Attachment D -- Federal Register Notice

Attachment D -- Federal Register Notice.pdf

2012 and 2013 Medical Expenditure Panel Survey - Insurance Componenet (MEPS-IC)

Attachment D -- Federal Register Notice

OMB: 0935-0110

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Federal Register / Vol. 78, No. 54 / Wednesday, March 20, 2013 / Notices

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Meeting Notice for the President’s
Advisory Council on Faith-Based and
Neighborhood Partnerships
In accordance with section 10(a)(2) of
the Federal Advisory Committee Act
(Pub. L. 92–463), the President’s
Advisory Council on Faith-Based and
Neighborhood Partnerships announces
the following three conference calls:
Name: President’s Advisory Council on
Faith-based and Neighborhood Partnerships
Council Conference Calls.
Time and Date: Monday, April 2nd, 2013
4:00 p.m.-5:30 p.m. (EDT).
Place: All meetings announced herein will
be held by conference call. The call-in line
is: 1–866–823–5144, Passcode: 1375705.
Space is limited so please RSVP to
partnerships@hhs.gov to participate.
Status: Open to the public, limited only by
lines available.
Purpose: The Council brings together
leaders and experts in fields related to the
work of faith-based and neighborhood
organizations in order to: Identify best
practices and successful modes of delivering
social services; evaluate the need for
improvements in the implementation and
coordination of public policies relating to
faith-based and other neighborhood
organizations; and make recommendations
for changes in policies, programs, and
practices.
Contact Person for Additional Information:
Please contact Ben O’Dell for any additional
information about the President’s Advisory
Council meeting at partnerships@hhs.gov.
Agenda: Please visit http://
www.whitehouse.gov/partnerships for further
updates on the Agenda for the meeting.
Public Comment: There will be an
opportunity for public comment at the
conclusion of the meeting. Comments and
questions can be asked over the conference
call line, or sent in advance to
partnerships@hhs.gov.
Dated: March 14, 2013.
Ben O’Dell,
Associate Director for Center for Faith-based
and Neighborhood Partnerships at U.S.
Department of Health and Human Services.
[FR Doc. 2013–06405 Filed 3–19–13; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES

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Meetings of the National Biodefense
Science Board
Office of the Secretary,
Department of Health and Human
Services.
ACTION: Notice.
AGENCY:

SUMMARY: As stipulated by the Federal
Advisory Committee Act, the U.S.
Department of Health and Human

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Services is hereby giving notice that the
National Biodefense Science Board
(NBSB) will be holding public meetings
on April 2 and April 3, 2013.
DATES: The April 2, 2013, NBSB public
meeting is tentatively scheduled from
9:00 a.m. to 5:00 p.m. The April 3, 2013,
public meeting will be held jointly with
the Centers for Disease Control and
Prevention Board of Scientific
Counselors (BSC), Office of Public
Health Preparedness and Response
(OPHPR), is tentatively scheduled from
8:30 a.m. to 3:30 p.m. The agendas for
both April 2 and 3, 2013, meetings are
subject to change as priorities dictate,
and it is possible that they may be held
by teleconference rather than in person.
Please check the NBSB Web site at
WWW.PHE.GOV/NBSB for the most upto-date information.
ADDRESSES: April 2, 2013: Centers for
Disease Control and Prevention (CDC),
1600 Clifton Road NE., Roybal Campus,
Atlanta, Georgia 30329, Building 19,
Room 117.
April 3, 2013: CDC, 1600 Clifton Road
NE., Roybal Campus, Atlanta, Georgia
30329, Building 19, Room 256.
To attend by teleconference, please
refer to the NBSB Web site for further
instructions at www.phe.gov/nbsb.
Please call in 15 minutes prior to the
beginning of the meeting to facilitate
attendance.
Additional Information for Public
Participants: These meetings are open to
the public and are limited only by the
space available. Meeting rooms will
accommodate up to 30 people. Preregistration is required for in-person
attendance. Individuals who wish to
attend the meeting in-person should
send an email to NBSB@HHS.GOV with
‘‘NBSB Registration’’ in the subject line
by no later than Monday, March 25,
2013.
FOR FURTHER INFORMATION CONTACT: The
National Biodefense Science Board
mailbox: NBSB@HHS.GOV.
SUPPLEMENTARY INFORMATION: Pursuant
to section 319M of the Public Health
Service Act (42 U.S.C. 247d-7f) and
section 222 of the Public Health Service
Act (42 U.S.C. 217a), the Department of
Health and Human Services established
the National Biodefense Science Board.
The Board shall provide expert advice
and guidance to the Secretary on
scientific, technical, and other matters
of special interest to the Department of
Health and Human Services (HHS)
regarding current and future chemical,
biological, nuclear, and radiological
agents, whether naturally occurring,
accidental, or deliberate. The Board may
also provide advice and guidance to the
Secretary and/or the Assistant Secretary

