{"description":"Documents matching 'no-code compliance'","count":83,"total_pages":5,"next_page_url":"https://www.federalregister.gov/api/v1/documents?conditions%5Bterm%5D=no-code+compliance&format=json&page=2","results":[{"title":"Adoption of Energy Efficiency Standards for New Construction of HUD- and USDA-Financed Housing: Preliminary Determination and Solicitation of Comment","type":"Notice","abstract":"The Energy Independence and Security Act of 2007 (EISA) establishes procedures for the U.S. Department of Housing and Urban Development (HUD) and the U.S. Department of Agriculture (USDA) to adopt periodic revisions to the International Energy Conservation Code (IECC) and to ANSI/ASHRAE/IES Standard 90.1: Energy Standard for Buildings, Except Low-Rise Residential Buildings (ASHRAE 90.1), subject to a determination by HUD and USDA that the revised codes do not negatively affect the availability or affordability of new construction of single and multifamily housing covered by EISA, and a determination by the Secretary of Energy that the revised codes \"would improve energy efficiency.\" This Notice announces the preliminary determination of HUD and USDA, as required under section 481(d)(1) of EISA, that the 2021 IECC and ASHRAE 90.1-2019 will not negatively affect the affordability and availability of housing covered by EISA. In making this preliminary determination, the first step to ultimately requiring compliance with these standards in HUD and USDA housing covered by EISA, this Notice relies on several studies that show that these codes are cost effective in that the incremental cost of the additional efficiency measures pays for themselves with energy cost savings on a life-cycle basis.","document_number":"2023-10596","html_url":"https://www.federalregister.gov/documents/2023/05/18/2023-10596/adoption-of-energy-efficiency-standards-for-new-construction-of-hud--and-usda-financed-housing","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2023-05-18/pdf/2023-10596.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2023-10596.pdf?1684327532","publication_date":"2023-05-18","agencies":[{"raw_name":"DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT","name":"Housing and Urban Development Department","id":228,"url":"https://www.federalregister.gov/agencies/housing-and-urban-development-department","json_url":"https://www.federalregister.gov/api/v1/agencies/228","parent_id":null,"slug":"housing-and-urban-development-department"},{"raw_name":"DEPARTMENT OF AGRICULTURE","name":"Agriculture Department","id":12,"url":"https://www.federalregister.gov/agencies/agriculture-department","json_url":"https://www.federalregister.gov/api/v1/agencies/12","parent_id":null,"slug":"agriculture-department"}],"excerpts":"Electrification-Ready; RE126-19. Energy Efficient Water Heating, RE107-19, Eliminate Continuous Burning Pilot Light.\n \n \n • \n <span class=\"match\">Compliance</span> Pathways. \n There are three <span class=\"match\">compliance</span> pathways in the 2021 IECC: Prescriptive, Performance, and Energy Rating Index or ERI, which reverted to IECC 2015 levels. The prescriptive paths can follow the R-value minimum table, the U-Factor equivalent table, or the UA equivalent alternative. All <span class=\"match\">compliance</span> pathways now have required Additional Efficiency Options (AEOs) to achieve five percent greater energy efficiency than"},{"title":"Medicare Program; Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Program for Contract Year 2024-Remaining Provisions and Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (PACE)","type":"Rule","abstract":"This final rule will revise the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicare cost plan, and Programs of All-Inclusive Care for the Elderly (PACE) regulations to implement changes related to Star Ratings, marketing and communications, agent/broker compensation, health equity, dual eligible special needs plans (D-SNPs), utilization management, network adequacy, and other programmatic areas. This final rule also codifies existing sub-regulatory guidance in the Part C and Part D programs.","document_number":"2024-07105","html_url":"https://www.federalregister.gov/documents/2024/04/23/2024-07105/medicare-program-changes-to-the-medicare-advantage-and-the-medicare-prescription-drug-benefit","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-04-23/pdf/2024-07105.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-07105.pdf?1712265021","publication_date":"2024-04-23","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"},{"raw_name":"Office of the Secretary"}],"excerpts":"by MA organizations and their TPMOs. \n Through routine oversight and monitoring, CMS may take <span class=\"match\">compliance</span> actions if it determines that an MA organization is out of <span class=\"match\">compliance</span> with the terms of its contract with CMS. Based on an assessment of the circumstances surrounding non-<span class=\"match\">compliance</span>, CMS may issue a <span class=\"match\">compliance</span> action such as a notice of non-<span class=\"match\">compliance</span>, warning letter, or corrective action plan. As described in § 422.504(m)(3), a notice of non-<span class=\"match\">compliance</span> may be issued for any failure to comply with the requirements of the MA organization's current"},{"title":"The Emergency Alert System and Wireless Emergency Alerts","type":"Rule","abstract":"In this document, the Federal Communications Commission (FCC or Commission) amends its regulations governing the Emergency Alert System (EAS) and Wireless Emergency Alerts (WEA) to add a new event code, MEP, to allow alert originators to issue an alert to the public about missing and endangered persons (MEP) whose circumstances do not meet the criteria of \"America's Missing: Broadcast Emergency Response\" (AMBER) alerts.","document_number":"2024-19530","html_url":"https://www.federalregister.gov/documents/2024/09/06/2024-19530/the-emergency-alert-system-and-wireless-emergency-alerts","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-09-06/pdf/2024-19530.