{"description":"Documents matching 'risk-based inspections first-hand prior experience'","count":36,"total_pages":2,"next_page_url":"https://www.federalregister.gov/api/v1/documents?conditions%5Bterm%5D=risk-based+inspections+first-hand+prior+experience&format=json&page=2","results":[{"title":"Medicare Program; Contract Year 2027 and Certain Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program","type":"Rule","abstract":"This final rule revises the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), and Medicare cost plan regulations to implement changes related to Star Ratings, marketing and communications, drug coverage, enrollment processes, special needs plans, and other programmatic areas.","document_number":"2026-06600","html_url":"https://www.federalregister.gov/documents/2026/04/06/2026-06600/medicare-program-contract-year-2027-and-certain-contract-year-2026-policy-and-technical-changes-to","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2026-04-06/pdf/2026-06600.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2026-06600.pdf?1775160908","publication_date":"2026-04-06","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":"Consumer <span class=\"match\">experiences</span> with customer service and perceptions of health care quality are important aspects of a patient's <span class=\"match\">experience</span>. The MA and PDP CAHPS surveys have been rigorously developed and tested to assess enrollee <span class=\"match\">experiences</span> on domains that enrollees have reported to be important to them in defining high quality care from Medicare health and drug plans.\n \n \n Comment: \n Many commenters opposed the removal of the Customer Service and Rating of Health Care Quality measures, noting the importance of measures that reflect member <span class=\"match\">experience</span>. Commenters"},{"title":"Medicare and Medicaid Programs; Calendar Year 2026 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the HH Value-Based Purchasing Expanded Model; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Updates; DMEPOS Accreditation Requirements; Provider Enrollment; and Other Medicare and Medicaid Policies","type":"Rule","abstract":"This final rule sets forth routine updates to the Medicare home health payment rates in accordance with existing statutory and regulatory requirements. In addition, this final rule finalizes permanent and temporary behavior adjustments and recalibrates the case- mix weights and update the functional impairment levels; comorbidity subgroups; and low-utilization payment adjustment (LUPA) thresholds for CY 2026. This final rule also finalizes changes to the face-to-face encounter policy and changes to the Home Health Quality Reporting Program (HH QRP) and the expanded Health Value-Based Purchasing (HHVBP) Model requirements. In addition, it updates the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP). Lastly it finalizes: a technical change to the HH conditions of participation; updates to DMEPOS supplier conditions of payment; updates to provider and supplier enrollment requirements; and changes to DMEPOS accreditation requirements.","document_number":"2025-21767","html_url":"https://www.federalregister.gov/documents/2025/12/02/2025-21767/medicare-and-medicaid-programs-calendar-year-2026-home-health-prospective-payment-system-hh-pps-rate","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2025-12-02/pdf/2025-21767.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2025-21767.pdf?1764364516","publication_date":"2025-12-02","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":"determines, based on <span class=\"match\">prior</span> payment <span class=\"match\">experience</span>, are frequently subject to unnecessary utilization and to develop a <span class=\"match\">prior</span> authorization process for these items. Specifically, the December 2015 final rule established a new provision at § 414.234 that specified a process for <span class=\"match\">prior</span> authorization of DMEPOS items frequently subject to unnecessary utilization.\n \n \n In addition, § 414.234(b) details criteria needed for inclusion on the Master List of Items Potentially Subject to Face-to-Face Encounter and Written Order <span class=\"match\">Prior</span> to Delivery and/or <span class=\"match\">Prior</span> Authorization"},{"title":"Train Crew Size Safety Requirements","type":"Rule","abstract":"FRA is establishing minimum safety requirements for the size of train crews depending on the type of operation. This final rule requires railroad operations to have a minimum of two crewmembers except for certain identified one-person train crew operations that do not pose significant safety risks to railroad employees, the public, or the environment. This final rule includes requirements for railroads seeking to continue certain existing one-person train crew operations and a special approval process for railroads seeking to initiate certain new one-person train crew operations. This final rule also requires each railroad receiving special approval for a one-person train crew operation to submit to FRA an annual report summarizing the safety of the operation.","document_number":"2024-06625","html_url":"https://www.federalregister.gov/documents/2024/04/09/2024-06625/train-crew-size-safety-requirements","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-04-09/pdf/2024-06625.