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Federal Register / Vol. 71, No.

114 / Wednesday, June 14, 2006 / Notices 34369

Dated: May 26, 2006. acting through the Agency for DEPARTMENT OF HEALTH AND
Garth N. Graham, Healthcare Research and Quality, to HUMAN SERVICES
Deputy Assistant Secretary for Minority establish a Citizens’ Health Care
Health. Working Group (Citizen Group). This Agency for Healthcare Research and
[FR Doc. E6–9315 Filed 6–13–06; 8:45 am] statutory provision, codified at 42 Quality
BILLING CODE 4150–29–P U.S.C. 299 n., directs the Working
Citizen’s Health Care Working Group
Group to: (1) Identify options for
Interim Recommendations
changing our health care system so that
DEPARTMENT OF HEALTH AND every American has the ability to obtain AGENCY: Agency for Healthcare Research
HUMAN SERVICES quality, affordable health care coverage; and Quality (AHRQ), HHS.
(2) provide for a nationwide public ACTION: Publication of Interim
Agency for Healthcare Research and
Quality debate about improving the health care Recommendations of the Citizens’
system; and, (3) submit its Health Care Working Group, Request for
Meeting of the Citizens’ Health Care recommendations to the President and Public Comment.
Working Group the Congress. SUMMARY: The Citizens’ Health Care
AGENCY: Agency for Healthcare Research The Citizens’ Health Care Working Working Group (the Working Group),
and Quality (AHRQ), HHS. Group is composed of 15 members: The authorized by section 1014 of the
ACTION: Notice of public meeting. Secretary of DHHS is designated as a Medicare Modernization Act, is
member by statute. The Comptroller publishing interim recommendations
SUMMARY: In accordance with section General of the U.S. Government and requesting public comment on
10(a) of the Federal Advisory Committee Accountability Office (GAO) was them.
Act, this notice announces a meeting of directed to name the remaining 14 DATES: Comments should be received on
the Citizens’ Health Care Working members whose appointments were or before August 31, 2006.
Group (the Working Group) mandated announced on February 28, 2005.
by section 1014 of the Medicare ADDRESSES: Comments may be
Modernization Act. Working Group Meeting Agenda submitted either electronically or on
paper.
DATES: A business meeting of the
Working Group will be held on The Working Group meeting on June Electronic Statements
Wednesday June 21, 2006 and Thursday 21st and June 22nd will be devoted to
ongoing Working Group business. The Send comments online to the Work
June 22, 2006. On June 21st, the session Group’s Web site using this address:
will begin at 8:30 a.m. and end at 4 p.m. principal topic to be addressed will be
the continued refinement of materials http://www.citizenshealthcare.gov. or by
On June 22nd, the session will begin at e-mail to Citzenshealth@ahrq.gov
8:30 a.m. and end at 2 p.m. associated with the Working Group’s
ADDRESSES: The meeting will take place interim recommendations which were Paper Comments
at the conference room of the United posted ont he Working Group’s Web site Send paper comments in duplicate to:
Food and Commercial Workers http://www.citizenshealthcare.gov on George Grob, Executive Director,
International Union. The office is June 2, 2006. Citizens’ Health Care Working Group,
located at 1775 K Street, NW., Submission of Written Information Suite 575, 7201 Wisconsin Avenue,
Washington, DC 20006. The main Bethesda, Maryland 20814. You may
receptionist area is location on the 7th To fulfill its charge described above, also fax comments to (301) 480–3095.
floor; the conference room is located on the Working Group has been conducting To help us review your comments
the 11th floor. The meeting is open to a public dialogue on health care in efficiently please use only one method
the public. America through public meetings held of commenting.
