44128 Federal Register / Vol. 79, No. 146 / Wednesday, July 30, 2014 / Rules and Regulations 

or her on-scene representative may be 

contacted via Channel 16, VHF–FM. 

Dated: July 17, 2014. 

A.B. Cocanour, 

Captain, U.S. Coast Guard, Captain of the 

Port, Lake Michigan. 

[FR Doc. 2014–17970 Filed 7–29–14; 8:45 am] 

BILLING CODE 9110–04–P 

DEPARTMENT OF HOMELAND 

SECURITY 

Coast Guard 

33 CFR Part 165 

[Docket No. USCG–2011–1126] 

Security Zones; Seattle’s Seafair Fleet 

Week Moving Vessels, Puget Sound, 

WA 

AGENCY: Coast Guard, DHS. 

ACTION: Notice of enforcement of 

regulation; correction. 

SUMMARY: On July 25, 2014, the Coast 

Guard published in the Federal Register 

(79 FR 43257) a notice of enforcement 

for the Seattle’s Seafair Fleet Week 

Moving Vessels security zones. In the 

Notice of Enforcement, the Coast Guard 

identified three participating vessels 

that are designated as part of the 

security zone. One of those vessels was 

the HMCS YELLOWKNIFE (NCSM 706). 

After the Notice of Enforcement was 

published, the Coast Guard was 

informed by the Canadian government 

that the HMCS EDMONTON (NCSM 

703) will be participating in the Seattle 

Seafair Fleet Week event and not the 

HMCS YELLOWKNIFE. This document 

corrects that error. 

DATES: The regulations in 33 CFR 

165.1333 will be enforced from 12 p.m. 

on July 29, 2014 through 6 p.m. on 

August 4, 2014, unless canceled sooner 

by the Captain of the Port, Puget Sound 

or his designated representative. 

FOR FURTHER INFORMATION CONTACT: If 

you have questions on this notice, call 

or email LTJG Johnny Zeng, Sector 

Puget Sound Waterways Management, 

Coast Guard; telephone (206) 217–6323, 

SectorPugetSoundWWM@uscg.mil. 

SUPPLEMENTARY INFORMATION: 

Background 

On July 25, 2014, the Coast Guard 

published in the Federal Register (79 

FR 43257) a notice of enforcement for 

the Seattle’s Seafair Fleet Week Moving 

Vessels security zones. 

Need for Correction 

As stated in the Federal Register, the 

Notice of Enforcement for the Seattle’s 

Seafair Fleet Week Moving Vessels 

security zones designated three 

participating vessels: The HMCS 

BRANDON (NCSM 710), the HMCS 

YELLOWKNIFE (NCSM 706), and the 

USCGC MELLON (WHEC 717). 

However, subsequent to the publication 

of the Notice of Enforcement, the Coast 

Guard was informed by the Canadian 

government that the HMCS 

EDMONTON (NCSM 703) will be 

participating in the Seattle Seafair Fleet 

Week instead of the HMCS 

YELLOWKNIFE (NCEM 706). 

This notice corrects that error by 

publishing the name of the vessel, 

HMCS EDMONTON (NCSM 703), that is 

taking the place of the HMCS 

YELLOWKNIFE (NCSM 703) in the 

upcoming Seattle Seafair Fleet Week. 

Dated: July 25, 2014. 

Katia Cervoni, 

Chief, Office of Administrative Law and 

Regulations, U.S. Coast Guard. 

[FR Doc. 2014–17973 Filed 7–29–14; 8:45 am] 

BILLING CODE 9110–04–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

42 CFR Part 482 

[CMS–1599–F2] 

RIN 0938–AR53 

Medicare Program; Hospital Inpatient 

Prospective Payment Systems for 

Acute Care Hospitals and the LongTerm Care Hospital Prospective 

Payment System and Fiscal Year 2014 

Rates; Quality Reporting Requirements 

for Specific Providers; Hospital 

Conditions of Participation; Payment 

Policies Related to Patient Status; 

Correcting Amendment 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Final rule; correcting 

amendment. 

SUMMARY: This document corrects 

technical errors in the final rule that 

appeared in the August 19, 2013 

Federal Register, entitled ‘‘Medicare 

Program: Hospital Inpatient Prospective 

Payment Systems for Acute Care 

Hospitals and the Long-Term Care 

Hospital Prospective Payment System 

and Fiscal Year 2014 Rates; Quality 

Reporting Requirements for Specific 

Providers; Hospital Conditions of 

Participation; Payment Policies Related 

to Patient Status.’’ 

DATES: This correcting amendment is 

effective July 29, 2014. 

