jurisdiction: US

text: b' DEPARTMENT OF HEALTH & HUMAN SERVICES Office of Inspector General\n\n Office of Audit Services, Region IX\n 90 \xe2\x80\x93 7th Street, Suite 3-650\n San Francisco, CA 94103\n\n\n\nSeptember 21, 2011\n\nReport Number: A-09-09-00114\n\nRon Chapman, M.D., M.P.H.\nDirector\nCalifornia Department of Public Health\n1615 Capital Avenue, MS 0500\nSacramento, CA 95899-7377\n\nDear Dr. Chapman:\n\nEnclosed is the U.S. Department of Health and Human Services (HHS), Office of Inspector\nGeneral (OIG), final report entitled Unidentified and Unreported Federal Deficiencies in\nCalifornia\xe2\x80\x99s Complaint Surveys of Nursing Homes Participating in the Medicare and Medicaid\nPrograms. We will forward a copy of this report to the HHS action official noted on the\nfollowing page for review and any action deemed necessary.\n\nThe HHS action official will make final determination as to actions taken on all matters reported.\nWe request that you respond to this official within 30 days from the date of this letter. Your\nresponse should present any comments or additional information that you believe may have a\nbearing on the final determination.\n\nSection 8L of the Inspector General Act, 5 U.S.C. App., requires that OIG post its publicly\navailable reports on the OIG Web site. Accordingly, this report will be posted at\nhttp://oig.hhs.gov.\n\nIf you have any questions or comments about this report, please do not hesitate to call me, or\ncontact Jessica Kim, Audit Manager, at (323) 261-7218, extension 702, or through email at\nYun.Kim@oig.hhs.gov. Please refer to report number A-09-09-00114 in all correspondence.\n\n Sincerely,\n\n\n\n /Lori A. Ahlstrand/\n Regional Inspector General\n for Audit Services\n\n\nEnclosure\n\x0cPage 2 \xe2\x80\x93 Ron Chapman, M.D., M.P.H.\n\n\nDirect Reply to HHS Action Official:\n\nMs. Jackie Garner\nConsortium Administrator\nConsortium for Medicaid and Children\xe2\x80\x99s Health Operations\nCenters for Medicare & Medicaid Services\n233 North Michigan Avenue, Suite 600\nChicago, IL 60601\n\x0c Department of Health and Human Services\n OFFICE OF\n INSPECTOR GENERAL\n\n\n\n UNIDENTIFIED AND UNREPORTED\n FEDERAL DEFICIENCIES IN\nCALIFORNIA\xe2\x80\x99S COMPLAINT SURVEYS\nOF NURSING HOMES PARTICIPATING\n IN THE MEDICARE AND\n MEDICAID PROGRAMS\n\n\n\n\n Daniel R. Levinson\n Inspector General\n\n September 2011\n A-09-09-00114\n\x0c Office of Inspector General\n http://oig.hhs.gov\n\n\n\nThe mission of the Office of Inspector General (OIG), as mandated by Public Law 95-452, as amended, is\nto protect the integrity of the Department of Health and Human Services (HHS) programs, as well as the\nhealth and welfare of beneficiaries served by those programs. This statutory mission is carried out\nthrough a nationwide network of audits, investigations, and inspections conducted by the following\noperating components:\n\nOffice of Audit Services\n\nThe Office of Audit Services (OAS) provides auditing services for HHS, either by conducting audits with\nits own audit resources or by overseeing audit work done by others. Audits examine the performance of\nHHS programs and/or its grantees and contractors in carrying out their respective responsibilities and are\nintended to provide independent assessments of HHS programs and operations. These assessments help\nreduce waste, abuse, and mismanagement and promote economy and efficiency throughout HHS.\n\nOffice of Evaluation and Inspections\nThe Office of Evaluation and Inspections (OEI) conducts national evaluations to provide HHS, Congress,\nand the public with timely, useful, and reliable information on significant issues. These evaluations focus\non preventing fraud, waste, or abuse and promoting economy, efficiency, and effectiveness of\ndepartmental programs. To promote impact, OEI reports also present practical recommendations for\nimproving program operations.\n\nOffice of Investigations\nThe Office of Investigations (OI) conducts criminal, civil, and administrative investigations of fraud and\nmisconduct related to HHS programs, operations, and beneficiaries. With investigators working in all 50\nStates and the District of Columbia, OI utilizes its resources by actively coordinating with the Department\nof Justice and other Federal, State, and local law enforcement authorities. The investigative efforts of OI\noften lead to criminal convictions, administrative sanctions, and/or civil monetary penalties.\n\nOffice of Counsel to the Inspector General\nThe Office of Counsel to the Inspector General (OCIG) provides general legal services to OIG, rendering\nadvice and opinions on HHS programs and operations and providing all legal support for OIG\xe2\x80\x99s internal\noperations. OCIG represents OIG in all civil and administrative fraud and abuse cases involving HHS\nprograms, including False Claims Act, program exclusion, and civil monetary penalty cases. In\nconnection with these cases, OCIG also negotiates and monitors corporate integrity agreements. OCIG\nrenders advisory opinions, issues compliance program guidance, publishes fraud alerts, and provides\nother guidance to the health care industry concerning the anti-kickback statute and other OIG enforcement\nauthorities.\n\x0c Notices\n\n\n THIS REPORT IS AVAILABLE TO THE PUBLIC\n at http://oig.hhs.gov\n\n Section 8L of the Inspector General Act, 5 U.S.C. App., requires\n that OIG post its publicly available reports on the OIG Web site.\n\nOFFICE OF AUDIT SERVICES FINDINGS AND OPINIONS\n\n The designation of financial or management practices as\n questionable, a recommendation for the disallowance of costs\n incurred or claimed, and any other conclusions and\n recommendations in this report represent the findings and\n opinions of OAS. Authorized officials of the HHS operating\n divisions will make final determination on these matters.\n\x0c EXECUTIVE SUMMARY\n\nBACKGROUND\n\nThe Medicare and Medicaid programs cover care in skilled nursing and nursing facilities\n(nursing homes), respectively, for eligible beneficiaries. Sections 1819 and 1919 of the Social\nSecurity Act provide that nursing homes participating in the Medicare and Medicaid programs,\nrespectively, must meet certain specified requirements (Federal participation requirements).\nThese sections also establish requirements for the Centers for Medicare & Medicaid Services\n(CMS) and States to survey nursing homes to determine whether they meet Federal participation\nrequirements.\n\nThe State survey agency must, as set forth in Federal regulations at 42 CFR \xc2\xa7 488.308(e)(2) and\nin section 5300 of CMS\xe2\x80\x99s State Operations Manual (the Manual), Pub. No. 100-07, review all\nnursing home complaint allegations. Depending on the outcome of the review, the State survey\nagency may conduct a standard survey or an abbreviated standard survey (complaint survey) to\ninvestigate noncompliance with Federal participation requirements. A standard survey is an\ninspection to gather information about the quality of resident care furnished in a nursing home.\nA complaint survey normally does not cover all procedures included in a standard survey but\nrather concentrates on areas of concern related to the complaint allegation.\n\nFederal regulations (42 CFR \xc2\xa7 488.301) define a nursing home\xe2\x80\x99s noncompliance with Federal\nparticipation requirements as a deficiency (Federal deficiency). The State survey agency must\nreport to the nursing home and CMS each Federal deficiency identified during a survey. The\nreported information includes (1) a statement describing the deficiency, (2) a citation of the\nspecific Federal participation requirement that was not met, and (3) a rating for the seriousness of\nthe deficiency (deficiency rating).\n\nSection 5060 of the Manual requires the State survey agency to enter complaint survey data into\nthe Automated Survey Processing Environment (ASPEN) system, including the ASPEN\nComplaints/Incident Tracking System (ACTS). CMS uses complaint survey data to manage\nenforcement activities and provide information to the public on its Nursing Home Compare Web\nsite. Nursing Home Compare rates the quality of nursing homes using a five-star rating scale.\n\nIn California, the Department of Public Health, Licensing and Certification Division (the\nDivision), is the designated State survey agency. Accordingly, the Division determines whether\nnursing homes meet Federal participation requirements. The Division also determines whether\nnursing homes comply with State laws and regulations (State requirements).\n\nOBJECTIVE\n\nOur objective was to determine whether the Division identified and reported Federal deficiencies\nfor unmet Federal participation requirements when conducting complaint surveys of nursing\nhomes from 2006 through 2008.\n\n\n\n\n i\n\x0cSUMMARY OF FINDINGS\n\nThe Division did not always identify and report deficiencies for unmet Federal participation\nrequirements when conducting complaint surveys from 2006 through 2008. For 24 complaint\nsurveys at 3 nursing homes that we judgmentally selected, the Division did not (1) identify\n41 deficiencies for noncompliance with the Federal participation requirements associated with\nthe complaint surveys that cited State requirements, (2) determine the deficiency ratings for those\n41 deficiencies, and (3) enter the Federal deficiencies and deficiency ratings into ACTS.\n\nThe Division\xe2\x80\x99s policy and procedures for investigating complaints did not require State\nsurveyors to cite deficiencies for all unmet Federal participation requirements. Instead, the\npolicy and procedures permitted the State surveyors to cite violations of State requirements while\nnot citing the associated Federal requirements. As a result, the Division did not always identify\nFederal deficiencies, determine deficiency ratings, and report the information to CMS.\n\nAccording to CMS officials, it is unable to take immediate Federal enforcement action for\nrecurring deficiencies involving actual harm when the Division does not cite unmet Federal\nparticipation requirements and enter deficiencies and deficiency ratings into ACTS. In addition,\nomission of deficiencies and deficiency ratings from ACTS results in inaccurate information\nprovided to the public on the Nursing Home Compare Web site. According to a CMS official,\n\xe2\x80\x9cIf this information were available, it would present a more complete picture of the nursing\nhome\xe2\x80\x99s compliance with Federal regulations.\xe2\x80\x9d\n\nRECOMMENDATION\n\nWe recommend that the Division revise its policy and procedures for investigating complaints to\nrequire State surveyors to identify and report deficiencies for all unmet Federal participation\nrequirements.\n\nDIVISION COMMENTS\n\nIn written comments on our draft report, the Division disagreed with our recommendations.\nRegarding our first recommendation, the Division stated that \xe2\x80\x9c\xe2\x80\xa6 there are insufficient federal\nfunds to use the federal process in every instance where a federal deficiency could be written.\xe2\x80\x9d\nRegarding our second recommendation (included only in our draft report), the Division\ndisagreed that it should revise its policy and procedures to require State surveyors to determine\nratings for Federal deficiencies identified and enter deficiencies and deficiency ratings into\nACTS. The Division stated that the policy and procedure for the Federal survey process is\nspelled out in the Manual, which Division staff are required to follow.\n\nThe Division\xe2\x80\x99s comments are included in their entirety as the Appendix.\n\nOFFICE OF INSPECTOR GENERAL RESPONSE\n\nAlthough we acknowledge the Division\xe2\x80\x99s statement regarding insufficient Federal funds, the\npolicy and procedures for investigating complaints must fully comply with Federal requirements.\n\n\n ii\n\x0cAfter reviewing the Division\xe2\x80\x99s comments, we modified our first recommendation to emphasize\nthat the policy and procedures require State surveyors to not only identify but also report\ndeficiencies for all unmet Federal participation requirements. We removed our second\nrecommendation from the report.