42014 Federal Register / Vol. 86, No. 147 / Wednesday, August 4, 2021 / Notices 

0302, FMCSA–2014–0304, FMCSA– 

2014–0305, FMCSA–2015–0048, 

FMCSA–2015–0049, FMCSA–2015– 

0052, FMCSA–2015–0053, FMCSA– 

2015–0055, FMCSA–2015–0072, 

FMCSA–2016–0030, FMCSA–2016– 

0033, FMCSA–2016–0206, FMCSA– 

2016–0208, FMCSA–2016–0212, 

FMCSA–2016–0213, FMCSA–2016– 

0214, FMCSA–2017–0014, FMCSA– 

2017–0017, FMCSA–2017–0019, 

FMCSA–2017–0020, FMCSA–2018– 

0017, FMCSA–2019–0005, FMCSA– 

2019–0009, and FMCSA–2019–0011. 

Their exemptions are applicable as of 

September 6, 2021 and will expire on 

September 6, 2023. 

As of September 7, 2021, and in 

accordance with 49 U.S.C. 31136(e) and 

31315(b), the following individual has 

satisfied the renewal conditions for 

obtaining an exemption from the vision 

requirement in the FMCSRs for 

interstate CMV drivers (76 FR 37169, 76 

FR 50318, 78 FR 78477, 80 FR 50915, 

83 FR 4537, 84 FR 47038): 

Charles E. Carter (MI) 

The driver was included in docket 

number FMCSA–2011–0140. The 

exemption is applicable as of September 

7, 2021 and will expire on September 7, 

2023. 

As of September 13, 2021, and in 

accordance with 49 U.S.C. 31136(e) and 

31315(b), the following two individuals 

have satisfied the renewal conditions for 

obtaining an exemption from the vision 

requirement in the FMCSRs for 

interstate CMV drivers (72 FR 39879, 72 

FR 52419, 74 FR 41971, 76 FR 54530, 

78 FR 78477, 80 FR 48402, 83 FR 4537, 

84 FR 47038): 

Ray C. Johnson (AR); and Joshua R. 

Perkins (ID) 

The drivers were included in docket 

number FMCSA–2007–27897. Their 

exemptions are applicable as of 

September 13, 2021 and will expire on 

September 13, 2023. 

As of September 16, 2021, and in 

accordance with 49 U.S.C. 31136(e) and 

31315(b), the following two individuals 

have satisfied the renewal conditions for 

obtaining an exemption from the vision 

requirement in the FMCSRs for 

interstate CMV drivers (78 FR 41975, 78 

FR 56986, 80 FR 48411, 83 FR 4537, 84 

FR 47038): 

Carl H. Block (NY); and Vincent E. 

Marsee, Sr. (NC) 

The drivers were included in docket 

number FMCSA–2013–0030. Their 

exemptions are applicable as of 

September 16, 2021 and will expire on 

September 16, 2023. 

As of September 22, 2021, and in 

accordance with 49 U.S.C. 31136(e) and 

31315(b), the following individual has 

satisfied the renewal conditions for 

obtaining an exemption from the vision 

requirement in the FMCSRs for 

interstate CMV drivers (74 FR 37295, 74 

FR 48343, 76 FR 53708, 78 FR 78477, 

80 FR 49302, 83 FR 4537, 84 FR 47038): 

Samuel A. Miller (IN) 

The driver was included in docket 

number FMCSA–2009–0154. The 

exemption is applicable as of September 

22, 2021 and will expire on September 

22, 2023. 

As of September 23, 2021, and in 

accordance with 49 U.S.C. 31136(e) and 

31315(b), the following two individuals 

have satisfied the renewal conditions for 

obtaining an exemption from the vision 

requirement in the FMCSRs for 

interstate CMV drivers (64 FR 27027, 64 

FR 51568, 66 FR 48504, 68 FR 19598, 

68 FR 33570, 68 FR 54775, 70 FR 53412, 

72 FR 62896, 74 FR 43221, 76 FR 53708, 

78 FR 78477, 80 FR 53383, 83 FR 4537, 

84 FR 47038): 

Weldon R. Evans (OH); and Orasio 

Garcia (TX) 

The drivers were included in docket 

numbers FMCSA–1999–5578 and 

FMCSA–2003–14504. Their exemptions 

are applicable as of September 23, 2021 

and will expire on September 23, 2023. 