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-19530.pdf?1725540316","publication_date":"2024-09-06","agencies":[{"raw_name":"FEDERAL COMMUNICATIONS COMMISSION","name":"Federal Communications Commission","id":161,"url":"https://www.federalregister.gov/agencies/federal-communications-commission","json_url":"https://www.federalregister.gov/api/v1/agencies/161","parent_id":null,"slug":"federal-communications-commission"}],"excerpts":"business. Therefore, we must conclude based on internally developed Commission data, in general DBS service is provided only by large firms. \n E. Description of Projected Reporting, Recordkeeping, and Other <span class=\"match\">Compliance</span> Requirements for Small Entities \n \n 106. The \n Order \n will impose new or additional reporting, recordkeeping, and/or other <span class=\"match\">compliance</span> obligations on small entities, including EAS Participants that choose to use the new MEP code, and small EAS equipment manufactures. As proposed in the \n MEP NPRM, \n use of the MEP event code for EAS is"},{"title":"Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs; Payment for Intensive Outpatient Services in Hospital Outpatient Departments, Community Mental Health Centers, Rural Health Clinics, Federally Qualified Health Centers, and Opioid Treatment Programs; Hospital Price Transparency; Changes to Community Mental Health Centers Conditions of Participation, Changes to the Inpatient Prospective Payment System Medicare Code Editor; Rural Emergency Hospital Conditions of Participation Technical Correction","type":"Rule","abstract":"This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for calendar year 2024 based on our continuing experience with these systems. In this final rule, we describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. Also, this final rule updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program, the ASC Quality Reporting (ASCQR) Program, and the Rural Emergency Hospital Quality Reporting (REHQR) Program. In this final rule, we are also establishing a payment for certain intensive outpatient services under Medicare, beginning January 1, 2024. In addition, this final rule updates and refines requirements for hospitals to make public their standard charge information and enforcement of hospital price transparency. We are finalizing changes to the community mental health center (CMHC) Conditions of Participation (CoPs) to provide requirements for furnishing intensive outpatient (IOP) services, and we are finalizing the proposed personnel qualifications for mental health counselors (MHCs) and marriage and family therapists (MFTs). Additionally, we are finalizing the removal of discussion of the inpatient prospective payment system (IPPS) Medicare Code Editor (MCE) from the annual IPPS rulemakings, beginning with the fiscal year (FY) 2025 rulemaking. Finally, we are finalizing a technical correction to the Rural Emergency Hospital (REH) CoPs under the standard for the designation and certification of REHs.","document_number":"2023-24293","html_url":"https://www.federalregister.gov/documents/2023/11/22/2023-24293/medicare-program-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center-payment","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2023-11-22/pdf/2023-24293.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2023-24293.pdf?1698959177","publication_date":"2023-11-22","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"},{"raw_name":"Office of the Secretary"}],"excerpts":"programs that make public <span class=\"match\">compliance</span> actions for various programs, including CMS' Part C and D results related to the Medicare Advantage and Prescription Drug Plan program audits \n 808 \n \n and <span class=\"match\">compliance</span> actions.\n 809 \n \n \n \n \n 808 \n  \n https://www.cms.gov/medicare/<span class=\"match\">compliance</span>-and-audits/part-c-and-part-d-<span class=\"match\">compliance</span>-and-audits/programaudits. \n \n \n \n \n 809 \n  \n https://www.cms.gov/Medicare/<span class=\"match\">Compliance</span>-and-Audits/Part-C-and-Part-D-<span class=\"match\">Compliance</span>-and-Audits/PartCandPartDComplianceActions. \n \n \n We believe that making public <span class=\"match\">compliance</span> information may reduce"},{"title":"Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year (FY) 2026 Rates; Changes to the FY 2025 IPPS Rates Due to Court Decision; Requirements for Quality Programs; and Other Policy Changes; Health Data, Technology, and Interoperability: Electronic Prescribing, Real-Time Prescription Benefit and Electronic Prior Authorization","type":"Rule","abstract":"This final rule revises the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals; makes changes relating to Medicare graduate medical education (GME) for teaching hospitals; updates the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs); updates and makes changes to requirements for certain quality programs; and makes other policy- related changes. We are also finalizing the provisions of the interim final action with comment period regarding the changes to the FY 2025 IPPS rates due to the court decision in Bridgeport Hosp. v. Becerra. Lastly, it finalizes certain updates to the ONC Health Information Technology (IT) Certification Program.","document_number":"2025-14681","html_url":"https://www.federalregister.gov/documents/2025/08/04/2025-14681/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-ipps-and","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-08-04/pdf/2025-14681.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-14681.pdf?1753992911","publication_date":"2025-08-04","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"},{"raw_name":"Office of the Secretary"}],"excerpts":"reconsideration if they believe that the finding of non-<span class=\"match\">compliance</span> is erroneous, or if they were non-compliant, they have a valid and justifiable excuse for this non-<span class=\"match\">compliance</span> (78 FR 50886). We further stated that, after we review the request for reconsideration, we may reverse our initial finding of non-<span class=\"match\">compliance</span> if: (1) the LTCH provides proof of <span class=\"match\">compliance</span> with all requirements during the reporting period; or (2) the LTCH provides adequate proof of a valid or justifiable excuse for non-<span class=\"match\">compliance</span> if the LTCH was not able to comply with requirements"},{"title":"Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program","type":"Rule","abstract":"This major final rule addresses: changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and changes in the statute; codification of establishment of new policies for: the Medicare Prescription Drug Inflation Rebate Program under the Inflation Reduction Act of 2022; the Ambulatory Specialty Model; updates to the Medicare Diabetes Prevention Program expanded model; updates to drugs and biological products paid under Part B; Medicare Shared Savings Program requirements; updates to the Quality Payment Program; updates to policies for Rural Health Clinics and Federally Qualified Health Centers; update to the Ambulance Fee Schedule regulations; codification of the Inflation Reduction Act and Consolidated Appropriations Act, 2023 provisions; updates to the Medicare Promoting Interoperability Program.","document_number":"2025-19787","html_url":"https://www.federalregister.gov/documents/2025/11/05/2025-19787/medicare-and-medicaid-programs-cy-2026-payment-policies-under-the-physician-fee-schedule-and-other","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-11-05/pdf/2025-19787.