74998 Federal Register / Vol. 88, No. 210 / Wednesday, November 1, 2023 / Notices 

PICOTS (POPULATIONS, INTERVENTIONS, COMPARATORS, OUTCOMES, TIMING, AND SETTING)—Continued 

Element Include Exclude 

Intervention ....... • Interventions to mitigate barriers and/or improve the receipt 

of clinical preventive services among people with disabilities (e.g., modification in policies, practices, and procedures; effective communication; the physical accessibility of 

facilities; educational/training programs for healthcare providers) 

• Interventions that do not address barriers to receipt of clinical preventive services for people with disabilities 

• Characteristics/components of interventions (KQ3) may include elements such as: staffing, funding, facilities, equipment, training • Preventive services not listed in Appendix B 

• Clinical preventive services listed in Appendix B, derived 

from USPSTF 

Grade A and Grade B recommendations: 

—Screening (anxiety disorders, breast cancer, cervical cancer, colorectal cancer, depression, HIV infection, hypertension, intimate partner violence, osteoporosis, diabetes, 

unhealth drug or alcohol use) 

—Interventions or behavioral counseling (breastfeeding, 

falls prevention, perinatal depression, tobacco use/cessation, weight loss, healthy diet and physical activity, 

sexually transmitted infections) 

Comparator ...... • Another intervention 

• No intervention 

Outcome ........... • Receipt of clinical preventive service • Cost-effectiveness 

• Quality of receipt of clinical preventive service 

• Health outcomes related to clinical preventive service 

• Outcomes not related to included clinical preventive services listed in Appendix B 

• Patient satisfaction 

• Patient well-being 

• Harms of the intervention program 

Timing ............... • All 

Setting .............. • Primary care outpatient clinics 

• Community health clinics 

• Settings referable from primary care settings 

• Emergency departments 

• Other settings (e.g., home, residence, mobile care units) 

• United States or countries with a ‘‘very high’’ United Nations Human Development Index 

Abbreviations: HIV = Human Immunodeficiency Virus; KQ = Key Question; LGBTQ+ = Lesbian Gay Bisexual Transgender Queer/questioning 

plus/others; USPSTF = United States Preventive Services Task Force. 

Dated: October 26, 2023. 

Marquita Cullom, 

Associate Director. 

[FR Doc. 2023–24057 Filed 10–31–23; 8:45 am] 

BILLING CODE 4160–90–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

Privacy Act of 1974; Matching Program 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), Department 

of Health and Human Services (HHS). 

ACTION: Notice of a new matching 

program. 

SUMMARY: In accordance with the 

Privacy Act of 1974, as amended, the 

Department of Health and Human 

Services (HHS), Centers for Medicare & 

Medicaid Services (CMS) is providing 

notice of the re-establishment of a 

computer matching program between 

CMS and the Department of Defense, 

Defense Manpower Data Center for 

‘‘Verification of Eligibility for Minimum 

Essential Coverage Under the Patient 

Protection and Affordable Care Act 

through a Department of Defense Health 

Benefits Plan.’’ 

DATES: The deadline for comments on 

this notice is December 1, 2023. The reestablished matching program will 

commence not sooner than 30 days after 

publication of this notice, provided no 

comments are received that warrant a 

change to this notice. The matching 

program will be conducted for an initial 

term of 18 months (from approximately 

November 30, 2023 to May 29, 2025) 

and within 3 months of expiration may 

be renewed for up to one additional year 

if the parties make no change to the 

matching program and certify that the 

program has been conducted in 

compliance with the matching 

agreement. 

ADDRESSES: Interested parties may 

submit comments on this notice to the 

CMS Privacy Act Officer by mail at: 

Division of Security, Privacy Policy & 

Governance, Information Security & 

Privacy Group, Office of Information 

Technology, Centers for Medicare & 

Medicaid Services, Location: N1–14–56, 

7500 Security Blvd., Baltimore, MD 

21244–1850 or by email at 

Barbara.Demopulos@cms.hhs.gov. 

FOR FURTHER INFORMATION CONTACT: If 

you have questions about the matching 

program, you may contact Anne Pesto, 

Senior Advisor, Marketplace Eligibility 

and Enrollment Group, Center for 

Consumer Information and Insurance 

Oversight, Centers for Medicare & 

Medicaid Services, at 443–955–9966, by 

email at anne.pesto@cms.hhs.gov, or by 

mail at 7500 Security Blvd., Baltimore, 

MD 21244. 

SUPPLEMENTARY INFORMATION: The 

Privacy Act of 1974, as amended (5 

U.S.C. 552a) provides certain 

protections for individuals applying for 

and receiving Federal benefits. The law 

governs the use of computer matching 

by Federal agencies when records in a 

system of records (meaning, Federal 

agency records about individuals 


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Federal Register / Vol. 88, No. 210 / Wednesday, November 1, 2023 / Notices 74999 

retrieved by name or other personal 

identifier) are matched with records of 

other Federal or non-Federal agencies. 

The Privacy Act requires agencies 

involved in a matching program to: 

1. Enter into a written agreement, 

which must be prepared in accordance 

with the Privacy Act, approved by the 

Data Integrity Board of each source and 

recipient Federal agency, provided to 

Congress and the Office of Management 

and Budget (OMB), and made available 

to the public, as required by 5 U.S.C. 

552a(o), (u)(3)(A), and (u)(4). 

2. Notify the individuals whose 

information will be used in the 

matching program that the information 

they provide is subject to verification 

through matching, as required by 5 

U.S.C. 552a(o)(1)(D). 

