### 10608 Federal Register / Vol. 78, No. 31 / Thursday, February 14, 2013 / Notices

**CONSUMER PRODUCT SAFETY COMMISSION** 

**Sunshine Act Meetings, Cancellation**

**AGENCY :**  U.S. Consumer Product Safety Commission

**FEDERAL REGISTER CITATION OF PREVIOUS**
**ANNOUNCEMENT :**  Vol. 78, No. 27, Friday, February 8, 2013, page 9387.

**ANNOUNCED TIME AND DATE OF MEETING :**  Wednesday, February 13, 2013, 10 a.m.–
11 a.m.

**MEETING CANCELED**

**.** For a recorded message containing the latest agenda information, call (301) 504–7948.

**CONTACT PERSON FOR ADDITIONAL**
**INFORMATION :**  Todd A. Stevenson, Office of the Secretary, 4330 East West Highway, Bethesda, MD 20814 (301)
504–7923.

Dated: February 12, 2013. Todd A. Stevenson, Secretary. [FR Doc. 2013–03560 Filed 2–12–13; 4:15 pm]

**BILLING CODE 6355–01–P**

**CONSUMER PRODUCT SAFETY COMMISSION** 

**Sunshine Act Meeting Notice**

**TIME AND DATE :**  Wednesday, February 20, 2013, 10:00 a.m.–11:00 a.m.

**PLACE :**  Room 420, Bethesda Towers, 4330 East West Highway, Bethesda, Maryland.

**STATUS :**  Commission Meeting—Open to the Public.

Matters To Be Considered

Decisional Matter: Sections 1112/1118 Requirements for Third Party Conformity Assessment Bodies—Draft Final.

A live webcast of the Meeting can be viewed at www.cpsc.gov/webcast.

For a recorded message containing the latest agenda information, call (301)
504–7948.

**CONTACT PERSON FOR MORE INFORMATION :**  Todd A. Stevenson, Office of the Secretary, U.S. Consumer Product Safety Commission, 4330 East West Highway, Bethesda, MD 20814, (301)
504–7923.

Dated: February 12, 2013. Todd A. Stevenson, Secretary. [FR Doc. 2013–03561 Filed 2–12–13; 4:15 pm]

**BILLING CODE 6355–01–P DEPARTMENT OF DEFENSE** 

**Office of the Secretary**

**David Grant United States Air Force Medical Center Specialty Care Travel**  **Reimbursement Demonstration Project**

**AGENCY :**  Department of Defense.

**ACTION :**  Notice of demonstration project.

**SUMMARY :**  This notice is to advise interested parties of a Military Health System (MHS) demonstration project under the authority of Title 10, United States Code, Section 1092, entitled David Grant United States Air Force Medical Center Specialty Care Travel Reimbursement Demonstration Project. This demonstration project is intended to test whether providing travel reimbursement will increase utilization of the direct care system by selected beneficiaries. The Military Treatment Facility (MTF) commander would determine based on the MTF’s individual capabilities, which specialty services in the facility currently have excess capacity and then offer those specialty services to qualified beneficiaries, including TRICARE Prime, TRICARE Standard and TRICARE for Life (TFL) beneficiaries, who reside more than one hour drive time away from the David Grant United States Air Force Medical Center (DGMC). These beneficiaries would be enticed to receive this specialty care from the more distant MTF rather than a closer authorized provider through the payment of travel costs from their residence to the MTF. The travel reimbursement offered under this demonstration will include roundtrip mileage reimbursement from the patient’s residence to DGMC. Reimbursement may also include overnight lodging for the patient the evening before an early morning procedure and travel for a non-medical attendant for patients when medically indicated. This demonstration will test if the travel reimbursement incentive can produce a cost of care savings related to the recapturing of selected DoD beneficiaries. This travel benefit will be authorized only when the MTF commander (or designee) determines that the DoD cost of funding the care (including the travel benefit) in the MTF is likely to be less than the DoD cost to provide the care in the purchased care system. This demonstration also seeks to maximize the utilization of DGMC specialists, maintain an adequate clinical case mix of patients for approved Graduate Medical Education program functioning in the MTF, and sustain readiness-related medical skills activities for the military providers. This demonstration would be initially conducted at DGMC and its satellite clinic, the McClellan Clinic (MCC) as well as the clinic located at Beale Air Force Base (Beale). However, it could be expanded to other MTFs with the approval of the Assistant Secretary of Defense (Health Affairs), and a subsequent Federal Register notification.

**DATES :**  This demonstration will be effective 60 days from the date of this notice for a period of thirty six (36) months, unless extended by a separate action.

**ADDRESSES :**  TRICARE Management Activity (TMA), Health Plan Operations, 7700 Arlington Boulevard, Suite 5101, Falls Church, VA 22042–5101.

**FOR FURTHER INFORMATION CONTACT :**  For questions pertaining to this demonstration project, please contact Maj. Kevin Schultz at (707) 423–7887.

**SUPPLEMENTARY INFORMATION :**  a. Background

A basic principle of the TRICARE program and the Military Health System (MHS) business design is that MTFs have first priority for providing referred specialty care or inpatient care for all TRICARE Prime enrollees. If the MTF does not have the capability to provide the needed care or cannot provide the care within the required access standard, then the care will be referred to the TRICARE provider network. TRICARE Prime access standards require referrals for specialty care services to be provided with an appropriately trained provider within 4 weeks or sooner, if required, and within 1-hour travel time from the beneficiary’s residence. The geographic area that represents 1-hour travel time surrounding an MTF is referred to as the Right of First Refusal (ROFR) area.

For those Prime beneficiaries that live outside the ROFR area, their specialty care is referred to the civilian network. TRICARE Standard and TFL beneficiaries maintain freedom of choice and may receive specialty care from any TRICARE authorized civilian provider or alternatively may elect to receive their care in a MTF to the extent such care is available to them.

DoD’s authority to reimburse travel expenses for TRICARE beneficiaries is currently limited to the TRICARE Prime Travel Benefit, provided pursuant to 10 USC 1074i, which reimburses only Prime beneficiaries for non-emergent medically necessary specialty care that is provided more than 100 miles from the beneficiary’s primary care provider’s office to the nearest specialist’s office.