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-19787.pdf?1761945018","publication_date":"2025-11-05","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"clarifications establish clear parameters that promote effective oversight of program <span class=\"match\">compliance</span> and prevent beneficiaries from circumventing the established MDPP session structure, such as completing multiple sessions in rapid succession. \n \n Comment: \n A commenter requested that CMS should require all asynchronous MDPP programs to meet section 508 <span class=\"match\">compliance</span> standards to ensure equal access to Online delivery.\n \n \n Response: \n In response to the comment regarding section 508 <span class=\"match\">compliance</span> for Online delivery, we emphasize that the application of section 508 of"},{"title":"Revisions to the Air Emissions Reporting Requirements","type":"Proposed Rule","abstract":"This action proposes changes to the EPA's Air Emissions Reporting Requirements (AERR). The proposed amendments may require changes to current regulations of State, local, and certain tribal air agencies; would require these agencies to report emissions data to the EPA using different approaches from current requirements; and would require owners/operators of some facilities to report additional emissions data. More specifically, the EPA is proposing to require certain sources report information regarding emission of hazardous air pollutants (HAP); certain sources to report criteria air pollutants, their precursors and HAP; and to require State, local, and certain tribal air agencies to report prescribed fire data. The proposed revisions would also define a new approach for optional collection by air agencies of such information on HAP by which State, local and certain tribal air agencies may implement requirements and report emissions on behalf of owners/operators. The proposed revisions would also make the requirements for point sources consistent for every year; phase in earlier deadlines for point source reporting; and add requirements for reporting fuel use data for certain sources of electrical generation associated with peak electricity demand. The proposed revisions include further changes for reporting on airports, rail yards, commercial marine vessels, locomotives, and nonpoint sources. For owners/operators of facilities that meet criteria described in this proposal, the proposed revisions would require reporting of performance test and performance evaluation data to the EPA for all tests conducted after the effective date provided in the final rulemaking. The EPA also proposes to clarify that information the EPA collects through the AERR is emission data that is not subject to confidential treatment.","document_number":"2023-16158","html_url":"https://www.federalregister.gov/documents/2023/08/09/2023-16158/revisions-to-the-air-emissions-reporting-requirements","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2023-08-09/pdf/2023-16158.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2023-16158.pdf?1691498717","publication_date":"2023-08-09","agencies":[{"raw_name":"ENVIRONMENTAL PROTECTION AGENCY","name":"Environmental Protection Agency","id":145,"url":"https://www.federalregister.gov/agencies/environmental-protection-agency","json_url":"https://www.federalregister.gov/api/v1/agencies/145","parent_id":null,"slug":"environmental-protection-agency"}],"excerpts":"find a reporting issue or illegal manufacturing and follow up with an inspection. EPA inspectors can search the EPA's Enforcement and <span class=\"match\">Compliance</span> History Online (ECHO) database \n 13 \n \n (that includes NEI data) by emissions processes to help identify facilities of interest by industry. EPA also uses AirToxScreen and its predecessor NATA for prioritization of <span class=\"match\">compliance</span> and enforcement resources. Within EPA, <span class=\"match\">compliance</span> staff have access to the ECHO Clean Air Tracking Tool (ECATT), which includes data from many sources including AirToxScreen. This tool"},{"title":"Medicare and Medicaid Programs; CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program","type":"Proposed Rule","abstract":"This major proposed rule addresses: changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and changes in the statute; codification of establishment of new policies for: the Medicare Prescription Drug Inflation Rebate Program under the Inflation Reduction Act of 2022; the Ambulatory Specialty Model; updates to the Medicare Diabetes Prevention Program expanded model; updates to drugs and biological products paid under Part B; Medicare Shared Savings Program requirements; updates to the Quality Payment Program; updates to policies for Rural Health Clinics and Federally Qualified Health Centers update to the Ambulance Fee Schedule regulations; codification of the Inflation Reduction Act and Consolidated Appropriations Act, 2023 provisions; updates to the Medicare Promoting Interoperability Program.","document_number":"2025-13271","html_url":"https://www.federalregister.gov/documents/2025/07/16/2025-13271/medicare-and-medicaid-programs-cy-2026-payment-policies-under-the-physician-fee-schedule-and-other","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-07-16/pdf/2025-13271.