This section of the FEDERAL REGISTER

contains regulatory documents having general

applicability and legal effect, most of which

are keyed to and codified in the Code of

Federal Regulations, which is published under

50 titles pursuant to 44 U.S.C. 1510.

The Code of Federal Regulations is sold by

the Superintendent of Documents.

Rules and Regulations Federal Register

971 

Vol. 83, No. 6 

Tuesday, January 9, 2018 

DEPARTMENT OF TRANSPORTATION 

Federal Aviation Administration 

14 CFR Part 95 

[Docket No. 31174; Amdt. No. 537] 

IFR Altitudes; Miscellaneous 

Amendments 

AGENCY: Federal Aviation 

Administration (FAA), DOT. 

ACTION: Final rule. 

SUMMARY: This amendment adopts 

miscellaneous amendments to the 

required IFR (instrument flight rules) 

altitudes and changeover points for 

certain Federal airways, jet routes, or 

direct routes for which a minimum or 

maximum en route authorized IFR 

altitude is prescribed. This regulatory 

action is needed because of changes 

occurring in the National Airspace 

System. These changes are designed to 

provide for the safe and efficient use of 

the navigable airspace under instrument 

conditions in the affected areas. 

DATES: Effective Date: 0901 UTC, 

Feburary 1, 2018. 

FOR FURTHER INFORMATION CONTACT: 

Harry Hodges, Flight Procedure 

Standards Branch (AMCAFS–420), 

Flight Technologies and Programs 

Division, Flight Standards Service, 

Federal Aviation Administration, Mike 

Monroney Aeronautical Center, 6500 

South MacArthur Blvd., Oklahoma City, 

OK 73169 (Mail Address: P.O. Box 

25082, Oklahoma City, OK 73125) 

telephone: (405) 954–4164. 

SUPPLEMENTARY INFORMATION: This 

amendment to part 95 of the Federal 

Aviation Regulations (14 CFR part 95) 

amends, suspends, or revokes IFR 

altitudes governing the operation of all 

aircraft in flight over a specified route 

or any portion of that route, as well as 

the changeover points (COPs) for 

Federal airways, jet routes, or direct 

routes as prescribed in part 95. 

The Rule 

The specified IFR altitudes, when 

used in conjunction with the prescribed 

changeover points for those routes, 

ensure navigation aid coverage that is 

adequate for safe flight operations and 

free of frequency interference. The 

reasons and circumstances that create 

the need for this amendment involve 

matters of flight safety and operational 

efficiency in the National Airspace 

System, are related to published 

aeronautical charts that are essential to 

the user, and provide for the safe and 

efficient use of the navigable airspace. 

In addition, those various reasons or 

circumstances require making this 

amendment effective before the next 

scheduled charting and publication date 

of the flight information to assure its 

timely availability to the user. The 

effective date of this amendment reflects 

those considerations. In view of the 

close and immediate relationship 

between these regulatory changes and 

safety in air commerce, I find that notice 

and public procedure before adopting 

this amendment are impracticable and 

contrary to the public interest and that 

good cause exists for making the 

amendment effective in less than 30 

days. 

Conclusion 

The FAA has determined that this 

regulation only involves an established 

body of technical regulations for which 

frequent and routine amendments are 

necessary to keep them operationally 

current. It, therefore—(1) is not a 

‘‘significant regulatory action’’ under 

Executive Order 12866; (2) is not a 

‘‘significant rule’’ under DOT 

Regulatory Policies and Procedures (44 

FR 11034; February 26, 1979); and (3) 

does not warrant preparation of a 

regulatory evaluation as the anticipated 

impact is so minimal. For the same 

reason, the FAA certifies that this 

amendment will not have a significant 

economic impact on a substantial 

number of small entities under the 

criteria of the Regulatory Flexibility Act. 

List of Subjects in 14 CFR Part 95 

Airspace, Navigation (air). 

Issued in Washington, DC, on December 

29, 2017. 

John S. Duncan, 

Executive Director, Flight Standards Service. 

