Federal Register / Vol. 78, No. 105 / Friday, May 31, 2013 / Notices 32663 

a willingness to serve as a Panel 

member and must be accompanied by a 

curricula vitae and a brief biographical 

summary of the nominee’s experience. 

While we are looking for experts in a 

number of fields, our most critical needs 

are for experts in Health IT, Tribal 

Affairs, Community Health Centers/ 

Medically Underserved Populations, 

African-American Health/Disparities, 

Health/Disability/Quality and State 

Programs/Medicaid/Rural. 

We are requesting that all curricula 

vitae include the following: 

• Date of birth 

• Place of birth 

• Title and current position 

• Professional affiliation 

• Home and business address 

• Telephone and fax numbers 

• Email address 

• List of areas of expertise 

Phone interviews of nominees may 

also be requested after review of the 

nominations. 

In order to permit an evaluation of 

possible sources of conflict of interest, 

potential candidates will be asked to 

provide detailed information concerning 

such matters as financial holdings, 

consultancies, and research grants or 

contracts. 

Members are invited to serve for 2- 

year terms, contingent upon the renewal 

of the APOE by appropriate action prior 

to its termination. A member may serve 

after the expiration of that member’s 

term until a successor takes office. Any 

member appointed to fill a vacancy for 

an unexpired term shall be appointed 

for the remainder of that term. 

III. Copies of the Charter 

The Secretary’s Charter for the APOE 

is available on the CMS Web site at: 

http://www.cms.gov/Regulations-and 

Guidance/Guidance/FACA/APOE.html, 

or you may obtain a copy of the charter 

by submitting a request to the contact 

listed in the FOR FURTHER INFORMATION

CONTACT section of this notice. 

Authority: Sec. 222 of the Public Health 

Service Act (42 U.S.C. 217a) and sec. 10(a) 

of Pub. L. 92–463 (5 U.S.C. App. 2, sec. 10(a) 

and 41 CFR 102–3). 

(Catalog of Federal Domestic Assistance 

Program No. 93.733, Medicare—Hospital 

Insurance Program; and Program No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: May 23, 2013. 

Marilyn Tavenner, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2013–12957 Filed 5–30–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–1459–N] 

Medicare Program; Notification of 

Closure of Teaching Hospitals and 

Opportunity To Apply for Available 

Slots 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice announces the 

closure of two teaching hospitals and 

the initiation of an application process 

where hospitals must apply to the 

Centers for Medicare & Medicaid 

Services (CMS) for consideration of 

Infirmary West Hospital’s and 

Montgomery Hospital’s full time 

equivalent (FTE) resident cap slots. 

DATES: We will consider applications 

received no later than 5 p.m. (e.s.t) 

August 29, 2013. Applications must be 

received, not postmarked, by this date. 

FOR FURTHER INFORMATION CONTACT: 

Miechal Lefkowitz, (212) 616–2517. 

SUPPLEMENTARY INFORMATION:

I. Background 

Section 5506 of the Patient Protection 

and Affordable Care Act (Pub. L. 111– 

148), as amended by the Health Care 

and Education Reconciliation Act of 

2010 (Pub. L. 111–152) (collectively, the 

‘‘Affordable Care Act’’), ‘‘Preservation of 

Resident Cap Positions from Closed 

Hospitals,’’ authorizes the Secretary to 

redistribute residency slots after a 

hospital that trained residents in an 

approved medical residency program 

closes. Specifically, section 5506 of the 

Affordable Care Act amended the Social 

Security Act (the Act) by adding 

subsection (vi) to section 1886(h)(4)(H) 

of the Act and modifying language at 

section 1886(d)(5)(B)(v) of the Act, to 

instruct the Secretary to establish a 

process to increase the full time 

equivalent (FTE) resident caps for other 

hospitals based upon the FTE resident 

caps in teaching hospitals that closed 

‘‘on or after a date that is 2 years before 

the date of enactment’’ (that is, March 

23, 2008). In the November 24, 2010 

Calendar Year (CY) 2011 Outpatient 

Prospective Payment System (OPPS) 

final rule (75 FR 72212), we established 

regulations and an application process 

for qualifying hospitals to apply to CMS 

for consideration of the direct graduate 

medical education (GME) and indirect 

medical education (IME) FTE resident 

cap slots from the hospital that closed. 

