21894 Federal Register / Vol. 76, No. 75 / Tuesday, April 19, 2011 / Notices 

1Copies of the Minutes of the Federal Open 

Market Committee at its meeting held on March 15, 

2011, which includes the domestic policy directive 

issued at the meeting, are available upon request to 

the Board of Governors of the Federal Reserve 

System, Washington, DC 20551. The minutes are 

published in the Federal Reserve Bulletin and in 

the Board’s Annual Report. 

1Patient Protection and Affordable Care Act, 

Public Law 111–48 (2010); the Health Care and 

requirements on request for waiver of 

the new eligibility requirement for 

provider. This requirement aims to 

allow potential providers to apply for 

waiver of the new requirement so that 

these providers may continue to provide 

VRS on an interim basis until the new 

certification process becomes effective. 

Potential VRS providers wishing to 

receive a temporary waiver shall 

provide, in writing, a description of the 

specific requirement(s) for which it is 

seeking a waiver, along with 

documentation demonstrating the 

applicant’s plan and ability to come into 

compliance with all of these 

requirements (other than the 

certification requirement) within a 

specified period of time, which shall not 

exceed three months from the date on 

which the rules become effective. 

Evidence of the applicant’s plan and 

ability to come into compliance with the 

new rules shall include the applicant’s 

detailed plan for modifying its business 

structure and operations in order to 

meet the new requirements, along with 

submission of the following relevant 

documentation to support the waiver 

request: 

• A copy of each deed or lease for 

each call center operated by the 

applicant; 

• A list of individuals or entities that 

hold at least a 10 percent ownership 

share in the applicant’s business and a 

description of the applicant’s 

organizational structure, including the 

names of its executives, officers, 

partners, and board of directors; 

• A list of all of the names of 

applicant’s full-time and part-time 

employees; 

• Proofs of purchase or license 

agreements for use of all equipment 

and/or technologies, including 

hardware and software, used by the 

applicant for its call center functions, 

including but not limited to, automatic 

call distribution (ACD) routing, call 

setup, mapping, call features, billing for 

compensation from the TRS fund, and 

registration; 

• Copies of employment agreements 

for all of the provider’s executives and 

CAs; 

• A list of all financing arrangements 

pertaining to the provision of Internetbased relay service, including 

documentation on loans for equipment, 

inventory, property, promissory notes, 

and liens; 

• Copies of all other agreements 

associated with the provision of 

Internet-based relay service; and 

• A list of all sponsorship 

arrangements (e.g., those providing 

financial support or in-kind interpreting 

or personnel service for social activities 

in exchange for brand marketing), 

including any associated agreements. 

Federal Communications Commission. 

Marlene H. Dortch, 

Secretary, Office of the Secretary, Office of 

Managing Director. 

[FR Doc. 2011–9407 Filed 4–18–11; 8:45 am] 

BILLING CODE 6712–01–P 

FEDERAL RESERVE SYSTEM 

Federal Open Market Committee; 

Domestic Policy Directive of March 15, 

2011 

In accordance with Section 271.25 of 

its rules regarding availability of 

information (12 CFR part 271), there is 

set forth below the domestic policy 

directive issued by the Federal Open 

Market Committee at its meeting held 

on March 15, 2011.1

The Federal Open Market Committee 

seeks monetary and financial conditions 

that will foster price stability and 

promote sustainable growth in output. 

To further its long-run objectives, the 

Committee seeks conditions in reserve 

markets consistent with federal funds 

trading in a range from 0 to 1⁄4 percent. 

The Committee directs the Desk to 

execute purchases of longer-term 

Treasury securities in order to increase 

the total face value of domestic 

securities held in the System Open 

Market Account to approximately $2.6 

trillion by the end of June 2011. The 

Committee also directs the Desk to 

reinvest principal payments from 

agency debt and agency mortgagebacked securities in longer-term 

Treasury securities. The System Open 

Market Account Manager and the 

Secretary will keep the Committee 

informed of ongoing developments 

regarding the System’s balance sheet 

that could affect the attainment over 

time of the Committee’s objectives of 

maximum employment and price 

stability. 

By order of the Federal Open Market 

Committee, April 6, 2011. 

William B. English, 

Secretary, Federal Open Market Committee. 

[FR Doc. 2011–9364 Filed 4–18–11; 8:45 am] 

BILLING CODE 6210–01–P 

FEDERAL TRADE COMMISSION 

Department of Justice 

Antitrust Division 

Proposed Statement of Antitrust 

Enforcement Policy Regarding 

Accountable Care Organizations 

Participating in the Medicare Shared 

Savings Program 

AGENCY: FTC; Antitrust Division, DOJ. 

ACTION: Notice with comment period. 

SUMMARY: The FTC and DOJ (the 

‘‘Agencies’’) are proposing an 

enforcement policy regarding the 

application of the antitrust laws to 

health care collaborations among 

otherwise independent providers and 

provider groups, formed after March 23, 

2010, the date on which the Patient 

Protection and Affordable Care Act was 

enacted, that seek to participate, or have 

otherwise been approved to participate, 

as accountable care organizations 

(ACOs) under the Medicare Shared 

Savings Program, Section 3022 of the 

Affordable Care Act (Patient Protection 

and Affordable Care Act, Public Law 

111–48 (2010) and the Health Care and 

Education Reconciliation Act of 2010, 

Public Law 111–52 (2010)). 

DATES: Public comments must be 

received on or before May 31, 2011. 

ADDRESSES: Interested parties are 

invited to submit written comments 

electronically or in paper form, by 

following the instructions in the 

Request for Comment part of the 

SUPPLEMENTARY INFORMATION section 

below. 

FOR FURTHER INFORMATION CONTACT: 

Daniel Gilman, (202) 326–3136 (FTC) or 

Gail Kursh, (202) 307–5799 (DOJ). 

SUPPLEMENTARY INFORMATION:

Proposed Statement of Antitrust 

Enforcement Policy Regarding 

Accountable Care Organizations 

Participating in the Medicare Shared 

Savings Program 

I. Introduction 

The Patient Protection and Affordable 

Care Act and the Health Care and 

Education Reconciliation Act of 2010 

(collectively, the ‘‘Affordable Care Act’’) 

seek to improve the quality and reduce 

the costs of health care services in the 

United States by, among other things, 

encouraging physicians, hospitals, and 

other health care providers to become 

accountable for a patient population 

through integrated health care delivery 

systems.1 One delivery system reform is 

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