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Weekly Legislative & Regulatory Round-up

Week of April 17 - 23, 2010

GAO reports

Poorly Performing Nursing Homes: Special Focus Facilities Are Often Improving, but CMS's Program Could Be Strengthened GAO-10-197

OIG reports

Review of American Recovery and Reinvestment Act of 2009 Medicaid Eligibility Requirements in Louisiana (A-06-09-00100)

Review of Medicaid Compound Drug Expenditures in California for Fiscal Years 2004 and 2005 (A-09-08-00034)

Bills introduced
Number/
Title
Date Introduced Sponsor Description

S. 3223

4/19/10

OLYMPIA SNOWE (R-ME)

A bill to amend the Employee Retirement Income Security Act of 1974 and the Public Health Service Act to provide parity under group health plans and group health insurance coverage for the provision of benefits for prosthetics and custom orthotics and benefits for other medical and surgical services; Referred to the Committee on Health, Education, Labor, and Pensions.

H.R. 5066

4/20/10

JOHN FLEMING (R-LA)

A bill to prohibit the hiring of additional employees by the Internal Revenue Service to implement, administer, or enforce health insurance reform; Referred to the Committee on Ways and Means.

H.R. 5073

4/20/10

PAUL BROUN (R-GA)

A bill to repeal the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 and enact the OPTION Act of 2009; Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Labor, Appropriations, the Judiciary, Natural Resources, House Administration, and Rules.

S. 3239

4/21/10

RUSS FEINGOLD (D-WI)

A bill to repeal unwarranted provisions from the Patient Protection and Affordable Care Act and to more efficiently use taxpayer dollars in health care spending; Referred to the Committee on Finance.

H.R. 5095

4/21/10

ERIK PAULSEN (R-MN)

A bill to amend the Internal Revenue Code of 1986 to repeal the excise tax on medical devices; Referred to the Committee on Ways and Means

S. 3255

4/22/10

BLANCHE LINCOLN (D-AK)

 

A bill to amend title XVIII of the Social Security Act to provide coverage for custom fabricated breast prostheses following a mastectomy; Referred to the Committee on Finance.

 H.R. 5126

4/22/10

JOHN FLEMING (R-LA)

A bill to repeal provisions of the Patient Protection and Affordable Care Act relating to health savings accounts, and for other purposes; Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce.

H. Res. 1291

4/22/10

MICHAEL ARCURI (D-NY)

A resolution expressing support for designation of the week beginning May 9, 2010, as National Nursing Home Week; Referred to the Committee on Energy and Commerce.

 

Federal Register notices

April 19

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

Agency Information Collection Activities: Submission for OMB

Review; Comment Request

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

approved collection; Title of Information Collection: Recovery Act--

Reporting Requirements for States Under FMAP Increase and TMA

Provisions; Use

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

approved collection; Title of Information Collection: State Plan Pre-

print implementing Section 6087 of the Deficit Reduction Act: Optional

Self-Direction Personal Assistance Services (PAS) Program (Cash and

Counseling)

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

Information Collection: Medicare Gainsharing Demonstration Evaluation:

Physician Focus Groups

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

approved collection; Title of Information Collection: Detailed Notice

of Discharge (DND)

5. Type of Information Collection Request: Revision of a currently

approved collection; Title of Information Collection: Important Message

from Medicare (IM)

 

Centers for Medicare & Medicaid Services

Agency Information Collection Activities: Proposed Collection;

Comment Request

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

approved collection; Title of Information Collection: Annual Early and

Periodic Screening, Diagnostic and Treatment (EPSDT) Services

Participation Report

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

currently approved collection; Title of Information Collection: Request

for Employment Information.

 

Centers for Medicare & Medicaid Services

Agency Information Collection Activities: Proposed Collection;

Comment Request

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

approved collection; Title of Information Collection: Medicare

Prescription Drug Benefit Plan

2. Type of Information Collection Request: Revision of a currently

approved collection; Title of Information Collection: Consumer

Assessment of Health Care Providers and Systems (CAHPS)

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

Information Collection: Medicare Part C and Part D Data Validation (42

CFR 422.516g and 423.514g)

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

Information Collection: New Quality Measures for Medicare Advantage

Organizations.

 

Food and Drug Administration

Amended Authorization of Emergency Use of the Antiviral Product

Peramivir Accompanied by Emergency Use Information; Availability

ACTION: Notice.

 

Food and Drug Administration

Amended Authorizations of Emergency Use of Certain Antiviral

Drugs Zanamivir and Oseltamivir Phosphate; Availability

ACTION: Notice.

