68516 Federal Register / Vol. 88, No. 191 / Wednesday, October 4, 2023 / Proposed Rules 

* * * * * 

Issued in Washington, DC, on September 

28, 2023. 

Karen L. Chiodini, 

Acting Manager, Rules and Regulations 

Group. 

[FR Doc. 2023–21897 Filed 10–3–23; 8:45 am] 

BILLING CODE 4910–13–P 

DEPARTMENT OF TRANSPORTATION 

Federal Aviation Administration 

14 CFR Part 71 

[Docket No. FAA–2023–1835; Airspace 

Docket No. 23–AEA–10] 

RIN 2120–AA66 

Amendment of United States Area 

Navigation (RNAV) Routes; Eastern 

United States 

AGENCY: Federal Aviation 

Administration (FAA), DOT. 

ACTION: Notice of proposed rulemaking 

(NPRM). 

SUMMARY: This action proposes to 

establish three United States Area 

Navigation (RNAV) Q-routes in the 

eastern United States. This action also 

proposes to establish five and amend 

one United States RNAV T-routes in the 

eastern United States. This action 

support NextGen which provides a 

modern RNAV route structure to 

improve the efficiency of the National 

Airspace System (NAS). 

DATES: Comments must be received on 

or before November 20, 2023 

ADDRESSES: Send comments identified 

by FAA Docket No. FAA–2023–1835 

and Airspace Docket No. 23–AEA–10 

using any of the following methods: 

* Federal eRulemaking Portal: Go to 

www.regulations.gov and follow the 

online instructions for sending your 

comments electronically. 

* Mail: Send comments to Docket 

Operations, M–30; U.S. Department of 

Transportation, 1200 New Jersey 

Avenue SE, Room W12–140, West 

Building Ground Floor, Washington, DC 

20590–0001. 

* Hand Delivery or Courier: Take 

comments to Docket Operations in 

Room W12–140 of the West Building 

Ground Floor at 1200 New Jersey 

Avenue SE, Washington, DC, between 9 

a.m. and 5 p.m., Monday through 

Friday, except Federal holidays. 

* Fax: Fax comments to Docket 

Operations at (202) 493–2251. 

Docket: Background documents or 

comments received may be read at 

www.regulations.gov at any time. 

Follow the online instructions for 

accessing the docket or go to the Docket 

Operations in Room W12–140 of the 

West Building Ground Floor at 1200 

New Jersey Avenue SE, Washington, 

DC, between 9 a.m. and 5 p.m., Monday 

through Friday, except Federal holidays. 

FAA Order JO 7400.11H, Airspace 

Designations and Reporting Points, and 

subsequent amendments can be viewed 

online at www.faa.gov/air_traffic/ 

publications/. You may also contact the 

Rules and Regulations Group, Office of 

Policy, Federal Aviation 

Administration, 800 Independence 

Avenue SW, Washington, DC 20591; 

telephone: (202) 267–8783. 

FOR FURTHER INFORMATION CONTACT: 

Brian Vidis, Rules and Regulations 

Group, Office of Policy, Federal 

Aviation Administration, 800 

Independence Avenue SW, Washington, 

DC 20591; telephone: (202) 267–8783. 

SUPPLEMENTARY INFORMATION: 

Authority for This Rulemaking 

The FAA’s authority to issue rules 

regarding aviation safety is found in 

Title 49 of the United States Code. 

Subtitle I, Section 106 describes the 

authority of the FAA Administrator. 

Subtitle VII, Aviation Programs, 

describes in more detail the scope of the 

agency’s authority. This rulemaking is 

promulgated under the authority 

described in Subtitle VII, Part A, 

Subpart I, Section 40103. Under that 

section, the FAA is charged with 

prescribing regulations to assign the use 

of the airspace necessary to ensure the 

safety of aircraft and the efficient use of 

airspace. This regulation is within the 

scope of that authority as it amends the 

route structure to maintain the efficient 

flow of air traffic within the NAS. 