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for Preparedness and Response (ASPR)
on other matters related to public health
emergency preparedness and response.
Background: The April 2, 2013,
public meeting will be dedicated to a
discussion and vote of the report and
recommendations from the NBSB’s
Public Health and Healthcare
Situational Awareness Strategy and
Implementation Plan Working Group.
Subsequent agenda topics will be added
as priorities dictate. The April 3, 2013,
meeting will include a joint Federal
Advisory Committee briefing,
deliberation and vote on the
recommendations and report written by
the joint BSC OPHPR–NBSB Strategic
National Stockpile ad hoc working
group. Any additional agenda topics
will be available on the NBSB’s April
2013 meeting Web page prior to the
public meeting, available at
WWW.PHE.GOV/NBSB.
Availability of Materials: The meeting
agenda and materials will be posted on
the NBSB Web site at WWW.PHE.GOV/
NBSB prior to the meeting.
Procedures for Providing Public Input:
Any member of the public providing
oral comments at the meeting must signin at the registration desk and provide
his/her name, address, and affiliation.
All written comments must be received
prior to March 29, 2013, and should be
sent by email to NBSB@HHS.GOV with
‘‘NBSB Public Comment’’ as the subject
line. Individuals who plan to attend and
need special assistance, such as sign
language interpretation or other
reasonable accommodations, should
email NBSB@HHS.GOV.
Dated: March 14, 2013.
Nicole Lurie,
Assistant Secretary for Preparedness and
Response.
[FR Doc. 2013–06308 Filed 3–19–13; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Agency Information Collection
Activities; Proposed Collection;
Comment Request
Agency for Healthcare Research
and Quality, HHS.
ACTION: Notice.
AGENCY:

SUMMARY: This notice announces the
intention of the Agency for Healthcare
Research and Quality (AHRQ) to request
that the Office of Management and
Budget (OMB) approve the proposed
changes to the currently approved

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Federal Register / Vol. 78, No. 54 / Wednesday, March 20, 2013 / Notices
information collection project: ‘‘Medical
Expenditure Panel Survey—Insurance
Component.’’ In accordance with the
Paperwork Reduction Act, 44 U.S.C.
3501–3521, AHRQ invites the public to
comment on this proposed information
collection.
This proposed information collection
was previously published in the Federal
Register on December 26th, 2012 and
allowed 60 days for public comment.
Two comments were received. The
purpose of this notice is to allow an
additional 30 days for public comment.
DATES: Comments on this notice must be
received by April 19, 2013.
ADDRESSES: Written comments should
be submitted to: AHRQ’s OMB Desk
Officer by fax at (202) 395–6974
(attention: AHRQ’s desk officer) or by
email at
OIRA_submission@omb.eop.gov
(attention: AHRQ’s desk officer.)
Copies of the proposed collection
plans, data collection instruments, and
specific details on the estimated burden
can be obtained from the AHRQ Reports
Clearance Officer.
FOR FURTHER INFORMATION CONTACT:
Doris Lefkowitz, AHRQ Reports
Clearance Officer, (301) 427–1477, or by
email at doris.lefkowitz@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:
Proposed Project

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Medical Expenditure Panel Survey—
Insurance Component
Employer-sponsored health insurance
is the source of coverage for 85 million
current and former workers, plus many
of their family members, and is a
cornerstone of the U.S. health care
system. The Medical Expenditure Panel
Survey—Insurance Component (MEPS–
IC) measures the extent, cost, and
coverage of employer-sponsored health
insurance on an annual basis. Private
industry statistics are produced at the
National, State, and sub-State
(metropolitan area) level and State and
local government statistics at the
National and Census Region level.
The MEPS–IC was last approved by
OMB on December 12th, 2012 and will
expire on December 31st, 2014. The
OMB control number for the MEPS–IC
is 0935–0110. All of the supporting
documents for the current MEPS–IC can
be downloaded from OMB’s Web site at
http://www.reginfo.gov/public/do/
PRAViewDocument?ref_nbr=2011100935-001.
The current MEPS–IC clearance noted
the possibility of making changes to the
2013 MEPS–IC survey in order to
address data needs for the Patient
Protection and Affordable Care Act

