Federal Register / Vol. 75, No. 204 / Friday, October 22, 2010 / Proposed Rules 65281 

APPENDIX A TO PART 4—TABLE OF AMENDMENTS AND EFFECTIVE DATES SINCE 1946 

Sec. Diagnostic 

Code No. 

*******

4.117 

*******

7717 Added [Date 30 days after date of publication of the final rule in the Federal Register]. 

Appendix B to Part 4 [Amended] 

4. In Appendix B to Part 4 add diagnostic 

code 7717 to the table in numerical order 

(following the entry for diagnostic code 

number 7716) and its disability entry ‘‘AL 

amyloidosis (primary amyloidosis)’’ to read 

as follows: 

APPENDIX B TO PART 4—NUMERICAL INDEX OF DISABILITIES

Diagnostic Code No. 

*******

THE HEMIC AND LYMPHATIC SYSTEMS 

*******

7717 .................................... AL amyloidosis (primary amyloidosis). 

*******

Appendix C to Part 4 [Amended] 

5. Appendix C to Part 4 is amended by 

adding in alphabetical order (following 

‘‘Agranulocytosis’’) a new entry ‘‘AL 

amyloidosis’’ and its diagnostic code number 

‘‘7717’’ to read as follows: 

APPENDIX C TO PART 4— 

ALPHABETICAL INDEX OF DISABILITIES

Diagnostic 

Code No. 

* * * * * 

AL amyloidosis ..................... 7717 

* * * * * 

[FR Doc. 2010–26661 Filed 10–21–10; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

42 CFR Part 84 

[Docket Numbers NIOSH–221, NIOSH–082A, 

NIOSH–147] 

Public Meeting To Discuss NIOSH’s 

Respirator Standards Development 

Efforts 

AGENCY: National Institute for 

Occupational Safety and Health 

(NIOSH), Centers for Disease Control 

and Prevention (CDC), Department of 

Health and Human Services (HHS). 

ACTION: Notice of a public meeting. 

SUMMARY: The National Institute for 

Occupational Safety and Health 

(NIOSH), National Personal Protective 

Technology Laboratory (NPPTL), will 

conduct a public meeting to discuss 

current respirator standards 

development projects, including the 

NIOSH Regulatory Agenda for updating 

42 CFR part 84, CBRN Combination 

Unit Respirator Performance 

Requirements, and the NIOSH policy on 

SCBA ‘‘Buddy-Breathing’’. There will be 

an opportunity for discussion following 

each topic’s presentations. 

DATES: The public meeting will be held 

8:30 a.m. to 5 p.m., December 9, 2010. 

On-site registration will be held 

beginning at 7:45 a.m. 

ADDRESSES: The public meeting will be 

held at Hyatt Regency Pittsburgh 

International Airport, 1111 Airport 

Boulevard, Pittsburgh, PA 15231, 

telephone 800–233–1234. 

FOR FURTHER INFORMATION CONTACT: 

Jonathan Szalajda, NPPTL, Policy and 

Standards Development Branch Chief, 

P.O. Box 18070, 626 Cochrans Mill 

Road, Pittsburgh, PA 15236, telephone 

412–386–5200, fax 412–386–4089, 

E-mail npptlevents@cdc.gov. 

SUPPLEMENTARY INFORMATION: 

Status: The meeting will be open to 

the public, limited only by the space 

available. The meeting room 

accommodates approximately 125 

people. 

Instructions: Requests to make 

presentations at the public meeting 

should be mailed to the NIOSH Docket 

Officer, Robert A. Taft Laboratories, 

MS–C34, 4676 Columbia Parkway, 

Cincinnati, Ohio 45226. Requests may 

also be submitted by telephone 

513–533–8611, fax 513–533–8285, or 

e-mailed to niocindocket@cdc.gov. All 

requests to present should contain the 

name, address, and telephone number, 

relevant business affiliations of the 

presenter, topic of the presentation, and 

the approximate time requested for the 

presentation. Oral presentations should 

be limited to 15 minutes. 

After reviewing the requests for 

presentations, NIOSH will notify the 

presenters that their presentations are 

scheduled. If a participant is not present 

when his/her presentation is scheduled 

to begin, the remaining participants will 

be heard in order. At the conclusion of 

the meeting, an attempt will be made to 

allow presentations by scheduled 

participants who missed their assigned 

times. Attendees who wish to speak but 

did not submit a request for the 

opportunity to make a presentation may 

be given this opportunity at the 

conclusion of the meeting, at the 

discretion of the presiding officer. 

