[Federal Register Volume 60, Number 175 (Monday, September 11, 1995)]
[Proposed Rules]
[Pages 47133-47134]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-22311]



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DEPARTMENT OF VETERANS AFFAIRS

38 CFR Part 17

RIN 2900-AH61


Adult Day Health Care Program; Community Residential Care 
Program; and Contract Program for Veterans With Alcohol and Drug 
Dependence Disorders

AGENCY: Veterans Health Administration, VA.

ACTION: Proposed rule.

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SUMMARY: This document proposes to update references to material 
incorporated by reference in the Department of Veterans Affairs 
regulations concerning the Adult Day Health Care Program, the Community 
Residential Care Program, and the Contract Program for Veterans With 
Alcohol and Drug Dependence Disorders. These regulations incorporate by 
reference various editions of the National Fire Protection Association 
Life Safety Code entitled ``NFPA 101, Life Safety Code'' and ``NFPA 
101A, Guide on Alternative Approaches to Life Safety.'' It is proposed 
to substitute the current edition (1994) of the Life Safety Code and 
the current edition (1995) of the Guide on Alternative Approaches to 
Life Safety for earlier editions. The regulations are designed to 
ensure that buildings used for treatment and residential services for 
veterans meet the fire and safety requirements of the Life Safety Code 
and the Guide on Alternative Approaches to Life Safety. Also, this 
document amends the current ``Contract Program for Veterans With 
Alcohol and Drug Dependence Disorders'' regulations which, prior to the 
effective date of this document, provided that the Director, Facility 
Engineering, Planning, and Construction Office, was delegated authority 
to grant certain equivalencies or variances to building requirements. 
This delegation of authority is removed and instead such delegation of 
authority is granted to each of the Regional Directors of the Veterans 
Health Administration.

DATES: Comments must be received on or before November 13, 1995.

FOR FURTHER INFORMATION CONTACT: Daniel J. Schoeps, Chief, Community 
Care Programs, Veterans Health Administration, Department of Veterans 
Affairs, (202) 565-7530, for issues relating to the Adult Day Health 
Care Program and the Community Residential Care Program; Karen G. 
Boies, Ph.D., Deputy Associate Director for Addictive Disorders and 
Psychiatric Rehabilitation, Veterans Health Administration, Department 
of Veterans Affairs, (202) 565-7316, for issues relating to the 
Contract Program for Veterans With Alcohol and Drug Dependence 
Disorders.

ADDRESSES: Mail written comments concerning these proposed regulations 
to: Director, Office of Regulations Management (02D), Department of 
Veterans Affairs, 810 Vermont Ave. NW., Washington, DC 20420; or hand 
deliver written comments to: Office of Regulations Management, room 
1176, 801 Eye Street NW., Washington, DC 20001. Comments should 
indicate that 

[[Page 47134]]
they are submitted in response to ``RIN 2900-AH61.'' All written 
comments will be available for public inspection in the Office of 
Regulations Management, room 1176, 801 Eye Street NW., Washington, DC 
20001 between the hours of 8 a.m. and 4:30 p.m., Monday through Friday 
(except holidays).

SUPPLEMENTARY INFORMATION: The regulations affected by this document 
are authorized under provisions of 38 U.S.C. as follows:

    Adult Day Health Care Program--38 U.S.C. 1712; Community 
Residential Care Program--38 U.S.C. 1730; and Contract Program for 
Veterans With Alcohol and Drug Dependence Disorders--38 U.S.C. 501 
and 38 U.S.C. 1720A

Regulatory Flexibility Act

    The Secretary hereby certifies that the provisions of the proposed 
rule would not have a significant economic impact on a substantial 
number of small entities as they are defined in the Regulatory 
Flexibility Act (RFA), 5 U.S.C. 601-612. In all likelihood, only 
similar entities that are small entities would conduct activities 
affected by this rule. Therefore, pursuant to 5 U.S.C. 605(b), this 
rule is exempt from the initial and final regulatory flexibility 
analysis requirement of sections 603 and 604.

List of Subjects in 38 CFR Part 17

    Alcoholism, Claims, Dental Health, Drug Abuse, Foreign Relations, 
Government Contracts, Grants Program--Health, Health Care, Health 
Facilities, Health Professions, Medical Devices, Medical Research, 
Mental Health Programs, Nursing Homes, Philippines, Veterans.

    Approved: August 29, 1995.
Jesse Brown,
Secretary of Veterans Affairs.
    For the reasons set out in the preamble, 38 CFR part 17 is proposed 
to be amended as set forth below:

PART 17--MEDICAL

    1. The authority citation for part 17 continues to read as follows:

    Authority: 72 Stat. 1114, 38 U.S.C. 501, unless otherwise noted.

