Federal Register / Vol. 78, No. 96 / Friday, May 17, 2013 / Notices 29135 

certification criteria are currently 

available to meet the priority area; 

(2) an assessment of where gaps exist 

(i.e., no standard is available or 

harmonization is required because more 

than one standard exists) and identify 

potential organizations that have the 

capability to address those gaps; and 

(3) a timeline, which may also 

account for NIST testing, where 

appropriate, and include dates when the 

HIT Standards Committee is expected to 

issue recommendation(s) to the National 

Coordinator. 

(B) Upon receipt of a report from a 

workgroup or other special group, the 

HIT Standards Committee will: 

(1) accept the timeline provided by 

the subcommittee, and, if necessary, 

revise it; and 

(2) assign subcommittee(s) to conduct 

research and solicit testimony, where 

appropriate, and issue 

recommendations to the full committee 

in a timely manner. 

(C) Advise the National Coordinator, 

consistent with the accepted timeline in 

(B)(1) and after NIST testing, where 

appropriate, on standards, 

implementation specifications, and/or 

certification criteria, for the National 

Coordinator’s review and determination 

whether or not to endorse the 

recommendations, and possible 

adoption of the proposed 

recommendations by the Secretary of 

the Department of Health and Human 

Services. 

The standards and related topics 

which the HIT Standards Committee is 

expected to address over the coming 

year include, but may not be limited to 

standards to support: Transport of data 

to and from patients, image exchange, 

current content gaps, securing data at 

rest, digital signature, longitudinal 

record sharing, advanced care 

preferences, application programming 

interfaces, measuring and reporting 

quality, clinical decision support, defect 

reporting and registry support. 

For a listing of upcoming HIT 

Standards Committee meetings, please 

visit the ONC Web site at http:// 

healthit.gov. 

Notice of this schedule is given under 

the American Recovery and 

Reinvestment Act of 2009 (Pub. L. 111– 

5), section 3003. 

Dated: May 8, 2013. 

MacKenzie Robertson, 

FACA Program Director, Office of Policy and 

Planning, Office of the National Coordinator 

for Health Information Technology. 

[FR Doc. 2013–11740 Filed 5–16–13; 8:45 am] 

BILLING CODE 4150–45–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

HIT Standards Committee Advisory 

Meeting 

AGENCY: Office of the National 

Coordinator for Health Information 

Technology, HHS. 

ACTION: Notice of meeting. 

This notice announces a forthcoming 

meeting of a public advisory committee 

of the Office of the National Coordinator 

for Health Information Technology 

(ONC). The meeting will be open to the 

public. 

Name of Committee: HIT Standards 

Committee. 

General Function of the Committee: 

To provide recommendations to the 

National Coordinator on standards, 

implementation specifications, and 

certification criteria for the electronic 

exchange and use of health information 

for purposes of adoption, consistent 

with the implementation of the Federal 

Health IT Strategic Plan, and in 

accordance with policies developed by 

the HIT Policy Committee. 

Date and Time: The meeting will be 

held on June 19, 2013, from 9:00 a.m. 

to 3:00 p.m. Eastern Time. This is a 

change from the previously announced 

date of June 20, 2013. 

Location: TBD. For up-to-date 

information, go to the ONC Web site, 

http://healthit.gov. 

Contact Person: MacKenzie 

Robertson, Office of the National 

Coordinator, HHS, 355 E Street SW., 

Washington, DC 20201, 202–205–8089, 

Fax: 202–260–1276, email: 

mackenzie.robertson@hhs.gov. Please 

call the contact person for up-to-date 

information on this meeting. A notice in 

the Federal Register about last minute 

modifications that impact a previously 

announced advisory committee meeting 

cannot always be published quickly 

enough to provide timely notice. 

Agenda: The committee will hear 

reports from its workgroups and updates 

from ONC and other Federal agencies. 

ONC intends to make background 

material available to the public no later 

than two (2) business days prior to the 

meeting. If ONC is unable to post the 

background material on its Web site 

prior to the meeting, it will be made 

publicly available at the location of the 

advisory committee meeting, and the 

background material will be posted on 

ONC’s Web site after the meeting, at 

http://healthit.gov. 

Procedure: ONC is committed to the 

orderly conduct of its advisory 

committee meetings. Interested persons 

may present data, information, or views, 

orally or in writing, on issues pending 

before the Committee. Written 

submissions may be made to the contact 

person on or before two days prior to 

the Committee’s meeting date. Oral 

comments from the public will be 

scheduled in the agenda. Time allotted 

for each presentation will be limited to 

three minutes. If the number of speakers 

requesting to comment is greater than 

can be reasonably accommodated 

during the scheduled public comment 

period, ONC will take written comments 

after the meeting until close of business 

on that day. 