FOR FURTHER INFORMATION CONTACT: across the country and through All comments will be made available
Caroline Taplin, Citizens’ Health Care comments received on its Web site. The on the Working Group’s Web site. All
Working Group, at (301) 443–1514 or comments will be posted without
Working Group invites members of the
caroline.taplin@ahrq.hhs.gov. If sign change. You should submit only
public to the Web site to be part of that
language interpretation or other information that you wish to make
dialogue.
reasonable accommodation for a available publicly. Comments will also
disability is needed, please contact Mr. Further, the Working Group will be available for public inspection and
Donald L. Inniss, Director, Office of accept written submissions for copying at the Working Group’s
Equal Employment Opportunity consideration at the Working Group Bethesda office during normal business
Program, Program Support Center, on business meeting listed above. In hours.
(301) 443–1144. general, individuals or organizations FOR FURTHER INFORMATION CONTACT:
The agenda for this Working Group wishing to provide written information George Grob, Executive Director,
meeting will be available on the for consideration by the Citizens’ Health Citizens’ Health Care Working Group,
Citizens’ Working Group Web site, Care Working Group at this meeting (301) 443–1530,
www.citizenshealthcare.gov. also should submit information george.grob@ahrq.hhs.gov or Caroline
available at that site is a roster of electronically to Taplin, Senior Program Analyst, (301)
Working Group members. When a citizenshealth@ahrq.gov. 443–1514, caroline.taplin@ahrq.hhs.gov
summary of this meeting is completed, SUPPLEMENTARY INFORMATION: Section
Dated: June 5, 2006.
it will also be available on the Web site. 1014 of Pub. L. 108–173, (known as the
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Carolyn M. Clancy,
SUPPLEMENTARY INFORMATION: Section Medicare Modernization Act) directs the
1014 of Public Law 108–173, (known as Director. Secretary of the Department of Health
the Medicare Modernization Act) directs [FR Doc. 06–5377 Filed 6–13–06; 8:45 am] and Human Services (DHHS), acting
the Secretary of the Department of BILLING CODE 4610–90–M through the Agency for Healthcare
Health and Human Services (DHHS), Research and Quality, to establish a

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34370 Federal Register / Vol. 71, No. 114 / Wednesday, June 14, 2006 / Notices

Citizens’ Health Care Working Group when they need it. People in Utah previous health care reform efforts, too
(Citizen Group). This statutory recently spoke for tens of millions of little has been heard from the public
provision, codified at 42 U.S.C. 299 n., Americans when they noted. about several key issues, including:
directs the Working Group to provide ‘‘[the] inability to navigate the health care • The overarching values and
for a nationwide public debate about system without luck, a relationship, money aspirations that are at the heart of the
improving the health care system; and perseverance’’. mission of health care, and
develop and seek public comment on Far too often sick Americans lack one or • How they see the key elements of
interim recommendations arising from more of these factors needed to get solutions to health care financing and
this debate; and submit its final health care. delivery.
recommendations to the President and Given the breaktaking advances in It is in the spirit of giving a greater
Congress. medical science—American health care voice to everyday people that we deliver
The Citizens’ Health Care Working these recommendations on how to make
sadly under achieves. The health care
Group is composed of 15 members: The health care work for all Americans
system gets Americans the right care,
Secretary of DHHS is designated as a
and only the right care, about 50% of Table of Contents
member by statute and the remaining 14
the time. As many as 98,000 Americans Preamble
members were appointed to the
die because of medical errors each year. The Charge to the Citizens’ Health Care
Working Group by Comptroller General
Polls of American households reveal Working Group
of the U.S. Government Accountability
that about one third of Americans report Values and Principles
Office and announced on February 28,
that they or a family member have Interim Recommendations
2005. Members of the Citizens’ Health Care
experience a medical error at some
The statute requires that interim Working Group
point in their life. While no system can
recommendations be made available on
ever eliminate all error, we can do The Charge to the Citizens’ Health Care
the internet for a ninety day public
better. While most Americans are Working Group
comment period and also made
generally satisfied with their health
available through other public channels. The Citizens’ Health Care Working
care, too many Americans are being let
Interim recommendations were posted Group was created by the Medicare
down by their health care institutions.
