101608 Federal Register / Vol. 89, No. 241 / Monday, December 16, 2024 / Notices 

Alaska: $1,193. 

Medicare Part B Inpatient Ancillary Per 

Diem Rate 

Calendar Year 2025 

Lower 48 States: $1,074. 

Alaska: $1,567. 

Outpatient Surgery Rate (Medicare) 

Established Medicare rates for 

freestanding Ambulatory Surgery 

Centers. 

Effective Date for Calendar Year 2025 

Rates 

Consistent with previous annual rate 

revisions, the Calendar Year 2025 rates 

will be effective for services provided 

on or after January 1, 2025, to the extent 

consistent with payment authorities, 

including the applicable Medicaid State 

plan. 

Roselyn Tso, 

Director, Indian Health Service. 

[FR Doc. 2024–29505 Filed 12–13–24; 8:45 am] 

BILLING CODE 4166–14–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Notice of Proposed Purchased/ 

Referred Care Delivery Area 

Redesignation for the ShoshoneBannock Tribes 

AGENCY: Indian Health Service, HHS. 

ACTION: Notice. 

SUMMARY: This Notice advises the public 

that the Indian Health Service (IHS) 

proposes to expand the geographic 

boundaries of the Purchased/Referred 

Care Delivery Area (PRCDA) for the 

Shoshone-Bannock Tribes of the Fort 

Hall Indian Reservation in Idaho to 

include the Idaho counties of Ada, Bear 

Lake, Blaine, Bonneville, Butte, Canyon, 

Cassia, Custer, Elmore, Franklin, 

Fremont, Gem, Gooding, Jefferson, 

Jerome, Madison, Minidoka, Oneida, 

Payette, Teton, Twin Falls, and 

Washington. The current PRCDA for the 

Shoshone-Bannock Tribes includes the 

Idaho counties of Bannock, Bingham, 

Caribou, Lemhi, and Power. ShoshoneBannock Tribal members who reside 

outside of the PRCDA are eligible for 

direct care services; however, they are 

not eligible for Purchased/Referred Care 

(PRC) services. The sole purpose of this 

expansion would be to authorize 

additional Shoshone-Bannock Tribal 

members and beneficiaries to receive 

PRC services. 

DATES: Comments must be submitted by 

January 15, 2025. 

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

the ‘‘Submit a Comment’’ instructions. 

2. By regular mail. You may mail 

written comments to the following 

address ONLY: Carl Mitchell, Director, 

Division of Regulatory and Policy 

Coordination, Indian Health Service, 

5600 Fishers Lane, Mail Stop: 09E70, 

Rockville, Maryland 20857. 

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 

above address. 

4. By hand or courier. If you prefer, 

you may deliver (by hand or courier) 

your written comments before the close 

of the comment period to the address 

above. 

If you intend to deliver your 

comments to the Rockville address, 

please call telephone number (301) 443– 

1116 in advance to schedule your 

arrival with a staff member. 

FOR FURTHER INFORMATION CONTACT: 

CAPT John Rael, Director, Office of 

Resource Access and Partnerships, 

Indian Health Service, 5600 Fishers 

Lane, Mail Stop: 10E85C, Rockville, 

Maryland 20857. Telephone (301) 443– 

0969 (This is not a toll-free number). 

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. 

Background: The IHS provides 

services under regulations in effect as of 

September 15, 1987, and republished at 

42 CFR part 136, subparts A–C. Subpart 

C defines a Contract Health Service 

Delivery Area (CHSDA), now referred to 

as a PRCDA, as the geographic area 

within which PRC will be made 

available by the IHS to members of an 

identified Indian community who reside 

in the PRCDA. Residence within a 

PRCDA by a person who is within the 

scope of the Indian health program, as 

set forth in 42 CFR 136.12, creates no 

legal entitlement to PRC services but 

only potential eligibility for services. 

Services needed, but not available at an 

IHS/Tribal facility, are provided under 

the PRC program depending on the 

availability of funds, the relative 

medical priority of the services to be 

provided, and the actual availability and 

accessibility of alternate resources in 

accordance with the regulations. 

The regulations at 42 CFR part 136, 

subpart C provide that, unless otherwise 

designated, a PRCDA shall consist of a 

county which includes all or part of a 

reservation and any county or counties 

which have a common boundary with 

the reservation. 42 CFR 136.22(a)(6). 