Persons attending ONC’s advisory 

committee meetings are advised that the 

agency is not responsible for providing 

access to electrical outlets. 

ONC welcomes the attendance of the 

public at its advisory committee 

meetings. Seating is limited at the 

location, and ONC will make every 

effort to accommodate persons with 

physical disabilities or special needs. If 

you require special accommodations 

due to a disability, please contact 

MacKenzie Robertson at least seven (7) 

days in advance of the meeting. 

Notice of this meeting is given under 

the Federal Advisory Committee Act 

(Pub. L. 92–463, 5 U.S.C., App. 2). 

Dated: May 10, 2013. 

MacKenzie Robertson, 

FACA Program Lead, Office of Policy and 

Planning, Office of the National Coordinator 

for Health Information Technology. 

[FR Doc. 2013–11742 Filed 5–16–13; 8:45 am] 

BILLING CODE 4150–45–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10053, CMS– 

R–142, CMS–10066, CMS–R–193, CMS– 

10464 and CMS–588] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS), Department of Health 

and Human Services, is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate or any other aspect of this 

collection of information, including any 

of the following subjects: (1) The 


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29136 Federal Register / Vol. 78, No. 96 / Friday, May 17, 2013 / Notices 

necessity and utility of the proposed 

information collection for the proper 

performance of the Agency’s function; 

(2) the accuracy of the estimated 

burden; (3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) the use of 

automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

1. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Paid Feeding 

Assistants in Long-Term Care Facilities 

and Supporting Regulations at 42 CFR 

483.160; Use: In accordance with 42 

CFR part 483, long-term care facilities 

are permitted to use paid feeding 

assistants to supplement the services of 

certified nurse aides. If facilities choose 

this option, feeding assistants must 

complete a training program. Nursing 

home providers are expected to 

maintain a record of all individuals 

used by the facility as paid feeding 

assistants. Form Number: CMS–10053 

(OCN: 0938–0916); Frequency: 

Occasionally; Affected Public: Private 

Sector—Business or other for-profit and 

not-for-profit institutions; Number of 

Respondents: 4,250; Total Annual 

Responses: 4,250; Total Annual Hours: 

25,500. (For policy questions regarding 

this collection contact Shelly Ray at 

410–786–7884. For all other issues call 

410–786–1326.) 

2. Type of Information Collection 

Request: Extension without change of a 

currently approved collection; Title of 

Information Collection: Examination 

and Treatment for Emergency Medical 

Conditions and Women in Labor 

(EMTALA), 42 CFR 482.12, 488.18, 

489.20, and 489.24; Use: In accordance 

with 42 CFR 488.18, 489.20 and 489.24, 

during Medicare surveys of hospitals 

and state agencies, CMS will review 

hospital records for lists of on-call 

physicians. CMS will also review and 

obtain the information which must be 

recorded in hospital medical records for 

individuals with emergency medical 

conditions and women in labor. The 

emergency department reporting the 

information, Medicare participating 

hospitals and Medicare state survey 

agencies must forward the information 

to CMS. Additionally, CMS will use the 

Quality Improvement Organizations 

Report assessing whether an individual 

had an emergency condition and 

whether the individual was stabilized to 

determine whether to impose a civil 

monetary penalty or physician 

exclusion sanctions. Without such 

information, CMS will be unable to 

make the hospital emergency services 

compliance determinations as required 

under sections 1154, 1866 and 1867 of 

the Consolidated Omnibus Budget 

Reconciliation Act (COBRA) of 1985. 

Form Number: CMS–R–142 (OCN: 

0938–0667). Frequency: Occasionally; 

Affected Public: Private Sector (business 

or other for-profit and not-for-profit 

institutions); Number of Respondents: 

6,149; Total Annual Responses: 6,149; 

Total Annual Hours: 6,149. (For policy 

questions regarding this collection 

contact Renate Dombrowski at 410–786– 

4645. For all other issues call 410–786– 

1326.) 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Detailed Notice 

of Discharge (DND); Use: When a 

Medicare beneficiary requests a Quality 

Improvement Organization review of 

his/her inpatient hospital discharge, 

hospitals and Medicare plans have used 

the DND to provide the beneficiary with 

a detailed explanation regarding the 

reason for discharge. Form Number: 

CMS–10066 (OCN: 0938–1019). 

Frequency: Yearly. Affected Public: 

Private Sector—Business or other forprofit and not-for-profit institutions; 

Number of Respondents: 6,169; Total 

Annual Responses: 12,852; Total 

Annual Hours: 12,852. (For policy 

questions regarding this collection 

contact Evelyn Blaemire at 410–786– 

1803. For all other issues call 410–786– 

1326.) 

4. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Important 

Message from Medicare (IM); Use: 

Hospitals have used the Important 

Message from Medicare (IM) to inform 

original Medicare, Medicare Advantage, 

and other Medicare plan beneficiaries 

who are hospital inpatients about their 

hospital rights and discharge rights. In 

particular, the IM provides information 

about when a beneficiary will and will 

not be liable for charges for a continued 

stay in a hospital and offers a detailed 

description of the Quality Improvement 

Organization review process. Form 

Number: CMS–R–193 (OCN: 0938– 

0692). Frequency: Yearly; Affected 

Public: Private Sector—Business or 

other for-profit and not-for-profit 

institutions; Number of Respondents: 

6,169; Total Annual Responses: 

19,840,000; Total Annual Hours: 

2,976,000. (For policy questions 

regarding this collection contact Evelyn 

Blaemire at 410–786–1803. For all other 

issues call 410–786–1326.) 

5. Type of Information Collection 

Request: New collection (Request for a 

new control number); Title of 

Information Collection: Agent/Broker 

Data Collection in Federally-facilitated 

Health Insurance Exchanges; Use: Both 

section 1312(e) of the Affordable Care 

Act and 45 CFR 155.220 permit states to 

allow agents and brokers to enroll 

qualified individuals, employers, and 

employees in QHPs, including through 

the Exchange; and assist individuals in 

applying for advance payments of the 

premium tax credit and cost-sharing 

reductions. Agents and brokers will 

serve as additional access points to the 

Exchange for individuals, SHOP 

employers or SHOP employees 

requiring or desiring agent and broker 

assistance. 

In order to interface with the 

Federally-facilitated Exchange (FFE), 

agents and brokers must establish an 

account and obtain a user ID through 

the CMS Enterprise Portal. Additionally, 

agents and brokers must register for, and 

successfully complete, Exchangespecific training, which enforces their 

understanding of eligibility and 

enrollment requirements in Exchanges. 

Agents and brokers must also apply this 

understanding to the use or 

development of any non-Exchange Web 

site, such as an issuer’s or web broker’s 

Web site, used as a tool for enrollment. 

At the conclusion of training, agents and 

brokers will attest to adhere to FFE 

standards and requirements. Webbrokers will sign and submit a similar 

agreement. 

We estimate that it will take 

approximately one-half hour (30 

minutes) per applicant to complete all 

of the data collection activities 

associated with the process. They must 

register on-line for a training module; 

complete an on-line attestation (or, if 

they are web brokers sign and submit 

their agreement); and finally, if for some 

reason they choose to terminate their 

registration, complete and sign a 

termination notice. Collectively, these 

activities will take no more than 30 

minutes. 

We estimate that approximately 

350,000 agents and brokers will seek to 

register to participate in the FFE. At an 

estimated 30 minutes (0.50 hours) per 

broker, that result in 175,000 hours of 

overall burden. According to the Bureau 

of Labor and Statistics, Insurance Sales 

Agents earned an average of $30.48 per 

hour in 2012. We factored that up by 

3% for 2013 and 2014, for an average 

annual wage of $32.34. Applying that 

cost factor to the estimated 175,000 

hours of burden yields an overall cost 

estimate of $5,659,500 for the first year 

of operation. 

The 60-day Federal Register notice 

was published on February 7, 2013 (78 

FR 9056). We received nine comments. 


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Federal Register / Vol. 78, No. 96 / Friday, May 17, 2013 / Notices 29137 

Of those nine comments, three were 

related to the information collection 

request and six were out of scope. 

Specifically, one commenter requested a 

process that would allow web-brokers to 

enroll people without reporting 

individual issuer appointments, and 

CMS made this revision to the 

registration process. We also received 

some questions about how the training 

process will work. We confirmed that 

agents and brokers will only need to 

register for the FFE once and that CMS 

will host the training program, as 

opposed to individual issuers. As a 

result of the comments, we modified 

both the registration process and 

simplified how agents and brokers 

would participate in the Exchanges to 

make it align more closely with how 

issuers, agents, and web-brokers 

currently do business. Form Number: 

CMS–10464 (OCN: 0938–NEW); 

Frequency: Annually; Affected Public: 

Private Sector—Business or Other ForProfit, Non-For-Profit Institutions, or 

Farms; Number of Respondents: 

350,000; Total Annual Responses: 

350,000; Total Annual Hours: 175,000 

hours. (For policy questions regarding 

this collection contact Leigha Basini at 

301–492–4307. For all other issues call 

410–786–1326.) 

