34326 Federal Register / Vol. 77, No. 112 / Monday, June 11, 2012 / Proposed Rules 

III. General Solicitation of Comment 

EPA encourages public participation 

in this rulemaking and requests 

comments on this notice of data 

availability supporting the proposed 

rule for cooling water intake structures. 

EPA invites all parties to coordinate 

their data collection activities with the 

Agency to facilitate mutually beneficial 

and cost-effective data submissions. 

Please refer to the FOR FURTHER

INFORMATION CONTACT section at the 

beginning of this preamble for technical 

contacts at EPA. 

To ensure that EPA can properly 

respond to comments, the Agency 

prefers that commenters cite, where 

possible, the paragraph(s) or sections in 

the document or supporting documents 

to which each comment refers. Please 

submit copies of your comments and 

enclosures (including references) as 

specified in the ADDRESSES section at 

the beginning of this preamble. 

Dated: May 31, 2012. 

Nancy K. Stoner, 

Acting Assistant Administrator, Office of 

Water. 

[FR Doc. 2012–14153 Filed 6–11–12; 8:45 am] 

BILLING CODE 6560–50–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

42 CFR Parts 412, 413, 424, 476, and 

489 

[CMS–1588–CN] 

RIN 0938–AR12 

Medicare Program; Hospital Inpatient 

Prospective Payment Systems for 

Acute Care Hospitals and the LongTerm Care Hospital Prospective 

Payment System and Fiscal Year 2013 

Rates; Hospitals’ Resident Caps for 

Graduate Medical Education Payment 

Purposes; Quality Reporting 

Requirements for Specific Providers 

and for Ambulatory Surgical Centers; 

Corrections 

AGENCY: Centers for Medicare and 

Medicaid Services (CMS), HHS. 

ACTION: Proposed rule, correction. 

SUMMARY: This document corrects 

technical and typographical errors in 

the proposed rule that appeared in the 

May 11, 2012 Federal Register entitled 

‘‘Medicare Program; Hospital Inpatient 

Prospective Payment Systems for Acute 

Care Hospitals and the Long-Term Care 

Hospital Prospective Payment System 

and Fiscal Year 2013 Rates; Hospitals’ 

Resident Caps for Graduate Medical 

Education Payment Purposes; Quality 

Reporting Requirements for Specific 

Providers and for Ambulatory Surgical 

Centers.’’ 

FOR FURTHER INFORMATION CONTACT: Tzvi 

Hefter, (410) 786–4487. 

SUPPLEMENTARY INFORMATION: 

I. Background 

In FR Doc. 2012–9985 of May 11, 

2012 (77 FR 27870), there were a 

number of technical errors that are 

identified and corrected in the 

Correction of Errors section of this 

correcting document. 

II. Summary of Errors 

A. Errors in the Preamble 

On pages 27871 and 27872, we 

inadvertently omitted a number of 

acronyms from the list of acronyms. 

On page 27938, in our discussion of 

the fiscal year (FY) 2013 applications for 

new technology add-on payments, we 

made typographical errors regarding the 

drug combination administered during 

the treatment of methotrexate (MTX)- 

induced renal dysfunction. 

On page 28021, we inadvertently 

cited the incorrect timeframe for when 

certain long-term care hospitals (LTCHs) 

and LTCH satellite facilities must 

comply with § 412.534 and § 412.536. 

We also cited the incorrect timeframe 

for when those LTCHs and LTCH 

satellite facilities would be under the 

proposed moratorium on the 25-percent 

adjustment threshold policy. 

On page 28036, we made several 

typographical errors in our discussion of 

commenters’ beliefs regarding the 

hospital inpatient quality reporting 

program (HIQR) and five Agency for 

Healthcare Research and Quality 

(AHRQ) measures. 

On page 28039, in our discussion of 

the HIQR proposed new claims-based 

measure for the FY 2015 payment 

determination for hip/knee 

complication, we inadvertently repeated 

a sentence. 

On page 28041, in our discussion of 

the HIQR proposed new claims-based 

measure for the FY 2015 payment 

determination for hip/knee readmission, 

we made a typographical error in a 

section heading. 

On page 28072, in our discussion of 

the total amount available for valuebased incentive payments under the 

Hospital VBP Program for a fiscal year, 

we inadvertently included estimated 

reductions to the base operating DRG 

payment amounts for Maryland 

hospitals in the calculation of the total 

estimate for FY 2013. 

On pages 28085 and 28086, in our 

discussion of the proposed performance 

standards for the Hospital Value-Based 

Purchasing (VBP) Program, we 

inadvertently omitted data from the 

table entitled ‘‘Proposed Performance 

Standards for the FY 2015 Hospital VBP 

Program Clinical Process of Care and 

Outcome Domains, and the Medicare 

Spending per Beneficiary Measure.’’ 