Comments Invited 

The FAA invites interested persons to 

participate in this rulemaking by 

submitting written comments, data, or 

views. Comments are specifically 

invited on the overall regulatory, 

aeronautical, economic, environmental, 

and energy-related aspects of the 

proposal. The most helpful comments 

reference a specific portion of the 

proposal, explain the reason for any 

recommended change, and include 

supporting data. To ensure the docket 

does not contain duplicate comments, 

commenters should submit only one 

time if comments are filed 

electronically, or commenters should 

send only one copy of written 

comments if comments are filed in 

writing. 

The FAA will file in the docket all 

comments it receives, as well as a report 

summarizing each substantive public 

contact with FAA personnel concerning 

this proposed rulemaking. Before acting 

on this proposal, the FAA will consider 

all comments it receives on or before the 

closing date for comments. The FAA 

will consider comments filed after the 

comment period has closed if it is 

possible to do so without incurring 

expense or delay. The FAA may change 

this proposal in light of the comments 

it receives. 

Privacy: In accordance with 5 U.S.C. 

553(c), DOT solicits comments from the 

public to better inform its rulemaking 

process. DOT posts these comments, 

without edit, including any personal 

information the commenter provides, to 

www.regulations.gov, as described in 

the system of records notice (DOT/ALL– 

14 FDMS), which can be reviewed at 

www.dot.gov/privacy. 

Availability of Rulemaking Documents 

An electronic copy of this document 

may be downloaded through the 

internet at www.regulations.gov. 

Recently published rulemaking 

documents can also be accessed through 

the FAA’s web page at www.faa.gov/air_

traffic/publications/airspace_

amendments/. 

You may review the public docket 

containing the proposal, any comments 

received and any final disposition in 

person in the Dockets Operations office 

(see ADDRESSES section for address, 

phone number, and hours of 

operations). An informal docket may 

also be examined during normal 

business hours at the office of the 

Eastern Service Center, Federal Aviation 

Administration, Room 210, 1701 

Columbia Avenue, College Park, GA, 

30337. 

Incorporation by Reference 

United States Area Navigation routes 

are published in paragraph 2006 and 

6011 of FAA Order JO 7400.11, Airspace 

Designations and Reporting Points, 

which is incorporated by reference in 14 

CFR 71.1 on an annual basis. This 

document proposes to amend the 

current version of that order, FAA Order 

JO 7400.11H, dated August 11, 2023, 

and effective September 15, 2023. These 

updates would be published in the next 

update to FAA Order JO 7400.11. That 

order is publicly available as listed in 

the ADDRESSES section of this document. 

FAA Order JO 7400.11H lists Class A, 

B, C, D, and E airspace areas, air traffic 

service routes, and reporting points. 


lotter on DSK11XQN23PROD with PROPOSALS1
Federal Register / Vol. 88, No. 191 / Wednesday, October 4, 2023 / Proposed Rules 68517 

The Proposal 

The FAA is proposing an amendment 

to 14 CFR part 71 to establish United 

States Area Navigation Routes Q–221, 

Q–227, Q–232, T–303, T–307, T–335, 

and T–432, and amend T–705 in the 

eastern United States. This action 

supports NextGen which provides a 

modern RNAV route structure to 

improve the efficiency of the NAS. The 

proposed changes are described below. 

Q–221: Q–221 is a proposed new 

route that would extend between the 

Armel, VA (AML), Very High Frequency 

Omnidirectional Range/Distance 

Measuring Equipment (VOR/DME) to 

the DLMAR, PA, Waypoint (WP). Q–221 

overlays jet route J–220 between the 

Armel VOR/DME to the DLMAR WP 

which is co-located with the Stonyfork, 

PA (SFK), VOR/DME. 

Q–227: Q–227 is a proposed new 

route that would extend between the 

Armel, VA (AML), VOR/DME to the 

STUBN, NY, WP. Q–227 overlays jet 

route J–227 between the Armel VOR/ 

DME to the STUBN WP which is colocated with the Elmira, NY (ULW), 

VOR/DME. 

Q–232: Q–232 is a proposed new 

route that would extend between the 

STUBN, NY, WP to the NEION, NJ, Fix. 

Q–232 overlays a portion of jet route J– 

132 between the Elmira, NY (ULW), 

VOR/DME to the CORDS, PA, Fix, and 

jet route J–223 between the CORDS Fix 

to the NEION Fix. 

