alea-institute/kl3m-data-sample-004-shuffled huggingface dataset:
#### § 478.16 Right to reconsideration.

A beneficiary, provider or practitioner who is dissatisfied with a QIO initial denial determination on one of the issues specified in § 478.14 has a right to a reconsideration of that determination by the QIO that made the initial denial determination.

[50 FR 15330, Apr. 17, 1985, as amended at 77 FR 68563, Nov. 15, 2012]
§ 438.404 Timely and adequate notice of adverse benefit determination. ( a ) *Notice.* The MCO, PIHP, or PAHP must give enrollees timely and adequate notice of an adverse benefit determination in writing consistent with the requirements below and in § 438.10.
( b ) *Content of notice.* The notice must explain the following: ( 1 ) The adverse benefit determination the MCO, PIHP, or PAHP has made or intends to make.
( 2 ) The reasons for the adverse benefit determination, including the right of the enrollee to be provided upon request and free of charge, reasonable access to and copies of all documents, records, and other information relevant to the enrollee's adverse benefit determination. Such information includes medical necessity criteria, and any processes, strategies, or evidentiary standards used in setting coverage limits.
( 3 ) The enrollee's right to request an appeal of the MCO's, PIHP's, or PAHP's adverse benefit determination, including information on exhausting the MCO's, PIHP's, or PAHP's one level of appeal described at § 438.402(b) and the right to request a State fair hearing consistent with § 438.402(c).
( 4 ) The procedures for exercising the rights specified in this paragraph (b).
( 5 ) The circumstances under which an appeal process can be expedited and how to request it.
( 6 ) The enrollee's right to have benefits continue pending resolution of the appeal, how to request that benefits be continued, and the circumstances, consistent with state policy, under which the enrollee may be required to pay the costs of these services.
( c ) *Timing of notice.* The MCO, PIHP, or PAHP must mail the notice within the following timeframes: ( 1 ) For termination, suspension, or reduction of previously authorized Medicaid-covered services, within the timeframes specified in §§ 431.211, 431.213, and 431.214 of this chapter.
( 2 ) For denial of payment, at the time of any action affecting the claim.
( 3 ) For standard service authorization decisions that deny or limit services, within the timeframe specified in § 438.210(d)(1).
( 4 ) If the MCO, PIHP, or PAHP meets the criteria set forth for extending the timeframe for standard service authorization decisions consistent with § 438.210(d)(1)(ii), it must— ( i ) Give the enrollee written notice of the reason for the decision to extend the timeframe and inform the enrollee of the right to file a grievance if he or she disagrees with that decision; and
( ii ) Issue and carry out its determination as expeditiously as the enrollee's health condition requires and no later than the date the extension expires.
( 5 ) For service authorization decisions not reached within the timeframes specified in § 438.210(d) (which constitutes a denial and is thus an adverse benefit determination), on the date that the timeframes expire.
( 6 ) For expedited service authorization decisions, within the timeframes specified in § 438.210(d)(2).
COURT OF APPEALS OF VIRGINIA 

Present: Judges Alston, Decker and Senior Judge Coleman 

ETON A. THOMAS 

 MEMORANDUM OPINION*

v. Record No. 0041-14-4 PER CURIAM 

 MAY 20, 2014 

LSG SKY CHEFS DEUTSCHE LUFTHANSA AND 

 LIBERTY INSURANCE CORPORATION 

FROM THE VIRGINIA WORKERS’ COMPENSATION COMMISSION 

 (Eton A. Thomas, pro se, on brief). 

 (Gregory V. Chestnut, on brief), for appellee. 

 Eton A. Thomas (claimant) appeals the decision of the Workers’ Compensation 

Commission (commission) dismissing claimant’s request for review of the deputy 

commissioner’s opinion because it lacked jurisdiction since he failed to timely file his request for 

review. On appeal, claimant argues that (1) the attorney for LSG Sky Chefs (employer) 

misrepresented to the deputy commissioner that claimant was born in Guatemala, but he was 

born in British Guiana; (2) employer’s attorney’s arguments to the deputy commissioner were 

based upon claimant’s lifestyle in Guatemala, but he never lived in Guatemala; (3) employer’s 

attorney manipulated the testimony before the deputy commissioner by falsely claiming 

claimant’s life in Guatemala caused a pre-existing eye condition; (4) the deputy commissioner 

erred in finding that claimant’s pterygium was caused by exposure to sunlight in Guatemala and 

not from working in the sun on the roofs of employer’s buildings; (5) the commission erred in 

denying claimant a full and fair hearing; (6) the commission erred in not considering all the 

 *

 Pursuant to Code § 17.1-413, this opinion is not designated for publication. 

