[Federal Register Volume 61, Number 97 (Friday, May 17, 1996)]
[Notices]
[Pages 24940-24946]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-12463]



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[[Page 24941]]


DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[BPD-868-NC]


Medicare and Medicaid Programs; Announcement of Applications From 
Hospitals Requesting Waivers for Organ Procurement Service Area

AGENCY: Health Care Financing Administration (HCFA), HHS.

ACTION: Notice with comment period.

-----------------------------------------------------------------------

SUMMARY: This notice announces applications which HCFA has received 
since December 1, 1995, from hospitals requesting waivers from dealing 
with their designated area organ procurement organizations (OPOs) in 
accordance with section 1138(a)(2) of the Social Security Act. It 
supplements a notice published in the Federal Register on January 19, 
1996, that announced hospital waiver requests received by HCFA as of 
December 1, 1995. Effective January 1, 1996, a hospital is required to 
have an agreement with the OPO designated for the area in which it is 
located unless HCFA grants it a waiver to have an agreement with an 
alternative, out-of-area OPO. This notice requests comments from OPOs 
and the general public for our consideration in determining whether 
such a waiver should be granted.

DATES: Written comments will be considered if we receive them at the 
appropriate address, as provided below, no later than 5:00 p.m. on July 
16, 1996.

ADDRESSES: Mail written comments (one original and three copies) to the 
following address: Health Care Financing Administration, Department of 
Health and Human Services, Attention: BPD-868-NC, P.O. Box 7517, 
Baltimore, MD 21244-0517.
    If you prefer, you may deliver your written comments (one original 
and three copies) to one of the following addresses:

Room 309-G, Hubert H. Humphrey Building, 200 Independence Avenue, SW., 
Washington, DC 20201, or
Room C5-09-26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Because of staffing and resource limitations, we cannot accept 
comments by facsimile (FAX) transmission. In commenting, please refer 
to file code BPD-868-NC. Comments received timely will be available for 
public inspection as they are received, generally beginning 
approximately 3 weeks after publication of a document, in Room 309-G of 
the Department's offices at 200 Independence Avenue SW., Washington, 
DC, on Monday through Friday of each week from 8:30 a.m. to 5 p.m. 
(phone: (202) 690-7890).

FOR FURTHER INFORMATION CONTACT: Mark A. Horney (410) 786-4554.

SUPPLEMENTARY INFORMATION:

I. Background

    Section 1138(a)(1)(A)(iii) of the Social Security Act (the Act) 
provides that a hospital or rural primary care hospital that 
participates in the Medicare or Medicaid programs must establish 
written protocols for the identification of potential organ donors. 
Section 155 of the Social Security Act Amendments of 1994 (SSA '94) 
(Public Law 103-432) amended section 1138 of the Act to require that 
effective January 1, 1996, a hospital must notify the organ procurement 
organization (OPO) designated for the service area in which it is 
located of potential organ donors (sections 1138 (a)(1)(A)(iii) and 
(a)(3)(B) of the Act). It must also have an agreement to do so only 
with that designated OPO (sections 1138 (a)(1)(C) and (a)(3)(A)).
    The statute also provides that the hospital may obtain a waiver of 
these requirements from the Secretary. A waiver would allow the 
hospital to have an agreement with an ``out-of-area'' OPO (section 
1138(a)(2)) if it meets conditions specified in the statute (section 
1138(a)(2)(A) (i) and (ii)).
    The law further states that in granting a waiver, the Secretary 
must determine that such a waiver: (1) Would be expected to increase 
donation; and (2) will assure equitable treatment of patients referred 
for transplants within the service area served by the designated OPO 
and within the service area served by the out-of-area OPO (section 
1138(a)(2)(A)). In making a waiver determination, the Secretary may 
consider, among other factors: (1) Cost effectiveness; (2) improvements 
in quality; (3) whether there has been any change in a hospital's 
designated OPO service area due to the definition of metropolitan 
statistical areas (MSAs); and (4) the length and continuity of a 
hospital's relationship with the out-of-area OPO (section 
1138(a)(2)(B)). Under section 1138(a)(2)(D) of the Act, the Secretary 
is required to publish a notice of any waiver applications within 30 
days of receiving the application and offer interested parties an 
opportunity to comment in writing within 60 days of the published 
notice. Section 155(a)(2) of SSA '94 provides that any hospital that 
had an agreement with an out-of-area OPO on the date of enactment of 
that legislation, October 31, 1994, may obtain a temporary or interim 
waiver of the requirements of sections 1138 (a)(1)(A)(iii) and 
(a)(1)(C). The statute requires that the hospital must have submitted a 
waiver request to the Secretary by January 1, 1996. The statute 
specifically provides that the hospital's existing agreement with the 
out-of-area OPO would remain in effect pending the Secretary's final 
determination under section 1138(a)(2) as to whether the hospital 
should be granted a permanent waiver.
    For hospitals that do not meet these conditions, but that entered 
into agreements with out-of-area OPOs prior to January 1996, we have 
established a similar process. Under our section 1138(a)(2) authority 
to grant waivers if statutory conditions are met, we will make a 
preliminary determination as to whether the hospital's request meets 
the requirements of section 1138(a)(2)(A) (i) and (ii) based upon an 
initial review of its waiver request. If we determine that the hospital 
appears preliminarily to meet those standards, we will grant the 
hospital a temporary, interim waiver while we consider further the 
merits of the hospital's waiver request on a permanent basis. In the 
meantime, the hospital may continue its relationship with the OPO with 
which it has an agreement.