T–303: T–303 is a proposed new route 

that would extend between the Kinston, 

NC (ISO), VOR/Tactical Air Navigation 

(VORTAC) to the Boston, MA (BOS), 

VOR/DME. T–303 overlays a portion of 

VOR Federal airway V–1 between the 

Kinston VORTAC and the Boston VOR/ 

DME. 

T–307: T–307 is a proposed new route 

that would extend between the PEARS, 

NC, Fix to the Syracuse, NY (SYR), 

VORTAC. T–307 overlays a portion of 

VOR Federal airway V–139 between the 

PEARS Fix to the Sea Isle, NJ (SIE), 

VORTAC; VOR Federal airway V–166 

between the Sea Isle VORTAC to the 

BRIEF, NJ, Fix; VOR Federal airway V– 

184 between the PADRE, PA, Fix to the 

Philipsburg, PA (PSB), VORTAC; and 

VOR Federal airway V–35 between the 

Philipsburg VORTAC and the Syracuse 

VORTAC. 

T–335: T–335 is a proposed new route 

that would extend between the ZJAAY, 

MD, WP and the Syracuse, NY (SYR), 

VORTAC. T–335 overlays VOR Federal 

airway V–29 between the ZJAAY WP, 

which is co-located with the Snow Hill, 

MD (SWL), VORTAC to the Syracuse 

VORTAC. 

T–432: T–432 is a proposed new route 

that would extend between the STUBN, 

NY, WP and the NEION, NJ, Fix. T–432 

overlays V–36 between the STUBN WP, 

which is co-located with the Elmira, NY 

(ULW), VOR/DME, to the NEION Fix. 

T–705: T–705 currently extends 

between the DANZI, NY, WP and the 

MUTNA, NY, WP. The FAA proposes to 

remove the route segment between the 

DANZI WP, and the CODDI, NY, Fix. 

Additionally, the FAA proposes to 

extend T–705 to the southeast between 

the CODDI Fix to the Nantucket, MA 

(ACK), VOR/DME. The amended route 

segment of T–705 overlays portions of 

VOR Federal airway V–46 between the 

Nantucket VOR/DME and the Calverton, 

NY (CCC), VOR/DME, and VOR Federal 

airway V–44 between the BELTT, NY, 

Fix to the Pawling, NY (PWL), VOR/ 

DME. 

Regulatory Notices and Analyses 

The FAA has determined that this 

proposed regulation only involves an 

established body of technical 

regulations for which frequent and 

routine amendments are necessary to 

keep them operationally current. It, 

therefore: (1) is not a ‘‘significant 

regulatory action’’ under Executive 

Order 12866; (2) is not a ‘‘significant 

rule’’ under DOT Regulatory Policies 

and Procedures (44 FR 11034; February 

26, 1979); and (3) does not warrant 

preparation of a regulatory evaluation as 

the anticipated impact is so minimal. 

Since this is a routine matter that will 

only affect air traffic procedures and air 

navigation, it is certified that this 

proposed rule, when promulgated, will 

not have a significant economic impact 

on a substantial number of small entities 

under the criteria of the Regulatory 

Flexibility Act. 

Environmental Review 

This proposal will be subject to an 

environmental analysis in accordance 

with FAA Order 1050.1F, 

‘‘Environmental Impacts: Policies and 

Procedures’’ prior to any FAA final 

regulatory action. 

List of Subjects in 14 CFR Part 71 

Airspace, Incorporation by reference, 

Navigation (air). 

The Proposed Amendment 

In consideration of the foregoing, the 

Federal Aviation Administration 

proposes to amend 14 CFR part 71 as 

follows: 

PART 71—DESIGNATION OF CLASS A, 

B, C, D, AND E AIRSPACE AREAS; AIR 

TRAFFIC SERVICE ROUTES; AND 

REPORTING POINTS 

■ 1. The authority citation for 14 CFR 

part 71 continues to read as follows: 

Authority: 49 U.S.C. 106(f), 106(g); 40103, 

40113, 40120; E.O. 10854, 24 FR 9565, 3 CFR, 

1959–1963 Comp., p. 389. 