on the Working Group’s Web site on Prescription Drug, Improvement and
Many people are afraid of the health
June 2, 2006. This notice constitutes an Modernization Act of 2003, Sec. 1014 to
care system, they are bewildered by its
additional public channel. provide for the American public to
These recommendations outline a complexity and are suspicious about
who it aims to serve. ‘‘engage in an informed national public
vision and a plan for achieving broad- debate to make choices about the
based change in health care in America, Addressing the problems of U.S.
health care involves considering the services they want covered, what health
to which members of the Working care coverage they want, and how they
Group have agreed. Over the next three perspectives, interests and
circumstances of providers, payers, are willing to pay for coverage.’’
months, the Working Group intends to Appointed by the Comptroller General
further refine these proposals, using the health plans and consumers. We have
spent 15 months reading, listening and of the United States, the Working Group
public input it actively seeks. consists of 14 individuals from diverse
learning about U.S. health care from a
Review Text wide range of perspectives. We have backgrounds, representing consumers,
held 6 hearings with experts, the uninsured, those with disabilities,
The text of the interim
stakeholders, scholars, public officials individuals with expertise in financing
recommendations and related materials
and advocates. We have conducted 31 benefits, business and labor
follow:
community meetings, as well as special perspectives, and health care providers.
Preamble The Secretary of Health and Human
The Charge to the Citizens’ Health Care
topic meetings and sponsored meetings
in 30 states and the District of Services also serves as a member of the
Working Group
Columbia. We have reviewed all the Working Group. Because the Working
Values and Principles
Interim Recommendations major public opinion polls focused on Group’s final recommendations will be
health care conducted between 2002 submitted to the Department of Health
Interim Recommendations of the and 2006. Citizen responses to the and Human Services, the Secretary of
Citizens’ Health Care Working Group Working Group’s internet polls (over Health and Human Services has neither
June 1, 2006 10,000 as of May 15) were studied. participated in the development of these
Finally, we have read close to 5,000 recommendations nor has he endorsed
Preamble individuals’ commentaries on health them. He will carefully consider them
The health care system that captures care matters submitted by residents of and take appropriate action.
vast amounts of America’s resources, this country. The legislation charged the working
employs many of its most talented A picture has been sketched for us of group with holding hearings on various
citizens and promises to relieve the a health care system that is health care issues before issuing The
burdens of dread disease badly needs to unintelligible to most people. They see Health Report to the American People.
be fixed. Health care costs strain a rigid system with a set of ingrained This report, completed in October 2005,
individual, household, employer and operating procedures that long ago provides an overview of health care in
public budgets. Often our citizens forego become disconnected from the mission the United States for the general public,
needed treatment because they are pried of providing people with humane, enabling them to be informed
out of the market. At the same time, respectful and technically excellent participants in the national discussion
public budgets are bucking under the health care. organized by the Working Group.
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burden of public health care programs. The legislation that created the The law specifies that this national
We spend nearly $2 trillion on health Citizens Health Care Working Group discussion take place through a series of
care each year, yet geography, race, emphasizes the need to bring the views Community Meetings, which as a
ethnicity, language and money impeded of everyday Americans to the job of minimum, address the following four
Americans from getting appropriate care creating a better health care system. In questions:

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Federal Register / Vol. 71, No. 114 / Wednesday, June 14, 2006 / Notices 34371

—What health care benefits and services These recommendations outline a Appropriate health care must be
should be provided? vision and a plan for achieving broad- available and affordable, as well as
—How does the American public want based change in health care in America. convenient and accessible for people in
health care delivered? We recognize that the issues involved their communities. People’s ability to
—How should health care coverage be are complex and challenging, and that it get services and be treated appropriately
financed? will take time and a great deal of and in a respectful manner are also
—What trade-offs are the American technical expertise, as well as political essential aspects of access to care.