II. Hospital Requests for Waiver

    In October 1995, we issued a Program Memorandum (Transmittal No. A-
95-11) that has been supplied to each hospital. This Program Memorandum 
detailed the waiver process and discussed the information that may be 
provided by hospitals requesting a waiver. We indicated that upon 
receipt of the waiver requests, we would publish a Federal Register 
notice to solicit public comments, as required by law (section 
1138(a)(2)(D)).
    We will then review the requests and comments received. During the 
review process, we may consult on an as-needed basis with agencies 
outside HCFA, including the Public Health Service's Division of 
Transplantation, the United Network for Organ Sharing, and HCFA 
regional offices. If necessary, we may request additional clarifying 
information from the applying hospital or others. We then will make a 
final determination on the waiver requests and notify the affected 
hospitals and OPOs.

III. Hospitals That Requested Waivers

    On January 19, 1996, we published in the Federal Register (61 FR 
1389) a notice that announced the waiver applications that we had 
initially received from hospitals. The January 1996 notice listed eight 
hospitals that had agreements on October 31, 1994,

[[Page 24942]]

whose waiver requests had been received by December 1, 1995.
    This notice supplements the January 1996 notice. It announces an 
additional 148 hospital waiver requests that we have received. The 
hospitals whose waiver applications were received after December 1, 
1995 are listed below under three distinct groups.
    The Group I listing includes the hospitals that submitted waiver 
requests after December 1, 1995 and that had agreements with the 
requested out-of-area OPO on or before October 31, 1994. This listing 
includes 132 hospitals that requested waivers, by the name of the 
facility, the city and state location of the facility, the requested 
out-of-area OPO, and the currently designated area OPO.