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-06625.pdf?1712580314","publication_date":"2024-04-09","agencies":[{"raw_name":"DEPARTMENT OF TRANSPORTATION","name":"Transportation Department","id":492,"url":"https://www.federalregister.gov/agencies/transportation-department","json_url":"https://www.federalregister.gov/api/v1/agencies/492","parent_id":null,"slug":"transportation-department"},{"raw_name":"Federal Railroad Administration","name":"Federal Railroad Administration","id":185,"url":"https://www.federalregister.gov/agencies/federal-railroad-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/185","parent_id":492,"slug":"federal-railroad-administration"}],"excerpts":"and 271 require covered railroads to have a systemwide and ongoing <span class=\"match\">risk-based</span> hazard management program that proactively identifies hazards and mitigates risks resulting from those hazards, using a <span class=\"match\">risk-based</span> hazard analysis. Accordingly, this final rule includes the minimum requirements for a <span class=\"match\">risk-based</span> hazard analysis that follows similar requirements in § 270.103(p) and (q), and § 271.103(b), allowing railroad to build upon existing analyses when preparing the required <span class=\"match\">risk-based</span> hazard analysis as part of a petition for a one-person crew. \n \n"},{"title":"Public Company Accounting Oversight Board; Notice of Filing of Proposed Rules on the Auditor's Use of Confirmation, and Other Amendments to Related PCAOB Standards","type":"Notice","abstract":null,"document_number":"2023-22491","html_url":"https://www.federalregister.gov/documents/2023/10/17/2023-22491/public-company-accounting-oversight-board-notice-of-filing-of-proposed-rules-on-the-auditors-use-of","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2023-10-17/pdf/2023-22491.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2023-22491.pdf?1697460323","publication_date":"2023-10-17","agencies":[{"raw_name":"SECURITIES AND EXCHANGE COMMISSION","name":"Securities and Exchange Commission","id":466,"url":"https://www.federalregister.gov/agencies/securities-and-exchange-commission","json_url":"https://www.federalregister.gov/api/v1/agencies/466","parent_id":null,"slug":"securities-and-exchange-commission"}],"excerpts":"auditor determines it is not feasible to obtain audit evidence directly from a knowledgeable external source pursuant to paragraph .24. Paragraph .25 specifically provides that the auditor's determination should be based on the auditor's <span class=\"match\">experience</span>, such as <span class=\"match\">prior</span> years' audit <span class=\"match\">experience</span> with the company or <span class=\"match\">experience</span> with similar engagements where the auditor did not receive confirmation responses, and the auditor's expectation of similar results if procedures were performed pursuant to paragraph .24. Any such determination would be performed as part"},{"title":"Registry of Nonbank Covered Persons Subject to Certain Agency and Court Orders","type":"Rule","abstract":"Under the Consumer Financial Protection Act of 2010 (CFPA), the Consumer Financial Protection Bureau (Bureau or CFPB) is issuing this final rule to require certain types of nonbank covered persons subject to certain final public orders obtained or issued by a government agency in connection with the offering or provision of a consumer financial product or service to report the existence of the orders and related information to a Bureau registry. The Bureau is also requiring certain supervised nonbanks to file annual reports regarding compliance with registered orders.","document_number":"2024-12689","html_url":"https://www.federalregister.gov/documents/2024/07/08/2024-12689/registry-of-nonbank-covered-persons-subject-to-certain-agency-and-court-orders","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-07-08/pdf/2024-12689.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-12689.pdf?1720183519","publication_date":"2024-07-08","agencies":[{"raw_name":"Consumer Financial Protection Bureau","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":"is valuable information that the Bureau considers when evaluating the risk of consumer harm. In the Bureau's <span class=\"match\">experience</span>, entities that have previously been subject to enforcement actions, including those brought by local, State, and other Federal authorities, present an increased risk of committing violations of laws subject to the Bureau's jurisdiction, and thus causing the additional consumer harm associated with such violations. <span class=\"match\">Prior</span> enforcement actions are also likely to be a good indication of continuing risks to consumers present in a particular"},{"title":"Accidental Release Prevention Requirements: Risk Management Programs Under the Clean Air Act; Safer Communities by Chemical Accident Prevention","type":"Rule","abstract":"The Environmental Protection Agency (EPA) is amending its Risk Management Program (RMP) regulations as a result of Agency review. The revisions include several changes and amplifications to the accident prevention program requirements, enhancements to the emergency preparedness requirements, improvements to the public availability of chemical hazard information, and several other changes to certain regulatory definitions or points of clarification. As major and other serious and concerning RMP accidents continue to occur, the record shows and EPA believes that this final rule will help further protect human health and the environment from chemical hazards through advancement of process safety based on lessons learned. These amendments seek to improve chemical process safety; assist in planning, preparedness, and response to Risk Management Program-reportable accidents; and improve public awareness of chemical hazards at regulated sources. While many of the provisions of this final rule reinforce each other, it is EPA's intent that each one is merited on its own, and thus severable.","document_number":"2024-04458","html_url":"https://www.federalregister.gov/documents/2024/03/11/2024-04458/accidental-release-prevention-requirements-risk-management-programs-under-the-clean-air-act-safer","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-03-11/pdf/2024-04458.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-04458.pdf?1709905524","publication_date":"2024-03-11","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":"well as $153 million in offsite property damage.