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Weekly Legislative & Regulatory Round-up

Week of May 1 - 7, 2010

GAO reports

VA Health Care: Progress and Challenges in Conducting the National Vietnam Veterans Longtitudinal Study GAO-10-658T 

VA Health Care: Status of VA's Approach in Conducting the National Vietnam Veterans Longitudinal Study GAO-10-578R 

OIG reports

Advisory Opinion 10-04 (PDF) (concerning a proposal by several imaging providers to offer free insurance pre-authorization services to patients and physicians)

Review of Iowa Medicaid Payments for Home Health Agency Claims (A-07-10-01081)
Monthly Recovery Act Report: March

Bills introduced
Number/
Title
Date Introduced Sponsor Description

S. 3298

5/3/10

MARK UDALL (D-CO)

A bill to establish a pilot program to reduce the increasing prevalence of overweight/obesity among 0-5 year-olds in-child care settings; Referred to the Committee on Health, Education, Labor, and Pensions.

H.R. 5200

5/3/10

VAN HOLLEN (D-MD)

A bill to amend title 5, United States Code, to extend eligibility for coverage under the Federal Employees Health Benefits Program with respect to certain adult dependents of Federal employees and annuitants, in conformance with amendments made by the Patient Protection and Affordable Care Act; Referred to the Committee on Oversight and Government Reform.

S. 3315

5/3/10

SUSAN COLLINS (R-ME)

A bill to amend title XVIII of the Social Security Act to protect Medicare beneficiaries' access to home health services under the Medicare program; Referred to the Committee on Finance.

S. 3318

5/4/10

KIRSTEN GILLIBRAND (D-NY)

A bill to amend title XVIII of the Social Security Act to eliminate contributing factors to disparities in breast cancer treatment through the development of a uniform set of consensus-based breast cancer treatment performance measures for a 6-year quality reporting system and value-based purchasing system under the Medicare Program; Referred to the Committee on Finance.

H.R. 5216

5/5/10

TODD AKIN (R-MO)

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

 

Federal Register notices

May 3

 

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: ``National Hospital Adverse Event Reporting System:

Questionnaire Redesign and Testing.'' In accordance with the Paperwork

Reduction Act, 44 U.S.C. 3501-3520. AHRQ invites the public to comment

on this proposed information collection.

National Hospital Adverse Event Reporting System: Questionnaire

Redesign and Testing

DATES: Comments on this notice must he received by July 2, 2010.

 

 

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: ``Standardizing Antibiotic Use in Long-Term Care Settings

SAUL) Study.'' In accordance with the Paperwork Reduction Act, 44

U.S.C. 3501-3520, AHRQ invites the public to comment on this proposed

information collection.

Proposed Project: Standardizing Antibiotic Use in Long-Term Care Settings (SAUL)

DATES: Comments on this notice must be received by July 2, 2010.

 

 

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: ``Assessing the Impact of the National Implementation of

TeamSTEPPS Master Training Program.'' In accordance with the Paperwork

Reduction Act, 44 U.S.C. 3501-3520, AHRQ invites the public to comment

on this proposed information collection.

DATES: Comments on this notice must he received by July 2, 2010.

Proposed Project:

Assessing the Impact of the National Implementation of TeamSTEPPS

Master Training Program

 

Office of the Secretary

HIPAA Privacy Rule Accounting of Disclosures Under the Health

Information Technology for Economic and Clinical Health Act; Request

for Information

ACTION: Request for information.

SUMMARY: Section 13405(c) of the Health Information Technology for

Economic and Clinical Health (HITECH) Act expands an individual's right

under the Health Insurance Portability and Accountability Act of 1996

(HIPAA) Privacy Rule to receive an accounting of disclosures of

protected health information made by HIPAA covered entities and their

business associates. In particular, section 13405(c) of the HITECH Act

requires the Department of Health and Human Services (``Department'' or

``HHS'') to revise the HIPAA Privacy Rule to require covered entities

to account for disclosures of protected health information to carry out

treatment, payment, and health care operations if such disclosures are

through an electronic health record. This document is a request for

information (RFI) to help us better understand the interests of

individuals with respect to learning of such disclosures, the

administrative burden on covered entities and business associates of

accounting for such disclosures, and other information that may inform

the Department's rulemaking in this area.

DATES: Submit comments on or before May 18, 2010.