3. Verify match findings before 

suspending, terminating, reducing, or 

making a final denial of an individual’s 

benefits or payments or taking other 

adverse action against the individual, as 

required by 5 U.S.C. 552a(p). 

4. Report the matching program to 

Congress and the OMB, in advance and 

annually, as required by 5 U.S.C. 

552a(o) (2)(A)(i), (r), and (u)(3)(D). 

5. Publish advance notice of the 

matching program in the Federal 

Register as required by 5 U.S.C. 

552a(e)(12). 

This matching program meets these 

requirements. 

Barbara Demopulos, 

Privacy Act Officer, Division of Security, 

Privacy Policy and Governance, Office of 

Information Technology, Centers for Medicare 

& Medicaid Services. 

Participating Agencies 

The Department of Health and Human 

Services (HHS), Centers for Medicare & 

Medicaid Services (CMS) is the 

recipient agency, and the Department of 

Defense (DoD), Defense Manpower Data 

Center (DMDC) is the source agency. 

Authority for Conducting the Matching 

Program 

The principal authority for 

conducting the matching program is 42 

U.S.C. 18001, et seq. 

Purpose(s) 

The purpose of the matching program 

is to provide CMS with DoD data 

verifying individuals’ eligibility for 

coverage under a DoD Health Benefit 

Plan (i.e., TRICARE), when requested by 

CMS and state-based administering 

entities (AE) for the purpose of 

determining the individuals’ eligibility 

for insurance affordability programs 

under the Patient Protection and 

Affordable Care Act (PPACA). CMS and 

the requesting AE will use the DoD data 

to determine whether an enrollee in 

private health coverage under a 

qualified health plan through a 

federally-facilitated or state-based 

health insurance exchange is eligible for 

coverage under TRICARE, and the dates 

the individual was eligible for TRICARE 

coverage. DoD health benefit plans 

provide minimum essential coverage 

(MEC), and eligibility for such plans 

precludes eligibility for financial 

assistance in paying for private 

coverage. CMS and AE will use the DoD 

data to authenticate identity, determine 

eligibility for financial assistance 

(including an advance tax credit and 

cost-sharing reduction, which are types 

of insurance affordability programs), 

and determine the amount of any 

financial assistance. 

Categories of Individuals 

The categories of individuals whose 

information is involved in the matching 

program are: (1) active duty service 

members and their family members and 

(2) retirees and their family members 

whose TRICARE eligibility records at 

DoD match data provided to DoD by 

CMS (submitted by AEs) about 

individual consumers who are applying 

for or are enrolled in private health 

insurance coverage under a qualified 

health plan through a federallyfacilitated or state-based health 

insurance exchange. 

Categories of Records 

The categories of records used in the 

matching program are identity records 

and minimum essential coverage (MEC) 

period records. To request information 

from DoD, CMS will submit a request to 

DoD that may contain, but is not limited 

to, the following specified data elements 

in a fixed record format: Social Security 

Number (SSN), first name, middle 

name, surname (last name), date of 

birth, gender, and requested Qualified 

Health Plan (QHP) coverage effective 

date and end date. When DoD is able to 

match the SSN and name provided by 

CMS and information is available, DoD 

will provide CMS with the following 

about each individual, as relevant: SSN, 

response code indicating enrollment in 

MEC under a TRICARE plan, and, as 

applicable, begin date(s) and end date(s) 

of enrollment in MEC under a TRICARE 

plan. 

System(s) of Records 

The records used in the matching 

program are disclosed from these 

systems of records, as authorized by 

routine uses published in the System of 

Records Notices (SORNs) cited below: 

A. System of Records Maintained by 

CMS 

CMS Health Insurance Exchanges 

System (HIX), CMS System No. 09–70– 

0560, last published in full at 78 FR 

63211 (Oct. 23, 2013), and amended at 

83 FR 6591 (Feb. 14, 2018). Routine use 

3 authorizes CMS’ disclosures of 

identifying information about applicants 

to DoD for use in this matching 

program. 

B. System of Records Maintained by 

DoD 

The DoD system of records and 

routine use that support this matching 

program are Routine Use h in DMDC 02 

DoD, Defense Enrollment Eligibility 

Reporting Systems (DEERS), last 

published at 87 FR 32384 (May 31, 

2022). Routine use H supports DoD’s 

disclosures to CMS. 

[FR Doc. 2023–24081 Filed 10–31–23; 8:45 am] 

BILLING CODE 4120–03–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Food and Drug Administration 

[Docket No. FDA–2022–N–2558] 

David Winne: Grant of Special 

Termination; Final Order Terminating 

Debarment 

AGENCY: Food and Drug Administration, 

HHS. 

ACTION: Notice. 

SUMMARY: The Food and Drug 

Administration (FDA or the Agency) is 

issuing an order under the Federal 

Food, Drug, and Cosmetic Act (FD&C 

Act) granting special termination of the 

debarment of David Winne with an 

effective date of August 18, 2024. FDA 

bases this order on a finding that Mr. 

Winne provided substantial assistance 

in the investigations or prosecutions of 

offenses relating to a matter under 

FDA’s jurisdiction, and that special 

termination of Mr. Winne’s debarment 

serves the interest of justice and does 

not threaten the integrity of the drug 

approval process. 

DATES: This order is effective November 

1, 2023. 

ADDRESSES: Submit comments 

electronically at https://

www.regulations.gov. Written comments 

may be submitted to the Dockets 

Management Staff, Food and Drug 

Administration, 5630 Fishers Lane, Rm. 

1061, Rockville, MD 20852, 240–402– 

7500. 

FOR FURTHER INFORMATION CONTACT: 

Jaime Espinosa, Division of Compliance 


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