{"description":"Documents matching 'pastoralism compliance'","count":116,"total_pages":6,"next_page_url":"https://www.federalregister.gov/api/v1/documents?conditions%5Bterm%5D=pastoralism+compliance&format=json&page=2","results":[{"title":"Accrediting Agencies Currently Undergoing Review for the Purpose of Recognition by the U.S. Secretary of Education","type":"Notice","abstract":"This notice provides information to members of the public on submitting written comments for accrediting agencies currently undergoing review for the purpose of recognition by the U.S. Secretary of Education.","document_number":"2023-24434","html_url":"https://www.federalregister.gov/documents/2023/11/06/2023-24434/accrediting-agencies-currently-undergoing-review-for-the-purpose-of-recognition-by-the-us-secretary","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2023-11-06/pdf/2023-24434.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2023-24434.pdf?1699015593","publication_date":"2023-11-06","agencies":[{"raw_name":"DEPARTMENT OF EDUCATION","name":"Education Department","id":126,"url":"https://www.federalregister.gov/agencies/education-department","json_url":"https://www.federalregister.gov/api/v1/agencies/126","parent_id":null,"slug":"education-department"}],"excerpts":"Geographic Area of Accrediting Activities: The United States. The <span class=\"match\">compliance</span> report includes findings of noncompliance with certain criteria in 34 Code of Federal Regulations (CFR) part 602 identified in the October 19, 2022, letter from the senior Department official (SDO) following the July 19, 2022, NACIQI meeting. The SDO letter is available under NACIQI meeting date 7/19/2022, at \n https://surveys.ope.ed.gov/erecognition/#/public-documents. \n \n \n 2. Association for Clinical <span class=\"match\">Pastoral</span> Education. Scope of Recognition: The preaccreditation and accreditation"},{"title":"Endangered and Threatened Wildlife and Plants; Listing the Giraffe","type":"Proposed Rule","abstract":"We, the U.S. Fish and Wildlife Service (Service), announce our 12-month finding on a petition to list the giraffe (including its subspecies) as endangered or threatened under the Endangered Species Act of 1973, as amended (Act or ESA). After a review of the best available scientific and commercial information, we find that the following listing actions are warranted: We propose to list all three subspecies of the northern giraffe (Giraffa camelopardalis)--the West African giraffe (Giraffa camelopardalis peralta), the Kordofan giraffe (Giraffa camelopardalis antiquorum), and the Nubian giraffe (Giraffa camelopardalis camelopardalis)--as endangered species under Act. We also propose to list the reticulated giraffe (Giraffa reticulata) and the Masai giraffe (Giraffa tippelskirchi), both from east Africa, as threatened species with protective regulations issued under section 4(d) of the Act (\"4(d) rule\"). After a thorough review of the best scientific and commercial data available, we find that, based on the Act's section 4(a)(1) factors, it is not warranted at this time to list either subspecies of the southern giraffe (Giraffa giraffa)--the Angolan giraffe (Giraffa giraffa angolensis) and the South African giraffe (Giraffa giraffa giraffa)--but we are proposing, under the authority of section 4(e) of the Act, to treat both of these subspecies as threatened species based on their similarity of appearance to the West African giraffe, Kordofan giraffe, Nubian giraffe, reticulated giraffe, and Masai giraffe. If we finalize this rule as proposed, it would add all giraffes to the List of Endangered and Threatened Wildlife, under the authority of either section 4(a)(1) or 4(e) of the Act, and extend the Act's protections to these taxa.","document_number":"2024-26395","html_url":"https://www.federalregister.gov/documents/2024/11/21/2024-26395/endangered-and-threatened-wildlife-and-plants-listing-the-giraffe","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-11-21/pdf/2024-26395.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-26395.pdf?1732110315","publication_date":"2024-11-21","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":"Fish and Wildlife Service","name":"Fish and Wildlife Service","id":197,"url":"https://www.federalregister.gov/agencies/fish-and-wildlife-service","json_url":"https://www.federalregister.gov/api/v1/agencies/197","parent_id":253,"slug":"fish-and-wildlife-service"}],"excerpts":"agricultural activities to improve incomes and standards of living (Noe 2003, p. 18). Additionally, Masai pastoralists traditionally have depended on livestock production, a type of agricultural practice that coexisted with wildlife. However, these <span class=\"match\">pastoral</span> areas are gradually shifting away from exclusive <span class=\"match\">pastoralism</span> towards both subsistence and commercial agriculture (Kiffner et al. 2015, p. 2; Noe 2003, p. 15). The growth in the agricultural sector from 2008 to 2014 was a result of increasing the land area under cultivation, from 8.3 million ha in 2008"},{"title":"Improving Protections for Workers in Temporary Agricultural Employment in the United States","type":"Rule","abstract":"The Department of Labor (Department or DOL) is amending its regulations governing the certification of temporary employment of nonimmigrant workers employed in temporary or seasonal agricultural employment and the enforcement of the contractual obligations applicable to employers of these nonimmigrant workers. The revisions in this final rule focus on strengthening protections for temporary agricultural workers and enhancing the Department's capabilities to monitor program compliance and take necessary enforcement actions against program violators.","document_number":"2024-08333","html_url":"https://www.federalregister.gov/documents/2024/04/29/2024-08333/improving-protections-for-workers-in-temporary-agricultural-employment-in-the-united-states","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-04-29/pdf/2024-08333.