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-13271.pdf?1752524111","publication_date":"2025-07-16","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"public comment on this proposal to modify the Security Risk Analysis measure beginning with the CY 2026 performance period/2028 MIPS payment year. Also, we seek public comment regarding <span class=\"match\">compliance</span> with security risk management requirements and the potential impact the proposed modification to the Security Risk Analysis measure would have on risk management <span class=\"match\">compliance</span> and any potential burden from this proposal. \n (d) Proposal To Modify the High Priority Practices Safety Assurance Factors for EHR Resilience (SAFER) Guide Measure \n (i) Background \n "},{"title":"Electronic Submission of a Sequence Listing, a Large Table, or a Computer Program Listing Appendix in Patent Applications","type":"Rule","abstract":"The United States Patent and Trademark Office (USPTO or Office) is amending the rules of practice to permit higher-capacity physical media to be submitted to the USPTO. Patent applications for certain inventions require significant data in American Standard Code for Information Interchange (ASCII) plain text format to be submitted to the USPTO in order to determine whether the invention described in the patent application is patentable. When submission of such data exceeds the USPTO's patent electronic filing system capacity, submission of large data submission in ASCII plain text format can be made on physical media. To that end, the rules of practice are amended to provide applicants with the ability to use physical media larger than compact discs (CDs) for submission of data in ASCII plain text format, such as an electronic version of amino acid and nucleotide sequence information, information compiled in a large table, or information related to a computer program listing. Additionally, extraction of compressed data files, which had not been permitted in the past for certain submissions, will be permitted if the compressed data files are compliant with the requirements of the rules. Other rules related to certain obsolete and non-secure methods of presenting data are eliminated.","document_number":"2021-22217","html_url":"https://www.federalregister.gov/documents/2021/10/14/2021-22217/electronic-submission-of-a-sequence-listing-a-large-table-or-a-computer-program-listing-appendix-in","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2021-10-14/pdf/2021-22217.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2021-22217.pdf?1634129123","publication_date":"2021-10-14","agencies":[{"raw_name":"DEPARTMENT OF COMMERCE","name":"Commerce Department","id":54,"url":"https://www.federalregister.gov/agencies/commerce-department","json_url":"https://www.federalregister.gov/api/v1/agencies/54","parent_id":null,"slug":"commerce-department"},{"raw_name":"Patent and Trademark Office","name":"Patent and Trademark Office","id":402,"url":"https://www.federalregister.gov/agencies/patent-and-trademark-office","json_url":"https://www.federalregister.gov/api/v1/agencies/402","parent_id":54,"slug":"patent-and-trademark-office"}],"excerpts":"patent electronic filing system.” \n Section 1.52(f)(1) is amended to clarify the determination of application size fees for application components submitted on a read-only optical disc in <span class=\"match\">compliance</span> with § 1.52(e), where an electronic form of any “Sequence Listing,” in <span class=\"match\">compliance</span> with either § 1.821(c) or (e), and any “Computer Program Listing Appendix,” in <span class=\"match\">compliance</span> with § 1.96(c), are specifically excluded from the application size fee determination. As stated in 35 U.S.C. 41(a)(1)(G), “any sequence listing” or a “computer program listing” submitted"},{"title":"Electronic Submission of a Sequence Listing, a Large Table, or a Computer Program Listing Appendix in Patent Applications","type":"Proposed Rule","abstract":"The United States Patent and Trademark Office (USPTO or Office) proposes to amend the rules of practice to permit higher- capacity physical media to be submitted to the USPTO. Patent applications for certain inventions require significant data in American Standard Code for Information Interchange (ASCII) text format to be submitted to the USPTO in order to determine whether the invention described in the patent application is patentable. When submission of such data exceeds the USPTO's patent electronic filing system capacity, direct submission would not be possible for a large data submission in ASCII text format. To that end, the rules of practice are proposed to be amended to provide applicants with the ability to use physical media larger than compact discs (CDs) for submission of an electronic version of amino acid and nucleotide sequence information, information compiled in a large table, and information relating to a computer program listing. Additionally, changes regarding extraction of compressed data files, which had not been permitted in the past for certain submissions, would be permitted if compliant with the requirements of the proposed rules. Other rules relating to certain obsolete and non-secure methods of presenting data would be eliminated.","document_number":"2021-10421","html_url":"https://www.federalregister.gov/documents/2021/05/26/2021-10421/electronic-submission-of-a-sequence-listing-a-large-table-or-a-computer-program-listing-appendix-in","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2021-05-26/pdf/2021-10421.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2021-10421.pdf?1621946719","publication_date":"2021-05-26","agencies":[{"raw_name":"DEPARTMENT OF COMMERCE","name":"Commerce Department","id":54,"url":"https://www.federalregister.gov/agencies/commerce-department","json_url":"https://www.federalregister.gov/api/v1/agencies/54","parent_id":null,"slug":"commerce-department"},{"raw_name":"Patent and Trademark Office","name":"Patent and Trademark Office","id":402,"url":"https://www.federalregister.gov/agencies/patent-and-trademark-office","json_url":"https://www.federalregister.gov/api/v1/agencies/402","parent_id":54,"slug":"patent-and-trademark-office"}],"excerpts":"filing system.” \n Section 1.52(f)(1) is proposed to be amended to clarify the determination of application size fees for application components submitted on a read-only optical disc in <span class=\"match\">compliance</span> with § 1.52(e), where an electronic form of any “Sequence Listing,” in <span class=\"match\">compliance</span> with either § 1.821(c) or (e), and any “Computer Program Listing Appendix,” in <span class=\"match\">compliance</span> with § 1.96(c), are specifically excluded from the application size fee determination. As stated in 35 U.S.C. 41(a)(1)(G), “any sequence listing” or a “computer program listing” submitted"},{"title":"Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2022 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Changes to Medicaid Provider Enrollment; and Changes to the Medicare Shared Savings Program","type":"Rule","abstract":"This final rule revises