UNPUBLISHED 
- 2 - 

circumstances and the direct causal relationship to establish the true origin of claimant’s 

pterygium; (7) the commission erred in failing to issue subpoenas for the inspection logs of 

claimant’s job site; (8) the deputy commissioner erred in relying upon United Airlines v. Walter, 

24 Va. App. 394, 482 S.E.2d 849 (1997); and (9) the commission erred in determining claimant 

failed to timely file a request for review and in dismissing his case. 

 We have reviewed the record and the commission’s opinion and find that this appeal is 

without merit. Accordingly, we affirm for the reasons stated by the commission in its final 

opinion. See Thomas v. LSG Sky Chefs, VWC File No. VA00000477872 (Dec. 9, 2013). We 

dispense with oral argument and summarily affirm because the facts and legal contentions are 

adequately presented in the materials before the Court and argument would not aid the decisional 

process. See Code § 17.1-403; Rule 5A:27. 

Affirmed.
HomeOffice of the SpokespersonPress Releases...Iran’s Lifting of Travel Ban on Baquer Namazi and Granting of Humanitarian Furlough to Siamak Namazi

# 									Iran’s Lifting of Travel Ban on Baquer Namazi and Granting of Humanitarian Furlough to Siamak Namazi							

Press Statement

Ned Price, Department Spokesperson

October 1, 2022

We were deeply gratified to learn from the UN Secretary-General today that Iran has lifted the travel ban imposed on Baquer Namazi.  Namazi is an 85-year-old American citizen who was unjustly detained in Iran and who, since his release from custody, has not been permitted to leave Iran, including for urgent medical treatment.  We are also grateful that Siamak Namazi, his son who was also unjustly detained, has been granted a humanitarian furlough in order to be with his father.

We express our appreciation to the U.S. allies and partners who have worked tirelessly to help the Namazis, including the UN Secretary-General, Switzerland, Qatar, the United Arab Emirates, Oman, and the United Kingdom.

Our efforts are far from over.  We remain committed and determined to securing the freedom of all Americans unjustly detained in Iran and elsewhere.  They should be reunited with their loved ones as soon as possible.

Tags

Bureau of Near Eastern AffairsIranOffice of the SpokespersonOffice of the Special Presidential Envoy for Hostage AffairsTravel

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Home2019 Treaties and Agreements...Greece (19-1105) – Amendment to the July 17, 2011 Agreement Concerning the Imposition of Import Restrictions

# 									Greece (19-1105) – Amendment to the July 17, 2011 Agreement Concerning the Imposition of Import Restrictions							

TIAS

Office of Treaty Affairs

November 5, 2019

Cultural Exchanges, Property and Cooperation

Exchange of Notes at Athens November 18, 2016; entered into force November 5, 2019. With effect from November 21, 2016.

Amendment of agreement done July 17, 2011: TIAS 11-1121
Download Agreement						 [204 KB]

Tags

Cultural ObjectsCultural PropertiesGreeceTreaties

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HomeOffice of the SpokespersonPress Releases...Kenya’s National Day

# 									Kenya’s National Day							

Press Statement

Antony J. Blinken, Secretary of State

December 12, 2023

On behalf of the Government of the United States and the American people, I send best wishes to the people of Kenya as you celebrate your Independence Day.

Our steadfast relationship is grounded in our shared democratic values, collaboration in addressing the existential threat of climate change, and joint efforts to promote peace, prosperity, and security in the region and beyond.  We look to forward to continuing to deepen our close economic partnership for the benefit of Kenyans and Americans alike.  The people of Kenya can continue to count on the United States as a dedicated friend as we address our shared challenges.

