Federal Register / Vol. 78, No. 71 / Friday, April 12, 2013 / Notices 21957 

On December 7, 2012, HHS published 

a proposed rule (77 FR 73118) entitled 

‘‘HHS Notice of Benefit and Payment 

Parameters for 2014.’’ This rule 

proposed a payment approach under 

which CMS would make monthly 

advance payments to issuers to cover 

projected cost-sharing reduction 

amounts, and then reconcile those 

advance payments after the end of the 

benefit year to the actual cost-sharing 

reduction amounts. The reconciliation 

process described in the rule would 

require that QHP issuers provide CMS 

the amount of cost-sharing paid by each 

enrollee, as well as the level of costsharing that enrollee would have paid 

under a standard plan without costsharing reductions. To determine the 

amount of cost-sharing an enrollee 

receiving cost-sharing reductions would 

have paid under a standard plan, QHP 

issuers would need to re-adjudicate 

each claim for these enrollees under a 

standard plan structure. HHS finalized 

the proposed notice of benefit and 

payment parameters for 2014 and this 

approach on March 11, 2013 (78 FR 

15410). 

During the comment period to the 

proposed rule, HHS received numerous 

comments suggesting that the reporting 

requirements of the reconciliation 

process for QHP issuers would be 

operationally challenging for some 

issuers. In response to these comments, 

HHS issued an interim final rule (CMS– 

9964–IFC) with comment period on 

March 11, 2013 (78 FR 15541) entitled 

‘‘Amendments to the HHS Notice of 

Benefit and Payment Parameters for 

2014,’’ which laid out an alternative 

approach that QHP issuers may elect to 

pursue with respect to the reporting 

requirements. This alternative approach 

would allow a QHP issuer to estimate 

the amount of cost-sharing an enrollee 

receiving cost-sharing reductions would 

have paid under a standard plan in the 

Exchange, rather than re-adjudicating 

each of the enrollee’s claims. This 

approach is intended to permit a 

reasonable transitional period in which 

QHP issuers will be allowed to choose 

the methodology that best aligns with 

their operational practices, which 

should reduce the administrative 

burden on issuers in the initial years of 

the Exchanges. The interim final rule 

describes the estimation methodology in 

sufficient detail to allow QHP issuers to 

make an informed decision of which 

reporting approach to pursue. 

Prior to the start of each coverage 

year, QHP issuers must notify HHS of 

the methodology it is selecting for the 

benefit year. QHP issuers will provide 

information on which option they 

choose via the Health Insurance 

Oversight System (HIOS), a web-based 

data collection system that is already 

being used by issuers to provide 

information for the healthcare.gov Web 

site. All submissions will be made 

electronically and no paper submissions 

are required. The QHP issuer must 

select the same methodology for all plan 

variations it offers on the Exchange for 

a benefit year. Moreover, as the 

estimated methodology is intended as a 

transition to the actual methodology, the 

QHP issuer may not select the estimated 

methodology if it selected the actual 

methodology for the prior benefit year. 

Form Number: CMS–10469 (OCN: 

0938–NEW); Frequency: Annually; 

Affected Public: Private Sector (business 

or other for-profits); Number of 

Respondents: 1,200; Total Annual 

Responses: 1,200; Total Annual Hours: 

13,200. (For policy questions regarding 

this collection contact Chris Weiser at 

410–786–0650. 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 

Paperwork@cms.hhs.gov, 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 11, 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. 

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: April 9, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–08676 Filed 4–11–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10463] 

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: Cooperative 

Agreement to Support Navigators in 

Federally-facilitated and State 

Partnership Exchanges; Use: Section 

1311(i) of the Affordable Care Act 

requires Exchanges to establish a 

Navigator grant program as part of its 

function to provide consumers with 

assistance when they need it. Navigators 

will assist consumers by providing 

education about and facilitating 

selection of qualified health plans 

(QHPs) within Exchanges, as well as 

other required duties. Section 1311(i) 

requires that an Exchange operating as 

of January 1, 2014, must establish a 

Navigator Program under which it 

awards grants to eligible individuals or 

entities who satisfy the requirements to 

be Exchange Navigators. For Federallyfacilitated Exchanges (FFE) and State 

Partnership Exchanges (SPEs), CMS will 

be awarding these grants. Navigator 

awardees must provide quarterly, biannual, and an annual progress report to 

CMS on the activities performed during 

the grant period and any sub-awardees 

receiving funds. Form Number: CMS– 

10463 (OMB#: 0938–NEW); Frequency: 

Annually; Quarterly; Affected Public: 

Private sector Number of Respondents: 

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21958 Federal Register / Vol. 78, No. 71 / Friday, April 12, 2013 / Notices 

264; Total Annual Responses: 1848; 

Total Annual Hours: 308,352. (For 

policy questions regarding this 

collection contact Holly Whelan at 301– 

492–4220. 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 

Paperwork@cms.hhs.gov, 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 11, 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. 

