Federal Register / Vol. 89, No. 181 / Wednesday, September 18, 2024 / Notices 76475 

Respondents: Business or other forprofit entities. 

Number of Respondents: 25 

respondents; 25 responses. 

Estimated Time per Response: 1 hour. 

Frequency of Response: One time and 

occasion reporting requirements and 

third party disclosure requirement. 

Obligation to Respond: Required to 

obtain or retain benefits. Statutory 

authority for this information collection 

is contained in 47 U.S.C. 154, 303 and 

307(e) of the Communications Act of 

1934, as amended. 

Total Annual Burden: 25 hours. 

Total Annual Cost: No cost. 

Needs and Uses: Section 87.147 is 

needed to require applicants for aviation 

equipment certification to submit a 

Federal Aviation Administration (FAA) 

determination of the equipment’s 

compatibility with the National 

Airspace System (NAS). This will 

ensure that radio equipment operating 

in certain frequencies is compatible 

with the NAS, which shares system 

components with the military. The 

notification must describe the 

equipment, along with a report of 

measurements, give the manufacturer’s 

identification, antenna characteristics, 

rated output power, emission type and 

characteristics, the frequency or 

frequencies of operation, and essential 

receiver characteristics if protection is 

required. 

Federal Communications Commission. 

Katura Jackson, 

Federal Register Liaison Officer. 

[FR Doc. 2024–21252 Filed 9–17–24; 8:45 am] 

BILLING CODE 6712–01–P 

FEDERAL RESERVE SYSTEM 

Change in Bank Control Notices; 

Acquisitions of Shares of a Bank or 

Bank Holding Company 

The notificants listed below have 

applied under the Change in Bank 

Control Act (Act) (12 U.S.C. 1817(j)) and 

§ 225.41 of the Board’s Regulation Y (12 

CFR 225.41) to acquire shares of a bank 

or bank holding company. The factors 

that are considered in acting on the 

applications are set forth in paragraph 7 

of the Act (12 U.S.C. 1817(j)(7)). 

The public portions of the 

applications listed below, as well as 

other related filings required by the 

Board, if any, are available for 

immediate inspection at the Federal 

Reserve Bank(s) indicated below and at 

the offices of the Board of Governors. 

This information may also be obtained 

on an expedited basis, upon request, by 

contacting the appropriate Federal 

Reserve Bank and from the Board’s 

Freedom of Information Office at 

https://www.federalreserve.gov/foia/ 

request.htm. Interested persons may 

express their views in writing on the 

standards enumerated in paragraph 7 of 

the Act. 

Comments received are subject to 

public disclosure. In general, comments 

received will be made available without 

change and will not be modified to 

remove personal or business 

information including confidential, 

contact, or other identifying 

information. Comments should not 

include any information such as 

confidential information that would not 

be appropriate for public disclosure. 

Comments regarding each of these 

applications must be received at the 

Reserve Bank indicated or the offices of 

the Board of Governors, Ann E. 

Misback, Secretary of the Board, 20th 

Street and Constitution Avenue NW, 

Washington, DC 20551–0001, not later 

than October 3, 2024. 

A. Federal Reserve Bank of 

Minneapolis (Mark Rauzi, Vice 

President), 90 Hennepin Avenue, 

Minneapolis, Minnesota 55480–0291. 

Comments can also be sent 

electronically to MA@mpls.frb.org: 

1. John Daniel Billingsley, Lake Elmo, 

Minnesota; to join the Raleigh Family 

Control Group, a group acting in 

concert, to retain voting shares of Lake 

Elmo Bancshares, Inc., and thereby 

indirectly retain voting shares of Lake 

Elmo Bank, both of Lake Elmo, 

Minnesota. 

Board of Governors of the Federal Reserve 

System. 

Erin Cayce, 

Assistant Secretary of the Board. 

[FR Doc. 2024–21236 Filed 9–17–24; 8:45 am] 

BILLING CODE 6210–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–3463–FN] 

Medicare Program; Application by the 

Community Health Accreditation 

Partner (CHAP) for Continued CMS 

Approval of Its Home Infusion Therapy 

(HIT) Accreditation Program 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), Health and 

Human Services (HHS). 

ACTION: Final notice. 

SUMMARY: This final notice announces 

our decision to approve the Community 

Health Accreditation Partner (CHAP) for 

continued recognition as a national 

accrediting organization that accredits 

suppliers of home infusion therapy 

(HIT) services that wish to participate in 

the Medicare or Medicaid programs. 

DATES: The approval announced in this 

final notice is effective September 25, 

2024 through September 25, 2030. 

FOR FURTHER INFORMATION CONTACT: 

Shannon Freeland, (410) 786–4348. 

