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###### Department of Health and Human Services

###### Centers for Medicare & Medicaid Services

          - [CMS-9892-N]

# AGENCY:

Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS).

# ACTION:

Notice of meeting.

# SUMMARY:

This notice announces that the date for the third public meeting of the Ground Ambulance and Patient Billing (GAPB) Advisory Committee is October 31, 2023 and November 1, 2023. The GAPB Advisory Committee will make recommendations with respect to the disclosure of charges and fees for ground ambulance services and insurance coverage, consumer protection and enforcement authorities of the Departments of Labor, Health and Human Services, and the Treasury (the Departments) and relevant States, and the prevention of balance billing to consumers. The recommendations shall address options, best practices, and identified standards to prevent instances of balance billing; steps that can be taken by State legislatures, State insurance regulators, State attorneys general, and other State officials as appropriate, consistent with current legal authorities regarding consumer protection; and legislative options for Congress to prevent balance billing.

# DATES:

*Virtual Meeting Date:*                         The GAPB Advisory Committee will hold a virtual meeting on Tuesday, October 31, 2023 and Wednesday, November 1, 2023 from 9:30 a.m. to 5:30 p.m., Eastern Daylight Time.                    

*Registration Link:*                         The virtual meeting will be open to the public and held via the Zoom webinar platform. Virtual attendance information will be provided upon registration. To register for this virtual meeting, please visit:                         *https://priforum.zoomgov.com/​webinar/​register/​WN_​n40NyMM_​Q0u3UFXul1IWTw.*                         Attendance is open to the public subject to any technical or capacity limitations.                    

*Deadline for Registration:*                         All individuals who plan to attend the virtual public meeting must register to attend. The deadline to register for the public meeting is Monday, October 30, 2023. Interested parties are encouraged to register as far in advance of the meeting as possible.                    

                        A detailed agenda and materials will be available prior to the meeting on the GAPB Advisory Committee website at:                         *https://www.cms.gov/​medicare/​regulations-guidance/​advisory-committees/​ground-ambulance-patient-billing-gapb.*

A recording and a summary of the meeting will be made available on the GAPB Advisory Committee website approximately 45 calendar days after the meeting.

# ADDRESSES:

*Virtual Meeting Location:*                         The October 31, 2023 and November 1, 2023 public meeting will be held virtually via Zoom only.                    

# FOR FURTHER INFORMATION CONTACT:

                        Shaheen Halim, (410) 786-0641 or via email at gapbadvisorycommittee                        *@cms.hhs.gov.*

                        Press inquiries may be submitted by phone at (202) 690-6145 or via email at                         *press@cms.hhs.gov.*

# SUPPLEMENTARY INFORMATION:

## I. Background

                    Section 117(a) of the No Surprises Act, enacted as part of the Consolidated Appropriations Act, 2021, div. BB, tit. I, Public Law 116-260 (December 27, 2020), requires the Secretaries of Labor, Department of Health and Human Services (HHS), and the Treasury to establish and convene an advisory committee for the purpose of reviewing options to improve the disclosure of charges and fees for ground ambulance services, better inform consumers of insurance options for such services, and protect consumers from balance billing. The Ground Ambulance and Patient Billing (GAPB) Advisory Committee is governed by the provisions of the Federal Advisory Committee Act (FACA),  Public Law 92-463 (October 6, 1972), as amended, 5 U.S.C. app. 2. Information on past and current Committee activity can be found at:                     *https://www.cms.gov/​medicare/​regulations-guidance/​advisory-committees/​ground-ambulance-patient-billing-gapb.*
      ( print page 67758)    

## II. Advisory Committee Membership Roster

                    On November 23, 2021, HHS published a Notice of Charter and Invitation for Member Nominations in the                     **Federal Register**                     for the GAPB Advisory Committee (86 FR 66565 through 66566). On December 16, 2022, HHS published a                     **Federal Register**                     Notice Announcing the 17 Members of the GAPB Advisory Committee (87 FR 77122 through 77123). A subsequent update to the Committee Roster was published on April 14, 2023 (88 FR 23046).                

