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16794 Federal Register / Vol. 72, No.

65 / Thursday, April 5, 2007 / Notices

be delivered as recommended within the DEPARTMENT OF HEALTH AND includes a brief explanation of the
scope of practice of the physician or licensed HUMAN SERVICES justification for the variation.
practitioner of the healing arts. We announced in the December 2006
Furthermore, the information provided by Centers for Medicare & Medicaid Unified Agenda (December 11, 2006, 71
the State did not demonstrate compliance Services FR 72734) that we would issue the final
with section 1902(a)(32) of the Act, requiring rule in March 2007. However, we are
direct payment to the provider of care or [CMS–1270–RCN]
not able to meet the announced
services. Under the State’s bundled payment RIN 0938–AN14 publication target date due to the
methodology, the entities which would number of extensive comments received
receive the proposed bundled rates for Medicare Program; Competitive on the proposed rule and interagency
mental health rehabilitation services are not Acquisition for Certain Durable coordination. We received over 2,000
themselves providers of the service; they are Medical Equipment, Prosthetics, timely comments on the proposed rule.
not billing agents for such providers; nor are Orthotics, and Supplies; Extension of The commenters presented extremely
they recognized types of health care Timeline for Publication of Final Rule complex policy and legal issues, which
providers under Federal law. The underlying
AGENCY: Centers for Medicare & require extensive consultation and
services represent different types of
Medicaid Services (CMS), HHS. analysis.
individual services that are furnished by
ACTION: Extension of timeline for
This final rule also is extremely
individual practitioners. The State has failed
publication of final rule. complex because it will establish an
to show that the proposed payment
entirely new program that will affect the
methodology is within one of the statutory
SUMMARY: This notice announces an DMEPOS industry as well as Medicare
exceptions as implemented by Federal
regulations at 42 CFR 447.10. Indeed, the extension of the timeline for publication beneficiaries who use DMEPOS. This
State has not shown that, under its proposed of a Medicare final rule in accordance final rule will establish a new concept
payment methodology, the actual with section 1871(a)(3)(B) of the Social for Medicare payment for DMEPOS,
practitioners furnishing services can even be Security Act, which allows us to extend which necessitates the development of
readily identified. Thus, the State has not the timeline for publication of the final new regulations and a competitive
demonstrated that the use of bundled rates rule. bidding process in addition to extensive
will comply with the requirement for direct EFFECTIVE DATE: This notice is effective payment system changes.
payment to the actual practitioners who on March 30, 2007. This notice extends the timeline for
provide care or service. FURTHER INFORMATION CONTACT: Ralph
publication of the final rule until April
I am scheduling a hearing on your request Goldberg, (410) 786–4870. 30, 2007.
for reconsideration to be held on May 30, SUPPLEMENTARY INFORMATION: In the May Authority: Section 1871 of the Social
2007, at 233 N. Michigan Avenue, Suite 600, 1, 2006 Federal Register (71 FR 25654), Security Act (42 U.S.C. 201395hh).
the Indiana Room, 5th Floor, Chicago, IL, (Catalog of Federal Domestic Assistance
we published a proposed rule that
60601, to reconsider the decision to Program No. 093.774, Medicare—
would have implemented competitive
disapprove SPA 05–10. If this date is not Supplementary Medical Insurance Program)
bidding programs for certain covered
acceptable, we would be glad to set another Dated: March 30, 2007.
date that is mutually agreeable to the parties.
items of durable medical equipment,
prosthetics, orthotics, and supplies Ann Agnew,
The hearing will be governed by the
procedures prescribed by Federal regulations (DMEPOS) throughout the United States Executive Secretary to the Department.
at 42 CFR Part 430. in accordance with sections 1847(a) and [FR Doc. 07–1658 Filed 3–30–07; 4:01 pm]
I am designating Ms. Kathleen Scully- (b) of the Social Security Act (the Act). BILLING CODE 4120–01–P
Hayes as the presiding officer. If these These programs would change the way
arrangements present any problems, please that Medicare pays for these items
contact the presiding officer at (410) 786– under Part B of the Medicare program DEPARTMENT OF HEALTH AND
2055. In order to facilitate any by utilizing bids submitted by DMEPOS HUMAN SERVICES
communication which may be necessary suppliers to establish applicable
between the parties to the hearing, please payment amounts. Administration for Children and
notify the presiding officer to indicate Section 1871(a)(3)(A) of the Act Families
acceptability of the hearing date that has requires us to establish and publish a
been scheduled and provide names of the regular timeline for the publication of Public Education Study on Public
individuals who will represent the State at final regulations based on the previous Knowledge of Abstinence and
the hearing. publication of a proposed regulation. In Abstinence Education
Sincerely, accordance with section 1871(a)(3)(B) of OMB No.: New Collection.
Leslie V. Norwalk, Esq., the Act, the timeline may vary among Description: In support of the goal to
Acting Administrator. different regulations based on prevent unwed childbearing, pregnancy,
differences in the complexity of the and sexually transmitted diseases,
Section 1116 of the Social Security regulation, the number and scope of Congress has recently authorized
Act (42 U.S.C. section 1316); (42 CFR comments received, and other relevant funding increases to support abstinence
section 430.18). factors, but may not be longer than 3 education.
(Catalog of Federal Domestic Assistance years except under exceptional To learn more about the public’s
program No. 13.714, Medicaid Assistance circumstances. In addition, in views, the Administration for Children
Program) accordance with section 1871(a)(3)(B) of and Families (ACF) will conduct a
the Act, the Secretary may extend the public opinion survey of a nationally
Dated: March 30, 2007.
initial targeted publication date of the representative sample of adolescents
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Leslie V. Norwalk, final regulation, if the Secretary, no later (age 12 to 18) and their parents to
Acting Administrator, Centers for Medicare than the regulation’s previously examine current attitudes on abstinence
& Medicaid Services. established proposed publication date, and knowledge of abstinence education.
[FR Doc. E7–6312 Filed 4–4–07; 8:45 am] causes to have published a notice with The survey data will be used to inform
BILLING CODE 4120–01–P the new target date, and such notice current and future public education