Adoption of the Amendment 

Accordingly, pursuant to the 

authority delegated to me by the 

Administrator, part 95 of the Federal 

Aviation Regulations (14 CFR part 95) is 

amended as follows effective at 0901 

UTC, Feburary 01, 2018. 

■ 1. The authority citation for part 95 

continues to read as follows: 

Authority: 49 U.S.C. 106(g), 40103, 40106, 

40113, 40114, 40120, 44502, 44514, 44719, 

44721. 

■ 2. Part 95 is amended to read as 

follows: 

REVISIONS TO IFR ALTITUDES & CHANGEOVER POINT

[Amendment 537 effective date February 1, 2018] 

From To MEA 

§ 95.6001 Victor Routes—U.S. 

§ 95.6006 VOR Federal Airway V6 Is Amended To Read In Part 

PHILIPSBURG, PA VORTAC ..................................................... SELINSGROVE, PA VOR/DME ................................................ 4100 

SELINSGROVE, PA VOR/DME ................................................. SNOWY, PA FIX ........................................................................ *5000 

*4000—GNSS MEA 

§ 95.6012 VOR Federal Airway V12 Is Amended To Read In Part 

NEWCOMERSTOWN, OH VOR/DME ....................................... *ALLEGHENY, PA VOR/DME ................................................... 3300 

*10000—MCA .................................................................. ALLEGHENY, PA VOR/DME, E BND.


jstallworth on DSKBBY8HB2PROD with RULES
972 Federal Register / Vol. 83, No. 6 / Tuesday, January 9, 2018 / Rules and Regulations 

REVISIONS TO IFR ALTITUDES & CHANGEOVER POINT—Continued 

[Amendment 537 effective date February 1, 2018] 

From To MEA 

ALLEGHENY, PA VOR/DME .............................................. *JOHNSTOWN, PA VORTAC ................................................... #10000 

*10000—MCA .................................................................. JOHNSTOWN, PA VORTAC, W BND.

#ALLEGHENY R–096 ...................................................... UNUSABLE USE JOHNSTOWN R–274.

JOHNSTOWN, PA VORTAC ...................................................... HARRISBURG, PA VORTAC .................................................... 5400 

§ 95.6030 VOR Federal Airway V30 Is Amended To Read In Part 

PHILIPSBURG, PA VORTAC ..................................................... SELINSGROVE, PA VOR/DME ................................................ 4100 

§ 95.6031 VOR Federal Airway V31 Is Amended To Read In Part 

SELINSGROVE, PA VOR/DME ................................................. WATSO, PA FIX ........................................................................ *3500 

*3100—MOCA 

§ 95.6063 VOR Federal Airway V63 Is Amended By Adding 

GAMPS, AR FIX ......................................................................... BILIE, MO FIX ............................................................................ *4000 

*3200—MOCA 

§ 95.6105 VOR Federal Airway V105 Is Amended To Read In Part 

BOULDER CITY, NV VORTAC .................................................. *LAS VEGAS, NV VORTAC ...................................................... 6000 

*10500—MCA LAS VEGAS, NV VORTAC, W BND.

LAS VEGAS, NV VORTAC ........................................................ HARLS, NV FIX.

E BND ........................................................................................ 7000 

W BND ....................................................................................... 14000 

HARLS, NV FIX .......................................................................... LUCKY, NV FIX.

E BND ........................................................................................ 11000 

W BND ....................................................................................... 14000 

LUCKY, NV FIX .......................................................................... *HIDEN, CA FIX ......................................................................... 14000 

*14000—MRA.

*14000—MCA HIDEN, CA ............................................... FIX, E BND.

*HIDEN, CA FIX .......................................................................... BEATTY, NV VORTAC .............................................................. **12000 

*14000—MRA 

**8600—MOCA 

§ 95.6106 VOR Federal Airway V106 Is Amended To Read In Part 

JOHNSTOWN, PA VORTAC ...................................................... HUDON, PA FIX ........................................................................ 5000 

HUDON, PA FIX ......................................................................... *RASHE, PA FIX ........................................................................ **7000 

*14000—MCA RASHE, PA FIX, E BND.