We made certain modifications to those 

regulations in the Fiscal Year (FY) 2013 

Hospital Inpatient Prospective Payment 

System and FY 2013 Long Term Care 

Hospital Prospective Payment System 

final rule (FY 2013 IPPS/LTCH PPS 

final rule (77 FR 53434 through 53447)). 

II. Provisions of the Notice 

a. Notice of Closure of Teaching 

Hospitals and Application Process 

CMS has learned of the closure of two 

teaching hospitals; Infirmary West 

Hospital of Mobile, AL and Montgomery 

Hospital of Morristown, PA. The 

purpose of this notice is to notify the 

public of the closure of these two 

teaching hospitals, and to initiate 

another round of the application and 

selection process described in section 

5506 of the Affordable Care Act. This 

round will be the fifth round (‘‘Round 

5’’) of the application and selection 

process. The table below identifies the 

two closed teaching hospitals, which are 

part of the Round 5 application process 

under section 5506 of the Affordable 

Care Act: 

TEACHING HOSPITALS CLOSURE

Provider No. Provider name City and state CBSA 

code Terminating date 

IME Cap (including 

+/¥ MMA Sec. 422 1

and +/¥ ACA Sec. 

5503 2 Adjustments) 

Direct GME Cap 

(including +/¥ MMA 

Sec. 422 1 and +/¥ 

ACA Sec. 5503 2

Adjustments) 

010152 ......... Infirmary West Hospital.Mobile, AL ................ 33660 November 1, 2012 ... 10.08 + 21.66 section 422 increase 

= 31.74 3.

10.08 + 21.76 section 422 increase 

= 31.84 4. 


tkelley on DSK3SPTVN1PROD with NOTICES
32664 Federal Register / Vol. 78, No. 105 / Friday, May 31, 2013 / Notices 

TEACHING HOSPITALS CLOSURE—Continued 

Provider No. Provider name City and state CBSA 

code Terminating date 

IME Cap (including 

+/¥ MMA Sec. 422 1

and +/¥ ACA Sec. 

5503 2 Adjustments) 

Direct GME Cap 

(including +/¥ MMA 

Sec. 422 1 and +/¥ 

ACA Sec. 5503 2

Adjustments) 

390108 ......... Montgomery Hospital Morris-town, PA ....... 37964 October 16, 2012 ..... 17.16¥0.60 = 

16.56 5.

15.33. 

1Section 422 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), Pub. L. 108–173, redistributed unused 

residency slots effective July 1, 2005. 2Section 5503 of the Affordable Care Act, Public Law 111–148, redistributed unused slots effective July 1, 2011. 

3 Infirmary West’s 1996 IME FTE cap is 10.08. Under section 422 of the MMA, the hospital received an increase of 21.66 to its IME FTE cap: 

10.08 + 21.66 = 31.74. We note that, under 42 CFR 412.105(d)(4), IME FTE cap slots associated with an increase received under section 422 of 

the MMA are to be paid using a special multiplier of 0.66. 4 Infirmary West’s 1996 direct GME FTE cap is 10.08. Under section 422 of the MMA, the hospital received an increase of 21.76 to its direct 

GME FTE cap: 10.08 + 21.76 = 31.84. We note that under 42 CFR 413.77(g), direct GME FTE cap slots associated with an increase received 

under section 422 of the MMA are to be paid using the appropriate locality-adjusted national average per resident amount (PRA). 5 Montgomery Hospital’s 1996 IME FTE cap is 17.16. Under section 5503 of the ACA, the IME FTE cap was reduced by 0.60: 17.16¥0.60 = 

16.56. 

b. Application Process for Available 

Resident Slots 

The application period for hospitals 

to apply for slots under section 5506 of 

the Affordable Care Act is 90 days 

following notification to the public of a 

hospital closure. Therefore, hospitals 

wishing to apply for and receive slots 

from the above hospitals’ FTE resident 

caps must submit applications directly 

to the CMS Central Office no later than 

August 29, 2013. In previous rounds of 

section 5506 of the Affordable Care Act, 

hospitals submitted applications to their 

respective CMS Regional Office. 