On pages 28107, 28108, and 28127 in 

our discussion of the Inpatient 

Psychiatric Facilities Quality Reporting 

Program (IPFQR), we made technical 

errors in our description of the IPF 

facility enrollment. 

B. Errors in the Addendum 

On page 28143, we made errors in our 

discussion of the proposed outlier fixedloss cost threshold for FY 2013. 

On pages 28144, 28148, 28149, 28150, 

28151, 28159, and 28178, we made 

technical and typographical errors in 

our discussion of the proposed outlier 

adjustment factors which affected the 

proposed FY 2013 Puerto Rico (specific) 

operating standardized amount and 

capital Federal rates (national and 

Puerto Rico). Specifically, we 

inadvertently applied the incorrect 

adjustment factors to the operating and 

capital cost-to-charge ratios (CCRs) from 

the Provider-Specific File (PSF) when 

performing the calculation of the FY 

2013 outlier fixed-loss cost threshold for 

the proposed rule. The correction of this 

error resulted in a decrease in the 

proposed outlier fixed-loss cost 

threshold of approximately $1,000. 

Under our established methodology for 

calculating the outlier fixed-loss cost 

threshold, which we have proposed to 

continue to use for FY 2013, the 

corrected proposed outlier fixed-loss 

cost threshold continues to result in 

operating outlier payments being 

projected to be 5.1 percent of total 

operating payments. However, a 

decrease in the proposed outlier 

threshold results in an increase of the 

Puerto Rico (specific) operating outlier 

payments and capital (national and 

Puerto Rico) outlier payments. This is 

because a lower outlier threshold allows 

more cases to qualify as outlier cases 

and results in higher outlier payments 

to such cases. Because outlier payments 

are budget neutral, a larger reduction 

(that is, an increase in the outlier 

offsets) to the Puerto Rico and capital 

(national and Puerto Rico) rates is 

necessary. Therefore, the application of 

the corrected Puerto Rico and capital 

outlier offsets (national and Puerto Rico) 

lowers the proposed FY 2013 Puerto 

Rico (specific) operating standardized 

amount and capital Federal rates 

(national and Puerto Rico). 

mstockstill on DSK4VPTVN1PROD with PROPOSALS

Federal Register / Vol. 77, No. 112 / Monday, June 11, 2012 / Proposed Rules 34327 

On page 28189, in the impact analysis 

section for the inpatient Psychiatric 

Facilities Quality Reporting Program 

(IPFQR), we made technical errors in 

describing the IPF facility enrollment. 

C. Summary of Errors in and 

Corrections to Tables Posted on the CMS 

Web site 

On page 28158, we list Table 16, 

Proposed Hospital Inpatient ValueBased Purchasing (VBP) Program 

Adjustment Factors for FY 2013, as a 

table that will be available only through 

the Internet on the CMS Web site. The 

version of Table 16 that was posted via 

the Internet on the CMS Web site at the 

time the proposed rule was filed for 

public inspection at the Office of the 

Federal Register inadvertently included 

estimated reductions to the base 

operating DRG payment amounts for 

Maryland hospitals in the calculation of 

the proposed FY 2013 Hospital VBP 

Program adjustment factors. 

We have corrected these errors and 

will post the corrected Table 16 on the 

CMS Web site at http:// 

www.cms.hhs.gov/AcuteInpatientPPS/ 

01_overview.asp. 

III. Correction of Errors 

In FR Doc. 2012–9985 of May 11, 

2012 (77 FR 27870), make the following 

corrections: 

A. Corrections of Errors in the Preamble 

1. On pages 27871 and 27872, second 

and third and first and second columns, 

respectively (Acronyms list), are 

corrected by adding the following 

acronyms in alphabetical order: 

ACoS American College of Surgeons’ 

AJCC American Joint Commission on 

Cancer 

ASCO American Society of Clinical 

Oncology 

CAUTI Catheter-Associated Urinary Tract 

Infection 

CLABSI Central Line-Associated 

Bloodstream Infection 

CEO Chief Executive Officer 

CCN CMS Certificate Number 

CFR Code of Federal Regulations 

CoC Commission on Cancer 

DACA Data Accuracy and Completeness 

Acknowledgement 

ESRD End-Stage Renal Disease 

FR Federal Register 

HAI Healthcare-Associated Infection 

HBIPS Hospital-Based Inpatient Psychiatric 

Services 

HICPAC Healthcare Infection Control 

Practices Advisory Committee 

ICU Intensive Care Unit 

IPFQR Inpatient Psychiatric Facilities 

Quality Reporting Program 

MAP Measure Application Partnership 

NCCN National Comprehensive Cancer 

Network 

NOP Notice of Participation 

OQR Outpatient Quality Reporting 

QAPI Quality Assessment and Performance 

Improvement 

QIP Quality Incentive Program 

Q Quarter 

TJC The Joint Commission 

UTI Urinary Tract Infection 

VTE Venous Thromboembolism 

2. On page 27938, in the third 

column, 

a. First partial paragraph— 

(1). Line 5 the term ‘‘Thymidine’’ is 

corrected to read ‘‘leucovorin’’. 