the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems for FY 2022 and to implement certain recent legislation. The final rule also updates the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long- term care hospitals (LTCHs) for FY 2022. It also finalizes a May 10, 2021 interim final rule with comment period regarding rural reclassification through the Medicare Geographic Classification Review Board (MGCRB). The final rule also implements changes and updates for the Medicare Promoting Interoperability, Hospital Value-Based Purchasing, Hospital Readmissions Reduction, Hospital Inpatient Quality Reporting, Hospital-Acquired Condition Reduction, the PPS-Exempt Cancer Hospital Reporting, and the Long-Term Care Hospital Quality Reporting programs. It also finalizes provisions that alleviate a longstanding problem related to claiming Medicare bad debt and provide a participation opportunity for eligible accountable care organizations (ACOs).","document_number":"2021-16519","html_url":"https://www.federalregister.gov/documents/2021/08/13/2021-16519/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-and-the","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2021-08-13/pdf/2021-16519.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2021-16519.pdf?1627935325","publication_date":"2021-08-13","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"Report the <span class=\"match\">Compliance</span> With Spontaneous Breathing Trial (SBT) by Day 2 of the LTCH Stay Measure Beginning With the FY 2023 LTCH QRP \n \n We proposed public reporting for the <span class=\"match\">Compliance</span> with Spontaneous Breathing Trial (SBT) by Day 2 of the LTCH Stay measure beginning with the March 2022 Care Compare refresh or as soon as technically feasible using four rolling quarters of discharge data collected in Q3 2020 through Q2 2021 (July 1, 2020 through June 30, 2021) for the inaugural display of this measure. We proposed publicly reporting the <span class=\"match\">Compliance</span> with SBT"},{"title":"Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2022 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Proposed Changes to Medicaid Provider Enrollment; and Proposed Changes to the Medicare Shared Savings Program","type":"Proposed Rule","abstract":"We are proposing to revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital-related costs of acute care hospitals to implement changes arising from our continuing experience with these systems for FY 2022 and to implement certain recent legislation. In addition, we are proposing to rebase and revise the hospital market baskets for acute care hospitals, update the labor-related share, and provide the market basket update that would apply to the rate-of-increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis, subject to these limits for FY 2022. We are also proposing policies relating to Medicare graduate medical education (GME) for teaching hospitals to implement certain recent legislation. The proposed rule would also update the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals (LTCHs) for FY 2022. In this FY 2022 IPPS/LTCH PPS proposed rule, we are proposing to extend New COVID-19 Treatments Add-on Payment (NCTAP) for certain eligible products through the end of the fiscal year in which the PHE ends and to discontinue the NCTAP for discharges on or after October 1, 2021 for a product that is approved for new technology add-on payments beginning FY 2022. We are also proposing to repeal the collection of market-based rate information on the Medicare cost report and the market-based MS- DRG relative weight methodology, as finalized in the FY 2021 IPPS/LTCH PPS final rule. We are proposing to establish new requirements and revise existing requirements for eligible hospitals and critical access hospitals (CAHs) participating in the Medicare Promoting Interoperability Program. We are also providing estimated and newly established performance standards for the Hospital Value-Based Purchasing (VBP) Program, and proposing updated policies for the Hospital Readmissions Reduction Program, Hospital Inpatient Quality Reporting (IQR) Program, Hospital VBP Program, Hospital-Acquired Condition (HAC) Reduction Program, and the PPS-Exempt Cancer Hospital Reporting (PCHQR) Program, and the Long-Term Care Hospital Quality Reporting Program (LTCH QRP). Additionally, due to the impact of the COVID-19 PHE on measure data used in our value-based purchasing programs, we are proposing to suppress several measures in the Hospital VBP, HAC Reduction, and Hospital Readmissions Reduction Programs. In connection with our measure suppression proposals for the FY 2022 Hospital VBP Program, we are also proposing to revise the scoring and payment methodology for the FY 2022 program year such that hospitals will not be scored using quality measure data that are distorted by the effects of the COVID-19 public health emergency (PHE) and will not receive Total Performance Scores or adjustments to their payments as a result. Similarly, we are proposing to suppress affected measures for the FY 2022 HAC Reduction Program such that hospitals will not be scored using distorted quality measure data and will not receive Total HAC Scores based on those data. For the Hospital Readmissions Reduction Program, we are proposing to suppress one affected measure under the proposed measure suppression policy for the FY 2023 applicable period such that hospitals will not be assessed using distorted quality measure data and will not receive payment reductions based on those data. In addition, we are proposing to change, clarify, and codify Medicare organ acquisition payment policies relative to organ procurement organizations (OPOs), transplant hospitals, and donor community hospitals. Also, we are proposing to add regulation requiring that state Medicaid agencies accept valid enrollments from all Medicare-enrolled providers and suppliers for purposes of processing claims for Medicare cost-sharing liability for services furnished to Medicare-Medicaid dually eligible individuals in order to alleviate a long-standing problem related to claiming Medicare bad debt. Additionally, we are proposing to amend the Medicare Shared Savings Program regulations to allow eligible accountable care organizations (ACOs) participating in the BASIC track's glide path the opportunity to maintain their current level of participation for performance year (PY) 2022.","document_number":"2021-08888","html_url":"https://www.federalregister.gov/documents/2021/05/10/2021-08888/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-and-the","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2021-05-10/pdf/2021-08888.