\n\n\n\n\n iii\n\x0c TABLE OF CONTENTS\n\n Page\n\nINTRODUCTION....................................................................................................................1\n\n BACKGROUND ...........................................................................................................1\n Medicare and Medicaid Coverage of Nursing Homes .......................................1\n Standard and Complaint Surveys of Nursing Homes ........................................1\n Federal Deficiencies and Deficiency Ratings ....................................................2\n CMS\xe2\x80\x99s Management and Information Systems for Nursing Homes .................2\n California Survey Agency..................................................................................3\n\n OBJECTIVE, SCOPE, AND METHODOLOGY .........................................................3\n Objective ............................................................................................................3\n Scope ..................................................................................................................3\n Methodology ......................................................................................................4\n\nFINDINGS AND RECOMMENDATION.............................................................................4\n\n FEDERAL REQUIREMENTS FOR STATE SURVEY AGENCIES ..........................4\n\n DEFICIENCIES FOR UNMET FEDERAL PARTICIPATION REQUIREMENTS\n NOT IDENTIFIED OR REPORTED .........................................................................5\n\n INADEQUATE POLICY AND PROCEDURES .........................................................6\n\n IMPACT OF UNIDENTIFIED AND UNREPORTED\n FEDERAL DEFICIENCIES .......................................................................................7\n\n RECOMMENDATION .................................................................................................7\n\n DIVISION COMMENTS ..............................................................................................7\n\n OFFICE OF INSPECTOR GENERAL RESPONSE ....................................................8\n\nAPPENDIX\n\n DIVISION COMMENTS\n\n\n\n\n iv\n\x0c INTRODUCTION\nBACKGROUND\n\nMedicare and Medicaid Coverage of Nursing Homes\n\nThe Medicare and Medicaid programs cover care in skilled nursing and nursing facilities\n(nursing homes), respectively, for eligible beneficiaries in need of nursing services, specialized\nrehabilitation services, medically related social services, pharmaceutical services, and dietary\nservices. Sections 1819 and 1919 of the Social Security Act (the Act) provide that nursing\nhomes participating in the Medicare and Medicaid programs, respectively, must meet certain\nspecified requirements (Federal participation requirements). These sections also establish\nrequirements for the Centers for Medicare & Medicaid Services (CMS) and States to survey\nnursing homes to determine whether they meet Federal participation requirements. These\nstatutory participation and survey requirements are combined in Federal regulations at\n42 CFR part 483, subpart B, and 42 CFR part 488, subpart E, respectively.\n\nStandard and Complaint Surveys of Nursing Homes\n\nSection 1864(a) of the Act requires the Secretary of Health and Human Services to use the State\nhealth agency, or other appropriate State agency, to determine whether nursing homes meet\nFederal participation requirements. Further, section 1902(a)(33) of the Act requires the State to\nuse the same State agency to determine whether nursing homes meet the requirements for\nparticipation set forth under the State Medicaid plan. Under the agreement with the Secretary\nand under the State plan, the State agency must, as set forth in Federal regulations at 42 CFR\n\xc2\xa7 488.308(e)(2) and in section 5300 of CMS\xe2\x80\x99s State Operations Manual (the Manual), Pub. No.\n100-07, review all nursing home complaint allegations. 1\n\nDepending on the outcome of the review, the State survey agency may conduct a standard survey\nor an abbreviated standard survey (complaint survey) to investigate noncompliance with Federal\nparticipation requirements. Examples of noncompliance include a nursing home\xe2\x80\x99s failure to\nprovide necessary treatment to promote healing of a resident\xe2\x80\x99s pressure sore and failure to\nprovide nutritional services. Federal regulations (42 CFR \xc2\xa7 488.301) define noncompliance with\nFederal participation requirements as a deficiency (Federal deficiency).\n\nA standard survey is a periodic nursing home inspection based on procedures specified in the\nManual. These procedures focus on a sample of residents selected by the State survey agency to\ngather information about the quality of resident care furnished to Medicare and/or Medicaid\nbeneficiaries in a nursing home. A complaint survey normally does not cover all procedures\nincluded in a standard survey but rather concentrates on areas of concern related to the complaint\nallegation. A complaint survey may be expanded to a standard survey if evidence warrants a\nmore extensive review.\n\n\n\n\n1\n An allegation of improper care or treatment of beneficiaries may come from a variety of sources, including\nbeneficiaries, family members, and health care providers.\n\n\n 1\n\x0cFederal Deficiencies and Deficiency Ratings\n\nThe State survey agency must report each Federal deficiency identified during a survey on the\nappropriate form 2 published by CMS and provide the forms to the nursing home and CMS.\nThese forms include (1) a statement describing the deficiency, (2) a citation of the specific\nFederal participation requirement that was not met, and (3) a rating for the seriousness of the\ndeficiency (deficiency rating).\n\nFederal regulations (42 CFR \xc2\xa7 488.404(b)) require the State survey agency to determine the\ndeficiency rating using severity and scope components. Severity is the degree of or potential for\nresident harm and has four levels: (1) potential for minimal harm, (2) potential for more than\nminimal harm, (3) actual harm, and (4) immediate jeopardy. Scope is the number of residents\naffected or pervasiveness of the deficiency in the nursing home and has three levels: (1) isolated,\n(2) patterned, and (3) widespread.\n\nFederal regulations (42 CFR \xc2\xa7 488.408(b)) provide CMS and the State survey agency with the\nauthority to impose one or more enforcement remedies, such as correction plans directed by the\nsurvey agency, State monitoring, denial of payment for all new Medicare and/or Medicaid\nadmissions, and civil monetary penalties. The deficiency rating guides the selection of the\nappropriate remedy.\n\nCMS\xe2\x80\x99s Management and Information Systems for Nursing Homes\n\nSection 5060 of the Manual requires the State survey agency to enter complaint survey data into\nthe Automated Survey Processing Environment (ASPEN) system, including the ASPEN\nComplaints/Incident Tracking System (ACTS). The CMS Survey and Certification\nMemorandum 04-43 requires enforcement activities to be entered into the ASPEN Enforcement\nManager (AEM).\n\n \xe2\x80\xa2 ACTS is designed to manage all complaint processing operations. Section 5060 of the\n Manual, page 11, states that because entry of information related to unmet Federal\n requirements into ACTS \xe2\x80\x9c\xe2\x80\xa6 is essential to [CMS\xe2\x80\x99s] \xe2\x80\xa6 effective management of the\n survey and certification program, it is important that [survey agencies] complete the\n required fields in ACTS in a timely manner.\xe2\x80\x9d\n\n \xe2\x80\xa2 According to the CMS Survey and Certification Memorandum 04-43 (August 12, 2004),\n AEM is an enforcement tracking system used \xe2\x80\x9c\xe2\x80\xa6 to improve the national system of\n quality assurance in nursing homes.\xe2\x80\x9d AEM enables CMS to manage enforcement\n activities to ensure that nursing homes remedy deficient practices and establish\n procedures that will sustain continued compliance. ACTS shares all complaint survey\n data with AEM.\n\n\n\n2\n Form CMS-2567, Statement of Deficiencies and Plans of Correction, is used for all deficiencies except for\ndeficiencies determined to be isolated and with the potential for minimal harm. For these deficiencies, Form A,\nStatement of Isolated Deficiencies Which Cause No Harm with Only a Potential for Minimal Harm, is used.\n\n\n 2\n\x0cThe complaint survey data are also used in information provided to the public on CMS\xe2\x80\x99s Nursing\nHome Compare Web site. Nursing Home Compare has information on every certified Medicare\nand Medicaid nursing home, including information on quality-of-care deficiencies from\ncomplaint surveys. Nursing Home Compare uses a five-star rating scale to help consumers, their\nfamilies, and caregivers compare nursing homes. A five-star rating represents the highest quality\nrating. The determination of the star rating is based in part on the nursing home\xe2\x80\x99s number of\nFederal deficiencies and deficiency ratings that were identified during the three most recent\nstandard surveys and the most recent 36 months of complaint surveys.\n\nCalifornia Survey Agency\n\nIn California, the Department of Public Health, Licensing and Certification Division (the\nDivision), is the designated State survey agency. Accordingly, the Division determines whether\nnursing homes meet Federal participation requirements and recommends to CMS whether\nnursing homes should be certified for participation in the Medicare and Medicaid programs. The\nDivision also determines whether nursing homes comply with State laws and regulations (State\nrequirements). According to the Division, in 2010, over 600 surveyors worked in teams at\n18 district offices. The Division estimated that it performed surveys for over 1,275 nursing\nhomes, of which approximately 68 percent were occupied by Medicaid residents, and responded\nto approximately 6,650 complaints.\n\nOBJECTIVE, SCOPE, AND METHODOLOGY\n\nObjective\n\nOur objective was to determine whether the Division identified and reported Federal deficiencies\nfor unmet Federal participation requirements when conducting complaint surveys of nursing\nhomes from 2006 through 2008.\n\nScope\n\nWe reviewed complaint surveys conducted from 2006 through 2008 at three nursing homes we\njudgmentally selected. Three different district offices had oversight jurisdiction over these\nnursing homes. We selected the nursing homes based on the number of residents admitted to the\nhospital with diagnoses of bedsores and/or infections (indicating possible quality-of-care issues\nat the nursing homes) and the number of beds in the nursing homes compared with other nursing\nhomes in the State. The nursing homes included both Medicare and Medicaid beneficiaries.\n\nWe did not review the overall internal control structure of the Division. Rather, we reviewed\nonly those internal controls related to our objective.\n\nWe performed our review from August 2009 to March 2011 and conducted fieldwork at the\nDivision\xe2\x80\x99s offices in Sacramento and Chico, California, and at three district offices in Southern\nCalifornia.\n\n\n\n\n 3\n\x0cMethodology\n\nTo accomplish our objective, we\n\n \xe2\x80\xa2 reviewed applicable Federal laws, regulations, and guidance;\n\n \xe2\x80\xa2 interviewed CMS program officials regarding the Division\xe2\x80\x99s oversight responsibilities\n and CMS management information systems for nursing homes;\n\n \xe2\x80\xa2 interviewed Division management regarding survey operations, quality assurance, and\n training;\n\n \xe2\x80\xa2 interviewed district office supervisors and staff responsible for complaint surveys;\n\n \xe2\x80\xa2 reviewed Division policy and procedures for investigating complaints and training\n manuals for new surveyors and supervisors; and\n\n \xe2\x80\xa2 reviewed the results of 47 complaint surveys for the 3 nursing homes that we\n judgmentally selected and identified Federal regulations for deficiencies in which\n surveyors cited noncompliance with State requirements.