[Federal Register Volume 83, Number 237 (Tuesday, December 11, 2018)]
[Notices]
[Pages 63647-63648]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-26790]
[[Page 63647]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10102 and CMS-10377]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
ACTION: Notice.
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SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction
Act of 1995 (the PRA), federal agencies are required to publish notice
in the Federal Register concerning each proposed collection of
information (including each proposed extension or reinstatement of an
existing collection of information) and to allow 60 days for public
comment on the proposed action. Interested persons are invited to send
comments regarding our burden estimates or any other aspect of this
collection of information, including the necessity and utility of the
proposed information collection for the proper performance of the
agency's functions, the accuracy of the estimated burden, ways to
enhance the quality, utility, and clarity of the information to be
collected, and the use of automated collection techniques or other
forms of information technology to minimize the information collection
burden.
DATES: Comments must be received by February 11, 2019.
ADDRESSES: When commenting, please reference the document identifier or
OMB control number. To be assured consideration, comments and
recommendations must be submitted in any one of the following ways:
1. Electronically. You may send your comments electronically to
http://www.regulations.gov. Follow the instructions for ``Comment or
Submission'' or ``More Search Options'' to find the information
collection document(s) that are accepting comments.
2. By regular mail. You may mail written comments to the following
address: CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development, Attention: Document Identifier/OMB
Control Number __, Room C4-26-05, 7500 Security Boulevard, Baltimore,
Maryland 21244-1850.
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, you may make
your request using one of following:
1. Access CMS' at website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
2. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to [email protected].
3. Call the Reports Clearance Office at (410) 786-1326.
FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
4669.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the use and burden associated
with the following information collections. More detailed information
can be found in each collection's supporting statement and associated
materials (see ADDRESSES).
CMS-10102 National Implementation of the Hospital CAHPS Survey
CMS-10377 Student Health Insurance Coverage
Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain
approval from the Office of Management and Budget (OMB) for each
collection of information they conduct or sponsor. The term
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests or requirements that members of
the public submit reports, keep records, or provide information to a
third party. Section 3506(c)(2)(A) of the PRA requires federal agencies
to publish a 60-day notice in the Federal Register concerning each
proposed collection of information, including each proposed extension
or reinstatement of an existing collection of information, before
submitting the collection to OMB for approval. To comply with this
requirement, CMS is publishing this notice.
Information Collection
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: National
Implementation of the Hospital CAHPS Survey; Use: The HCAHPS (Hospital
Consumer Assessment of Healthcare Providers and Systems) Survey, also
known as the CAHPS[supreg] Hospital Survey or Hospital CAHPS[supreg],
is a standardized survey instrument and data collection methodology
that has been in use since 2006 to measure patients' perspectives of
hospital care. While many hospitals collect information on patient
satisfaction, HCAHPS created a national standard for the collection and
public reporting of information that enables valid comparisons to be
made across all hospitals to support consumer choice.
In the FY 2018 IPPS/LTCH PPS final rule (82 FR 38328 through
38342), out of an abundance of caution, in the face of a nationwide
epidemic of opioid over prescription, we finalized a refinement to the
HCAHPS Survey measure as used in the Hospital Inpatient Quality
Reporting Program by removing the previously adopted Pain Management
questions and incorporating new Communication About Pain questions
beginning with patients discharged in January 2018. As discussed in the
CY 2019 OPPS/ASC proposed rule (83 FR 37218), since finalization of the
Communication About Pain questions, we have received feedback that some
stakeholders are concerned that, although the revised questions focus
on communications with patients about their pain and treatment of that
pain, rather than how well their pain was controlled, the questions
still could potentially impose pressure on hospital staff to prescribe
more opioids in order to achieve higher scores on the HCAHPS Survey.
In response to stakeholder feedback, recommendations from the
President's Commission on Combatting Drug Addiction and the Opioid
Crisis, to comply with the requirements of the Substance Use-Disorder
Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for
Patients and Communities Act (Pub. L. 115-271), and to avoid any
potential unintended consequences under the Hospital Inpatient Quality
Reporting (IQR) Program, CMS is revising the HCAHPS survey by removing
the three recently revised pain communication questions. The removal of
these questions is effective with October 2019 discharges. At that
point, the HCAHPS Survey will consist of 29 questions which will
decrease the burden hours. Form Number: CMS-10102 (OMB control number
0938-0981); Frequency: Occasionally; Affected Public: Private sector
(Business or other for-profits and Not-for-profit institutions); Number
of Respondents: 4,200; Total Annual Responses: 3,104,200; Total Annual
Hours: 379,290. (For policy questions regarding this collection contact
William Lehrman at 410-786-1037.)
2. Type of Information Collection Request: Extension; Title of
Information Collection: Student Health Insurance Coverage; Use: Under
the Student
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Health Insurance Coverage Final Rule published March 21, 2012 (77 FR
16453), student health insurance coverage is a type of individual
health insurance coverage provided pursuant to a written agreement
between an institution of higher education (as defined in the Higher
Education Act of 1965) and a health insurance issuer, and provided to
students who are enrolled in that institution and their dependents. The
Patient Protection and Affordable Care Act; HHS Notice of Benefit and
Payment Parameters for 2017 Final Rule provided that, for policy years
beginning on or after July 1, 2016, student health insurance coverage
is exempt from the actuarial value (AV) requirements under section
1302(d) of the Affordable Care Act, but must provide coverage with an
AV of at least 60 percent. This provision also requires issuers of
student health insurance coverage to specify in any plan materials
summarizing the terms of the coverage the AV of the coverage and the
metal level (or the next lowest metal level) the coverage would
otherwise satisfy under Sec. 156.140. This disclosure will provide
students with information that allows them to compare the student
health coverage with other available coverage options. Form Number:
CMS-10377 (OMB control number 0938-1157); Frequency: Annually; Affected
Public: Private Sector; Number of Respondents: 52; Total Annual
Responses: 1,176,235; Total Annual Hours: 52. (For policy questions
regarding this collection contact Russell Tipps at 301-492-4371.)
Dated: December 6, 2018.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2018-26790 Filed 12-10-18; 8:45 am]
BILLING CODE 4120-01-P