FOR FURTHER INFORMATION CONTACT: 

Ronisha Davis, (410) 786–6882. 

SUPPLEMENTARY INFORMATION: 

I. Background 

In FR Doc. 2013–18956 which 

appeared in the August 19, 2013 final 

rule entitled ‘‘Medicare Program; 

Hospital Inpatient Prospective Payment 

Systems for Acute Care Hospitals and 

the Long-Term Care Hospital 

Prospective Payment System and Fiscal 

Year 2014 Rates; Quality Reporting 

Requirements for Specific Providers; 

Hospital Conditions of Participation; 

Payment Policies Related to Patient 

Status’’ (78 FR 50495) (hereinafter 

referred to as the FY 2014 IPPS/LTCH 

PPS final rule) there was a technical 

error that is identified and corrected in 

the regulations text of this correcting 

amendment. 

II. Summary of Errors in the 

Regulations Text 

On page 50906 of the FY 2014 IPPS/ 

LTCH PPS final rule in our discussion 

of the change to the Medicare Hospital 

Conditions of Participation (CoPs) 

relating to the administration of 

pneumococcal vaccines, we stated that 

we were finalizing our proposal to 

remove the term ‘‘polyscaccharide’’ 

from the regulatory language at 

§ 482.23(c). Therefore on page 50970 in 

the amendatory instructions for 

§ 482.23, we stated that we were 

revising paragraph (c)(3). In stating that 

we were revising paragraph (c)(3), we 

revised the language to remove the term 

‘‘polyscaccharide,’’ but we also removed 

paragraphs (c)(3)(i), (ii), and (iii). To 

correct this error, in the regulations text 

of this correcting amendment, we are 

adding the inadvertently removed 

paragraphs (that is, paragraphs (c)(3)(i) 

through (c)(3)(iii)). 

III. Waiver of Proposed Rulemaking 

and Delay in Effective Date 

We ordinarily publish a notice of 

proposed rulemaking in the Federal 

Register to provide a period for public 

comment before the provisions of a rule 

take effect in accordance with section 

553(b) of the Administrative Procedure 

Act (APA) (5 U.S.C. 553(b)). However, 

we can waive this notice and comment 

procedure if the Secretary finds, for 

good cause, that the notice and 

comment process is impracticable, 

unnecessary, or contrary to the public 

interest, and incorporates a statement of 

the finding and the reasons therefore in 

the notice. 

In our view, this correcting 

amendment does not constitute a rule 


pmangrum on DSK3VPTVN1PROD with RULES
Federal Register / Vol. 79, No. 146 / Wednesday, July 30, 2014 / Rules and Regulations 44129 

that would be subject to the APA notice 

and comment or delayed effective date 

requirements. This correcting 

amendment corrects a technical error in 

the regulation text, but does not make 

substantive changes to the policy 

regarding the CoPs relating to the 

administration of pneumococcal 

vaccines that was adopted in the final 

rule. As a result, this correcting 

amendment is intended to ensure that 

the regulations text at § 482.23(c) 

accurately reflects the policy adopted in 

that final rule. 

In addition, even if this were a rule to 

which the notice and comment 

procedures and delayed effective date 

requirements applied, we find that there 

is good cause to waive such 

requirements. Undertaking further 

notice and comment procedures to 

incorporate the corrections in this 

document into the final rule or delaying 

the effective date would be contrary to 

the public interest because it is in the 

public’s interest for providers to have 

access to the appropriate regulations 

text in as timely a manner as possible, 

and to ensure that the FY 2014 IPPS/

LTCH PPS final rule accurately reflects 

our CoPs relating to the administration 

of pneumococcal vaccines policy. 

Furthermore, such procedures would be 

unnecessary, as we are not altering our 

policy, but rather we are simply 

providing the corrected regulations text 

that we previously proposed, received 

comment on, and subsequently 

finalized. This correcting amendment is 

intended solely to ensure that the FY 

2014 IPPS/LTCH PPS final rule 

accurately reflects this policy. 

Therefore, we believe we have good 

cause to waive the notice and comment 

and effective date requirements. 

List of Subjects in 42 CFR Part 482 

Grant programs, Health, Hospitals, 

Medicaid, Medicare, Reporting and 

recordkeeping requirements. 

Accordingly, 42 CFR chapter IV is 

corrected by making the following 

correcting amendments to part 482: 

PART 482—CONDITIONS OF 

PARTICIPATION FOR HOSPITALS 

■ 1. The authority citation for part 482 

continues to reads as follows: 

Authority: Secs. 1102, 1871, and 1881 of 

the Social Security Act (42 U.S.C. 1302, 

1395hh, and 1395rr), unless otherwise noted. 