public willing to make in either will, to make the changes we think are Æ Health care encompasses wellness,
benefits or financing to ensure access necessary. Over the next three months, preventive services, and treatment and
to affordable, high quality health care we will continue to actively pursue management of health problems.
coverage and services? public input as we deliberate and
• Core benefits/services will be
As noted in the Preamble of this further refine these proposals. During
selected through an independent, fair,
document, we held 6 hearings with this process, we will provide greater
transparent, and scientific process
experts, stakeholders, scholars, public detail and explanation of our
which gives priority to the consumer-
officials and advocates. We conducted recommendations, as well as further
health care provider relationship:
312 community meetings, as well as analysis of what we are hearing from the
American people before issuing the final Æ Identification of core benefits will
special topic meetings and sponsored
recommendations to the Congress and be made and updated by a public/
events, in more than 50 communities
the President. private entity whose members are
across the nation. Members attended
Those wishing to comment on the appointed through a process defined in
meetings in 30 states and the District of
interim recommendations may do so by law which
Columbia. We reviewed all the major
public opinion polls focused on health August 31, 2006 in any of three ways: —Includes citizens representing a broad
care conducted between 2002 and 2006. • online at spectrum of the population
Citizen responses to the Working www.CitizensHealthCare.gov;
• by e-mail to —Will specify core benefits taking into
Group’s internet polls (over 10,000 as of account evidence-based science and
May 15) were studied. Finally, we have citizenshealth@ahrq.gov; or
• by mail to the following address: expert consensus regarding the
read close to 5,000 individuals’ effectiveness of treatments.
Citizens’ Health Care Working Group,
commentaries on health care matters
Attn: Interim Recommendations, 7201 Æ Additional coverage for services
submitted by residents of this country.
Wisconsin Ave, Rm. 575, Bethesda, MD beyond the core package can be
Following this nationwide citizen
20814. purchased.
engagement, the Working Group is
required to prepare and make available Values & Principles • Shared social responsibility implies
to the public this interim set of The Citizens Health Care Working consideration of health care costs.
recommendations on ‘‘health care Group believes that reform of our health Æ Health care spending needs to be
coverage and ways to improve and care system should be guided by considered in the context of other social
strengthen the health care system based principles that reflect values of the needs and responsibilities. Because
on the information and preferences American people: resources for health care spending are
expressed at the community meetings.’’ • Health and health care are not unlimited, the efficient use of public
Following a 90-day public comment fundamental to the well-being and and private resources is critical.
period on these recommendations, the security of the American people. Æ Individuals should be responsible,
Working Group will submit to Congress • It should be public policy, to the extent possible, to be good
and the President a final set of established in law, that all Americans stewards of their health and health care
recommendations. The law specifies have affordable health care coverage. resources.
that the President shall submit a report • Assuring health care is a shared
to congress on the recommendations social responsibility. This includes, on Interim Recommendations
within 45 days of receiving them, and the one hand, a public responsibility for
designates five congressional • Core Benefits: Americans will have
the health and security of its people, access to a set of affordable and
committees that will hold hearings on and on the other hand, the
that report and the recommendations: appropriate core health care services by
responsibility of everyone to contribute. the year 2012.
the Committee on Finance of the Senate, Æ A defined set of benefits is
the Committee on Health, Education, guaranteed, by law, for all, across their Recommendation 1: It should be public
Labor and Pensions of the Senate, the lifespan, in a simple and seamless policy that all Americans have
Committee on Ways and Means of the manner; the benefits are portable and affordable health care
House of Representatives, the independent of health status, working
Committee on Energy and Commerce of status, age, income, or other categorical All Americans will have access to set
the House of Representatives, and the factors that might otherwise affect of core health care services. Financial
Committee on Education and the insurance status. assistance will be available to those who
Workforce of the House of Æ Individuals’ security is assured: as need it.
