Federal Register / Vol. 79, No. 7 / Friday, January 10, 2014 / Rules and Regulations 1741 

(b) * * * 

(4) * * * 

(ii) * * * The effectiveness of this 

device for this use has not been 

demonstrated; 

(5) * * * If the amount charged is 

$250 or less, the requirement for a 

report by an independent certified 

public accountant or an attestation by a 

responsible individual of the 

organization is waived; and 

(6) Information concerning pediatric 

uses of the device, as required by 

§ 814.20(b)(13). 

* * * * * 

■ 10. In 814.116, redesignate paragraphs 

(c)(2) through (c)(4) as paragraphs (c)(3) 

through (c)(5), respectively, and add 

new paragraph (c)(2) to read as follows: 

§ 814.116 Procedures for review of an 

HDE. 

* * * * * 

(c) * * * 

(2) The submission of additional 

information concerning pediatric uses of 

the device, as required by 

§ 814.20(b)(13); 

* * * * * 

Dated: January 6, 2014. 

Leslie Kux, 

Assistant Commissioner for Policy. 

[FR Doc. 2014–00267 Filed 1–9–14; 8:45 am] 

BILLING CODE 4160–01–P 

DEPARTMENT OF HOMELAND 

SECURITY 

Coast Guard 

33 CFR Part 117 

[Docket No. USCG–2013–1039] 

Drawbridge Operation Regulation; 

Upper Mississippi River, Sabula, IA 

AGENCY: Coast Guard, DHS. 

ACTION: Notice of deviation from 

drawbridge regulations. 

SUMMARY: The Coast Guard has issued a 

temporary deviation from the operating 

schedule that governs the Sabula 

Railroad Drawbridge across the Upper 

Mississippi River, mile 535.0, at Sabula, 

Iowa. The deviation is necessary to 

allow the bridge owner time to perform 

repairs and maintenance that is 

essential to the continued safe operation 

of the drawbridge. This deviation allows 

the bridge to remain in the closed-tonavigation position while a damaged 

gear assembly is replaced and structural 

steel repairs are completed. 

DATES: This deviation is effective from 

7 a.m., January 6, 2014 to 7 a.m., March 

4, 2014. 

ADDRESSES: The docket for this 

deviation, USCG–2013–1039 is available 

at http://www.regulations.gov. Type the 

docket number in the ‘‘SEARCH’’ box 

and click ‘‘SEARCH’’. Click on Open 

Docket Folder on the line associated 

with this deviation. You may also visit 

the Docket Management Facility in 

Room W12–140 on the ground floor of 

the Department of Transportation West 

Building, 1200 New Jersey Avenue SE., 

Washington, DC 20590, between 9 a.m. 

and 5 p.m., Monday through Friday, 

except Federal holidays. 

FOR FURTHER INFORMATION CONTACT: If 

you have questions on this temporary 

deviation, call or email Eric A. 

Washburn, Bridge Administrator, 

Western Rivers, Coast Guard; telephone 

314–269–2378, email Eric.Washburn@

uscg.mil. If you have questions on 

viewing the docket, call Cheryl Collins, 

Program Manager, Docket Operations, 

telephone 202–366–9826. 

SUPPLEMENTARY INFORMATION: The 

Canadian Pacific Railway requested a 

temporary deviation for the Sabula 

Railroad Drawbridge, across the Upper 

Mississippi River, mile 535.0, at Sabula, 

Iowa to remain in the closed-tonavigation position while a damaged 

gear assembly is replaced and structural 

steel repairs are completed. The closure 

period will start at 7 a.m., January 6, 

2014 to 7 a.m., March 4, 2014. Work is 

scheduled in the winter and when there 

is less impact on navigation; instead of 

scheduling work in the summer, when 

river traffic increases. 

Once the gear assembly is removed 

and structural steel repairs have 

commenced, the swing span will not be 

able to open, even for emergencies, until 

repairs are complete and gear assembly 

is installed. 

The Sabula Railroad Drawbridge 

currently operates in accordance with 

33 CFR 117.5, which states the general 

requirement that drawbridges shall open 

promptly and fully for the passage of 

vessels when a request to open is given 

in accordance with the subpart. In order 

to facilitate the needed bridge work, the 

drawbridge must be kept in the closedto-navigation position. 

