3470 Federal Register / Vol. 87, No. 15 / Monday, January 24, 2022 / Proposed Rules 

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ee.doe.gov. 

Signing Authority 

This document of the Department of 

Energy was signed on January 12, 2022, 

by Kelly J. Speakes-Backman, Principal 

Deputy Assistant Secretary for Energy 

Efficiency and Renewable Energy, 

pursuant to delegated authority from the 

Secretary of Energy. That document 

with the original signature and date is 

maintained by DOE. For administrative 

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Register, the undersigned DOE Federal 

Register Liaison Officer has been 

authorized to sign and submit the 

document in electronic format for 

publication, as an official document of 

the Department of Energy. This 

administrative process in no way alters 

the legal effect of this document upon 

publication in the Federal Register. 

Signed in Washington, DC, on January 12, 

2022. 

Treena V. Garrett, 

Federal Register Liaison Officer, U.S. 

Department of Energy. 

[FR Doc. 2022–00849 Filed 1–21–22; 8:45 am] 

BILLING CODE 6450–01–P 

DEPARTMENT OF TRANSPORTATION 

Federal Aviation Administration 

14 CFR Part 39 

[Docket No. FAA–2021–1185; Project 

Identifier AD–2021–00339–E] 

RIN 2120–AA64 

Airworthiness Directives; Honeywell 

International, Inc. (Type Certificate 

Previously Held by AlliedSignal, Inc. 

and Textron Lycoming) Turboshaft 

Engines 

AGENCY: Federal Aviation 

Administration (FAA), DOT. 

ACTION: Notice of proposed rulemaking 

(NPRM). 

SUMMARY: The FAA proposes to 

supersede Airworthiness Directive (AD) 

2002–03–01, which applies to all 

Honeywell International, Inc. 

(Honeywell) T53 model turboshaft 

engines. AD 2002–03–01 requires initial 

and repetitive special vibration tests of 

the engine, and if necessary replacement 

with a serviceable reduction gearbox 

assembly, or a serviceable engine before 

further flight. Since the FAA issued AD 

2002–03–01, the FAA received reports 

that two additional Honeywell model 

turboshaft engines, not captured in AD 

2002–03–01, are also subject to 


jspears on DSK121TN23PROD with PROPOSALS1
Federal Register / Vol. 87, No. 15 / Monday, January 24, 2022 / Proposed Rules 3471 

tachometer drive spur gear failures due 

to vibration loads. This proposed AD 

would require initial and repetitive 

special vibration tests of the engine and, 

depending on the results, replacement 

of either the reduction gearbox assembly 

or the engine. The FAA is proposing 

this AD to address the unsafe condition 

on these products. 

DATES: The FAA must receive comments 

on this proposed AD by March 10, 2022. 

ADDRESSES: You may send comments, 

using the procedures found in 14 CFR 

11.43 and 11.45, by any of the following 

methods: 

• Federal eRulemaking Portal: Go to 

https://www.regulations.gov. Follow the 

instructions for submitting comments. 

• Fax: (202) 493–2251. 

• Mail: U.S. Department of 

Transportation, Docket Operations, 

M–30, West Building Ground Floor, 

Room W12–140, 1200 New Jersey 

Avenue SE, Washington, DC 20590. 

• Hand Delivery: Deliver to Mail 

address above between 9 a.m. and 5 

p.m., Monday through Friday, except 

Federal holidays. 

For service information identified in 

this NPRM, contact Honeywell 

International, Inc., 111 South 34th 

Street, Phoenix, AZ 85034; phone: (800) 

601–3099; fax: (602) 365 5577; website: 

https://myaerospace.honeywell.com/ 

wps/portal. You may view this service 

information at the FAA, Airworthiness 

Products Section, Operational Safety 

Branch, 1200 District Avenue, 

Burlington, MA 01803. For information 

on the availability of this material at the 

FAA, call (817) 222–5110. 

Examining the AD Docket 

You may examine the AD docket at 

https://www.regulations.gov by 

searching for and locating Docket No. 

