31340 Federal Register / Vol. 76, No. 104 / Tuesday, May 31, 2011 / Notices 

Dated: May 25. 2011. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2011–13330 Filed 5–27–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–1587–N] 

Medicare Program; Notification of 

Closure of St. Vincent’s Medical Center 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice announces the 

closure of St. Vincent’s Medical Center 

and the initiation of an application 

process for hospitals to apply to the 

Centers for Medicare & Medicaid 

Services (CMS) to receive St. Vincent’s 

Medical Center’s full time equivalent 

(FTE) resident cap slots. 

DATES: We will consider applications 

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

September 28, 2011 Applications must 

be received, not postmarked, by this 

date. 

FOR FURTHER INFORMATION CONTACT: 

Renate Dombrowski, (410) 786–4645. 

SUPPLEMENTARY INFORMATION: 

I. Background 

Section 5506 of the Patient Protection 

and Affordable Care Act (Pub. L. 111– 

148), as amended by the Health Care 

and Education Reconciliation Act of 

2010 (Pub. L. 111–152) (collectively, the 

‘‘Affordable Care Act’’), ‘‘Preservation of 

Resident Cap Positions from Closed 

Hospitals,’’ authorizes the Secretary to 

redistribute residency slots after a 

hospital that trained residents in an 

approved medical residency program(s) 

closes. Specifically, section 5506 of the 

Affordable Care Act, amended the 

Social Security Act (the Act), by adding 

subsection (vi) to section 1886(h)(4)(H) 

of the Act and modifying language at 

section 1886(d)(5)(B)(v) of the Act, to 

instruct the Secretary to establish a 

process to increase the full time 

equivalent (FTE) resident caps for other 

hospitals based upon the FTE resident 

caps in teaching hospitals that closed 

‘‘on or after a date that is 2 years before 

the date of enactment’’ (that is, March 

23, 2008). In the November 24, 2010 CY 

2011 Outpatient Prospective Payment 

System (OPPS) final rule (75 FR 72212), 

we established regulations and an 

application process for qualifying 

hospitals to apply to CMS to receive 

direct graduate medical education 

(GME) and indirect medical education 

(IME) FTE resident cap slots from the 

hospital that closed. The procedures we 

established apply both to teaching 

hospitals that closed on or after March 

23, 2008 and on or before August 3, 

2010 and to teaching hospitals that 

closed after August 3, 2010. For 

teaching hospitals that closed on or after 

March 23, 2008 and on or before August 

3, 2010, we established an application 

deadline of April 1, 2011, for a hospital 

to request cap slots from the closed 

hospital(s). We also stated in the 

November 24, 2010 FY 2011 OPPS final 

rule that hospitals that close at any 

point after August 3, 2010 will fall into 

the second category of applications, for 

which we will provide a separate notice 

with a future application deadline (75 

FR 72215). 

II. Provisions of the Notice 

CMS has learned of the closure of 

another teaching hospital that occurred 

after August 3, 2010. The purpose of 

this notice is to notify the public of the 

closure of St. Vincent’s Medical Center, 

provider number 33–0290, in New York 

City. The hospital’s direct GME FTE 

resident cap is 321.11 and the IME FTE 

resident cap is 295.86. St. Vincent’s 

Medical Center was located in corebased statistical area (CBSA) 35644. The 

official date of the termination of the 

Medicare provider agreement, and 

therefore, the date of the closure, is 

October 31, 2010. 

In the November 24, 2010 CY 2011 

OPPS final rule, we stated that the 

application deadline for future hospital 

closures would be 4 months following 

the issuance of that notice to the public 

(75 FR 72215). Therefore, hospitals 

wishing to apply for and receive slots 

from St. Vincent’s Medical Center’s FTE 

resident caps must submit applications 

to the CMS New York Regional Office 

and to the CMS Central Office no later 

than September 28, 2011. Applications 

must be received, not postmarked, by 

this date. 

We refer readers to http:// 

www.cms.gov/AcuteInpatientPPS/ 

06_dgme.asp#TopOfPage to download a 

copy of the CMS Evaluation Form 5506, 

which is the application form that 

hospitals are to use to apply for slots 

under section 5506 of the Affordable 

Care Act. We also refer readers to this 

Web site to access a copy of the CY 2011 

OPPS November 24, 2010 final rule, for 

an explanation of the policy and 

procedures for applying for slots and the 

redistribution of the slots under sections 

1886(h)(4)(H)(vi) and 1886(d)(5)(B)(v) of 

the Act, as provided by section 5506 of 

the Affordable Care Act. The mailing 

addresses for the CMS New York 

Regional Office and to the CMS Central 

Office are included in this application 

form. 

In the November 24, 2010 CY 2011 

OPPS final rule, we did not establish a 

deadline by when CMS would issue the 

final determinations to hospitals that 

receive slots under section 5506 of the 

Affordable Care Act. However, we will 

review all applications received by the 

September 28, 2011 deadline and notify 

applicants of our determinations as soon 

as possible. 

III. 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. Chapter 35). 

(Catalog of Federal Domestic Assistance 

Program No. 93.773 Medicare—Hospital 

Insurance Program; and No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: May 19, 2011. 

Donald M. Berwick, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2011–13478 Filed 5–27–11; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Measurement Development: 

Quality of Caregiver-Child Interactions 

for Infants and Toddlers (Q–CCIIT). 

OMB No.: New collection. 

Description: The Office of Planning, 

Research and Evaluation (OPRE), 

Administration for Children and 

Families (ACF), U.S. Department of 

Health and Human Services (HHS), is 

proposing to develop a new observation 

measure to assess the quality of child 

care settings, specifically the quality of 

caregiver-child interaction for infants 

and toddlers in nonparental care. The 

measure will be appropriate for use 

across child care settings, center-based 

and family child care settings as well as 

single- and mixed-age classrooms. 

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