**4000—MOCA 

**4000—GNSS MEA 

RASHE, PA FIX .......................................................................... SELINSGROVE, PA VOR/DME ................................................ 14000 

§ 95.6135 VOR Federal Airway V135 Is Amended To Read In Part 

NEEDLES, CA VORTAC ............................................................ *GOFFS, CA VORTAC .............................................................. **8000 

*9600—MCA GOFFS, CA ................................................ VORTAC, NW BND.

**7100—MOCA 

GOFFS, CA VORTAC ................................................................ *WHIGG, CA FIX ....................................................................... **12000 

*12000—MRA 

**10000—MOCA 

*WHIGG, CA FIX ........................................................................ CLARR, CA FIX ......................................................................... **12000 

*12000—MRA 

**10500—MOCA 

CLARR, CA FIX .......................................................................... *HIDEN, CA FIX ......................................................................... **12000 

*14000—MRA 

**9100—MOCA 

*HIDEN, CA FIX .......................................................................... BEATTY, NV VORTAC .............................................................. **12000 

*14000—MRA 

**8600—MOCA 

§ 95.6170 VOR Federal Airway V170 Is Amended To Read In Part 

SELINSGROVE, PA VOR/DME ................................................. RAVINE, PA VORTAC ............................................................... *4000 

*3400—MOCA 

§ 95.6188 VOR Federal Airway V188 Is Amended To Read In Part 

SWANK, PA FIX ......................................................................... WILKES-BARRE, PA VORTAC.

E BND ........................................................................................ *4000 


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Federal Register / Vol. 83, No. 6 / Tuesday, January 9, 2018 / Rules and Regulations 973 

REVISIONS TO IFR ALTITUDES & CHANGEOVER POINT—Continued 

[Amendment 537 effective date February 1, 2018] 

From To MEA 

W BND ....................................................................................... *4500 

*3700—MOCA 

§ 95.6217 VOR Federal Airway V217 Is Amended To Read In Part 

RHINELANDER, WI VOR/DME .................................................. DULUTH, MN VORTAC ............................................................. *6000 

*4100—MOCA 

§ 95.6226 VOR Federal Airway V226 Is Amended To Read In Part 

SWANK, PA FIX ......................................................................... WILKES-BARRE, PA VORTAC.

E BND ........................................................................................ *4000 

W BND ....................................................................................... *4500 

*3700—MOCA 

§ 95.6297 VOR Federal Airway V297 Is Amended To Read In Part 

JOHNSTOWN, PA VORTAC ...................................................... TALLS, PA FIX .......................................................................... 4400 

§ 95.6301 VOR Federal Airway V301 Is Amended To Read In Part 

RUMSY, CA FIX ......................................................................... WILLIAMS, CA VORTAC.

SW BND ..................................................................................... 7000 

NE BND ..................................................................................... 5300 

§ 95.6469 VOR Federal Airway V469 Is Amended To Read In Part 

MORGANTOWN, WV VORTAC ................................................. *NESTO, PA FIX ........................................................................ **5000 

*10000—MCA NESTO, PA .............................................. FIX, E BND.

**4300—MOCA 

NESTO, PA FIX .......................................................................... *JOHNSTOWN, PA VORTAC ................................................... 10000 

*10000—MCA JOHNSTOWN, PA ................................... VORTAC, W BND.

JOHNSTOWN, PA VORTAC ...................................................... ST THOMAS, PA VORTAC ....................................................... #5000 

#JOHNSTOWN R–125 UNUSABLE, USE ST THOMAS R–307.

§ 95.6509 VOR Federal Airway V509 Is Amended To Read In Part 

ST PETERSBURG, FL VORTAC ............................................... *CROWD, FL FIX ....................................................................... **5000 

*5000—MRA 

**2700—MOCA 

§ 95.6528 VOR Federal Airway V528 Is Amended To Read In Part 

EAGUL, AZ FIX .......................................................................... *PAYSO, AZ FIX ........................................................................ **16000 

*16000—MCA PAYSO, AZ .............................................. FIX, SW BND.