SUPPLEMENTARY INFORMATION: 

I. Background 

Home infusion therapy (HIT) is a 

treatment option for Medicare 

beneficiaries with a wide range of acute 

and chronic conditions. Section 5012 of 

the 21st Century Cures Act (Pub. L. 114– 

255, enacted December 13, 2016) added 

section 1861(iii) to the Social Security 

Act (the Act), establishing a new 

Medicare benefit for HIT services. 

Section 1861(iii)(1) of the Act defines 

‘‘home infusion therapy’’ as professional 

services, including nursing services; 

training and education not otherwise 

covered under the Durable Medical 

Equipment (DME) benefit; remote 

monitoring; and other monitoring 

services. Home infusion therapy must 

be furnished by a qualified HIT supplier 

and furnished in the individual’s home. 

Sections 1861(iii)(A) and (B) of the Act 

require that the individual (patient) 

must: 

• Be under the care of an applicable 

provider (that is, physician, nurse 

practitioner, or physician assistant); and 

• Have a plan of care established and 

periodically reviewed by a physician in 

coordination with the furnishing of 

home infusion drugs under Part B, 

which prescribes the type, amount, and 

duration of infusion therapy services 

that are to be furnished. 

Section 1861(iii)(3)(D)(i)(III) of the Act 

requires that a qualified HIT supplier be 

accredited by an accrediting 

organization (AO) designated by the 

Secretary in accordance with section 

1834(u)(5) of the Act. 

Section 1834(u)(5)(A) of the Act 

identifies factors for designating HIT 

AOs and for reviewing and modifying 

the list of designated HIT AOs. These 

statutory factors are as follows: 

• The ability of the accrediting 

organization to conduct timely reviews 

of HIT accreditation applications. 

• The ability of the accrediting 

organization to take into account the 

capacities of HIT suppliers located in a 

rural area (as defined in section 

1886(d)(2)(D) of the Act). 

• Whether the accrediting 

organization has established reasonable 

fees to be charged to HIT suppliers 

applying for accreditation. 


khammond on DSKJM1Z7X2PROD with NOTICES
76476 Federal Register / Vol. 89, No. 181 / Wednesday, September 18, 2024 / Notices 

• Such other factors as the Secretary 

determines appropriate. 

Section 1834(u)(5)(B) of the Act 

requires the Secretary to designate AOs 

to accredit HIT suppliers furnishing HIT 

not later than January 1, 2021. Section 

1861(iii)(3)(D)(i)(III) of the Act requires 

a ‘‘qualified home infusion therapy 

supplier’’ to be accredited by a CMSapproved AO, pursuant to section 

1834(u)(5) of the Act. 

The current term of approval for the 

Community Health Accreditation 

Partner (CHAP) HIT accreditation 

program expires September 25, 2024. 

II. Approval of Deeming Organization 

Section 1834(u)(5) of the Act and 

§ 488.1010 require that our findings 

concerning review and approval of a 

national accrediting organization’s 

requirements consider, among other 

factors, the applying accrediting 

organization’s requirements for 

accreditation; survey procedures; 

resources for conducting required 

surveys; capacity to furnish information 

for use in enforcement activities; 

monitoring procedures for provider 

entities found not in compliance with 

the conditions or requirements; and 

ability to provide CMS with the 

necessary data. 

Our rules at 42 CFR 488.1020(a) 

require that we publish, after receipt of 

an organization’s complete application, 

a notice identifying the national 

accrediting body making the request, 

describing the nature of the request, and 

providing at least a 30-day public 

comment period. Pursuant to our rules 

at 42 CFR 488.1010(d), we have 210 

days from the receipt of a complete 

application to publish notice of 

approval or denial of the application. 

III. Provisions of the Proposed Notice 

In the April 30, 2024, Federal 

Register (89 FR 34247), we published a 

proposed notice announcing CHAP’s 

request for continued recognition as a 

national accrediting organization for 

suppliers providing HIT services that 

wish to participate in the Medicare or 

Medicaid programs. In that proposed 

notice, we detailed our evaluation 

criteria. Under section 1834(u)(5) the 

Act and in our regulations at § 488.1010, 

we conducted a review of CHAP’s 

Medicare HIT accreditation application 

in accordance with the criteria specified 

by our regulations, which include, but 

are not limited to, the following: 

• An administrative review of 

CHAP’s: 

++ Corporate policies; 

++ Financial and human resources 

available to accomplish the proposed 

surveys; 

++ Procedures for training, 

monitoring, and evaluation of its HIT 

surveyors; 

++ Ability to investigate and respond 

appropriately to complaints against 

accredited HITs; and 

++ Survey review and decisionmaking process for accreditation. 

• The equivalency of CHAP’s 

standards for HIT as compared with 

CMS’ HIT conditions for participation. 