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-08333.pdf?1714135518","publication_date":"2024-04-29","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":"Employment and Training Administration","name":"Employment and Training Administration","id":133,"url":"https://www.federalregister.gov/agencies/employment-and-training-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/133","parent_id":271,"slug":"employment-and-training-administration"},{"raw_name":"Wage and Hour Division","name":"Wage and Hour Division","id":524,"url":"https://www.federalregister.gov/agencies/wage-and-hour-division","json_url":"https://www.federalregister.gov/api/v1/agencies/524","parent_id":271,"slug":"wage-and-hour-division"}],"excerpts":"State-level enforcement agencies, as necessary. \n The Department declines to adopt the suggestion to require that each employer hire a <span class=\"match\">compliance</span> officer and conduct <span class=\"match\">compliance</span> reporting and the suggestion to create and implement a system under which foreign labor recruiters would register with the Department. Requiring employers to hire <span class=\"match\">compliance</span> officers and conduct routine foreign labor recruitment <span class=\"match\">compliance</span> reporting would constitute a substantial change to the current regulations that was not proposed in the NPRM, and adoption in this final"},{"title":"Intercountry Adoption: Regulatory Changes to Accreditation and Approval Regulations in Intercountry Adoption","type":"Rule","abstract":"The Department of State (the Department) publishes a final rule revising the Code of Federal Regulations to amend requirements for accreditation and approval by the United States to provide adoption services in intercountry adoption cases. This rule amends regulations to provide clarification, updates, or other adaptation of familiar accreditation and approval standards for intercountry adoption. It also includes a new section with alternative procedures for primary providers that apply in intercountry adoption by relatives. The new regulations for adoption by relatives simplify and streamline the adoption process by limiting the number of adoption services the primary provider must provide. The final rule emphasizes that accredited agencies and approved persons comply with all applicable laws in foreign countries where they provide adoption services.","document_number":"2024-14628","html_url":"https://www.federalregister.gov/documents/2024/07/12/2024-14628/intercountry-adoption-regulatory-changes-to-accreditation-and-approval-regulations-in-intercountry","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-07-12/pdf/2024-14628.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-14628.pdf?1720701918","publication_date":"2024-07-12","agencies":[{"raw_name":"DEPARTMENT OF STATE","name":"State Department","id":476,"url":"https://www.federalregister.gov/agencies/state-department","json_url":"https://www.federalregister.gov/api/v1/agencies/476","parent_id":null,"slug":"state-department"}],"excerpts":"standard (or element of a standard); a method of rating an agency's or person's <span class=\"match\">compliance</span> with each applicable standard; and a method of evaluating whether an agency's or person's overall <span class=\"match\">compliance</span> with all applicable standards establishes that the agency or person is in substantial <span class=\"match\">compliance</span> with the standards and can be accredited or approved. The Secretary will ensure that the value assigned to each standard reflects the relative importance of that standard to <span class=\"match\">compliance</span> with the Convention, the IAA, and the UAA and is consistent with the value"},{"title":"Notice of Open Meeting; National Advisory Committee on Institutional Quality and Integrity","type":"Notice","abstract":"This notice sets forth the agenda, time, and instructions to access or participate in the July 19-22, 2022, virtual meeting of NACIQI. This notice provides information about the meeting to members of the public who may be interested in attending the meeting and/or providing written or oral comments. Notice of this meeting is required under section 10(a)(2) of the Federal Advisory Committee Act (FACA) and section 114(d)(1)(B) of the Higher Education Act (HEA) of 1965, as amended.","document_number":"2022-13033","html_url":"https://www.federalregister.gov/documents/2022/06/17/2022-13033/notice-of-open-meeting-national-advisory-committee-on-institutional-quality-and-integrity","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2022-06-17/pdf/2022-13033.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2022-13033.pdf?1655383516","publication_date":"2022-06-17","agencies":[{"raw_name":"DEPARTMENT OF EDUCATION","name":"Education Department","id":126,"url":"https://www.federalregister.gov/agencies/education-department","json_url":"https://www.federalregister.gov/api/v1/agencies/126","parent_id":null,"slug":"education-department"}],"excerpts":"within the United States of professional degree programs in pharmacy leading to the degree of Doctor of Pharmacy, including those programs offered via distance education. \n 4. Association for Clinical <span class=\"match\">Pastoral</span> Education, Inc., Accreditation Commission. Scope of recognition: The pre-accreditation (provisional) and accreditation of both clinical <span class=\"match\">pastoral</span> education (CPE) centers and Certified Educator CPE programs within the United States, including those programs offered via distance education. \n 5. American Dental Association, Commission on Dental Accreditation"},{"title":"Nondiscrimination on the Basis of Sex in Education Programs or Activities Receiving Federal Financial Assistance","type":"Rule","abstract":"The U.S. Department of Education (Department) amends the regulations implementing Title IX of the Education Amendments of 1972 (Title IX). The purpose of these amendments is to better align the Title IX regulatory requirements with Title IX's nondiscrimination mandate. These amendments clarify the scope and application of Title IX and the obligations of recipients of Federal financial assistance from the Department, including elementary schools, secondary schools, postsecondary institutions, and other recipients (referred to below as \"recipients\" or \"schools\") to provide an educational environment free from discrimination on the basis of sex, including through responding to incidents of sex discrimination. These final regulations will enable all recipients to meet their obligations to comply with Title IX while providing them with appropriate discretion and flexibility to account for variations in school size, student populations, and administrative structures.","document_number":"2024-07915","html_url":"https://www.federalregister.gov/documents/2024/04/29/2024-07915/nondiscrimination-on-the-basis-of-sex-in-education-programs-or-activities-receiving-federal","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-04-29/pdf/2024-07915.