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[Federal Register Volume 78, Number 65 (Thursday, April 4, 2013)]
[Notices]
[Pages 20321-20323]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-07798]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10467, CMS-10330, and CMS-10325]

Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.
    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid 
Services (CMS) is publishing the following summary of proposed 
collections for public comment. Interested persons are invited to send 
comments regarding this burden estimate or any other aspect of this 
collection of information, including any of the following subjects: (1) 
The necessity and utility of the proposed information collection for 
the proper performance of the agency's functions; (2) the accuracy of 
the estimated burden; (3) ways to enhance the quality, utility, and 
clarity of the information to be collected; and (4) the use of 
automated collection techniques or other forms of information 
technology to minimize the information collection burden.
    1. Type of Information Collection Request: New Collection; Title of 
Information Collection: Evaluation of the Graduate Nurse Education 
Demonstration Program; Use: The Graduate Nurse Education (GNE) 
Demonstration is mandated under Section 5509 of the Affordable Care Act 
(ACA) under title XVIII of the Social Security Act (42 U.S.C. 1395 et 
seq.). According to Section 5509 of the ACA, the five selected 
demonstration sites receive ``payment for the hospital's reasonable 
costs for the provision of qualified clinical training to advance 
practice registered nurses.'' Section 5509 of the ACA also states that 
an

[[Page 20322]]