The 17 Members of the GAPB Advisory Committee are as follows:
    - Asbel Montes—Committee Chairperson; Additional Representative determined necessary and appropriate by the Secretaries.
    - Ali Khawar—Secretary of Labor's Designee.
    - Carol Weiser—Secretary of the Treasury's Designee.
    - Rogelyn McLean—Secretary of Health and Human Services' Designee.
    - Gamunu Wijetunge—Department of Transportation—National Highway Traffic Safety Administration.
    - Suzanne Prentiss—State Insurance Regulators.
    - Adam Beck—Health Insurance Providers.
    - Patricia Kelmar—Consumer Advocacy Groups.
    - Gary Wingrove—Patient Advocacy Groups.
    - Ayobami Ogunsola—State and Local Governments.
    - Ritu Sahni—Physician specializing in emergency, trauma, cardiac, or stroke.
    - Peter Lawrence—State Emergency Medical Services Officials.
    - Shawn Baird—Emergency Medical Technicians, Paramedics, and Other Emergency Medical Services Personnel.
    - Edward Van Horne—Representative of Various Segments of the Ground Ambulance Industry.
    - Regina Godette-Crawford—Representative of Various Segments of the Ground Ambulance Industry.
    - Rhonda Holden—Representative of Various Segments of the Ground Ambulance Industry.
    - Loren Adler—Additional Representative determined necessary and appropriate by the Secretaries.

                    The GAPB Advisory Committee Roster is also available on the GAPB Advisory Committee website at:                     *https://www.cms.gov/​medicare/​regulations-guidance/​advisory-committees/​ground-ambulance-patient-billing-gapb.*                     All future updates to the Advisory Committee Roster will be published on this website.                

## III. Meeting Agenda

The third public meeting of the GAPB Advisory Committee will take place on October 31, 2023 and November 1, 2023. On October 31, 2023, the Committee will be presented with findings and recommendations from its subcommittees for discussion and deliberation. On November 1, 2023, the Committee will formally vote on which recommendations to adopt in its Report to the Secretaries. A more detailed agenda and materials will be made available prior to the meeting on the GAPB Advisory Committee website (listed previously).

## IV. Public Participation

                    The October 31, 2023 and November 1, 2023 GAPB Advisory Committee meeting will be open to the public. Attendance may be limited due to virtual meeting constraints. Interested parties are encouraged to register as far in advance of the meeting as possible. To register for the meeting, visit:                     *https://www.cms.gov/​medicare/​regulations-guidance/​advisory-committees/​ground-ambulance-patient-billing-gapb.*                     The Centers for Medicaid Services (CMS) is committed to providing equal access to this meeting for all participants and to ensuring Section 508 compliance. Closed captioning will be provided. To request alternative formats or services because of a disability, such as sign language interpreters or other ancillary aids, refer to the contact person listed in the                     **FOR FURTHER INFORMATION CONTACT**                     section.                

## V. Submitting Written Comments

                    Members of the public may submit written comments for consideration by the Committee at any time via email to                     *gapbadvisorycommittee@cms.hhs.gov.*                     Additionally, members of the public will have the opportunity to submit comments during the October 31, 2023 and November 1, 2023 virtual meeting through the chat feature of the Zoom webinar platform. Members of the public are encouraged to submit lengthy written comments (more than 3 sentences) to the email address above.                

## VI. Viewing Documents

                    You may view the documents discussed in this notice at:                     *https://www.cms.gov/​medicare/​regulations-guidance/​advisory-committees/​ground-ambulance-patient-billing-gapb.*

                    The Administrator of CMS, Chiquita Brooks-LaSure, having reviewed and approved this document, authorizes Chyana Woodyard, who is the Federal Register Liaison, to electronically sign this document for purposes of publication in the                     **Federal Register**                    .                

Chyana Woodyard,

Federal Register Liaison, Centers for Medicare & Medicaid Services.

[FR Doc. 2023-21676 Filed 9-29-23; 8:45 am]

BILLING CODE 4120-01-P