\n 50 \n \n EPA did not conduct an <span class=\"match\">inspection</span> at TPC just <span class=\"match\">prior</span> to this accident because as indicated in the 2019 reconsideration rule, EPA prioritizes <span class=\"match\">inspections</span> at facilities that have had accidental releases. TPC had no recent <span class=\"match\">prior</span> RMP accidental release and was not otherwise due for <span class=\"match\">inspection</span> under EPA's routine oversight plan. Therefore, we believe our current enforcement resources, and even prioritizing <span class=\"match\">inspections</span>, are not capable of effectively addressing accident-prone facilities without additional"},{"title":"Unaccompanied Children Program Foundational Rule","type":"Rule","abstract":"This final rule adopts and replaces regulations relating to key aspects of the placement, care, and services provided to unaccompanied children referred to the Office of Refugee Resettlement (ORR), pursuant to ORR's responsibilities for coordinating and implementing the care and placement of unaccompanied children who are in Federal custody by reason of their immigration status under the Homeland Security Act of 2002 (HSA) and the William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008 (TVPRA). This final rule establishes a foundation for the Unaccompanied Children Program (UC Program) that is consistent with ORR's statutory duties, for the benefit of unaccompanied children and to enhance public transparency as to the policies governing the operation of the UC Program. This final rule implements the 1997 Flores Settlement Agreement (FSA). As modified in 2001, the FSA provides that it will terminate 45 days after publication of final regulations implementing the agreement. ORR anticipates that any termination of the settlement based on this final rule would only be effective for those provisions that affect ORR and would not terminate provisions of the FSA that apply to other Federal Government agencies.","document_number":"2024-08329","html_url":"https://www.federalregister.gov/documents/2024/04/30/2024-08329/unaccompanied-children-program-foundational-rule","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2024-04-30/pdf/2024-08329.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2024-08329.pdf?1713876316","publication_date":"2024-04-30","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":"Administration for Children and Families","name":"Children and Families Administration","id":49,"url":"https://www.federalregister.gov/agencies/children-and-families-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/49","parent_id":221,"slug":"children-and-families-administration"}],"excerpts":"ORR's distinct role as a custodian of unaccompanied children. Another commenter recommended that ORR not assess flight <span class=\"match\">risk based</span> on an unaccompanied child's negative <span class=\"match\">prior</span> immigration history because, as ORR acknowledged in the preamble in the NPRM, it is not a law enforcement \n \n agency. Additionally, this commenter stated that in their <span class=\"match\">experience</span> serving unaccompanied children, they have not seen any correlation between a <span class=\"match\">prior</span> receipt of a final order of removal or a failure to appear and the risk that children will run away from care provider"},{"title":"Unaccompanied Children Program Foundational Rule","type":"Proposed Rule","abstract":"This NPRM proposes to adopt and replace regulations relating to the key aspects of the placement, care, and services provided to unaccompanied children referred to the Office of Refugee Resettlement (ORR), pursuant to ORR's responsibilities for coordinating and implementing the care and placement of unaccompanied children who are in Federal custody by reason of their immigration status under the Homeland Security Act of 2002 (HSA) and the William Wilberforce Trafficking Victims Protection Reauthorization Act of 2008 (TVPRA). ORR intends to promulgate a final rule that would establish a foundation for the Unaccompanied Children Program (UC Program) that is consistent with its statutory duties, for the benefit of unaccompanied children and to enhance public transparency as to the policies governing the operation of the UC Program. ORR also proposes this rule for the purpose of implementing the 1997 Flores Settlement Agreement (FSA), which remains in effect as a court-ordered consent decree to which the UC Program is subject. As modified in 2001, the FSA provides that it will terminate forty-five days after publication of final regulations implementing the agreement. ORR anticipates that any termination of the settlement based on the adoption of this proposal as a final rule would only be effective for those provisions that affect ORR and would not terminate provisions of the FSA for other Federal Government agencies.","document_number":"2023-21168","html_url":"https://www.federalregister.gov/documents/2023/10/04/2023-21168/unaccompanied-children-program-foundational-rule","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2023-10-04/pdf/2023-21168.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2023-21168.pdf?1696353925","publication_date":"2023-10-04","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":"Administration for Children and Families","name":"Children and Families Administration","id":49,"url":"https://www.federalregister.gov/agencies/children-and-families-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/49","parent_id":221,"slug":"children-and-families-administration"}],"excerpts":"consider if the unaccompanied child (1) has been unacceptably disruptive to the normal functioning of a shelter such that transfer is necessary to ensure the welfare of the unaccompanied child or others; (2) is a runaway <span class=\"match\">risk, based</span> on the criteria at proposed § 410.1107; (3) has displayed a pattern of severity of behavior, either <span class=\"match\">prior</span> to entering ORR custody or while in ORR care, that requires an increase in supervision by trained staff; (4) has a non-violent criminal or delinquent history not warranting placement in a secure facility, such as isolated"},{"title":"Medicare