I congratulate Kenya on 60 years of independence and wish Kenyans a joyous Jamhuri Day.

Tags

Bureau of African AffairsKenyaOffice of the Spokesperson

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HomeOffice of the SpokespersonPress Releases...Imposing Sanctions on CAR Militia Leader

# 									Imposing Sanctions on CAR Militia Leader							

Press Statement

Antony J. Blinken, Secretary of State

December 17, 2021

The United States is designating Ali Darassa, the leader of the Central African Republic (CAR)-based militia group Union for Peace in the Central African Republic (UPC), pursuant to Executive Order 13667, in connection with serious human rights abuses.

The UPC uses killings, kidnapping, and other violence to achieve its goals.  For example, on November 15, 2018, UPC members attacked an internally displaced persons camp in Alindao, resulting in the deaths of a number of individuals.  In another incident, on March 15, 2020, four people were reportedly detained and tortured in Mboki under the orders of the UPC.

Darassa’s decision to abandon the country’s 2019 Peace Agreement further threatens the peace and stability of the country and has resulted in additional human rights abuses as well as exacerbated Central Africans’ suffering.  We urge UPC and all parties to the conflict to heed President Touadera’s October 15 ceasefire declaration, immediately halt combat operations, and begin the dialogue for peaceful political solutions.

For more information on today’s action, please see the Department of the Treasury’s press release.

Tags

Bureau of African AffairsBureau of Democracy, Human Rights, and LaborCentral African RepublicHuman RightsOffice of the SpokespersonThe Secretary of State

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#### § 121.13 Definition of human organ under section 301 of the National Organ Transplant Act of 1984, as amended.

Human organ, as covered by section 301 of the National Organ Transplant Act of 1984, as amended, means the human (including fetal) kidney, liver, heart, lung, pancreas, bone marrow, cornea, eye, bone, skin, intestine (including the esophagus, stomach, small and/or large intestine, or any portion of the gastrointestinal tract) or any vascularized composite allograft defined in § 121.2. It also means any subpart thereof, including that derived from a fetus.

