” Medicare Demonstration Project Requirements (A-01-09-00601)

Bills introduced
Number/
Title
Date Introduced Sponsor Description
H. Res. 883 10/2/09 WALLY HERGER (R-CA) A resolution expressing the sense of the House of Representatives that Members of the House receive the necessary cost information regarding health care reform legislation at least 72 hours before any vote on such legislation; Referred to the Committee on Rules.
H.R. 3987 10/2/09 ROY BLUNT (R-MO) A bill to amend titles XI and XVIII of the Social Security Act to promote the use of health information technology to better coordinate health care; Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means.
H.R. 4007 10/2/09 CHRISTOPHER LEE (R-NY) A bill to authorize the Secretary of Health and Human Services to make grants to 5 States to establish medical malpractice tribunal pilot programs, and for other purposes; Referred to the Committee on the Judiciary.
S. 2730 10/4/09 SHERROD BROWN (D-OH) A bill to extend and enhance the COBRA subsidy program under the American Recovery and Reinvestment Act of 2009; Referred to the Committee on Health, Education, Labor, and Pensions.
H.R. 4018 10/4/09 NATHAN DEAL (R-GA) A bill to amend the Public Health Service Act to provide additional health insurance options for unemployed individuals; Referred to the Committee on Energy and Commerce.
H.R. 4019 10/4/09 NATHAN DEAL (R-GA) A bill to amend the Public Health Service Act to limit preexisting condition exclusions in the individual health insurance market to those permitted in the group health insurance market; Referred to the Committee on Energy and Commerce.
H.R. 4024 10/4/09 MAZIE HIRONO (D-HI) A bill to amend the Native Hawaiian Health Care Improvement Act to revise and extend that Act; Referred to the Committee on Energy and Commerce.
 S. 2734 10/5/09 AL FRANKEN (D-MN) A bill to amend the Public Health Service Act with respect to the prevention of diabetes, and for other purposes; Referred to the Committee on Health, Education, Labor, and Pensions.
S. 2741 10/5/09 TOM UDALL (D-NM) A bill to establish telehealth pilot projects, expand access to stroke telehealth services under the Medicare program, improve access to ``store-and-forward'' telehealth services in facilities of the Indian Health Service and Federally qualified health centers, reimburse facilities of the Indian Health Service as originating sites, establish regulations to consider credentialing and privileging standards for originating sites with respect to receiving telehealth services, and for other purposes; Referred to the Committee on Finance.


 

November 2

 

DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

Centers for Disease Control and Prevention

Medical Examination of Aliens--Removal of Human Immunodeficiency

Virus (HIV) Infection From Definition of Communicable Disease of Public

Health Significance

ACTION: Final rule.

SUMMARY: Through this final rule, the Centers for Disease Control and

Prevention (CDC), within the U.S. Department of Health and Human

Services (HHS), is amending its regulations to remove ``Human

Immunodeficiency Virus (HIV) infection'' from the definition of

communicable disease of public health significance and remove

references to ``HIV'' from the scope of examinations for aliens.

DATES: This final rule is effective January 4, 2010.

 

HHS Office of the Secretary

Determination and Declaration Regarding Emergency Use of the

Antiviral Product Peramivir Accompanied by Emergency Use Information

ACTION: Notice.

SUMMARY: The Secretary of Health and Human Services (HHS) is issuing

this notice pursuant to section 564(b) of the Federal Food, Drug, and

Cosmetic Act (FFDCA), 21 U.S.C. 360bbb-3(b)(4). On April 26, 2009, the

then Acting Secretary of HHS determined that a public health emergency

exists nationwide involving Swine Influenza A (now known as 2009-H1N1

Influenza A, or 2009-H1N1 influenza) that affects or has significant

potential to affect national security. On July 24 and October 1, 2009

the Secretary renewed that determination of a public health emergency. On the basis of this

determination, on October 20, 2009 the Secretary declared an emergency

justifying the authorization of emergency use of the antiviral product

peramivir accompanied by emergency use information subject to the terms

of any authorization issued by the Commissioner of Food and Drugs

(Commissioner) under 21 U.S.C. 360bbb-3(a). The Secretary also

specified that this declaration is a declaration of emergency as

defined in the Declaration under the Public Readiness and Emergency

Preparedness (PREP) Act for Influenza Antiviral peramivir.

DATES: The declaration of an emergency justifying the authorization of

emergency use of the antiviral product peramivir is effective October

20, 2009.

 

November 3

 

DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

Centers for Disease Control and Prevention

Draft Guideline for the Prevention of Intravascular Catheter-

Related Infections

ACTION: Notice of availability and request for public comment.

SUMMARY: This notice is a request for review of and comment on the

Draft Guideline for the Prevention of Intravascular Catheter-Related

Infections, available on the following Web site: http://wwwn.cdc.gov/publiccomments/.