and Medicaid Programs; CY 2023 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Implementing Requirements for Manufacturers of Certain Single-dose Container or Single-use Package Drugs To Provide Refunds With Respect to Discarded Amounts; and COVID-19 Interim Final Rules","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; 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 enrollment policies, including for skilled nursing facilities; updates to conditions of payment for DMEPOS suppliers; HCPCS Level II coding and payment for wound care management products; 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 (SUPPORT) for Patients and Communities Act (SUPPORT Act); updates to the Medicare Ground Ambulance Data Collection System; provisions under the Infrastructure Investment and Jobs Act; and finalizes the CY 2022 Methadone Payment Exception for Opioid Treatment Programs IFC. We are also finalizing, as implemented, a few provisions included in the COVID-19 interim final rules with comment period.","document_number":"2022-23873","html_url":"https://www.federalregister.gov/documents/2022/11/18/2022-23873/medicare-and-medicaid-programs-cy-2023-payment-policies-under-the-physician-fee-schedule-and-other","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2022-11-18/pdf/2022-23873.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2022-23873.pdf?1667420129","publication_date":"2022-11-18","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":"inpatient/observation care (measured by how much time is commonly spent), the survey respondents indicated that they do not spend time on days <span class=\"match\">prior</span> to the visit for any of the inpatient or observation care codes. If the same practitioner spends time <span class=\"match\">prior</span> to the visit as part of another E/M visit in a different setting or as part of care management services, the <span class=\"match\">prior</span> time can be counted toward reporting of the <span class=\"match\">prior</span> visit or care management service. (We refer readers to our PFS Care Management website at \n https://www.cms.gov/Medicare/Medicare-Fee-f"},{"title":"Egg Products Inspection Regulations","type":"Rule","abstract":"The Food Safety and Inspection Service (FSIS) is amending the egg products inspection regulations to require official plants that process egg products (herein also referred to as \"egg products plants\" or \"plants\") to develop and implement Hazard Analysis and Critical Control Point (HACCP) Systems and Sanitation Standard Operating Procedures (Sanitation SOPs) and to meet other sanitation requirements consistent with FSIS's meat and poultry regulations.","document_number":"2020-20151","html_url":"https://www.federalregister.gov/documents/2020/10/29/2020-20151/egg-products-inspection-regulations","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2020-10-29/pdf/2020-20151.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2020-20151.pdf?1603889119","publication_date":"2020-10-29","agencies":[{"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"},{"raw_name":"Food Safety and Inspection Service","name":"Food Safety and Inspection Service","id":201,"url":"https://www.federalregister.gov/agencies/food-safety-and-inspection-service","json_url":"https://www.federalregister.gov/api/v1/agencies/201","parent_id":12,"slug":"food-safety-and-inspection-service"}],"excerpts":"plant inspectors already have HACCP training from past <span class=\"match\">inspection</span> <span class=\"match\">experience</span> in meat and poultry plants. For inspectors without <span class=\"match\">prior</span> <span class=\"match\">experience</span>, FSIS will need to train them in the HACCP system. The long-term objective of the Agency is to establish an <span class=\"match\">inspection</span> system where <span class=\"match\">inspection</span> program personnel will be equally qualified to conduct <span class=\"match\">inspection</span> activities at meat or poultry establishments, and egg product plants. \n \n The Agency anticipates that it will need to train 51 egg products <span class=\"match\">inspection</span> personnel \n 60 \n \n and twenty-four meat or poultry"},{"title":"Small Business Lending Data Collection Under the Equal Credit Opportunity Act (Regulation B)","type":"Proposed Rule","abstract":"The Bureau of Consumer Financial Protection (Bureau) is publishing for public comment a proposed rule amending Regulation B to implement changes to the Equal Credit Opportunity Act (ECOA) made by section 1071 of the Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act). Consistent with section 1071, the Bureau is proposing to require covered financial institutions to collect and report to the Bureau data on applications for credit for small businesses, including those that are owned by women or minorities. The Bureau's proposal also addresses its approach to privacy interests and the publication of section 1071 data; shielding certain demographic data from underwriters and other persons; recordkeeping requirements; enforcement provisions; and the proposed rule's effective and compliance dates.","document_number":"2021-19274","html_url":"https://www.federalregister.gov/documents/2021/10/08/2021-19274/small-business-lending-data-collection-under-the-equal-credit-opportunity-act-regulation-b","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2021-10-08/pdf/2021-19274.