50784 Federal Register / Vol. 74, No. 189 / Thursday, October 1, 2009 / Notices 

6 p.m. 

Commission Chairman Closing 

Remarks; 

DFO adjourns the meeting. 

Public’s Accessibility to the Meeting: 

Pursuant to 5 U.S.C. 552b and 41 CFR 

102–3.140 through 102–3.165, and the 

availability of space, the October 21 and 

22 meetings will be open to the public. 

Please note that the availability of 

seating is on a first-come basis. 

Written Statements: 

Pursuant to 41 CFR 102–3.105(j) and 

102–3.140, and section 10(a)(3) of the 

Federal Advisory Committee Act of 

1972, the public or interested 

organizations may submit written 

statements to the Commission about its 

mission and functions. Written 

statements may be submitted at any 

time or in response to the stated agenda 

of a planned meeting of the MLDC. 

All written statements shall be 

submitted to the Designated Federal 

Officer for the Commission, and this 

individual will ensure that the written 

statements are provided to the 

membership for their consideration. 

Contact information for the Designated 

Federal Officer can be obtained from the 

FOR FURTHER INFORMATION CONTACT

section of this notice or from GSA’s 

FACA Database—https://www.fido.gov/ 

facadatabase/public.asp. 

Statements being submitted in 

response to the agenda mentioned in 

this notice must be received by the 

Designated Federal Officer at least five 

calendar days prior to the meeting 

which is the subject of this notice. 

Written statements received after this 

date may not be provided to or 

considered by the Commission until its 

next meeting. 

The Designated Federal Officer will 

review all timely submissions with the 

MLDC Chairperson and ensure they are 

provided to all members of the 

Commission before the meeting that is 

the subject of this notice. 

Dated: September 25, 2009. 

Patricia L. Toppings, 

OSD Federal Register Liaison Officer, 

Department of Defense. 

[FR Doc. E9–23742 Filed 9–30–09; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

Military Health Risk Management 

Demonstration Project 

AGENCY: Office of the Assistant 

Secretary of Defense for Health Affairs/ 

TRICARE Management Activity, 

Department of Defense. 

ACTION: Notice of a Military Health Risk 

Management demonstration project. 

SUMMARY: This notice is to advise 

interested parties of a Military Health 

System (MHS) demonstration project 

entitled ‘‘Military Health Risk 

Management Demonstration Project’’. 

This demonstration project, which will 

be available for participation by select 

non-Medicare eligible, retired TRICAREeligible beneficiaries, and their family 

members, is designed to evaluate the 

efficacy of providing incentives to 

encourage healthy behaviors on the part 

of these MHS beneficiaries. 

DATES: Effective Date: This 

demonstration will be effective from 

October 1, 2009, until February 28, 

2012. 

FOR FURTHER INFORMATION CONTACT: Dr. 

Barry Cohen, Director of Healthcare 

Operations—TRICARE Management 

Activity, 5111 Leesburg Pike, Suite 810, 

Falls Church, VA 22041–3206; 

telephone (703) 681–7515. 

SUPPLEMENTARY INFORMATION: 

A. Background 

Health Risk Management involves 

utilizing a self-reported health risk 

assessment to identify areas where 

TRICARE beneficiaries may be at risk to 

develop certain chronic illnesses. The 

questionnaire covers a wide range of 

lifestyle behaviors and health issues. In 

addition, physiological and biometric 

measures such as blood pressure, 

glucose level, lipids, nicotine use, and 

weight are also considered to aid in 

determining the overall level of risk for 

chronic disease. This demonstration 

project will assess the effects of 

providing incentives along with 

wellness programs and healthy 

behaviors and lifestyle practices among 

non-Medicare-eligible retired 

beneficiaries and their family members 

who are enrolled in TRICARE Prime. 

B. National Defense Authorization Act 

(NDAA) for Fiscal Year 2009 (FY09) 

Military Health Risk Management 

Directive 

Section 712 of the NDAA for FY09 

requires the Department to develop a 

wellness assessment to be offered to 

beneficiaries enrolled in the 

demonstration project. The wellness 

assessment will incorporate nationally 

recognized standards for health and 

healthy behaviors, will be offered to 

determine a baseline assessment, and 

will be repeated at appropriate intervals. 

