[Federal Register Volume 89, Number 61 (Thursday, March 28, 2024)]
[Notices]
[Pages 21523-21524]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-06645]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-R-38 and CMS-10400]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Health and Human
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 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 May 28, 2024.
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, please access
the CMS PRA website by copying and pasting the following web address
into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.
FOR FURTHER INFORMATION CONTACT: William N. Parham 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-R-38 Conditions for Certification for Rural Health Clinics and
Conditions for Coverage for Federally Qualified Health Centers in 42
CFR 491
CMS-10400 Establishment of Qualified Health Plans and American Health
Benefit Exchanges
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: Reinstatement of a
previously approved collection; Title of Information Collection:
Conditions for Certification for Rural Health Clinics and Conditions
for Coverage for Federally Qualified Health Centers in 42 CFR 491; Use:
The Conditions for Medicare Certification (CfCs) for Rural Health
Clinics (RHCs) are based on criteria prescribed in law and designed to
ensure that each RHC has properly trained staff to provide appropriate
care and to assure a safe physical environment for patients. The
information collection requirements described herein are needed to
implement the Medicare and Medicaid CfCs for a total of 5,349 RHCs.
These requirements are similar in intent to standards developed by
industry organizations such as the Joint Commission on Accreditation of
Hospitals, and the National League of Nursing/American Public
Association, and merely reflect accepted standards of management and
care to which rural health clinics must adhere.
[[Page 21524]]
Federally Qualified Health Centers (FQHCs) are also subject to
Conditions for Certification to participate in the Medicare and
Medicaid programs. These health and safety standards are the foundation
for improving quality and protecting the health and safety of Medicare
and Medicaid beneficiaries. The information collection requirements
described herein affect approximately 11,252 FQHCs. The current
information collection requirements at 42 CFR 491.9(b) and 491.11 are
applicable to both RHCs and FQHCs. Form Number: CMS-R-38 (OMB control
number: 0938-0334); Frequency: Recordkeeping and Reporting--Annually;
Affected Public: Business or other for-profits; Number of Respondents:
17,663; Total Annual Responses: 17,663; Total Annual Hours: 104,245.
(For policy questions regarding this collection contact Claudia Molinar
at 410-786-8445.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Establishment of
Qualified Health Plans and American Health Benefit Exchanges; Use: On
March 23, 2010, the Patient Protection and Affordable Care Act (PPACA;
Pub. L. 111-148) was signed into law, and on March 30, 2010, the Health
Care and Education Reconciliation Act of 2010 (Pub. L. 111-152) was
signed into law. The two laws implement various health insurance
policies. Section 1303 of the PPACA, as implemented in 45 CFR 156.280,
specifies standards for issuers of qualified health plans (QHPs)
through the Exchanges that cover abortion services for which public
funding is prohibited (also referred to as non-Hyde abortion services
or non-excepted abortion services). In the Patient Protection and
Affordable Care Act; Establishment of Exchanges and Qualified Health
Plans; Exchange Standards for Employers (2012 Exchange Establishment
Rule) (77 FR 18310), we codified the statutory provisions of section
1303 of the PPACA in regulation at 45 CFR 156.280. Under 45 CFR
156.280(e)(5)(ii), each QHP issuer that offers coverage of abortion
services for which public funding is prohibited must submit to the
State Insurance Commissioner a segregation plan describing how the QHP
issuer establishes and maintains separate allocation accounts for any
QHP covering abortion services for which public funding is prohibited,
and pursuant to Sec. 156.280(e)(5)(iii), each QHP issuer must annually
attest to compliance with PPACA section 1303 and applicable
regulations. This segregation plan is used to verify that the QHP
issuer's financial and other systems fully conform to the segregation
requirements required by the PPACA.
The Centers for Medicare and Medicaid Services (CMS) is renewing
this information collection request (ICR) in connection with the
segregation plan requirement under 45 CFR 156.280(e)(5)(ii). The burden
estimates for this collection of information renewal reflect the time
and effort for QHP issuers to submit a segregation plan that
demonstrates how the QHP issuer segregates QHP funds in accordance with
applicable provisions of generally accepted accounting requirements,
circulars on funds management of the Office of Management and Budget
(OMB) and guidance on accounting of the Government Accountability
Office. CMS is also renewing the ICR in connection with the annual
attestation requirement under 45 CFR 156.280(e)(5)(iii). The burden
estimate for this ICR reflects the time and effort associated with QHP
issuers submitting an annual attestation to the State Insurance
Commissioner attesting to compliance with section 1303 of the PPACA.
Form Number: CMS-10400 (OMB control number: 0938-1156); Frequency:
Annually); Affected Public: Private Sector (business or other for-
profits, not-for-profits institutions); Number of Respondents: 1,617;
Number of Responses: 1,617; Total Annual Hours: 5,508.75. (For
questions regarding this collection, contact Agata Pelka at 667-290-
9979).
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-06645 Filed 3-27-24; 8:45 am]
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