■ 2. In § 482.23, revise paragraph (c)(3) 

to read as follows: 

§ 482.23 Condition of participation: 

Nursing services. 

* * * * * 

(c) * * * 

(3) With the exception of influenza 

and pneumococcal vaccines, which may 

be administered per physician-approved 

hospital policy after an assessment of 

contraindications, orders for drugs and 

biologicals must be documented and 

signed by a practitioner who is 

authorized to write orders in accordance 

with State law and hospital policy, and 

who is responsible for the care of the 

patient as specified under § 482.12(c). 

(i) If verbal orders are used, they are 

to be used infrequently. 

(ii) When verbal orders are used, they 

must only be accepted by persons who 

are authorized to do so by hospital 

policy and procedures consistent with 

Federal and State law. 

(iii) Orders for drugs and biologicals 

may be documented and signed by other 

practitioners not specified under 

§ 482.12(c) only if such practitioners are 

acting in accordance with State law, 

including scope-of-practice laws, 

hospital policies, and medical staff 

bylaws, rules, and regulations. 

* * * * * 

(Catalog of Federal Domestic Assistance 

Program No. 93.778, Medical Assistance 

Program No. 93.773, Medicare—Hospital 

Insurance; and Program No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: July 24, 2014. 

C’Reda Weeden, 

Executive Secretary to the Department, 

Department of Health and Human Services. 

[FR Doc. 2014–17937 Filed 7–29–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HOMELAND 

SECURITY 

Coast Guard 

46 CFR Parts 108, 117, 133, 160, 164, 

180, and 199 

[Docket No. USCG–2010–0048] 

RIN 1625–AB46 

Lifesaving Equipment: Production 

Testing and Harmonization With 

International Standards 

AGENCY: Coast Guard, DHS. 

ACTION: Final rule. 

SUMMARY: This rule finalizes the 

amendments to Coast Guard regulations 

for certain lifesaving equipment, 

including launching appliances 

(winches and davits), release 

mechanisms, survival craft (lifeboats, 

inflatable liferafts, and inflatable 

buoyant apparatus), rescue boats, and 

automatic disengaging devices, which 

were published as an interim rule and 

amended by a second interim rule. 

Additionally, it finalizes the 

amendments to the requirements for 

Coast Guard-approved release 

mechanisms proposed in a 

supplementary notice of proposed 

rulemaking (SNPRM). This final rule 

harmonizes the Coast Guard’s design, 

construction, and performance 

standards for this lifesaving equipment 

with international standards, while 

providing for the use of qualified 

independent laboratories, instead of 

Coast Guard inspectors, during the 

approval process and for production 

inspections of certain types of lifesaving 

equipment. 

DATES: This final rule is effective August 

29, 2014. The incorporation by reference 

of certain publications listed in the rule 

is approved by the Director of the 

Federal Register on August 29, 2014. 

FOR FURTHER INFORMATION CONTACT: If 

you have questions on this rule, call or 

email Mr. George Grills, Commercial 

Regulations and Standards Directorate, 

Office of Design and Engineering 

Standards, Lifesaving and Fire Safety 

Division (CG–ENG–4), Coast Guard; 

telephone 202–372–1385, or email 

TypeApproval@uscg.mil. If you have 

questions on viewing or submitting 

material to the docket, call Ms. Cheryl 

Collins, Program Manager, Docket 

Operations, telephone 202–366–9826. 

SUPPLEMENTARY INFORMATION: 

Table of Contents for Preamble 

I. Abbreviations 

II. Regulatory History 

III. Basis and Purpose 

IV. Discussion of Rule 

A. Background 

B. Discussion of Comments 

V. Incorporation by Reference 

VI. Regulatory Analyses 

A. Regulatory Planning and Review 

B. Small Entities 

C. Assistance for Small Entities 

D. Collection of Information 

E. Federalism 

F. Unfunded Mandates Reform Act 

G. Taking of Private Property 

H. Civil Justice Reform 

I. Protection of Children 

J. Indian Tribal Governments 

K. Energy Effects 

L. Technical Standards 

M. Coast Guard Authorization Act Sec. 608 

(46 U.S.C. 2118(a)) 

N. Environment 

I. Abbreviations 

CFR Code of Federal Regulations 

DHS Department of Homeland Security 

E.O. Executive Order 

FR Federal Register 

IMO International Maritime Organization 

IMO LSA Code ‘‘International Life-saving 

Appliance Code,’’ IMO Resolution 

MSC.48(66) 


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