(2). Line 9, the term ‘‘Thymidine’’ is 

corrected to read ‘‘leucovorin’’. 

(3). Lines 13 and 14, the phrase ‘‘19 

to 94 years old.’’ is corrected to read ‘‘19 

to 94 years old.18a’’ 

b. Footnoted text, before footnote 18, 

the footnoted text is corrected by adding 

the following: 

18a Green and Chamberlain, Cancer 

Chemotherapy and Pharmacology Volume 

63, Number 4, 2009. 

3. On page 28021, in the third 

column, first partial paragraph, lines 24 

through 42, the sentences beginning 

with the phrase ‘‘Therefore, under our 

proposed policy’’ and ending with the 

phrase ‘‘proposed extension of the 

moratorium’’ are corrected to read 

‘‘Therefore, under our proposed policy, 

there will be a period during which 

some of the above-described LTCHs and 

LTCH satellite facilities must comply 

with §§ 412.534 and 412.536 before 

becoming subject to the moratoria again. 

The above-described LTCHs and LTCH 

satellite facilities with a cost reporting 

period beginning on or after July 1, 

2012, and before October 1, 2012 would 

comply with §§ 412.534 and 412.536 for 

discharges occurring in that respective 

cost reporting period. Then, those same 

LTCHs and LTCH satellite facilities 

would be subject to the proposed 

moratorium for discharges occurring in 

their first cost reporting period 

beginning on or after July 1, 2013 and 

before October 1, 2013.’’ 

4. On page 28036, lower half of the 

page, first column, first paragraph, lines 

7 through 8, the phrase ‘‘some 

commenters still believed that’’ is 

corrected to read ‘‘we recognize some 

commenters believe that’’. 

5. On page 28039, second column, 

third paragraph, lines 8 through 12, the 

sentence ‘‘Annual hospital charges are 

projected to increase by 340 percent to 

$17.4 billion for THA and by 450 

percent to $40.8 billion for TKA by 

2015’’ is corrected by deleting the 

sentence. 

6. On page 28041, first column, 

second full paragraph, line 9, the 

heading that begins with the phrase ‘‘(ii) 

Hip/Knee Readmission:’’ is corrected by 

moving the phrase to line 10. 

7. On page 28072, second column, 

first full paragraph, line 8, the figure 

‘‘$956 million’’ is corrected to read 

‘‘$917 million’’. 

8. On pages 28085 through 28086, 

lower third of the page, the table 

entitled Proposed Performance 

Standards for the FY 2015 Hospital VBP 

Program Clinical Process of Care and 

Outcome Domains, and the Medicare 

Spending per Beneficiary Measure’’ is 

corrected as follows: 

Proposed Performance Standards for the 

FY 2015 Hospital VBP Program Clinical 

Process of Care and Outcome Domains, 

and the Medicare Spending per 

Beneficiary Measure 

a. Revising the following entry: 

CLINICAL PROCESS OF CARE MEASURES

Measure ID Description Achievement 

threshold Benchmark 

AMI–10 ...................................... Statin Prescribed at Discharge .............................................................................. 0.90474 1.00000 

b. Adding the following entry after 

line 3 (Measure ID, AMI–10): 

mstockstill on DSK4VPTVN1PROD with PROPOSALS

34328 Federal Register / Vol. 77, No. 112 / Monday, June 11, 2012 / Proposed Rules 

CLINICAL PROCESS OF CARE MEASURES

Measure ID Description Achievement 

threshold Benchmark 

HF–1 .......................................... Discharge Instructions ........................................................................................... 0.92090 1.00000 

9. On page 28107, third column, 

footnoted text (footnote 198), line 1, the 

phrase ‘‘IPFs, 450 are’’ is corrected to 

read ‘‘IPFs, approximately 450 are’’. 

10. On page 28108, first column, 

second full paragraph, line 6, the figure 

‘‘1,100’’ is corrected to read ‘‘1,200’’. 