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-07915.pdf?1713530716","publication_date":"2024-04-29","agencies":[{"raw_name":"DEPARTMENT OF EDUCATION","name":"Education Department","id":126,"url":"https://www.federalregister.gov/agencies/education-department","json_url":"https://www.federalregister.gov/api/v1/agencies/126","parent_id":null,"slug":"education-department"}],"excerpts":"reasonably may be sex discrimination, and materials used to provide training under § 106.8(d). Recordkeeping can reveal effective <span class=\"match\">compliance</span> practices and patterns of noncompliance, through which a recipient can assess its own Title IX <span class=\"match\">compliance</span>. In addition, maintaining records for an appropriate period of time ensures that, during an investigation or <span class=\"match\">compliance</span> review, the Department can ascertain a recipient's <span class=\"match\">compliance</span> with the Title IX regulations. \n See \n 34 CFR 100.6(c), 100.7(a), 100.7(c) (incorporated through 34 CFR 106.81).\n \n \n The Department"},{"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) 2027 Rates; Requirements for Quality Programs; and Other Policy Changes","type":"Proposed Rule","abstract":"This proposed rule would revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital- related costs of acute care hospitals; make changes relating to Medicare graduate medical education (GME) for teaching hospitals; 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); update and make changes to requirements for certain quality programs; and make other policy-related changes.","document_number":"2026-07203","html_url":"https://www.federalregister.gov/documents/2026/04/14/2026-07203/medicare-program-hospital-inpatient-prospective-payment-systems-for-acute-care-hospitals-ipps-and","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-04-14/pdf/2026-07203.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-07203.pdf?1775852113","publication_date":"2026-04-14","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":"likelihood of their future performance. \n Finally, we propose that if a CJR-X participant enters a sharing arrangement, its <span class=\"match\">compliance</span> program must include oversight of sharing arrangements and <span class=\"match\">compliance</span> with the applicable requirements of the model. Requiring oversight of sharing arrangements to be included in the <span class=\"match\">compliance</span> program provides a program integrity safeguard. We note CMS would monitor CJR-X participants for <span class=\"match\">compliance</span>, as permitted under § 512.150, especially if we believe the requirement is not being met as indicated through monitoring"},{"title":"Accrediting Agencies Currently Undergoing Review for the Purposes of Recognition by the U.S. Secretary of Education","type":"Notice","abstract":"This notice provides information to members of the public on submitting written comments for accrediting agencies currently undergoing review for purposes of recognition by the U.S. Secretary of Education.","document_number":"2021-14741","html_url":"https://www.federalregister.gov/documents/2021/07/12/2021-14741/accrediting-agencies-currently-undergoing-review-for-the-purposes-of-recognition-by-the-us-secretary","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2021-07-12/pdf/2021-14741.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2021-14741.pdf?1625834728","publication_date":"2021-07-12","agencies":[{"raw_name":"DEPARTMENT OF EDUCATION","name":"Education Department","id":126,"url":"https://www.federalregister.gov/agencies/education-department","json_url":"https://www.federalregister.gov/api/v1/agencies/126","parent_id":null,"slug":"education-department"}],"excerpts":"within the United States of professional degree programs in pharmacy leading to the degree of Doctor of Pharmacy, including those programs offered via distance education. \n 4. Association for Clinical <span class=\"match\">Pastoral</span> Education, Inc., Accreditation Commission. Scope of recognition: The pre-accreditation (provisional) and accreditation of both clinical <span class=\"match\">pastoral</span> education (CPE) centers and Certified Educator CPE programs within the United States, including those that offer those programs via distance education. \n 5. American Dental Association, Commission on"},{"title":"Medicare and Medicaid Programs; CY 2024 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Advantage; Medicare and Medicaid Provider and Supplier Enrollment Policies; and Basic Health 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; payment for dental services inextricably linked to specific covered medical services; Medicare Shared Savings Program requirements; updates to the Quality Payment Program; Medicare coverage of opioid use disorder services furnished by opioid treatment programs; updates to certain Medicare and Medicaid provider and supplier enrollment policies, electronic prescribing for controlled substances for a covered Part D drug under a prescription drug plan or an MA-PD plan under the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act); updates to the Ambulance Fee Schedule regulations and the Medicare Ground Ambulance Data Collection System; codification of the Inflation Reduction Act and Consolidated Appropriations Act, 2023 provisions; expansion of the diabetes screening and diabetes definitions; pulmonary rehabilitation, cardiac rehabilitation and intensive cardiac rehabilitation expansion of supervising practitioners; appropriate use criteria for advanced diagnostic imaging; early release of Medicare Advantage risk adjustment data; a social determinants of health risk assessment in the annual wellness visit and Basic Health Program.","document_number":"2023-24184","html_url":"https://www.federalregister.gov/documents/2023/11/16/2023-24184/medicare-and-medicaid-programs-cy-2024-payment-policies-under-the-physician-fee-schedule-and-other","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2023-11-16/pdf/2023-24184.