[78 FR 40042, July 3, 2013]
§ 456.380 Individual written plan of care. ( a ) Before admission to an ICF or before authorization for payment, a physician must establish a written plan of care for each applicant or beneficiary.
( b ) The plan of care must include— ( 1 ) Diagnoses, symptoms, complaints, and complications indicating the need for admission;
( 2 ) A description of the functional level of the individual;
( 3 ) Objectives;
( 4 ) Any orders for— ( i ) Medications;
( ii ) Treatments;
( iii ) Restorative and rehabilitative services;
( iv ) Activities;
( v ) Therapies;
( vi ) Social services;
( vii ) Diet; and
( viii ) Special procedures designed to meet the objectives of the plan of care;
( 5 ) Plans for continuing care, including review and modification of the plan of care; and
( 6 ) Plans for discharge.
( c ) The team must review each plan of care at least every 90 days.
```

[Congressional Bills 104th Congress]
[From the U.S. Government Publishing Office]
[H.R. 347 Introduced in House (IH)]

                                    

104th CONGRESS
  1st Session
                                H. R. 347

To repeal the requirement that ships' stores of the Navy be operated as 
                nonappropriated fund instrumentalities.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                            January 4, 1995

 Mr. Pickett introduced the following bill; which was referred to the 
                     Committee on National Security

_______________________________________________________________________

                                 A BILL

 
To repeal the requirement that ships' stores of the Navy be operated as 
                nonappropriated fund instrumentalities.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Ships' Stores Funding Act of 1995''.

SEC. 2. REPEAL OF NAFI REQUIREMENT FOR SHIPS' STORES.

    (a) Repeal.--Subsections (a) and (b) of section 371 of the National 
Defense Authorization Act for Fiscal Year 1994 (Public Law 103-160; 107 
Stat. 1634) are repealed.
    (b) Conforming Amendment.--Subsection (d) of such section is 
amended by striking out ``the date on which the Secretary of the Navy 
completes the conversion referred to in subsection (a)'' and inserting 
in lieu thereof ``the date of the enactment of the Ships' Stores 
Funding Act of 1995''.
                                 <all>
```
§ 438.402 General requirements. ( a ) *The grievance and appeal system.* Each MCO, PIHP, and PAHP must have a grievance and appeal system in place for enrollees. Non-emergency medical transportation PAHPs, as defined in § 438.9, are not subject to this subpart F. For grievances and appeals at the plan level, an applicable integrated plan as defined in § 422.561 of this chapter is not subject to this subpart F, and is instead subject to the requirements of §§ 422.629 through 422.634 of this chapter. For appeals of integrated reconsiderations, applicable integrated plans are subject to § 438.408(f).
( b ) *Level of appeals.* Each MCO, PIHP, and PAHP may have only one level of appeal for enrollees.
( c ) *Filing requirements* — ( 1 ) *Authority to file.* ( i ) An enrollee may file a grievance and request an appeal with the MCO, PIHP, or PAHP. An enrollee may request a State fair hearing after receiving notice under § 438.408 that the adverse benefit determination is upheld. ( A ) *Deemed exhaustion of appeals processes.* In the case of an MCO, PIHP, or PAHP that fails to adhere to the notice and timing requirements in § 438.408, the enrollee is deemed to have exhausted the MCO's, PIHP's, or PAHP's appeals process. The enrollee may initiate a State fair hearing.
( B ) *External medical review.* The State may offer and arrange for an external medical review if the following conditions are met. ( 1 ) The review must be at the enrollee's option and must not be required before or used as a deterrent to proceeding to the State fair hearing.
( 2 ) The review must be independent of both the State and MCO, PIHP, or PAHP.
( 3 ) The review must be offered without any cost to the enrollee.
( 4 ) The review must not extend any of the timeframes specified in § 438.408 and must not disrupt the continuation of benefits in § 438.420.
( ii ) If State law permits and with the written consent of the enrollee, a provider or an authorized representative may request an appeal or file a grievance, or request a State fair hearing, on behalf of an enrollee. When the term “enrollee” is used throughout subpart F of this part, it includes providers and authorized representatives consistent with this paragraph, with the exception that providers cannot request continuation of benefits as specified in § 438.420(b)(5).
( 2 ) *Timing* — ( i ) *Grievance.* An enrollee may file a grievance with the MCO, PIHP, or PAHP at any time.
( ii ) *Appeal.* Following receipt of a notification of an adverse benefit determination by an MCO, PIHP, or PAHP, an enrollee has 60 calendar days from the date on the adverse benefit determination notice in which to file a request for an appeal to the managed care plan.
( 3 ) *Procedures* — ( i ) *Grievance.* The enrollee may file a grievance either orally or in writing and, as determined by the State, either with the State or with the MCO, PIHP, or PAHP.
( ii ) *Appeal.* The enrollee may request an appeal either orally or in writing.
[81 FR 27853, May 6, 2016, as amended at 84 FR 15844, Apr. 16, 2019; 85 FR 72842, Nov. 13, 2020]
<PAGE>

                                                                   EXHIBIT 23(b)


INDEPENDENT AUDITORS' CONSENT


We consent to the incorporation by reference in Registration Statements No. 33-
69554 and 333-42985 on Form S-3, and Registration Statement No. 33-83976 on Form
S-3, as amended by Post Effective Amendment No. 1 to Form S-3, of TXU Electric
Company, formerly known as Texas Utilities Electric Company, of our report dated
February 16, 2000, appearing in this Annual Report on Form 10-K of TXU Electric
Company for the year ended December 31, 1999.


DELOITTE & TOUCHE LLP

Dallas, Texas
March 17, 2000
<PAGE>

                                                                   Exhibit 23(a)

                  CONSENT OF COUNSEL TO TXU ELECTRIC COMPANY

     We hereby consent to the incorporation by reference of the statements made
as to matters of law and legal conclusions contained in this Annual Report on
Form 10-K of TXU Electric Company for the fiscal year ended December 31, 1999,
under Part I, Item 1--Business--Regulation and Rates and Environmental Matters,
in TXU Electric Company's Registration Statements on Form S-3 (Nos. 333-42985
and 33-69554).

                                        WORSHAM, FORSYTHE
                                          & WOOLDRIDGE, L.L.P.