11. On page 28127, first column, fifth 

full paragraph— 

a. Line 11, the figure ‘‘1,741’’ is 

corrected to read ‘‘estimated 1,700’’. 

b. Line 12, the figure ‘‘450’’ is 

corrected to read ‘‘approximately 450’’. 

c. Line 14, the figure ‘‘26.02’’ is 

corrected to read ‘‘approximately 26’’. 

B. Corrections of Errors in the 

Addendum 

1. On page 28143, third column— 

a. Second full paragraph, line 6, the 

figure ‘‘$27,425’’ is corrected to read 

‘‘$26,337’’ 

b. Third full paragraph, lines 2 and 3, 

the phrase ‘‘$5,040 (or 22.5 percent)’’ is 

corrected to read ‘‘$3,952 (or 17.7 

percent)’’. 

2. On page 28144— 

a. First column, first partial 

paragraph, lines 12 and 13, the phrase 

‘‘welcomed comment on possible 

modifications to our current 

methodologies,’’ is corrected to read 

‘‘welcome comment on possible 

modifications to our current 

methodology,’’. 

b. First column, second full 

paragraph, line 13, the figure ‘‘5.99’’ is 

corrected to read ‘‘6.43’’ 

c. Second column, before the first 

paragraph, the untitled table is corrected 

to read as follows: 

Operating 

standardized 

amounts 

Capital 

federal 

rate 

National ............. 0.948992 0.935720 

Puerto Rico ....... 0.953062 0.920266 

3. On page 28148, second column, 

second full paragraph, line 6, the phrase 

‘‘approximately 0.7 percent’’ is 

corrected to read ‘‘0.25 percent’’. 

4. On page 28149, third column— 

a. First full paragraph, line 8, the 

figure ‘‘6.00’’ is corrected to read ‘‘6.43’’ 

b. First full paragraph, line 12, the 

figure ‘‘0.9400’’ is corrected to read 

‘‘0.9357’’ 

c. First full paragraph, line 17, the 

phrase ‘‘lower than the percentage for 

FY 2012.’’ is corrected to read ‘‘higher 

than the percentage for FY 2012.’’. 

d. First full paragraph, lines 17 

through 28, the sentences ‘‘This 

decrease in estimated capital outlier 

payments is primarily due to the 

proposed increase in the outlier 

threshold used to identify outlier cases 

for both inpatient operating and 

inpatient capital related payments, 

which is discussed in section II.A. of 

this Addendum. That is, because the 

outlier threshold used to identify outlier 

cases is higher, cases will receive lower 

outlier payments and fewer cases will 

qualify for outlier payments.’’ are 

corrected by deleting the sentences. 

e. Second full paragraph, line 6, the 

phrase ‘‘0.9400 is 0.19 percent’’ is 

corrected to read ‘‘0.9357 is a ¥0.27 

percent’’ 

f. Second full paragraph, line 10, the 

phrase ‘‘1.0019 (0.9400/0.9832) is 

corrected to read ‘‘0.9973 (0.9357/ 

0.9832)’’ 

5. On page 28150, third column— 

a. First partial paragraph, line 14, the 

figure ‘‘$424.42’’ is corrected to read 

‘‘$422.47’’. 

b. Third bulleted paragraph, line 2, 

the figure ‘‘0.9400’’ is corrected to read 

‘‘0.9357’’. 

c. Last paragraph— 

(1) Line 14, the term ‘‘increasing’’ is 

corrected to read ‘‘decreasing’’. 

(2) Line 15, the figure ‘‘0.19’’ is 

corrected to read ‘‘0.27’’. 

(3) Line 26, the phrase 

‘‘approximately 0.7 percent’’ is 

corrected to read ‘‘0.25 percent’’. 

6. On page 28151— 

a. Top third of the page— 

(1) In the chart entitled Comparison of 

Factors and Adjustments: FY 2012 

Capital Federal Rate and Proposed FY 

2013 Capital Federal Rate, the listed 

entries are corrected as set forth below. 

(2) Immediately following the chart, 

footnote 2 is corrected and footnote 5 is 

republished as set forth below. 

FY 2012 Proposed 

FY 2013 Change Percent change 

Outlier Adjustment Factor 2 .............................................................................................................. 0.9382 0.9357 0.9973 ¥0.27 

Capital Federal Rate 5 ...................................................................................................................... $421.42 $422.47 1.0025 0.25 

* * * * * 2The outlier reduction factor is not built 

permanently into the capital rate; that is, the 

factor is not applied cumulatively in 

determining the capital rate. Thus, for 

example, the net change resulting from the 

application of the FY 2013 outlier adjustment 

factor is 0.9357/0.9382, or 0.9973. 