V. Conditions and Requirements 

The exemptions are extended subject 

to the following conditions: (1) Each 

driver must undergo an annual physical 

examination (a) by an ophthalmologist 

or optometrist who attests that the 

vision in the better eye continues to 

meet the requirements in 49 CFR 

391.41(b)(10), and (b) by a certified 

medical examiner (ME), as defined by 

§ 390.5, who attests that the driver is 

otherwise physically qualified under 

§ 391.41; (2) each driver must provide a 

copy of the ophthalmologist’s or 

optometrist’s report to the ME at the 

time of the annual medical examination; 

and (3) each driver must provide a copy 

of the annual medical certification to 

the employer for retention in the 

driver’s qualification file or keep a copy 

of his/her driver’s qualification if he/her 

is self-employed. The driver must also 

have a copy of the exemption when 

driving, for presentation to a duly 

authorized Federal, State, or local 

enforcement official. The exemption 

will be rescinded if: (1) The person fails 

to comply with the terms and 

conditions of the exemption; (2) the 

exemption has resulted in a lower level 

of safety than was maintained before it 

was granted; or (3) continuation of the 

exemption would not be consistent with 

the goals and objectives of 49 U.S.C. 

31136(e) and 31315(b). 

VI. Preemption 

During the period the exemption is in 

effect, no State shall enforce any law or 

regulation that conflicts with this 

exemption with respect to a person 

operating under the exemption. 

VII. Conclusion 

Based upon its evaluation of the 123 

exemption applications, FMCSA renews 

the exemptions of the aforementioned 

drivers from the vision requirement in 

§ 391.41(b)(10), subject to the 

requirements cited above. In accordance 

with 49 U.S.C. 31136(e) and 31315(b), 

each exemption will be valid for 2 years 

unless revoked earlier by FMCSA. 

Larry W. Minor, 

Associate Administrator for Policy. 

[FR Doc. 2021–16540 Filed 8–3–21; 8:45 am] 

BILLING CODE 4910–EX–P 

DEPARTMENT OF THE TREASURY 

Internal Revenue Service 

Open Meeting of the Taxpayer 

Advocacy Panel Joint Committee 

AGENCY: Internal Revenue Service (IRS), 

Treasury. 

ACTION: Notice of meeting. 

SUMMARY: An open meeting of the 

Taxpayer Advocacy Panel Joint 

Committee will be conducted. The 

Taxpayer Advocacy Panel is soliciting 

public comments, ideas, and 

suggestions on improving customer 

service at the Internal Revenue Service. 

DATES: The meeting will be held 

Tuesday, August 24, 2021 and 

Wednesday, August 25, 2021. 

FOR FURTHER INFORMATION CONTACT: 

Gilbert Martinez at 1–888–912–1227 or 

(737) 800–4060. 

SUPPLEMENTARY INFORMATION: Notice is 

hereby given pursuant to Section 

10(a)(2) of the Federal Advisory 

Committee Act, 5 U.S.C. App. (1988) 

that an open meeting of the Taxpayer 

Advocacy Panel Joint Committee will be 

held Tuesday, August 24, 2021, from 

1:30pm to 3:30pm Eastern Time and 

Wednesday, August 25, 2021, from 

1:30pm to 3:30pm Eastern Time. The 

public is invited to make oral comments 

or submit written statements for 

consideration. For more information 

please contact Gilbert Martinez at 1– 

888–912–1227 or (737–800–4060), or 

write TAP Office 3651 S. IH–35, STOP 

1005 AUSC, Austin, TX 78741, or post 

comments to the website: http://

www.improveirs.org. 

The agenda will include various 

committee issues for submission to the 


lotter on DSK11XQN23PROD with NOTICES1
Federal Register / Vol. 86, No. 147 / Wednesday, August 4, 2021 / Notices 42015 

IRS and other TAP related topics. Public 

input is welcomed. 

Dated: July 30, 2021. 

Kevin Brown, 

Acting Director, Taxpayer Advocacy Panel. 

[FR Doc. 2021–16640 Filed 8–3–21; 8:45 am] 

BILLING CODE 4830–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

Cost-Based and Inter-Agency Billing 

Rates for Medical Care or Services 

Provided by the Department of 

Veterans Affairs for Fiscal Year 2022 

AGENCY: Department of Veterans Affairs. 

ACTION: Notice. 

SUMMARY: This document updates the 

Cost-Based and Inter-Agency billing 

rates for medical care or services 

provided by the U.S. Department of 

Veterans Affairs (VA) furnished in 

certain circumstances. 

DATES: The rates set forth herein are 

effective October 1, 2021. 