                                                                         Group I                                                                        
--------------------------------------------------------------------------------------------------------------------------------------------------------
                Name of facility                                   City                         State         Requested OPO \1\      Designated OPO \1\ 
--------------------------------------------------------------------------------------------------------------------------------------------------------
White River Medical Center.....................  Batesville..............................  AR               AROR                   MOMA                 
Corona Regional Medical Center.................  Corona..................................  CA               CARO                   CAOP                 
Sierra View District Hospital..................  Porterville.............................  CA               CADN                   CAOP                 
Mark Twain St. Joseph's Hospital...............  San Andreas.............................  CA               CAGS                   CADN                 
Cedars-Sinai Medical Center....................  Los Angeles.............................  CA               CAOP                   CARO                 
Kaweah Delta Health Care District..............  Visalia.................................  CA               CADN                   CAOP                 
Tulare District Hospital.......................  Tulare..................................  CA               CADN                   CAOP                 
Lindsay District Hospital......................  Lindsay.................................  CA               CADN                   CAOP                 
Alta District Hospital.........................  Dinuba..................................  CA               CADN                   CAOP                 
Sharp HealthCare Murrieta......................  Murrieta................................  CA               CASD                   CAOP                 
Sierra Valley District Hospital................  Loyalton................................  CA               CAGS                   CADN                 
Colusa Community Hospital......................  Colusa..................................  CA               CAGS                   (\2\)                
Sutter Solano Medical Center...................  Vallejo.................................  CA               CAGS                   CADN                 
Summit Medical Center..........................  Oakland.................................  CA               CAGS                   CADN                 
Indian Valley Hospital District................  Greenville..............................  CA               CAGS                   CADN                 
Barstow Community Hospital.....................  Barstow.................................  CA               CARO                   CAOP                 
Bear Valley Community Hospital.................  Big Bear Lake...........................  CA               CARO                   CAOP                 
Chino Valley Medical Center....................  Chino...................................  CA               CARO                   CAOP                 
Community Hospital of San Bernadino............  San Bernadino...........................  CA               CARO                   CAOP                 
Corona Regional Medial Center..................  Corona..................................  CA               CARO                   CAOP                 
Desert Hospital................................  Palm Springs............................  CA               CARO                   CAOP                 
Desert Valley Hospital.........................  Victorville.............................  CA               CARO                   CAOP                 
Eisenhower Memorial Hospital...................  Rancho Mirage...........................  CA               CARO                   CAOP                 
Hi-Desert Medical Center.......................  Joshua Tree.............................  CA               CARO                   CAOP                 
Kaiser Foundation Hospitals....................  Riverside...............................  CA               CARO                   CAOP                 
Kaiser Foundation Hospitals....................  Fontana.................................  CA               CARO                   CAOP                 
Mountains Community Hospital...................  Lake Arrowhead..........................  CA               CARO                   CAOP                 
Parkview Community Hospital Medical Center.....  Riverside...............................  CA               CARO                   CAOP                 
Ridgecrest Community Hospital..................  Ridgecrest..............................  CA               CARO                   CAOP                 
Riverside Community Hospital...................  Riverside...............................  CA               CARO                   CAOP                 
San Antonio Community Hospital.................  Upland..................................  CA               CARO                   CAOP                 
St. Bernardine Medical Center..................  San Bernardino..........................  CA               CARO                   CAOP                 
St. Mary Regional Medical Center...............  Apple Valley............................  CA               CARO                   CAOP                 
Valley Health System...........................  Hemet...................................  CA               CARO                   CAOP                 
Victor Valley Community Hospital...............  Victorville.............................  CA               CARO                   CAOP                 
Antelope Valley Hospital.......................  Lancaster...............................  CA               CAOP                   CARO                 
Bellwood General Hospital......................  Bellflower..............................  CA               CAOP                   CARO                 
Beverly Hospital...............................  Montebello..............................  CA               CAOP                   CARO                 
Brotman Medical Center.........................  Culver City.............................  CA               CAOP                   CARO                 
California Hospital Medical Center.............  Los Angeles.............................  CA               CAOP                   CARO                 
Century City Hospital..........................  Los Angeles.............................  CA               CAOP                   CARO                 
Charter Community Hospital.....................  Hawaiian Gardens........................  CA               CAOP                   CARO                 
Childrens Hospital.............................  Los Angeles.............................  CA               CAOP                   CARO                 
Daniel Freeman Marina Hospital.................  Marina del Rey..........................  CA               CAOP                   CARO                 
Daniel Freeman Memorial Hospital...............  Inglewood...............................  CA               CAOP                   CARO                 
Desert Palms Community Hospital................  Palmdale................................  CA               CAOP                   CARO                 
Doctors Hospital of West Covina................  West Covina.............................  CA               CAOP                   CARO                 
Garfield Medical Center........................  Monterey Park...........................  CA               CAOP                   CARO                 
Henry Mayo Newhall Memorial Hospital...........  Valencia................................  CA               CAOP                   CARO                 
High Desert Hospital...........................  Lancaster...............................  CA               CAOP                   CARO                 
Huntington East Valley Hospital................  Glendora................................  CA               CAOP                   CARO                 
Lakewood Regional Medical Center...............  Lakewood................................  CA               CAOP                   CARO                 
Lancaster Community Hospital...................  Lancaster...............................  CA               CAOP                   CARO                 
Lincoln Hospital...............................  Los Angeles.............................  CA               CAOP                   CARO                 
Little Company of Mary Hospital................  Torrance................................  CA               CAOP                   CARO                 
Long Beach Memorial Medical Center/Miller        Long Beach..............................  CA               CAOP                   CARO                 
 Childrens Hospital.                                                                                                                                    
Monterey Park Hospital.........................  Monterey Park...........................  CA               CAOP                   CARO                 
Orthopaedic Hospital...........................  Los Angeles.............................  CA               CAOP                   CARO                 
Pacific Alliance Medical Center................  Los Angeles.............................  CA               CAOP                   CARO                 
Pacific Hospital of Long Beach.................  Long Beach..............................  CA               CAOP                   CARO                 
Pioneer Hospital...............................  Artesia.................................  CA               CAOP                   CARO                 
Presbyterian Intercommunity Hospital...........  Whittier................................  CA               CAOP                   CARO                 
Queen of the Valley Hospital...................  West Covina.............................  CA               CAOP                   CARO                 

[[Page 24943]]