FAA–2021–1185; or in person at Docket 

Operations between 9 a.m. and 5 p.m., 

Monday through Friday, except Federal 

holidays. The AD docket contains this 

NPRM, any comments received, and 

other information. The street address for 

Docket Operations is listed above. 

FOR FURTHER INFORMATION CONTACT: 

Jeffrey Chang, Aviation Safety Engineer, 

Los Angeles ACO Branch, FAA, 3960 

Paramount Boulevard, Lakewood, CA 

90712; phone: (562) 627–5263; fax: (562) 

627–5210; email: jeffrey.chang@faa.gov. 

SUPPLEMENTARY INFORMATION: 

Comments Invited 

The FAA invites you to send any 

written relevant data, views, or 

arguments about this proposal. Send 

your comments to an address listed 

under ADDRESSES. Include ‘‘Docket No. 

FAA–2021–1185; Project Identifier AD– 

2021–00339–E’’ at the beginning of your 

comments. The most helpful comments 

reference a specific portion of the 

proposal, explain the reason for any 

recommended change, and include 

supporting data. The FAA will consider 

all comments received by the closing 

date and may amend the proposal 

because of those comments. 

Except for Confidential Business 

Information (CBI) as described in the 

following paragraph, and other 

information as described in 14 CFR 

11.35, the FAA will post all comments 

received, without change, to https://

www.regulations.gov, including any 

personal information you provide. The 

agency will also post a report 

summarizing each substantive verbal 

contact we receive about this proposed 

AD. 

Confidential Business Information 

CBI is commercial or financial 

information that is both customarily and 

actually treated as private by its owner. 

Under the Freedom of Information Act 

(FOIA) (5 U.S.C. 552), CBI is exempt 

from public disclosure. If your 

comments responsive to this NPRM 

contain commercial or financial 

information that is customarily treated 

as private, that you actually treat as 

private, and that is relevant or 

responsive to this NPRM, it is important 

that you clearly designate the submitted 

comments as CBI. Please mark each 

page of your submission containing CBI 

as ‘‘PROPIN.’’ The FAA will treat such 

marked submissions as confidential 

under the FOIA, and they will not be 

placed in the public docket of this 

NPRM. Submissions containing CBI 

should be sent to Jeffrey Chang, 

Aviation Safety Engineer, Los Angeles 

ACO Branch, FAA, 3960 Paramount 

Boulevard, Lakewood, CA 90712. Any 

commentary that the FAA receives 

which is not specifically designated as 

CBI will be placed in the public docket 

for this rulemaking. 

Background 

The FAA issued AD 2002–03–01, 

Amendment 39–12642 (67 FR 6857, 

February 14, 2002) (AD 2002–03–01) for 

all Honeywell (formerly AlliedSignal, 

Inc. and Textron Lycoming) T5311A, 

T5311B, T5313B, T5317A, T5317B, and 

former military T53–L–11, T53–L–11A, 

T53–L–11B, T53–L–11C, T53–L–11D, 

T53–L–11A S/SA, T53–L–13B, T53–L– 

13B S/SA, T53–L–13B S/SB, and T53– 

L–703 model turboshaft engines. AD 

2002–03–01 was prompted by reports of 

tachometer drive spur gear failure, 

resulting in potential engine overspeed, 

loss of power turbine speed (N2) 

instrument panel indication, and hard 

landings. AD 2002–03–01 requires 

initial and repetitive special vibration 

tests of the engine and, for engines that 

fail the special vibration tests, 

replacement of the gearbox assembly or 

engine before further flight. The agency 

issued AD 2002–03–01 to prevent 

excessive vibrations produced by the 

reduction gearbox assembly that could 

cause failure of the tachometer drive 

spur gear. 

Actions Since AD 2002–03–01 Was 

Issued 

Since the FAA issued AD 2002–03– 

01, the FAA received reports that 

Honeywell T5317A–1 and T5317BCV 

model turboshaft engines are subject to 

the same unsafe condition identified in 

AD 2002–03–01, tachometer drive spur 

gear failures due to vibration loads. 