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2023-24184.pdf?1698956273","publication_date":"2023-11-16","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":"an appropriate distinction from the prescriber's act of electronically submitting individual prescriptions for controlled substances, which is also referred to as EPCS.\n \n \n • \n Non-<span class=\"match\">compliance</span> action or action for non-<span class=\"match\">compliance</span>. \n We will use “non-<span class=\"match\">compliance</span> action” or “action for non-<span class=\"match\">compliance</span>” to refer to a consequence for not meeting the CMS EPCS Program <span class=\"match\">compliance</span> threshold, as described at § 423.160(a)(5), after exceptions have been applied.\n \n \n • \n Measurement year. \n When we refer to “measurement year,” we mean the time period (beginning"},{"title":"Waivers and Alternative Requirements for Implementation of the HOME American Rescue Plan (HOME-ARP) Program","type":"Notice","abstract":"This notice publishes the waivers and alternative requirements that apply to a grantee's use of HOME Investment Partnerships Program funds made available under Section 3205 of the American Rescue Plan Act (ARP) of 2021 (\"HOME-ARP\"). On September 13, 2021, HUD issued a notice imposing the requirements applicable to the use of HOME-ARP funds (the \"HOME-ARP Notice\"). At the same time, HUD published an Appendix to the HOME-ARP Notice describing all waivers and alternative requirements applicable to HOME-ARP funds. Consistent with HUD's responsibility under the HUD Reform Act, HUD is providing additional notice to the public and all interested parties of the HOME-ARP waivers and alternative requirements by republishing the Appendix in this notice.","document_number":"2021-22046","html_url":"https://www.federalregister.gov/documents/2021/10/12/2021-22046/waivers-and-alternative-requirements-for-implementation-of-the-home-american-rescue-plan-home-arp","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2021-10-12/pdf/2021-22046.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2021-22046.pdf?1633697120","publication_date":"2021-10-12","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"}],"excerpts":"Records (\n i.e., \n written agreements) demonstrating <span class=\"match\">compliance</span> with the written agreement requirements in Section VIII.B. of the HOME-ARP Notice.\n \n \n d. Records (\n e.g., \n inspection reports) demonstrating that each HOME-ARP rental project meets the property standards in Section VI.B.11 of the HOME-ARP Notice at project completion and through the applicable minimum <span class=\"match\">compliance</span> period. In addition, during a HOME-ARP rental project's minimum <span class=\"match\">compliance</span> period, records demonstrating <span class=\"match\">compliance</span> with the property standards and financial oversight pursuant"},{"title":"Nondiscrimination on the Basis of Sex in Education Programs or Activities Receiving Federal Financial Assistance","type":"Proposed Rule","abstract":"The U.S. Department of Education (Department) proposes to amend the regulations implementing Title IX of the Education Amendments of 1972 (Title IX). The purpose of the proposed regulations is to better align the Title IX regulatory requirements with Title IX's nondiscrimination mandate, and to clarify the scope and application of Title IX and the obligation of all schools, including elementary schools, secondary schools, postsecondary institutions, and other recipients that receive Federal financial assistance from the Department (referred to below as recipients or schools) to provide an educational environment free from discrimination on the basis of sex, including through responding to incidents of sex discrimination. The Department recognizes that schools vary in size, student populations, and administrative structure. The proposed regulations would enable all schools to meet their obligations to comply fully with Title IX while providing them appropriate discretion and flexibility to account for these variations.","document_number":"2022-13734","html_url":"https://www.federalregister.gov/documents/2022/07/12/2022-13734/nondiscrimination-on-the-basis-of-sex-in-education-programs-or-activities-receiving-federal","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2022-07-12/pdf/2022-13734.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2022-13734.pdf?1657543518","publication_date":"2022-07-12","agencies":[{"raw_name":"DEPARTMENT OF EDUCATION","name":"Education Department","id":126,"url":"https://www.federalregister.gov/agencies/education-department","json_url":"https://www.federalregister.gov/api/v1/agencies/126","parent_id":null,"slug":"education-department"}],"excerpts":"Coordinator could have designees that oversee <span class=\"match\">compliance</span> with different aspects of the recipient's Title IX obligations, such as those related to athletics, pregnant and parenting students, financial assistance, or sex-based harassment. In each example, the Title IX Coordinator, not one particular designee or group of designees, would retain ultimate authority to coordinate the recipient's <span class=\"match\">compliance</span> with Title IX and oversight over each of the designees' responsibilities and over the recipient's overall <span class=\"match\">compliance</span> with Title IX.