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(PPACA) and other issues. AHRQ
solicited input on possible new
questions from a working group of over
50 individuals that included multiple
representatives from the U.S.
Department of Health and Human
Services’ Assistant Secretary for
Planning and Evaluation (ASPE), the
Center for Medicare & Medicaid
Services’ (CMS) Center for Consumer
Information and Insurance Oversight,
the CMS Office of the Actuary, the
National Center for Health Statistics, the
President’s Council of Economic
Advisors, the Office of Management and
Budget, the Bureau of Labor Statistics,
the Employee Benefits Security
Administration, and the Bureau of the
Census.
After the working group agreed on a
reasonable number of specific questions,
the Bureau of the Census, at AHRQ’s
direction, conducted a pretest of these
questions on a sampled set of 2012
MEPS–IC survey respondents. A
telephone pretest was conducted in the
spring and summer of 2012. The results
of this pretest, conducted under the
Census Bureau’s generic pretest
clearance process, led to AHRQ
recommending that a subset of the
tested questions be added to the survey
in 2013. To avoid increasing the overall
burden on survey respondents, a
proportional number of questions have
been proposed for deletion. Questions
identified for deletion were those with
limited analytic value and/or belowaverage response rates. The AHRQ
recommendations were accepted by the
HHS Data Council in November 2012.
For all establishment-level MEPS–IC
forms, AHRQ proposes to make the
following changes to questions asked of
employers who offer health insurance:
Additions
• Did your organization offer health
insurance to unmarried domestic
partners of the same sex? Yes/No/
Don’t Know
• Did your organization offer health
insurance to unmarried domestic
partners of the opposite sex? Yes/No/
Don’t Know
Deletions
• For 2013, what was the TYPICAL
waiting period before new employees
could be covered by health insurance?
Less than 2 weeks/2 weeks to less
than 1 month/Until the first day of the
next month/1–3 months/More than 3
months
• Did your organization place any limits
or restrictions on health insurance
coverage for the spouse of an
employee if the spouse had access to

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coverage through another employer?
Yes/No/Don’t Know
For all plan-level MEPS–IC forms,
AHRQ proposes to make the following
changes:
Additions
• (For self-insured health plans that
purchase stop-loss coverage) What is
the specific stop-loss coverage amount
per employee? $ll.00
• Did the premiums for this insurance
plan vary by any of these
characteristics? Smoker/nonsmoker
will be added to current list of Age,
Gender, Wage or Salary levels, and
Other. The ‘‘Premiums did not vary’’
response checkbox will be deleted
and replaced with Yes/No/Don’t
Know responses for each
characteristic.
• Did the amount an employee
contributed toward his/her own
coverage vary by any of these
employee characteristics?
Participation in a fitness/weight loss
program and participation in a
smoking cessation program will be
added to the current list of Hours
worked, Union status, Wage or salary
level, Occupation, Length of
employment, and Other. The
‘‘Employee contribution did not vary’’
response checkbox will be deleted
and replaced with Yes/No/Don’t
Know responses for each
characteristic.
• Which of the services listed were
covered by the plan? Routine vision
care for children, Routine dental care
for children, Mental health care, and
Substance abuse treatment will be
added Routine vision care for adults
and Routine dental care for adults
will replace Routine vision care and
Routine dental care respectively
Chiropractic care remains unchanged
• Is this a Grandfathered health plan as
defined by the Affordable Care Act?
Yes/No/Don’t know
Deletions
• How many different pricing categories
or tiers of prescription drug coverage
were there for this plan? Number of
tiers ll or Don’t know
• What was the MAXIMUM amount
this plan would have paid for an
enrollee in ONE YEAR? $ll or No
annual maximum
• An employer can offer a Health
Reimbursement Arrangement (HRA)
by setting up an account to reimburse
employees for medical expenses not
covered by health insurance. Did your
organization offer an HRA associated
with this plan in 2013? HRAs are
NOT Flexible Spending Accounts

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(FSAs) or Health Savings Accounts
(HSAs). Yes/No/Don’t Know
The MEPS Definitions form—MEPS–
20(D)—will also be updated with new
definitions for terms used in these new
questions (and the deletion of terms
used only in the deleted questions).
There are no changes to the 2013
MEPS–IC survey estimates of cost and
hour burdens due to these proposed
question changes. The response rate for
the MEPS–IC survey also is not
expected to change due to these
proposed changes.
The MEPS–IC is conducted pursuant
to AHRQ’s statutory authority to
conduct surveys to collect data on the
cost, use and quality of health care,
including the types and costs of private
health insurance. 42 U.S.C. 299b–2(a).
Method of Collection
There are no changes to the current
data collection methods.
Estimated Annual Respondent Burden
There are no changes to the current
burden estimates.
Estimated Annual Costs to the Federal
Government
There are no changes to the current
cost estimates.