 

This document is for use by infection prevention staff, healthcare

epidemiologists, healthcare administrators, nurses, other healthcare

providers, and persons responsible for developing, implementing, and

evaluating infection prevention and control programs for healthcare

settings across the continuum of care. The guideline updates and

expands the Guideline for the Prevention of Intravascular Device-

Related Infections published in 2002. These guidelines provide

evidence-based recommendations for preventing intravascular catheter-

related infections.

DATES: Comments must be received on or before December 3, 2009.

 

DEPARTMENT OF HEALTH AND HUMAN SERVICES

HHS Public Health Emergency Medical Countermeasures Enterprise

(PHEMCE) Stakeholders Workshop 2009 and BARDA Industry Day

ACTION: Notice.

SUMMARY: The Department of Health and Human Services (HHS) is pleased

to announce the upcoming HHS Public Health Emergency Medical

Countermeasures Enterprise (PHEMCE) Stakeholders Workshop 2009 and

BARDA Industry Day to be held December 2-4, 2009, at the Marriott

Wardman Park Hotel in Washington, DC. This annual PHEMCE event will

bring together private- and public-sector stakeholders including:

Federal Officials, International Governments, Industry, Healthcare

Providers, First Responders, Community-Based Organizations, and other

interested audiences.

DATES: The Stakeholders Workshop 2009 & BARDA Industry Day will be held

December 2-4, 2009. Each day will begin at 9 a.m.

ADDRESSES: The Workshop will be held at the Marriott Wardman Park

Hotel, 2660 Woodley Road, NW., Washington, DC 20008.

 

November 4

 

DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

Centers for Medicare & Medicaid Services

Medicare Programs; End-Stage Renal Disease Prospective Payment

System; Extension of Comment Period

ACTION: Notice of extension of comment period for proposed rule.

SUMMARY: This notice extends the comment period for a proposed rule

published in the Federal Register on September 29, 2009, (74 FR 49922).

The proposed rule would implement a case-mix adjusted bundled

prospective payment system (PPS) for Medicare outpatient end-stage

renal disease (ESRD) dialysis facilities. The proposed ESRD PPS would

also replace the current basic case-mix adjusted composite payment

system and the methodologies for the reimbursement of separately

billable outpatient ESRD services. The comment period for the proposed

rule, which would have ended on November 16, 2009, is extended for 30

days.

DATES: Effective Date: The comment period is extended to 5 p.m. on

December 16, 2009.

 

November 5

 

DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

Food and Drug Administration

Amendment to Memorandum of Understanding Between the Food and

Drug Administration and WebMD, LLC

ACTION: Notice.

SUMMARY: The Food and Drug Administration (FDA) is providing notice of

an amendment to a memorandum of understanding (MOU) between FDA's

Office of External Relations and WebMD, LLC.

DATES: The amendment became effective October 14, 2009.

 

Food and Drug Administration

Draft Guidance for Industry on Dosage Delivery Devices for Over-

The-Counter Liquid Drug Products; Availability

ACTION: Notice.

SUMMARY: The Food and Drug Administration (FDA) is announcing the

availability of a draft guidance for industry titled ``Dosage Delivery

Devices for OTC Liquid Drug Products.'' FDA is issuing this guidance

because of ongoing concerns about potentially serious accidental drug

overdoses that can result from the use of dosage delivery devices with

markings inconsistent or incompatible with the labeled dosage

directions for over-the-counter (OTC) liquid drug products.

DATES: Although you can comment on any guidance at any time (see 21 CFR

10.115(g)(5)), to ensure that the agency considers your comment on this

draft guidance before it begins work on the final version of the

guidance, submit written or electronic comments on the draft guidance

by February 3, 2010.

 

Food and Drug Administration

Food and Drug Administration's Safe Use Initiative; Availability

of Information

ACTION: Notice.

SUMMARY: The Food and Drug Administration (FDA) is announcing the

launch of its Safe Use Initiative with the release of a report titled

``FDA's Safe Use Initiative--Collaborating to Reduce Preventable Harm

from Medicines.'' FDA is opening a docket to enable the public to

comment on the report and the initiative. In addition, a safe use Web

site has been created to facilitate transparency as the initiative

moves forward. The initiative proposes a series of next steps,

including working with interested partners--patients, consumers,

caretakers, healthcare practitioners, pharmacists, healthcare systems,

health insurers, drug manufacturers, and other Federal agencies--to

select specific candidate cases of preventable, drug-related harm for

analysis, intervention proposals, and evaluation metrics. The report

identifies some specific areas of concern that could benefit from Safe

Use Initiative partnerships.

DATES: Submit electronic or written comments at any time.

 

November 6

 

DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

Agency for Healthcare Research and Quality

Agency Information Collection Activities: Proposed Collection;

Comment Request

ACTION: Notice.

