Federal Register / Vol. 79, No. 89 / Thursday, May 8, 2014 / Notices 26431 

DATES: The meeting will be held on 

Wednesday, June 18, 2014 from 8:30 

a.m. to 6:00 p.m. EDT and Thursday, 

June 19, 2014 from 8:30 a.m. to 1:00 

p.m. EDT. 

ADDRESSES: The Task Force Meeting 

will be held at CDC Edward R. Roybal 

Campus, Tom Harkin Global 

Communications Center (Building 19), 

1600 Clifton Road NE., Atlanta, GA 

30333. You should be aware that the 

meeting location is in a Federal 

government building; therefore, Federal 

security measures are applicable. For 

additional information, please see 

Roybal Campus Security Guidelines 

under SUPPLEMENTARY INFORMATION. 

Information regarding meeting logistics 

will be available on the Community 

Guide Web site 

(www.thecommunityguide.org). 

Meeting Accessability: This meeting is 

open to the public, limited only by 

space availability. All meeting attendees 

must RSVP to ensure the required 

security procedures are completed to 

gain access to the CDC’s Global 

Communications Center. 

U.S. citizens must RSVP by 6/4/2014. 

Non U.S. citizens must RSVP by 

5/23/2014 due to additional security 

steps that must be completed. 

Failure to RSVP by the dates 

identified could result in an inability to 

attend the Task Force meeting due to 

the strict security regulations on federal 

facilities. 

For Further Information and To RSVP 

Contact: Andrea Baeder, The 

Community Guide Branch; Division of 

Epidemiology, Analysis, and Library 

Services; Center for Surveillance, 

Epidemiology and Laboratory Services; 

Office of Public Health Scientific 

Services; Centers for Disease Control 

and Prevention, 1600 Clifton Road, MS– 

E–69, Atlanta, GA 30333, phone: (404) 

498–6876, email: CPSTF@cdc.gov. 

SUPPLEMENTARY INFORMATION: 

Purpose: The purpose of the meeting 

is for the Task Force to consider the 

findings of systematic reviews and issue 

findings and recommendations. Task 

Force recommendations provide 

information about evidence-based 

options that decision makers and 

stakeholders can consider when 

determining what best meets the 

specific needs, preferences, available 

resources, and constraints of their 

jurisdictions and constituents. 

Matters to be discussed: diabetes 

prevention and control, obesity 

prevention and control, reducing 

tobacco use and secondhand smoke 

exposure, promoting health equity, and 

promoting physical activity. 

Roybal Campus Security Guidelines: 

The Edward R. Roybal Campus is the 

headquarters of the U.S. Centers for 

Disease Control and Prevention and is 

located at 1600 Clifton Road NE., 

Atlanta, Georgia. The meeting is being 

held in a Federal government building; 

therefore, Federal security measures are 

applicable. 

All meeting attendees must RSVP by 

the dates outlined under Meeting 

Accessability. In planning your arrival 

time, please take into account the need 

to park and clear security. All visitors 

must enter the Roybal Campus through 

the entrance on Clifton Road. Your car 

may be searched, and the guard force 

will then direct visitors to the 

designated parking area. Upon arrival at 

the facility, visitors must present 

government issued photo identification 

(e.g., a valid federal identification 

badge, state driver’s license, state nondriver’s identification card, or passport). 

Non-United States citizens must 

complete the required security 

paperwork prior to the meeting date and 

must present a valid passport, visa, 

Permanent Resident Card, or other type 

of work authorization document upon 

arrival at the facility. All persons 

entering the building must pass through 

a metal detector. Visitors will be issued 

a visitor’s ID badge at the entrance to 

Building 19 and may be escorted to the 

meeting room. All items brought to 

HHS/CDC are subject to inspection. 

Dated: May 5, 2014. 

Ron A. Otten, 

Acting Deputy Associate Director for Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2014–10560 Filed 5–7–14; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–1619–NC] 

Medicare and Medicaid Programs; 

Announcement of Application From a 

Hospital Requesting Waiver for Organ 

Procurement Service Area 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice with comment period. 

SUMMARY: A hospital has requested a 

waiver of statutory requirements that 

would otherwise require the hospital to 

enter into an agreement with its 

designated Organ Procurement 

Organization (OPO). The request was 

made in accordance with section 

1138(a)(2) of the Social Security Act (the 

Act). This notice requests comments 

from OPOs and the general public for 

our consideration in determining 

whether we should grant the requested 

waiver. 

