16788 Federal Register / Vol. 76, No. 58 / Friday, March 25, 2011 / Notices 

that such radiation doses may have 

endangered the health of members of this 

class. The Subcommittee for Dose 

Reconstruction Reviews was established to 

aid the Advisory Board in carrying out its 

duty to advise the Secretary, HHS, on dose 

reconstruction. 

Matters to be Discussed: The agenda for the 

Subcommittee meeting includes: Selection of 

individual radiation dose reconstruction 

cases to be considered for review by the 

Procedures Subcommittee to evaluate the 

implementation of the Program Evaluation 

Report: OCAS–PER–012—Evaluation of 

Highly Insoluble Plutonium Compounds; 

discussion of dose reconstruction cases 

under review (sets 7–9); OCAS dose 

reconstruction quality management and 

assurance activities. 

The agenda is subject to change as 

priorities dictate. 

In the event an individual cannot attend, 

written comments may be submitted. Any 

written comments received will be provided 

at the meeting and should be submitted to 

the contact person below well in advance of 

the meeting. 

Contact Person for More Information: 

Theodore Katz, Executive Secretary, NIOSH, 

CDC, 1600 Clifton Road, Mailstop E–20, 

Atlanta GA 30333, Telephone (513) 533– 

6800, Toll Free 1 (800) CDC–INFO, E-mail 

ocas@cdc.gov. 

The Director, Management Analysis and 

Services Office, has been delegated the 

authority to sign Federal Register notices 

pertaining to announcements of meetings and 

other committee management activities, for 

both the Centers for Disease Control and 

Prevention, and the Agency for Toxic 

Substances and Disease Registry. 

Dated: March 21, 2011. 

Elaine L. Baker, 

Director, Management Analysis and Services 

Office, Centers for Disease Control and 

Prevention. 

[FR Doc. 2011–7075 Filed 3–24–11; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare and Medicaid 

Services 

[CMS–1583–N] 

Medicare Program; Solicitation of Two 

Nominations to the Advisory Panel on 

Ambulatory Payment Classification 

Groups 

AGENCY: Centers for Medicare and 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice solicits 

nominations of two new members to the 

Advisory Panel on Ambulatory Payment 

Classification (APC) Groups (the Panel). 

There will be two vacancies on the 

Panel as of September 30, 2011. 

The purpose of the Panel is to review 

the APC groups and their associated 

weights and to advise the Secretary of 

the Department of Health and Human 

Services (DHHS), and the Administrator 

of the Centers for Medicare & Medicaid 

Services (CMS), concerning the clinical 

integrity of the APC groups and their 

associated weights. 

The Secretary rechartered the Panel in 

2010 for a 2-year period effective 

through November 21, 2012. 

DATES: Submission of Nominations: We 

will consider nominations if they are 

received no later than 5 p.m. (e.s.t.) May 

24, 2011. 

ADDRESSES: Please mail or hand deliver 

nominations to the following address: 

Centers for Medicare & Medicaid 

Services; Attn: Paula Smith, Advisory 

Panel on APC Groups; Center for 

Medicare, Hospital & Ambulatory Policy 

Group, Division of Outpatient Care; 

7500 Security Boulevard, Mail Stop C4– 

05–17; Baltimore, MD 21244–1850. 

Web site: For additional information 

on the APC Panel and updates to the 

Panel’s activities, we refer readers to 

view our Web site at the following: 

http://www.cms.hhs.gov/FACA/05_

AdvisoryPanelonAmbulatory

PaymentClassification

Groups.asp#TopOfPage. (Use control + 

click the mouse in order to access the 

previous URL.) (Note: There is an 

UNDERSCORE after FACA/05_; there is 

no space.) 

FOR FURTHER INFORMATION CONTACT:

Contact: Persons wishing to nominate 

individuals to serve on the Panel or to 

obtain further information may also 

contact Paula Smith at the following email address: APCPanel@cms.hhs.gov or 

call 410–786–3985. 

Advisory Committees’ Information 

Lines: You may also refer to the CMS 

Federal Advisory Committee Hotlines at 

1–877–449–5659 (toll-free) or 410–786– 

9379 (local) for additional information. 

News Media: Representatives should 

contact the CMS Press Office at 202– 

690–6145. 