The wellness assessment will include a 

self-reported health risk assessment, 

physiological, and biometric measures; 

including at least blood pressure, 

glucose level, lipids, nicotine use and 

weight. Non-Medicare-eligible retired 

beneficiaries of the MHS and their 

dependents who are enrolled in 

TRICARE Prime and who reside in the 

demonstration project service areas will 

be offered the opportunity to enroll in 

the demonstration project. The 

demonstration project will be conducted 

in at least three geographic areas within 

the United States where TRICARE Prime 

is offered. The area covered by the 

project will be referred to as the 

demonstration project service area. 

Programs will be developed to assist 

enrollees to improve healthy behaviors, 

as identified by the wellness 

assessment. For the purpose of 

conducting the demonstration project, 

monetary and/or nonmonetary 

incentives will be offered to enrollees to 

encourage participation in the 

demonstration project. 

C. Description of Demonstration Project 

The Military Health Risk Management 

demonstration project will be conducted 

to evaluate whether monetary incentives 

in conjunction with wellness programs 

will encourage healthy behaviors among 

non-Medicare-eligible retired 

beneficiaries and their family members 

who are enrolled in TRICARE Prime and 

reside in the demonstration project 

service areas. The duration of the 

project will be approximately 3 years. 

There will be a monetary incentive 

award to enrollees for full participation 

in this project of an amount equivalent 

to 50 percent of the annual TRICARE 

Prime enrollment fee ($230/family or 

$115/individual). 

For the purpose of this study, at least 

one demonstration project service area 

will encompass a military treatment 

facility (MTF), and the others will 

encompass areas supported exclusively 

by purchased care. The National Naval 

Medical Center, Medical Homes 

Program, Bethesda, MD, has been 

selected as the MTF demonstration 

project service area; the Designated 

Provider Programs at Martin’s Point, 

Portland, ME, and CHRISTUS Health, 

Houston, TX, have been selected as the 

purchased care demonstration project 

service areas. 

D. Implementation 

Each site will be responsible for 

identifying a cohort of retired 

beneficiaries and their family members 

who are enrolled in TRICARE Prime and 

are non-Medicare-eligible to participate 

in the demonstration. Following the 

enrollment period, the site will 

maintain the demographic, clinical, and 

other data required to evaluate the 

effectiveness of the demonstration. The 


PWALKER on DSK8KYBLC1PROD with NOTICES
Federal Register / Vol. 74, No. 189 / Thursday, October 1, 2009 / Notices 50785 

service area sites will use a self-reported 

Health Risk Assessment (HRA) designed 

to screen and identify the participants’ 

health risk factors and provide targeted 

interventions that help prevent, manage, 

and improve chronic conditions. They 

will perform all of the study 

participants’ physiological and 

biometric measures, including at least 

blood pressure, glucose levels, lipids, 

nicotine use, and weight. The service 

area sites will schedule follow-up visits, 

encourage participants to take advantage 

of available online educational Web 

sites, and enroll in established wellness 

programs. They will also direct 

participants to retake the HRA/ 

biometrics annually to reassess health 

behaviors and outcomes. A toll-free 

phone line will be available to answer 

questions regarding enrollment and 

monetary incentives from 

demonstration participants. 

Dated: September 25, 2009. 

Patricia L. Toppings, 

OSD Federal Register Liaison Officer, 

Department of Defense. 

[FR Doc. E9–23741 Filed 9–30–09; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

Renewal of Department of Defense 

Federal Advisory Committees 

AGENCY: Department of Defense (DoD). 

ACTION: Renewal of Federal advisory 

committee. 

SUMMARY: Under the provisions of the 

Federal Advisory Committee Act of 

1972, (5 U.S.C. Appendix, as amended), 

the Government in the Sunshine Act of 

1976 (5 U.S.C. 552b, as amended), and 

41 CFR 102–3.50, the Department of 

Defense gives notice that it is renewing 

the charter for the Defense Task Force 

on Sexual Assault in the Military 

Services (hereafter referred to as the 

Task Force). 

FOR FURTHER INFORMATION CONTACT: Jim 

Freeman, Deputy Committee 

Management Officer for the Department 

of Defense, 703–601–6128. 

SUPPLEMENTARY INFORMATION: The Task 

Force, pursuant to Section 576 of Public 

Law 108–375, is a non-discretionary 

Federal advisory committee established 

to conduct an examination of matters 

relating to sexual assault by members or 

against members of the Armed Forces of 

the United States. 