The regulations also provide that after 

consultation with the Tribal governing 

body or bodies on those reservations 

included within the PRCDA, the 

Secretary may, from time to time, 

redesignate areas within the United 

States for inclusion in or exclusion from 

a PRCDA. 42 CFR 136.22(b). The 

regulations require that certain criteria 

be considered before any redesignation 

is made. The criteria are as follows: 

(1) The number of Indians residing in 

the area proposed to be so included or 

excluded; 

(2) Whether the Tribal governing body 

has determined that Indians residing in 

the area near the reservation are socially 

and economically affiliated with the 

Tribe; 

(3) The geographic proximity to the 

reservation of the area whose inclusion 

or exclusion is being considered; and 

(4) The level of funding which would 

be available for the provision of PRC. 

Additionally, the regulations require 

that any redesignation of a PRCDA be 

made in accordance with the procedures 

of the Administrative Procedure Act (5 

U.S.C. 553). 42 CFR 136.22(c). In 

compliance with this requirement, the 

IHS is publishing this Notice and 

requesting public comments. 

The Shoshone-Bannock Tribes of the 

Fort Hall Indian Reservation is located 

in Fort Hall, Idaho, and operates their 

PRC program under an Indian SelfDetermination and Education 

Assistance Act (ISDEAA) agreement 

with the IHS. The IHS and the 

Shoshone-Bannock Tribes estimate that 

approximately 323 Tribal members 

reside in Ada, Bear Lake, Blaine, 

Bonneville, Butte, Canyon, Cassia, 

Custer, Elmore, Franklin, Fremont, Gem, 

Gooding, Jefferson, Jerome, Madison, 

Minidoka, Oneida, Payette, Teton, Twin 

Falls, and Washington Counties of Idaho 

and would become PRC eligible through 

the proposed redesignation and 

expansion of the Tribes’ PRCDA. The 

Shoshone-Bannock Tribes states that the 

Tribal members who reside in the 

proposed expansion counties are 

socially and economically affiliated 

with the Tribe, and that the Tribe would 

like to recognize these persons as 

eligible for PRC services. Accordingly, 

the IHS proposes to expand the PRCDA 


lotter on DSK11XQN23PROD with NOTICES1
Federal Register / Vol. 89, No. 241 / Monday, December 16, 2024 / Notices 101609 

of the Shoshone-Bannock Tribes to 

include the counties of Ada, Bear Lake, 

Blaine, Bonneville, Butte, Canyon, 

Cassia, Custer, Elmore, Franklin, 

Fremont, Gem, Gooding, Jefferson, 

Jerome, Madison, Minidoka, Oneida, 

Payette, Teton, Twin Falls, and 

Washington in the State of Idaho. The 

proposed, expanded PRCDA would not 

create an overlap with any other 

existing PRCDA. 

Under 42 CFR 136.23, those otherwise 

eligible Indians who do not reside on a 

reservation, but reside within a PRCDA, 

must be either members of the Tribe or 

other IHS beneficiaries who maintain 

close economic and social ties with the 

Tribe. In this case, applying the 

aforementioned PRCDA redesignation 

criteria required by operative 

regulations codified at 42 CFR part 136, 

subpart C, the following findings are 

made: 

1. By expanding the ShoshoneBannock Tribes’ PRCDA to include Ada, 

Bear Lake, Blaine, Bonneville, Butte, 

Canyon, Cassia, Custer, Elmore, 

Franklin, Fremont, Gem, Gooding, 

Jefferson, Jerome, Madison, Minidoka, 

Oneida, Payette, Teton, Twin Falls, and 

Washington Counties of Idaho, the 

Shoshone-Bannock Tribes’ PRC-eligible 

population will increase by an 

estimated 323 Tribal members. 

2. The IHS finds that the Tribal 

members within the proposed, 

expanded PRCDA are socially and 

economically affiliated with the 

Shoshone-Bannock Tribes, based on a 

statement from the Shoshone-Bannock 

Tribes that Tribal members who reside 

in Idaho and receive direct care services 

from Tribal and Federal health programs 

located on the Tribes’ reservation retain 

social and economic ties to the Tribes. 

3. The expanded PRCDA counties 

form a contiguous area with the existing 

PRCDA, and members of the ShoshoneBannock Tribes reside in each of the 

counties proposed for inclusion in the 

expanded PRCDA. Additionally, as 

noted above, Tribal members who reside 

in these counties seek direct care 

services from programs located on the 

Tribes’ reservation. For these reasons, 

the IHS has determined the additional 

counties proposed for inclusion herein 

to be geographically proximate, meaning 

‘‘on or near,’’ to the Tribes’ reservation. 