* * * * * 

5Sum of percent change may not sum due 

to rounding. 

b. Lower two-thirds of the page, 

second column— 

(1) First full paragraph, last line, the 

figure ‘‘$206.82’’ is corrected to read 

‘‘$206.01’’. 

(2) Third paragraph, last line, the 

figure ‘‘$27,425’’ is corrected to read 

‘‘26,337’’. 

7. On page 28159— 

a. Top half of the page, in Table 1C— 

Proposed Adjusted Operating 

Standardized Amounts for Puerto Rico, 

Labor/Nonlabor—FY 2013, the entries 

for Puerto Rico are corrected to read as 

follows: 

mstockstill on DSK4VPTVN1PROD with PROPOSALS

Federal Register / Vol. 77, No. 112 / Monday, June 11, 2012 / Proposed Rules 34329 

TABLE 1C—PROPOSED ADJUSTED OPERATING STANDARDIZED AMOUNTS FOR PUERTO RICO, LABOR/NONLABOR—

FY 2013 

Rates if wage index is 

greater than 1 

Rates if wage index is 

less than or equal to 1 

Labor Nonlabor Labor Nonlabor 

Puerto Rico ...................................................................................................................... $1,582.93 $966.07 $1,580.38 $968.62 

b. Lower half of the page, first 

column, Table 1D—Proposed Capital 

Standard Federal Payment Rate—FY 

2013, the table is corrected to read as 

follows: 

TABLE 1D—PROPOSED CAPITAL

STANDARD FEDERAL PAYMENT

RATE—FY 2013 

Rate 

National ....................................... $422.47 

Puerto Rico ................................. 206.01 

8. On page 28178— 

a. Second column, middle of the page, 

fourth bullet the figure ‘‘0.9400’’ is 

corrected to read ‘‘0.9357’’ 

b. Third column, second full 

paragraph, line 6, the phrase 

‘‘approximately 0.7’’ is corrected to read 

‘‘0.25’’. 

c. Third column, third full paragraph, 

the paragraph that begins with the 

phrase ‘‘We also are estimating a slight 

decrease in’’ and ends with the phrase 

‘‘Federal rate.’’ is corrected to read ‘‘We 

also are estimating an increase in outlier 

payments in FY 2013 as compared to FY 

2012. This estimated increase in outlier 

payments is based on the FY 2011 

claims from the December 2011 update 

of the MedPAR file, and we currently 

estimate that FY 2012 capital outlier 

payments are more than the projected 

6.18 percent that we used to determine 

the outlier offset that we applied in 

determining the FY 2012 capital Federal 

rate’’. 

d. Last partial paragraph— 

(1) Lines 2 and 3, the phrase ‘‘all 

hospitals are expected to experience a 

decrease’’ is corrected to read ‘‘hospitals 

are expected to experience either no 

change or a decrease’’. 

(2) Line 5, the sentence ‘‘These 

decreases are primarily due to proposed 

changes in the GAFs (primarily 

resulting from policies affecting the 

wage index)), and the estimated 

decrease in capital outlier payments.’’ is 

corrected to read ‘‘The decreases are 

primarily due to proposed changes in 

the GAFs (primarily resulting from 

policies affecting the wage index).’’. 

9. On page 28179, 

a. Top third of the page, 

(1) First column— 

(a) First partial paragraph— 

(i) Line 2, the sentence ‘‘Capital IPPS 

payments per case for large urban 

hospitals are estimated to decrease 0.1 

percent, while other urban hospitals are 

expected to experience a 0.4 percent 

decrease.’’ is corrected to read ‘‘Large 

urban hospitals are not expected to 

experience any change in capital IPPS 

payments per case from FY 2012 to FY 

2013, while other urban hospitals are 

expected to experience a 0.4 percent 

decrease.’’. 

(ii) Line 7, the phrase ‘‘not expected 

to experience any change’’ is corrected 

to read ‘‘are expected to experience a 0.2 

percent decrease’’. 

(b) First full paragraph— 

(i) Line 1, the sentence ‘‘The 

comparisons by region show that most 

urban regions, except for the Pacific 

region and Puerto Rico, will experience, 

on average, decreases in capital IPPS 

payments.’’ is corrected to read ‘‘The 

comparisons by region show that most 

urban regions, except for the Pacific, 

West North Central, and Puerto Rico 

regions, will experience, on average, 

decreases in capital IPPS payments’’. 

(ii) Line 8, the figure ‘‘1.0’’ is 

corrected to read ‘‘1.2’’. 