\n \n By having one Title"},{"title":"Medicare and Medicaid Programs; CY 2022 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model Requirements and Model Expansion; Home Health and Other Quality Reporting Program Requirements; Home Infusion Therapy Services Requirements; Survey and Enforcement Requirements for Hospice Programs; Medicare Provider Enrollment Requirements; and COVID-19 Reporting Requirements for Long-Term Care Facilities","type":"Rule","abstract":"This final rule updates the home health and home infusion therapy services payment rates for calendar year (CY) 2022 in accordance with existing statutory and regulatory requirements. This rule also finalizes recalibration of the case-mix weights and updates the functional impairment levels, and comorbidity adjustment subgroups while maintaining the current low utilization payment adjustment (LUPA) thresholds for CY 2022. Additionally, this rule finalizes a policy to utilize the physical therapy LUPA add-on factor to establish the occupational therapy add-on factor for the LUPA add-on payment amounts and makes conforming regulations text changes to reflect that allowed practitioners are able to establish and review the plan of care. It also finalizes proposed changes to the Home Health Quality Reporting Program (QRP) including finalizing proposed measure removals and adoptions, public reporting, and modification of effective dates. It also finalizes proposed modifications to the effective date for the reporting of measures and certain standardized patient assessment data in the Inpatient Rehabilitation Facility (IRF) QRP and Long-Term Care Hospital (LTCH) QRP. In addition, this final rule codifies certain Medicare provider and supplier enrollment policies. It also makes permanent selected regulatory blanket waivers related to home health aide supervision that were issued to Medicare participating home health agencies during the COVID-19 public health emergency (PHE), and updates the home health conditions of participation regarding occupational therapists assessment completion to implement provisions of the Consolidated Appropriations Act, 2021 (CAA 2021). This final rule also finalizes proposals to expand the Home Health Value-Based Purchasing (HHVBP) Model and to end the original HHVBP Model one year early. Lastly, it establishes survey and enforcement requirements for hospice programs as set forth in the CAA 2021; and finalizes revisions to the infection control requirements for long-term care (LTC) facilities (Medicaid nursing facilities and Medicare skilled nursing facilities, also collectively known as \"nursing homes\") that will extend the mandatory COVID-19 reporting requirements beyond the current COVID-19 PHE until December 31, 2024.","document_number":"2021-23993","html_url":"https://www.federalregister.gov/documents/2021/11/09/2021-23993/medicare-and-medicaid-programs-cy-2022-home-health-prospective-payment-system-rate-update-home","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2021-11-09/pdf/2021-23993.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2021-23993.pdf?1635884122","publication_date":"2021-11-09","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":"for Information \n B. Closing the Health Equity Gap in Post-Acute Care Quality Reporting Programs—Request for Information \n IX. Revised <span class=\"match\">Compliance</span> Date for Certain Reporting Requirements Adopted for Inpatient Rehabilitation Facilities (IRF) QRP and Long-Term Care Facilities Quality QRP \n A. Revised <span class=\"match\">Compliance</span> Date for Certain Inpatient Rehabilitation Facility (IRF) QRP Reporting Requirements \n B. Revised <span class=\"match\">Compliance</span> Date for Certain Long-Term Care Hospital (LTCH) QRP Reporting Requirements \n X. COVID-19 Reporting Requirements for Long Term Care Facilities"},{"title":"Implementing Legal Requirements Regarding the Equal Opportunity Clause's Religious Exemption","type":"Rule","abstract":"The U.S. Department of Labor's (DOL's) Office of Federal Contract Compliance Programs (OFCCP) publishes this final rule to clarify the scope and application of the religious exemption. These clarifications to the religious exemption will help organizations with federal government contracts and subcontracts and federally assisted construction contracts and subcontracts better understand their obligations.","document_number":"2020-26418","html_url":"https://www.federalregister.gov/documents/2020/12/09/2020-26418/implementing-legal-requirements-regarding-the-equal-opportunity-clauses-religious-exemption","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2020-12-09/pdf/2020-26418.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2020-26418.pdf?1607435117","publication_date":"2020-12-09","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 Federal Contract Compliance Programs","name":"Federal Contract Compliance Programs Office","id":162,"url":"https://www.federalregister.gov/agencies/federal-contract-compliance-programs-office","json_url":"https://www.federalregister.gov/api/v1/agencies/162","parent_id":271,"slug":"federal-contract-compliance-programs-office"}],"excerpts":"contractors to review and understand the instructions for <span class=\"match\">compliance</span>. In order to minimize the burden, OFCCP will publish <span class=\"match\">compliance</span> assistance materials, such as fact sheets and answers to frequently asked questions. OFCCP may also host webinars for interested persons that describe the new regulations and conduct listening sessions to identify any specific challenges contractors believe they face, or may face, when complying with the new regulations. OFCCP notes that such informal <span class=\"match\">compliance</span> guidance is not binding. \n \n OFCCP believes that human resource"},{"title":"Medicare and Medicaid Programs; CY 2022 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model