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: CMS–10463/OCN–0938– 

NEW, Room C4–26–05, 7500 Security 

Boulevard, Baltimore, Maryland 21244– 

1850. 

Dated: April 8, 2013 . 

Martique Jones, 

Deputy Director, Regulations Development 

Group Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–08672 Filed 4–11–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Non-Competitive One-Year Extension 

With Funds for Black Lung/Coal Miner 

Clinics Program (H37) Current Grantee 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services (HHS). 

ACTION: Notice. 

SUMMARY: HRSA will be issuing a noncompetitive one-year extension with 

funds for the Black Lung/Coal Miner 

Clinics Program awards to the current 

grantees (included in attached chart), in 

amounts between $299,000 and $1.5 

million over the one-year extension 

project period. The level of support is at 

the same annual rate that was 

authorized in fiscal year (FY) 2012. The 

Black Lung/Coal Miner Clinics Program 

supports projects that seek to prevent, 

monitor, and treat pulmonary and 

respiratory diseases in active and 

inactive miners. This extension with 

funds will allow the Office of Rural 

Health Policy (ORHP) to reassess the 

priorities and scope of the program. The 

extension will also allow for greater preapplication technical assistance and 

opportunity to ensure funding levels 

can adequately address target 

population needs in various parts of the 

country. 

SUPPLEMENTARY INFORMATION: Grantees 

of record and intended award amounts 

are included below. 

Amount of the Award(s): Each of the 

current grantees will receive support at 

the same annual rate that was 

authorized in FY 2012: between 

$299,000 and $1.5 million. 

CFDA Number: 93.965. 

Current Project Period: 7/1/2010 

through 6/30/2013. 

Period of Additional Funding: 7/1/ 

2013 through 6/30/2014. 

Authority: Sec. 427(a) of the Federal Mine 

Safety and Health Act of 1977, as amended, 

(30 U.S.C. 937) 

Justification: HRSA is extending 

funding for the Black Lung/Coal Miner 

Clinics Program grants by one year for 

the following reasons: recent 

information from the Centers for Disease 

Control and Prevention, National 

Institute of Occupational Safety and 

Health (CDC/NIOSH) indicates that the 

prevalence of coal workers’ 

pneumoconiosis (CWP), also known as 

black lung disease, is rising. In fact, a 

recent study of 2,000 coal miners from 

Utah to Pennsylvania showed five times 

as many miners have CWP than ten 

years ago. Many miners are developing 

severe CWP before 50 years of age, and 

there is some evidence that this is being 

manifested as premature mortality. In 

addition, data from the U.S. Department 

of Labor show the number of federal 

black lung benefits claims has 

increased, suggesting that the disease is 

also leading to increased significant, 

long-term disability. 

This extension will allow the ORHP 

to consult providers, experts, and 

federal partners to thoroughly reassess 

the priorities and scope of the current 

program, while taking into account 

regulatory requirements. It will also 

provide an opportunity to ensure 

funding levels as well as program 

resources are most effectively 

coordinated with other federal efforts to 

address growing target population 

needs. 

FOR FURTHER INFORMATION CONTACT: 

Nadia Ibrahim, MA, LGSW, Health 

Resources and Services Administration, 

Office of Rural Health Policy, 5600 

Fishers Lane, Room 5A–05, Rockville, 

Maryland 20857 or email 

nibrahim@hrsa.gov. 

Dated: April 4, 2013. 

Mary K. Wakefield, 

Administrator. 

Attachment 

Intended Recipients 

Organization Grant number State Project 

start date 

Orig. start 

date 

Revised 

end date FY10* FY11** FY12*** 

Mountain Comprehensive Health Corporation, Inc.H37RH00050 KY 7/1/10 6/30/13 6/30/14 $582,993 $581,978 $580,040 

Community Health of East Tennessee, Inc H37RH00052 TN 7/1/10 6/30/13 6/30/14 191,097 190,082 188,144 

Shawnee Health Service and Development 

Corporation.

H37RH00053 IL 7/1/10 6/30/13 6/30/14 872,405 871,390 869,452 

Ohio Department of Health .......................... H37RH00054 OH 7/1/10 6/30/13 6/30/14 661,909 660,894 658,965 

John H. Strroger Hospital of Cook County .. H37RH00055 IL 7/1/10 6/30/13 6/30/14 301,262 300,247 298,309 

Miner’s Colfax Medical Center ..................... H37RH00057 NM 7/1/10 6/30/13 6/30/14 321,876 320,861 318,923 

Northwest Community Action Programs ...... H37RH00058 WY 7/1/10 6/30/13 6/30/14 300,657 299,642 247,931 

Altoona Hospital ........................................... H37RH00064 PA 7/1/10 6/30/13 6/30/14 260,086 259,071 257,133 

National Jewish Health ................................ H37RH00066 CO 7/1/10 6/30/13 6/30/14 427,000 425,985 424,047 

Alveoli Corporation ....................................... H37RH00067 PA 7/1/10 6/30/13 6/30/14 149,656 148,641 146,703 

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