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2021-08888.pdf?1619556476","publication_date":"2021-05-10","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"Report the <span class=\"match\">Compliance</span> With Spontaneous Breathing Trial (SBT) by Day 2 of the LTCH Stay Measure Beginning With the FY 2023 LTCH QRP \n \n We propose public reporting for the <span class=\"match\">Compliance</span> with Spontaneous Breathing Trial (SBT) by Day 2 of the LTCH Stay measure beginning with the March 2022 Care Compare refresh or as soon as technically feasible using four rolling quarters of discharge data collected in Q3 2020 through Q2 2021 (July 1, 2020 through June 30, 2021) for the inaugural display of this measure. We propose publicly reporting the <span class=\"match\">Compliance</span> with SBT"},{"title":"Medicare Program: Changes to Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Revisions of Organ Procurement Organizations Conditions of Coverage; Prior Authorization Process and Requirements for Certain Covered Outpatient Department Services; Potential Changes to the Laboratory Date of Service Policy; Changes to Grandfathered Children's Hospitals-Within-Hospitals; Notice of Closure of Two Teaching Hospitals and Opportunity To Apply for Available Slots","type":"Rule","abstract":"This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for Calendar Year 2020 based on our continuing experience with these systems. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. Also, this final rule with comment period updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program. In addition, this final rule with comment period establishes a process and requirements for prior authorization for certain covered outpatient department services; revise the conditions for coverage of organ procurement organizations; and revise the regulations to allow grandfathered children's hospitals- within-hospitals to increase the number of beds without resulting in the loss of grandfathered status; and provides notice of the closure of two teaching hospitals and the opportunity to apply for available slots for purposes of indirect medical education (IME) and direct graduate medical education (DGME) payments.","document_number":"2019-24138","html_url":"https://www.federalregister.gov/documents/2019/11/12/2019-24138/medicare-program-changes-to-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2019-11-12/pdf/2019-24138.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2019-24138.pdf?1572639324","publication_date":"2019-11-12","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"exemption, should be explicitly accounted for within the regulations located in Part 419. Still other commenters suggested that CMS determine the rate of <span class=\"match\">compliance</span> with the coverage requirements prior to the implementation of this prior authorization process so that certain providers could begin the new process with an exemption in place for attaining or exceeding the requisite 90 percent <span class=\"match\">compliance</span> rate. Alternatively, one commenter suggested that CMS use existing data to identify egregious providers to reduce burden on historically compliant providers"},{"title":"Claims for Compensation Under the Energy Employees Occupational Illness Compensation Program Act","type":"Rule","abstract":"The Department of Labor initiated this rulemaking to bring clarity to the regulatory description of the claims adjudication process, and to improve the administration of the program. This final rule updates existing regulations to remove obsolete terms, update references and incorporate policy and procedural changes. It also adds necessary controls to allow the Department to better manage the provision of home health care to beneficiaries.","document_number":"2019-00581","html_url":"https://www.federalregister.gov/documents/2019/02/08/2019-00581/claims-for-compensation-under-the-energy-employees-occupational-illness-compensation-program-act","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2019-02-08/pdf/2019-00581.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2019-00581.pdf?1549547117","publication_date":"2019-02-08","agencies":[{"raw_name":"DEPARTMENT OF LABOR","name":"Labor Department","id":271,"url":"https://www.federalregister.gov/agencies/labor-department","json_url":"https://www.federalregister.gov/api/v1/agencies/271","parent_id":null,"slug":"labor-department"},{"raw_name":"Office of Workers' Compensation Programs","name":"Workers' Compensation Programs Office","id":530,"url":"https://www.federalregister.gov/agencies/workers-compensation-programs-office","json_url":"https://www.federalregister.gov/api/v1/agencies/530","parent_id":271,"slug":"workers-compensation-programs-office"}],"excerpts":"proposed § 30.701(b) noted that OWCP will return and/or deny payment for a bill if <span class=\"match\">no code</span> is submitted. A claimant representative feared that the language in proposed § 30.701(b) recognizing this discretion might create inconsistencies and delays. This comment is merely conjectural, however, and is not consistent with OWCP's experience. The same claimant representative objected to the proposed language that OWCP will return and/or deny payment for a bill if <span class=\"match\">no code</span> is submitted, and felt that this action would be statutorily impermissible. On the"},{"title":"Home Mortgage Disclosure (Regulation C)","type":"Rule","abstract":"The Bureau of Consumer Financial Protection (Bureau) is amending Regulation C to make technical corrections to and to clarify certain requirements adopted by the Bureau's Home Mortgage Disclosure (Regulation C) final rule (2015 HMDA Final Rule), which was published in the Federal Register on October 28, 2015. The Bureau is also amending Regulation C to increase the threshold for collecting and reporting data about open-end lines of credit for a period of two years so that financial institutions originating fewer than 500 open-end lines of credit in either of the preceding two years would not be required to begin collecting such data until January 1, 2020. The Bureau also is adopting a new reporting exclusion.","document_number":"2017-18284","html_url":"https://www.federalregister.gov/documents/2017/09/13/2017-18284/home-mortgage-disclosure-regulation-c","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2017-09-13/pdf/2017-18284.