FOR FURTHER INFORMATION CONTACT: Ms. 

Debra Vatthauer, Office of Community 

Care, Revenue Operations, Payer 

Relations and Services, Rates and 

Charges (13RO1), Veterans Health 

Administration, Department of Veterans 

Affairs, 128 Bingham Road, Suite 1000, 

Asheville, NC 28806; telephone: 608– 

821–7346 (this is not a toll-free 

number). 

SUPPLEMENTARY INFORMATION: VA’s 

methodology for computing Cost-Based 

and Inter-Agency rates for medical care 

or services provided by VA is set forth 

in section 17.102(h) of title 38 Code of 

Federal Regulations (CFR). Two sets of 

rates are obtained by applying this 

methodology, Cost-Based and InterAgency. 

Cost-Based rates apply to medical care 

and services that are provided by VA 

under 38 CFR 17.102(a), (b), (d) and (g), 

respectively, in the following 

circumstances: 

• In error or based on tentative 

eligibility; 

• In a medical emergency; 

• To pensioners of allied nations; and 

• For research purposes in 

circumstances under which the medical 

care appropriation shall be reimbursed 

from the research appropriation. 

Inter-Agency rates apply to medical 

care and services that are provided by 

VA under § 17.102(c) and (f), 

respectively, in the following 

circumstances when the care or services 

provided are not covered by any 

applicable sharing agreement in 

accordance with § 17.102(e): 

• To beneficiaries of the Department 

of Defense or other Federal agencies; 

and 

• To military retirees with chronic 

disability. 

The calculations for the Cost-Based 

and Inter-Agency rates are the same 

with two exceptions. Inter-Agency rates 

are all-inclusive and are not broken 

down into three components (i.e., 

Physician; Ancillary; and Nursing, 

Room and Board), and do not include 

standard fringe benefit costs that cover 

Government employee retirement, 

disability costs, and return on fixed 

assets. 

The following table depicts the CostBased and Inter-Agency rates that are 

effective October 1, 2021 and will 

remain in effect until the next fiscal year 

Federal Register update. These rates 

supersede those established by the 

Federal Register notice published on 

July 28, 2020, at 85 FR 45471. 

Cost-based 

rates 

Inter-agency 

rates 

A. Hospital Care per inpatient day 

General Medicine: 

All Inclusive Rate ....................................................................................................................................... $5,466 $5,318 

Physician ................................................................................................................................................... 654 ........................

Ancillary ..................................................................................................................................................... 1,424 ........................

Nursing Room and Board ......................................................................................................................... 3,388 ........................

Neurology: 

All Inclusive Rate ....................................................................................................................................... 5,127 4,981 

Physician ................................................................................................................................................... 751 ........................

Ancillary ..................................................................................................................................................... 1,354 ........................

Nursing Room and Board ......................................................................................................................... 3,022 ........................

Rehabilitation Medicine: 

All Inclusive Rate ....................................................................................................................................... 3,963 3,846 

Physician ................................................................................................................................................... 450 ........................

Ancillary ..................................................................................................................................................... 1,211 ........................

Nursing Room and Board ......................................................................................................................... 2,302 ........................

Blind Rehabilitation: 

All Inclusive Rate ....................................................................................................................................... 2,933 2,843 

Physician ................................................................................................................................................... 236 ........................

Ancillary ..................................................................................................................................................... 1,457 ........................

Nursing Room and Board ......................................................................................................................... 1,240 ........................

Spinal Cord Injury: 

All Inclusive Rate ....................................................................................................................................... 3,548 3,443 

Physician ................................................................................................................................................... 440 ........................

Ancillary ..................................................................................................................................................... 893 ........................

Nursing Room and Board ......................................................................................................................... 2,215 ........................

Surgery: 

All Inclusive Rate ....................................................................................................................................... 9,756 9,490 

Physician ................................................................................................................................................... 1,075 ........................

Ancillary ..................................................................................................................................................... 2,959 ........................

Nursing Room and Board ......................................................................................................................... 5,722 ........................

General Psychiatry: 

All Inclusive Rate ....................................................................................................................................... 2,875 2,788 

Physician ................................................................................................................................................... 271 ........................

Ancillary ..................................................................................................................................................... 453 ........................

Nursing Room and Board ......................................................................................................................... 2,151 ........................

Substance Abuse (Alcohol and Drug Treatment): 

All Inclusive Rate ....................................................................................................................................... 2,744 2,663 


lotter on DSK11XQN23PROD with NOTICES1