 

National Institutes of Health

Submission for OMB Review; Comment Request; Investigating the

Causes of Post Donation Information (PDI): Errors in the Donor

Screening Process

 

May 4

 

DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

Centers for Medicare & Medicaid Services

Medicare Program; Proposed Changes to the Hospital Inpatient

Prospective Payment Systems for Acute Care Hospitals and the Long-Term

Care Hospital Prospective Payment System and Proposed Fiscal Year 2011

Rates; Effective Date of Provider Agreements and Supplier Approvals;

and Hospital Conditions of Participation for Rehabilitation and

Respiratory Care Services Medicaid Program: Accreditation Requirements

for Providers of Inpatient Psychiatric Services for Individuals Under

Age 21

ACTION: Proposed rule.

SUMMARY: We are proposing to revise the Medicare hospital inpatient

prospective payment systems (IPPS) for operating and capital-related

costs of acute care hospitals to implement changes arising from our

continuing experience with these systems. In addition, in the Addendum

to this proposed rule, we describe the proposed changes to the amounts

and factors used to determine the rates for Medicare acute care

hospital inpatient services for operating costs and capital-related

costs. These proposed changes would be applicable to discharges

occurring on or after October 1, 2010. We also are setting forth the

proposed update to the rate-of-increase limits for certain hospitals

excluded from the IPPS that are paid on a reasonable cost basis subject

to these limits. The proposed updated rate-of-increase limits would be

effective for cost reporting periods beginning on or after October 1,

2010.

 

Food and Drug Administration

Agency Information Collection Activities; Proposed Collection;

Comment Request; Administrative Procedures for the Clinical Laboratory

Improvement Amendments of 1988 Categorization

ACTION: Notice.

 

Food and Drug Administration

Agency Information Collection Activities; Proposed Collection;

Comment Request; Experimental Study of Patient Information Prototypes

ACTION:  Notice.

 

Food and Drug Administration

Agency Information Collection Activities; Submission for Office

of Management and Budget Review; Comment Request; Requirements for

Submission of Labeling for Human Prescription Drugs and Biologics in

Electronic Format

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.

DATES:  Fax written comments on the collection of information by June

3, 2010.

 

Health Resources and Services Administration

Agency Information Collection Activities: Submission for OMB

Review; Comment Request

Proposed Project: Combating Autism Act Initiative Evaluation (New)

 

Health Resources and Services Administration

Agency Information Collection Activities: Proposed Collection:

Comment Request

Proposed Project: ``Health Care and Other Facilities'' Construction

Program: Web-Based Status Reporting Form: (OMB No. 0915-0309)--

[Extension]

 

Health Resources and Services Administration

Agency Information Collection Activities: Proposed Collection:

Comment Request

Proposed Project: Children's Hospital Graduate Medical Education

Payment Program (CHGME PP) Annual Report (OMB No. 0915-0313)—Extension

 

May 5

 

DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

Centers for Medicare & Medicaid Services

Medicare and Medicaid Programs; Changes in Provider and Supplier

Enrollment, Ordering and Referring, and Documentation Requirements; and

Changes in Provider Agreements

ACTION: Interim final rule with comment period.

SUMMARY: This interim final rule with comment period implements several

provisions set forth in the Patient Protection and Affordable Care Act

(Affordable Care Act). It implements the provision which requires all

providers of medical or other items or services and suppliers that

qualify for a National Provider Identifier (NPI) to include their NPI

on all applications to enroll in the Medicare and Medicaid programs and

on all claims for payment submitted under the Medicare and Medicaid

programs. This interim final rule with comment period also requires

physicians and eligible professionals to order and refer covered items

and services for Medicare beneficiaries to be enrolled in Medicare. In

addition, it adds requirements for providers, physicians, and other

suppliers participating in the Medicare program to provide

documentation on referrals to programs at high risk of waste and abuse,

to include durable medical equipment, prosthetics, orthotics and

supplies (DMEPOS), home health services, and other items or services

specified by the Secretary.

DATES: Effective date: These regulations are effective on July 6, 2010.

Comment date: To be assured consideration, comments must be received at

one of the addresses provided below, no later than 5 p.m. on July 6,

2010.

 

Food and Drug Administration

Agency Information Collection Activities; Announcement of Office

of Management and Budget Approval; Administrative Detention and Banned

Medical Devices

ACTION:  Notice.

 

Food and Drug Administration

Agency Information Collection Activities; Announcement of Office

of Management and Budget Approval; Guidance for Industry, Food and Drug

Administration, and Foreign Governments: Fiscal Year 2010 Medical

Device User Fee Small Business Qualification and Certification

ACTION:  Notice.

 

Food and Drug Administration

Agency Information Collection Activities; Announcement of Office

of Management and Budget Approval; Inspection by Accredited Persons

Program Under the Medical Device User Fee and Modernization Act of 2002

ACTION: Notice.

 

Food and Drug Administration

Agency Information Collection Activities; Announcement of Office

of Management and Budget Approval; Medical Device User Fee Cover

Sheet--Form FDA 3601

ACTION:  Notice.