 

Food and Drug Administration

Authorization of Emergency Use of Certain In Vitro Diagnostic

Devices; Availability

ACTION: Notice.

 

Indian Health Service

Request for Public Comment: 30-Day Proposed Information

Collection: Application for Participation in the IHS Scholarship

Program

ACTION: Notice.

 

April 20

 

Food and Drug Administration

Agency Information Collection Activities; Submission for Office

of Management and Budget Review; Comment Request; Postmarket

Surveillance

ACTION: Notice.

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

proposed collection of information has been submitted to the Office of

Management and Budget (OMB) for review and clearance under the

Paperwork Reduction Act of 1995 (the PRA).

DATES: Fax written comments on the collection of information by May 20,

2010.

 

Food and Drug Administration

Agency Information Collection Activities; Proposed Collection;

Comment Request; Tobacco Health Document Submission

ACTION: Notice.

 

Food and Drug Administration

Guidance for Industry on Tobacco Health Document Submission;

Availability

ACTION:  Notice.

 

Centers for Disease Control and Prevention

Total Inward Leakage Requirements for Respirators

ACTION: Notice of proposed rulemaking; reopening of comment period.

SUMMARY: The Centers for Disease Control and Prevention (CDC) is

reopening the comment period for the notice of proposed rulemaking by

the National Institute for Occupational Safety and Health (NIOSH) of

CDC, entitled ``Total Inward Leakage Requirements for Respirators,''

published in the Federal Register on October 30, 2009 (74 FR 56141).

The comment period on this proposed regulation closed on March 29, 2010

(74 FR 66935) and is being reopened until September 30, 2010.

DATES: All written comments must be received on or before September 30,

2010.

 

Health Resources and Services Administration

Agency Information Collection Activities: Proposed Collection:

Comment Request

Proposed Project: The Stem Cell Therapeutic Outcomes Database (OMB No.

0915-0310)—Extension

 

April 21

 

DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

Food and Drug Administration

Medical Device Use in the Home Environment: Implications for the

Safe and Effective Use of Medical Device Technology Migrating Into the

Home; Public Workshop; Request for Comments

ACTION: Notice of public workshop; request for comments.

Dates and Times: The public workshop will be held on May 24, 2010,

from 7:30 a.m. to 5 p.m. Persons interested in attending and/or

participating in the workshop must register by 5 p.m. on May 17, 2010.

Submit written or electronic comments by June 30, 2010.

Location: The public workshop will be held at the Hilton Hotel,

8727 Colesville Rd., Silver Spring, MD 20910. The hotel's front desk

telephone number is 301-589-5200.

 

April 22

 

DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

Food and Drug Administration

Center for Devices and Radiological Health; New Address

Information

ACTION: Final rule; technical amendments.

 

Food and Drug Administration

Town Hall Discussion With the Director of the Center for Devices

and Radiological Health and Other Senior Center Management

ACTION: Notice of public meeting; request for comments.

The Food and Drug Administration (FDA) is announcing a public

meeting entitled: ``Town Hall Discussion With the Director of the

Center for Devices and Radiological Health and Other Senior Center

Management.'' The purpose of this meeting is to present the Center for

Devices and Radiological Health (CDRH) fiscal year (FY) 2010

priorities. In addition, FDA is interested in engaging in discussions

about issues that are of importance to the medical device industry.

Dates and Time: The public meeting will be held on May 18, 2010,

from 9 a.m. to 4 p.m.

Location: The public meeting will be held at the Hilton

Minneapolis, Saint Paul Airport, 3800 American Blvd. East, Bloomington,

MN, 55425-1658. The meeting will not be videotaped or webcast.

 

April 23

 

DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

Centers for Medicare & Medicaid Services

Medicare and Medicaid Programs; Waiver of Disapproval of Nurse

Aide Training Program in Certain Cases

ACTION: Final rule.

SUMMARY: This final rule will permit a waiver of a nurse aide training

disapproval as it applies to skilled nursing facilities, in the

Medicare program, and nursing facilities, in the Medicaid program, that

are assessed a civil money penalty of at least $5,000 for noncompliance

that is not related to quality of care. This is a statutory provision

enacted by section 932 of the Medicare Prescription Drug, Improvement,

and Modernization Act of 2003 (MMA) (Pub. L. 108-173, enacted December

8, 2003).

DATES: Effective Date: These regulations are effective on May 24, 2010.

 

Centers for Medicare & Medicaid Service

Medicare Program; Ambulatory Surgical Centers, Conditions for

Coverage

ACTION: Proposed rule.