§ 71.1 [Amended] 

■ 2. The incorporation by reference in 

14 CFR 71.1 of FAA Order JO 7400.11H, 

Airspace Designations and Reporting 

Points, dated August 11, 2023, and 

effective September 15, 2023, is 

amended as follows: 

Paragraph 2006 United States Area 

Navigation Routes 

* * * * * 

Q–221 Armel, VA (AML) to DLMAR, PA [New] 

Armel, VA (AML) VOR/DME (Lat. 38°56′04.53′′ N, long. 077°28′00.13′′ W) 

DLMAR, PA WP (Lat. 41°41′42.56′′ N, long. 077°25′11.02′′ W) 

*****

Q–227 Armel, VA (AML) to STUBN, NY [New] 

Armel, VA (AML) VOR/DME (Lat. 38°56′04.53′′ N, long. 077°28′00.13′′ W) 

OGESY, PA WP (Lat. 40°44′13.65′′ N, long. 077°26′11.63′′ W) 

STUBN, NY WP (Lat. 42°05′38.58′′ N, long. 077°01′28.68′′ W) 

*****

Q–232 STUBN, NY to NEION, NJ [New] 

STUBN, NY WP (Lat. 42°05′38.58′′ N, long. 077°01′28.68′′ W) 

CORDS, PA FIX (Lat. 41°34′11.04′′ N, long. 075°08′23.50′′ W) 

NEION, NJ FIX (Lat. 41°13′41.21′′ N, long. 074°34′50.78′′ W) 


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68518 Federal Register / Vol. 88, No. 191 / Wednesday, October 4, 2023 / Proposed Rules 

* * * * * Paragraph 6011 United States Area 

Navigation Routes. 

* * * * * 

T–303 Kinston, NC (ISO) to Boston, MA (BOS) [New] 

Kinston, NC (ISO) VORTAC (Lat. 35°22′15.41′′ N, long. 077°33′29.94′′ W) 

KOHLS, NC WP (Lat. 36°22′17.76′′ N, long. 076°52′21.48′′ W) 

Norfolk, VA (ORF) VORTAC (Lat. 36°53′30.86′′ N, long. 076°12′01.18′′ W) 

OUTLA, VA WP (Lat. 37°20′45.48′′ N, long. 075°59′54.08′′ W) 

JAMIE, VA FIX (Lat. 37°36′20.58′′ N, long. 075°57′48.81′′ W) 

MAGGO, MD FIX (Lat. 37°58′58.48′′ N, long. 075°44′01.39′′ W) 

TRPOD, MD WP (Lat. 38°20′20.33′′ N, long. 075°32′01.85′′ W) 

Waterloo, DE (ATR) VOR/DME (Lat. 38°48′35.32′′ N, long. 075°12′40.76′′ W) 

LEEAH, NJ FIX (Lat. 39°15′39.27′′ N, long. 074°57′11.01′′ W) 

DIXIE, NJ FIX (Lat. 40°05′57.72′′ N, long. 074°09′52.17′′ W) 

Kennedy, NY (JFK) VOR/DME (Lat. 40°37′58.38′′ N, long. 073°46′17.01′′ W) 

Deer Park, NY (DPK) VOR/DME (Lat. 40°47′30.30′′ N, long. 073°18′13.17′′ W) 

Madison, CT (MAD) VOR/DME (Lat. 41°18′49.90′′ N, long. 072°41′31.93′′ W) 

Hartford, CT (HFD) VOR/DME (Lat. 41°38′27.98′′ N, long. 072°32′50.70′′ W) 

GRAYM, MA FIX (Lat. 42°06′04.27′′ N, long. 072°01′53.49′′ W) 

GRIPE, MA FIX (Lat. 42°08′08.87′′ N, long. 071°54′32.47′′ W) 

Boston, MA (BOS) VOR/DME (Lat. 42°21′26.82′′ N, long. 070°59′22.37′′ W) 

*****

T–307 PEARS, NC to Syracuse, NY (SYR) [New] 