There are no alternate routes for 

vessels transiting this section of the 

Upper Mississippi River. 

The Sabula Railroad Drawbridge, in 

the closed-to-navigation position, 

provides a vertical clearance of 18.1 feet 

above normal pool. Navigation on the 

waterway consists primarily of 

commercial tows and recreational 

watercraft. This temporary deviation has 

been coordinated with the waterway 

users. No objections were received. 

In accordance with 33 CFR 117.35(e), 

the drawbridge must return to its regular 

operating schedule immediately at the 

end of the effective period of this 

temporary deviation. This deviation 

from the operating regulations is 

authorized under 33 CFR 117.35. 

Dated: December 18, 2013. 

Eric A. Washburn, 

Bridge Administrator, Western Rivers. 

[FR Doc. 2014–00284 Filed 1–9–14; 8:45 am] 

BILLING CODE 9110–04–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

42 CFR Parts 412, 413, 414, 419, 424, 

482, 485, and 489 

[CMS–1599–CN4] 

RIN 0938–AR53 

Medicare Program; Hospital Inpatient 

Prospective Payment Systems for 

Acute Care Hospitals and the LongTerm Care Hospital Prospective 

Payment System and Fiscal Year 2014 

Rates; Quality Reporting Requirements 

for Specific Providers; Hospital 

Conditions of Participation; Payment 

Policies Related to Patient Status; 

Corrections 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Final rule; correction. 

SUMMARY: This document corrects 

technical errors in the correcting 

document that appeared in the January 

2, 2014 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 2014 Rates; Quality 

Reporting Requirements for Specific 

Providers; Hospital Conditions of 

Participation; Payment Policies Related 

to Patient Status; Corrections.’’ 

DATES: Effective Date: This correcting 

document is effective January 8, 2014. 

Applicability Date: This correcting 

document is applicable on January 1, 

2014. 

FOR FURTHER INFORMATION CONTACT: Tzvi 

Hefter, (410) 786–4487. 

SUPPLEMENTARY INFORMATION: 

I. Background 

In the August 19, 2013 Federal 

Register (78 FR 50495), we published a 

final rule entitled ‘‘Medicare Program; 

Hospital Inpatient Prospective Payment 

mstockstill on DSK4VPTVN1PROD with RULES

1742 Federal Register / Vol. 79, No. 7 / Friday, January 10, 2014 / Rules and Regulations 

Systems for Acute Care Hospitals and 

the Long Term Care Hospital 

Prospective Payment System and Fiscal 

Year 2014 Rates; Quality Reporting 

Requirements for Specific Providers; 

Hospital Conditions of Participation; 

Payment Policies Related to Patient 

Status’’ (hereinafter referred to as the FY 

2014 IPPS/LTCH PPS final rule). To 

correct typographical and technical 

errors in the FY 2014 IPPS/LTCH PPS 

final rule, we published correcting 

documents that appeared in the October 

3, 2013 Federal Register (78 FR 61197) 

and the January 2, 2014 Federal 

Register (79 FR 61). We left out Code of 

Federal Regulations (CFR) part numbers 

from the heading and left out the 

applicability date from the DATES

section of the January 2, 2014 correcting 

document. Therefore, in this correcting 

document, we add the omitted CFR part 

numbers and the applicability date. 

II. Summary of Errors 

On page 61 of the January 2, 2014 

correcting document (79 FR 61), we 

inadvertently omitted some CFR part 

numbers from the heading, and 

inadvertently omitted the applicability 

date from the DATES section. 

III. Waiver of Proposed Rulemaking 

and Delay of Effective Date 

We ordinarily publish a notice of 

proposed rulemaking in the Federal 

Register to provide a period for public 

comment before the provisions of a rule 

take effect in accordance with section 

553(b) of the Administrative Procedure 

Act (APA) (5 U.S.C. 553(b)). However, 

we can waive this notice and comment 

procedure if the Secretary finds, for 

good cause, that the notice and 

comment process is impracticable, 

unnecessary, or contrary to the public 

interest, and incorporates a statement of 

the finding and the reasons therefore in 

the notice. 

Section 553(d) of the APA ordinarily 

requires a 30-day delay in effective date 

of final rules after the date of their 

publication in the Federal Register. 

This 30-day delay in effective date can 

be waived, however, if an agency finds 

for good cause that the delay is 

impracticable, unnecessary, or contrary 

to the public interest, and the agency 

incorporates a statement of the findings 

and its reasons in the rule issued. 