SUPPLEMENTARY INFORMATION:

I. Background 

The Secretary is required by section 

1833(t)(9)(A) of the Social Security Act 

(the Act) to consult with an expert 

outside advisory panel regarding the 

clinical integrity of the APC groups and 

relative payment weights that are 

components of the Medicare Hospital 

Outpatient Prospective Payment System 

(OPPS). 

The Charter requires that the Panel 

meet up to three times annually. CMS 

considers the technical advice provided 

by the Panel as we prepare the proposed 

and final rules to update the OPPS for 

the next calendar year. 

The Panel may consist of a chair and 

up to 15 members who are full-time 

employees of hospitals, hospital 

systems, or other Medicare providers 

that are subject to the OPPS. (For 

purposes of the Panel, consultants or 

independent contractors are not 

considered to be full-time employees in 

these organizations.) 

The current Panel members are as 

follows: (Note: The asterisk [*] indicates 

the Panel members whose terms end on 

September 30, 2011.) 

• E. L. Hambrick, M.D., J.D., Chair, a 

CMS Medical Officer 

• Ruth L. Bush, M.D., M.P.H. 

• Kari S. Cornicelli, C.P.A., FHFMA 

• Dawn L. Francis, M.D., M.H.S. 

• Kathleen Graham, R.N., M.S.H.A. 

• Patrick A. Grusenmeyer, Sc.D., 

FACHE * 

• David A. Halsey, M.D. 

• Brain D. Kavanagh, M.D., M.P.H. 

• Judith T. Kelly, B.S.H.A., RHIT, 

RHIA, CCS 

• Scott Manaker, M.D., PhD 

• John Marshall, CRA, RCC, RT 

• Agatha L. Nolan, D.Ph., M.S., 

FASHP * 

• Randall A. Oyer, M.D. 

• Daniel J. Pothen, M.S., RHIA, CHPS, 

CPHIMS, CCS, CCS–P, CHC 

• Gregory J. Przbylski, M.D. 

• Neville B. Sarkari, M.D., FACP 

Panel members serve without 

compensation, according to an advance 

written agreement; however, for the 

meetings, CMS reimburses travel, meals, 

lodging, and related expenses in 

accordance with standard Government 

travel regulations. CMS has a special 

interest in attempting to ensure, while 

taking into account the nominee pool, 

that the Panel is diverse in all respects 

of the following: Geography; rural or 

urban practice; race, ethnicity, sex, and 

disability; medical or technical 

specialty; and type of hospital, hospital 

health system, or other Medicare 

provider subject to the OPPS. 

Based upon either self-nominations or 

nominations submitted by providers or 

interested organizations, the Secretary, 

or his or her designee, appoints new 

members to the Panel from among those 

candidates determined to have the 

required expertise. New appointments 

are made in a manner that ensures a 

balanced membership under the 

guidelines of the Federal Advisory 

Committee Act. 

II. Criteria for Nominees 

The Panel must be fairly balanced in 

its membership in terms of the points of 

view represented and the functions to 

be performed. Each Panel member must 


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Federal Register / Vol. 76, No. 58 / Friday, March 25, 2011 / Notices 16789 

be employed full-time by a hospital, 

hospital system, or other Medicare 

provider subject to payment under the 

OPPS. All members must have technical 

expertise to enable them to participate 

fully in the Panel’s work. Such expertise 

encompasses hospital payment systems; 

hospital medical care delivery systems; 

provider billing systems; APC groups; 

Current Procedural Terminology codes; 

and alpha-numeric Health Care 

Common Procedure Coding System 

codes; and the use of, and payment for, 

drugs, medical devices, and other 

services in the outpatient setting, as 

well as other forms of relevant expertise. 

It is not necessary for a nominee to 

possess expertise in all of the areas 

listed, but each must have a minimum 

of 5 years experience and currently have 

full-time employment in his or her area 

of expertise. Generally, members of the 

Panel serve overlapping terms up to 4 

years, based on the needs of the Panel 

and contingent upon the rechartering of 

the Panel. 

Any interested person or organization 

may nominate one or more qualified 

individuals. Self-nominations will also 

be accepted. Each nomination must 

include the following: 

• Letter of Nomination. 

• Curriculum Vita of the nominee. 

• Written statement from the nominee 

that the nominee is willing to serve on 

the Panel under the conditions 

described in this notice and further 

specified in the Charter. 