These model turboshaft engines were 

not included in the applicability of AD 

2002–03–01. The FAA and Honeywell 

determined that the Honeywell 

T5317A–1 engine model was 

inadvertently left out of the 

applicability of AD 2002–03–01 and the 

Honeywell T5317BCV engine model 

was introduced into production after the 

publication of AD 2002–03–01. 

FAA’s Determination 

The FAA is issuing this NPRM after 

determining that the unsafe condition 

described previously is likely to exist or 

develop on other products of the same 

type design. 

Related Service Information Under 1 

CFR Part 51 

The FAA reviewed AlliedSignal 

Aerospace Service Bulletin (SB) 

T5311A/B–0100, dated January 20, 

2000. This SB specifies procedures for 

performing a special vibration check on 

Honeywell T5311A and T5311B model 

turboshaft engines. 

The FAA reviewed AlliedSignal 

Aerospace SB T5313B/17–0100, dated 

November 19, 1999. This SB specifies 

procedures for performing a special 

vibration check on Honeywell T5313B, 

T5317A, and T5317B model turboshaft 

engines. 

The FAA reviewed Honeywell SB 

T53–0147, dated May 29, 2007. This SB 

specifies procedures for performing a 

special vibration check on Honeywell 

T5317A–1 model turboshaft engines. 

The FAA reviewed Honeywell 

Maintenance Manual Temporary 

Revision (TR) No. 165, dated July 29, 

2020. This TR specifies procedures for 

performing a special vibration check on 

Honeywell T5313B, T5317A, T5317A–1, 

T5317B, and T5317BCV model 

turboshaft engines. 


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3472 Federal Register / Vol. 87, No. 15 / Monday, January 24, 2022 / Proposed Rules 

The FAA reviewed AlliedSignal 

Aerospace SB T53–L–11–0100, Revision 

2, dated January 20, 2000. This SB 

specifies procedures for performing a 

special vibration check on Honeywell 

T53–L–11, –11A, –11B, –11C, –11D, and 

–11A S/SA model turboshaft engines. 

The FAA reviewed AlliedSignal 

Aerospace SB T53–L–13B–0100, 

Revision 2, dated May 11, 1999. This SB 

specifies procedures for performing a 

special vibration check on Honeywell 

T53–L–13B, –13B S/SA, and –13B S/SB 

model turboshaft engines. 

The FAA reviewed AlliedSignal 

Aerospace SB T53–L–703–0100, 

Revision 2, dated May 11, 1999. This SB 

specifies procedures for performing a 

special vibration check on Honeywell 

T53–L–703 model turboshaft engines. 

The Director of the Federal Register 

approved AlliedSignal Aerospace SB 

T5313B/17–0100, dated November 19, 

1999; AlliedSignal Aerospace SB T53– 

L–13B–0100, Revision 2, dated May 11, 

1999; AlliedSignal Aerospace SB T53– 

L–703–0100, Revision 2, dated May 11, 

1999; AlliedSignal Aerospace SB 

T5311A/B–0100, dated January 20, 

2000; and AlliedSignal Aerospace SB 

T53–L–11–0100, Revision 2, dated 

January 20, 2000, for incorporation by 

reference as of March 21, 2002 (67 FR 

6857, February 14, 2002). This service 

information is reasonably available 

because the interested parties have 

access to it through their normal course 

of business or by the means identified 

in ADDRESSES. 

Other Related Service Information 

The FAA reviewed AlliedSignal 

Aerospace SB T5311/T53–L–11–0103, 

dated January 20, 2000. This SB 

specifies procedures for replacing the 

reduction gearbox assembly on 

Honeywell T5311A and T5311B model 

turboshaft engines and Honeywell T53– 

L–11, –11A, –11B, –11C, –11D, and 

–11A S/SA model turboshaft engines. 

The FAA reviewed AlliedSignal 

Aerospace SB T5313B/17–0103, dated 

November 19, 1999. This SB specifies 

procedures for replacing the reduction 

gearbox assembly on Honeywell 

T5313B, T5317A, and T5317B model 

turboshaft engines. 

The FAA reviewed AlliedSignal 

Aerospace SB T53–L–13B–0103, 

Revision 4, dated November 2, 1999. 

