36710 Federal Register / Vol. 72, No. 128 / Thursday, July 5, 2007 / Notices 

available for inspection at the offices of 

the Board of Governors. Interested 

persons may express their views in 

writing on the standards enumerated in 

the BHC Act (12 U.S.C. 1842(c)). If the 

proposal also involves the acquisition of 

a nonbanking company, the review also 

includes whether the acquisition of the 

nonbanking company complies with the 

standards in section 4 of the BHC Act 

(12 U.S.C. 1843). Unless otherwise 

noted, nonbanking activities will be 

conducted throughout the United States. 

Additional information on all bank 

holding companies may be obtained 

from the National Information Center 

website at www.ffiec.gov/nic/. 

Unless otherwise noted, comments 

regarding each of these applications 

must be received at the Reserve Bank 

indicated or the offices of the Board of 

Governors not later than July 25, 2007. 

A. Federal Reserve Bank of Chicago 

(Burl Thornton, Assistant Vice 

President) 230 South LaSalle Street, 

Chicago, Illinois 60690-1414 

1. First Michigan Bancorp, Inc., Troy, 

Michigan; to become a bank holding 

company by acquiring 100 percent of 

the voting shares of First Michigan Bank 

(in organization), Troy, Michigan. 

Board of Governors of the Federal Reserve 

System, June 29, 2007. 

Robert deV. Frierson, 

Deputy Secretary of the Board. 

[FR Doc. E7–12985 Filed 7–3–07; 8:45 am] 

BILLING CODE 6210–01–S 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

National Institute for Occupational 

Safety and Health (NIOSH); Advisory 

Board on Radiation and Worker Health 

(ABRWH or Advisory Board) and 

Subcommittee for Dose 

Reconstruction Reviews (SDRR) 

In accordance with section 10(a)(2) of 

the Federal Advisory Committee Act 

(Pub. L. 92–463), the Centers for Disease 

Control and Prevention announces the 

following meeting of the 

aforementioned committee and 

Subcommittee: 

Subcommittee Meeting Time and 

Date: 

9:30 a.m.–11:30 a.m., July 17, 2007. 

Committee Meeting Times and Dates: 

1 p.m.–4:30 p.m., July 17, 2007. 

9:45 a.m.–5 p.m., July 18, 2007. 

8:30 a.m.–4:30 p.m., July 19, 2007. 

Public Comment Times and Dates: 

5 p.m.–6 p.m., July 17, 2007. 

7:30 p.m.–8:30 p.m., July 18, 2007. 

Place: Red Lion Richland Hanford 

House, 802 George Washington Way, 

Richland, Washington, 99352. 

Telephone 509–946–7611, Fax 509–

943–8564. 

Status: Open to the public, limited 

only by the space available. The meeting 

space accommodates approximately 75 

to 100 people. 

Background: The Advisory Board was 

established under the Energy Employees 

Occupational Illness Compensation 

Program (EEOICP) Act of 2000 to advise 

the President on a variety of policy and 

technical functions required to 

implement and effectively manage the 

new compensation program. Key 

functions of the Advisory Board include 

providing advice on the development of 

probability of causation guidelines 

which have been promulgated by the 

Department of Health and Human 

Services (HHS) as a final rule, advice on 

methods of dose reconstruction which 

have also been promulgated by HHS as 

a final rule, advice on the scientific 

validity and quality of dose estimation 

and reconstruction efforts being 

performed for purposes of the 

compensation program, and advice on 

petitions to add classes of workers to the 

Special Exposure Cohort (SEC). 

In December 2000, the President 

delegated responsibility for funding, 

staffing, and operating the Advisory 

Board to HHS, which subsequently 

delegated this authority to the CDC. 

NIOSH implements this responsibility 

for CDC. The charter was issued on 

August 3, 2001, renewed at appropriate 

intervals, and will expire on August 3, 

2007. 

Purpose: This Advisory Board is 

charged with (a) Providing advice to the 

Secretary, HHS, on the development of 

guidelines under Executive Order 

13179; (b) providing advice to the 

Secretary, HHS, on the scientific 

validity and quality of dose 

reconstruction efforts performed for this 

program; and (c) upon request by the 

Secretary, HHS, advise the Secretary on 

whether there is a class of employees at 

any Department of Energy facility who 

were exposed to radiation but for whom 

it is not feasible to estimate their 

radiation dose, and on whether there is 

reasonable likelihood that such 

radiation doses may have endangered 

the health of members of this class. 