6. Type of Information Collection 

Request: Revision of a currently 

approved collection. Title of 

Information Collection: Electronic 

Funds Transfers Authorization 

Agreement; Use: The primary function 

of the Electronic Funds Transfer 

Authorization Agreement (CMS 588) is 

to gather information from a provider/ 

supplier to establish an electronic 

payment process. 

The legal authority to collect this 

information is found in Section 1815(a) 

of the Social Security Act. This section 

provides authority for the Secretary of 

Health and Human Services to pay 

providers/suppliers of Medicare 

services. Under 31 U.S.C. 3332(f)(1), all 

federal payments, including Medicare 

payments to providers and suppliers, 

shall be made by electronic funds 

transfer. 31 U.S.C. 7701 (c) requires that 

any person or entity doing business 

with the federal government must 

provide their Tax Identification Number 

(TIN). 

The goal of this submission is to 

renew the data collection. Only two 

minor revisions for systems 

requirements will be made at this time, 

specifically adding a street address line 

for the location of the financial 

institution and adding an additional 

National Provider Identification (NPI) 

number collection field for those 

providers/suppliers who have more 

than one NPI. Form Number: CMS–588 

(OCN: 0938–0626); Frequency: 

Occasionally; Affected Public: Private 

Sector—Business or other for-profits 

and not-for-profit institutions; Number 

of Respondents: 94,000; Total Annual 

Responses: 94,000; Total Annual Hours: 

23,500. (For policy questions regarding 

this collection contact Kim McPhillips 

at 410–786–5374. For all other issues 

call 410–786–1326.) 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS Web site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or 

Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786– 

1326. 

To be assured consideration, 

comments and recommendations for the 

proposed information collections must 

be received by the OMB desk officer at 

the address below, no later than 5 p.m. 

on June 17, 2013. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS Desk 

Officer, Fax Number: (202) 395–6974, 

Email: OIRA_submission@omb.eop.gov. 

Dated: May 14, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–11811 Filed 5–16–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10088, CMS– 

10265, CMS–10477 and CMS–R–13] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS) is publishing the 

following summary of proposed 

collections for public comment. 

Interested persons are invited to send 

comments regarding this burden 

estimate or any other aspect of this 

collection of information, including any 

of the following subjects: (1) The 

necessity and utility of the proposed 

information collection for the proper 

performance of the agency’s functions; 

(2) the accuracy of the estimated 

burden; (3) ways to enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) the use of 

automated collection techniques or 

other forms of information technology to 

minimize the information collection 

burden. 

1. Type of Information Collection 

Request: Extension without change of a 

currently approved collection; Title of 

Information Collection: Notification of 

Fiscal Intermediaries (FIs) and CMS of 

Co-located Medicare Providers and 

Supporting Regulations in 42 CFR 

412.22 and 412.532; Use: Many longterm care hospitals (LTCHs) are colocated with other Medicare providers 

(acute care hospitals, inpatient 

rehabilitation facilities (IRFs), skilled 

nursing facilities (SNFs), and 

psychiatric facilities), which leads to 

potential gaming of the Medicare system 

based on patient shifting. We are 

requiring LTCHs to notify fiscal 

intermediaries (FIs), Medicare 

administrative contractors (MACs), and 

CMS of co-located providers and 

establish policies to limit payment 

abuse that will be based on FIs and 

MACs tracking patient movement 

among these co-located providers 42 

CFR 412.22(e)(6) and (h)(5). 

Based upon being able to identify colocated providers, FIs, MACs, and CMS 

will be able to track patient shifting 

between LTCHs and other in-patient 

providers which will lead to appropriate 

payments under § 412.532. That section 

limits payments to LTCHs where over 5 

percent of admissions represent patients 

who had been sequentially discharged 

by the LTCH, admitted to an on-site 

provider, and subsequently readmitted 

to the LTCH. Since each discharge 

triggers a Medicare payment, we 

implemented this policy to discourage 

payment abuse. 

Form Number: CMS–10088 (OCN: 

0938–0897); Frequency: Occasionally; 

Affected Public: Private Sector— 

Business or other for-profit and not-forprofit institutions; Number of 

Respondents: 25; Total Annual 

Responses: 25; Total Annual Hours: 6. 

(For policy questions regarding this 

collection contact Judy Richter at 410– 

786–2590. For all other issues call 410– 

786–1326.) 

2. Type of Information Collection 

Request: Reinstatement with a change of 

a previously approved collection; Title 

of Information Collection: Mandatory 

Insurer Reporting Requirements of 

Section 111 of the Medicare, Medicaid 

and SCHIP Act of 2007; Use: Section 


wreier-aviles on DSK5TPTVN1PROD with NOTICES