[Federal Register Volume 78, Number 65 (Thursday, April 4, 2013)]
[Notices]
[Pages 20321-20323]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-07798]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10467, CMS-10330, and CMS-10325]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid
Services (CMS) is publishing the following summary of proposed
collections for public comment. Interested persons are invited to send
comments regarding this burden estimate or any other aspect of this
collection of information, including any of the following subjects: (1)
The necessity and utility of the proposed information collection for
the proper performance of the agency's functions; (2) the accuracy of
the estimated burden; (3) ways to enhance the quality, utility, and
clarity of the information to be collected; and (4) the use of
automated collection techniques or other forms of information
technology to minimize the information collection burden.
1. Type of Information Collection Request: New Collection; Title of
Information Collection: Evaluation of the Graduate Nurse Education
Demonstration Program; Use: The Graduate Nurse Education (GNE)
Demonstration is mandated under Section 5509 of the Affordable Care Act
(ACA) under title XVIII of the Social Security Act (42 U.S.C. 1395 et
seq.). According to Section 5509 of the ACA, the five selected
demonstration sites receive ``payment for the hospital's reasonable
costs for the provision of qualified clinical training to advance
practice registered nurses.'' Section 5509 of the ACA also states that
an
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evaluation of the graduate nurse education demonstration must be
completed no later than October 17, 2017. This evaluation includes
analysis of the following: (1) Growth in the number of advanced
practice registered nurses (APRNs) with respect to a specific base year
as a result of the demonstration; (2) growth for each of the following
specialties: clinical nurse specialist, nurse practitioner, certified
nurse anesthetist, certified nurse-midwife; and (3) costs to the
Medicare program as result of the demonstration.
Quantitative and qualitative data from primary and secondary
sources will be gathered and analyzed for this evaluation. The primary
data will be collected through site visits, key stakeholder interviews,
small discussion groups and focus groups, telephone interviews,
electronic templates for quantitative data submission, and quarterly
demonstration-site reports. The secondary data will come from mandatory
hospital cost reports provided to the Centers for Medicare and Medicaid
Services, and several other existing secondary data sources, such as
the American Association of Colleges of Nursing (AACN). Form Number:
CMS-10467 (OCN: 0938-NEW); Frequency: Annually; Affected Public: State,
Local, or Tribal Governments, Business and other for-profit and not-
for-profit institutions; Number of Respondents: 330; Total Annual
Responses: 330; Total Annual Hours: 3,370. (For policy questions
regarding this collection, contact Pauline Karikari-Martin at 410-786-
1040. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: Reinstatement with
change of a previously approved information collection; Title of
Information Collection: Enrollment Opportunity Notice Relating to
Lifetime Limits; Required Notice of Rescission of Coverage; and
Disclosure Requirements for Patient Protection under the Affordable
Care Act; Use: Under section 2711 of the Public Health Service Act (PHS
Act) amended by the Affordable Care Act, the enrollment opportunity
notice was to be used by health plans to notify certain individuals of
their right to re-enroll in their plan. The affected individuals were
those whose coverage ended due to reaching a lifetime limit on the
dollar value of all benefits for any individual. This notice was a one-
time requirement and is being discontinued. Under section 2712 of the
PHS Act as amended by the Affordable Care Act, the rescission notice
will be used by health plans to provide advance notice to certain
individuals that their coverage may be rescinded. The affected
individuals are those who are at risk of rescission on their health
insurance coverage. Under section 2719A of the PHS Act as amended by
the Affordable Care Act, the patient protection notification will be
used by health plans to inform certain individuals of their right to
choose a primary care provider or pediatrician and to use obstetrical/
gynecological services without prior authorization. Form Number: CMS-
10330 (OCN: 0938-1094); Frequency: On Occasion; Affected Public:
Private Sector; State, Local, or Tribal Governments; Number of
Respondents: 8,382; Number of Responses: 1,583,371; Total Annual Hours:
2,267. (For policy questions regarding this collection, contact Usree
Bandyopadhyay at 410-786-6650. For all other issues call (410) 786-
1326.)
3. Type of Information Collection Request: Reinstatement with
change of a previously approved collection of information; Title of
Information Collection: Disclosure and recordkeeping requirements for
Grandfathered Health Plans under the Affordable care Act Use: Section
1251 of the Patient Protection and Affordable Care Act, Public Law 111-
148, (the Affordable Care Act) provides that certain plans and health
insurance coverage in existence as of March 23, 2010, known as
grandfathered health plans, are not required to comply with certain
statutory provisions in the Act. To maintain its status as a
grandfathered health plan, the interim final regulations titled
``Interim Final Rules for Group Health Plans and Health Insurance
Coverage Relating to Status as a Grandfathered Health Plan Under the
Patient Protection and Affordable Care Act'' (75 FR 34538, June 17,
2010) require the plan to maintain records documenting the terms of the
plan in effect on March 23, 2010, and any other documents that are
necessary to verify, explain or clarify status as a grandfathered
health plan. The plan must make such records available for examination
upon request by participants, beneficiaries, individual policy
subscribers, or a State or Federal agency official. The recordkeeping
requirement will allow a participant, beneficiary, or federal or state
official to inspect plan documents to verify that a plan or health
insurance coverage is a grandfathered health plan. A grandfathered
health plan must include a statement in any plan materials provided to
participants or beneficiaries (in the individual market, primary
subscriber) describing the benefits provided under the plan or health
insurance coverage, and that the plan or coverage is intended to be
grandfathered health plan. The disclosure requirement will provide
participants and beneficiaries with important information about their
grandfathered health plans, such as that grandfathered plans are not
required to comply with certain consumer protection provisions
contained in the Act. It also will provide important contact
information for participants to find out which protections apply and
which protections do not apply to a grandfathered health plan and what
might cause a plan to change from grandfathered to non-grandfathered
health plan status. An amendment to the interim final regulations (75
FR 70114, November 17, 2010) requires a grandfathered group health plan
that is changing health insurance issuers to provide the succeeding
health insurance issuer (and the succeeding health insurance issuer
must require) documentation of plan terms (including benefits, cost
sharing, employer contributions, and annual limits) under the prior
health insurance coverage sufficient to make a determination whether
the standards set forth in paragraph (g)(1) of the interim final
regulations are exceeded. Form Number: CMS-10325 (OCN: 0938-1093);
Frequency: Annually; Affected Public: State, Local, or Tribal
governments and health insurance coverage issuers; Number of
Respondents: 64,552; Number of Responses: 10,113,926; Total Annual
Hours: 85. (For policy questions regarding this collection, contact
Usree Bandyopadhyay at (410) 786-6650. For all other issues call (410)
786-1326.)
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS'
Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995,
or email your request, including your address, phone number, OMB
number, and CMS document identifier, to [email protected], or call
the Reports Clearance Office on (410) 786-1326.
In commenting on the proposed information collections please
reference the document identifier or OMB control number. To be assured
consideration, comments and recommendations must be submitted in one of
the following ways by June 3, 2013:
1. Electronically. You may submit 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) accepting comments.
[[Page 20323]]
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.
Dated: March 29, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-07798 Filed 4-3-13; 8:45 am]
BILLING CODE 4120-01-P