This SB specifies procedures for 

replacing the reduction gearbox 

assembly on Honeywell T53–L–13B, 

–13B S/SA, and –13B S/SB model 

turboshaft engines. 

The FAA reviewed AlliedSignal 

Aerospace SB T53–L–703–0103, 

Revision 4, dated November 2, 1999. 

This SB specifies procedures for 

replacing the reduction gearbox 

assembly on Honeywell T53–L–703 

model turboshaft engines. 

Proposed AD Requirements in This 

NPRM 

This proposed AD would retain all of 

the requirements of AD 2002–03–01. 

This proposed AD would require initial 

and repetitive special vibration tests of 

the engine and, depending on the 

results, replacement of either the 

reduction gearbox assembly or the 

engine. This proposed AD would also 

expand the applicability to include 

Honeywell T5317A–1 and T5317BCV 

model turboshaft engines. 

Costs of Compliance 

The FAA estimates that this AD, if 

adopted as proposed, would affect 150 

engines installed on helicopters of U.S. 

registry. 

The FAA estimates the following 

costs to comply with this proposed AD: 

ESTIMATED COSTS

Action Labor cost Parts cost Cost per 

product 

Cost on 

U.S. operators 

Special vibration test of the engine ................ 4 work-hours × $85 per hour = $340 ............. $0 $340 $51,000 

The FAA estimates the following 

costs to do any necessary replacement 

that would be required based on the 

results of the proposed special vibration 

test. The agency has no way of 

determining the number of aircraft that 

might need this replacement: 

ON-CONDITION COSTS

Action Labor cost Parts cost Cost per 

product 

Replace the reduction gearbox assembly .................... 40 work-hours × $85 per hour = $3,400 ...................... $48,000 $51,400 

Replace the engine ...................................................... 24 work-hours × $85 per hour = $2,040 ...................... 250,577 252,617 

Authority for This Rulemaking 

Title 49 of the United States Code 

specifies the FAA’s authority to issue 

rules on aviation safety. Subtitle I, 

Section 106, describes the authority of 

the FAA Administrator. Subtitle VII, 

Aviation Programs, describes in more 

detail the scope of the Agency’s 

authority. 

The FAA is issuing this rulemaking 

under the authority described in 

Subtitle VII, Part A, Subpart III, Section 

44701, General requirements. Under 

that section, Congress charges the FAA 

with promoting safe flight of civil 

aircraft in air commerce by prescribing 

regulations for practices, methods, and 

procedures the Administrator finds 

necessary for safety in air commerce. 

This regulation is within the scope of 

that authority because it addresses an 

unsafe condition that is likely to exist or 

develop on products identified in this 

rulemaking action. 

Regulatory Findings 

The FAA determined that this 

proposed AD would not have federalism 

implications under Executive Order 

13132. This proposed AD would not 

have a substantial direct effect on the 

States, on the relationship between the 

national Government and the States, or 

on the distribution of power and 

responsibilities among the various 

levels of government. 

For the reasons discussed above, I 

certify that the proposed regulation: 

(1) Is not a ‘‘significant regulatory 

action’’ under Executive Order 12866, 

(2) Would not affect intrastate 

aviation in Alaska, and 

(3) Would not have a significant 

economic impact, positive or negative, 

on a substantial number of small entities 

under the criteria of the Regulatory 

Flexibility Act. 


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Federal Register / Vol. 87, No. 15 / Monday, January 24, 2022 / Proposed Rules 3473 

List of Subjects in 14 CFR Part 39 

Air transportation, Aircraft, Aviation 

safety, Incorporation by reference, 

Safety. 

The Proposed Amendment 

Accordingly, under the authority 

delegated to me by the Administrator, 

the FAA proposes to amend 14 CFR part 

39 as follows: 

PART 39—AIRWORTHINESS 

DIRECTIVES 

■ 1. The authority citation for part 39 

continues to read as follows: 

Authority: 49 U.S.C. 106(g), 40113, 44701. 