\n\nWe conducted this performance audit in accordance with generally accepted government\nauditing standards. Those standards require that we plan and perform the audit to obtain\nsufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions\nbased on our audit objectives. We believe that the evidence obtained provides a reasonable basis\nfor our findings and conclusions based on our audit objective.\n\n FINDINGS AND RECOMMENDATION\n\nThe Division did not always identify and report deficiencies for unmet Federal participation\nrequirements when conducting complaint surveys from 2006 through 2008. For 24 complaint\nsurveys at 3 nursing homes that we judgmentally selected, the Division did not (1) identify\n41 deficiencies for noncompliance with the Federal participation requirements associated with\nthe complaint surveys that cited State requirements, (2) determine the deficiency ratings for those\n41 deficiencies, and (3) enter the Federal deficiencies and deficiency ratings into ACTS.\n\nThe Division\xe2\x80\x99s policy and procedures for investigating complaints did not require State\nsurveyors to cite deficiencies for all unmet Federal participation requirements. Instead, the\npolicy and procedures permitted the State surveyors to cite violations of State requirements while\nnot citing the associated Federal requirements. As a result, the Division did not always identify\nFederal deficiencies, determine deficiency ratings, and report the information to CMS.\n\nFEDERAL REQUIREMENTS FOR STATE SURVEY AGENCIES\n\nFederal regulations (42 CFR \xc2\xa7 488.308(e)(2)) require the State survey agency to review all\ncomplaint allegations, and, when warranted, conduct a survey to determine whether Federal\n\n\n 4\n\x0cdeficiencies exist. For identified Federal deficiencies, 42 CFR \xc2\xa7 488.404(b) requires the survey\nagency to determine the deficiency ratings using severity and scope components.\n\nIn addition, 42 CFR \xc2\xa7\xc2\xa7 488.18 and 488.26(d) require the survey agency to document deficiencies\nand use the survey methods, procedures, and forms prescribed by CMS.\n\nSection 5060 of the Manual requires the State survey agency to enter complaint survey data into\nACTS. Page 11 states:\n\n At a minimum, if the intake information requires an onsite survey and the\n allegation may involve both Federal and State licensure requirements, a Federal\n onsite survey is completed and entered into ACTS. If an investigation [complaint\n survey] finds one or more violations of Federal [participation] requirements, the\n findings must be cited under the appropriate tags [regulations] and entered into\n the Federal system even if the information is entered into a State licensure data\n system.\n\nThe ACTS Procedure Guide specifies how the State survey agency is to enter Federal\ndeficiencies and deficiency ratings into ACTS.\n\nDEFICIENCIES FOR UNMET FEDERAL PARTICIPATION REQUIREMENTS\nNOT IDENTIFIED OR REPORTED\n\nContrary to Federal requirements, the Division did not always identify and report deficiencies for\nunmet Federal participation requirements when conducting complaint surveys from 2006 through\n2008. Of the 47 complaint surveys reviewed for 3 judgmentally selected nursing homes,\n24 surveys did not cite unmet Federal participation requirements. For those 24 surveys, we\nidentified 41 deficiencies for which the Division did not (1) identify the unmet Federal\nparticipation requirements associated with the complaint surveys that cited State requirements,\n(2) determine their deficiency ratings, and (3) enter the Federal deficiencies and deficiency\nratings into ACTS. Instead, the district offices cited only unmet State requirements.\n\nFor example, for a complaint survey conducted at one of the three selected nursing homes, the\ndistrict office did not identify the unmet Federal participation requirements and deficiency\nratings and report the required data to CMS. A nursing home resident was admitted to the\nemergency room because of cardiac arrest. The district office received a report from the\nombudsman 3 that the resident showed signs of suspected neglect based on evidence of multiple\npressure sores and maggots coming from the resident\xe2\x80\x99s ears. The district office\xe2\x80\x99s complaint\nsurvey found that three different licensed nurses at the nursing home observed a change in\ncondition of the resident\xe2\x80\x99s right ear but did not report the change to the resident\xe2\x80\x99s physician. The\ncomplaint survey also determined that the wound care nurse documented in the medical record\nthat the resident\xe2\x80\x99s right ear was treated on April 24, 2008, when no treatment was actually\nprovided.\n\n\n3\n An ombudsman is an advocate for residents of nursing homes. The Long-Term Care Ombudsman Program is\nadministered by the Administration on Aging and exists in all States under the authority of the Older Americans Act.\n\n\n 5\n\x0cAlthough a complaint survey was conducted, the district office did not (1) identify three unmet\nFederal participation requirements, (2) determine their deficiency ratings, or (3) enter the\ndeficiencies and deficiency ratings into ACTS. Based on our review of the deficiency\ndescription in the complaint survey, unmet Federal participation requirements included the\nfollowing:\n\n \xe2\x80\xa2 42 CFR \xc2\xa7 483.10(b)(11)(i)(B), which requires the nursing home to immediately consult\n with the resident\xe2\x80\x99s physician if there is a significant change in the resident\xe2\x80\x99s physical,\n mental, or psychosocial status;\n\n \xe2\x80\xa2 42 CFR \xc2\xa7 483.25(c), which requires the nursing home to provide necessary treatment for\n and prevention of pressure sores; and\n\n \xe2\x80\xa2 42 CFR \xc2\xa7 483.75(l)(1)(i) and (ii), which require the nursing home to maintain complete\n and accurate clinical records.\n\nInstead of citing these Federal participation requirements, determining the deficiency rating for\neach deficiency, and entering the data into ACTS, the district office cited only the following\nState requirements: (1) Title 22 of the California Code of Regulations (CCR), section\n72311(a)(3)(B), for not promptly notifying the resident\xe2\x80\x99s physician of an adverse change in\nmedical condition; (2) 22 CCR \xc2\xa7 72313(c), for failure to administer medications and treatments;\nand (3) 22 CCR \xc2\xa7 72543(f), for failure to keep health records current based on service provided\nto a patient.\n\nINADEQUATE POLICY AND PROCEDURES\n\nFor the period October 2004 through September 2007, the Division\xe2\x80\x99s policy and procedures for\ninvestigating complaints required surveyors to cite unmet Federal participation requirements\nonly when surveyors identified substandard quality of care, 4 actual harm at a patterned or\nwidespread level, or immediate jeopardy. For other deficiencies, surveyors were required to cite\nonly State requirements. Effective October 2007, the policy and procedures instructed surveyors\nto cite violation of either Federal or State requirements.\n\nAccording to district office managers and supervisors, it is standard practice for the Division to\ncite only State requirements but not always to identify or report the associated unmet Federal\nparticipation requirements. As a result, the Division did not always determine the deficiency\nrating for each Federal deficiency and enter that information into ACTS.\n\nAccording to Division management, it began to implement a pilot program in August 2009 to\nidentify unmet Federal participation requirements for the most severe violations of State\n\n\n4\n Pursuant to 42 CFR \xc2\xa7 488.301, substandard quality of care means one or more deficiencies for unmet Federal\nparticipation requirements under 42 CFR \xc2\xa7 483.13 - Resident behavior and facility practices; 42 CFR \xc2\xa7 483.15 -\nQuality of life; or 42 CFR \xc2\xa7 483.25 - Quality of care, with a deficiency rating that constitutes either immediate\njeopardy to resident health or safety, a pattern of or widespread actual harm that is not immediate jeopardy, or a\nwidespread potential for more than minimal harm.\n\n\n 6\n\x0crequirements that are subject to financial penalties. However, the pilot program would not fully\ncomply with the Federal requirement for reporting unmet Federal participation requirements.\n\nIMPACT OF UNIDENTIFIED AND UNREPORTED FEDERAL DEFICIENCIES\n\nThe Division\xe2\x80\x99s failure to identify deficiencies for all unmet Federal participation requirements\nand enter Federal deficiencies and deficiency ratings into ACTS results in incomplete data for\nmanaging enforcement activities in the AEM. According to CMS officials, it is unable to take\nimmediate Federal enforcement action for recurring deficiencies involving actual harm when the\nDivision does not cite unmet Federal participation requirements and enter deficiencies and\ndeficiency ratings into ACTS.\n\nIn addition, omission of Federal deficiencies and deficiency ratings from ACTS results in\ninaccurate information provided to the public on the Nursing Home Compare Web site.\nAccording to a CMS official, \xe2\x80\x9cIf this information were available, it would present a more\ncomplete picture of the nursing home\xe2\x80\x99s compliance with Federal regulations.\xe2\x80\x9d We could not\ndetermine whether any of the 3 nursing homes reviewed would have received a lower star rating\nif the Division had identified and reported the 41 Federal deficiencies.\n\nRECOMMENDATION\n\nWe recommend that the Division revise its policy and procedures for investigating complaints to\nrequire State surveyors to identify and report deficiencies for all unmet Federal participation\nrequirements.\n\nDIVISION COMMENTS\n\nIn written comments on our draft report, the Division disagreed with our recommendations:\n\n \xe2\x80\xa2 Regarding our first recommendation, the Division stated that it instructs its surveyors to\n \xe2\x80\x9cbegin the complaint investigation process from the standpoint of citing state regulations\xe2\x80\x9d\n and to also cite Federal deficiencies for the most severe violations of State requirements.\n According to the Division, \xe2\x80\x9c\xe2\x80\xa6 there are insufficient federal funds to use the federal\n process in every instance where a federal deficiency could be written.\xe2\x80\x9d\n\n \xe2\x80\xa2 Regarding our second recommendation (included only in our draft report), the Division\n disagreed that it should revise its policy and procedures to require State surveyors to\n determine ratings for Federal deficiencies identified and enter deficiencies and deficiency\n ratings into ACTS. The Division stated that the policy and procedure for the Federal\n survey process is spelled out in the Manual, which Division staff are required to follow.\n\nThe Division\xe2\x80\x99s comments are included in their entirety as the Appendix.\n\n\n\n\n 7\n\x0cOFFICE OF INSPECTOR GENERAL RESPONSE\n\nAlthough we acknowledge the Division\xe2\x80\x99s statement regarding insufficient Federal funds, the\npolicy and procedures for investigating complaints must fully comply with Federal requirements.\nAfter reviewing the Division\xe2\x80\x99s comments, we modified our first recommendation to emphasize\nthat the policy and procedures require State surveyors to not only identify but also report\ndeficiencies for all unmet Federal participation requirements. We removed our second\nrecommendation from the report.\n\n\n\n\n 8\n\x0cAPPENDIX\n\x0c Page 1 of7\n\n\n APPENDIX: DNISION COMMENTS\n\n\n\n State of California-Health and Human Services Agency\n California Department of Public Health\n\nRON CHAPMAN, MO. MPH\n\n ""\'~\n\n\n August 25, 2011\n --\n \xc2\xa3DMUND G. BROWN JR.