evaluation of the graduate nurse education demonstration must be 
completed no later than October 17, 2017. This evaluation includes 
analysis of the following: (1) Growth in the number of advanced 
practice registered nurses (APRNs) with respect to a specific base year 
as a result of the demonstration; (2) growth for each of the following 
specialties: clinical nurse specialist, nurse practitioner, certified 
nurse anesthetist, certified nurse-midwife; and (3) costs to the 
Medicare program as result of the demonstration.
    Quantitative and qualitative data from primary and secondary 
sources will be gathered and analyzed for this evaluation. The primary 
data will be collected through site visits, key stakeholder interviews, 
small discussion groups and focus groups, telephone interviews, 
electronic templates for quantitative data submission, and quarterly 
demonstration-site reports. The secondary data will come from mandatory 
hospital cost reports provided to the Centers for Medicare and Medicaid 
Services, and several other existing secondary data sources, such as 
the American Association of Colleges of Nursing (AACN). Form Number: 
CMS-10467 (OCN: 0938-NEW); Frequency: Annually; Affected Public: State, 
Local, or Tribal Governments, Business and other for-profit and not-
for-profit institutions; Number of Respondents: 330; Total Annual 
Responses: 330; Total Annual Hours: 3,370. (For policy questions 
regarding this collection, contact Pauline Karikari-Martin at 410-786-
1040. For all other issues call 410-786-1326.)
    2. Type of Information Collection Request: Reinstatement with 
change of a previously approved information collection; Title of 
Information Collection: Enrollment Opportunity Notice Relating to 
Lifetime Limits; Required Notice of Rescission of Coverage; and 
Disclosure Requirements for Patient Protection under the Affordable 
Care Act; Use: Under section 2711 of the Public Health Service Act (PHS 
Act) amended by the Affordable Care Act, the enrollment opportunity 
notice was to be used by health plans to notify certain individuals of 
their right to re-enroll in their plan. The affected individuals were 
those whose coverage ended due to reaching a lifetime limit on the 
dollar value of all benefits for any individual. This notice was a one-
time requirement and is being discontinued. Under section 2712 of the 
PHS Act as amended by the Affordable Care Act, the rescission notice 
will be used by health plans to provide advance notice to certain 
individuals that their coverage may be rescinded. The affected 
individuals are those who are at risk of rescission on their health 
insurance coverage. Under section 2719A of the PHS Act as amended by 
the Affordable Care Act, the patient protection notification will be 
used by health plans to inform certain individuals of their right to 
choose a primary care provider or pediatrician and to use obstetrical/
gynecological services without prior authorization. Form Number: CMS-
10330 (OCN: 0938-1094); Frequency: On Occasion; Affected Public: 
Private Sector; State, Local, or Tribal Governments; Number of 
Respondents: 8,382; Number of Responses: 1,583,371; Total Annual Hours: 
2,267. (For policy questions regarding this collection, contact Usree 
Bandyopadhyay at 410-786-6650. For all other issues call (410) 786-
1326.)
    3. Type of Information Collection Request: Reinstatement with 
change of a previously approved collection of information; Title of 
Information Collection: Disclosure and recordkeeping requirements for 
Grandfathered Health Plans under the Affordable care Act Use: Section 
1251 of the Patient Protection and Affordable Care Act, Public Law 111-
148, (the Affordable Care Act) provides that certain plans and health 
insurance coverage in existence as of March 23, 2010, known as 
grandfathered health plans, are not required to comply with certain 
statutory provisions in the Act. To maintain its status as a 
grandfathered health plan, the interim final regulations titled 
``Interim Final Rules for Group Health Plans and Health Insurance 
Coverage Relating to Status as a Grandfathered Health Plan Under the 
Patient Protection and Affordable Care Act'' (75 FR 34538, June 17, 
2010) require the plan to maintain records documenting the terms of the 
plan in effect on March 23, 2010, and any other documents that are 
necessary to verify, explain or clarify status as a grandfathered 
health plan. The plan must make such records available for examination 
upon request by participants, beneficiaries, individual policy 
subscribers, or a State or Federal agency official. The recordkeeping 
requirement will allow a participant, beneficiary, or federal or state 
official to inspect plan documents to verify that a plan or health 
insurance coverage is a grandfathered health plan. A grandfathered 
health plan must include a statement in any plan materials provided to 
participants or beneficiaries (in the individual market, primary 
subscriber) describing the benefits provided under the plan or health 
insurance coverage, and that the plan or coverage is intended to be 
grandfathered health plan. The disclosure requirement will provide 
participants and beneficiaries with important information about their 
grandfathered health plans, such as that grandfathered plans are not 
required to comply with certain consumer protection provisions 
contained in the Act. It also will provide important contact 
information for participants to find out which protections apply and 
which protections do not apply to a grandfathered health plan and what 
might cause a plan to change from grandfathered to non-grandfathered 
health plan status. An amendment to the interim final regulations (75 
FR 70114, November 17, 2010) requires a grandfathered group health plan 
that is changing health insurance issuers to provide the succeeding 
health insurance issuer (and the succeeding health insurance issuer 
must require) documentation of plan terms (including benefits, cost 
sharing, employer contributions, and annual limits) under the prior 
health insurance coverage sufficient to make a determination whether 
the standards set forth in paragraph (g)(1) of the interim final 
regulations are exceeded. Form Number: CMS-10325 (OCN: 0938-1093); 
Frequency: Annually; Affected Public: State, Local, or Tribal 
governments and health insurance coverage issuers; Number of 
Respondents: 64,552; Number of Responses: 10,113,926; Total Annual 
Hours: 85. (For policy questions regarding this collection, contact 
Usree Bandyopadhyay at (410) 786-6650. For all other issues call (410) 
786-1326.)
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS' 
Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995, 
or email your request, including your address, phone number, OMB 
number, and CMS document identifier, to Paperwork@cms.hhs.gov, or call 
the Reports Clearance Office on (410) 786-1326.
    In commenting on the proposed information collections please 
reference the document identifier or OMB control number. To be assured 
consideration, comments and recommendations must be submitted in one of 
the following ways by June 3, 2013:
    1. Electronically. You may submit your comments electronically to  
http://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) accepting comments.

[[Page 20323]]

    2. By regular mail. You may mail written comments to the following 
address: CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development, Attention: Document Identifier/OMB 
Control Number ------, Room C4-26-05, 7500 Security Boulevard, 
Baltimore, Maryland 21244-1850.

    Dated: March 29, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2013-07798 Filed 4-3-13; 8:45 am]
BILLING CODE 4120-01-P
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