                                                                                                                                                        
Santa Marta Hospital...........................  Los Angeles.............................  CA               CAOP                   CARO                 
St. Francis Medical Center.....................  Lynwood.................................  CA               CAOP                   CARO                 
St. Joseph Medical Center......................  Burbank.................................  CA               CAOP                   CARO                 
St. Vincent Medical Center.....................  Los Angeles.............................  CA               CAOP                   CARO                 
Temple Community Hospital......................  Los Angeles.............................  CA               CAOP                   CARO                 
USC University Hospital........................  Los Angeles.............................  CA               CAOP                   CARO                 
White Memorial Medical Center..................  Los Angeles.............................  CA               CAOP                   CARO                 
Woodruff Community Hospital....................  Long Beach..............................  CA               CAOP                   CARO                 
Day Kimball Hospital...........................  Putnam..................................  CT               CTHH                   MAOB                 
Windham Hospital...............................  Willimantic.............................  CT               CTHH                   MAOB                 
Veterans Memorial Medical Center...............  Meriden.................................  CT               CTHH                   MAOB                 
Martin Memorial Medical Center, Inc............  Stuart..................................  FL               FLWC                   FLMP                 
Hendry General Hospital........................  Clewiston...............................  FL               FLSW                   FLMP                 
Phoebe Putney Memorial Hospital................  Albany..................................  GA               GALL                   GAMC                 
Palmyra Medical Centers........................  Albany..................................  GA               GALL                   GAMC                 
St. Francis Hospital...........................  Columbus................................  GA               GALL                   ALOB                 
Meadows Regional Medical Center................  Vidalia.................................  GA               GALL                   GAMC                 
Doctors Hospital...............................  Columbus................................  GA               GALL                   ALOB                 
Hughston Sports Medicine Hospital..............  Columbus................................  GA               GALL                   ALOB                 
The Medical Center, Inc........................  Columbus................................  GA               GALL                   ALOB                 
Athens Regional Medical Center.................  Athens..................................  GA               GALL                   GAMC                 
Davenport Medical Center.......................  Davenport...............................  IA               IAOP                   ILIP                 
Genesis Medical Center.........................  Davenport...............................  IA               IAOP                   ILIP                 
Jennie Edmundson Memorial Hospital.............  Council Bluffs..........................  IA               IAOP                   NEOR                 
Swedish American Hospital......................  Rockford................................  IL               WIUW                   ILIP                 
Saint Anthony Medical Center...................  Rockford................................  IL               WIUW                   ILIP                 
Porter Memorial Hospital.......................  Valparaiso..............................  IN               INOP                   ILIP                 
Franklin Medical Center........................  Greenfield..............................  MA               CTHH                   MAOB                 
Mary Lane Hospital.............................  Ware....................................  MA               CTHH                   MAOB                 
Baystate Medical Center........................  Springfield.............................  MA               CTHH                   MAOB                 
Calvert Memorial Hospital......................  Prince Frederick........................  MD               MDPC                   DCTC                 
Union Hospital.................................  Elkton..................................  MD               MDPC                   PADV                 
Frederick Memorial Hospital....................  Frederick...............................  MD               MDPC                   DCTC                 
Marquette General Hospital.....................  Marquette...............................  MI               WIUW                   MIOP                 
Lester E. Cox Medical Center...................  Springfield.............................  MO               MOMA                   MWOB                 
St. John's Regional Health Center..............  Springfield.............................  MO               MOMA                   MWOB                 
Skaggs Community Health Center.................  Branson.................................  MO               MOMA                   MWOB                 
Warren Hospital................................  Philipsburg.............................  NJ               NJTO                   PADV                 
Our Lady of Lourdes Medical Center.............  Camden..................................  NJ               NJTO                   PADV                 
Cooper Hospital/University Medical Center......  Camden..................................  NJ               NJTO                   PADV                 
Saint Mary's Regional Medical Center...........  Reno....................................  NV               CADN                   NVLV                 
Washoe Health System...........................  Reno....................................  NV               CADN                   NVLV                 
Arnot Ogden Medical Center.....................  Elmira..................................  NY               NYFL                   PATF                 
Hempstead General Hospital Medical Center......  Hempstead...............................  NY               NYRT                   NYSB                 
Long Beach Medical Center......................  Long Beach..............................  NY               NYRT                   NYSB                 
St. Francis Hospital...........................  Roslyn..................................  NY               NYRT                   NYSB                 
North Shore University Hospital................  Manhassett..............................  NY               NYRT                   NYSB                 
Hardin Memorial Hospital.......................  Kenton..................................  OH               OHLP                   OHLC                 
Mercy Hospital.................................  Willard.................................  OH               OHLP                   OHLB                 
Mercy Medical Center...........................  Springfield.............................  OH               OHLP                   OHLC                 
Hood General Hospital..........................  Gransbury...............................  TX               TXGC                   TXSB                 
St. Michael Health Care Center.................  Texarkana...............................  TX               AROR                   TXSB                 
Darnall Army Community Hospital................  Fort Hood...............................  TX               TXSA                   TXSB                 
Metroplex Hospital.............................  Killeen.................................  TX               TXSA                   TXSB                 
Parkview Regional Hospital.....................  Mexia...................................  TX               TXGC                   TXSB                 
Harris Methodist Erath County Hospital.........  Stephenville............................  TX               TXGC                   TXSB                 
Hamilton General Hospital......................  Hamilton................................  TX               TXGC                   TXSB                 
Palo Pinto General Hospital....................  Mineral Wells...........................  TX               TXGC                   TXSB                 
Glen Rose Medical Center.......................  Glen Rose...............................  TX               TXGC                   TXSB                 
Decatur Community Hospital.....................  Decatur.................................  TX               TXGC                   TXSB                 
Silsbee Doctors Hospital.......................  Silsbee.................................  TX               TXGC                   TXSB                 
Nan Travis Memorial Hospital...................  Jacksonville............................  TX               TXGC                   TXSB                 
Memorial Medical Center........................  Port Lavaca.............................  TX               TXGC                   TXSB                 
Clinch Valley Medical Center...................  Richlands...............................  VA               TNET                   VAOP                 
Luther/Midelfort Mayo Health System............  Eau Claire..............................  WI               MNOP                   WIUW                 
Door County Memorial Hospital..................  Sturgeon Bay............................  WI               WISE                   WIUW                 
Appleton Medical Center........................  Appleton................................  WI               WIUW                   WISE                 
Potomac Valley Hospital........................  Keyser..................................  WV               PATF                   MDPC                 
Weirton Medical Center.........................  Weirton.................................  WV               PATF                   OHLP                 
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\ See Section IV of this notice for keys to the OPO codes and the addresses of the OPOs.                                                              