Representatives. defined in law, changes in Across every venue we explored, we
Following are the interim circumstances cannot be used to limit heard a common message: Americans
recommendations of the Citizens’ full access to benefits. should have a health care system where
Health Care Working Group, along with • All Americans will have access to everyone participates, regardless of their
descriptions of how we conducted our set of core health care services across financial resources or health status, with
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work and what we heard from the continuum of care throughout the benefits that are sufficiently
participants in community meetings, lifespan. comprehensive to provide access to
respondents to our Web polls, and Æ Access to care means that everyone appropriate, high-quality care without
citizens who wrote in to tell us their should be able to get the right care at the endangering individual or family
views. right time and at the right place. financial security.

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34372 Federal Register / Vol. 71, No. 114 / Wednesday, June 14, 2006 / Notices

Financing Health Care That Works for The set of core health services will go health networks to strengthen the health
All Americans across the continuum of care throughout care infrastructure at the local level,
This and other of the the lifespan. with a focus on populations and
recommendations contained here call • Health care encompasses wellness, localities where improved access to
for actions that will require new preventived services, primary care, quality care is most needed.
revenues to provide some health care acute care, prescription drugs, patient • Quality and Efficiency: Intensified
security for Americans who are now at education and treatment and efforts are central to the successful
great risk. The opinion polls we management of health problems transformation of health care in
examined, the community meetings we provided across a full range of inpatient America.
held, and the web based surveys and and outpatient settings.
• Health is defined to include Recommendation 5: Promote efforts to
comments we received, all showed large improve quality of care and efficiency
majorities of people willing to make physical, mental and dental health.
additional financial investments in the • Core benefits will be specified by The Federal Government will expand
service of expanding the protection taking into account evidence-based and accelerate its use of the resources of
against the costs of illness and the science and expert consensus regarding its public programs for advancing the
expansion of access to quality care. the medical effectiveness of treatments. development and implementation of
We recommend adopting financing • Immediate Protection for the Most strategies to improve quality and
strategies for these recommendations Vulnerable: Action should be taken now efficiency while controlling costs across
that are based on principles of fairness, to better protect Americans from the the entire health care system.
efficiency, and shared responsibility. high costs of health care and to improve • Using federally-funded health
These strategies should draw on and expand access to health care programs such as Medicare, Medicaid,
dedicated revenue streams such as services. Community Health Centers, TRICARE,
enrollee contributions, income taxes or Recommendation 3: Guarantee financial and the Veterans’ Health
surcharges, ‘‘sin taxes’’, business or protection against very high health care Administration, the Federal
payroll taxes, or value-added taxes that costs. Government will promote:
are targeted at supporting these new Æ Integrated health care systems built
health care initiatives. No one in America should be around evidence-based best practices;
We note that improvements in impoverished by health care costs. Æ Health information technologies
efficiency through a variety of Establish a national program (private
and electronic medical record systems
mechanisms such as investments in or public) that ensures
with special emphasis on their
health information technology, public • Coverage for all Americans,
• Protection against very high out-of- implementation in teaching hospitals
reporting, and quality improvement may and clinics where medical residents are
be realized over time. To the extent that pocket medical costs for everyone, and
•Financial protection for low income trained and who work with underserved
such efficiency gains are obtained they and uninsured populations;
would be used to assist in paying for individuals and families.
Æ Reduction of fraud and waste in
new protections such as those against Recommendation 4: Support integrated administration and clinical practice;
catastrophic health care expenditures community health networks Æ Consumer-usable information about
and the impoverishment of individuals health care services that includes
The Federal Government will lead a
as a result of getting the health care they information on prices, cost-sharing,
need. national initiative to develop and
expand integrated public/private quality and efficiency, and benefits; and
No specific health care financing
community networks of health care Æ Health education, patient-provider
mechanism is optimal. We understand
providers aimed at providing vulnerable communication, and patient-centered
that the transition from the current
populations, including low income and care, disease prevention, and health
system to a system that includes all
uninsured people, and people living in promotion.