• CHAP’s survey process to 

determine the following: 

++ The composition of the survey 

team, surveyor qualifications, and the 

ability of the organization to provide 

continuing surveyor training; 

++ The comparability of CHAP’s to 

CMS’ standards and processes, 

including survey frequency, and the 

ability to investigate and respond 

appropriately to complaints against 

accredited facilities; 

++ CHAP’s processes and procedures 

for monitoring a HIT supplier found out 

of compliance with CHAP’s program 

requirements; 

++ CHAP’s capacity to report 

deficiencies to the surveyed HIT 

facilities and respond to the facility’s 

evidence of standards compliance in a 

timely manner; 

++ CHAP’s capacity to provide CMS 

with electronic data and reports 

necessary for effective assessment and 

interpretation of the organization’s 

survey process; 

++ CHAP’s capacity to adequately 

fund required surveys; 

++ CHAP’s policies with respect to 

whether surveys are announced or 

unannounced, to ensure that surveys are 

unannounced; and 

++ CHAP’s agreement to provide 

CMS with a copy of the most current 

accreditation survey together with any 

other information related to the survey 

as CMS may require (including 

corrective action plans or CHAP’s 

evidence of standards compliance). 

• The adequacy of CHAP’s staff and 

other resources, and its financial 

viability. 

• CHAP’s agreement or policies for 

voluntary and involuntary termination 

of suppliers. 

• CHAP’s agreement or policies for 

voluntary and involuntary termination 

of the HIT AO program. 

• CHAP’s policies and procedures to 

avoid conflicts of interest, including the 

appearance of conflicts of interest, 

involving individuals who conduct 

surveys or participate in accreditation 

decisions. 

IV. Analysis of and Responses to Public 

Comments on the Proposed Notice 

In accordance with section 1834(u)(5) 

of the Act, the April 30, 2024, proposed 

notice also solicited public comments 

regarding whether CHAP’s requirements 

met or exceeded the Medicare 

conditions for participation for HIT. No 

comments were received in response to 

our proposed notice. 

V. Provisions of the Final Notice 

A. Differences Between CHAP’s 

Standards and Requirements for 

Accreditation and Medicare Conditions 

and Survey Requirements 

We compared CHAP’s HIT 

accreditation requirements and survey 

process with the Medicare Conditions 

for Coverage of 42 CFR part 486, and the 

survey and certification process 

requirements of part 488. Our review 

and evaluation of CHAP’s HIT 

application, which were conducted as 

described in section III of this final 

notice, yielded the following areas 

where, as of the date of this notice, 

CHAP has completed revising its 

standards and certification processes to 

meet the conditions at §§ 486.500 to 

486.525. 

• Section 486.520(a), to address the 

requirement that all patients must be 

under the care of an applicable 

provider. 

• Section 486.520(b), to address the 

requirement that the plan of care must 

be established by a physician and that 

it prescribes the type, amount, and 

duration of the home infusion therapy 

services that are to be furnished. 

• Section 486.520(c), to address the 

requirement that the plan of care for 

each patient must be periodically 

reviewed by the physician. 

• Section 486.525(a), to address the 

requirement that the HIT supplier must 

provide the following services on a 7- 

day a week, 24 hour-a-day basis in 

accordance with the plan of care: 

++ Section 486.525(a)(1), to provide 

professional services, including nursing 

services. 

++ Section 486.525(a)(2), to address 

the requirement for patient training and 

education and not otherwise paid for as 

durable medical equipment. 

++ Section 486.525(a)(3), to address 

the requirement of remote monitoring 

services for the provision of HIT 

services and home infusion drugs. 

• Section 486.525(b), to address the 

requirement that all home infusion 

therapy suppliers must provide HIT 

services in accordance with nationally 

recognized standards of practice, and in 

accordance with all applicable state and 

federal laws and regulations. 

B. Term of Approval 

Based on the review and observations 

described in section III. of this final 


khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 89, No. 181 / Wednesday, September 18, 2024 / Notices 76477 

notice, we have determined that CHAP’s 

requirements for HIT meet or exceed our 

requirements. Therefore, we approve 

CHAP as a national accreditation 

organization for HITs that request 

participation in the Medicare program, 

effective September 25, 2024, through 

September 25, 2030. 

VI. Collection of Information 

Requirements 

This document does not impose 

information collection requirements, 

that is, reporting, recordkeeping, or 

third-party disclosure requirements. 

Consequently, there is no need for 

review by the Office of Management and 

Budget under the authority of the 

Paperwork Reduction Act of 1995 (44 

U.S.C. Chapter 35). 

The Administrator of the Centers for 

Medicare & Medicaid Services (CMS), 

Chiquita Brooks-LaSure, having 

reviewed and approved this document, 

authorizes Trenesha Fultz-Mimms, who 

is the Federal Register Liaison, to 

electronically sign this document for 

purposes of publication in the Federal 

Register. 