\n\n\n\n\n Lori A . Ahlstrand, Regional Inspector General for Audit Services\n U .S. Department of Health & Human Services, Office of Inspector General \n\n Office of Audit Services, Region IX \n\n 90 - 7th Street. Suite 3--650 \n\n San Francisco, CA 94103 \n\n\n Dear Ms. Ahlstrand :\n\n The California Department of Public Health (CDPH) has prepared and enclosed its\n response to the Department of Health & Human Services (HHS) Office of Inspector\n General (DIG) draft report entitled: \xc2\xb7 Unidentified and Unreported Federa l Deficiencies in\n California Nursing Home Complaint Surveys July 2011 Report A-09-09-00114. " The\n CD PH appreciates the opportunity to provide the OIG with its response .\n\n If you have any questions, please contact Karen Petruzzi, CDPH Audit Coordinator, at\n (916) 650-0266.\n\n Sincerely,\n\n Original signed by Kathleen Billingsley, Chief Deputy Director of Policy & Programs\n\n Ron Chapman, MD, MPH \n\n Director \n\n\n Enclosure\n\n\n\n\n D,rectors Office. MS 0500. P.O. Box 99 7377. Sacramenl0. CA 95899\xc2\xb77377 \n\n (91 6) S58\xc2\xb7 1700 \n\n Inlemo-l Addles" YW"\'" COPH CA Goy \n\n\x0c Page 2 of7\n\n\n\n\n California Department of Public Health (CDPH) Response to the Department of Health & \n\n Human Services (HHS) Office of Inspector General (OIG) Draft Report Entilled: \n\n Unidentified and Unreported Federal Deficiencies in California \n\n Nursing Home Complaint Surveys \n\n July 2011 \n\n Report A-09\xc2\xb709-001 14 \n\n\n\n\nRECOMMENDATION 1:\n\nWe recommend Ihat the Division revise lis policy and procedures for investigating\ncomplaints to require State surveyors to identify deficiencies for all unmet Federal\nparticipation requirements.\n\nCDPH Response 1:\n\nCalifornia Department of Public Health (CDPH) disagrees with the Office of Inspector General\n(DIG) audit Recommendation 1 thai CDPH re ...ise its policies and procedures for investigating\ncomplaints and incidents reported by facilities known as entity reported incidents (ER ls) to\nreQuire state surveyors to identify deficiencies for all unmet federal participation requ irements .\n\nlicens ing and Certification (L8.C) takes direction from the Centers for Medicare and Medicaid\nServices (CMS) as well as the California State Legislature. CDPH continually strives to balance\nits activities in order to be responsive to both entities: CMS, who directs us to use the federal\ncomplaint process, and state law which req uires us to issue citations under state mandates.\n\nSurveyors are instructed in our Tra ining Academy to begin the complaint investigation process\nfrom the standpoint of citing state reg ulations unless the deficient practice rises to the level of a\nstate citation (either B, A , or AA ). For those deficiencies where a B citation wi ll be issued,\nsurveyors may cite either sta te or federa l regulations, whichever is more appropriate, For those\ninvestigations where an A or AA state citation will be issued, surveyors have been instructed to\ncite federal regu lations and also issue a state citation. The reason for th is direction is that there\nare insufficien t federal funds to use the federa l process in every instance where a federal\ndeficiency could be written.\n \xe2\x80\xa2 \t Table 1 displays the amount of funds awarded to California and the fina l expenditure\n amounts for the three previous federal grant applications for the workload presented in\n CMS \' Mission and Priorities call letter. This analysis demonstrates that California fully\n expended the amount of the award granted for Title 18 Medicare activities for each of\n these years.\n Table 2 reflects the amount of complaint and ERls, proposed to be investigated using\n the federal process, that California built into the planned federal grant workload for each\n year and the amount of work load actually completed. (California did not build in any\n compla int or ERI investigations for Federal Fiscal Year 2010.)\n Table 3 reports the total number of complaints and ERls received in each of the previous\n five yea rs for which the expectation is that the majority of these wi ll be investigated using\n the federal complaint process.\n\nHistorically over the last three years , CDPH has investigated approximately twenty-two percent\nof comp laintsfERls received using the federa l process due to the limited funds awarded to\nCalifornia under the grant.\n\n\n\n\n Page 1 of 3\n\x0c Page 3 of7\n\n\n\n\n HHS OIG Report A.\xc2\xb709--09.oo1 14\n CPDH R"spoose\n\n\n CDPH contends thai use of the state compla int process to investigate compla ints essentially\n meets the intent of the Mission and Priority document in thai complaints and ERls are\n investigated time ly. facilities are held accoun table, and the health aoo sa fety of residents are\n protected .\n\n The federal and slale comp laint process parallel one another, in thai the in take process begins\n in the same manner, with a complain t allegation being rece ived by the District Office,\n informat ion collected , and a proce ss followed which syste matically prioritizes the complaint\n workload. However. California statutes require long-term care (LTC) complaint investigations\n that are prioritized as Immediate Jeopardy to be initiated within twenty\xc2\xb7four hours of receipt.\n California\'s process is more stringen t than the federal requirement which requires these\n complaints to be initiated within two working days. LTC complaints not fitting that description are\n Inyestigated within ten working day s under both federa l and sl ale complaint survey processes.\n\n As with the federal process outlined in the Sta te Operations Manual (SOM). Chapter 5.\n \xc2\xb7 Complaint Procedures." the state complaint process includes developing a plan to address\n each allegation. The investigation of complaints Indudes the use of observa tion. interview and\n reco rd review.\n\n Depen ding on other enforcement actions and survey timelines for a facility . the federal\n complaint enforcement action may require multiple revisits to put the provider back into\n compli ance before a termi nallon action is imposed.\n\n California cannot investigate additional complaints/ERls using the federal process without\n Jeopardizing other federal workload given the current federal funding approved in the grant.\n California has analyzed the time di fferential for conducting substantiated state and federa l\n complaints. Based on data obtained from th e Aspen Central Office da ta base, and Cali fornia\'s\n surveyor timekeeping data base, th is an alysis shows that federal complaint investigat ions\n average twenty-three and one half (23.5) hours. as compared 10 an average of thir:een and\n seven tenths (13.7) hours for subs tantiated complaints using the state complaint survey\n process. This time differential is substantial when compared to the number of complaInt and\n ERls received each year.\n\n RECOMMENDATION 2 :*\n\n Further, for Federal de fi c iencies iden tified, we recommend that the policy and\n procedures require State surveyors to determine ratings fo r th e def ic iencies and enter\n the deficiencies and deficiency ratings into ASPEN (Automated Survey Processing\n Environment) Complaintsllncldent Tracking System (ACTS ).\n\n CDPH Response 2:\n\n CDPH disagrees with the OIG audit Recommendation 2 that when federa l deficiencies will be\n written. CDPH\'s policies and procedures Will be amended to reference how to:\n\n de termine ratings for the deficiencies, and\n \xe2\x80\xa2 enter the deficiencies inlo AC TS, and\n \xe2\x80\xa2 enler deficiency ratings into ACTS.\n\n The policy and procedure for the federal survey process is spelled out in the State Operation\n Manual (SOM - the manual provid ed to all stales by the federal government on how to conduct\n\n Page 2 o f 3\n\n\n\n\n* Office ofInspector General Note: We removed the second recommendatIOn from the final report.\n\x0c Page 4 of7\n\n\n\n\n HHS OIG RefIO\'I A.()9.09-0011 ~\n CPDHRes_\n\n\nfedera l work). The deficiency raling (called severity and scope) is inheren t in the federal survey\nprocess and the SOM has specific procedures and guidance for determining the severity and\nscope for deficiencies. All slaff have a copy of the SOM for reference. For complainlslER ls\nwhere federa l regulations wi ll be cited, staff are required to follow the process in the SOM to\nassign the appropriate severity and scope. All staff receive instruction during their training and\non-the\xc2\xb7job mentoring on how to properly assign severity and scope for each deficiency cited,\nfollowing the procedures outlined in the SOM. The Department also has Quality Assurance (QA)\nstaff who provide rev iew and analysis of the survey work product. The Department actively\nworks with the QA staff and the training staff to provide feedback and additional training to\nsurvey staff on following the federal policies and procedures in the SOM.\n\nIn addition, the federal database is hardwired to requ ire the rating and deficiencies to be entered\ninto the system in order for the finding to be accepted, uploaded to the federal database and\nclosed. If the severity and scope are not entered into the database the survey cannol be\nuploaded and closed, thus forcing slaff 10 ensure severity and scope are entered into the\ndatabase.\n\nNo modifications to our policies are necessary.\n\n\n\n\n Page 3 of 3\n\x0c Page 5 of7\n\n\n\n , . .tIl\n\n\n\n\n T.... \'\n\n\n\n c._......\'..."",.,011r....\' .......;..... \n\n lAO\' """\'" .~"\' " W......d ~ri<on\n Aw . ... . . .\n\n\n\n\n........., ...., ... H...."\'" ,..,.." ,.",..,. . . . " >0\'0 .............. ,. _ . _ " . ,,,. . ." \xe2\x80\xa2 \xe2\x80\xa2 \n\n\n\n\n\n 011"\'." \n\n\x0c Page 6 of7\n\n\n\n\n Tabl ~ 2\n\n\n\n\n_.-\n\n Budgeted Compl ~ "t Worklo..t from P,e";o... Grant Applicationl\n\n\n\n\nNunl",\nf.cihty\n ,\n\nN""ln 8 Nu" ing Nu, ,,,,!!\n, ..,lily F.dlily Fatllily\n ",\n ,... 1.9111 01\n\x0c Page 7 of7\n\n\n\n\n TABLE 3\n\n\nNumber of Complaints and Entity Reported Incidents for \n\n Skilled Nursing Faci lities/Nursing Facilities \n\n Received by Calenda r Yea r \n\n\n\n\n\n Complaints Reported Incidents\n\n ~~~\n\x0c'


type: legislation

jurisdiction: EU

text:
 Tähtis õiguslik teade
 |
 52004PC0848(01)
 Ettepanek: Nõukogu Otsus ühelt poolt Euroopa Ühenduse ja selle liikmesriikide ning teiselt poolt Maroko Kuningriigi vahel sõlmitud Euroopa–Vahemere piirkonna lepingu protokolli allkirjastamise ja ajutise kohaldamise kohta seoses Tšehhi Vabariigi, Eesti Vabariigi, Küprose Vabariigi, Ungari Vabariigi, Läti Vabariigi, Leedu Vabariigi, Malta Vabariigi, Poola Vabariigi, Sloveenia Vabariigi ja Slovaki Vabariigi ühinemisega Euroopa Liiduga /* KOM/2004/0848 lõplik */