Matters To Be Discussed: The topics 

for the Subcommittee Meeting will 

focus on issues related to the conduct 

on Blind Review as well as the conduct 

of Basic vs. Advanced Reviews. Also to 

be considered are plans for future 

Reviews as well as the Sanford Cohen 

& Associates Contract for the next fiscal 

year. The agenda for the Advisory Board 

meeting includes SEC Petitions for 

Hanford, Ames Iowa, Blockson 

Chemical, Chapman Valve, and 

Bethlehem Steel; SEC Petition Update 

on Dow Chemical; Status of Upcoming 

SEC Petitions; NIOSH Report on the 

Progress of the Redo of Rocky Flats 

Cases; SC&A Contract Actions for the 

next Fiscal Year; Agency Reports: 

NIOSH, Department of Labor and 

Department of Energy; Timeliness of 

NIOSH/Board Actions; Work Group 

Reports; Board Future Meetings and 

Schedules; and Board Working Time. 

The agenda is subject to change as 

priorities dictate. 

In the event an individual cannot 

attend, written comments may be 

submitted. Any written comments 

received will be provided at the meeting 

and should be submitted to the contact 

person below well in advance of the 

meeting. 

FOR FURTHER INFORMATION CONTACT: Dr. 

Lewis V. Wade, Executive Secretary, 

NIOSH, CDC, 4676 Columbia Parkway, 

Cincinnati, Ohio 45226, Telephone 513–

533–6825, Fax 513–533–6826. 

The Director, Management Analysis 

and Services Office, has been delegated 

the authority to sign Federal Register 

notices pertaining to announcements of 

meetings and other committee 

management activities, for both CDC 

and the Agency for Toxic Substances 

and Disease Registry. 

Dated: June 27, 2007. 

Elaine L. Baker, 

Acting Director, Management Analysis and 

Services Office, Centers for Disease Control 

and Prevention. 

[FR Doc. E7–12982 Filed 7–3–07; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–5042–N2] 

RIN 0938–ZB00 

Medicare Program; Solicitation for 

Proposals From Rural Hospitals to 

Participate in the Medicare Hospital 

Gainsharing Demonstration Program 

Under Section 5007 of the Deficit 

Reduction Act 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice is to inform rural 

inpatient hospitals of an opportunity to 


sroberts on PROD1PC70 with NOTICES
Federal Register / Vol. 72, No. 128 / Thursday, July 5, 2007 / Notices 36711 

apply to participate in the Medicare 

Hospital Gainsharing Demonstration 

being implemented by CMS. The 

Medicare Hospital Gainsharing 

Demonstration authorized under section 

5007 of the Deficit Reduction Act (DRA) 

of 2005 was established to test and 

evaluate methodologies and 

arrangements between hospitals and 

physicians designed to govern the 

utilization of inpatient hospital 

resources and physician work. The 

purpose of this demonstration is to 

improve the quality and efficiency of 

care provided to Medicare beneficiaries 

and to develop improved operational 

and financial hospital performance with 

the sharing of remuneration payments 

between hospitals and physicians in six 

projects, each project consisting of one 

hospital. Two projects must be rural. 

Because we received a limited response 

from rural hospitals to our original 

solicitation in September 2006, we are 

re-issuing our solicitation for proposals 

from rural hospitals only. Rural 

hospitals that submitted proposals 

previously are eligible to reapply. The 

goals and objectives of the 

demonstration remain unaltered. This 

demonstration will be limited in scope: 

we intend to focus on the short-term 

impacts of gainsharing programs. 

DATES: Applications will be considered 

timely if we receive them on or before 

5 p.m., eastern standard time, on 

September 4, 2007. 

ADDRESSES: Mail or deliver applications 

to the following address: 

Centers for Medicare & Medicaid 

Services, Attention: Lisa Waters (CMS–

5042–N2), Mail Stop: C4–17–27, 7500 

Security Boulevard, Baltimore, 

Maryland 21244. 

Because of staff and resource 

limitations, we cannot accept 

applications by facsimile (FAX) 

transmission or by e-mail. 

FOR FURTHER INFORMATION CONTACT: Lisa 

Waters at (410) 786–6615 or 

GAINSHARING@cms.hhs.gov. 

Interested parties can obtain a complete 

solicitation, application, and supporting 

information on the following CMS Web 

site at http://www.cms.hhs.gov/

DemoProjectsEvalRpts/downloads/

2006_DRA_5007_Medicare_Hospital_

Gainsharing_Demonstration.pdf. 

Paper copies can be obtained by 

writing to Lisa Waters at the address 

listed in the ADDRESSES section of this 

notice. 