Trenesha Fultz-Mimms, 

Federal Register Liaison, Centers for Medicare 

& Medicaid Services. 

[FR Doc. 2024–21084 Filed 9–17–24; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for Office of Management 

and Budget (OMB) Review; 2024 

National Survey of Early Care and 

Education Longitudinal Follow-ups 

(OMB #: 0970–0391) 

AGENCY: Office of Planning, Research, 

and Evaluation, Administration for 

Children and Families, Department of 

Health and Human Services. 

ACTION: Request for public comments. 

SUMMARY: The Administration for 

Children and Families (ACF), U.S. 

Department of Health and Human 

Services (HHS), is proposing a data 

collection activity to be conducted 

January 2025 through December 2025 as 

a follow-up of the 2024 National Survey 

of Early Care and Education (NSECE). 

The objectives of the 2024 NSECE 

Longitudinal Follow-ups are to build on 

the design and implementation of the 

2024 NSECE to collect urgently needed 

information on the following two topics 

relevant to early care and education 

(ECE) policy: (1) how households learn 

about and make use of financial 

assistance in seeking and selecting ECE, 

with additional focus on paid 

individual care arrangements; and (2) 

patterns of retention and attrition among 

individuals in the center-based ECE 

workforce. 

DATES: Comments due within 30 days of 

publication. OMB must make a decision 

about the collection of information 

between 30 and 60 days after 

publication of this document in the 

Federal Register. Therefore, a comment 

is best assured of having its full effect 

if OMB receives it within 30 days of 

publication. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. You can also obtain 

copies of the proposed collection of 

information by emailing 

OPREinfocollection@acf.hhs.gov. 

Identify all requests by the title of the 

information collection. 

SUPPLEMENTARY INFORMATION: 

Description: The 2024 NSECE 

Longitudinal Follow-ups will consist of 

two nationally representative surveys 

drawing from 2024 NSECE respondents: 

1. a survey of households (1) with 

incomes under 300 percent of the 

federal poverty level (FPL) and/or (2) 

who had used paid care by an 

individual in 2024 (2024 NSECE 

Household Follow-up) 

2. a survey of individuals who were 

employed in 2024 in center-based ECE 

programs working directly with 

children in classrooms serving children 

age 5 years and under, not yet in 

kindergarten (2024 NSECE Workforce 

Follow-up). 

Participants will be drawn from 

respondents to the 2024 NSECE 

Household and Workforce surveys. 

The 2024 NSECE Longitudinal 

Follow-up data collection efforts will 

provide urgently needed information 

that will expand the potential of the 

2024 NSECE data to describe: (1) 

households’ search for and use of 

financial assistance for ECE (including 

assistance for paid individual care 

arrangements); and (2) employment 

experiences of individuals who have 

recently worked in center-based ECE 

classrooms. 

The household follow-up in early 

2025 will re-interview households 

participating in the 2024 NSECE who (1) 

report using paid individual ECE or (2) 

report incomes below 300 percent of the 

FPL. The workforce follow-up in late 

2025 will re-interview individuals who 

participated in the 2024 NSECE 

workforce survey (i.e., served as centerbased classroom-assigned instructional 

staff between January and November 

2024). Both follow-up surveys are 

designed to collect in-depth information 

that was not feasible to collect in the 

2024 NSECE and which can be uniquely 

collected through re-interviews of 

selected 2024 NSECE participants. The 

household follow-up will include 

information about households’ 

awareness of and experience with 

publicly funded ECE programs, how 

households selected ECE arrangements 

for Fall 2024, and who provided paid 

individual care to the households’ 

children in 2024. The workforce followup will include information about the 

experiences of ECE instructional staff 

over time, where workers who leave 

ECE employers or the ECE sector go and 

why they leave, and workers’ 

experiences in various ECE settings 

throughout their ECE careers. Accurate 

data on families with young children 

and the experiences of ECE workers are 

essential to assess the current landscape 

of ECE, and to provide insights to 

advance ECE policy and initiatives. The 

household follow-up will be fielded 

using multi-mode survey methodologies 

in early 2025, and the workforce followup will be fielded using multi-mode 

survey methodologies in the last half of 

2025. Both follow-ups will enhance the 

value of the 2024 NSECE by expanding 

the potential utility of those data to 

describe household and worker 

experiences over time and to address 

additional information needs. 

Respondents: 1. Households 

participating in the 2024 NSECE and 

reported either a. a paid individual ECE 

arrangement in 2024, or b. income 

under the 300 percent Federal poverty 

level in 2024. 2. Individuals who 

participated in the 2024 NSECE survey 

of center-based classroom-assigned 

instructional staff (workforce). 

Annual Burden Estimates 


khammond on DSKJM1Z7X2PROD with NOTICES