[[Page 24944]]

                                                                                                                                                        
\2\ Area not designated.                                                                                                                                


    The Group II listing includes the 11 hospitals that submitted 
waiver applications after December 1, 1995, and that did not have 
agreements with the requested out-of-area OPOs on October 31, 1994, but 
did enter into agreements with the requested OPOs prior to January 1, 
1996. We are granting the 11 hospitals included in the Group II listing 
``interim waivers'' pending receipt of public comments and our complete 
review of those comments.
    Section 1138(a)(2)(A) of the Act requires that a waiver can be 
granted only if it is expected to increase donations and equitable 
treatment of patients referred for transplant within the service area 
served by the hospital's designated OPO and within the service area 
served by the OPO with which the hospital seeks to have an agreement 
under the waiver. These 11 hospitals requesting waiver have asserted 
that they meet these standards and have provided specific information 
to support their claims. We have determined on initial review that 
these hospitals satisfy the statutory criteria for waiver. We have also 
determined that to force these hospitals to change from their existing 
OPO arrangements to their designated OPO during our full consideration 
of the waiver request could disrupt services provided by hospitals and 
OPOs, impairing their working relationships, and ultimately possibly 
eroding the supply of organs for the growing list of people awaiting 
transplant. In accordance with section 1138(a)(2)(D) of the Act, we are 
publishing a listing of these providers' requests for waiver and are 
requesting comments on the requests for waiver before making a final 
determination.

                                                    Group II                                                    
----------------------------------------------------------------------------------------------------------------
                                                                                                    Designated  
             Name of facility                        City              State    Requested OPO 1        OPO1     
----------------------------------------------------------------------------------------------------------------
Community Hospital of Sonoma County.......  Santa Rosa............  CA          CAGS             CADN           
Santa Rose Memorial Hospital..............  Santa Rosa............  CA          CAGS             CADN           
New Milford Hospital......................  New Milford...........  CT          CTHH             NYRT           
Noble Hospital............................  Westfield.............  MA          CTHH             MAOB           
Citizens Memorial Hospital................  Bolivar...............  MO          MOMA             MWOB           
Springfield Community Hospital and Clinic.  Springfield...........  MO          MOMA             MWOB           
Lima Memorial Hospital....................  Lima..................  OH          OHLP             OHLC           
St. Rita's Medical Center.................  Lima..................  OH          OHLP             OHLC           
War Memorial Hospital.....................  Berkeley Springs......  WV          VAOP             PATF           
Carson-Tahoe Hospital.....................  Carson City...........  NV          CADN             NVLV           
Jackson General Hospital..................  Ripley................  WV          OHLP             PATF           
----------------------------------------------------------------------------------------------------------------
1 See Section IV of this notice for keys to the OPO codes and the addresses of the OPOs.                        

    The Group III listing includes the five hospitals that submitted 
waiver applications after December 1, 1995, and that did not enter an 
agreement with the requested OPOs, but are desirous of changing OPOs. 
The five hospitals in the Group III listing did not have agreements on 
October 31, 1994, nor did they enter into an agreement by January 1, 
1996. These hospitals have submitted requests for change on a 
prospective basis. Upon receipt of public comments and our review of 
the comments, HCFA will make a determination of each hospital's 
request. Any approval of these requests will be prospective. The 
hospitals have already been informed that their waivers approvals, if 
granted, will be on a prospective basis.