However, under this round (Round 5), 

hospitals need not submit applications 

to their respective CMS Regional Office. 

The mailing address for the CMS 

Central Office is included on the 

application form. Applications must be 

received by the August 29, 2013 

deadline date. It is not sufficient for 

applications to be postmarked by this 

date. After an applying hospital sends a 

hard copy of a section 5506 application 

to the CMS Central Office mailing 

address, we strongly encourage the 

hospital to send an email to: 

ACA5506application@cms.hhs.gov. In 

the email, the hospital should state: ‘‘I 

am sending this email to notify CMS 

that I have mailed a hard copy of a 

section 5506 application to CMS.’’ An 

applying hospital should not attach an 

electronic copy of the application to the 

email. The email will only serve to 

notify CMS Central Office that a hard 

copy application has been mailed to 

CMS Central Office. 

In the CY 2011 OPPS/ASC final rule 

with comment period, we did not 

establish a deadline by when CMS 

would issue the final determinations to 

hospitals that receive slots under 

section 5506 of the Affordable Care Act. 

However, we will review all 

applications received by the deadline, 

and notify applicants of our 

determinations as soon as possible. 

We refer readers to the CMS Web site 

at http://www.cms.gov/Medicare/ 

Medicare-Fee-for-Service-Payment/ 

AcuteInpatientPPS/dgme.html to 

download a copy of the application 

form (Section 5506 CMS Application 

Form) that hospitals are to use to apply 

for slots under section 5506 of the 

Affordable Care Act. We also refer 

readers to this same Web site to access 

a copy of the CY 2011 OPPS/ASC final 

rule with comment period, a copy of the 

FY 2013 IPPS/LTCH PPS final rule (77 

FR 53434 through 53447), and a list of 

additional section 5506 guidelines for 

an explanation of the policy and 

procedures for applying for slots, and 

the redistribution of the slots under 

sections 1886(h)(4)(H)(vi) and 

1886(d)(5)(B)(v) of the Act. 

III. Collection of Information 

Requirements 

This document does not impose 

information collection and 

recordkeeping requirements. 

Consequently, it need not be reviewed 

by the Office of Management and 

Budget under the authority of the 

Paperwork Reduction Act of 1995 (44 

U.S.C. chapter 35). Furthermore, the 

information collection requirements 

associated with the preservation of 

resident cap positions from closed 

hospitals are not subject to the 

Paperwork Reduction Act, as stated in 

section 5506 of the Affordable Care Act. 

(Catalog of Federal Domestic Assistance 

Program No. 93.773 Medicare—Hospital 

Insurance Program; and No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: May 24, 2013. 

Marilyn Tavenner, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2013–12952 Filed 5–30–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–7029–N] 

Medicare, Medicaid, and Children’s 

Health Insurance Programs; Meeting of 

the Advisory Panel on Outreach and 

Education (APOE), June 24, 2013 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice of meeting. 

SUMMARY: This notice announces a 

meeting of the Advisory Panel on 

Outreach and Education (APOE) (the 

Panel) in accordance with the Federal 

Advisory Committee Act. The Panel 

advises and makes recommendations to 

the Secretary of Health and Human 

Services and the Administrator of the 

Centers for Medicare & Medicaid 

Services on opportunities to enhance 

the effectiveness of consumer education 

strategies concerning Medicare, 

Medicaid and the Children’s Health 

Insurance Program (CHIP). This meeting 

is open to the public. 

DATES: Meeting Date: Monday, June 24, 

2013, 8:30 a.m. to 4:00 p.m. Eastern 

Standard Time (EST). 

Deadline for Meeting Registration, 

Presentations and Comments: Monday, 

June 10, 2013, 5:00 p.m., EST. 

Deadline for Requesting Special 

Accommodations: Monday, June 10, 

2013, 5:00 p.m., EST. 


tkelley on DSK3SPTVN1PROD with NOTICES