III. Copies of the Charter 

To obtain a copy of the Panel’s 

Charter, submit a written request to 

Paula Smith at the address provided in 

the ADDRESSES section or by e-mail at 

APCPanel@cms.hhs.gov, or by 

telephone at 410–786–3985. 

IV. Collection of Information 

Requirements 

This document does not impose 

information collection and 

recordkeeping requirements. 

Consequently, it need not be reviewed 

by the Office of Management and 

Budget under the authority of the 

Paperwork Reduction Act of 1995 (44 

U.S.C. 35). 

(Catalog of Federal Domestic Assistance 

Program No. 93.774, Medicare— 

Supplementary Medical Insurance Program) 

Dated: March 10, 2011. 

Donald M. Berwick, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2011–6811 Filed 3–24–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare and Medicaid 

Services 

[Document Identifier CMS–10373] 

Emergency Clearance: Public 

Information Collection Requirements 

Submitted to the Office of Management 

and Budget (OMB) 

AGENCY: Center for Medicare and 

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 and Medicaid 

Services (CMS), Department of Health 

and Human Services, 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. 

We are, however, requesting an 

emergency review of the information 

collection referenced below. In 

compliance with the requirement of 

section 3506(c)(2)(A) of the Paperwork 

Reduction Act of 1995, we have 

submitted to the Office of Management 

and Budget (OMB) the following 

requirements for emergency review. We 

are requesting an emergency review 

because the collection of this 

information is needed before the 

expiration of the normal time limits 

under OMB’s regulations at 5 CFR 

1320(a)(2)(ii). This is necessary to 

ensure compliance with an initiative of 

the Administration. 

1. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Medical Loss 

Ratio Quarterly Reporting; Use: Under 

Section 2718 of the Affordable Care Act 

and implementing regulations at 45 CFR 

part 158 (75 FR 74865, December 1, 

2010), a health insurance issuer (issuer) 

offering group or individual health 

insurance coverage must submit a report 

to the Secretary concerning the amount 

the issuer spends each year on claims, 

quality improvement expenses, nonclaims costs, Federal and State taxes 

and licensing or regulatory fees, and the 

amount of earned premium. An issuer 

must provide an annual rebate to 

enrollees if the amount it spends on 

certain costs compared to its premium 

revenue (excluding Federal and States 

taxes and licensing or regulatory fees) 

does not meet a certain ratio, referred to 

as the medical loss ratio (MLR). An 

interim final rule (IFR) implementing 

the MLR was published on December 1, 

2010 (75 FR 74865), which added part 

158 to Title 45 of the Code of Federal 

Regulations. The IFR is effective January 

1, 2011. Issuers are required to submit 

annual MLR reporting data for each 

large group market, small group market, 

and individual market within each State 

in which the issuer conducts business. 

For policies that have a total annual 

limit of $250,000 or less (sometimes 

referred to as ‘‘mini-med plans’’) and for 

policies that primarily cover employees 

working outside the United States 

(referred to as ‘‘expatriate plans’’), the 

IFR applies a special circumstance 

adjustment to the MLR data for the 2011 

MLR reporting year. In order to evaluate 

the appropriateness of this special 

circumstance adjustment for years 2012 

and beyond, issuers that provide such 

policies are required to submit quarterly 

MLR data to the Secretary for the 2011 

MLR reporting year. Form Number: 

CMS–10373; Frequency: Quarterly 

submissions for each respondent; 

Affected Public: Private Sector: Business 

or other for-profits and Not-for-profit 

institutions; Number of Respondents: 

75; Number of Responses: 1,125; Total 

Annual Hours: 70,200. (For policy 

questions regarding this collection, 

contact Carol Jimenez at (301) 492– 

4109. For all other issues call (410) 786– 

1326.) 

CMS is requesting OMB review and 

approval of this collection by May 1, 

2011, with a 180-day approval period. 

Written comments and 

recommendations will be considered 

from the public if received by the 

individuals designated below by April 

25, 2011. 

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/ 

regulations/pra or E-mail your request, 

including your address, phone number, 

OMB number, and CMS document 

identifier, to Paperwork@cms.hhs.gov, 

or call the Reports Clearance Office on 

(410) 786–1326. 

Interested persons are invited to send 

comments regarding the burden or any 

other aspect of these collections of 

information requirements. However, as 

noted above, comments on these 


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