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2021-19274.pdf?1633032929","publication_date":"2021-10-08","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":"although one SER suggested that in its <span class=\"match\">experience</span> applicants are generally able to provide reasonable estimates of gross annual revenue. Several SERs preferred reporting ranges rather than precise values. Several SERs also remarked that most businesses take advantage of tax filing extensions and thus typically do not have complete financial information for the <span class=\"match\">prior</span> year until many months later, and asked how that situation should be addressed when requesting applicants' gross annual revenue for the <span class=\"match\">prior</span> fiscal year. \n \n The SBREFA Panel recommended"},{"title":"National Organic Program; Strengthening Organic Enforcement","type":"Proposed Rule","abstract":"The United States Department of Agriculture (USDA) Agricultural Marketing Service (AMS) proposes amending the USDA organic regulations to strengthen oversight and enforcement of the production, handling, and sale of organic agricultural products. The proposed amendments are intended to protect integrity in the organic supply chain and build consumer and industry trust in the USDA organic label by strengthening organic control systems, improving farm to market traceability, and providing robust enforcement of the USDA organic regulations. Topics addressed in this proposed rule include: Applicability of the regulations and exemptions from organic certification; National Organic Program Import Certificates; recordkeeping and product traceability; certifying agent personnel qualifications and training; standardized certificates of organic operation; unannounced on-site inspections of certified operations; oversight of certification activities; foreign conformity assessment systems; certification of grower group operations; labeling of nonretail containers; annual update requirements for certified operations; compliance and appeals processes; and calculating organic content of multi-ingredient products.","document_number":"2020-14581","html_url":"https://www.federalregister.gov/documents/2020/08/05/2020-14581/national-organic-program-strengthening-organic-enforcement","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2020-08-05/pdf/2020-14581.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2020-14581.pdf?1596545113","publication_date":"2020-08-05","agencies":[{"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"},{"raw_name":"Agricultural Marketing Service","name":"Agricultural Marketing Service","id":9,"url":"https://www.federalregister.gov/agencies/agricultural-marketing-service","json_url":"https://www.federalregister.gov/api/v1/agencies/9","parent_id":12,"slug":"agricultural-marketing-service"}],"excerpts":"the purposes of estimating paperwork impacts, AMS expects that half of the unannounced <span class=\"match\">inspections</span> (2.5% of total <span class=\"match\">inspections</span>) would meet the requirement for a full annual <span class=\"match\">inspection</span> and would not impact current paperwork burden. The remaining half of the unannounced <span class=\"match\">inspections</span> (2.5% of total <span class=\"match\">inspections</span>) would target high-risk operations and supply chains and would not count as a full annual <span class=\"match\">inspection</span>. Examples of targeted, limited-scope unannounced <span class=\"match\">inspections</span> include, but are not limited to, verifying livestock on pasture or performing targeted"},{"title":"Banned Devices; Electrical Stimulation Devices for Self-Injurious or Aggressive Behavior","type":"Rule","abstract":"The Food and Drug Administration (FDA, the Agency, or we) is finalizing a ban on electrical stimulation devices (ESDs) for self- injurious or aggressive behavior. FDA has determined that these devices present an unreasonable and substantial risk of illness or injury that cannot be corrected or eliminated by labeling. This ban includes both new devices and devices already in distribution and use; however, this ban provides transition time for those individuals currently subject to ESDs for the identified intended use to transition off ESDs under the supervision of a physician.","document_number":"2020-04328","html_url":"https://www.federalregister.gov/documents/2020/03/06/2020-04328/banned-devices-electrical-stimulation-devices-for-self-injurious-or-aggressive-behavior","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2020-03-06/pdf/2020-04328.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2020-04328.pdf?1583329525","publication_date":"2020-03-06","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":"Food and Drug Administration","name":"Food and Drug Administration","id":199,"url":"https://www.federalregister.gov/agencies/food-and-drug-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/199","parent_id":221,"slug":"food-and-drug-administration"}],"excerpts":"that a researcher does not identify an individual impacts reliability. Nevertheless, when we discussed the opinions of unnamed parents in the proposed rule, we noted that we could not conclude that the <span class=\"match\">experiences</span> reported by those who volunteered to share negative <span class=\"match\">experiences</span> were shared by others or are generally representative of families' <span class=\"match\">experiences</span> with JRC. We have weighed the perspectives with these considerations in mind. \n (Comment 12) A comment criticizes FDA for relying on unsourced letters and papers and unscientific news articles with"},{"title":"Hours of Service of Drivers","type":"Rule","abstract":"FMCSA revises the hours of service (HOS) regulations to provide greater flexibility for drivers subject to those rules without adversely affecting safety. The Agency expands the short-haul exception to 150 air-miles and allows a 14-hour work shift to take place as part of the exception; expands the driving window during adverse driving conditions by up to an additional 2 hours; requires a 30-minute break after 8 hours of driving time (instead of on-duty time) and allows an on-duty/not driving period to qualify as the required break; and modifies the sleeper berth exception to allow a driver to meet the 10- hour minimum off-duty requirement by spending at least 7, rather than at least 8 hours of that period in the berth and a minimum off-duty period of at least 2 hours spent inside or outside of the berth, provided the two periods total at least 10 hours, and that neither qualifying period counts against the 14-hour driving window.","document_number":"2020-11469","html_url":"https://www.federalregister.gov/documents/2020/06/01/2020-11469/hours-of-service-of-drivers","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2020-06-01/pdf/2020-11469.