§ 39.13 [Amended] 

■ 2. The FAA amends § 39.13 by: 

■ a. Removing Airworthiness Directive 

2002–03–01, Amendment 39–12642 (67 

FR 6857, February 14, 2002); and 

■ b. Adding the following new 

airworthiness directive: 

Honeywell International Inc. (Type 

Certificate previously held by 

AlliedSignal, Inc. and Textron 

Lycoming): Docket No. FAA–2021–1185; 

Project Identifier AD–2021–00339–E. 

(a) Comments Due Date 

The FAA must receive comments on this 

airworthiness directive (AD) by March 10, 

2022. 

(b) Affected ADs 

This AD replaces AD 2002–03–01, 

Amendment 39–12642 (67 FR 6857, February 

14, 2002). 

(c) Applicability 

This AD applies to Honeywell 

International, Inc. (Type Certificate 

previously held by AlliedSignal, Inc. and 

Textron Lycoming) T5311A, T5311B, 

T5313B, T5317A, T5317A–1, T5317B, 

T5317BCV, and former military T53–L–11, 

T53–L–11A, T53–L–11B, T53–L–11C, T53– 

L–11D, T53–L–11A S/SA, T53–L–13B, T53– 

L–13B S/SA, T53–L–13B S/SB, and T53–L– 

703 model turboshaft engines. 

(d) Subject 

Joint Aircraft System Component (JASC) 

Code 7600, Engine Controls. 

(e) Unsafe Condition 

This AD was prompted by reports of 

tachometer drive spur gear failure, resulting 

in potential engine overspeed, loss of power 

turbine speed (N2) instrument panel 

indication, and hard landings. The FAA is 

issuing this AD to prevent excessive 

vibrations produced by the reduction gearbox 

assembly that could cause failure of the 

tachometer drive spur gear. The unsafe 

condition, if not addressed, could result in 

failure of the engine, loss of thrust control, 

and damage to the aircraft. 

(f) Compliance 

Comply with this AD within the 

compliance times specified, unless already 

done. 

(g) Required Actions 

(1) Within 100 flight hours (FHs) after the 

effective date of this AD, perform an initial 

special vibration test of the engine using the 

service information, as applicable to the 

engine model, listed in Table 1 to paragraph 

(g)(1) of this AD. 

BILLING CODE 4910–13–P 


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3474 Federal Register / Vol. 87, No. 15 / Monday, January 24, 2022 / Proposed Rules 

BILLING CODE 4910–13–C 

(2) Thereafter, within the following 

compliance times, perform repetitive special 

vibration tests of the engine: 

(i) For engines that have tachometer drive 

spur gear part number (P/N) 1–070–062–04 

installed, perform a repetitive special 

vibration test before exceeding 500 FHs since 

the last special vibration test. 

(ii) For engines that have tachometer drive 

spur gear P/N 1–070–062–06 installed, 

perform a repetitive special vibration test 

before exceeding 1,000 FHs since the last 

special vibration test. 

(3) If, during any special vibration test 

required by paragraph (g)(1) or (2) of this AD, 

an engine exceeds the 0.2 inches per second 

(IPS) limit for any peak RPM/frequency 

bands, perform one of the following: 

(i) Before further flight, replace the 

reduction gearbox assembly with a reduction 

gearbox assembly eligible for installation; or 

(ii) Before further flight, replace the engine 

with an engine eligible for installation. 

(4) After replacing the reduction gearbox 

assembly or engine, as required by paragraph 

(3)(i) or (ii) of this AD, before further flight, 

perform an initial special vibration test of the 

engine using the service information, as 

applicable to the engine model, listed in 

Table 1 to paragraph (g)(1) of this AD. 

(5) If, during the special vibration test 

required by paragraph (g)(4) of this AD, an 

engine exceeds the 0.2 IPS limit for any peak 

within the RPM/frequency bands, before 

further flight, replace the reduction gearbox 

assembly or the engine. 

(h) Definitions 

(1) For the purpose of this AD, a 

‘‘reduction gearbox assembly eligible for 

installation’’ is a new, zero hour reduction 

gearbox assembly or an overhauled reduction 

gearbox assembly with tachometer drive spur 

gear P/N 1–070–062–04 or P/N 1–070–062– 

06 that does not exceed the 0.2 IPS limit for 

any peak within the RPM/frequency bands 

during the administered special vibration 

test. 