DATES: Comment Date: To be assured 

consideration, comments must be 

received at one of the addresses 

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

July 7, 2014. 

ADDRESSES: In commenting, refer to file 

code CMS–1619–NC. Because of staff 

and resource limitations, we cannot 

accept comments by facsimile (FAX) 

transmission. 

You may submit comments in one of 

four ways (please choose only one of the 

ways listed): 

1. Electronically. You may submit 

electronic comments on this regulation 

to http://www.regulations.gov. Follow 

the ‘‘Submit a comment’’ instructions. 

2. By regular mail. You may mail 

written comments to the following 

address ONLY: Centers for Medicare & 

Medicaid Services, Department of 

Health and Human Services, Attention: 

CMS–1619–NC, P.O. Box 8010, 

Baltimore, MD 21244–1850. 

Please allow sufficient time for mailed 

comments to be received before the 

close of the comment period. 

3. By express or overnight mail. You 

may send written comments to the 

following address ONLY: Centers for 

Medicare & Medicaid Services, 

Department of Health and Human 

Services, Attention: CMS–1619–NC, 

Mail Stop C4–26–05, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

4. By hand or courier. Alternatively, 

you may deliver (by hand or courier) 

your written comments to a regulations 

staff member ONLY to the following 

addresses: 

a. For delivery in Washington, DC— 

Centers for Medicare & Medicaid 

Services, Department of Health and 

Human Services, Room 445–G, Hubert 

H. Humphrey Building, 200 

Independence Avenue SW., 

Washington, DC 20201. 

(Because access to the interior of the 

Hubert H. Humphrey Building is not 

readily available to persons without 

Federal government identification, 

commenters are encouraged to leave 

their comments in the CMS drop slots 

located in the main lobby of the 

building. A stamp-in clock is available 

for persons wishing to retain a proof of 

filing by stamping in and retaining an 

extra copy of the comments being filed.) 

b. For delivery in Baltimore, MD— 

Centers for Medicare & Medicaid 

Services, Department of Health and 

Human Services, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

If you intend to deliver your 

comments to the Baltimore address, call 


emcdonald on DSK67QTVN1PROD with NOTICES
26432 Federal Register / Vol. 79, No. 89 / Thursday, May 8, 2014 / Notices 

telephone number (410) 786–9994 in 

advance to schedule your arrival with 

one of our staff members. 

Comments erroneously mailed to the 

addresses indicated as appropriate for 

hand or courier delivery may be delayed 

and received after the comment period. 

For information on viewing public 

comments, see the beginning of the 

SUPPLEMENTARY INFORMATION section. 

FOR FURTHER INFORMATION CONTACT: 

Patricia Taft, (410) 786–4561. 

SUPPLEMENTARY INFORMATION: 

Inspection of Public Comments: All 

comments received before the close of 

the comment period are available for 

viewing by the public, including any 

personally identifiable or confidential 

business information that is included in 

a comment. We post all comments 

received before the close of the 

comment period on the following Web 

site as soon as possible after they have 

been received: http://

www.regulations.gov. Follow the search 

instructions on that Web site to view 

public comments. 

Comments received timely will also 

be available for public inspection as 

they are received, generally beginning 

approximately 3 weeks after publication 

of a document, at the headquarters of 

the Centers for Medicare & Medicaid 

Services, 7500 Security Boulevard, 

Baltimore, Maryland 21244, Monday 

through Friday of each week from 8:30 

a.m. to 4 p.m. To schedule an 

appointment to view public comments, 

phone 1–800–743–3951. 

I. Background 

Organ Procurement Organizations 

(OPOs) are not-for-profit organizations 

that are responsible for the 

procurement, preservation, and 

transport of organs to transplant centers 

throughout the country. Qualified OPOs 

are designated by the Centers for 

Medicare & Medicaid Services (CMS) to 

recover or procure organs in CMSdefined exclusive geographic service 

areas, pursuant to section 371(b)(1) of 

the Public Health Service Act (42 U.S.C. 

273(b)(1)) and our regulations at 42 CFR 

486.306. Once an OPO has been 

designated for an area, hospitals in that 

area that participate in Medicare and 

Medicaid are required to work with that 

OPO in providing organs for transplant, 

pursuant to section 1138(a)(1)(C) of the 

Social Security Act (the Act) and our 

regulations at 42 CFR 482.45. 