Eligible Organizations: CMS is 

seeking applications from rural 

inpatient hospitals that receive payment 

under section 1886(d) of the Social 

Security Act (the Act), which is the 

authority for the hospital inpatient 

prospective payment system. For 

purposes of this demonstration, a 

hospital will be considered rural if it is 

rural under the inpatient prospective 

payment system (see 42 CFR 

412.64(b)(1)). 

For the purpose of this demonstration, 

section 5007(g)(4) of the DRA provides 

that hospitals may provide gainsharing 

payments to physicians (as defined in 

section 1861(r)(1) or (r)(3) of the Act) 

and practitioners (as ‘‘described in 

section 1842(e)(18)(C) of the Act’’). The 

latter reference to ‘‘section 

1842(e)(18)(C)’’ of the Act, however, 

clearly is a typographical error, as there 

is no such section, and it is clear from 

the context and legislative history that 

the reference was intended to be to 

section 1842(b)(18)(C) of the Act. 

Section 5007(g) of DRA explicitly 

provides that the reference to physicians 

who are permitted to participate in the 

demonstration is deemed to include 

certain ‘‘practitioners.’’ Conference 

Report language also specifically refers 

to the inclusion of practitioners as part 

of the gainsharing arrangement. Since 

section 1842(e)(18)(C) of the Act does 

not exist, and since section 

1842(b)(18)(C) of the Act is, with the 

exception of substituting (b) for (e), 

identical to that section, and specifically 

defines practitioners, we believe that 

section 1842(b)(18)(C) of the Act is the 

intended reference. We do not believe 

this typographical error impedes any 

authority to otherwise implement this 

demonstration. Furthermore, a 

comprehensive list of all eligibility 

requirements can be found in the 

‘‘Eligible Organizations’’ section of the 

solicitation. 

SUPPLEMENTARY INFORMATION:

I. Background 

Section 5007 of the Deficit Reduction 

Act of 2005 (DRA) requires the 

establishment of a qualified gainsharing 

demonstration program that will test 

and evaluate methodologies and 

arrangements between hospitals and 

physicians designed to govern the 

utilization of inpatient hospital 

resources and physician work to 

improve the quality and efficiency of 

care provided to beneficiaries and to 

develop improved operational and 

financial hospital performance with the 

sharing of remuneration as specified in 

the project. It will have a short-term 

focus given the limited size of the 

demonstration. 

II. Provisions of the Notice 

This notice solicits applications to 

participate in the DRA section 5007 

Medicare Hospital Gainsharing 

Demonstration that will assist in 

determining if gainsharing can align 

incentives between hospitals and 

physicians to improve the quality and 

efficiency of care provided to 

beneficiaries, which will promote 

improved operational and financial 

performance of hospitals. The focus of 

each demonstration will be to link 

physician incentive payments to 

improvements in quality and efficiency. 

Each demonstration will provide 

measures to ensure that the quality and 

efficiency of care provided to 

beneficiaries is monitored and 

improved. 

Overall, we seek demonstration 

models that result in savings to 

Medicare. We will assure the 

demonstration is budget neutral. 

III. Collection of Information 

Requirements 

This information collection 

requirement is subject to the Paperwork 

Reduction Act of 1995; however, the 

collection is currently approved under 

OMB control number 0938–0880 

entitled ‘‘Medicare Demonstration 

Waiver Application.’’

Authority: Section 5007 of the Deficit 

Reduction Act of 2005, Pub. L. 109–171. 

(Catalog of Federal Domestic Assistance 

Program No. 93.778, Medical Assistance 

Program; No. 93.773 Medicare—Hospital 

Insurance Program; and No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: April 4, 2007. 

Leslie V. Norwalk, 

Acting Administrator, Centers for Medicare 

& Medicaid Services. 

Editorial Note: This document was 

received at the Office of the Federal Register 

on June 29, 2007. 

[FR Doc. 07–3265 Filed 6–29–07; 4:00 pm] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

National Center for Complementary 

and Alternative Medicine; Notice of 

Closed Meeting 

Pursuant to section 10(d) of the 

Federal Advisory Committee Act, as 

amended (5 U.S.C. Appendix 2), notice 

is hereby given of the following 

meeting. 

The meeting will be closed to the 

public in accordance with the 

provisions set forth in sections 

552b(c)(4) and 552b(c)(6), Title 5 U.S.C., 

as amended. The grant applications and 

the discussions could disclose 


sroberts on PROD1PC70 with NOTICES