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2020-11469.pdf?1590497153","publication_date":"2020-06-01","agencies":[{"raw_name":"DEPARTMENT OF TRANSPORTATION","name":"Transportation Department","id":492,"url":"https://www.federalregister.gov/agencies/transportation-department","json_url":"https://www.federalregister.gov/api/v1/agencies/492","parent_id":null,"slug":"transportation-department"},{"raw_name":"Federal Motor Carrier Safety Administration","name":"Federal Motor Carrier Safety Administration","id":181,"url":"https://www.federalregister.gov/agencies/federal-motor-carrier-safety-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/181","parent_id":492,"slug":"federal-motor-carrier-safety-administration"}],"excerpts":"in the Coalition represent the trucking industry, commercial vehicle safety officials, State departments of transportation (DOTs), and commercial truck stop owners and operators. \n \n Finally, about the <span class=\"match\">inspection</span> of trucks crossing the U.S.-Mexico border, in each of the past 4 years FMCSA and its State partners conducted more than 250,000 <span class=\"match\">inspections</span> of commercial motor vehicles operated by Mexico-owned or Mexico-domiciled motor carriers.\n 9 \n \n \n \n \n 9 \n  Available at \n https://ai.fmcsa.dot.gov/SafetyProgram/MexicanCarriers.aspx, \n last accessed"},{"title":"21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program","type":"Rule","abstract":"This final rule implements certain provisions of the 21st Century Cures Act, including Conditions and Maintenance of Certification requirements for health information technology (health IT) developers under the ONC Health IT Certification Program (Program), the voluntary certification of health IT for use by pediatric health care providers, and reasonable and necessary activities that do not constitute information blocking. The implementation of these provisions will advance interoperability and support the access, exchange, and use of electronic health information. The rule also finalizes certain modifications to the 2015 Edition health IT certification criteria and Program in additional ways to advance interoperability, enhance health IT certification, and reduce burden and costs.","document_number":"2020-07419","html_url":"https://www.federalregister.gov/documents/2020/05/01/2020-07419/21st-century-cures-act-interoperability-information-blocking-and-the-onc-health-it-certification","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2020-05-01/pdf/2020-07419.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2020-07419.pdf?1587500136","publication_date":"2020-05-01","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":"Office of the Secretary"}],"excerpts":"403(a)(1)(iii) as proposed.\n \n (D) User <span class=\"match\">Experiences</span> \n The phrases “relevant information regarding users' <span class=\"match\">experiences</span> when using the health IT” and “user <span class=\"match\">experience</span>” are not defined in the Cures Act nor any other relevant statutory provisions. We proposed in 84 FR 7470 to afford the term “user <span class=\"match\">experience</span>” its ordinary meaning. To qualify as a “user <span class=\"match\">experience</span>,” we proposed that the <span class=\"match\">experience</span> would have to have been one that is had by a user of health IT. However, beyond this, we did not propose to qualify the types of <span class=\"match\">experiences</span> that would receive protection"},{"title":"Operation of Small Unmanned Aircraft Systems Over People","type":"Proposed Rule","abstract":"The FAA proposes to amend its rules applicable to the operation of small unmanned aircraft systems (UAS). This rulemaking would allow operations of small unmanned aircraft over people in certain conditions and operations of small UAS at night without obtaining a waiver. It would also require remote pilots in command to present their remote pilot in command certificate as well as identification to certain Federal, State, or local officials, upon request, and proposes to amend the knowledge testing requirements in the rules that apply to small UAS operations to require training every 24 calendar months. This proposal would be the next phase in integrating small UAS using a risk-based approach. These amendments would allow expanded small UAS operations and reduce the knowledge testing burden on remote pilot in command certificate holders.","document_number":"2019-00732","html_url":"https://www.federalregister.gov/documents/2019/02/13/2019-00732/operation-of-small-unmanned-aircraft-systems-over-people","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2019-02-13/pdf/2019-00732.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2019-00732.pdf?1549979116","publication_date":"2019-02-13","agencies":[{"raw_name":"DEPARTMENT OF TRANSPORTATION","name":"Transportation Department","id":492,"url":"https://www.federalregister.gov/agencies/transportation-department","json_url":"https://www.federalregister.gov/api/v1/agencies/492","parent_id":null,"slug":"transportation-department"},{"raw_name":"Federal Aviation Administration","name":"Federal Aviation Administration","id":159,"url":"https://www.federalregister.gov/agencies/federal-aviation-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/159","parent_id":492,"slug":"federal-aviation-administration"}],"excerpts":"pieces of the model and by minimizing an associated error function.