In our view, this correcting document 

does not constitute a rulemaking that 

would be subject to the APA notice and 

comment or delayed effective date 

requirements. This correcting document 

simply adds the CFR part numbers and 

the applicability date that were 

inadvertently omitted and does not 

make substantive changes to the policies 

or payment methodologies that were 

adopted in the final rule. 

In addition, even if this were a 

rulemaking to which the notice and 

comment procedures and delayed 

effective date requirements applied, we 

find that there is good cause to waive 

such requirements. Undertaking further 

notice and comment procedures to 

incorporate the corrections in this 

document into the January 2, 2014 

correcting document (which corrected 

the FY 2014 IPPS/LTCH final rule) or 

delaying the effective date would be 

contrary to the public interest, because 

it is in the public’s interest for providers 

to receive appropriate payments in as 

timely a manner as possible. 

Furthermore, such procedures would be 

unnecessary, as we are not altering the 

policies that were already subject to 

comment and finalized in our final rule, 

but rather, we are simply adding the 

CFR part numbers and applicability date 

that were inadvertently omitted. 

Therefore, we find good cause to waive 

the notice and comment and effective 

date requirements. 

IV. Correction of Errors 

In FR Doc. 2013–31432 of January 2, 

2014 (79 FR 61), make the following 

corrections: 

1. On page 61, in the heading, the CFR 

citation ‘‘42 CFR Parts 412, 482, 485, 

and 489’’ is corrected to read ‘‘42 CFR 

Parts 412, 413, 414, 419, 424, 482, 485, 

and 489’’. 

2. On page 61, in the DATES section, 

the caption and sentence, ‘‘DATES: 

Effective Date: This correcting 

document is effective on January 2, 

2014.’’ are corrected to read as follows: 

‘‘DATES: Effective Date: This correcting 

document is effective January 2, 2014. 

Applicability Date: This correcting 

document is applicable on January 1, 

2014.’’ 

(Catalog of Federal Domestic Assistance 

Program No. 93.773, Medicare—Hospital 

Insurance; and Program No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: January 7, 2014. 

Jennifer Cannistra, 

Executive Secretary to the Department, 

Department of Health and Human Services. 

[FR Doc. 2014–00273 Filed 1–8–14; 4:15 pm] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

42 CFR Parts 413 and 424 

[CMS–1446–CN3] 

RIN 0938–AR65 

Medicare Program; Prospective 

Payment System and Consolidated 

Billing for Skilled Nursing Facilities for 

FY 2014; Correction 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Final rule; correction. 

SUMMARY: This document corrects 

technical errors in the correcting 

document that appeared in the January 

2, 2014 Federal Register entitled 

‘‘Medicare Program; Prospective 

Payment System and Consolidated 

Billing for Skilled Nursing Facilities for 

FY 2014; Correction.’’ 

DATES: Effective Date: This correcting 

document is effective January 8, 2014. 

Applicability Date: This correcting 

document is applicable to skilled 

nursing facility services furnished on or 

after January 1, 2014. 

FOR FURTHER INFORMATION CONTACT: John 

Kane, (410) 786–0557. 

SUPPLEMENTARY INFORMATION: 

I. Background 

In the August 6, 2013 Federal 

Register (78 FR 47936), we published a 

final rule entitled ‘‘Medicare Program; 

Prospective Payment System and 

Consolidated Billing for Skilled Nursing 

Facilities for FY 2014’’ (hereinafter 

referred to as the FY 2014 SNF PPS final 

rule). To correct typographical and 

technical errors in the FY 2014 SNF PPS 

final rule, we published correcting 

documents that appeared in the October 

3, 2013 Federal Register (78 FR 61202) 

and the January 2, 2014 Federal 

Register (79 FR 63). We left out the 

applicability date from the DATES

section of the January 2, 2014 correcting 

document; therefore, in this correcting 

document, we add the applicability 

date. 

II. Summary of Errors 

On page 63 of the January 2, 2014 

correcting document (79 FR 63), we 

inadvertently omitted the applicability 

date from the DATES section. 

III. Waiver of Proposed Rulemaking 

and Delay of Effective Date 

We ordinarily publish a notice of 

proposed rulemaking in the Federal 

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