PEARS, NC FIX (Lat. 35°47′12.36′′ N, long. 076°57′01.97′′ W) 

Norfolk, VA (ORF) VORTAC (Lat. 36°53′30.86′′ N, long. 076°12′01.18′′ W) 

OUTLA, VA WP (Lat. 37°20′45.48′′ N, long. 075°59′54.08′′ W) 

DUNFE, VA FIX (Lat. 37°53′18.83′′ N, long. 075°35′29.39′′ W) 

ZJAAY, MD WP (Lat. 38°03′09.95′′ N, long. 075°26′34.27′′ W) 

CBEAV, MD FIX (Lat. 38°22′19.01′′ N, long. 075°15′53.18′′ W) 

WNSTN, NJ WP (Lat. 39°05′43.81′′ N, long. 074°48′01.20′′ W) 

BRIEF, NJ FIX (Lat. 39°26′55.21′′ N, long. 075°07′39.69′′ W) 

TEBEE, NJ FIX (Lat. 39°30′13.97′′ N, long. 075°19′37.19′′ W) 

CHAZR, DE WP (Lat. 39°29′28.14′′ N, long. 075°44′28.13′′ W) 

APEER, MD WP (Lat. 39°37′32.94′′ N, long. 075°50′25.39′′ W) 

REESY, PA WP (Lat. 39°45′27.94′′ N, long. 075°52′07.09′′ W) 

PADRE, PA FIX (Lat. 39°56′16.67′′ N, long. 076°03′18.63′′ W) 

DELRO, PA FIX (Lat. 39°57′55.71′′ N, long. 076°37′31.24′′ W) 

Harrisburg, PA (HAR) VORTAC (Lat. 40°18′08.06′′ N, long. 077°04′10.41′′ W) 

PYCAT, PA FIX (Lat. 40°26′46.60′′ N, long. 077°17′21.35′′ W) 

MCMAN, PA FIX (Lat. 40°38′16.11′′ N, long. 077°34′14.31′′ W) 

RASHE, PA FIX (Lat. 40°40′36.04′′ N, long. 077°38′38.94′′ W) 

Philipsburg, PA (PSB) VORTAC (Lat. 40°54′58.53′′ N, long. 077°59′33.78′′ W) 

DLMAR, PA WP (Lat. 41°41′42.56′′ N, long. 077°25′11.02′′ W) 

STUBN, NY WP (Lat. 42°05′38.58′′ N, long. 077°01′28.68′′ W) 

Syracuse, NY (SYR) VORTAC (Lat. 43°09′37.87′′ N, long. 076°12′16.41′′ W) 

*****

T–335 ZJAAY, MD to Syracuse, NY (SYR) [New] 

ZJAAY, MD WP (Lat. 38°03′09.95′′ N, long. 075°26′34.27′′ W) 

TRPOD, MD WP (Lat. 38°20′20.33′′ N, long. 075°32′01.85′′ W) 

EZIZI, DE FIX (Lat. 38°36′12.96′′ N, long. 075°30′38.10′′ W) 

Smyrna, DE (ENO) VORTAC (Lat. 39°13′53.93′′ N, long. 075°30′57.49′′ W) 

Dupont, DE (DQO) VORTAC (Lat. 39°40′41.31′′ N, long. 075°36′25.51′′ W) 

MARQI, PA WP (Lat. 39°55′22.30′′ N, long. 075°32′11.18′′ W) 

Pottstown, PA (PTW) VORTAC (Lat. 40°13′20.04′′ N, long. 075°33′36.90′′ W) 

East Texas, PA (ETX) VOR/DME (Lat. 40°34′51.74′′ N, long. 075°41′02.51′′ W) 

WLKES, PA WP (Lat. 41°16′22.57′′ N, long. 075°41′21.60′′ W) 

Binghamton, PA (CFB) VOR/DME (Lat. 42°09′26.97′′ N, long. 076°08′11.30′′ W) 

CORTA, PA WP (Lat. 42°40′25.65′′ N, long. 076°04′34.93′′ W) 

Syracuse, NY (SYR) VORTAC (Lat. 43°09′37.87′′ N, long. 076°12′16.41′′ W) 