\n \n \n (3) <span class=\"match\">Inspection</span> \n Manufacturers may also opt to confirm that the small UAS they have manufactured would fulfill the safety level set forth in this proposed rule by submitting information based on <span class=\"match\">inspection</span>. The FAA would expect a full description of the <span class=\"match\">inspection</span> and the results or conclusions from that <span class=\"match\">inspection</span> in order to accept the means of compliance. Often, manufacturers may use the <span class=\"match\">inspection</span> option when a small UAS has undergone modifications. \n (a) Impact Kinetic Energy"},{"title":"21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program","type":"Proposed Rule","abstract":"This proposed rule would implement certain provisions of the 21st Century Cures Act, including conditions and maintenance of certification requirements for health information technology (health IT) developers under the ONC Health IT Certification Program (Program), the voluntary certification of health IT for use by pediatric health care providers, and reasonable and necessary activities that do not constitute information blocking. The implementation of these provisions would advance interoperability and support the access, exchange, and use of electronic health information. The proposed rule would also modify the 2015 Edition health IT certification criteria and Program in additional ways to advance interoperability, enhance health IT certification, and reduce burden and costs.","document_number":"2019-02224","html_url":"https://www.federalregister.gov/documents/2019/03/04/2019-02224/21st-century-cures-act-interoperability-information-blocking-and-the-onc-health-it-certification","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2019-03-04/pdf/2019-02224.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2019-02224.pdf?1550870122","publication_date":"2019-03-04","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":"Office of the Secretary"}],"excerpts":"the developer. \n (D) User <span class=\"match\">Experiences</span> \n The phrase “user <span class=\"match\">experience</span>” is not defined in the Cures Act nor in any other relevant statutory provisions. We propose to afford these terms their ordinary meaning. To qualify as a “user <span class=\"match\">experience</span>,” the <span class=\"match\">experience</span> must be one that is had by a user of health IT. However, beyond this, we do not propose to qualify the types of <span class=\"match\">experiences</span> that would receive protection under the Condition on the basis of the “user <span class=\"match\">experience</span>” subject area. This reflects the great variety of <span class=\"match\">experiences</span> that users may have with"},{"title":"Medicare and Medicaid Programs; CY 2019 Home Health Prospective Payment System Rate Update and CY 2020 Case-Mix Adjustment Methodology Refinements; Home Health Value-Based Purchasing Model; Home Health Quality Reporting Requirements; Home Infusion Therapy Requirements; and Training Requirements for Surveyors of National Accrediting Organizations","type":"Rule","abstract":"This final rule with comment period updates the home health prospective payment system (HH PPS) payment rates, including the national, standardized 60-day episode payment rates, the national per- visit rates, and the non-routine medical supply (NRS) conversion factor, effective for home health episodes of care ending on or after January 1, 2019. This rule also: Updates the HH PPS case-mix weights for calendar year (CY) 2019 using the most current, complete data available at the time of rulemaking; discusses our efforts to monitor the potential impacts of the rebasing adjustments that were implemented in CYs 2014 through 2017; finalizes a rebasing of the HH market basket (which includes a decrease in the labor-related share); finalizes the methodology used to determine rural add-on payments for CYs 2019 through 2022, as required by section 50208 of the Bipartisan Budget Act of 2018 (Pub. L. 115-123) hereinafter referred to as the \"BBA of 2018\"; finalizes regulations text changes regarding certifying and recertifying patient eligibility for Medicare home health services; and finalizes the definition of \"remote patient monitoring\" and the recognition of the costs associated with it as allowable administrative costs. This rule also summarizes the case-mix methodology refinements for home health services beginning on or after January 1, 2020, which includes the elimination of therapy thresholds for payment and a change in the unit of payment from a 60-day episode to a 30-day period, as mandated by section 51001 of the Bipartisan Budget Act of 2018. This rule also finalizes changes to the Home Health Value-Based Purchasing (HHVBP) Model. In addition, with respect to the Home Health Quality Reporting Program, this rule discusses the Meaningful Measures Initiative; finalizes the removal of seven measures to further the priorities of this initiative; discusses social risk factors and provides an update on implementation efforts for certain provisions of the IMPACT Act; and finalizes a regulatory text change regarding OASIS data. For the home infusion therapy benefit, this rule finalizes health and safety standards that home infusion therapy suppliers must meet; finalizes an approval and oversight process for accrediting organizations (AOs) that accredit home infusion therapy suppliers; finalizes the implementation of temporary transitional payments for home infusion therapy services for CYs 2019 and 2020; and responds to the comments received regarding payment for home infusion therapy services for CY 2021 and subsequent years. Lastly, in this rule, we are finalizing only one of the two new requirements we proposed to implement in the regulations for the oversight of AOs that accredit Medicare-certified providers and suppliers. More specifically, for reasons set out more fully in the section X. of this final rule with comment period, we have decided not to finalize our proposal to require that all surveyors for AOs that accredit Medicare-certified providers and suppliers take the same relevant and program-specific CMS online surveyor training that the State Agency surveyors are required to take. However, we are finalizing our proposal to require that each AO must provide a written statement with their application to CMS, stating that if one of its fully accredited providers or suppliers, in good- standing, provides written notification that they wish to voluntarily withdraw from the AO's CMS-approved accreditation program, the AO must continue the provider or supplier's current accreditation until the effective date of withdrawal identified by the facility or the expiration date of the term of accreditation, whichever comes first.","document_number":"2018-24145","html_url":"https://www.federalregister.gov/documents/2018/11/13/2018-24145/medicare-and-medicaid-programs-cy-2019-home-health-prospective-payment-system-rate-update-and-cy","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2018-11-13/pdf/2018-24145.