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Federal Register / Vol. 72, No. 65 / Thursday, April 5, 2007 / Notices 16795

campaigns. In addition, the information attitudes about abstinence until Respondents: A nationally
gathered will assist ACF with grant marriage, awareness of abstinence representative sample of adolescents
administration and technical assistance education, and views and attitudes will be selected through a random-digit-
activities. The survey will ask parents about abstinence education. Each parent dial sample of households with landline
(one parent per adolescent) and and adolescent interview will take telephones.
adolescents about their views and approximately 20 minutes to complete. Annual Burden Estimates

Average
Number of
Number of burden Total burden
Instrument responses per
respondents hours per hours
respondent response

Telephone interview ........................................................................................... 2,000 (1,000 1 0.33 660


adoles-
cent/parent
pairs).

Total annual burden estimates: 660. Administration for Children and D program a Tribe or Tribal organization
Additional Information: Copies of the Families. must submit a plan describing how the
proposed collection may be obtained by Dated: April 2, 2007. Tribe or Tribal organization meets or
writing to the Administration for Robert Sargis,
plans to meet the objectives of section
Children and Families, Office of 455(f) of the Social Security Act,
Reports Clearance Officer.
Administration, Office of Information including establishing paternity,
[FR Doc. 07–1673 Filed 4–4–07; 8:45 am]
Services, 370 L’Enfant Promenade, SW., establishing, modifying, and enforcing
BILLING CODE 4184–01–M support orders, and locating
Washington, DC 20447, Attn: ACF
Reports Clearance Officer. All requests noncustodial parents. The plan is
should be identified by the title of the required for all Tribes requesting
DEPARTMENT OF HEALTH AND
information collection. E-mail address: funding; however, once a Tribe has met
HUMAN SERVICES
infocollection@acf.hhs.gov. the requirements to operate a
Administration for Children and comprehensive program, a new plan is
OMB Comment: OMB is required to not required annually unless a Tribe
make a decision concerning the Families
makes changes to its title IV–D program.
collection of information between 30 Tribes and Tribal organizations must
Submission for OMB Review;
and 60 days after publication of this respond if they wish to operate a fully
Comment Request
document in the Federal Register. funded program. In addition, any Tribe
Therefore, a comment is best assured of Title: Tribal Child Support or Tribal organization participating in
having its full effect if OMB receives it Enforcement Direct Funding Request the program will be required to submit
within 30 days of publication. Written and Reports. form OCSE 34A. This paperwork
comments and recommendations for the OMB No. 0970–0218. collection activity is set to expire in
proposed information collection should Description: The final rule within 45 April, 2007.
be sent directly to the following: Office CFR part 309, published in the Federal
Respondents: Tribes and Tribal
of Management and Budget, Paperwork Register on March 30, 2004, contains a
Organizations.
Reduction Project, Fax: 202–395–6974, regulatory reporting requirement that, in
Attn: Desk Officer for the order to receive funding for a Tribal IV– Annual Burden Estimates

Number of Average bur-


Number of Total burden
Instrument responses per den hours per
respondents hours
respondent response

45 CFR 309—Plan .......................................................................................... 33 1 480 15,840


Form OCSE 34 A ............................................................................................ 49 4 8 1,568

Estimated Total Annual Burden information collection. E-mail address: be sent directly to the following: Office
Hours: infocollection@acf.hhs.gov. of Management and Budget, Paperwork
Additional Information: Copies of the OMB Comment: OMB is required to Reduction Project, Fax: 202–395–6974,
make a decision concerning the Attn: Desk Officer for the
proposed collection may be obtained by
collection of information between 30 Administration for Children and
writing to the Administration for
and 60 days after publication of this Families.
Children and Families, Office of
document in the Federal Register. Dated: April 2, 2007.
Administration, Office of Information
Therefore, a comment is best assured of Robert Sargis,
Services, 370 L’Enfant Promenade, SW.,
having its full effect if OMB receives it
Washington, DC 20447, Attn: ACF within 30 days of publication. Written Reports Clearance Officer.
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Reports Clearance Officer. All requests comments and recommendations for the [FR Doc. 07–1674 Filed 4–4–07; 8:45 am]
should be identified by the title of the proposed information collection should BILLING CODE 4184–01–M

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