*****

T–432 STUBN, NY to NEION, NJ [New] 

STUBN, NY WP (Lat. 42°05′38.58′′ N, long. 077°01′28.68′′ W) 

BNELE, PA WP (Lat. 41°49′06.83′′ N, long. 076°03′04.46′′ W) 

HAWLY, PA WP (Lat. 41°32′23.31′′ N, long. 075°05′25.66′′ W) 

NEION, NJ WP (Lat. 41°13′41.21′′ N, long. 074°34′50.78′′ W) 

*****

T–705 Nantucket, MA (ACK) to MUTNA, NY [Amended] 

Nantucket, MA (ACK) VOR/DME (Lat. 41°16′54.79′′ N, long. 070°01′36.16′′ W) 

LIBBE, NY FIX (Lat. 41°00′15.86′′ N, long. 071°21′20.34′′ W) 

ORCHA, NY WP (Lat. 40°54′55.46′′ N, long. 072°18′43.64′′ W) 

Calverton, NY (CCC) VOR/DME (Lat. 40°55′46.63′′ N, long. 072°47′55.89′′ W) 

Bridgeport, CT (BDR) VOR/DME (Lat. 41°09′38.54′′ N, long. 073°07′28.15′′ W) 

LOVES, CT FIX (Lat. 41°32′19.64′′ N, long. 073°29′17.14′′ W) 

PAWLN, NY FIX (Lat. 41°46′11.51′′ N, long. 073°36′02.64′′ W) 

CYPER, NY FIX (Lat. 42°06′32.37′′ N, long. 074°16′25.52′′ W) 

CODDI, NY FIX (Lat. 42°22′52.15′′ N, long. 075°00′21.84′′ W) 

LAMMS, NY WP (Lat. 43°01′35.30′′ N, long. 075°09′51.50′′ W) 

SRNAC, NY WP (Lat. 44°23′05.00′′ N, long. 074°12′16.11′′ W) 

RIGID, NY WP (Lat. 44°35′19.53′′ N, long. 073°44′34.07′′ W) 


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Federal Register / Vol. 88, No. 191 / Wednesday, October 4, 2023 / Proposed Rules 68519 

PBERG, NY WP (Lat. 44°42′06.25′′ N, long. 073°31′22.18′′ W) 

MUTNA, NY WP (Lat. 45°00′20.84′′ N, long. 073°33′27.65′′ W) 

* * * * * 

Issued in Washington, DC, on September 

28, 2023. 

Karen L. Chiodini, 

Acting Manager, Rules and Regulations 

Group. 

[FR Doc. 2023–21895 Filed 10–3–23; 8:45 am] 

BILLING CODE 4910–13–P 

DEPARTMENT OF THE TREASURY 

Internal Revenue Service 

26 CFR Part 54 

DEPARTMENT OF LABOR 

Employee Benefits Security 

Administration 

29 CFR Part 2590 

RIN 1210–ZA31 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

45 CFR Part 147 

[CMS–9891–NC] 

RIN 0938–ZB81 

Request for Information; Coverage of 

Over-the-Counter Preventive Services 

AGENCY: Internal Revenue Service, 

Department of the Treasury; Employee 

Benefits Security Administration, 

Department of Labor; Centers for 

Medicare & Medicaid Services, 

Department of Health and Human 

Services. 

ACTION: Request for information. 

SUMMARY: This document is a request for 

information (RFI) regarding the 

application of the preventive services 

requirements under section 2713 of the 

Public Health Service Act (PHS Act) to 

over-the-counter (OTC) preventive items 

and services available without a 

prescription by a health care provider. 

The Department of the Treasury, the 

Department of Labor, and the 

Department of Health and Human 

Services (the Departments) are issuing 

this RFI to gather input from the public 

regarding the potential benefits and 

costs of requiring non-grandfathered 

group health plans and health insurance 

issuers offering non-grandfathered 

group or individual health insurance 

coverage to cover OTC preventive items 

and services without cost sharing and 

without a prescription by a health care 

provider; seek comment on any 

potential challenges associated with 

providing such coverage; understand 

whether and how providing such 

coverage would benefit consumers; and 

assess any potential burden that plans 

and issuers would face if required to 

provide such coverage. 

