[Federal Register Volume 84, Number 51 (Friday, March 15, 2019)]
[Notices]
[Pages 9527-9528]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-04902]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10102, CMS-10692 and CMS-10657]


Agency Information Collection Activities: Submission for OMB 
Review; 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 (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 a second opportunity 
for public comment on the notice. Interested persons are invited to 
send comments regarding the burden estimate 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 on the collection(s) of information must be received by 
the OMB desk officer by April 15, 2019.

ADDRESSES: When commenting on the proposed information collections, 
please reference the document identifier or OMB control number. To be 
assured consideration, comments and recommendations must be received by 
the OMB desk officer via one of the following transmissions: OMB, 
Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-5806 OR, Email: 
[email protected].
    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' website address at website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
    1. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    2. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: William Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each

[[Page 9528]]

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 (44 U.S.C. 3506(c)(2)(A)) 
requires federal agencies to publish a 30-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 that 
summarizes the following proposed collection(s) of information for 
public comment:
    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 result 
in a burden decrease. 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: New collection (Request 
for a new OMB control number); Title of Information Collection: Home 
and Community Based Services (HCBS) Incident Management Survey; Use: 
The Survey will be disseminated to all 51 state Medicaid agencies 
(including the District of Columbia) to assess incident management 
systems in 1915(c) waivers. States will be surveyed to identify methods 
and promising practices for identifying, reporting, tracking, and 
resolving incidents of abuse, neglect, and exploitation. The survey 
results will also be used to review the strengths and weaknesses of 
each state's incident management system and will inform guidance to 
help ensure compliance with sections 1902(a)(30(A) and 1915(c)(2)(A) of 
the Social Security Act. Form Number: CMS-10692 (OMB control number: 
0938-TBD); Frequency: Once and on occasion; Affected Public: State, 
Local, or Tribal Governments; Number of Respondents: 51; Total Annual 
Responses: 102; Total Annual Hours: 153. (For policy questions 
regarding this collection contact Ryan Shannahan at 410-786-0295.)
    3. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: The 
State Flexibility to Stabilize the Market Grant Program Reporting; Use: 
Section 1003 of the Affordable Care Act (ACA) adds a new section 2794 
to the PHS Act entitled, ``Ensuring That Consumers Get Value for Their 
Dollars.'' Specifically, section 2794(a) requires the Secretary of the 
Department of Health and Human Services (the Secretary) (HHS), in 
conjunction with the States, to establish a process for the annual 
review of health insurance premiums to protect consumers from 
unreasonable rate increases. Section 2794(c) directs the Secretary to 
carry out a program to award grants to States. Section 2794(c)(2)(B) 
specifies that any appropriated Rate Review Grant funds that are not 
fully obligated by the end of FY 2014 shall remain available to the 
Secretary for grants to States for planning and implementing the 
insurance market reforms and consumer protections under Part A of title 
XXVII of the Public Health Service Act (PHS Act). States that are 
awarded funds under this funding opportunity are required to provide 
CMS with four quarterly reports and one annual report (except for the 
last year of the grant) until the end of the grant period detailing the 
state's progression towards planning and/or implementing the pre-
selected market reforms under Part A of Title XXVII of the PHS Act. A 
final report is due at the end of the grant period. Form Number: CMS-
10657 (OMB control number: 0938-NEW); Frequency: Annually and 
Quarterly; Affected Public: State, Local or Tribal Governments; Number 
of Respondents: 31; Total Annual Responses: 155; Total Annual Hours: 
2,108. (For policy questions regarding this collection contact Jim 
Taing at 301-492-4182.)

    Dated: March 12, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2019-04902 Filed 3-14-19; 8:45 am]
 BILLING CODE 4120-01-P