 Brüssel 4.1.2005KOM(2004) 848 lõplik2004/0292 (AVC)Ettepanek:NÕUKOGU OTSUSühelt poolt Euroopa Ühenduse ja selle liikmesriikide ning teiselt poolt Maroko Kuningriigi vahel sõlmitud Euroopa–Vahemere piirkonna lepingu protokolli allkirjastamise ja ajutise kohaldamise kohta seoses Tšehhi Vabariigi, Eesti Vabariigi, Küprose Vabariigi, Ungari Vabariigi, Läti Vabariigi, Leedu Vabariigi, Malta Vabariigi, Poola Vabariigi, Sloveenia Vabariigi ja Slovaki Vabariigi ühinemisega Euroopa LiidugaEttepanek:NÕUKOGU OTSUSEuroopa–Vahemere piirkonna lepingu protokolli sõlmimise kohta ühelt poolt Euroopa Ühenduse ja selle liikmesriikide ja teiselt poolt Maroko Kuningriigi vahel seoses Tšehhi Vabariigi, Eesti Vabariigi, Küprose Vabariigi, Ungari Vabariigi, Läti Vabariigi, Leedu Vabariigi, Malta Vabariigi, Poola Vabariigi, Sloveenia Vabariigi ja Slovaki Vabariigi ühinemisega Euroopa Liiduga(komisjoni esitatud)SELETUSKIRIVastavalt uute liikmesriikide EL-iga ühinemise akti artikli 6 lõikele 2 tuleb uute liikmesriikide ühinemine Euroopa–Vahemere piirkonna assotsiatsioonilepinguga kinnitada lepingule protokolli lisamise teel. Sama artikkel näeb ette lihtsustatud menetluse, mille kohaselt protokolli sõlmivad liikmesriikide nimel ühehäälselt tegutsev nõukogu ja asjaomane kolmas riik. See menetlus ei mõjuta ühenduse pädevust.10. veebruaril 2004 andis nõukogu komisjonile volitused pidada Marokoga läbirääkimisi nimetatud protokolli üle. Komisjon saavutas läbirääkimistel soovitud eesmärgid ning komisjon ja Maroko esindajad parafeerisid protokolli teksti 30. septembril 2004 Brüsselis.Lisatud on ettepanekud: 1) nõukogu otsus protokolli allkirjastamise kohta ja 2) nõukogu otsus protokolli sõlmimise kohta.Lisas on ära toodud Marokoga peetud läbirääkimiste tulemusel valminud protokolli tekst. Protokolli olulisemad osad käsitlevad uute liikmesriikide liitumist EL-i ja Maroko vahelise lepinguga, EL-i uute ametlike keelte lisandumist ning eelkõige Marokole antud põllumajandustoodetega kauplemise kontsessioonide kohandamist seoses Euroopa Liidu laienemisega.Komisjon palub nõukogul vastu võtta nõukogu otsuste ettepanekud protokolli allkirjastamise ja sõlmimise kohta.Euroopa Parlamendil palutakse käesolevale protokollile nõusolek anda.Ettepanek:NÕUKOGU OTSUSühelt poolt Euroopa Ühenduse ja selle liikmesriikide ning teiselt poolt Maroko Kuningriigi vahel sõlmitud Euroopa–Vahemere piirkonna lepingu protokolli allkirjastamise ja ajutise kohaldamise kohta seoses Tšehhi Vabariigi, Eesti Vabariigi, Küprose Vabariigi, Ungari Vabariigi, Läti Vabariigi, Leedu Vabariigi, Malta Vabariigi, Poola Vabariigi, Sloveenia Vabariigi ja Slovaki Vabariigi ühinemisega Euroopa LiidugaEUROOPA LIIDU NÕUKOGU,võttes arvesse Euroopa Ühenduse asutamislepingut, eriti selle artiklit 310 koostoimes artikli 300 lõike 2 esimese lõigu esimese lausega,võttes arvesse uute liikmesriikide Euroopa Liiduga ühinemise akti, eriti selle 6. artikli 2. lõiget,võttes arvesse komisjoni ettepanekut,ning arvestades järgmist:(1) 10. veebruaril 2004 andis nõukogu komisjonile volitused pidada Euroopa Ühenduse ja selle liikmesriikide nimel Marokoga läbirääkimisi protokolli üle, millega muudetakse Euroopa Ühenduse ja selle liikmesriikide ning Maroko Kuningriigi vahelist Euroopa–Vahemere piirkonna assotsiatsioonilepingut seoses uute liikmesriikide ühinemisega EL-iga.(2) Komisjon saavutas läbirääkimistel soovitud eesmärgid.(3) Marokoga kokku lepitud protokolli teksti artikli 12 lõikega 2 nähakse ette protokolli ajutist kohaldamist enne selle jõustumist.(4) Protokollile tuleb ühenduse nimel alla kirjutada ning seda ajutiselt kohaldada võimalusega sõlmida see hilisemal kuupäeval.OTSUSTAB:Artikkel 1Nõukogu eesistujal on õigus määrata isikud, kes on volitatud Euroopa Ühenduse ja selle liikmesriikide nimel Euroopa Ühenduse ja selle liikmesriikide nimel alla kirjutama ühelt poolt Euroopa Ühenduse ja selle liikmesriikide ning teiselt poolt Maroko Kuningriigi vahelise Euroopa–Vahemere piirkonna lepingu protokolli seoses Tšehhi Vabariigi, Eesti Vabariigi, Küprose Vabariigi, Ungari Vabariigi, Läti Vabariigi, Leedu Vabariigi, Malta Vabariigi, Poola Vabariigi, Sloveenia Vabariigi ja Slovaki Vabariigi ühinemisega Euroopa Liiduga. Protokolli tekst on esitatud lisas.Artikkel 2Lepingut kohaldatakse ajutisele alates 1. maist 2004 võimalusega sõlmida see hilisemal kuupäeval.Brüssel,Nõukogu nimeleesistuja2004/0292 (AVC)Ettepanek:NÕUKOGU OTSUSEuroopa–Vahemere piirkonna lepingu protokolli sõlmimise kohta ühelt poolt Euroopa Ühenduse ja selle liikmesriikide ja teiselt poolt Maroko Kuningriigi vahel seoses Tšehhi Vabariigi, Eesti Vabariigi, Küprose Vabariigi, Ungari Vabariigi, Läti Vabariigi, Leedu Vabariigi, Malta Vabariigi, Poola Vabariigi, Sloveenia Vabariigi ja Slovaki Vabariigi ühinemisega Euroopa LiidugaEUROOPA LIIDU NÕUKOGU,võttes arvesse Euroopa Ühenduse asutamislepingut, eriti selle artiklit 310 koostoimes artikli 300 lõike 2 esimese lõigu teise lausega ning artikli 300 lõike 3 teise lõiguga,võttes arvesse uute liikmesriikide EL-iga ühinemise akti, eriti selle artikli 6 lõiget 2,võttes arvesse komisjoni ettepanekut,võttes arvesse Euroopa Parlamendi nõusolekut,ning arvestades järgmist:(1) Euroopa Ühenduse ja selle liikmesriikide ning Maroko Kuningriigi vahelise Euroopa–Vahemere piirkonna assotsiatsioonilepingu protokoll allkirjastati Euroopa Ühenduse ja selle liikmesriikide nimel [...].(2) Protokoll tuleks heaks kiita,OTSUSTAB:Ainus artikkelEuroopa Ühenduse ja selle liikmesriikide ning Maroko Kuningriigi vahelise Euroopa–Vahemere piirkonna assotsiatsioonilepingu protokoll tuleb Euroopa Ühenduse ja selle liikmesriikide nimel heaks kiita seoses Tšehhi Vabariigi, Eesti Vabariigi, Küprose Vabariigi, Ungari Vabariigi, Läti Vabariigi, Leedu Vabariigi, Malta Vabariigi, Poola Vabariigi, Sloveenia Vabariigi ja Slovaki Vabariigi ühinemisega Euroopa Liiduga. Protokolli tekst on esitatud lisas.Brüssel,Nõukogu nimeleesistujaLISA - PROTOKOLLühelt poolt Euroopa Ühenduse ja selle liikmesriikide ning teiselt poolt Maroko Kuningriigi vahel sõlmitud Euroopa–Vahemere piirkonna lepingu juurde seoses Tšehhi Vabariigi, Eesti Vabariigi, Küprose Vabariigi, Läti Vabariigi, Leedu Vabariigi, Ungari Vabariigi, Malta Vabariigi, Poola Vabariigi, Sloveenia Vabariigi ja Slovaki Vabariigi ühinemisega Euroopa LiidugaBelgia Kuningriik,Tšehhi VabariikTaani Kuningriik,Saksamaa Liitvabariik,Eesti VabariikKreeka Vabariik,Hispaania Kuningriik,Prantsuse Vabariik,Iirimaa,Itaalia Vabariik,Küprose VabariikLäti VabariikLeedu VabariikLuksemburgi Suurhertsogiriik,Ungari VabariikMalta VabariikMadalmaade Kuningriik,Austria Vabariik,Poola VabariikPortugali Vabariik,Sloveenia VabariikSlovakkia VabariikSoome Vabariik,Rootsi Kuningriik,Suurbritannia ja Põhja-Iiri Ühendkuningriik,(edaspidi „EÜ liikmesriigid“),keda esindab Euroopa Liidu NõukogujaEuroopa Ühendus,(edaspidi „ühendus“),keda esindavad Euroopa Liidu Nõukogu ja Euroopa Komisjon,ühelt pooltja Maroko Kuningriik,(edaspidi «Maroko»)teiselt pooltarvestades järgmist:Ühelt poolt Euroopa Ühenduste ja nende liikmesriikide ning teiselt poolt Maroko Kuningriigi vahel sõlmitud Euroopa–Vahemere piirkonna leping, edaspidi „Euroopa–Vahemere piirkonna leping“, allkirjastati Brüsselis 26. veebruaril 1996 ja jõustus 1. märtsil 2000.Leping Tšehhi Vabariigi, Eesti Vabariigi, Küprose Vabariigi, Läti Vabariigi, Leedu Vabariigi, Ungari Vabariigi, Malta Vabariigi, Poola Vabariigi, Sloveenia Vabariigi ja Slovaki Vabariigi ühinemise kohta Euroopa Liiduga (edaspidi „ühinemisleping“) allkirjastati Ateenas 16. aprillil 2003 ja jõustus 1. mail 2004.Vastavalt ühinemislepingule lisatud akti artikli 6 lõikele 2 lepitakse uute lepinguosaliste ühinemine Euroopa–Vahemere piirkonna lepinguga kokku kõnealuse lepingu protokolli sõlmimise teel.Ühenduse ja Maroko vastastikuste huvide arvestamise tagamiseks toimusid Euroopa–Vahemere piirkonna lepingu artikli 23 lõikes 2 ettenähtud nõupidamised.ON KOKKU LEPPINUD JÄRGMISES:Artikkel 1Tšehhi Vabariik, Eesti Vabariik, Küprose Vabariik, Läti Vabariik, Leedu Vabariik, Ungari Vabariik, Malta Vabariik, Poola Vabariik, Sloveenia Vabariik ja Slovaki Vabariik ühinevad ühelt poolt Euroopa Ühenduste ja nende liikmesriikide ning teiselt poolt Maroko Kuningriigi vahel sõlmitud Euroopa–Vahemere piirkonna lepinguga ning võtavad vastu nii lepingutekstid kui ühisdeklaratsioonid, deklaratsioonid ja kirjavahetused, ning võtavad kõnealuseid tekste arvesse sarnaselt teistele ühenduse liikmesriikidele.Artikkel 2Selleks et võtta arvesse hiljutist institutsioonilist arengut Euroopa Liidus, lepivad lepinguosalised kokku, et pärast Euroopa Söe- ja Teraseühenduse asutamislepingu kehtivuse lõppemist käsitatakse lepingu olemasolevaid sätteid, mis viitavad Euroopa Söe- ja Teraseühendusele, viidetena Euroopa Ühendusele, mis on võtnud üle kõik ESTÜ sõlmitud rahvusvahelistest lepingutest tulenevad õigused ja kohustused.EUROOPA–VAHEMERE PIIRKONNA LEPINGU JA EELKÕIGE SELLE LISADE JA PROTOKOLLIDE TEKSTI MUUDATUSEDArtikkel 3 (põllumajandustooted)1. Euroopa–Vahemere piirkonna lepingu protokollid nr 1 ja nr 3 asendatakse käesoleva protokolli lisas toodud protokollidega nr 1 ja nr 3 ning nende lisadega.Artikkel 4 (päritolureeglid)Protokolli nr 4 muudetakse järgmiselt:1. Artikli 19 lõiget 4 muudetakse järgmiselt:Tagasiulatuvalt väljastatud kaupade liikumissertifikaati EUR.1 tuleb teha üks järgmistest märgetest:ES | «EXPEDIDO A POSTERIORI» |CS | «VYSTAVENO DODATEČNĔ» |DA | «UDSTEDT EFTERFØLGENDE» |DE | «NACHTRÄGLICH AUSGESTELLT» |ET | «VÄLJA ANTUD TAGASIULATUVALT» |EL | «ΕΚΔΟΘΕΝ ΕΚ ΤΩΝ ΥΣΤΕΡΩΝ» |EN | «ISSUED RETROSPECTIVELY» |FR | «DÉLIVRÉ À POSTERIORI» |IT | «RILASCIATO A POSTERIORI» |LV | «IZSNIEGTS RETROSPEKTĪVI» |LT | «RETROSPEKTYVUSIS IŠDAVIMAS» |HU | «KIADVA VISSZAMENŐLEGES HATÁLLYAL» |MT | «MAĦRUĠ RETROSPETTIVAMENT» |NL | «AFGEGEVEN A POSTERIORI» |PL | «WYSTAWIONE RETROSPEKTYWNIE» |PT | «EMITIDO A POSTERIORI» |SL | «IZDANO NAKNADNO» |SK | «VYDANÉ DODATOČNE» |FI | «ANNETTU JÄLKIKÄTEEN» |SV | «UTFÄRDAT I EFTERHAND» |AR | [pic] |2. Artikli 20 lõiget 2 muudetakse järgmiselt:Sel viisil väljaantud duplikaadile tuleb teha üks järgmistest märgetest:ES | «DUPLICADO» |CS | «DUPLIKÁT» |DA | «DUPLIKÁT» |DE | «DUPLIKAT» |ET | «DUPLIKAAT» |EL | «ΑΝΤΙΓΡΑΦΟ» |EN | «DUPLICATE» |FR | «DUPLICATA» |IT | «DUPLICATO» |LV | «DUBLIKĀTS» |LT | «DUBLIKATAS» |HU | «MÁSODLAT» |MT | «DUPLIKAT» |NL | «DUPLICAAT» |PL | «DUPLIKAT» |PT | «SEGUNDA VIA» |SL | «DVOJNIK» |SK | «DUPLIKÁT» |FI | «KAKSOISKAPPALE» |SV | «DUPLIKAT» |AR | [pic] |3. Artikli 22 lõiget 4 muudetakse järgmiselt:Lõike 3 punktis a nimetatud juhtudel tehakse sertifikaadi EUR.1 lahtrisse „Märkused“ üks järgmistest märgetest:«PROCEDIMIENTO SIMPLIFICADO», «ZJEDNODUšENÝ POSTUP-ÈLÁNEK», «FORENKLET PROCEDURE», «VEREINFACHTES VERFAHREN», «LIHTSUSTATUD TOLLIPROTSEDUUR», «AΠΛΟΥΣΤΕΥΜΕΝΗ ΔΙΑΔΙΚΑΣΙΑ», «SIMPLIFIED PROCEDURE», «PROCÉDURE SIMPLIFIÉE», «PROCEDURA SEMPLIFICATA», «VIENKĀRšOTA PROCEDŪRA», «SUPAPRASTINTA PROCEDURA», «EGYSZERűSÍTETT ELJÁRÁS», «PROCEDURA SIMPLIFIKATA», «VEREENVOUDIGDE PROCEDURE», «PROCEDURA UPROSZCZONA», «PROCEDIMENTO SIMPLIFICADO», «POENOSTAVLJEN POSTOPEK», «ZJEDNODUšENÝ POSTUP», «YKSINKERTAISTETTU MENETTELY», «FÖRENKLAT FÖRFARANDE», [pic]Artikkel 5 (Assotsiatsioonikomitee eesistuja)Artikli 82 lõiget 3 muudetakse järgmiselt:„Assotsiatsioonikomitee eesistuja on vaheldumisi Euroopa Ühenduste Komisjoni esindaja ja Maroko Kuningriigi valitsuse liige“ÜLEMINEKUSÄTTEDArtikkel 6 (päritolutõendid ja halduskoostöö)Tuneesia või uue liikmesriigi poolt nendevahelise sooduskorra või autonoomse korra raames nõuetekohaselt välja antud päritolutõendit aktsepteeritakse asjaomastes riikides, tingimusel et:a) kõnealused päritolureeglid annavad tariifse sooduskohtlemise tariifsete soodusmeetmete alusel mis sisalduvad kas Euroopa–Vahemere piirkonna lepingus või ühenduse üldiste soodustuste süsteemis;b) päritolutõend ja veodokumendid on välja antud hiljemalt ühinemisele eelnenud kuupäeval;c) päritolutõend esitatakse tolliasutustele nelja kuu jooksul alates ühinemise kuupäevast.Kui kaup on deklareeritud impordiks Marokos või uues liikmesriigis enne ühinemise kuupäeva Maroko ja asjaomase uue liikmesriigi vahel kõnealusel ajal kohaldatud sooduslepingute või autonoomse korra raames, võib aktsepteerida ka nende lepingute või kordade raames tagasiulatuvalt välja antud päritolutõendit, tingimusel et see esitatakse tolliasutustele nelja kuu jooksul alates ühinemise kuupäevast.Marokol ja uutel liikmesriikidel on lubatud säilitada load, millega on nendevahelise sooduslepingute või autonoomse korra raames antud „heakskiidetud eksportija“ staatus, tingimusel et:a) samasugune säte on ette nähtud ka enne ühinemise kuupäeva Maroko ja ühenduse vahel sõlmitud lepingus;b) heakskiidetud eksportijad kohaldavad kõnealuse lepingu kohaselt kehtivaid päritolureegleid.Hiljemalt aasta pärast ühinemiskuupäeva asendatakse need load uute lubadega, mis on välja antud vastavalt lepingu tingimustele.Maroko või liikmesriikide pädevad tolliasutused aktsepteerivad lõigetes 1 ja 2 osutatud sooduslepingute või autonoomse korra raames väljaantud päritolutõendite järelkontrolli taotlusi kolme aasta jooksul pärast asjaomase päritolutõendi väljastamist ning kõnealused asutused võivad selliseid taotlusi esitada kolme aasta jooksul pärast seda, kui nad on koos impordideklaratsiooniga esitatud päritolutõendi heaks kiitnud.Artikkel 7 (transiitkaup)Lepingu sätteid võib kohaldada Marokost uude liikmesriiki või uuest liikmesriigist Marokosse eksporditud kauba suhtes, mis on kooskõlas protokolli nr 4 sätetega ning on ühinemise kuupäeval teel või ajutiselt ladustatud Marokos või asjaomases uues liikmesriigis asuvas tollilaos või vabatsoonis .Sellistel juhtudel võib võimaldada sooduskohtlemist, tingimusel et nelja kuu jooksul pärast ühinemise kuupäevast esitatakse importiva riigi tolliasutustele eksportiva riigi tolliasutuste poolt tagasiulatuvalt välja antud päritolutõend.