Requirements and Proposed Model Expansion; Home Health Quality Reporting Requirements; Home Infusion Therapy Services Requirements; Survey and Enforcement Requirements for Hospice Programs; Medicare Provider Enrollment Requirements; Inpatient Rehabilitation Facility Quality Reporting Program Requirements; and Long-Term Care Hospital Quality Reporting Program Requirements","type":"Proposed Rule","abstract":"This proposed rule would set forth routine updates to the home health and home infusion therapy services payment rates for calendar year (CY) 2022 in accordance with existing statutory and regulatory requirements. This rule also provides monitoring and analysis of the Patient-Driven Groupings Model (PDGM); solicits comments on a methodology for determining the difference between assumed versus actual behavior change on estimated aggregate expenditures for home health payments as result of the change in the unit of payment to 30 days and the implementation of the PDGM case-mix adjustment methodology; and proposes to recalibrate the PDGM case-mix weights, functional levels, and comorbidity adjustment subgroups while maintaining the low utilization payment adjustment (LUPA) thresholds for CY 2022. Additionally, this rulemaking proposes to utilize the physical therapy LUPA add-on factor to establish the occupational therapy add-on factor for the LUPA add-on payment amounts; and make conforming regulations text changes to reflect that allowed practitioners are able to establish and review the plan of care. This rulemaking also proposes changes to the Home Health Quality Reporting Program (QRP) to remove one measure, remove two claims-based measures and replace them with one claims-based measure, publicly report two measures, propose a modification to the effective date for the reporting of the Transfer of Health to Provider-Post Acute Care and Transfer of Health to Patient-Post Acute Care (TOH) measures and Standardized Patient Assessment Data Elements and requests information on two topics: Advancing to digital quality measurement through the use of Fast Healthcare Interoperability Resources and our efforts surrounding closing the health equity gap. It also proposes modifications to the effective date for the reporting of TOH measures and certain Standardized Patient Assessment Data Elements. Additionally, this proposed rule requests information on two topics: Advancing to digital quality measurement through the use of Fast Healthcare Interoperability Resources and our efforts surrounding closing the health equity gap. It also proposes modifications to the effective date for the reporting of TOH measures and certain Standardized Patient Assessment Data Elements in the Inpatient Rehabilitation Facility (IRF) QRP and Long-Term Care Hospital (LTCH) QRP. In addition, this proposed rule would incorporate into regulation certain Medicare provider and supplier enrollment policies. In addition, this rulemaking proposes to make permanent selected regulatory blanket waivers related to home health aide supervision that were issued to Medicare participating home health agencies during the COVID-19 public health emergency (PHE), and would update the home health conditions of participation to implement Division CC, section 115 of the Consolidated Appropriations Act, 2021 (CAA 2021) regarding occupational therapists completing the initial and comprehensive assessments reflect these changes. This proposed rule also would expand the Home Health Value-Based Purchasing (HHVBP) Model, beginning January 1, 2022, to the 50 States, territories, and District of Columbia. This rulemaking also proposes to end the original HHVBP Model one year early for the home health agencies (HHAs) in the nine original Model States, such that CY 2020 performance data would not be used to calculate a payment adjustment for CY 2022 under the original Model. Additionally, this proposed rule establishes survey and enforcement requirements for hospice programs as set forth in Division CC, section 407, of the CAA 2021.","document_number":"2021-13763","html_url":"https://www.federalregister.gov/documents/2021/07/07/2021-13763/medicare-and-medicaid-programs-cy-2022-home-health-prospective-payment-system-rate-update-home","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2021-07-07/pdf/2021-13763.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2021-13763.pdf?1624911324","publication_date":"2021-07-07","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":"information as appropriate, and be in <span class=\"match\">compliance</span> with all applicable enrollment requirements in this title.” The addition of the language concerning <span class=\"match\">compliance</span> is primarily meant to account for our addition of § 424.540(a)(4) and (5). The recertification of enrollment data alone would not be enough for providers and suppliers deactivated under either of these grounds; they (or, as applicable, their practice location(s)) must also have resumed <span class=\"match\">compliance</span>. However, this change would also clarify that <span class=\"match\">compliance</span> with all enrollment requirements would"},{"title":"Intercountry Adoptions: Regulatory Changes to Accreditation and Approval Regulations in Intercountry Adoption","type":"Proposed Rule","abstract":"The Department of State (the Department) is proposing revisions to the Code of Federal Regulations to amend requirements for accreditation and authorization by the United States to provide adoption services in intercountry adoption cases. This proposed rule amends regulations to provide clarification, updating, or other adaptation of familiar accreditation and approval standards for intercountry adoption. It includes long-awaited provisions for intercountry adoption by relatives. The new regulations simplify and streamline the process by limiting the number of adoption services the primary provider must provide and capitalizing on the adoptive family's understanding of local culture and institutions. It provides a comprehensive definition of relative to clarify the relationships that are encompassed in the amendments to the accreditation rule. Also featured in this proposed rule is a new focus on supporting children and families in the event their adoptive placement disrupts.","document_number":"2020-24391","html_url":"https://www.federalregister.gov/documents/2020/11/20/2020-24391/intercountry-adoptions-regulatory-changes-to-accreditation-and-approval-regulations-in-intercountry","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2020-11-20/pdf/2020-24391.