4. The governing body of the 

Shoshone-Bannock Tribes has indicated 

that the PRC program can continue 

providing the same level of care to the 

PRC-eligible population if the PRCDA is 

expanded as proposed, without 

requiring additional funding or 

reduction of the current medical priority 

level. 

This Notice does not contain 

reporting or recordkeeping requirements 

subject to prior approval by the Office 

of Management and Budget under the 

Paperwork Reduction Act of 1980. 

Roselyn Tso, 

Director, Indian Health Service. 

[FR Doc. 2024–29506 Filed 12–13–24; 8:45 am] 

BILLING CODE 4166–14–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

National Institute of Biomedical 

Imaging and Bioengineering; Notice of 

Closed Meeting 

Pursuant to section 1009 of the 

Federal Advisory Committee Act, as 

amended, notice is hereby given of the 

following meeting. 

The meeting will be closed to the 

public in accordance with the 

provisions set forth in sections 

552b(c)(4) and 552b(c)(6), title 5 U.S.C., 

as amended. The grant applications and 

the discussions could disclose 

confidential trade secrets or commercial 

property such as patentable material, 

and personal information concerning 

individuals associated with the grant 

applications, the disclosure of which 

would constitute a clearly unwarranted 

invasion of personal privacy. 

Name of Committee: National Institute of 

Biomedical Imaging and Bioengineering 

Special Emphasis Panel; BEITA at HBCU 

RFA–EB–23–006 Review. 

Date: February 11, 2025. 

Time: 11:00 a.m. to 2:00 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: National Institutes of Health, NIBIB, 

Democracy II, Suite 200, 6707 Democracy 

Blvd., Bethesda, MD 20817. 

Meeting Format: Virtual Meeting. 

Contact Person: Tianhong Wang, MD, 

Ph.D., Scientific Review Officer, National 

Institute of Biomedical Imaging and 

Bioengineering, National Institutes of Health, 

6707 Democracy Blvd., Bethesda, MD 20892, 

(301) 451–1189, wangt3@mail.nih.gov. 

(Catalogue of Federal Domestic Assistance 

Program Nos. 93.866, National Institute of 

Biomedical Imaging and Bioengineering, 

National Institutes of Health.) 

Dated: December 11, 2024. 

Victoria E. Townsend, 

Program Analyst, Office of Federal Advisory 

Committee Policy. 

[FR Doc. 2024–29546 Filed 12–13–24; 8:45 am] 

BILLING CODE 4140–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

National Institute of Diabetes and 

Digestive and Kidney Diseases; Notice 

of Closed Meeting 

Pursuant to section 1009 of the 

Federal Advisory Committee Act, as 

amended, notice is hereby given of the 

following meeting. 

The meeting will be closed to the 

public in accordance with the 

provisions set forth in sections 

552b(c)(4) and 552b(c)(6), title 5 U.S.C., 

as amended. The grant applications and 

the discussions could disclose 

confidential trade secrets or commercial 

property such as patentable material, 

and personal information concerning 

individuals associated with the grant 

applications, the disclosure of which 

would constitute a clearly unwarranted 

invasion of personal privacy. 

Name of Committee: National Institute of 

Diabetes and Digestive and Kidney Diseases 

Special Emphasis Panel; NIDDK High Impact, 

Interdisciplinary Science RC2 Review 

Meeting. 

Date: February 19, 2025. 

Time: 2:00 p.m. to 3:30 p.m. 

Agenda: To review and evaluate grant 

applications. 

Address: National Institutes of Health, 

NIDDK, Democracy II, Suite 7000A, 6707 

Democracy Boulevard, Bethesda, MD 20892. 

Meeting Format: Virtual Meeting. 

Contact Person: Nisan Bhattacharyya, 

Ph.D., Scientific Review Officer, Scientific 

Review Branch, National Institute of Diabetes 

and Digestive and Kidney Diseases, National 

Institutes of Health, 6701 Democracy 

Boulevard, Suite 668, Bethesda, MD 20892, 

301–451–2405, nisan.bhattacharyya@

nih.gov. 

(Catalogue of Federal Domestic Assistance 

Program Nos. 93.847, Diabetes, 

Endocrinology and Metabolic Research; 

93.848, Digestive Diseases and Nutrition 

Research; 93.849, Kidney Diseases, Urology 

and Hematology Research, National Institutes 

of Health, HHS) 

Dated: December 11, 2024. 

Miguelina Perez, 

Program Analyst, Office of Federal Advisory 

Committee Policy. 

[FR Doc. 2024–29535 Filed 12–13–24; 8:45 am] 

BILLING CODE 4140–01–P 


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