SUMMARY: This notice announces the intention of the Agency for

Healthcare Research and Quality (AHRQ) to request that the Office of

Management and Budget (OMB) approve the proposed information collection

project: ``Collection of Information for Agency for Healthcare Research

and Quality's (AHRQ) Hospital Survey on Patient Safety Culture

Comparative Database.'' In accordance with the Paperwork Reduction Act

of 1995, 44 U.S.C. 3506(c)(2)(A), AHRQ invites the public to comment on

this proposed information collection.

This proposed information collection was previously published in

the Federal Register on September 2nd, 2009 and allowed 60 days for

public comment. One comment was received. The purpose of this notice is

to allow an additional 30 days for public comment.

DATES: Comments on this notice must be received by December 7, 2009.

 

Centers for Medicare & Medicaid Services

Agency Information Collection Activities: Proposed Collection;

Comment Request

In compliance with the requirement of section 3506(c)(2)(A) of the

Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid

Services (CMS) is publishing the following summary of proposed

collections for public comment.

1. Type of Information Collection Request: Extension of a currently

approved collection; Title of Information Collection: Medicare

Advantage Appeals and Grievance Data Disclosure Requirements (42 CFR

422.111).

 

Centers for Medicare & Medicaid Services

Agency Information Collection Activities: Submission for OMB

Review; Comment Request

In compliance with the requirement of section 3506(c)(2)(A) of the

Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid

Services (CMS), Department of Health and Human Services, is publishing

the following summary of proposed collections for public comment.

1. Type of Information Collection Request: Extension without change

of a currently approved collection; Title of Information Collection:

Creditable Coverage Disclosure to CMS On-Line Form and Instructions.

2. Type of Information Collection Request: New collection; Title of

Information Collection: Electronic Health Records (EHR) Testing.

 

Food and Drug Administration

Guidance for Industry and Food and Drug Administration Staff; In

Vitro Diagnostic 2009 H1N1 Tests for Use in the 2009 H1N1 Emergency;

Availability

ACTION: Notice.

SUMMARY: The Food and Drug Administration (FDA) is announcing the

availability of the guidance entitled ``In Vitro Diagnostic 2009 H1N1

Tests for Use in the 2009 H1N1 Emergency.'' FDA is issuing this

guidance to inform industry and agency staff of its recommendations for

the type of information and data FDA believes needs to be included in

an Emergency Use Authorization Request (EUA) for in vitro diagnostic

(IVD) devices intended for use in diagnosing 2009 H1N1 Influenza virus

infections during the emergency involving Swine Influenza A\1\. The

Secretary of the Department of Health and Human Services (HHS) declared

the emergency on April 26, 2009, in accordance with the Federal Food,

Drug, and Cosmetics Act (the Act).

 

Office for Human Research Protections, Office of Public Health

and Science, Office of the Secretary

Draft Guidance on Institutional Review Board Approval of Research

With Conditions

ACTION: Notice.

SUMMARY: The Office for Human Research Protections (OHRP), Office of

Public Health and Science, is announcing the availability of a draft

guidance document entitled ``Guidance on IRB Approval of Research with

Conditions,'' and is seeking comment on the draft guidance. The draft

guidance document, when finalized, would provide OHRP's first formal

guidance on this topic. The draft document, which is available on the

OHRP Web site at http://www.hhs.gov/ohrp/requests/, is intended

primarily for institutional review boards (IRBs), investigators,

Department of Health and Human Services (HHS) funding agencies, and

others that may be responsible for the review, conduct, or oversight of

human subject research conducted or supported by HHS. OHRP will

consider comments received before issuing the final guidance document.

DATES: Submit written comments by January 5, 2010.

 

Office for Human Research Protections, Office of Public Health

and Science, Office of the Secretary

Draft Guidance on Institutional Review Board Continuing Review of

Research

ACTION: Notice.

SUMMARY: The Office for Human Research Protections (OHRP), Office of

Public Health and Science, is announcing the availability of a draft

guidance document entitled, ``Guidance on IRB Continuing Review of

Research,'' and is seeking comment on the draft guidance. The draft

guidance document, when finalized, will represent OHRP's current

thinking on this topic and will supersede OHRP's January 15, 2007

guidance document entitled ``Guidance on Continuing Review,'' available

at http://www.hhs.gov/ohrp/humansubjects/guidance/contrev0107.htm. The

draft document, which is available on the OHRP Web site at http://

www.hhs.gov/ohrp/requests/, is intended primarily for institutional

review boards (IRBs), investigators, Department of Health and Human

Services (HHS) funding agencies, and others that may be responsible for

the review, conduct, or oversight of human subject research conducted

or supported by HHS. OHRP will consider comments received before

issuing the final guidance document.

DATES: Submit written comments by January 5, 2010.

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