                                                    Group III                                                   
----------------------------------------------------------------------------------------------------------------
             Name of facility                        City              State    Requested OPO 1   Designated OPO
--------------------------------------------------------------------------------------------------------1-------
VacaValley Hospital.......................  Vacaville.............  CA          CAGS             CADN           
NorthBay Medical Center...................  Fairfield.............  CA          CAGS             CADN           
St. Joseph Hospital.......................  Eureka................  CA          CAGS             CADN           
Redwood Memorial Hospital.................  Fortuna...............  CA          CAGS             CADN           
Rockford Memorial Hospital................  Rockford..............  IL          WIUW             ILIP           
----------------------------------------------------------------------------------------------------------------
1 See Section IV of this notice for keys to the OPO codes, and the addresses of the OPOs.                       

IV. Keys to the OPO Codes

    The keys to the acronyms used in the Group I, II and III listings 
to identify OPOs and the OPOs' addresses are as follows:

------------------------------------------------------------------------
            OPO code                       OPO name and address         
------------------------------------------------------------------------
ALOB............................  ALABAMA ORGAN CENTER, 301 South 20th  
                                   Street, Suite 1001, Birmingham, AL   
                                   35233.                               
AROR............................  ARKANSAS REGIONAL ORGAN RECOVERY      
                                   AGENCY, 1100 N. University, Suite    
                                   200, Little Rock, AR 72207.          
AZOB............................  DONOR NETWORK OF ARIZONA, 3877 North  
                                   Seventh Street, Phoenix, AZ 85014.   
CADN............................  CALIFORNIA TRANSPLANT DONOR NETWORK,  
                                   55 Francisco Street, Suite 510, San  
                                   Francisco, CA 94133-2115.            
CAGS............................  GOLDEN STATE TRANSPLANT SERVICES, 1760
                                   Creekside Oaks Drive, Suite 160,     
                                   Sacramento, CA 95833.                
CAOP............................  SOUTHERN CALIFORNIA ORGAN PROCUREMENT 
                                   CENTER, 2100 W. 3rd Street, Suite    
                                   350, Los Angeles, CA 90057.          
CARO............................  REGIONAL ORGAN PROCUREMENT AGENCY OF  
                                   SOUTHERN CALIFORNIA, 10920 Wiltshire 
                                   Blvd., Suite 910, Los Angeles, CA    
                                   90024-6511.                          

[[Page 24945]]

