Indian Health; Removal of Suspended Regulations

Published date22 June 2020
Citation85 FR 37414
Record Number2020-12754
SectionProposed rules
CourtIndian Health Service
Federal Register, Volume 85 Issue 120 (Monday, June 22, 2020)
[Federal Register Volume 85, Number 120 (Monday, June 22, 2020)]
                [Proposed Rules]
                [Pages 37414-37415]
                From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
                [FR Doc No: 2020-12754]
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                DEPARTMENT OF HEALTH AND HUMAN SERVICES
                Indian Health Service
                42 CFR Part 136a
                [Docket No. IHS-FRDOC-0001]
                RIN 0917-AA13
                Indian Health; Removal of Suspended Regulations
                AGENCY: Indian Health Service, Department of Health and Human Services.
                ACTION: Notice of proposed rulemaking.
                -----------------------------------------------------------------------
                SUMMARY: The Indian Health Service (IHS) of the Department of Health
                and Human Services (HHS or ``the Department'') is issuing this notice
                of proposed rulemaking (NPRM) proposing the removal of regulations
                appearing in the Code of Federal Regulations. These regulations have
                never been implemented and were referred to as ``suspended'' in a 1999
                Federal Register Notice.
                DATES: Send comments on or before August 21, 2020.
                ADDRESSES: You may submit comments to this proposed rule, identified by
                RIN 0917-AA14 by any of the following methods:
                 Federal eRulemaking Portal. You may submit electronic
                comments at http://www.regulations.gov by searching for the Docket ID
                number IHS-FRDOC-0001. Follow the instructions http://www.regulations.gov online for submitting comments through this method.
                 Regular, Express, or Overnight Mail: You may mail comments
                to Indian Health Service, Attention: Evonne Bennett, Acting Director,
                NPRM, RIN 0917-AA13, Division of Regulatory and Policy Coordination,
                Office of Management Services, Indian Health Service, 5600 Fishers
                Lane, Mailstop: 09E70, Rockville, Maryland 20857.
                 All comments received by the methods and due date specified above
                will be posted without change to content to http://www.regulations.gov,
                including any personal information provided about the commenter, and
                such posting may occur before or after the closing of the comment
                period.
                 Docket: For complete access to background documents or posted
                comments, go to http://www.regulations.gov and search for Docket ID
                number IHS-FRDOC-0001.
                FOR FURTHER INFORMATION CONTACT: Evonne Bennett, Acting Director,
                Division of Regulatory and Policy Coordination, Office of Management
                Services, IHS, 5600 Fishers Lane, Rockville, MD 20857, Mail Stop:
                09E70. Telephone (301) 443-1116 (This is not a toll-free number).
                SUPPLEMENTARY INFORMATION: In response to Executive Order 13777, Sec.
                3(d), which directs agencies to repeal existing regulations that are
                ``outdated, unnecessary or ineffective'' from the CFR, HHS proposes to
                remove the regulations appearing at 42 CFR part 136a. These regulations
                were promulgated as a final rule in 1987 and were intended to replace
                the regulations appearing in the CFR at 42 CFR part 136. The new
                regulations, however, were never implemented and have since been
                referred to as ``suspended'' in the Federal Register. In the
                intervening years, the IHS has continued to follow the regulations
                appearing at 42 CFR part 136, and the IHS does not propose to alter
                this practice. Instead, the IHS proposes to remove the duplicative
                regulations at 42 CFR part 136a from the CFR. Given how much time has
                passed since these regulations were initially promulgated; the concern
                on the part of Congress regarding implementation of the regulations;
                and the confusion caused by having two sets of regulations addressing
                the same issue published in the CFR, the Agency proposes that the
                suspended regulations at 42 CFR part 136a be deleted in their entirety.
                Executive Orders 12866, 13563, 13771, and 13777
                 Executive Orders 12866 and 13563 direct agencies to assess all
                costs and benefits of available regulatory alternatives. Section 3(f)
                of Executive
                [[Page 37415]]
                Order 12866 defines a ``significant regulatory action'' as an action
                that is likely to result in a rule: (1) Having an annual effect on the
                economy of $100 million or more in any 1 year, or adversely and
                materially affecting a sector of the economy, productivity,
                competition, jobs, the environment, public health or safety, or State,
                local or Tribal governments or communities (also referred to as
                ``economically significant''); (2) creating a serious inconsistency or
                otherwise interfering with an action taken or planned by another
                agency; (3) materially altering the budgetary impacts of entitlement
                grants, user fees, or loan programs or the rights and obligations of
                recipients thereof; or (4) raising novel legal or policy issues arising
                out of legal mandates, the President's priorities, or the principles
                set forth in the Executive Order. A regulatory impact analysis (RIA)
                must be prepared for major rules with economically significant effects
                ($100 million or more in any 1 year). HHS submits that this proposed
                rule is not ``economically significant'' as measured by the $100
                million threshold, and hence not a major rule under the Congressional
                Review Act. This rule has not been designated as a ``significant
                regulatory action'' under Executive Order 12866. Accordingly, this rule
                has not been reviewed by the Office of Management and Budget (OMB).
                Executive Order 13771, titled, ``Reducing Regulation and Controlling
                Regulatory Costs,'' was issued on January 30, 2017. Executive Order
                13771 directs agencies to categorize all impacts which generate or
                alleviate costs associated with regulatory burden and to determine the
                actions' net incremental effect. HHS identifies this proposed rule as a
                deregulatory action (removing an obsolete rule from the Code of Federal
                Regulations) that provides no cost savings.
                 Executive Order 13777, titled, ``Enforcing the Regulatory Reform
                Agenda,'' was issued on February 24, 2017. As required by Section 3 of
                this Executive Order, HHS established a Regulatory Reform Task Force
                (HHS Task Force). Pursuant to Section 3(d)(ii), the HHS Task Force
                evaluated this rulemaking and determined that these regulations are
                ``outdated, unnecessary, or ineffective.'' Following this finding, the
                HHS Task Force advised IHS to initiate this rulemaking to remove the
                unnecessary regulation from the Code of Federal Regulations.
                Regulatory Flexibility Act
                 This action will not have a significant economic impact on Indian
                health programs. Therefore, the regulatory flexibility analysis
                provided for under the Regulatory Flexibility Act is not required.
                Paperwork Reduction Act
                 This action does not affect any information collections.
                List of Subjects in 42 CFR Part 136a
                 Government procurement, Government programs--education, Grant
                programs--education, Grant programs--health, Grant programs--Indians,
                Health care, Health professions, Indians, Penalties, Reporting and
                recordkeeping requirements, Scholarships and fellowships, Student aid.
                PART 136a--[REMOVED]
                 For the reasons set forth above, and under the authority of the
                Snyder Act (25 U.S.C. 13) and the Transfer Act (42 U.S.C. 2001 et
                seq.), the Department of Health and Human Services proposes to remove
                42 CFR part 136a from the Code of Federal Regulations.
                 Dated: March 13, 2020.
                Michael D. Weahkee,
                RADM, Assistant Surgeon General, U.S. Public Health Service, Principal
                Deputy Director, Indian Health Service.
                 Approved: April 9, 2020.
                Alex M. Azar II,
                Secretary, Department of Health and Human Services.
                [FR Doc. 2020-12754 Filed 6-19-20; 8:45 am]
                BILLING CODE 4165-16-P
                

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