Section 1138(a)(1)(A)(iii) of the Act 

provides that a hospital must notify the 

designated OPO (for the service area in 

which it is located) of potential organ 

donors. Under section 1138(a)(1)(C) of 

the Act, every participating hospital 

must have an agreement only with its 

designated OPO to identify potential 

donors. 

However, section 1138(a)(2)(A) of the 

Act provides that a hospital may obtain 

a waiver of the above requirements from 

the Secretary of the Department of 

Health and Human Services (the 

Secretary) under certain specified 

conditions. A waiver allows the hospital 

to have an agreement with an OPO other 

than the one initially designated by 

CMS, if the hospital meets certain 

conditions specified in section 

1138(a)(2)(A) of the Act. In addition, the 

Secretary may review additional criteria 

described in section 1138(a)(2)(B) of the 

Act to evaluate the hospital’s request for 

a waiver. 

Section 1138(a)(2)(A) of the Act states 

that in granting a waiver, the Secretary 

must determine that the waiver—(1) is 

expected to increase organ donations; 

and (2) will ensure equitable treatment 

of patients referred for transplants 

within the service area served by the 

designated OPO and within the service 

area served by the OPO with which the 

hospital seeks to enter into an 

agreement under the waiver. In making 

a waiver determination, section 

1138(a)(2)(B) of the Act provides that 

the Secretary may consider, among 

other factors: (1) Cost-effectiveness; (2) 

improvements in quality; (3) whether 

there has been any change in a 

hospital’s designated OPO due to the 

changes made in definitions for 

metropolitan statistical areas; and (4) 

the length and continuity of a hospital’s 

relationship with an OPO other than the 

hospital’s designated OPO. Under 

section 1138(a)(2)(D) of the Act, the 

Secretary is required to publish a notice 

of any waiver application received from 

a hospital within 30 days of receiving 

the application, and to offer interested 

parties an opportunity to submit 

comments during the 60-day comment 

period beginning on the publication 

date in the Federal Register. 

The criteria that the Secretary uses to 

evaluate the waiver in these cases are 

the same as those described above under 

sections 1138(a)(2)(A) and (B) of the Act 

and have been incorporated into the 

regulations at § 486.308(e) and (f). 

II. Waiver Request Procedures 

In October 1995, we issued a Program 

Memorandum (Transmittal No. A–95– 

11) detailing the waiver process and 

discussing the information hospitals 

must provide in requesting a waiver. We 

indicated that upon receipt of a waiver 

request, we would publish a Federal 

Register notice to solicit public 

comments, as required by section 

1138(a)(2)(D) of the Act. 

According to these requirements, we 

will review the comments received. 

During the review process, we may 

consult on an as-needed basis with the 

Health Resources and Services 

Administration’s Division of 

Transplantation, the United Network for 

Organ Sharing, and our regional offices. 

If necessary, we may request additional 

clarifying information from the applying 

hospital or others. We will then make a 

final determination on the waiver 

request and notify the hospital and the 

designated and requested OPOs. 

III. Hospital Waiver Request 

As permitted by § 486.308(e), the 

following hospital has requested a 

waiver to enter into an agreement with 

a designated OPO other than the OPO 

designated for the service area in which 

the hospital is located: 

Mount Grant General Hospital, 

Hawthorne, Nevada, is requesting a 

waiver to work with: California 

Transplant Donor Network, 1000 

Broadway, Suite 600, Oakland, 

California 94607–4099. 

The Hospital’s Designated OPO is: 

Nevada Donor Network, 2061 E Sahara 

Ave., Las Vegas, Nevada 89104. 

IV. Collection of Information 

Requirement 

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. 35). 

V. Response to Public Comments 

We will consider all comments we 

receive by the date and time specified 

in the DATES section of this preamble. 

Dated: May 2, 2014. 

Marilyn Tavenner, 

Administrator, Centers for Medicare & 

Medicaid Services. 

[FR Doc. 2014–10624 Filed 5–7–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–1617–NC] 

Medicare and Medicaid Programs; 

Announcement of Application From a 

Hospital Requesting Waiver for Organ 

Procurement Service Area 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 


emcdonald on DSK67QTVN1PROD with NOTICES