(2) For the purpose of this AD, an ‘‘engine 

eligible for installation’’ is an engine with 

tachometer drive spur gear P/N 1–070–062– 

04 or P/N 1–070–062–06 that does not exceed 

the 0.2 IPS limit for any peak within the 

RPM/frequency bands during the 

administered special vibration test. 

(i) No Reporting Requirement 

The reporting requirements in the 

Accomplishment Instructions, paragraph 3.A. 

or paragraph 11.F, of the service information, 

as applicable to the engine model, listed in 

Table 1 to paragraph (g)(1) of this AD, are not 

required by this AD. 

(j) Alternative Methods of Compliance 

(AMOCs) 

(1) The Manager, Los Angeles ACO Branch, 

FAA, has the authority to approve AMOCs 

for this AD, if requested using the procedures 

found in 14 CFR 39.19. In accordance with 

14 CFR 39.19, send your request to your 

principal inspector or local Flight Standards 

District Office, as appropriate. If sending 


jspears on DSK121TN23PROD with PROPOSALS1EP24JA22.000</GPH>
Federal Register / Vol. 87, No. 15 / Monday, January 24, 2022 / Proposed Rules 3475 

1For additional discussion of administrative 

burden associated with the prior authorization 

process, see the CMS Interoperability and Prior 

Authorization proposed rule at 85 FR 82606. 

2Office of the National Coordinator for Health 

Information Technology. Strategy on Reducing 

Regulatory and Administrative Burden Relating to 

the Use of Health IT and EHRs [PDF file]. February 

2020. Retrieved from https://www.healthit.gov/ 

sites/default/files/page/2020-02/BurdenReport_

0.pdf. 

information directly to the manager of the 

certification office, send it to the attention of 

the person identified in paragraph (k)(1) of 

this AD. Information may be emailed to: 9- 

ANM-LAACO-AMOC-Requests@faa.gov. 

(2) Before using any approved AMOC, 

notify your appropriate principal inspector, 

or lacking a principal inspector, the manager 

of the local flight standards district office/ 

certificate holding district office. 

(3) AMOCs approved for AD 2002–03–01 

(67 FR 6857, February 14, 2002) are approved 

as AMOCs for the corresponding provisions 

of this AD. 

(k) Related Information 

(1) For more information about this AD, 

contact Jeffrey Chang, Aviation Safety 

Engineer, Los Angeles ACO Branch, FAA, 

3960 Paramount Boulevard, Lakewood, CA 

90712; phone: (562) 627–5263; fax: (562) 

627–5210; email: jeffrey.chang@faa.gov. 

(2) For service information identified in 

this AD, contact Honeywell International, 

Inc., 111 South 34th Street, Phoenix, AZ 

85034; phone: (800) 601–3099; fax: (602) 365 

5577; website: https://

myaerospace.honeywell.com/wps/portal. You 

may view this referenced service information 

at the FAA, Airworthiness Products Section, 

Operational Safety Branch, 1200 District 

Avenue, Burlington, MA 01803. For 

information on the availability of this 

material at the FAA, call (817) 222–5110. 

Issued on January 18, 2022. 

Lance T. Gant, 

Director, Compliance & Airworthiness 

Division, Aircraft Certification Service. 

[FR Doc. 2022–01238 Filed 1–21–22; 8:45 am] 

BILLING CODE 4910–13–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Office of the Secretary 

45 CFR Part 170 

RIN–0955–AA04 

Request for Information: Electronic 

Prior Authorization Standards, 

Implementation Specifications, and 

Certification Criteria 

AGENCY: Office of the National 

Coordinator for Health IT, Health and 

Human Services (HHS). 

ACTION: Request for information 

SUMMARY: This request for information 

seeks input from the public regarding 

electronic prior authorization standards, 

implementation specifications, and 

certification criteria that could be 

adopted within the ONC Health IT 

Certification Program. Responses to this 

Request for Information will be used to 

inform potential future rulemaking. 