**10000—MOCA 

Airway Segment Changeover Points 

From To Distance From 

§ 95.8003 VOR Federal Airway Changeover Point 

V12 Is Amended To Add Changeover Point 

NEWCOMERSTOWN, OH VOR/DME .................... ALLEGHENY, PA VOR/DME .................................. 30 NEWCOMERSTOWN. 

V495 Is Amended To Delete Changeover Point 

SEATTLE, WA VORTAC ........................................ VICTORIA, CA VOR/DME ...................................... 50 SEATTLE.


jstallworth on DSKBBY8HB2PROD with RULES
974 Federal Register / Vol. 83, No. 6 / Tuesday, January 9, 2018 / Rules and Regulations 

[FR Doc. 2018–00130 Filed 1–8–18; 8:45 am] 

BILLING CODE 4910–13–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

38 CFR Part 17 

RIN 2900–AQ08 

Reimbursement for Emergency 

Treatment 

AGENCY: Department of Veterans Affairs. 

ACTION: Interim final rule. 

SUMMARY: The Department of Veterans 

Affairs (VA) revises its regulations 

concerning payment or reimbursement 

for emergency treatment for non-serviceconnected conditions at non-VA 

facilities to implement the requirements 

of a recent court decision. Specifically, 

this rulemaking expands eligibility for 

payment or reimbursement to include 

veterans who receive partial payment 

from a health-plan contract for non-VA 

emergency treatment and establishes a 

corresponding reimbursement 

methodology. This rulemaking also 

expands the eligibility criteria for 

veterans to receive payment or 

reimbursement for emergency 

transportation associated with the 

emergency treatment, in order to ensure 

that veterans are adequately covered 

when emergency transportation is a 

necessary part of their non-VA 

emergency treatment. 

DATES:

Effective Date: This rule is effective 

on January 9, 2018. 

Comment Date: Comments must be 

received on or before March 12, 2018. 

ADDRESSES: Written comments may be 

submitted by email through http://

www.regulations.gov; by mail or handdelivery to Director, Regulations 

Management (00REG), Department of 

Veterans Affairs, 810 Vermont Avenue 

NW, Room 1063B, Washington, DC 

20420; or by fax to (202) 273–9026. 

(This is not a toll-free number.) 

Comments should indicate that they are 

submitted in response to ‘‘RIN 2900– 

AQ08, Reimbursement for Emergency 

Treatment.’’ Copies of comments 

received will be available for public 

inspection in the Office of Regulation 

Policy and Management, Room 1063B, 

between the hours of 8:00 a.m. and 4:30 

p.m. Monday through Friday (except 

holidays). Please call (202) 461–4902 for 

an appointment. (This is not a toll-free 

number.) In addition, during the 

comment period, comments may be 

viewed online through the Federal 

Docket Management System (FDMS) at 

http://www.regulations.gov. 

FOR FURTHER INFORMATION CONTACT: 

Joseph Duran, Director, Policy and 

Planning VHA Office of Community 

Care (10D1A1), Veterans Health 

Administration, Department of Veterans 

Affairs, 810 Vermont Avenue NW, 

Washington, DC 20420, (303–370–1637). 

(This is not a toll-free number.) 

SUPPLEMENTARY INFORMATION: 38 U.S.C. 

1725 authorizes VA to reimburse 

veterans for the reasonable value of 

emergency treatment for non-service 

connected conditions furnished in a 

non-VA facility, if certain criteria are 

met. One requirement is that the veteran 

must be personally liable for the 

emergency treatment. As originally 

enacted in 1999, the statute provided 

that a veteran is personally liable if the 

veteran ‘‘has no entitlement to care or 

services under a health-plan contract,’’ 

and ‘‘no other contractual or legal 

recourse against a third party that 

would, in part or in whole, extinguish 

such liability to the provider.’’ 38 U.S.C. 

1725(b)(3)(B) and (C) (1999). VA 

interpreted that version of the statute as 

barring reimbursement for veterans with 

any coverage from either a health-plan 

contract or a third party because those 

veterans did not satisfy the requirement 

to have ‘‘no entitlement . . . under a 

health-plan contract’’ and ‘‘no other 

. . . recourse against a third party.’’ 