Americans will take time and that
multiple financing sources will need to rural and underserved areas, with a Recommendation 6: Fundamentally
coexist during the move to universal source of high quality coordinated restructure the way that palliative care,
coverage. However, the disparate parts health care by: hospice care and other end-of-life
must be brought together in a way that • Identifying within the federal services are financed and provided, so
ensures a seamless and smooth government the unit with specific that people living with advanced
transition. responsibility for coordinating all incurable conditions have increased
federal efforts that support the health access to those services in the
Recommendation 2: Define a ‘‘Core’’ care safety net;
Benefit Package for All Americans environment they choose
• Establishing a public-private group
Establish an independent non- at the national level that is responsible Individuals nearing the end of life and
partisan private-public group to identify for advising the federal government on their families need support from the
and update recommendations for what the nation’s health care safety net’s health care system to understand their
would be covered under high-cost performance and funding streams, health care options, make their choices
protection and core benefits. conducting research on safety net about care delivery known, and have
• Members will be appointed through issues, and identifying and those choices honored.
a process defined in law that includes disseminating best practices on an • Public and private payers should
citizens representing a broad spectrum ongoing basis; integrate evidence based science, expert
of the population including, but not • Expanding and modifying the consensus, and culturally sensitive end
limited to, patients, providers, and Federal Qualified Health Center concept of life care models so that health
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payers, and staffed by experts. to accommodate other community-based services and community-based care can
• Identification of high cost and core health centers and practices serving better deal with the clinical realities and
benefits will be made through an vulnerable populations; and actual needs of chronically and
independent, fair, transparent and • Providing federal support for the seriously ill patients of any age and
scientific process. development of integrated community their families.

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Federal Register / Vol. 71, No. 114 / Wednesday, June 14, 2006 / Notices 34373

• Public and private programs should endorsement of the Working Group’s Place: John M. Eisenberg Building,
support training for health professionals recommendations by AHRQ or the 540 Gaither Road, Suite 2020, Rockville,
to emphasize proactive, individualized Department of Health and Human Maryland 20850.
care planning and clear communication Services. Contact Person: Anyone wishing to
between providers, patients and their obtain a roster of members, agenda or
Carolyn M. Clancy,
families. minutes of the non-confidential portions
• At the community level, funding Director.
of this meeting should contact Mrs.
should be made available for support [FR Doc. 06–5379 Filed 6–13–06; 8:45 am] Bonnie Campbell, Committee
services to assist individuals and BILLING CODE 4160–90–M Management Officer, Office of
families in accessing the kind of care Extramural Research, Education and
they want for last days. Priority Populations, AHRQ, 540
DEPARTMENT OF HEALTH AND Gaither Road, Room 2038, Rockville,
Members of the Citizens’ Health Care
HUMAN SERVICES Maryland 20850, telephone (301) 427–
Working Group
Randall L. Johnson, Chair Agency for Healthcare Research and 1554.
Frank J. Baumeister, Jr. Quality Agenda items for this meeting are
Dorothy A. Bazos subject to change as priorities dictate.
Montye S. Conlan Notice of Meeting Dated: June 2, 2006.
Richard G. Frank
Carolyn M. Clancy,
Joseph T. Hansen In accordance with section 10(d) of
Therese A. Hughes Director.
the Federal Advisory Committee Act (5
Brent C. James U.S.C., Appendix 2), announcement is [FR Doc. 06–5378 Filed 6–13–06; 8:45 am]
Catherine G. McLaughlin made of a Health Care Policy and BILLING CODE 4160–90–M
Patricia A. Maryland Research Special Emphasis Panel (SEP)
Rosario Perez meeting.