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2017-18284.pdf?1505220323","publication_date":"2017-09-13","agencies":[{"raw_name":"BUREAU OF CONSUMER FINANCIAL PROTECTION","name":"Consumer Financial Protection Bureau","id":573,"url":"https://www.federalregister.gov/agencies/consumer-financial-protection-bureau","json_url":"https://www.federalregister.gov/api/v1/agencies/573","parent_id":null,"slug":"consumer-financial-protection-bureau"}],"excerpts":"  \n Id. \n at 66275 n.477.\n \n \n \n To estimate the one-time and ongoing costs of collecting and reporting data under HMDA in the 2015 HMDA Final Rule, the Bureau identified seven “dimensions” of <span class=\"match\">compliance</span> operations and used those to define three broadly representative financial institutions according to the overall level of complexity of their <span class=\"match\">compliance</span> operations: “tier 1” (high-complexity); “tier 2” (moderate-complexity); and “tier 3” (low-complexity).\n 26 \n \n In estimating costs specific to collecting and reporting data for open-end lines of"},{"title":"Black Lung Benefits Act: Medical Benefit Payments","type":"Proposed Rule","abstract":"The Department is proposing revisions to regulations under the Black Lung Benefits Act (BLBA or Act) governing the payment of medical benefits. The Department is basing these rules on payment formulas that the Centers for Medicare & Medicaid Services (CMS) uses to determine payments under the Medicare program. The Department also intends to make the rules similar to those utilized in the other programs that the Office of Workers' Compensation Programs (OWCP) administers. These rules will determine the amounts payable for covered medical services and treatments provided to entitled miners, when those services or treatments are paid by the Black Lung Disability Trust Fund. In addition, the proposed rule would eliminate two obsolete provisions.","document_number":"2016-31382","html_url":"https://www.federalregister.gov/documents/2017/01/04/2016-31382/black-lung-benefits-act-medical-benefit-payments","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2017-01-04/pdf/2016-31382.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2016-31382.pdf?1483451129","publication_date":"2017-01-04","agencies":[{"raw_name":"DEPARTMENT OF LABOR","name":"Labor Department","id":271,"url":"https://www.federalregister.gov/agencies/labor-department","json_url":"https://www.federalregister.gov/api/v1/agencies/271","parent_id":null,"slug":"labor-department"},{"raw_name":"Office of Workers' Compensation Programs","name":"Workers' Compensation Programs Office","id":530,"url":"https://www.federalregister.gov/agencies/workers-compensation-programs-office","json_url":"https://www.federalregister.gov/api/v1/agencies/530","parent_id":271,"slug":"workers-compensation-programs-office"}],"excerpts":"or more) of the total number of negatively affected small hospitals providing either outpatient or inpatient services. \n 1. Estimated Reporting, Recordkeeping, and Other <span class=\"match\">Compliance</span> Costs to Small Entities \n \n Based on its analysis of available data, the Department has determined that the proposed rule will not impose any additional reporting, recordkeeping, or \n \n other <span class=\"match\">compliance</span> costs on providers. The proposed procedures for the submission and payment of medical bills conform to current industry standards for the processing of such bills. Providers"},{"title":"Missouri Regulatory Program","type":"Rule","abstract":"We, the Office of Surface Mining Reclamation and Enforcement (OSMRE), are approving an amendment to the Missouri regulatory program (Missouri program) under the Surface Mining Control and Reclamation Act of 1977 (SMCRA or the Act). Missouri proposed revisions to its regulations concerning several topics regarding: Valid Existing Rights; Protection of Hydrologic Balance; Post-mining Land Use; Permit Applications; and Air Resource Protection. Missouri intends to revise its program to be no less effective than the Federal regulations, to clarify ambiguities, and to improve operational efficiency.","document_number":"2015-31674","html_url":"https://www.federalregister.gov/documents/2015/12/17/2015-31674/missouri-regulatory-program","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2015-12-17/pdf/2015-31674.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2015-31674.pdf?1450273542","publication_date":"2015-12-17","agencies":[{"raw_name":"DEPARTMENT OF THE INTERIOR","name":"Interior Department","id":253,"url":"https://www.federalregister.gov/agencies/interior-department","json_url":"https://www.federalregister.gov/api/v1/agencies/253","parent_id":null,"slug":"interior-department"},{"raw_name":"Office of Surface Mining Reclamation and Enforcement","name":"Surface Mining Reclamation and Enforcement Office","id":480,"url":"https://www.federalregister.gov/agencies/surface-mining-reclamation-and-enforcement-office","json_url":"https://www.federalregister.gov/api/v1/agencies/480","parent_id":253,"slug":"surface-mining-reclamation-and-enforcement-office"}],"excerpts":"Limitations on Mining in Certain Areas. \n \n \n 40-5.020 \n State Designation of Areas as Unsuitable for Mining. \n \n \n 40-6.020 \n General Requirement for Coal Exploration, Permits. \n \n \n 40-6.030 \n Surface Mining Permit Applications—Minimum Requirements for Legal, Financial, <span class=\"match\">Compliance</span>, and Related Information. \n \n \n 40-6.040 \n Surface Mining Permit Applications—Minimum Requirements for Information on Environmental Resources. \n \n \n 40-6.050 \n Surface Mining Permit Applications—Minimum Requirements for Reclamation and Operations Plan. \n \n \n 40-6.060 \n"},{"title":"Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Short Inpatient Hospital Stays; Transition for Certain Medicare-Dependent, Small Rural Hospitals Under the Hospital Inpatient Prospective Payment System; Provider Administrative Appeals and Judicial Review","type":"Rule","abstract":"This final rule with comment period revises the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2016 to implement applicable statutory requirements and changes arising from our continuing experience with these systems. In this final rule with comment period, we describe the changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. In addition, this final rule with comment period updates and refines the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program. Further, this document includes certain finalized