(iii) Line 10, the sentence ‘‘The two 

exceptions to decreases in capital 

payments per case are the Pacific urban 

region and the Puerto Rico urban region, 

which are expected to experience a 1.1 

percent and 0.5 percent increase, 

respectively.’’ sentence is corrected to 

read ‘‘The three exceptions to estimated 

decreases in capital payments per case 

are Pacific urban region, West North 

Central urban region, and the Puerto 

Rico urban region, which are expected 

to experience a 1.3 percent, 0.5 percent, 

and 0.4 percent increase, respectively.’’. 

(2) Second column— 

(a) First full paragraph— 

(i) Line 3, the figure, ‘‘1.6’’ is 

corrected read ‘‘1.7’’. 

(ii) Line 4, the figure, ‘‘0.7’’ is 

corrected read ‘‘0.4’’. 

(iii) Line 6, the sentence ‘‘The East 

South Central and Mountain rural 

regions are not expected to experience 

any change in their capital payments 

per discharge from FY 2012 to FY 

2013.’’ is corrected by removing the 

sentence. 

(iv) Line 11, the figure ‘‘3.3’’ is 

corrected to read ‘‘2.9’’. 

(b) Second full paragraph, the 

paragraph ‘‘Hospitals of all type of 

ownership (that is, voluntary hospitals, 

government hospitals, and proprietary 

hospitals) are estimated to experience a 

0.2 percent decrease in capital payments 

per case from FY 2012 to FY 2013.’’ is 

corrected to read ‘‘By type of ownership 

(that is, voluntary hospitals, government 

hospitals, and proprietary hospitals), all 

hospitals are estimated to experience a 

decrease in capital payments per case 

from FY 2012 to FY 2013. Voluntary 

hospitals and proprietary hospitals are 

expected to experience a 0.2 percent 

decrease in capital payments per case 

from FY 2012 to FY 2013, while 

government-run hospitals are expected 

to experience a 0.1 percent decrease in 

capital payments per case from FY 2012 

to FY 2013.’’. 

(3) Third column, first paragraph, 

lines 14 through 26, the sentences 

beginning with the phrase ‘‘Urban nonreclassified hospitals are’’ and ending 

with the phrase ‘‘from FY 2012 to FY 

2013.’’ are corrected to read ‘‘Both urban 

non-reclassified hospitals and rural 

reclassified hospitals are estimated to 

experience a decrease of 0.2 percent in 

capital payments per discharge from FY 

2012 to FY 2013. Rural non-reclassified 

hospitals are estimated to have a 0.3 

percent decrease in capital payments 

per case. Other reclassified hospitals 

(that is, hospitals reclassified under 

section 1886(d)(8)(B) of the Act) are 

expected to experience a decrease of 0.4 

percent in capital payments from FY 

2012 to FY 2013.’’. 

b. Lower two-thirds of the page, Table 

III—Comparison of Total Payments per 

Case, the table is corrected to read as 

follows: 

mstockstill on DSK4VPTVN1PROD with PROPOSALS

34330 Federal Register / Vol. 77, No. 112 / Monday, June 11, 2012 / Proposed Rules 

TABLE III—COMPARISON OF TOTAL PAYMENTS PER CASE

[FY 2012 payments compared to FY 2013 payments] 

Number of 

hospitals 

Average 

FY 2012 

payments/ 

case 

Average 

FY 2013 

payments/ 

case 

Change 

By Geographic Location: 

All hospitals .............................................................................................................. 3,405 799 797 ¥0.2 

Large urban areas (populations over 1 million) ....................................................... 1,365 880 880 0.0 

Other urban areas (populations of 1 million or fewer) ............................................. 1,120 784 780 ¥0.4 

Rural areas ............................................................................................................... 920 552 551 ¥0.2 

Urban hospitals ......................................................................................................... 2,485 837 835 ¥0.2 

0–99 beds .......................................................................................................... 627 670 667 ¥0.5 

100–199 beds .................................................................................................... 773 722 720 ¥0.3 

200–299 beds .................................................................................................... 448 769 769 0.0

300–499 beds .................................................................................................... 432 848 848 0.0

500 or more beds .............................................................................................. 205 1,016 1,013 ¥0.3 

Rural hospitals .......................................................................................................... 920 552 551 ¥0.2 

0–49 beds .......................................................................................................... 317 438 437 ¥0.2 

50–99 beds ........................................................................................................ 346 505 504 ¥0.2 

100–149 beds .................................................................................................... 152 545 543 ¥0.4 

150–199 beds .................................................................................................... 58 619 617 ¥0.4 

200 or more beds .............................................................................................. 47 672 672 0.0 

By Region: 

Urban by Region ...................................................................................................... 2,485 837 835 ¥0.2 

New England ..................................................................................................... 120 907 896 ¥1.2 

Middle Atlantic ................................................................................................... 318 886 883 ¥0.4 

South Atlantic .................................................................................................... 377 781 777 ¥0.5 