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Request for Comments
In accordance with the Paperwork
Reduction Act, comments on AHRQ’s
information collection are requested
with regard to any of the following: (a)
Whether the proposed collection of
information is necessary for the proper
performance of AHRQ healthcare
research and healthcare information
dissemination functions, including
whether the information will have
practical utility; (b) the accuracy of
AHRQ’s estimate of burden (including
hours and costs) of the proposed
collection(s) of information; (c) ways to
enhance the quality, utility, and clarity
of the information to be collected; and
(d) ways to minimize the burden of the
collection of information upon the
respondents, including the use of
automated collection techniques or
other forms of information technology.
Comments submitted in response to
this notice will be summarized and
included in the Agency’s subsequent
request for OMB approval of the
proposed information collection. All
comments will become a matter of
public record.
Dated: March 4, 2013.
Carolyn M. Clancy,
Director.
[FR Doc. 2013–06217 Filed 3–19–13; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Patient Safety Organizations:
Voluntary Relinquishment From
QAISys, Inc.
Agency for Healthcare Research
and Quality (AHRQ), HHS.
ACTION: Notice of delisting.
AGENCY:

SUMMARY: The Patient Safety and
Quality Improvement Act of 2005
(Patient Safety Act), Public Law 109–41,
42 U.S.C. 299b–21— b–26, provides for
the formation of Patient Safety
Organizations (PSOs), which collect,
aggregate, and analyze confidential
information regarding the quality and
safety of health care delivery. The
Patient Safety and Quality Improvement
Final Rule (Patient Safety Rule), 42 CFR
part 3, authorizes AHRQ, on behalf of
the Secretary of HHS, to list as a PSO
an entity that attests that it meets the
statutory and regulatory requirements
for listing. A PSO can be ‘‘delisted’’ by
the Secretary if it is found no longer to
meet the requirements of the Patient
Safety Act and Patient Safety Rule, or
when a PSO chooses to voluntarily
relinquish its status as a PSO for any
reason. AHRQ has accepted a
notification of voluntary relinquishment
from QAISys, Inc. of its status as a PSO,
and has delisted the PSO accordingly.
DATES: The directories for both listed
and delisted PSOs are ongoing and
reviewed weekly by AHRQ. The
delisting was effective at 12:00 Midnight
ET (2400) on January 31, 2013.
ADDRESSES: Both directories can be
accessed electronically at the following
HHS Web site: http://
www.pso.AHRQ.gov/index.html.
FOR FURTHER INFORMATION CONTACT:
Eileen Hogan, Center for Quality
Improvement and Patient Safety, AHRQ,
540 Gaither Road, Rockville, MD 20850;
Telephone (toll free): (866) 403–3697;
Telephone (local): (301) 427–1111; TTY
(toll free): (866) 438–7231; TTY (local):
(301) 427–1130; Email:
pso@AHRQ.hhs.gov.
SUPPLEMENTARY INFORMATION:

Background
The Patient Safety Act authorizes the
listing of PSOs, which are entities or
component organizations whose
mission and primary activity is to
conduct activities to improve patient
safety and the quality of health care
delivery.
HHS issued the Patient Safety Rule to
implement the Patient Safety Act.

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AHRQ administers the provisions of the
Patient Safety Act and Patient Safety
Rule (PDF file, 450 KB. PDF Help)
relating to the listing and operation of
PSOs. The Patient Safety Rule
authorizes AHRQ to list as a PSO an
entity that attests that it meets the
statutory and regulatory requirements
for listing. A PSO can be ‘‘delisted’’ if
it is found no longer to meet the
requirements of the Patient Safety Act
and Patient Safety Rule, or when a PSO
chooses to voluntarily relinquish its
status as a PSO for any reason. Section
3.108(d) of the Patient Safety Rule
requires AHRQ to provide public notice
when it removes an organization from
the list of federally approved PSOs.
AHRQ has accepted a notification
from QAISys, Inc., PSO number P0046,
to voluntarily relinquish its status as a
PSO. Accordingly, QAISys, Inc. was
delisted effective at 12:00 Midnight ET
(2400) on January 31, 2013.
More information on PSOs can be
obtained through AHRQ’s PSO Web site
at http://www.pso.AHRQ.gov/
index.html.
Dated: March 4, 2013.
Carolyn M. Clancy,
Director.
[FR Doc. 2013–06215 Filed 3–19–13; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Healthcare Research and
Quality
Patient Safety Organizations:
Voluntary Relinquishment From
Universal Safety Solution PSO
Agency for Healthcare Research
and Quality (AHRQ), HHS.
ACTION: Notice of delisting.
AGENCY:

SUMMARY: The Patient Safety and
Quality Improvement Act of 2005
(Patient Safety Act), Public Law 109–41,
42 U.S.C. 299b–21—b–26, provides for
the formation of Patient Safety
Organizations (PSOs), which collect,
aggregate, and analyze confidential
information regarding the quality and
safety of health care delivery. The
Patient Safety and Quality Improvement
Final Rule (Patient Safety Rule), 42 CFR
part 3, authorizes AHRQ, on behalf of
the Secretary of HHS, to list as a PSO
an entity that attests that it meets the
statutory and regulatory requirements
for listing. A PSO can be ‘‘delisted’’ by
the Secretary if it is found no longer to
meet the requirements of the Patient
Safety Act and Patient Safety Rule, or
when a PSO chooses to voluntarily

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