 

Food and Drug Administration

Determination That BREVIBLOC (Esmolol Hydrochloride) Injection,

250 Milligrams/Milliliter, 10-Milliliter Ampule, Was Withdrawn From

Sale for Reasons of Safety or Effectiveness

ACTION: Notice.

 

Food and Drug Administration

Food and Drug Administration Modernization Act of 1997:

Modifications to the List of Recognized Standards, Recognition List

Number: 023

ACTION: Notice.

 

Food and Drug Administration

Guidance for Industry on Documenting Statistical Analysis

Programs and Data Files; Availability

ACTION: Notice.

 

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.

Date and Time: The public meeting will be held on June 22, 2010,

from 9 a.m. to 5 p.m.

Location: The public meeting will be held at the Hilton Boston/

Woburn, Two Forbes Rd., Woburn, MA 01801. The meeting will not be

videotaped or Web cast.

 

Office of the Secretary

Early Retiree Reinsurance Program

ACTION: Interim final rule with comment period.

SUMMARY: This interim final rule with comment period (IFC) implements

the Early Retiree Reinsurance Program, which was established by section

1102 of the Patient Protection and Affordable Care Act (the Affordable

Care Act). The Congress appropriated funding of $5 billion for the

temporary program. Section 1102(a)(1) requires the Secretary to

establish this temporary program not later than 90 days after enactment

of the statute, which is June 21, 2010. The program ends no later than

January 1, 2014. The program provides reimbursement to participating

employment-based plans for a portion of the cost of health benefits for

early retirees and their spouses, surviving spouses and dependents. The

Secretary will reimburse plans for certain claims between $15,000 and

$90,000 (with those amounts being indexed for plan years starting on or

after October 1, 2011). The purpose of the reimbursement is to make

health benefits more affordable for plan participants and sponsors so

that health benefits are accessible to more Americans than they would

otherwise be without this program.

DATES: Effective Date: These regulations are effective on June 1, 2010.

Comment date: To be assured consideration, comments must be

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

EST on June 4, 2010.

 

Office of the Secretary

Health Care Reform Insurance Web Portal Requirements

ACTION: Interim final rule with comment period.

SUMMARY: The Patient Protection and Affordable Care Act (the Affordable

Care Act) was enacted on March 23, 2010. It requires the establishment

of an internet Web site (hereinafter referred to as a Web portal)

through which individuals and small businesses can obtain information

about the insurance coverage options that may be available to them in

their State. The Department of Health and Human Services (HHS) is

issuing this interim final rule in order to implement this mandate.

This interim final rule adopts the categories of information that will

be collected and displayed as Web portal content, and the data we will

require from issuers and request from States, associations, and high

risk pools in order to create this content.

DATES: Effective Date: These regulations are effective on May 10, 2010.

Comment Date: To be assured consideration, comments must be

received at the address provided below, no later than 5 p.m. on June 4,

2010.

 

May 6

 

DEPARTMENT OF HEALTH AND HUMAN SERVICES

 

Food and Drug Administration

Agency Information Collection Activities; Submission for Office

of Management and Budget Review; Comment Request; Exception From

General Requirements for Informed Consent

ACTION: Notice.

 

Food and Drug Administration

Agency Information Collection Activities; Announcement of Office

of Management and Budget Approval; Investigational Device Exemptions

Reports and Records

ACTION:  Notice.

 

 

May 7

 

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: New Collection; Title of

Information Collection: Tribal Consultation State Plan Amendment

Template.

 

Centers for Medicare & Medicaid Services

Agency Information Collection Activities: Proposed Collection;

Comment Request

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

approved collection; Title of Information Collection: Federal

Qualification Application (42 CFR 417.140) and Medicare Health Care

Prepayment Plan Application (42 CFR 417.800).

 

Food and Drug Administration

Agency Information Collection Activities; Announcement of Office

of Management and Budget Approval; Guidance on Informed Consent for In

Vitro Diagnostic Device Studies Using Leftover Human Specimens That Are

Not Individually Identifiable

ACTION: Notice.

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

collection of information entitled ``Guidance on Informed Consent For

In Vitro Diagnostic Device Studies Using Leftover Human Specimens That

Are Not Individually Identifiable'' has been approved by the Office of

Management and Budget (OMB) under the Paperwork Reduction Act of 1995.

 

Food and Drug Administration

Device Improvements to Reduce the Number of Under-Doses, Over-

Doses, and Misaligned Exposures From Therapeutic Radiation; Public

Meeting; Request for Comments

ACTION:  Notice of public meeting; requests for comments.

 

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