                                                                        
CASD............................  ORGAN AND TISSUE ACQUISITION CENTER OF
                                   SOUTHERN CALIFORNIA, 3500 Fifth      
                                   Avenue, Suite 203, San Diego, CA     
                                   92103.                               
CORS............................  COLORADO ORGAN RECOVERY SYSTEMS, INC.,
                                   3773 Cherry Creek North Drive, Suite 
                                   601, Denver, CO 80209.               
CTHH............................  NORTHEAST OPO AND TISSUE BANK,        
                                   Hartford Hospital, 80 Seymour Street,
                                   Hartford, CT 06102-5037.             
DCTC............................  WASHINGTON REGIONAL TRANSPLANT        
                                   CONSORTIUM, 8110 Gatehouse Road,     
                                   Suite 101 W, Falls Church, VA 22042. 
FLFH............................  TRANSLIFE, 2501 North Orange Avenue,  
                                   Suite 40, Orlando, FL 32804.         
FLWC............................  LIFELINK OF FLORIDA, 2111 West Swann  
                                   Avenue, Tampa, FL 33606-2486.        
FLMP............................  UNIVERSITY OF MIAMI OPO, University of
                                   Miami School of Medicine, P.O. Box   
                                   016310, Miami, FL 33101.             
FLSW............................  LIFELINK OF SOUTHWEST FLORIDA, 12573  
                                   New Brittany Blvd., Bldg. 23, Ft.    
                                   Myers, FL 33907.                     
FLUF............................  THE OPO AT UNIVERSITY OF FLORIDA, PO  
                                   Box 100286, Gainesville, FL 32610-   
                                   0286.                                
GALL............................  LIFELINK OF GEORGIA, 3715 Northside   
                                   Parkway, 100 Northcreek, Suite 300,  
                                   Atlanta, GA 30327.                   
GAMC............................  MEDICAL COLLEGE OF GEORGIA ORGAN AND  
                                   TISSUE DONOR SERVICES, BA-S1600, 1120
                                   15th Street, Augusta, GA 30912.      
HIOP............................  ORGAN DONOR CENTER OF HAWAII, 1000    
                                   Bishop Street, Honolulu, HI 96813.   
IAOP............................  IOWA STATEWIDE ORGAN PROCUREMENT      
                                   ORGANIZATION, 1165 S. Riverside      
                                   Drive, Iowa City, IA 52246.          
ILIP............................  REGIONAL ORGAN BANK OF ILLINOIS, 800  
                                   South Wells, Suite 190, Chicago, IL  
                                   60607.                               
INOP............................  INDIANA ORGAN PROCUREMENT             
                                   ORGANIZATION, INC., 719 Indiana      
                                   Avenue, Suite 100, Indianapolis, IN  
                                   46202.                               
KYDA............................  KENTUCKY ORGAN DONOR AFFILIATES, 305  
                                   West Broadway, Suite 316, Louisville,
                                   KY 40402.                            
LAOP............................  LOUISIANA ORGAN PROCUREMENT AGENCY,   
                                   3501 N. Causeway Blvd., #940,        
                                   Metaire, LA 70002-3626.              
MAOB............................  NEW ENGLAND ORGAN BANK, INC., One     
                                   Gateway Center, Newton, MA 02158.    
MDPC............................  TRANSPLANT RESOURCE CENTER OF         
                                   MARYLAND, 1540 Canton Center Drive,  
                                   Suite R, Baltimore, MD 21227.        
MIOP............................  ORGAN PROCUREMENT AGENCY OF MICHIGAN, 
                                   2203 Platt Road, Ann Arbor, MI 48104.
MNOP............................  LIFESOURCE, UPPER MIDWEST ORGAN       
                                   PROCUREMENT ORGANIZATION, INC., 2550 
                                   University Avenue West, Suite 315    
                                   South, St. Paul, MN 55114-1904.      
MOMA............................  MID-AMERICA TRANSPLANT ASSOCIATION,   
                                   1139 Olivette Executive Parkway, St. 
                                   Louis, MO 63132.                     
MSOP............................  MISSISSIPPI ORGAN RECOVERY AGENCY,    
                                   INC., 12 River Bend Place, Suite B,  
                                   Jackson, MS 39208.                   
MWOB............................  MIDWEST ORGAN BANK, 1900 W 47th Place,
                                   Suite 400, Westwood, KS 66205.       
NCBG............................  CAROLINA LIFE CARE, North Carolina    
                                   Baptist Hospitals, Inc., Medical     
                                   Center Boulevard, Winston-Salem, NC  
                                   27157.                               
NCCM............................  LIFE SHARE OF THE CAROLINAS, Carolinas
                                   Medical Center, P.O. Box 32861,      
                                   Charlotte, NC 28232.                 
NCNC............................  CAROLINA ORGAN PROCUREMENT, 702 Johns 
                                   Hopkins Drive, Greenville, NC 27834. 
NEOR............................  NEBRASKA ORGAN RETRIEVAL SYSTEM, INC.,
                                   4060 Vinton Street, Suite 200, Omaha,
                                   ME 68105.                            
NJTO............................  NEW JERSEY ORGAN & TISSUE SHARING     
                                   NETWORK, 150 Morris Avenue,          
                                   Springfield, NJ 07081.               
NMOP............................  NEW MEXICO DONOR PROGRAM, 2715        
                                   Broadbent Parkway NE., Suite J,      
                                   Albuquerque, NM 87107.               
NVLV............................  NEVADA DONOR NETWORK, 4580            
                                   Southeastern Avenue, Suite 33, Las   
                                   Vegas, NV 89119.                     
NYAP............................  OPO OF ALBANY MEDICAL COLLEGE, 47 New 
                                   Scotland Avenue, AP8, Albany, NY     
                                   12208.                               
NYFL............................  UNIVERSITY OF ROCHESTER ORGAN         
                                   PROCUREMENT PROGRAM, 601 Elmwood     
                                   Avenue, P.O. Box Surgery, Rochester, 
                                   NY 14642.                            
NYRT............................  NEW YORK REGIONAL TRANSPLANT PROGRAM, 
                                   475 Riverside Drive--Suite 1244, New 
                                   York, NY 10115.                      
NYSB............................  LONG ISLAND TRANSPLANT PROGRAM        
                                   UNIVERSITY HOSPITAL OPO, State       
                                   University of New York at Stony      
                                   Brook, Stony Brook, NY 11794.        
NYWN............................  UPSTATE NEW YORK TRANSPLANT SERVICES, 
                                   INC., 165 Genesee Street Suite 102,  
                                   Buffalo, NY 14209.                   
OHLB............................  LIFEBANC, 20600 Chagrin Blvd., Suite  
                                   350, Cleveland, OH 44122.            
OHLC............................  LIFE CONNECTION OF OHIO, 1545 Holland 
                                   Road, Suite C, Maumme, OH 43537.     
OHLP............................  LIFELINE OF OHIO, 770 Kinnear Road,   
                                   Suite 200, Columbus, OH 43212.       
OHOV............................  OHIO VALLEY LIFE CENTER, 2939 Vernon  
                                   Place, Cincinnati, OH 45219-2430.    
OKOP............................  OKLAHOMA ORGAN SHARING NETWORK, INC., 
                                   5801 N. Broadway, Suite 100, Oklahoma
                                   City, OK.                            
ORUO............................  PACIFIC NORTHWEST TRANSPLANT BANK,    
                                   2611 SW Third, Suite 320, Portland,  
                                   OR 97201-4952.                       
PADV............................  DELAWARE VALLEY TRANSPLANT PROGRAM,   
                                   2000 Hamilton Street, Suite 201,     
                                   Philadelphia, PA 19130.              
PATF............................  CENTER FOR ORGAN RECOVERY AND         
                                   EDUCATION, 204 Sigma Drive, RIDC     
                                   Park, Pittsburgh, PA 15238.          
PRLL............................  LIFELINK OF PUERTO RICO, LIFELINK     
                                   FOUNDATION, INC., Texaco Plaza/Metro 
                                   Office Park, 2 Calle 1, Suite 411,   
                                   Guaynabo, PR 00968.                  
SCOP............................  SOUTH CAROLINA ORGAN PROCUREMENT      
                                   AGENCY, 1064 Gardner Road, Suite 105,
                                   Charleston, SC 29407.                
TNDS............................  TENNESSEE DONOR SERVICES, 1714 Hayes  
                                   Street, Nashville, TN 37203.         
TNET............................  LIFE RESOURCES DONOR CENTER, 2812     
                                   McKinley Road, Johnson City, TN      
                                   37604.                               
TNMS............................  MID-SOUTH TRANSPLANT FOUNDATION, 956  
                                   Court Avenue, Memphis, TN 38163.     
TXGC............................  LIFE GIFT ORGAN DONATION CENTER, 5615 
                                   Kirby Drive, Suite 900, Houston, TX  
                                   77005.                               
TXSA............................  SOUTH TEXAS ORGAN BANK, 8122 Datapoint
                                   Drive, Suite 1150, San Antonio, TX   
                                   78229.                               
TXSB............................  SOUTHWEST ORGAN BANK, 3500 Maple      
                                   Avenue, Suite 800, Dallas, TX 75219. 
UTOP............................  INTERMOUTAIN ORGAN RECOVERY SYSTEMS,  
                                   230 South 500 East, Suite 290, Salt  
                                   Lake, UT 84102.                      
VAOP............................  VIRGINIA ORGAN PROCUREMENT AGENCY,    
                                   1527 Huguenot Road, Midlothian, VA   
                                   23113.                               
VATB............................  LIFE NET, 5809 Ward Court, Virginia   
                                   Beach, VA 23455.                     
WANW............................  NORTHWEST ORGAN PROCUREMENT AGENCY,   
                                   700 Broadway, Seattle, WA 98122.     