Aaron Shirley DEPARTMENT OF HEALTH AND
A Special Emphasis Panel is a group HUMAN SERVICES
Deborah R. Stehr
of experts in fields related to health care
Christine L. Wright
research who are invited by the Agency Centers for Disease Control and
Michael O. Leavitt, Secretary of Health
for Healthcare Research and Quality Prevention
and Human Services
(AHRQ), and agree to be available, to
Because the Working Group’s final conduct on an as needed basis, Disease, Disability, and Injury
recommendations will be submitted to scientific reviews of applications for Prevention and Control Special
the Department of Health and Human AHRQ support. Individual members of Emphasis Panels: Prevention of the
services, the Secretary of Health and the Panel do not attend regularly- Complications of Bleeding Disorders
Human Services has neither scheduled meetings and do not serve for Through Hemophilia Treatment
participated in the development of these fixed terms or a long period of time. Centers, Request for Applications
recommendations nor has he endorsed Rather, they are asked to participate in (RFA) DD06–005
them. He will carefully consider them particular review meetings which
and take appropriate action. require their type of expertise. In accordance with section 10(a)(2) of
the Federal Advisory Committee Act
End of Review Text Substantial segments of the upcoming
(Pub. L. 92–463), the Centers for Disease
Additional materials including a SEP meeting listed below will be closed
Control and Prevention (CDC)
description of how the Working Group to the public in accordance with the
announces the following meeting:
did its work, key findings from the Federal Advisory Committee Act,
section 10(d) of 5 U.S.C., Appendix 2 Name: Disease, Disability, and Injury
dialogue with the American people, Prevention and Control Special Emphasis
stories from Americans, and background and 5 U.S.C. 552b(c)(6). Grant
Panel: Prevention of the Complications of
material on the demographics and applications submitted in response to
Bleeding Disorders through Hemophilia
health resources of locations where the Request for Applications (RFA) Treatment Centers, RFA DD06–005.
Working Group community meetings Number: RFA–HS–06–030, Improving Time and Date: 8 a.m.–5 p.m., June 28,
were held, findings from the Working Patient Safety through Simulation 2006 (Closed).
Group’s internet poll and University Research, are to be reviewed and Place: Centers for Disease Control and
town hall meeting, and a summary of discussed at this meeting. These Prevention, 1600 Clifton Road, NE., Building
discussions are likely to reveal personal 19, Room 256/257, Atlanta, GA 30333.
presentations made to the Working
information concerning individuals Status: The meeting will be closed to the
Group can be found on the Working public in accordance with provisions set
Group’s Web site: associated with the applications. This
forth in section 552b(c)(4) and (6), Title 5
www.citizenshealthcare.gov. information is exempt from mandatory
U.S.C., and the Determination of the Director,
disclosure under the above-cited Management Analysis and Services Office,
Authority: This notice is published in statutes.
accordance with section 10(a) of the Federal CDC, pursuant to Public Law 92–463.
Advisory Committee Act. SEP Meeting on: Improving Patient Matters To Be Discussed: To conduct
Safety through Simulation Research, expert review of scientific merit of research
The Medicare Modernization Act July 11–13, 2006. applications in response to RFA DD06–005,
charged AHRQ with administering the ‘‘Prevention of the Complications of Bleeding
funds provided by the Congress for the Date: July 11, 2006 (Open on July 11 Disorders through Hemophilia Treatment
activities of the Citizens’ Health Care from 7 p.m. to 7:15 p.m. and closed for Centers.’’
Working Group. However, AHRQ has the remainder of the meeting). For Further Information Contact:
rwilkins on PROD1PC63 with NOTICES

not participated in the development of Place: Marriott Gaithersburg Juliana Cyril, Ph.D., Scientific Review
these recommendations or supporting Washingtonian, 9751 Washingtonian Administrator, Centers for Disease
material, has had not advance Boulevard, Gaithersburg, MD 20878. Control and Prevention, 1600 Clifton
knowledge of their content, and Date: July 12–13, 2006 (Closed Road, NE., Mailstop D72, Atlanta, GA
publication of this notice is not an meeting). 30333, Telephone 404.639.4639.

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