In addition, the 1999 version of the 

statute distinguished ‘‘health-plan 

contract’’ and ‘‘third party’’ by 

separately defining them. 38 U.S.C. 

1725(f)(2)–(3)(1999). 

On February 1, 2010, Congress 

enacted the Expansion of Veteran 

Eligibility for Reimbursement Act, 

Public Law 111–137 (2010 Act), which 

amended section 1725. The legislative 

history of the 2010 Act provided: 

The Committee has learned that under 

current law the VA does not pay for 

emergency treatment for non-service 

connected conditions in non-VA facilities if 

the veteran has third-party insurance that 

pays any portion of the costs associated with 

such emergency treatment. This situation can 

inadvertently arise if a veteran has minimal 

health insurance coverage through a statemandated automobile insurance policy. 

Consequently, if an emergency does occur, 

and the veteran has a policy containing such 

minimal coverage, the veteran may be 

responsible for essentially the full cost of 

emergency treatment. While some veterans 

are able to negotiate payment plans and debt 

forgiveness of a portion of their medical bills 

with the non-VA hospital where they 

received the emergency treatment, many 

veterans are without the financial resources 

to shoulder such a cost and are unaware that 

the VA would not be responsible for such 

emergency care. H.R. Rep. No. 111–55. 

The 2010 Act amended section 1725 

by striking the phrase ‘‘in part’’ from 

section 1725(b)(3)(C). It also removed 

state-mandated automobile insurance 

policies from the definition of ‘‘healthplan contract.’’ In chief, the effect of the 

2010 amendments is that partial 

payment from a third party is not a bar 

to reimbursement under section 1725, 

assuming all of the other eligibility 

criteria are met; the third-party payment 

is only a bar to reimbursement if it fully 

extinguishes the veteran’s personal 

liability. Thus, eligible veterans who 

receive only partial payment by the 

third party, including state-mandated 

automobile insurance, are eligible for 

VA payment or reimbursement of the 

unpaid portion of their emergency 

medical expenses, subject to the 

payment limitations added by that same 

law. 

VA amended its regulations to comply 

with the 2010 Act. Relevant to this 

rulemaking, VA revised 38 CFR 

17.1001(a)(5), 17.1002(g), and 17.1005(e) 

and (f). Section 17.1001(a)(5) was 

amended to remove state-mandated 

automobile insurance from the 

definition of ‘‘health-plan contract.’’ 

Section 17.1002(g) was amended to only 

prohibit reimbursement from VA if a 

third party extinguished the liability in 

whole, § 17.1005(e) was amended to 

establish a methodology to reimburse 

veterans when a third-party payment 

partially extinguished the veteran’s 

liability, and § 17.1005(f) was 

promulgated to implement the 

limitation in 38 U.S.C. 1725(c)(4)(D) that 

VA may not reimburse any deductible, 

copayment, or similar payment that 

veterans owe to third parties. However, 

because the 2010 Act did not amend 

section 1725(b)(3)(B), pertaining to 

health-plan contracts, VA did not 

amend its corresponding regulation at 

§ 17.1002(f) that bars reimbursement 

from VA if the veteran is entitled to 

either partial or full payment from a 

health-plan contract. Similarly, VA did 

not specify in § 17.1005(f) that it would 

not reimburse amounts for which the 

veteran is responsible under a healthplan contract because it was 

unnecessary to do so; consistent with 

VA’s interpretation of the 2010 Act, 

reimbursement or payment continued to 

be barred if the veteran had coverage 

under a health-plan contract. 

In Staab v. McDonald, 28 Vet. App. 

50 (2016), the U.S. Court of Appeals for 

Veterans Claims (the Court) reversed a 

Board of Veterans’ Appeals (the Board) 

decision denying a claim under section 

1725. The Board had applied 

§ 17.1002(f) to conclude that partial 

payment of the emergency treatment by 

the veteran’s health-plan contract barred 

VA reimbursement. On appeal, the 

veteran challenged § 17.1002(f) as 


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