    2. In Sec. 17.51e, paragraph (c)(2) is revised to read as follows:


Sec. 17.51e  Adult day health care in private facilities.

* * * * *
    (c) * * *
    (2) The institution shall meet the requirements of chapters 1-7, 
10-11, and 31 of the National Fire Protection Association's Life Safety 
Code, entitled NFPA 101 Life Safety Code 1994, dated February 11, 1994 
(which is incorporated by reference). Incorporation of the 1994 edition 
of the Life Safety Code was approved by the Director of the Federal 
Register in accordance with 5 U.S.C. 552(a) and 1 CFR part 51. The code 
is available for inspection at the Office of the Federal Register, room 
700, 800 North Capitol Street NW., Washington, DC and at the Department 
of Veterans Affairs, Office of Regulations Management (02D), room 1176, 
801 Eye Street NW., Washington, DC 20001. Copies may be obtained from: 
National Fire Protection Association, Battery March Park, Quincy, MA 
02269. (For ordering information, call toll-free 1-800-344-3555.) The 
institution shall provide sufficient staff to assist patients in the 
event of fire or other emergency.
* * * * *
    3. In Sec. 17.51j, paragraph (a)(2) is revised to read as follows:


Sec. 17.51j  Approval of community residential care facilities.

* * * * *
    (a) * * *
    (2) Meet the requirements of chapters 1-7, 22-23, and 31 of the 
1994 edition of the National Fire Protection Association's Life Safety 
Code, NFPA 101, and the 1995 edition of NFPA 101A, Guide on Alternative 
Approaches to Life Safety (which are incorporated by reference). The 
institution shall provide sufficient staff to assist patients in the 
event of fire or other emergency. Incorporation by reference of the 
1994 edition of the Life Safety Code and the 1995 edition of NFPA 101A 
was approved by the Director of the Federal Register, in accordance 
with 5 U.S.C. 552(a) and 1 CFR part 51. The code is available for 
inspection at the Office of the Federal Register, room 700, 800 North 
Capitol Street NW., Washington, DC and the Department of Veterans 
Affairs, Office of Regulations Management (02D), room 1176, 801 Eye 
Street NW., Washington, DC 20001. Copies may be obtained from the 
National Fire Protection Association, Battery March Park, Quincy, MA 
02269. (For ordering information, call toll-free 1-800-344-3555.)
* * * * *
    4. In Sec. 17.53b, paragraph (a)(1)(i) is revised to read as 
follows:


Sec. 17.53b  Contracts for residential treatment services for veterans 
with alcohol or drug dependence or abuse disabilities.

    (a) * * *
    (1) * * *
    (i) The building must meet the requirements of the applicable 
residential occupancy chapters 1-7, 22-23, and 31 of the Life Safety 
Code (NFPA 101) published by the National Fire Protection Association 
(NFPA). Battery March Park, Quincy, MA 02269, 1994 edition. (For 
ordering information, call toll-free 1-800-344-3555.) The 1994 edition 
of the Life Safety Code is hereby incorporated by reference into this 
section as though set forth in full herein. This code is available for 
inspection at the Office of the Federal Register, 800 North Capitol 
Street NW., room 700, Washington, DC and the Department of Veterans 
Affairs, Office of Regulations Management (02D), room 1176, 801 Eye 
Street NW., Washington, DC 20001. Any equivalencies or variances to 
Department of Veterans Affairs requirements must be approved by the 
appropriate Veterans Health Administration Regional Director.
* * * * *
    5. In Sec. 17.53c, paragraph (a)(1)(i) is revised to read as 
follows:


Sec. 17.53c  Contracts for outpatient services for veterans with 
alcohol or drug dependence or abuse disabilities.

    (a) * * *
    (1) * * *
    (i) The building must meet the requirements of the applicable 
business occupancy chapters 1-7, 26-27, and 31 of the Life Safety Code 
(NFPA 101) published by the National Fire Protection Association 
(NFPA), Battery March Park, Quincy, MA 02269, 1994 edition. (For 
ordering information, call toll-free 1-800-344-3555.) The 1994 edition 
of the Life Safety Code (NFPA 101) is hereby incorporated by reference 
into this section as though set forth in full herein. This code is 
available for inspection at the Office of the Federal Register, 800 
North Capitol Street NW., room 700, Washington, DC and the Department 
of Veterans Affairs, Office of Regulations Management (02D), room 1176, 
801 Eye Street NW., Washington, DC 20001. Any Equivalencies or 
variances to Department of Veterans Affairs requirements must be 
approved by the appropriate Veterans Health Administration Regional 
Director.
* * * * *
[FR Doc. 95-22311 Filed 9-8-95; 8:45 am]
BILLING CODE 8320-01-P