policies relating to the hospital inpatient prospective payment system: Changes to the 2- midnight rule under the short inpatient hospital stay policy; and a payment transition for hospitals that lost their status as a Medicare- dependent, small rural hospital (MDH) because they are no longer in a rural area due to the implementation of the new Office of Management and Budget delineations in FY 2015 and have not reclassified from urban to rural before January 1, 2016. In addition, this document contains a final rule that finalizes certain 2015 proposals, and addresses public comments received, relating to the changes in the Medicare regulations governing provider administrative appeals and judicial review relating to appropriate claims in provider cost reports.","document_number":"2015-27943","html_url":"https://www.federalregister.gov/documents/2015/11/13/2015-27943/medicare-program-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center-payment","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2015-11-13/pdf/2015-27943.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2015-27943.pdf?1446236131","publication_date":"2015-11-13","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"special processing for C-APCs, as discussed in section II.A.2.e. of this final rule with comment period; claims with one unit of a status indicator “Q1” code (“STV-packaged”) where there was <span class=\"match\">no code</span> with status indicator “S,” “T,” or “V” on the same claim on the same date; or claims with one unit of a status indicator “Q2” code (“T-packaged”) where there was <span class=\"match\">no code</span> with a status indicator “T” on the same claim on the same date.\n \n \n 2. \n Multiple Procedure Major Claims: \n Claims with more than one separately payable procedure (that is, status indicator"},{"title":"Determination Regarding Energy Efficiency Improvements in the 2015 International Energy Conservation Code (IECC)","type":"Notice","abstract":"The U.S. Department of Energy (DOE) has determined that the 2015 edition of the International Energy Conservation Code (IECC) would improve energy efficiency in buildings subject to the code compared to the 2012 edition. DOE analysis indicates that buildings meeting the 2015 IECC (as compared with buildings meeting the 2012 IECC) would result in national source energy savings of approximately 0.87 percent, site energy savings of approximately 0.98 percent, and energy cost savings of approximately 0.73 percent of residential building energy consumption, as regulated by the IECC. Upon publication of this affirmative determination, each State is required by statute to certify that it has reviewed the provisions of its residential building code regarding energy efficiency, and made a determination as to whether to update its code to meet or exceed the 2015 IECC. Additionally, this notice provides guidance to States on these processes and associated certifications.","document_number":"2015-14297","html_url":"https://www.federalregister.gov/documents/2015/06/11/2015-14297/determination-regarding-energy-efficiency-improvements-in-the-2015-international-energy-conservation","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2015-06-11/pdf/2015-14297.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2015-14297.pdf?1433940380","publication_date":"2015-06-11","agencies":[{"raw_name":"DEPARTMENT OF ENERGY","name":"Energy Department","id":136,"url":"https://www.federalregister.gov/agencies/energy-department","json_url":"https://www.federalregister.gov/api/v1/agencies/136","parent_id":null,"slug":"energy-department"}],"excerpts":"In its sixth comment, RECA suggests that DOE should “continue to assess the potential impact of changes to the IECC for <span class=\"match\">compliance</span> paths outside the prescriptive path” averring that expanding the Department's ability to further assess such changes is in the public interest. (RECA No. 4 at p. 3) With specific reference to DOE's evaluation of the new ERI <span class=\"match\">compliance</span> path, RECA agrees with DOE's use of the prescriptive <span class=\"match\">compliance</span> path as the generally predominant path, but recommends “this emphasis on the prescriptive path for the numerical analysis"},{"title":"Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Short Inpatient Hospital Stays; Transition for Certain Medicare-Dependent, Small Rural Hospitals Under the Hospital Inpatient Prospective Payment System","type":"Proposed Rule","abstract":"This proposed rule would revise the Medicare hospital outpatient prospective payment system (OPPS) and the Medicare ambulatory surgical center (ASC) payment system for CY 2016 to implement applicable statutory requirements and changes arising from our continuing experience with these systems. In this proposed rule, we describe the proposed changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment system. In addition, this proposed rule would update and refine the requirements for the Hospital Outpatient Quality Reporting (OQR) Program and the ASC Quality Reporting (ASCQR) Program. Further, this proposed rule includes certain proposals relating to the hospital inpatient prospective payment system: proposed changes to the 2-midnight rule under the short inpatient hospital stay policy, as well as a discussion of the related -0.2 percent payment adjustment; and a proposed transition for Medicare-dependent, small rural hospitals located in all-urban States.","document_number":"2015-16577","html_url":"https://www.federalregister.gov/documents/2015/07/08/2015-16577/medicare-program-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center-payment","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2015-07-08/pdf/2015-16577.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2015-16577.pdf?1435781725","publication_date":"2015-07-08","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"excerpts":"which receive special processing for C-APCs, as discussed in section II.A.2.e. of this proposed rule; claims with one unit of a status indicator “Q1” code (“STV-packaged”) where there was <span class=\"match\">no code</span> with status indicator “S,” “T,” or “V” on the same claim on the same date; or claims with one unit of a status indicator “Q2” code (“T-packaged”) where there was <span class=\"match\">no code</span> with a status indicator “T” on the same claim on the same date.\n \n \n 2. \n Multiple Procedure Major Claims: \n Claims with more than one separately payable procedure (that is, status indicator"}]}