[Federal Register Volume 68, Number 77 (Tuesday, April 22, 2003)]
[Notices]
[Pages 19837-19838]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-9871]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


National Practitioner Data Bank: Change in User Fees

AGENCY: Health Resources and Services Administration, DHHS.

ACTION: Notice.

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SUMMARY: The Health Resources and Services Administration (HRSA), 
Department of Health and Human Services (DHHS), is announcing a 
seventy-five cent decrease in the fee charged to entities authorized to 
request information from the National Practitioner Data Bank (NPDB) for 
all queries. The new fee will be $4.25. There will be no change to the 
$10.00 self-query fee.

DATES: The new fee is effective on July 1, 2003.

FOR FURTHER INFORMATION CONTACT: John Heyob, Director, Division of 
Practitioner Data Banks, Bureau of Health Professions, Health Resources 
and Services Administration, 7519 Standish Place, Suite 300, Rockville, 
Maryland 20857. Tel: (301) 443-2300. Email: [email protected].

SUPPLEMENTARY INFORMATION: The current fee structure ($5.00 per name) 
was announced in the Federal Register on July 11, 2001 (66 FR 36289) 
and became effective October 1, 2001. All entity queries are submitted 
and query responses received through the NPDB's Integrated Query and 
Reporting Service (IQRS) and paid via an electronic funds transfer or 
credit card.
    The NPDB is authorized by the Health Care Quality Improvement Act 
of 1986 (the Act), Title IV of Pub. L. 99-660, as amended (42 U.S.C. 
11101 et seq.). Section 427(b)(4) of the Act authorizes the 
establishment of fees for the costs of processing requests for 
disclosure and of providing such information.
    Final regulations at 45 CFR part 60 set forth the criteria and 
procedures for information to be reported to and disclosed by the NPDB. 
Section 60.3 of these regulations defines the terms used in this 
announcement.
    In determining any changes in the amount of the user fee, the 
Department uses the criteria set forth in Sec.  60.12 (b) of the 
regulations, as well as allowable costs pursuant to Title II, Division 
G, Labor, Health and Human Services, Education, and Related Agencies 
Appropriation of the Consolidated Appropriations Resolution, 2003, Pub. 
L. 108-7, enacted on February 20, 2003. This Act requires that the 
Department recover the full costs of operating the Data Bank through 
user fees. Paragraph (b) of the regulations states:
    ``The amount of each fee will be determined based on the following 
criteria:
    (1) Use of electronic data processing equipment to obtain 
information--the actual cost for the service, including computer search 
time, runs, printouts, and time of computer programmers and operators, 
or other employees, (2) Photocopying or other forms of reproduction, 
such as magnetic tapes--actual cost of the operator's time, plus the 
cost of the machine time and the materials used, (3) Postage--actual 
cost, and (4) Sending information by special methods requested by the 
applicant, such as express mail or electronic transfer--the actual cost 
of the special service.''
    Based on analysis of the comparative costs of the various methods 
for filing and paying for queries, the Department is reducing all the 
entity query fees by $0.75 per name. The practitioner self-query fee 
remains at $10. This price decrease is justified after an evaluation of 
the Data Bank's operational costs. The implementation of the Data 
Bank's all-electronic process for querying, reporting, and payment, the 
Web-based IQRS system, has resulted in a decrease in the Data Bank 
operating expenditures. In keeping with the Act, and pursuant to the 
requirements of Sec.  60.2 of the regulations, there are sufficient 
funds to recover the full costs of operating the Data Bank with a 
decrease in the user fee.
    When a query is for information on one or more physicians, 
dentists, or other health care practitioners, the appropriate fee will 
be $4.25 multiplied by the number of individuals about whom information 
is being requested. For examples, see the table below.

[[Page 19838]]



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                                             Fee per name
               Query method                    in query                           Examples
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Entity query (Via Internet with electronic           $4.25  10 names in query.
 payment).                                                  10 x $4.25 = $42.50.
Practitioner self-query...................           10.00  One self-query = $10.00.
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    The Department will continue to review the user fee periodically, 
and will revise it as necessary. Any changes in the fee and their 
effective date will be announced in the Federal Register.

    Dated: April 9, 2003.
Elizabeth M. Duke,
Administrator.
[FR Doc. 03-9871 Filed 4-21-03; 8:45 am]
BILLING CODE 4165-15-P