East North Central ............................................................................................. 396 804 804 ¥0.1 

East South Central ............................................................................................ 151 730 725 ¥0.7 

West North Central ............................................................................................ 165 836 840 0.5 

West South Central ........................................................................................... 370 796 792 ¥0.5 

Mountain ............................................................................................................ 157 868 865 ¥0.4 

Pacific ................................................................................................................ 380 1,016 1,029 1.3 

Puerto Rico ........................................................................................................ 51 384 386 0.4 

Rural by Region ........................................................................................................ 920 552 551 ¥0.2 

New England ..................................................................................................... 23 744 744 ¥0.1 

Middle Atlantic ................................................................................................... 69 569 571 0.4 

South Atlantic .................................................................................................... 164 541 539 ¥0.4 

East North Central ............................................................................................. 120 576 575 ¥0.1 

East South Central ............................................................................................ 170 507 506 ¥0.2 

West North Central ............................................................................................ 98 585 581 ¥0.6 

West South Central ........................................................................................... 181 491 490 ¥0.1 

Mountain ............................................................................................................ 65 580 579 ¥0.1 

Pacific ................................................................................................................ 29 723 711 ¥1.7 

Puerto Rico ........................................................................................................ 1 150 154 2.9 

By Payment Classification: 

All hospitals .............................................................................................................. 3,405 799 797 ¥0.2 

Large urban areas (populations over 1 million) ....................................................... 1,375 879 879 0.0 

Other urban areas (populations of 1 million or fewer) ............................................. 1,125 783 780 ¥0.3 

Rural areas ............................................................................................................... 905 563 560 ¥0.4 

Teaching Status: 

Non-teaching ..................................................................................................... 2,376 680 678 ¥0.2 

Fewer than 100 Residents ................................................................................ 789 790 789 ¥0.1 

100 or more Residents ...................................................................................... 240 1,137 1,135 ¥0.2 

Urban DSH: 

100 or more beds ....................................................................................... 1,523 863 862 ¥0.1 

Less than 100 beds ................................................................................... 327 583 584 0.0 

Rural DSH: 

Sole Community (SCH/EACH) ................................................................... 269 519 516 ¥0.6 

Referral Center (RRC/EACH) .................................................................... 210 624 622 ¥0.4 

Other Rural: ................................................................................................ 32 506 503 ¥0.7 

100 or more beds ............................................................................... .................... .................... .................... ....................

Less than 100 beds ............................................................................ 286 446 446 ¥0.1 

Urban teaching and DSH: 

Both teaching and DSH .................................................................................... 815 933 933 ¥0.1 

Teaching and no DSH ....................................................................................... 147 812 808 ¥0.4 

No teaching and DSH ....................................................................................... 1,035 720 720 0.0 

No teaching and no DSH .................................................................................. 503 741 736 ¥0.7 

Rural Hospital Types: 

Non special status hospitals ............................................................................. 2,391 841 839 ¥0.2 

RRC/EACH ........................................................................................................ 61 733 735 0.3 

SCH/EACH ........................................................................................................ 34 722 723 0.1 

SCH, RRC and EACH ....................................................................................... 16 769 764 ¥0.7 

mstockstill on DSK4VPTVN1PROD with PROPOSALS

Federal Register / Vol. 77, No. 112 / Monday, June 11, 2012 / Proposed Rules 34331 

TABLE III—COMPARISON OF TOTAL PAYMENTS PER CASE—Continued 

[FY 2012 payments compared to FY 2013 payments] 

Number of 

hospitals 

Average 

FY 2012 

payments/ 

case 

Average 

FY 2013 

payments/ 

case 

Change 

Hospitals Reclassified by the Medicare Geographic Classification Review Board: 

FY2013 Reclassifications: 

All Urban Reclassified ....................................................................................... 420 833 834 0.1 

All Urban Non-Reclassified ............................................................................... 2,025 840 838 ¥0.2 

All Rural Reclassified ........................................................................................ 335 596 595 ¥0.2 

All Rural Non-Reclassified ................................................................................ 524 482 480 ¥0.3 

Other Reclassified Hospitals (Section 1886(d)(8)(B)) ....................................... 55 550 548 ¥0.4 

Type of Ownership: 

Voluntary ........................................................................................................... 1,970 813 812 ¥0.2 

Proprietary ......................................................................................................... 866 718 717 ¥0.2 

Government ....................................................................................................... 560 817 816 ¥0.1 

Medicare Utilization as a Percent of Inpatient Days: 

0–25 ................................................................................................................... 377 1,044 1,047 0.4 

25–50 ................................................................................................................. 1,834 839 838 ¥0.2 

50–65 ................................................................................................................. 968 666 664 ¥0.3 

Over 65 .............................................................................................................. 168 611 610 ¥0.2 

10. On page 28189, second column, 

last paragraph, lines 6 and 7, the phrase 

‘‘1,741 existing IPFs, of which 450’’ is 

corrected to read ‘‘approximately 1,700 

existing IPFs, of which approximately 

450’’. 

