### 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 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; 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


### 44129 Federal Register / Vol. 79, No. 146 / Wednesday, July 30, 2014 / Rules and Regulations

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)