ÜLD- JA LÕPPSÄTTEDArtikkel 8Käesoleva protokolliga lepitakse kokku, et seoses ühenduse laienemisega ei saa esitada nõudeid, taotlusi ega esildisi ega muuta ega tühistada kontsessioone vastavalt GATT artikli XXIV lõikele 6 ja artiklile XXVIII.Artikkel 9Aastaks 2004 arvutatakse uute tariifikvootide ja individuaalsete kvootide maht ning olemasolevate tariifikvootide mahtude suurenemine välja põhimahtude põhjal pro rata , võttes arvesse käesoleva protokolli kohaldamisele eelnenud ajavahemikku.Artikkel 10Käesolev protokoll on Euroopa–Vahemere piirkonna lepingu lahutamatu osa. Käesoleva protokolli lisad on selle lahutamatud osad.Artikkel 11Käesoleva protokolli on heaks kiitnud ühendus, liikmesriikide nimel Euroopa Liidu Nõukogu ja Maroko Kuningriik vastavalt oma menetluskorrale.Kinnitamiskirjad on antud hoiule Euroopa Liidu Nõukogu peasekretariaati.Artikkel 12Käesolev protokoll jõustub viimase kinnitamiskirja hoiuleandmise kuupäevale järgneva kuu esimesel päeval.Käesoleva protokolli sätteid kohaldatakse alates 1. maist 2004.Artikkel 13Käesolev protokoll on koostatud kahes eksemplaris igas lepinguosaliste ametlikus keeles ning kõik need tekstid on võrdselt autentsed.Artikkel 14Euroopa–Vahemere piirkonna lepingu tekst, sealhulgas lisad ja protokollid, mis moodustavad lepingu lahutamatu osa, ning lõppakt ja sellele lisatud deklaratsioonid koostatakse tšehhi, eesti, ungari, läti, leedu, malta, poola, slovaki ja sloveeni keeles ning need tekstid on autentsed originaaltekstidega samal viisil.Assotsiatsiooninõukogu kiidab kõnealused tekstid heaks.LIIKMESRIIKIDE NIMELEUROOPA ÜHENDUSE NIMELMAROKO KUNINGRIIGI NIMELPROTOKOLL NR 1Marokost pärinevate põllumajandustoodete ühendusse importimise korra kohtaArtikkel 1Lisas 1 A loetletud Marokost pärinevaid tooteid võib ühendusse importida vastavalt allpool ja nimetatud lisas 1 sätestatud tingimustele.Imporditollimaksud kaotatakse või neid vähendatakse olenevalt tootest ulatuses, mis on näidatud iga toote kohta lisa 1 A veerus a.Teatavate toodete puhul, millele ühine tollitariifistik näeb ette „ad valorem“ (väärtuselise) tollimaksu ja koguselise tollimaksu rakendamise ning mis on märgitud tärniga veerus a või c, rakenduvad lõikes 3 osutatud ning veerus a või veerus c nimetatud vähendusmäärad ainult „ad valorem“ tollimaksule.Teatavad tooted vabastatakse tollimaksust selliste toodete kohta lisa 1 A veerus b näidatud tariifikvootide piires.Kvoote ületavate impordimahtude puhul alandatakse tavalisi tollimakse nimetatud lisa veerus c näidatud ulatuses.CN-koodide 0705 19 00, 0705 29 00, 0706 10 00 ja 0706 90 puhul määratakse kindlaks individuaalne kvoot, mis on osutatud veerus d. Kui nende toodete import ületab individuaalse kvoodi, võib ühendus koostatavat kaubavoogude aruannet arvestades kehtestada neile toodetele individuaalse kvoodiga võrdse ühenduse tariifikvoodi. Sellisel juhul rakendub kvooti ületavatele impordikogustele tavaline tollitariif täies ulatuses.Lepingu esimesel kohaldamisaastal arvutatakse tariifikvootide mahud, mille puhul kvoodi kehtivusaeg algas enne käesoleva lepingu jõustumist, välja põhimahtude põhjal pro rata, võttes arvesse sellele kuupäevale eelnenud ajavahemikku (v.a tomatid CN-koodiga 0702 00 00).Teatavate lisas 1 A esinevate toodete puhul, mis on osutatud veerus d, suurendatakse tariifikvootide mahte igal aastal neljas võrdses jaos, millest igaüks moodustab 3% neist mahtudest; alates 1. jaanuarist 2004 kuni 1. jaanuarini 2007.Juhul, kui ühendus alandab enamsoodustusrežiimi (MFN) tollimakse, kohaldatakse selliselt alandatud maksudele veerus a ja veerus c osutatud tariifide kaotamist.Artikkel 2Värskete või jahutatud tomatite kohta CN-koodiga 0702 00 00 kohaldatakse iga aasta 1. oktoobri ja 31. mai vahelisel perioodil (edaspidi „turustusaasta“) alljärgnevate tariifikvootide piires järgmisi sätteid, kui lõikest 2 ei tulene teisiti:(tonni) | Turustusaasta |2003/04 | 2004/05 | 2005/06 | 2006/07 ja järgnevad |Igakuised põhikvoodid oktoober november detsember jaanuar veebruar märts aprill mai kokku | 10 000 26 000 30 000 30 000 30 000 30 000 15 000 4 000 175 000 | 10 600 27 700 31 300 31 300 31 300 31 300 16 500 5 000 185 000 | 10 600 27 700 31 300 31 300 31 300 31 300 16 500 5 000 185 000 | 10 600 27 700 31 300 31 300 31 300 31 300 16 500 5 000 185 000 |Lisakvoot (1. novembrist kuni 31. maini) |Rida A | 15 000 | 28 000 | 38 000 | 48 000 |Rida B | 15 000 | 8 000 | 18 000 | 28 000 |a) ad valorem tollimaksud tühistatakse,b) hind piiril, millest alates koguseline tollimaks alandatakse nullini (edaspidi „kokkuleppeline hind piiril“) on 461 €/t.Kui ühe turustusaasta jooksul ühenduses vabasse ringlusse lubatud Maroko päritolu tomatite koguhulk ei ületa igakuiste põhikvootide ja antud turustusaastaks kehtestatud lisakvoodi summat, kehtestatakse järgmise turustusaasta lisakvoodiks lõike 1 real A osutatud määr. Kui mõnel turustusaastal sellest tingimusest kinni ei peeta, kehtestatakse järgmise turustusaasta lisakvoodiks lõike 1 real B osutatud määr. Selleks et nimetatud tingimusest kinnipidamist oleks võimalik hinnata, on siiski lubatud mööndus maksimaalselt 1 % ulatuses eelnimetatud summast.Maroko kohustub mitte kasutama lisakvooti teatava kuu jooksul rohkem kui 30% ulatuses lisakvoodist.Iga turustusaasta 15. jaanuaril ja teisel tööpäeval pärast 1. aprilli peatatakse vastavalt oktoobrist detsembrini ja jaanuarist märtsini kehtivatel igakuistel põhikvootidel põhinevad eraldised. Järgmisel tööpäeval teevad komisjoni talitused kindlaks, kui suures koguses on need igakuised põhikvoodid jäänud kasutamata ning see kogus lisatakse sama turustusaasta lisakvoodile. Neist kuupäevadest alates tuleb kõik tagasiulatuvad soodustusnõuded peatatud igakuistele tariifikvootidele ja kõik peatatud igakuiste tariifikvootide kasutamata jäänud koguste võimalikud edasikandmised teha sama kampaania lisatariifikvoodi alusel.Maroko teavitab komisjoni talitusi iganädalastest ekspordikogustest ühendusse aja jooksul, mis on vajalik täpse ja usaldusväärse teabe edastamiseks. See ajavahemik ei tohi mingil juhul ületada 15 päeva.Artikkel 3Alljärgnevalt nimetatud toodete puhul on allpool näidatud hinnad kokkuleppeliseks hinnaks piiril, millest alates koguseline tollimaks alandatakse näidatud perioodidel nullini, ning „ad valorem” tollimaksud tühistatakse käesolevas artiklis kindlaksmääratud koguste ja ajavahemike piires.Tooted | Kogused (tonnides) | Ajavahemik | Kokkuleppeline hind piiril |Kurgid CN 0707 00 05 | 6 200 | 01/11 – 31/05 | 449€ |Artišokid CN 0709 10 00 | 500 | 01/11 – 31/12 | 571€ |Kabatšokid CN 0709 90 70 | 20 000 | 01/10 – 31/01 01/02 – 31/03 01/04 – 20/04 | 424€ 413€ 424€ |Värsked apelsinid CN ex 0805 10 | 306 800 | 01/12 – 31/05 | 264€ |Värsked klementiinid CN ex 0805 20 10 | 143 700 | 01/11 – veebruari lõpp | 484€ |Artikkel 4Artiklites 2 ja 3 loetletud toodete kohta kehtib alljärgnev:- kui partii hind on kokkuleppelisest hinnast piiril 2%, 4%, 6% või 8% madalam, on koguseline tollimaks vastava kvoodi raames vastavalt 2%, 4%, 6% või 8% nimetatud kokkuleppelisest hinnast piiril;- kui partii sisenemishind on väiksem kui 92% kokkuleppelisest hinnast piiril, kohaldatakse WTOs kindlaksmääratud koguselist tollimaksu;- kokkuleppelisi hindu piiril alandatakse samas mahus ja samadel aegadel kui WTO-s kindlaksmääratud hindu piiril.Artikkel 5Käesoleva protokolli artiklites 2 ja 3 ettenähtud erikorra eesmärgiks on säilitada Maroko ekspordi tavaline tase ühendusse ja vältida häireid ühenduse turgudel.Esimeses lõikes ning artiklites 2 ja 3 seatud eesmärkide täielikuks saavutamiseks ning turu stabiilsuse ja tarnete järjepidevuse parandamiseks peavad lepinguosalised konsultatsioone iga aasta teises kvartalis või mistahes muul 3 tööpäeva jooksul alates ühe või teise lepinguosalise nõudmisest.Konsultatsioonidel käsitletakse möödunud turustusaasta kaubavahetust ning tulevase turustusaasta väljavaateid, eelkõige turuolukorda, toodanguprognoosi, arvatavaid tootmis- ja ekspordihindu ning võimalikke turusuundumusi.Vajaduse korral võtavad lepinguosalised asjakohased meetmed esimeses lõikes ja käesoleva protokolli artiklites 2 ja 3 seatud eesmärkide täieliku saavutamise tagamiseks.Artikkel 6Ilma et see piiraks käesoleva lepingu teiste sätete kohaldamist ja arvestades põllumajandustoodete turu erilist tundlikkust, alustavad lepinguosalised konsultatsioone sobiva lahenduse leidmiseks otsekohe, kui käesoleva protokolliga antud kontsessioonide objektiks olevate Marokost pärit toodete import põhjustab tõsiseid häireid ühenduse turgudel lepingu artikli 25 tähenduses. Kuni lahenduse leidmiseni on ühendusel õigus võtta selliseid meetmeid, nagu ta vajalikuks peab.Artikkel 7Marokost pärit kontrollitud päritolunimetusega veinid peavad olema varustatud päritolusertifikaadiga, mis on kooskõlas käesoleva protokolli lisas 1 B toodud näidisega, või vormidega V I 1 või V I 2, mis on täidetud vastavalt veinide, viinamarjamahlade ja viinamarjavirrete importimisel nõutavaid tõendeid ja analüüse käsitleva määruse (EÜ) nr. 883/2001 artiklile 25.PROTOKOLL NR 3Ühendusest pärinevate põllumajandustoodete Marokosse importimise korra kohtaArtikkel 1Lisas loetletud ühendusest pärit toodete Marokosse imporditollimaks on sätestatud lisas veerus a. Käesoleva lepinguga ettenähtud järjestikuseid vähendamisi tuleb kohaldada vastavalt veergudes c, e, g, i ja k osutatud protsentidele veergudes b, d, f, h ja j osutatud tariifikvootide piires.Ilma et see piiraks lõike 3 kohaldamist, tuleb mõne tariifi alandamise korral erga omnes pärast käesoleva lepingu allkirjastamist asendada lõike 1 kohaldamisel lisa veerus a näidatud maks nimetatud alandatud maksuga alates selle soodustuse kohaldamise kuupäevast.Lisas nimetatud kaupade puhul CN-koodiga ex 1001 90 99 on lisa veerus a osutatud tollimaks sama, mis rakendus 1. oktoobril 2003 ning see jääb soodustariifi arvutamisel ülempiiriks.Kui seda maksu alandatakse erga omnes pärast nimetatud kuupäeva, muudetakse veergudes c, e, g, i ja k näidatud protsenti alljärgnevate reeglite alusel:- kui maksu alandatakse erga omnes , suurendatakse nimetatud protsenti kuni 0,275% võrra iga alandatud protsendipunkti kohta;- kui maksu hiljem uuesti tõstetakse erga omnes , vähendatakse protsenti kuni 0,275% iga tõstetud protsendipunkti kohta;- kui maksu uuesti allapoole või ülespoole korrigeeritakse, muudetakse eelnevate alalõikude kohaldamisest tulenevat protsenti olukorrale vastava valemi alusel.Artikkel 2Teraviljadele CN-koodiga ex 1001 90 99 määratakse lisa leheküljel 2 joonealuses märkuses näidatud tariifikvoot kindlaks vastavalt Maroko võimude poolt maikuu jooksul prognoositud ja avalikustatud Maroko toodangule jooksval aastal. Vajaduse korral kohandatakse kvooti juuli lõpus pärast Maroko võimude teatist, millega fikseeritakse Maroko toodangu lõplik maht. Kohandamise tulemust võib siiski poolte kokkuleppel korrigeerida 5% üles- või allapoole vastavalt lõikes 2 osutatud konsultatsioonide tulemustele.