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2020-24391.pdf?1605793517","publication_date":"2020-11-20","agencies":[{"raw_name":"DEPARTMENT OF STATE","name":"State Department","id":476,"url":"https://www.federalregister.gov/agencies/state-department","json_url":"https://www.federalregister.gov/api/v1/agencies/476","parent_id":null,"slug":"state-department"}],"excerpts":"fee practices. This approach is more akin to a licensing context, in which all ASPs must demonstrate the same high level of <span class=\"match\">compliance</span> to retain their license. Our system, by contrast, is an accreditation model in which APS have more leeway to demonstrate conformance with standards of practice and may also have acceptable levels of <span class=\"match\">compliance</span> short of perfect <span class=\"match\">compliance</span>. We wondered if some agencies would resist <span class=\"match\">compliance</span> to highlight this essential difference between the two models.\n \n \n A hybrid approach: \n As we fleshed it out, we found that"},{"title":"National Advisory Committee on Institutional Quality and Integrity Meeting","type":"Notice","abstract":"This notice sets forth the agenda, time, and location for the July 30-31, 2019 meeting of the National Advisory Committee on Institutional Quality and Integrity (NACIQI) and provides information to members of the public regarding the meeting, including requesting to make oral comments. The notice of this meeting is required under section 10(a)(2) of the Federal Advisory Committee Act (FACA) and section 114(d)(1)(B) of the Higher Education Act (HEA) of 1965, as amended.","document_number":"2019-12123","html_url":"https://www.federalregister.gov/documents/2019/06/10/2019-12123/national-advisory-committee-on-institutional-quality-and-integrity-meeting","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2019-06-10/pdf/2019-12123.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2019-12123.pdf?1559911520","publication_date":"2019-06-10","agencies":[{"raw_name":"DEPARTMENT OF EDUCATION","name":"Education Department","id":126,"url":"https://www.federalregister.gov/agencies/education-department","json_url":"https://www.federalregister.gov/api/v1/agencies/126","parent_id":null,"slug":"education-department"}],"excerpts":"accreditation and for continued accreditation or candidacy.\n \n Application for an Expansion of Scope \n 1. Association for Clinical <span class=\"match\">Pastoral</span> Education, Inc. Scope of Recognition: The accreditation of both clinical <span class=\"match\">pastoral</span> education (CPE) centers and supervisory CPE programs located within the United States and territories. Requested Scope of Recognition: The provisional accreditation and accreditation of both clinical <span class=\"match\">pastoral</span> education (CPE) centers and certified educator CPE programs within the United States and territories, including those that offer"},{"title":"Request for Comments: Performance of Accrediting Agencies","type":"Notice","abstract":"This notice provides information to members of the public on submitting written comments for accrediting agencies currently undergoing review for purposes of recognition by the U.S. Secretary of Education.","document_number":"2019-03733","html_url":"https://www.federalregister.gov/documents/2019/03/04/2019-03733/request-for-comments-performance-of-accrediting-agencies","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2019-03-04/pdf/2019-03733.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2019-03733.pdf?1551447921","publication_date":"2019-03-04","agencies":[{"raw_name":"DEPARTMENT OF EDUCATION","name":"Education Department","id":126,"url":"https://www.federalregister.gov/agencies/education-department","json_url":"https://www.federalregister.gov/api/v1/agencies/126","parent_id":null,"slug":"education-department"}],"excerpts":"educational programs via distance education modalities.\n \n Application for an Expansion of Scope \n 1. Association for Clinical <span class=\"match\">Pastoral</span> Education, Inc. Scope of Recognition: The accreditation of both clinical <span class=\"match\">pastoral</span> education (CPE) centers and supervisory CPE programs located within the United States and territories \n \n Requested Scope of Recognition: \n The provisional accreditation and accreditation of both clinical <span class=\"match\">pastoral</span> education (CPE) centers and certified educator CPE programs within the United States and territories, including those that"},{"title":"Endangered and Threatened Wildlife and Plants; Removing the Hawaiian Hawk From the Federal List of Endangered and Threatened Wildlife","type":"Rule","abstract":"Under the authority of the Endangered Species Act of 1973, as amended (Act), we, the U.S. Fish and Wildlife Service (Service), are removing the Hawaiian hawk (io) (Buteo solitarius) from the Federal List of Endangered and Threatened Wildlife. This determination is based on a thorough review of the best available scientific and commercial data, including comments received, which indicates the Hawaiian hawk no longer meets the definition of an endangered species or a threatened species under the Act. Our review of the status of this species shows that the rangewide population estimates have been stable for at least 30 years, and that the species is not currently, nor is likely to become again, an endangered species within the foreseeable future in all or a significant portion of its range.","document_number":"2019-27339","html_url":"https://www.federalregister.gov/documents/2020/01/02/2019-27339/endangered-and-threatened-wildlife-and-plants-removing-the-hawaiian-hawk-from-the-federal-list-of","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2020-01-02/pdf/2019-27339.