(Catalog of Federal Domestic Assistance 

Program No. 93.773, Medicare—Hospital 

Insurance; and Program No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: June 5, 2012. 

Jennifer M. Cannistra, 

Executive Secretary to the Department, 

Department of Health and Human Services. 

[FR Doc. 2012–14159 Filed 6–8–12; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF COMMERCE 

National Oceanic and Atmospheric 

Administration 

50 CFR Part 665 

[Docket No. 120330236–2002–01] 

RIN 0648–BB48 

Western Pacific Pelagic Fisheries; 

Revised Swordfish Trip Limits in the 

Hawaii Deep-Set Longline Fishery 

AGENCY: National Marine Fisheries 

Service (NMFS), National Oceanic and 

Atmospheric Administration (NOAA), 

Commerce. 

ACTION: Proposed rule; request for 

comments. 

SUMMARY: This proposed rule would 

revise the limits on the number of 

swordfish that fishermen may possess or 

land during any given Hawaii-based 

deep-set longline-fishing trip north of 

the Equator. This proposed rule would 

also revise the definition of deep-set 

longline fishing to be consistent with 

the proposed swordfish retention limits. 

All other measures applicable to the 

deep-set fishery would remain 

unchanged. The proposed rule intends 

to reduce regulatory discards and 

optimize the yield of swordfish. 

DATES: NMFS must receive comments 

on the proposed rule by July 2, 2012. 

ADDRESSES: You may send comments on 

the proposed rule, identified by NOAA– 

NMFS–2012–0097, to either of the 

following addresses: 

• Electronic Submission: Submit all 

electronic public comments via the 

Federal e-Rulemaking Portal 

www.regulations.gov; or 

• Mail: Michael D. Tosatto, Regional 

Administrator, NMFS, Pacific Islands 

Region (PIR), 1601 Kapiolani Blvd., 

Suite 1110, Honolulu, HI 96814–4700. 

Instructions: You must send any 

comments to one of the above two 

addresses to ensure that NMFS receives, 

documents, and considers the 

comments. Comments sent to any other 

address or individual, or received after 

the end of the comment period, may not 

be considered. All comments received 

are a part of the public record and 

NMFS will generally post them to 

www.regulations.gov without change. 

All personal identifying information 

(e.g., name, address, etc.) submitted 

voluntarily by the commenter may be 

publicly accessible. Do not submit 

confidential business information, or 

otherwise sensitive or protected 

information. NMFS will accept 

anonymous comments (enter ‘‘N/A’’ in 

the required name and organization 

fields if you wish to remain 

anonymous). Attachments to electronic 

comments will be accepted in Microsoft 

Word or Excel, WordPerfect, or Adobe 

PDF file formats only. 

The Western Pacific Fishery 

Management Council (Council) 

prepared a regulatory amendment, 

including an environmental assessment 

and regulatory impact review, that 

provides background information on 

this proposed rule. The regulatory 

amendment is available from 

www.regulations.gov or the Council, 

1164 Bishop St., Suite 1400, Honolulu, 

HI 96813, tel 808–522–8220, fax 808– 

522–8226, www.wpcouncil.org. 

FOR FURTHER INFORMATION CONTACT: 

Brett Wiedoff, Sustainable Fisheries, 

NMFS PIR, 808–944–2272. 

SUPPLEMENTARY INFORMATION: The 

Council and NMFS manage Hawaiibased longline fisheries under the 

Fishery Ecosystem Plan for Pelagic 

Fisheries of the Western Pacific Region 

(FEP). Entry into the longline fisheries 

is limited, with a maximum of 164 

vessels allowed. Longline vessels may 

conduct either deep-set fishing 

(targeting tunas) or shallow-set fishing 

(targeting swordfish). Prior to leaving 

port for a fishing trip, a vessel must 

declare its intended trip type, deep-set 

or shallow-set, so that NMFS may assign 

an observer. Observers collect 

information about the fishery and 

interactions with protected species, 

such as sea turtles. In the shallow-set 

fishery, NMFS places an observer on the 

vessel for each trip to ensure 100 

percent coverage. In the deep-set 

fishery, NMFS places observers on at 

least 20 percent of deep-set trips. Once 

a vessel declares that it will be in the 

mstockstill on DSK4VPTVN1PROD with PROPOSALS