DATES: To be assured consideration, 

written or electronic comments must be 

received at one of the addresses 

provided below, no later than 5 p.m. on 

March 25, 2022. 

ADDRESSES: You may submit comments, 

identified by RIN 0955–AA04, by any of 

the following methods (please do not 

submit duplicate comments). Because of 

staff and resource limitations, we cannot 

accept comments by facsimile (FAX) 

transmission. 

Federal eRulemaking Portal: Follow 

the instructions for submitting 

comments. Attachments should be in 

Microsoft Word, Microsoft Excel, or 

Adobe PDF; however, we prefer 

Microsoft Word. http://

www.regulations.gov. 

Regular, Express, or Overnight Mail: 

Department of Health and Human 

Services, Office of the National 

Coordinator for Health Information 

Technology, Attention: Request for 

Information: Electronic Prior 

Authorization Standards, 

Implementation Specifications, and 

Certification Criteria, Mary E. Switzer 

Building, Mail Stop: 7033A, 330 C 

Street SW, Washington, DC 20201. 

Please submit one original and two 

copies. 

Hand Delivery or Courier: Office of 

the National Coordinator for Health 

Information Technology, Attention: 

Request for Information: Electronic Prior 

Authorization Standards, 

Implementation Specifications, and 

Certification Criteria, Mary E. Switzer 

Building, Mail Stop: 7033A, 330 C 

Street SW, Washington, DC 20201. 

Please submit one original and two 

copies. (Because access to the interior of 

the Mary E. Switzer Building is not 

readily available to persons without 

Federal Government identification, 

commenters are encouraged to leave 

their comments in the mail drop slots 

located in the main lobby of the 

building.) 

Inspection of Public Comments: All 

comments received before the close of 

the comment period will be available for 

public inspection, including any 

personally identifiable or confidential 

business information that is included in 

a comment. Please do not include 

anything in your comment submission 

that you do not wish to share with the 

general public. Such information 

includes, but is not limited to: A 

person’s social security number; date of 

birth; driver’s license number; state 

identification number or foreign country 

equivalent; passport number; financial 

account number; credit or debit card 

number; any personal health 

information; or any business 

information that could be considered 

proprietary. We will post all comments 

that are received before the close of the 

comment period at http://

www.regulations.gov. 

Docket: For access to the docket to 

read background documents or 

comments received, go to http://

www.regulations.gov or the Department 

of Health and Human Services, Office of 

the National Coordinator for Health 

Information Technology, Mary E. 

Switzer Building, Mail Stop: 7033A, 330 

C Street SW, Washington, DC 20201 

(call ahead to the contact listed below 

to arrange for inspection). 

FOR FURTHER INFORMATION CONTACT: Alex 

Baker, Office of Policy, Office of the 

National Coordinator for Health 

Information Technology, 202–260–2048. 

SUPPLEMENTARY INFORMATION: 

I. Background 

For purposes of this Request for 

Information (RFI), prior authorization 

generally refers to rules imposed by 

healthcare payers that require approval 

for a medication, procedure, device, or 

other medical service be obtained prior 

to payment for the item or service. Prior 

authorization requirements are 

established by payers to help control 

costs and ensure payment accuracy by 

verifying that an item or service is 

medically necessary, meets coverage 

criteria, and is consistent with standards 

of care. Stakeholders have stated that 

diverse payer policies, provider 

workflow challenges, and technical 

barriers create an environment in which 

the prior authorization process is a 

source of burden for patients, providers, 

and payers; a cause of burnout for 

providers; and a health risk for patients 

when it delays their care.1

ONC’s Strategy on Reducing 

Regulatory and Administrative Burden 

Relating to the Use of Health IT and 

EHRs,2 released in 2020, identified 

challenges associated with the prior 

authorization process, including: (i) 

Difficulty in determining whether an 

item or service requires prior 

authorization; (ii) difficulty in 

determining payer-specific prior 

authorization requirements for those 

items and services; (iii) inefficient use of 

provider and staff time to navigate 

communications channels such as fax, 

telephone, and various web portals; and 


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