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2018-24145.pdf?1541016934","publication_date":"2018-11-13","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":"admission source categories—community or institutional—depending on what healthcare setting was utilized in the 14 days <span class=\"match\">prior</span> to home health. The 30-day period would be categorized as institutional if an acute or post-acute care stay occurred within the <span class=\"match\">prior</span> 14 days to the start of the 30-day period of care. The 30-day period would be categorized as community if there was no acute or post-acute care stay in the 14 days <span class=\"match\">prior</span> to the start of the 30-day period of care. \n We proposed further grouping 30-day periods into one of six clinical groups"},{"title":"Pesticides; Certification of Pesticide Applicators","type":"Rule","abstract":"EPA is updating the existing regulation concerning the certification of applicators of restricted use pesticides (RUPs) in response to public comments received on the proposal and based on extensive stakeholder review of the existing regulation and its implementation since 1974. The final revised regulation will ensure Federal certification program standards adequately protect applicators, the public, and the environment from risks associated with use of RUPs. The final rule will improve the competency of certified applicators of RUPs, increase protection for noncertified applicators using RUPs under the direct supervision of a certified applicator through enhanced pesticide safety training and standards for supervision of noncertified applicators, and establish a minimum age requirement for certified and noncertified applicators using RUPs under the direct supervision of a certified applicator. Recognizing EPA's commitment to work more closely with Tribal governments to strengthen environmental protection in Indian country, the final rule will provide more practical options for establishing certification programs in Indian country.","document_number":"2016-30332","html_url":"https://www.federalregister.gov/documents/2017/01/04/2016-30332/pesticides-certification-of-pesticide-applicators","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2017-01-04/pdf/2016-30332.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2016-30332.pdf?1483451125","publication_date":"2017-01-04","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":"hands-on <span class=\"match\">experience</span> would be ideal, but recognizes that setting criteria for hands-on <span class=\"match\">experience</span> would be a complicated proposition given the various types of application categories and uses involved. At a minimum, the requirement would have to be tailored to each application category. Given the many possible RUP use scenarios, EPA has chosen not to require a hands-on <span class=\"match\">experience</span> requirement in the final rule. However, EPA recognizes that some certifying authorities currently require noncertified applicators to have hands-on <span class=\"match\">experience</span>, and may continue"},{"title":"2015 Edition Health Information Technology (Health IT) Certification Criteria, 2015 Edition Base Electronic Health Record (EHR) Definition, and ONC Health IT Certification Program Modifications","type":"Rule","abstract":"This final rule finalizes a new edition of certification criteria (the 2015 Edition health IT certification criteria or \"2015 Edition\") and a new 2015 Edition Base Electronic Health Record (EHR) definition, while also modifying the ONC Health IT Certification Program to make it open and accessible to more types of health IT and health IT that supports various care and practice settings. The 2015 Edition establishes the capabilities and specifies the related standards and implementation specifications that Certified Electronic Health Record Technology (CEHRT) would need to include to, at a minimum, support the achievement of meaningful use by eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) under the Medicare and Medicaid EHR Incentive Programs (EHR Incentive Programs) when such edition is required for use under these programs.","document_number":"2015-25597","html_url":"https://www.federalregister.gov/documents/2015/10/16/2015-25597/2015-edition-health-information-technology-health-it-certification-criteria-2015-edition-base","pdf_url":"https://www.govinfo.gov/content/pkg/FR-2015-10-16/pdf/2015-25597.pdf","public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2015-25597.pdf?1444162526","publication_date":"2015-10-16","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":"Office of the Secretary"}],"excerpts":"We clarify that the 30 day period for submitting a proposed corrective action plan would begin to run only after an ONC-ACB has issued a non-conformity determination. In our <span class=\"match\">experience</span>, ONC-ACBs already work with health IT developers and users to investigate potential non-conformities <span class=\"match\">prior</span> to issuing a final determination. Because this back-and-forth will have occurred <span class=\"match\">prior</span> to the ONC-ACB's non-conformity determination, we believe that a developer should be able to submit a proposed corrective action plan within 30 days of being notified of the"}]}