This meeting will also be using 

Audio/Live Meeting Conferencing, 


emcdonald on DSK2BSOYB1PROD with PROPOSALS
65282 Federal Register / Vol. 75, No. 204 / Friday, October 22, 2010 / Proposed Rules 

remote access capabilities where 

interested parties may listen in and 

review the presentations over the 

internet simultaneously. Parties 

remotely accessing the meeting will 

have the opportunity to ask questions 

during the open comment period. To 

register to use this capability, please 

contact the NPPTL, Policy and 

Standards Development Branch, P.O. 

Box 18070, 626 Cochrans Mill Road, 

Pittsburgh, PA 15236, telephone 412– 

386–5200, fax 412–386–4089. This 

option will be available to participants 

on a first come, first served basis and is 

limited to the first 50 participants. 

Background: NIOSH, National 

Personal Protective Technology 

Laboratory (NPPTL), will present 

information to attendees concerning the 

development of the concepts being 

considered for performance criteria of 

various classes of respirators. 

Participants will be given an 

opportunity to ask questions and to 

present individual comments that they 

may wish to have considered. 

Reference: Information regarding 

documents that will be discussed at the 

meeting may be obtained from the 

NIOSH Web site using this link: 

http://www.cdc.gov/niosh/review/ 

public/ using the docket numbers listed 

in this notice. 

Authority: 29 U.S.C. 651–675, 677; 30 

U.S.C. 3, 5, 7, 811, 842(h), 844. 

Dated: October 12, 2010. 

Tanja Popovic, 

Deputy Associate Director for Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2010–26129 Filed 10–21–10; 8:45 am] 

BILLING CODE 4163–19–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

42 CFR Part 483 

[CMS–3140–P] 

RIN 0938–AP32 

Medicare and Medicaid Programs; 

Requirements for Long Term Care 

Facilities; Hospice Services 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Proposed rule. 

SUMMARY: This proposed rule would 

revise the requirements that an 

institution would have to meet in order 

to qualify to participate as a skilled 

nursing facility (SNF) in the Medicare 

program, or as a nursing facility (NF) in 

the Medicaid program. We are 

proposing these requirements to ensure 

that long-term care (LTC) facilities (that 

is, SNFs and NFs) that chose to arrange 

for the provision of hospice care 

through an agreement with one or more 

Medicare-certified hospice providers 

would have in place a written 

agreement with the hospice that 

specified the roles and responsibilities 

of each entity. 

DATES: To be assured consideration, 

comments must be received at one of 

the addresses provided below, no later 

than 5 p.m. on December 21, 2010. 

ADDRESSES: In commenting, please refer 

to file code CMS–3140–P. 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 instructions for ‘‘Comment or 

Submission’’ and enter the file code to 

find the document accepting comments. 

2. By regular mail. You may mail 

written comments (one original and two 

copies) to the following address only: 

Centers for Medicare & Medicaid 

Services, Department of Health and 

Human Services, Attention: CMS–3140– 

P, P.O. Box 8010, Baltimore, MD 21244– 

8010. 

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 (one 

original and two copies) to the following 

address only: 

Centers for Medicare & Medicaid 

Services, Department of Health and 

Human Services, Attention: CMS–3140– 

P, Mail Stop C4–26–05, 7500 Security 

Boulevard, Baltimore, MD 21244–1850. 

4. By hand or courier. If you prefer, 

you may deliver (by hand or courier) 

your written comments (one original 

and two copies) before the close of the 

comment period to either of 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, 

please call telephone number (410) 786– 

9994 in advance to schedule your 

arrival with one of our staff members. 

Comments mailed to the addresses 

indicated as appropriate for hand or 

courier delivery may be delayed and 

received after the comment period. 

Submission of comments on 

paperwork requirements. You may 

submit comments on this document’s 

paperwork requirements by following 

the instructions at the end of the 

‘‘Collection of Information 

Requirements’’ section in this document. 

For information on viewing public 

comments, see the beginning of the 

SUPPLEMENTARY INFORMATION section. 

FOR FURTHER INFORMATION CONTACT: 

Trish Brooks, (410) 786–4561. Marcia 

Newton, (410) 786–5265. Jeannie Miller, 

(410) 786–3164. 

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 

According to CMS data, at any point 

in time, approximately 1.4 million 

elderly and disabled nursing home 

residents are receiving care in nearly 

16,000 Medicare- and Medicaidcertified Long-Term Care (LTC) facilities 


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