Ülalnimetatud tariifikvooti ei kohaldata juunis ja juulis. Järgmises lõikes sätestatud konsultatsioonide käigus lepivad osapooled kokku, et ajakava pikendamist kaalutakse Maroko turu prognooside põhjal. Pikendus ei tohi siiski ületada 31. augustit.Et teha võimalikuks lõikes 1 ette nähtud sätete rakendamine, tagada Maroko turu varustamine, stabiilsus ja järjepidevus, stabiliseerida hindu Maroko turul ja säilitada traditsioonilisi kaubavahetusvooge, rakendatakse ajaomases sektoris järgmist koostöörežiimi:Enne iga turustusaasta algust ja hiljemalt mai teises pooles peavad lepinguosalised konsultatsioone.Konsultatsioonide käigus arutatakse olukorda teraviljaturul, eelkõige Maroko pehme nisu toodangu prognoose, laoseise, tarbimist, tootmishindu ja võimalikke turusuundumusi, samuti võimalusi, kuidas viia pakkumine vastavusse nõudlusega.Kui Maroko kehtestab pärast käesoleva lepingu jõustumist rahvusvahelise kokkuleppe raames mõnele kolmandale riigile soodsama tariifi teraviljadele CN-koodiga ex 1001 90 99, kohustub ta ühepoolselt kehtestama sama soodustuse ühendusele.Artikkel 3Ilma et see piiraks käesoleva lepingu teiste sätete kohaldamist ja arvestades põllumajandustoodete turu erilist tundlikkust, alustavad lepinguosalised konsultatsioone sobiva lahenduse leidmiseks otsekohe, kui käesoleva protokolliga antud kontsessioonide objektiks olevate ühendusest pärit toodete import põhjustab tõsiseid häireid Maroko turul lepingu artikli 25 tähenduses. Kuni lahenduse leidmiseni on Marokol õigus võtta selliseid meetmeid, nagu ta vajalikuks peab.LISA 1 AProtokoll 1Marokost pärit põllumajandustoodete ühendusse importimise režiimCN-kood (1) | Kauba kirjeldus (2) | MFN tollimaksude soodusmäärad % | Iga-aastased või näidatud perioodil kehtivad tariifikvoodid (netomass tonnides) | MFN tollimaksude soodusmäärad väljaspool olemasolevaid tariifikvoote (%) | Erisätted |a | b | c | d |0101 90 19 | Hobused, kes ei ole mõeldud tapaloomadeks | 100 |ex | 0204 | Kitseliha, värske, jahutatud või külmutatud, ning lambatõugude SARDI, TIMAHDIT, BENI GUIL, AKNOUL, D’MAN, BENI AHSEN liha, värske, jahutatud või külmutatud. | 100 |0205 00 | Hobuse-, eesli- või muulaliha, värske, jahutatud või külmutatud | 100 |0208 | Muu toidukõlblik liha ja rups, värske, jahutatud või külmutatud | 100 |ex | 0602 | Muud elustaimed (sh nende juured), istikud ja pookoksad; seeneniidistik; välja arvatud roosid | 100 |ex | 0602 40 | Roosid, poogitud või pookimata, välja arvatud roosiistikud | 100 |0603 10 | Lõikelilled ja lillepungad, värsked: |0603 10 10 0603 10 20 0603 10 40 0603 10 50 | Roosid 15. oktoobrist 31. maini Nelgid 15. oktoobrist 31. maini Gladioolid 15. oktoobrist 31. maini Krüsanteemid 15. oktoobrist 31. maini | 100 | 3 000 | – | Artikkel 1 § 6 |0603 10 30 0603 10 80 | Orhideed 15. oktoobrist 14. maini Muud 15. oktoobrist 14. maini | 100 | 2 000 | – | Artikkel 1 § 6 |ex | 0603 10 | Lõikelilled ja lillepungad, värsked: |ex ex ex ex | 0603 10 10 0603 10 20 0603 10 40 0603 10 50 | Roosid 01. juunist 30. juunini Nelgid 01. juunist 30. juunini Gladioolid 01. juunist 30. juunini Krüsanteemid 01. juunist 30. juunini | 100 | 50 | – | Artikkel 1 § 6 |ex ex | 0701 90 50 0701 90 90 | Varajane kartul 1. detsembrist 30. aprillini | 100 | 120 000 | 40 | Artikkel 1 § 6 |0702 00 00 | Tomatid, värsked või jahutatud, 01. oktoobrist 31. maini | 60 (*) (3) | Artikkel 2 |0702 00 00 | Tomatid, värsked või jahutatud, 01. juunist 30. septembrini | 60 (*) |ex | 0703 10 11 0703 10 19 0709 90 90 | Tomatid, värsked või jahutatud, 15.veebruarist 15. maini Metssibul liigist Muscari comosum, 15.veebruarist 15. maini | 100 | 8 000 | 60 | Artikkel 1 § 6 |0703 10 90 0703 20 00 0703 90 00 | Šalott, värske või jahutatud Küüslauk, värske või jahutatud Porrulauk jm sibulköögiviljad, värsked või jahutatud | 100 | 1 000 | – | Artikkel 1 § 6 |ex | 0704 | Peakapsas, lillkapsas, kähar peakapsas, nuikapsas ja muu söödav kapsas perekonnast Brassica, värske või jahutatud, välja arvatud hiina kapsas | 100 | 500 | – | Artikkel 1 § 6 |ex | 0704 90 90 | Hiina kapsas, värske või jahutatud | 100 | 200 | – | Artikkel 1 § 6 |0705 11 00 | Peasalat, värske või jahutatud | 100 | 200 | – | Artikkel 1 § 6 |0705 19 00 0705 29 00 0706 10 00 0706 90 | Aedsalat (Lactuca sativa), värske või jahutatud (v.a. peasalat) Sigur (Cichorium spp.), värske või jahutatud (v.a. salatsigur (Cichorium intybus var. foliosum) Porgand ja naeris, värske või jahutatud Söögipeet, aed-piimjuur, juurseller, redis jms söödav juurvili, värske või jahutatud | 100 | – | Artikkel 1 § 6 (Kontroll-kogus 3000 tonni) |0707 00 05 | Kurgid, värsked või jahutatud, 01. novembrist 31. maini | Artikkel 3 |0707 00 05 | Kurgid, värsked või jahutatud, 1. juunist 31. oktoobrini | 100 (*) |0707 00 90 | Kornišonid, värsked või jahutatud | 100 | 100 | – | Artikkel 1 § 6 |0708 10 00 | Herned (Pisum sativum), värsked või jahutatud, 1. oktoobrist 30. aprillini | 100 |0708 20 00 | Aeduba (Vigna spp., Phaseolus spp.), värske või jahutatud, 01. novembrist 31. maini | 100 |0709 10 00 | Artišokid, värsked või jahutatud, 01. novembrist 31. detsembrini | 30 (*) | Artikkel 3 |0709 10 00 | Artišokid, värsked või jahutatud, 01.-31. oktoobrini ja 01. jaanuarist 31. märtsini | 100 (*) |0709 20 00 | Spargel, värske või jahutatud, 01. oktoobrist 31. maini | 100 |0709 30 00 | Baklažaan, värske või jahutatud, 01. detsembrist 30. aprillini | 100 |0709 40 00 0709 51 00 0709 59 10 0709 59 30 0709 59 90 0709 70 00 | Seller (v.a juurseller), värske või jahutatud Seened perekonnast Agaricus, värsked või jahutatud, välja arvatud kultiveeritud seened Kukeseened, värsked või jahutatud Puravikud, värsked või jahutatud Muud söögiseened, värsked või jahutatud, v.a. kultiveeritud seened Spinat, uusmeremaa spinat ja aedspinat, värske või jahutatud | 100 | 9 000 | – | Artikkel 1 § 6 |ex |ex |0709 60 10 | Magus ja mahe paprika, värske või jahutatud | 100 |0709 60 99 | Muud perekonna Capsicum või Pimenta viljad, värsked või jahutatud, 15. novembrist 30. juunini | 100 |0709 90 10 | Salatid, värsked või jahutatud (v.a aedsalat ‘Lactuca sativa’ ja sigur 'Cichorium spp.') | 100 |0709 90 31 | Oliivid, värsked või jahutatud, muuks kasutuseks kui õli tootmine (4) | 100 |0709 90 39 | Muud oliivid, värsked või jahutatud | 100 |0709 90 20 | Lehtpeet ehk mangold ja hispaania artišokid, värsked või jahutatud | 100 |0709 90 40 | Kapparid, värsked või jahutatud | 100 |0709 90 50 | Apteegitill, värsked või jahutatud | 100 |0709 90 60 | Suhkrumais, värske või jahutatud | 100 |0709 90 70 | Kabatšokid, värsked või jahutatud, 1. oktoobrist 20. aprillini | Artikkel 3 |0709 90 70 | Kabatšokid, värsked või jahutatud, 21. aprillist 31. maini | 60 (*) |ex | 0709 90 90 | Muud köögiviljad, värsked või jahutatud (v.a okra) | 100 |ex | 0709 90 90 | Okra, värske või jahutatud, 15. veebruarist 15. juunini | 100 |ex | 0710 | Külmutatud köögivili, välja arvatud herned ja muud piprad perekonnast Capsicum või perekonnast Pimenta | 100 | 10 000 | Artikkel 1 § 6 |ex | 0710 21 00 0710 29 00 | Herned, toored või eelnevalt aurutatud või keedetud, külmutatud | 100 |0710 80 59 | Perekonna Capsicum või Pimenta viljad, toored või eelnevalt aurutatud või keedetud, külmutatud (v.a. magus ja mahe paprika) | 100 |0711 20 10 | Oliivid, konserveeritud lühiajaliseks säilitamiseks, kuid kohe tarbimiseks kõlbmatud, muuks kasutuseks peale õli tootmise (4) | 100 |0711 30 00 | Kapparid, konserveeritud lühiajaliseks säilitamiseks, kuid kohe tarbimiseks kõlbmatud | 100 |0711 40 00 0711 51 00 0711 59 00 0711 90 30 0711 90 50 0711 90 80 0711 90 90 | Kurgid ja kornišonid, seened, trühvlid, suhkrumais, sibulad, muu köögivili (v.a. piprad) ja köögiviljasegud, konserveeritud lühiajaliseks säilitamiseks (nt. gaasilise vääveldioksiidiga, soolvees, väävlishapus vees või muus konserveerivas lahuses), kuid kohe tarbimiseks kõlbmatud | 100 | 600 | – | Artikkel 1 § 6 |0711 90 10 | Perekonnast Capsicum või Pimenta viljad, konserveeritud lühiajaliseks säilitamiseks, kuid kohe tarbimiseks kõlbmatud, v.a magus ja mahe paprika | 100 |ex | 0712 | Kuivatatud köögivili, välja arvatud sibulad ja oliivid | 100 | 2 000 | – | Artikkel 1 § 6 |0713 50 00 | Põldoad ja söödaoad | 100 |ex | 0713 90 00 | Muud kaunviljad, mis ei ole mõeldud seemneks | 100 |ex | 0804 10 00 | Datlid, kontaktpakendis netomassiga kuni 35 kg | 100 |0804 20 | Viigimarjad | 100 |0804 40 00 | Avokaado | 100 |ex | 0805 10 | Värsked apelsinid, 01. detsembrist 31. maini | 80 (*) | Artikkel 3 |ex | 0805 10 | Värsked apelsinid, 01. juunist 30. novembrini | 100 |ex | 0805 10 80 | Apelsinid muul kujul kui värskena | 100 |ex | 0805 20 10 | Klementiinid, värsked, 01. novembrist veebruari lõpuni | 80(*) | Artikkel 3 |ex | 0805 20 10 | Klementiinid, värsked, 01. märtsist 31. oktoobrini | 100 (*) |ex ex ex ex | 0805 20 30 0805 20 50 0805 20 70 0805 20 90 | Mandariinid (k.a tangeriinid ja satsumad), värsked; vilkingid jms. Tsitrushübriidid, värsked | 100 (*) |0805 40 00 | Greipfruudid, värsked või kuivatatud | 100 |ex | 0805 50 10 | Värsked sidrunid | 100 (*) |ex | 0805 50 | Sidrunid ja laimid muul kujul kui värskena | 100 (*) |ex | 0806 10 10 | Värsked lauaviinamarjad, 01. novembrist 31. juulini | 100 (*) |0807 11 00 | Värsked arbuusid, 01. jaanuarist 15. juunini | 100 |0807 19 00 | Muud värsked melonid, 15. oktoobrist 31. maini | 100 |0808 20 90 | Värske harilik küdoonia | 100 | 1 000 | 50 |0809 10 00 0809 20 0809 30 | Värsked aprikoosid Värsked kirsid Värsked virsikud, k.a nektariinid | 100 (*) (5) | 3 500 | – | Artikkel 1 § 6 |0809 40 05 | Värsked ploomid, 01. novembrist 30. juunini | 100 (*) |0810 10 00 | Värsked maasikad, 01. novembrist 31. märtsini | 100 |0810 10 00 | Värsked maasikad, 1. aprillist 30. aprillini | 100 | 100 |0810 20 10 | Värsked vaarikad, 15. maist 15. juulini | 100 |0810 50 00 | Värsked kiivid, 1. jaanuarist 30. aprillini | 100 | 250 | – | Artikkel 1 § 6 |ex | 0810 90 95 | Värsked granaatõunad | 100 |ex | 0810 90 95 | Värsked suureviljalise viigikaktuse (Opuntia ficus-indica) viljad ja hariliku astelpihlaka (Mespilus germanica L.) viljad | 100 |ex | 0811 | Puuviljad, marjad ja pähklid, kuumtöötlemata, aurutatud või vees keedetud, külmutatud ilma suhkrulisandita | 100 |ex | 0812 90 20 | Apelsinid, peenestatud, konserveeritud lühiajaliseks säilitamiseks | 100 |ex | 0812 90 99 | Muud tsitruselised, peenestatud, konserveeritud lühiajaliseks säilitamiseks | 100 |0813 10 00 | Kuivatatud aprikoosid | 100 |0813 40 10 | Kuivatatud virsikud, k.a nektariinid | 100 |0813 40 50 | Kuivatatud papaiad | 100 |0813 40 95 | Muud kuivatatud puuviljad | 100 |0813 50 12 0813 50 15 | Segud kuivatatud puuviljadest, ilma kivita | 100 |0904 12 00 | Purustatud või jahvatatud pipar | 100 |0904 20 90 | Perekonna Capsicum või Pimenta viljad, purustatud või jahvatatud | 100 |0910 | Ingver, safran, kollajuur e kurkum, aedliivatee, loorberilehed, karri ja muud maitseained | 100 |1209 91 90 | Muud köögiviljade seemned (6) | 100 |1209 99 99 | Muud seemned, seemneviljad (6) | 100 |1211 90 30 | Tonkaoad | 100 |1212 10 | Jaanileivapuu kaunad, k.a jaanileivapuu seemned | 100 |ex 1302 20 | Pektiinid, pektinaadid ja pektaadid | 25 |1509 1510 00 | Oliiviõli ja selle fraktsioonid, rafineeritud või rafineerimata, kuid keemiliselt modifitseerimata Muud oliividest saadud õlid ja nende fraktsioonid, rafineeritud või rafineerimata, kuid keemiliselt modifitseerimata, ka nende õlide või fraktsioonide segud rubriigi 1509 õlide või nende fraktsioonidega | 100 | 3 500 | – | Artikkel 1 § 6 |ex | 2001 10 00 | Kurgid, äädika või äädikhappega toiduks valmistatud või konserveeritud, ilma suhkruta | 100 |ex | 2001 10 00 | Kornišonid, äädika või äädikhappega toiduks valmistatud või konserveeritud | 100 | 10 000 (vedelikuta netomass) | – | Artikkel 1 § 6 |ex | 2001 90 93 | Sibulad, äädika või äädikhappega toiduks valmistatud või konserveeritud, ilma suhkruta | 100 |2001 90 20 | Perekonna Capsicum viljad v.a magus ja mahe paprika, äädika või äädikhappega toiduks valmistatud või konserveeritud | 100 |ex | 2001 90 50 | Seened, äädika või äädikhappega toiduks valmistatud või konserveeritud, ilma suhkruta | 100 |ex | 2001 90 65 | Oliivid, äädika või äädikhappega toiduks valmistatud või konserveeritud, ilma suhkruta | 100 |ex | 2001 90 70 | Magus ja mahe paprika, äädika või äädikhappega toiduks valmistatud või konserveeritud, ilma suhkruta | 100 |ex | 2001 90 99 | Muud köögiviljad, puuviljad, marjad, pähklid jm taimede söödavad osad, äädika või äädikhappega toiduks valmistatud või konserveeritud, ilma suhkruta | 100 |2002 10 10 | Kooritud tomatid | 100 |2002 90 | Tomatid, toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta (v.a. terved või tükeldatud tomatid) | 100 | 2 000 | – | Artikkel 1 § 6 |2003 10 20 2003 10 30 | Seened perekonnast Agaricus, toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta | 100 |2003 20 00 | Trühvlid, toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta | 100 |2003 90 00 | Muud seened, toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta | 100 |2004 10 99 | Muud kartulid, toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta, külmutatud | 100 |ex | 2004 90 30 | Kapparid ja oliivid, toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta, külmutatud | 100 |2004 90 50 2005 40 00 2005 59 00 | Herned (Pisum sativum) ja piimküpsuses aedoad, toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta, külmutatud Herned (Pisum sativum) , toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta, mitte külmutatud Muud