DATES: To be assured consideration, 

comments must be received at one of 

the addresses provided below, no later 

than 5 p.m. ET on December 4, 2023. 

ADDRESSES: Written comments may be 

submitted to the address specified 

below. Any comment that is submitted 

will be shared with the Department of 

the Treasury, Internal Revenue Service, 

and the Department of Health and 

Human Services (HHS). Commenters 

should not submit duplicates. 

Comments will be made available to 

the public. Warning: Do not include any 

personally identifiable information 

(such as name, address, or other contact 

information) or confidential business 

information that you do not want 

publicly disclosed. All comments are 

posted on the internet exactly as 

received and can be retrieved by most 

internet search engines. No deletions, 

modifications, or redactions will be 

made to the comments received, as they 

are public records. Comments may be 

submitted anonymously. 

In commenting, please refer to file 

code 1210–ZA31. 

Comments must be submitted in one 

of the following two ways (please 

choose only one of the ways listed): 

1. Electronically. You may submit 

electronic comments on this regulation 

to https://www.regulations.gov. Follow 

the ‘‘Submit a comment’’ instructions. 

2. By mail. You may mail written 

comments to the following address 

ONLY: Office of Health Plan Standards 

and Compliance Assistance, Employee 

Benefits Security Administration, Room 

N–5653, U.S. Department of Labor, 200 

Constitution Avenue NW., Washington, 

DC 20210, Attention: 1210–ZA31. 

Always allow sufficient time for 

mailed comments to be received before 

the close of the comment period. 

Because of staff and resource 

limitations, the Departments cannot 

accept comments by facsimile (FAX) 

transmission. 

Inspection of Public Comments: All 

comments received before the close of 

the comment period are available for 

viewing by the public, including any 

personally identifiable or confidential 

business information that is included in 

a comment. The comments are posted 

on the following website as soon as 

possible after they have been received: 

http://www.regulations.gov. Follow the 

search instructions on that website to 

view public comments. 

FOR FURTHER INFORMATION CONTACT: 

Jason Sandoval, Internal Revenue 

Service, Department of the Treasury, at 

(202) 317–5500. 

Matthew Meidell or Rebecca Miller, 

Employee Benefits Security 

Administration, Department of Labor, at 

(202) 693–8335. 

Kei Helm, Centers for Medicare & 

Medicaid Services, Department of 

Health and Human Services, at (667) 

290–9656. 

Customer Service Information: 

Individuals interested in obtaining 

information from the Department of 

Labor (DOL) concerning employmentbased health coverage laws may call the 

Employee Benefits Security 

Administration (EBSA) Toll-Free 

Hotline at 1–866–444–EBSA (3272) or 

visit the DOL’s website (www.dol.gov/ 

ebsa). In addition, information from 

HHS on private health insurance 

coverage and on nonfederal 

governmental plans can be found on the 

Centers for Medicare & Medicaid 

Services (CMS) website (www.cms.gov/ 

cciio), and information on health care 

reform can be found at 

www.HealthCare.gov. 

SUPPLEMENTARY INFORMATION: 

I. Background 

A. Coverage of Preventive Services 

Under the Affordable Care Act and 

Implementing Regulations 

The Patient Protection and Affordable 

Care Act (Pub. L. 111–148) was enacted 

on March 23, 2010. The Health Care and 

Education Reconciliation Act of 2010 

(Pub. L. 111–152) was enacted on March 

30, 2010. These statutes are collectively 

known as the Affordable Care Act 

(ACA). The ACA reorganized, amended, 

and added to the provisions of part A of 

title XXVII of the PHS Act relating to 

group health plans and health insurance 

issuers in the group and individual 

markets. The ACA added section 

715(a)(1) to the Employee Retirement 

Income Security Act of 1974 (ERISA) 

and section 9815(a)(1) to the Internal 

Revenue Code (Code) to incorporate the 

provisions of part A of title XXVII of the 

PHS Act into ERISA and the Code, and 

to make them applicable to group health 

plans and health insurance issuers 

providing health insurance coverage in 

connection with group health plans. 


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