[[Page 24946]]

                                                                        
WASH............................  SACRED HEART ORGAN PROCUREMENT AGENCY,
                                   West 101 Eighth Avenue, TAF-C9,      
                                   Spokane, WA 99220-4045.              
WISE............................  WISCONSIN DONOR NETWORK, Froedtert    
                                   Memorial Lutheran Hospital, 9200 W.  
                                   Wisconsin Avenue, Milwaukee, WI      
                                   53226.                               
WIUW............................  UNIVERSITY OF WISCONSIN OPO,          
                                   University of Wisconsin Hospital and 
                                   Clinics, 600 Highland Avenue,        
                                   Madison, WI 53792.                   
------------------------------------------------------------------------



    This notice does not contain any paperwork burden that is subject 
to approval by the Office of Management and Budget under the Paperwork 
Reduction Act of 1995. The form used by hospitals to request waivers of 
designated OPOs is currently approved by the Office of Management and 
Budget under 0938-0580, with an expiration date of March 31, 1998.

    Authority: Section 1138 of the Social Security Act (42 U.S.C. 
1320b-8).

(Catalog of Federal Domestic Assistance Program No. 93.778, Medical 
Assistance Program; No. 93.773 Medicare--Hospital Insurance Program; 
and No. 93.774, Medicare--Supplementary Medical Insurance Program)

    Dated: April 22, 1996.
Thomas A. Ault,
Director, Bureau of Policy Development, Health Care Financing 
Administration.
[FR Doc. 96-12463 Filed 5-16-96; 8:45 am]
BILLING CODE 4120-01-P