aedoad, toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta, mitte külmutatud | 100 | 10 500 | 20 | Artikkel 1 § 6 |2004 90 98 | Muud köögiviljad, toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta, külmutatud | 100 |2005 10 00 | Homogeenitud köögivili, toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta, mitte külmutatud | 100 |2005 20 20 | Kartulid, õhukeste viiludena, kas soolatud või maitsestatud või mitte, õhukindlalt pakendatud, sobivad kohe tarbimiseks | 100 |2005 20 80 | Muud kartulid, toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta, mitte külmutatud | 100 |2005 51 00 | Poetatud aedoad, toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta, mitte külmutatud | 100 |2005 60 00 | Sparglid, toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta, mitte külmutatud | 100 |2005 70 | Oliivid, toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta, mitte külmutatud | 100 |2005 90 10 | Perekonda Capsicum kuuluvate taimede viljad, v.a. magus ja mahe paprika, toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta, mitte külmutatud | 100 |2005 90 30 | Kapparid, toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta, mitte külmutatud | 100 |2005 90 50 | Artišokid, toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta, mitte külmutatud | 100 |2005 90 60 | Porgandid, toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta, mitte külmutatud | 100 |2005 90 70 | Köögiviljasegud, toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta, mitte külmutatud | 100 |2005 90 80 | Muud köögiviljad, toiduks valmistatud või konserveeritud ilma äädika või äädikhappeta, mitte külmutatud | 100 |2007 10 91 | Homogeenitud tooted troopilistest puuviljadest | 100 |2007 10 99 | Muud homogeenitud tooted | 100 |2007 91 90 | Muud tsitrusviljad | 100 |2007 99 91 | Õunapüree ja –kompotid | 100 |2007 99 98 | Muud puuvilja- või marjakeedised, -želeed, -marmelaadid, -püreed, ja –pastad | 100 |2008 30 51 | Greipfruudisektorid | 80 |2008 30 71 |ex | 2008 30 90 |Mandariinid (k.a tangeriinid ja satsumad), peenestatud; klementiinid, vilkingid jms tsitrushübriidid, peenestatud: – kontaktpakendis netomassiga üle 1 kg – kontaktpakendis netomassiga kuni 1 kg | 100 80 |ex | 2008 30 55 |ex | 2008 30 75 |exex | 2008 30 59 2008 30 79 | Apelsinid ja sidrunid, peenestatud | 80 |ex | 2008 30 90 | Tsitrusviljad, peenestatud | 80 |ex | 2008 30 90 | Tsitrusviljade viljaliha | 40 |2008 50 61 2008 50 69 | Aprikoosid, muul viisil toiduks valmistatud või konserveeritud, piirituselisandita, suhkrulisandiga, kontaktpakendis netomassiga üle 1 kg | 100 | 10 000 | 20 | Artikkel 1 § 6 |2008 50 71 2008 50 79 | Aprikoosid, muul viisil toiduks valmistatud või konserveeritud, piirituselisandita, suhkrulisandiga, kontaktpakendis netomassiga kuni 1 kg | 100 | 5 000 | – | Artikkel 1 § 6 |exex | 2008 50 92 2008 50 94 | Aprikoosipoolikud, muul viisil toiduks valmistatud või konserveeritud, piirituselisandita, suhkrulisandita, kontaktpakendis netomassiga 4,5 kg või rohkem | 100 |exex | 2008 50 92 2008 50 94 | Aprikooside viljaliha, muul viisil toiduks valmistatud või konserveeritud, piirituselisandita, suhkrulisandita, kontaktpakendis netomassiga 4,5 kg või rohkem | 100 | 10 000 | 50 | Artikkel 1 § 6 |ex | 2008 50 99 2008 70 98 | Aprikoosid, muul viisil toiduks valmistatud või konserveeritud, piirituselisandita, suhkrulisandita, kontaktpakendis netomassiga kuni 4,5 kg Virsikupoolikud (k.a nektariinid) muul viisil toiduks valmistatud või konserveeritud, piirituselisandita, suhkrulisandita, kontaktpakendis netomassiga kuni 4,5 kg | 100 | 7 200 | 50 | Artikkel 1 § 6 |exex | 2008 70 92 2008 70 98 | Virsikupoolikud (k.a nektariinid), muul viisil toiduks valmistatud või konserveeritud, piirituselisandita, suhkrulisandita, kontaktpakendis netomassiga 4,5 kg või rohkem | 50 |2008 80 50 | Maasikad, muul viisil toiduks valmistatud või konserveeritud, piirituselisandita, suhkrulisandiga, kontaktpakendis netomassiga üle 1kg | 100 |2008 92 51 2008 92 59 2008 92 72 2008 92 74 2008 92 76 2008 92 78 | Puuvilja- või marjasegud, muul viisil toiduks valmistatud või konserveeritud, piirituselisandita, suhkrulisandiga | 100 | 100 | 55 | Artikkel 1 § 6 |2009 11 2009 12 00 2009 19 | Apelsinimahl | 100 (*) | 50 000 | 70(*) | Artikkel 1 § 6 |2009 21 00 2009 29 11 2009 29 19 2009 29 91 2009 29 99 | Greipfruudimahl | 100 (*) | 1 000 | 70(*) | Artikkel 1 § 6 |2009 39 11 2009 39 19 | Muu tsitrusvilja mahl | 100 (*) |ex | 2009 31 11 | Muu tsitrusvilja mahl, v.a sidrunimahl | 100 |ex | 2009 31 19 |ex | 2009 39 31 |ex | 2009 39 39 |ex | 2204 | Viinamarjaveinid värsketest viinamarjadest | 100 | 95 200 hl | – | Artikkel 1 § 6 |ex ex ex ex | 2204 21 79 2204 21 80 2204 21 83 2204 21 84 | Määratletud piirkondades valmistatud kvaliteetveinid järgmiste nimedega: Berkane, Saïs, Beni M’Tir, Gerrouane, Zemmour ja Zennata, nõudes mahuga kuni kaks liitrit, tegeliku alkoholisisaldusega kuni 15 % mahust | 100 | 56 000 hl | – | Artikkel 1 § 6 |ex | 2302 | Kliid, pebred jm tera- või kaunviljade, v.a mais ja riis, tuulamis-, jahvatus- vm töötlusjäägid, granuleeritud või granuleerimata | 100 |(*) Soodusmäär rakendub üksnes ad valorem tollimaksule. (1) Määrusele (EÜ) nr 1789/2003 (EÜT L 281 30.10.2003, lk 1) vastavad NC-koodid. (2) Ilma et see piiraks kombineeritud nomenklatuuri koostamise korda, tuleb kaupade kirjelduse sõnastust lugeda ligikaudseks, sest soodusrežiimiga hõlmatavad kaubad määrab käesoleva lisa raames NC-kood. Kui NC-koodi ees seisab tähis «ex» , määrab soodusrežiimiga hõlmatavad kaubad nii NC-kood kui vastav kirjeldus. (3) Selle kontsessiooni kohaldamine on katkestatud kuni käesoleva kokkuleppe artiklis 18 ettenähtud kuupäevani, mil rakenduvad uued liberaliseerimismeetmed (4) Sellesse allpositsiooni arvamine toimub vastavalt tingimustele, mis on ette nähtud ühenduse vastavates sätetes [vt artikleid 291 kuni 300 määruses (EMÜ) nr 2454/93 (EÜT L 253 11.10.1993, lk 1) ja hilisemaid muudatusi]. (5) Värskete kirsside puhul kohaldatakse soodusmäära ka spetsiifilisele miinimumtollimaksule. (6) See kontsessioon kehtib üksnes seemnetele, mis on vastavuses seemnete ja taimedega kaubitsemist puudutavate direktiividega. |LISA 1B1. Eksportija (Nimi, täielik aadress, riik): | 2. Number | 00000 |3. Päritolunimetust tagava asutuse nimi: |4. Kaubasaaja (Nimi, täielik aadress, riik): |5. PÄRITOLUNIMETUSE TÕEND |6. Veovahend: | 7. Päritolunimetus |8. Mahalaadimiskoht: |9. Tähised ja viitenumbrid – pakkeüksuste arv ja laad | 10. Brutomass | 11. Liitreid |12. Liitreid (tähtedega): |13. Väljastanud asutuse tempel: |14. Tollitempel: | (Vt tõlget punktis 15) |15. Me tõendame, et käesolevas tõendis kirjeldatud vein on toodetud .................. piirkonnas ning et sellel on vastavalt Maroko seadustele õigus kanda päritolunimetust "................". Sellele veinile lisatud alkohol on veinialkohol. |16. (1) |(1) Muud eksportiva riigi märkused. |ÜhisavaldusPooled lepivad kokku, et protokollis nr 3 esitatud tariifse sooduskohtlemise olukord vaadatakse üle kooskõlas assotsiatsioonilepingu artiklis 16 ettenähtud eesmärgiga ; ülevaatamine puudutab eelkõige järgmisi tooteid: taimsed ja loomsed rasvad ja õlid koodidega NC 1515 19 10, 1515 90 60, 1515 90 99, 1516 10 90, 1516 20 95, 1516 20 96, 1516 20 98 ja peedisuhkur koodiga 1701 12 90.ÜhisavaldusPooled konstateerivad, et Maroko Kuningriik kohaldab käesolevat lepet sooduskvootide haldamiseks sisse seatud impordilitsentside enampakkumise korra raames.Pooled lepivad kokku, et kui nimetatud enampakkumiskorda muudetakse või kui viiakse sisse otsene maksmissüsteem, alustavad pooled konsultatsioone vastavalt assotsieerumisleppe artiklile 20.LISA – Protokoll 3 – Ühendusest pärit põllumajandustoodete Marokosse importimise režiim |NC-kood (1) | Toodete kirjeldus | Impordi-maks (%) | 2003 | 2004 | 2005 | 2006 | 2007 ja järgnevad |(b) | Seda määra rakendatakse väärtusvahemikus kuni 800 Dh/tonn, väärtusvahemikus üle 800Dh/tonn kehtib impordimaks 2,5 %. |(c) | Seda määra rakendatakse väärtusvahemikus kuni 3 000 Dh/tonn, väärtusvahemikus üle 3 000 Dh/tonn kehtib impordimaks 16 %. |(d) | Seda määra rakendatakse väärtusvahemikus kuni 800 Dh/tonn, väärtusvahemikus üle 800 Dh/tonn kehtib impordimaks 16 %. |(e) | Seda määra rakendatakse väärtusvahemikus kuni 4020 Dh/tonn, väärtusvahemikus üle 4020DH/tonn kehtib impordimaks 16% |(1) | Ilma et see piiraks kombineeritud nomenklatuuri koostamise korda, tuleb kaupade kirjelduse sõnastust lugeda ligikaudseks, sest soodusrežiimiga hõlmatavad kaubad määrab käesoleva lisa raames NC-kood. Kui NC-koodi ees seisab tähis «ex» , määrab soodusrežiimiga hõlmatavad kaubad nii NC-kood kui vastav kirjeldus. |(2) | Juhul kui Maroko hariliku nisu toodang (P) on suurem kui 2,1 miljonit tonni, alandatakse seda kvooti (Q) valemi järgi Q (Mlj tonni) = 2,59-0,73*P (Mlj tonni), kuni minimaalselt 400 000 tonnini Maroko toodangu juures 3 000 000 tonni või rohkem. |(3) | Kohaldatav soodusmäär on 2.5% |


type: wikipedia

text:
Η παρούσα σελίδα αφορά το έτος 1841 κατά το Γρηγοριανό ημερολόγιο
 Γεγονότα
 26 Ιανουαρίου - Το Ηνωμένο Βασίλειο καταλαμβάνει το Χονγκ Κονγκ.
 28 Ιανουαρίου - Ο Τζέιμς Κλαρκ Ρος ανακαλύπτει την αργότερα αποκαλούμενη Τράπεζα Πάγου Ρος. Στο ίδιο ταξίδι ανακαλύπτει τη Θάλασσα Ρος και το όρος Τρόμος.
 22 Φεβρουαρίου - Κηρύσσεται η Κρητική Επανάσταση του 1841.
 30 Μαρτίου - Ιδρύεται η Εθνική Τράπεζα της Ελλάδος.
 4 Απριλίου - Ο Ουίλιαμ Χένρι Χάρισον πεθαίνει από πνευμονία και γίνεται ο πρώτος πρόεδρος των Ηνωμένων Πολιτειών που πεθαίνει εν ενεργεία και κάνοντας ρεκόρ για την πιο σύντομη σε διάρκεια προεδρία.
 18 Ιουλίου - Ο Πέτρος Β' στέφεται αυτοκράτορας της Βραζιλίας.
 Ιδρύεται το Ντάλας στο Τέξας.
 Γεννήσεις
 8 Ιανουαρίου - Αλεξάντερ Στιούαρτ Μάρρεϊ, Σκωτσέζος αρχαιολόγος
 15 Ιανουαρίου - Στέφανος Μουσούρος, ηγεμόνας της Σάμου
 18 Ιανουαρίου - Εμμανυέλ Σαμπριέ, Γάλλος συνθέτης
 11 Φεβρουαρίου - Αντόλφο Φαρσάρι, Ιταλός φωτογράφος
 25 Φεβρουαρίου - Πιερ Ωγκύστ Ρενουάρ, Γάλλος ζωγράφος
 5 Μαρτίου - Φρειδερίκος Κ. Καρρέρ, Έλληνας συγγραφέας και πολιτικός
 22 Μαρτίου - Αναστάσιος Χρηστομάνος, Έλληνας χημικός
 28 Μαρτίου - Αλφόνσος, κόμης της Καζέρτα
 31 Μαρτίου - Άχμεντ Ουράμπι, Αιγύπτιος στρατιωτικός
 7 Απριλίου - Αντώνιος Μηλιαράκης, Έλληνας γεωγράφος
 13 Απριλίου - Λουί-Ερνέστ Μπαριά, Γάλλος γλύπτης
 13 Ιουλίου - Ότο Βάγκνερ, Αυστριακός αρχιτέκτονας
 14 Ιουλίου - Αλέξανδρος Βυζάντιος, Έλληνας δημοσιογράφος
 25 Ιουλίου - Νελί Ζακεμάρ, Γαλλίδα ζωγράφος και συλλέκτρια έργων τέχνης
 4 Αυγούστου - Γουίλιαμ Χένρι Χάντσον, Βρετανός συγγραφέας
 8 Σεπτεμβρίου - Αντονίν Ντβόρζακ, Τσέχος συνθέτης
 28 Σεπτεμβρίου - Ζωρζ Κλεμανσώ, Γάλλος πολιτικός
 16 Οκτωβρίου - Ιτό Χιρομπούμι, Ιάπωνας πολιτικός
 19 Οκτωβρίου - Νικόλαος Α ́, βασιλιάς του Μαυροβουνίου
 26 Οκτωβρίου - Τέοντορ φον Οππόλτσερ, Αυστριακός αστρονόμος
 9 Νοεμβρίου - Εδουάρδος Ζ', βασιλιάς του Ηνωμένου Βασιλείου
 19 Νοεμβρίου - Αντονίνο Σαλίνας, Ιταλός νομισματολόγος και αρχαιολόγος
 6 Δεκεμβρίου - Φρεντερίκ Μπαζίλ, Γάλλος ζωγράφος
 30 Δεκεμβρίου - Αιμίλιος Λεγκράν, Γάλλος ελληνιστής
 Δημοσθένης Γονατάς, Έλληνας στρατιωτικός
 Κωνσταντίνος Σ. Καραθεοδωρή, ηγεμόνας της Σάμου
 Αριστομένης Κοντογούρης, Έλληνας πολιτικός
 Ιωάννης Δ. Παπαδιαμαντόπουλος, Έλληνας στρατιωτικός
 Γεώργιος Ρούφος, Έλληνας πολιτικός
 Θάνατοι
 4 Απριλίου - Γιάκομπ Λινκ, Γερμανός ζωγράφος και αρχαιολόγος
 4 Απριλίου - Ουίλιαμ Χένρι Χάρισον, 9ος πρόεδρος των Η.Π.Α.
 8 Απριλίου - Γεώργιος Καποδίστριας, Έλληνας επιχειρηματίας
 20 Απριλίου - Τόμας Γκόρντον, Σκωτσέζος στρατιωτικός και ιστορικός
 12 Ιουνίου - Κωνσταντίνος Νικολόπουλος, Έλληνας συνθέτης και συγγραφέας
 27 Ιουλίου - Μιχαήλ Λέρμοντοφ, Ρώσος συγγραφέας
 4 Αυγούστου - Γιόχαν Φρίντριχ Χέρμπαρτ, Γερμανός φιλόσοφος
 9 Οκτωβρίου - Καρλ Φρίντριχ Σίνκελ, Γερμανός αρχιτέκτονας
 14 Νοεμβρίου - Τόμας Μπρους, 7ος κόμης του Έλγιν
 25 Νοεμβρίου - Φράνσις Λέγκατ Τσάντρυ, Άγγλος γλύπτης
 Γεώργιος Γρήντζαλης, Έλληνας αγωνιστής
 Αλέξανδρος Καντακουζηνός, Έλληνας πολιτικός
 Ιλαρίων Καρατζόγλου, Έλληνας οπλαρχηγός
 Δημήτριος Μακρής, Έλληνας οπλαρχηγός
 Νότης Μπότσαρης, Έλληνας αγωνιστής
 Γεώργιος Σαχτούρης, Έλληνας αγωνιστής
 Εξωτερικοί σύνδεσμοι
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