Pursuant to Section 576(e) of public 

Law 108–375, the Task Force, no later 

than one year after the initiation of its 

examination, shall submit to the 

Secretary of Defense and the Secretaries 

of the Army, Navy and Air Force on the 

activities of the Department of Defense 

and the Armed Forces to respond to 

sexual assault. 

The Task Force shall be comprised of 

no more than ten members and the 

membership shall be comprised of an 

equal number of DoD and civilian 

members. 

The Secretary of Defense shall select 

the DoD Co-Chairperson, and the 

civilian members shall select a civilian 

Co-Chairperson. 

Task Force members who are 

appointed by the Secretary of Defense, 

who are not full-time or permanent parttime Federal employees, shall be 

appointed as experts and consultants 

under the authority of 5 U.S.C. 3109 and 

serve as Special Government 

Employees. All members shall be 

appointed on an annual basis for the 

duration of the Task Force. 

Task Force members who are Federal 

officers or employees shall serve 

without compensation (other than 

compensation to which they are entitled 

to as Federal officers or employees). 

Other Task Force members shall be 

appointed under the authority of 5 

U.S.C 3161 and will receive 

compensation for their service. All Task 

Force members shall receive 

compensation for travel and per diem 

for official Task Force travel. 

With DoD approval, the Task Force is 

authorized to establish subcommittees, 

as necessary and consistent with its 

mission. These subcommittees or 

working groups shall operate under the 

provisions of the Federal Advisory 

Committee Act of 1972, the Government 

in the Sunshine Act of 1976 (5 U.S.C 

552B, as amended), and other 

appropriate Federal regulations. 

Such subcommittees or workgroups 

shall not work independently of the 

chartered Task Force, and shall report 

all their recommendations and advice to 

the Task Force for full deliberation and 

discussion. Subcommittees or 

workgroups have no authority to make 

decisions on behalf of the chartered 

Task Force nor can they report directly 

to the Department of Defense or any 

Federal officers or employees who are 

not Task Force members. 

Subcommittee members, who are not 

Task Force members, shall be appointed 

in the same manner as the Task Force 

members. 

The Task Force shall meet at the call 

of the Task Force’s Designated Federal 

Officer, in consultation with the 

Chairperson. The estimated number of 

Task Force meetings is six per year. 

The Designated Federal Officer, 

pursuant to DoD policy, shall be a fulltime or permanent part-time DoD 

employee, and shall be appointed in 

accordance with established DoD 

policies and procedures. In addition, the 

Designated Federal Officer is required to 

be in attendance at all meetings, 

however, in the absence of the 

Designated Federal Officer, the 

Alternate Designated Federal Officer 

shall attend the meeting. 

Pursuant to 41 CFR 102–3.105(j) and 

102–3.140, the public or interested 

organizations may submit written 

statements to the Defense Task Force on 

Sexual Assault in the Military Services 

membership about the Task Forces’ 

mission and functions. Written 

statements may be submitted at any 

time or in response to the stated agenda 

of planned meeting of the Defense Task 

Force on Sexual Assault in the Military 

Services. 

All written statements shall be 

submitted to the Designated Federal 

Officer for the Defense Task Force on 

Sexual Assault in the Military Services, 

and this individual will ensure that the 

written statements are provided to the 

membership for their consideration. 

Contact information for Defense Task 

Force on Sexual Assault in the Military 

Services’ Designated Federal Officer can 

be obtained from the GSA’s FACA 

Database—https://www.fido.gov/ 

facadatabase/public.asp. 

The Designated Federal Officer, 

pursuant to 41 CFR 102–3.150, will 

announce planned meetings of the 

Defense Task Force on Sexual Assault in 

the Military Services. The Designated 

Federal Officer, at that time, may 

provide additional guidance on the 

submission of written statements that 

are in response to the stated agenda for 

the planned meeting in question. 

Dated: September 28, 2009. 

Patricia L. Toppings, 

OSD Federal Register Liaison Officer, 

Department of Defense. 

[FR Doc. E9–23739 Filed 9–30–09; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

TRICARE; Civilian Health and Medical 

Program of the Uniformed Services 

(CHAMPUS); Fiscal Year 2010 

Diagnosis Related Group (DRG) 

Updates 

AGENCY: Office of the Secretary, DoD. 

ACTION: Notice of DRG revised rates. 

SUMMARY: This notice describes the 

changes made to the TRICARE DRGbased payment system in order to 


PWALKER on DSK8KYBLC1PROD with NOTICES