                                        By: /s/ T.A. Mack
                                            -----------------------------
                                                                A Partner

March 17, 2000
Dallas, Texas
§ 423.1000 Basis and scope. ( a ) *Statutory basis.* ( 1 ) Section 1128A(c)(2) of the Act provides that the Secretary may not collect a civil money penalty until the affected party has had notice and opportunity for a hearing.
( 2 ) Section 1857 (g) of the Act provides that, for Part D sponsors found to be out of compliance with the requirements in part 423, specified remedies may be imposed instead of, or in addition to, termination of the Part D sponsor's contract. Section 1857(g)(4) of the Act makes certain provisions of section 1128A of the Act applicable to civil money penalties imposed on Part D sponsors.
( 3 ) Section 1860D-14A(e)(2) of the Act specifies that the Secretary must impose a civil money penalty on a manufacturer that fails to provide applicable beneficiaries discounts for applicable drugs of the manufacturer in accordance with its Discount Program Agreement. Section 1860D-14A(e)(2)(B) of the Act makes certain provisions of section 1128A of the Act applicable to such civil money penalties imposed on manufacturers.
( b ) [Reserved]
[72 FR 68736, Dec. 5, 2007, as amended 77 FR 22171, Apr. 12, 2012]
```

[Congressional Bills 104th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3528 Introduced in House (IH)]

104th CONGRESS
  2d Session
                                H. R. 3528

 To require any department, agency, or instrumentality that contracts 
  with the Federal Government to offer a health plan and pension plan.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                              May 23, 1996

 Ms. Lofgren introduced the following bill; which was referred to the 
              Committee on Government Reform and Oversight

_______________________________________________________________________

                                 A BILL

 
 To require any department, agency, or instrumentality that contracts 
  with the Federal Government to offer a health plan and pension plan.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Employee Protection Act of 1996''.

SEC. 2. REQUIREMENT FOR RECIPIENTS OF FEDERAL CONTRACTS TO PROVIDE 
              HEALTH AND PENSION PLANS.

    No department, agency, or instrumentality may directly or 
indirectly receive a contract from the Federal Government unless such 
department, agency, or instrumentality offers a group health plan and 
an employee pension benefit plan.

SEC. 3. DEFINITIONS.

    For purposes of this Act:
            (1) Group health plan.--The term ``group health plan'' has 
        the meaning given such term in section 607(1) of the Employee 
        Retirement Income Security Act of 1974 (29 U.S.C. 1167(1)).
            (2) Employee pension benefit plan.--The term ``employee 
        pension benefit plan'' has the meaning given such term in 
        section 3(2) of the Employee Retirement Income Security Act of 
        1974 (29 U.S.C. 1002(2)).
                                 <all>
```
```

[Congressional Bills 104th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3440 Introduced in House (IH)]

104th CONGRESS
  2d Session
                                H. R. 3440

            To suspend temporarily the duty on ethofumesate.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                              May 10, 1996

 Mr. Hoekstra introduced the following bill; which was referred to the 
                      Committee on Ways and Means

_______________________________________________________________________

                                 A BILL

 
            To suspend temporarily the duty on ethofumesate.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. TEMPORARY SUSPENSION OF DUTY.

    (a) In General.--Subchapter II of chapter 99 of the Harmonized 
Tariff Schedule of the United States is amended by inserting in 
numerical sequence the following new heading:

      

``   9902.31.12     2-ethoxy-2,3-                                                                               
                     dihydro-3,3-                                                                               
                     dimethyl-5-                                                                                
                     benzofuranyl                                                                               
                     methanesulfonat                                                                            
                     e                                                                                          
                     (ethofumesate)                                                                             
                     (CAS No. 26255-                                                                            
                     79-6) (provided                                                                            
                     for in                                                                                     
                     subheadings                                                                                
                     2932.90.08 and                                                                             
                     3808.30.15)....  Free              No change         No change         On or before 12/    
                                                                                             31/98              
                                                                                                              ''

    (b) Effective Date.--The amendment made by this section applies 
with respect to goods entered, or withdrawn from warehouse for 
consumption, on or after the 15th day after the date of the enactment 
of this Act.
                                 <all>
```