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2019-27339.pdf?1577799914","publication_date":"2020-01-02","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":"Fish and Wildlife Service","name":"Fish and Wildlife Service","id":197,"url":"https://www.federalregister.gov/agencies/fish-and-wildlife-service","json_url":"https://www.federalregister.gov/api/v1/agencies/197","parent_id":253,"slug":"fish-and-wildlife-service"}],"excerpts":"State and private foresters report that the forested area on the island of Hawaii is increasing, particularly in native forest cover (Koch and Walter 2018, in litt.). Starting at the turn of the century, several large landowners (private, Federal, and State) ended their <span class=\"match\">pastoral</span> leases and have been steadily promoting natural regeneration to take the place of old pastures (Koch and Walter 2018, in litt.). The State is moving away from planting exotic timber tree species and toward native species when economically feasible (Koch and Walter 2018,"},{"title":"U.S. Citizenship and Immigration Services Fee Schedule and Changes to Certain Other Immigration Benefit Request Requirements","type":"Rule","abstract":"This final rule adjusts certain immigration and naturalization benefit request fees charged by U.S. Citizenship and Immigration Services (USCIS). It also removes certain fee exemptions, changes fee waiver requirements, alters premium processing time limits, and modifies intercountry adoption processing. USCIS conducted a comprehensive biennial fee review and determined that current fees do not recover the full cost of providing adjudication and naturalization services. Therefore, the Department of Homeland Security (DHS) is adjusting USCIS fees by a weighted average increase of 20 percent, adding new fees for certain immigration benefit requests, establishing multiple fees for nonimmigrant worker petitions, and limiting the number of beneficiaries for certain forms. This final rule is intended to ensure that USCIS has the resources it needs to provide adequate service to applicants and petitioners.","document_number":"2020-16389","html_url":"https://www.federalregister.gov/documents/2020/08/03/2020-16389/us-citizenship-and-immigration-services-fee-schedule-and-changes-to-certain-other-immigration","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2020-08-03/pdf/2020-16389.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2020-16389.pdf?1596199516","publication_date":"2020-08-03","agencies":[{"raw_name":"DEPARTMENT OF HOMELAND SECURITY","name":"Homeland Security Department","id":227,"url":"https://www.federalregister.gov/agencies/homeland-security-department","json_url":"https://www.federalregister.gov/api/v1/agencies/227","parent_id":null,"slug":"homeland-security-department"}],"excerpts":"share of low-income immigrants from applying for citizenship, as well as a 40 percent increase in application rates when low-income immigrants are given vouchers to cover application fee costs. \n • <span class=\"match\">Compliance</span> with immigration and naturalized citizenship laws was already an “arduous and risky” process and USCIS should estimate the impact on <span class=\"match\">compliance</span> for immigrants seeking to follow such laws. \n • USCIS should implement a system to account for individuals who cannot afford to comply with immigration and citizenship laws due to the proposed fee increases"},{"title":"Medicare and Medicaid Programs; Regulatory Provisions To Promote Program Efficiency, Transparency, and Burden Reduction; Fire Safety Requirements for Certain Dialysis Facilities; Hospital and Critical Access Hospital (CAH) Changes To Promote Innovation, Flexibility, and Improvement in Patient Care","type":"Rule","abstract":"This final rule reforms Medicare regulations that are identified as unnecessary, obsolete, or excessively burdensome on health care providers and suppliers. This final rule also increases the ability of health care professionals to devote resources to improving patient care by eliminating or reducing requirements that impede quality patient care or that divert resources away from furnishing high quality patient care. Additionally, this rule updates fire safety standards for Medicare and Medicaid participating End-Stage Renal Disease (ESRD) facilities by adopting the 2012 edition of the Life Safety Code and the 2012 edition of the Health Care Facilities Code. Finally, this final rule updates the requirements that hospitals and Critical Access Hospitals (CAHs) must meet to participate in the Medicare and Medicaid programs. These requirements are intended to conform to current standards of practice and support improvements in quality of care, reduce barriers to care, and reduce some issues that may exacerbate workforce shortage concerns.","document_number":"2019-20736","html_url":"https://www.federalregister.gov/documents/2019/09/30/2019-20736/medicare-and-medicaid-programs-regulatory-provisions-to-promote-program-efficiency-transparency-and","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2019-09-30/pdf/2019-20736.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2019-20736.pdf?1569424517","publication_date":"2019-09-30","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":"purposes in determining <span class=\"match\">compliance</span> with the CoPs and CfCs specific to each provider and supplier type. We do not use TINs in our determination of when a facility requires separate certification.\n \n A CAH must be separately evaluated for its <span class=\"match\">compliance</span> with the CAH CoPs (found at 42 CFR part 485, subpart F), which would not include the requirements included in this section of the rule since these are hospital CoPs. It would not be possible to evaluate the CAH's <span class=\"match\">compliance</span> as part of an evaluation of a hospital's <span class=\"match\">compliance</span>. However, this does not"}]}