SUMMARY: This proposed rule would revise one of the existing conditions

for coverage (CfC) that ambulatory surgical centers (ASCs) must meet in

order to participate in the Medicare program. The proposed revision

would modify the current CfC for patient rights to include an exception

that would allow an ASC to provide patients or the patients'

representative or surrogate with required patient rights information on

the day of the procedure when the procedure must, to safeguard the

health of the patient, be performed on the same day as the physician's

referral. In addition, we are proposing some other minor changes to the

CfC for patient right requirements.

DATES: To be assured consideration, comments must be received at one of

the addresses provided below, no later than 5 p.m. EST on June 22,

2010.

 

Centers for Medicare & Medicaid Services

Agency Information Collection Activities: Proposed Collection;

Comment Request

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

Information Collection: Medicare Prescription Drug Plan (PDP) and

Medicare Advantage Prescription Drug Plan (MA-PD) Disenrollment Reasons

Survey.

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

approved collection; Title of Information Collection: Chronic Care

Improvement Program and Medicare Advantage Quality Improvement Project.

 

Centers for Medicare & Medicaid Services

Agency Information Collection Activities: Submission for OMB

Review; Comment Request

1. Type of Information Collection Request: New Collection; Title of

Information Collection: Developing Outpatient Therapy Payment

Alternatives.

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

approved collection; Title of Information Collection: Examination and

Treatment for Emergency Medical Conditions and Women Labor (EMTALA), 42

CFR 482.12, 488.18, 489.20, and 489.24.

 

Centers for Medicare & Medicaid Services

Medicaid Program; Final FY 2008, Revised Preliminary FY 2009, and

Preliminary FY 2010 Disproportionate Share Hospital Allotments and

Final FY 2008, Revised Preliminary FY 2009, and Preliminary FY 2010

Disproportionate Share Hospital Institutions for Mental Disease Limits

ACTION: Notice.

SUMMARY: This notice announces the final Federal share disproportionate

share hospital (DSH) allotments for Federal FY (FY) 2008 and the

preliminary Federal share DSH allotments for FY 2010. This notice also

announces the final FY 2008 and the preliminary FY 2010 limitations on

aggregate DSH payments that States may make to institutions for mental

disease and other mental health facilities. This notice also announces

the revised preliminary Federal share DSH allotments for FY 2009 and

the revised preliminary FY limitations on aggregate DSH payments that

States may make to institutions for mental disease and other mental

health facilities to reflect the provisions of the American

Reinvestment and Recovery Act of 2009 (the Recovery Act), enacted on

February

DATES: Effective Date: This notice is effective June 22, 2010. The

final allotments and limitations set forth in this notice are effective

for the fiscal year's specified.

 

Centers for Medicare & Medicaid Services

Medicaid Program; State Allotments for Payment of Medicare Part B

Premiums for Qualifying Individuals: Federal Fiscal Year 2009 and

Federal Fiscal Year 2010

ACTION: Notice.

SUMMARY: This notice sets forth final allotments available to States to

pay the Medicare Part B premiums for Qualifying Individuals (QIs) for

the Federal fiscal year (FY) 2009 and the preliminary QI allotments for

FY 2010. The amounts of these QI allotments were determined in

accordance with the methodology set forth in regulations, as amended in

the Federal Register published on November 24, 2008, and reflect

funding for the QI program made available under recent legislation.

DATES: Effective dates: The final QI allotments for payment of Medicare

Part B premiums for FY 2009 are effective October 1, 2008. The

preliminary QI allotments for FY 2010 are effective October 1, 2009.

 

Centers for Medicare & Medicaid Services

Medicare and Medicaid Programs; Announcement of an Application

From a Hospital Requesting Waiver for Organ Procurement Service Area

ACTION: Notice with comment period.

SUMMARY: A hospital has requested a waiver of statutory requirements

that would otherwise require the hospital to enter into an agreement

with its designated Organ Procurement Organization (OPO). The request

was made in accordance with section 1138(a)(2) of the Social Security

Act (the Act). This notice requests comments from OPOs and the general

public for our consideration in determining whether we should grant the

requested waiver.

DATES: Comment Date: To be assured consideration, comments must be

received at one of the addresses provided below, no later than 5 p.m.

on June 22, 2010.

 

Office of the Secretary

Agency Information Collection Request; 30-Day Public Comment

Request

Proposed Project: HavBED Assessment to Prepare for Public Health

Emergencies--OMB No. 0990-0344--Revision--Office of the Assistant

Secretary for Preparedness and Response (ASPR), Office of Preparedness

and Emergency Operations (OPEO).

 

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