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Federal Register / Vol. 86, No. 146 / Tuesday, August 3, 2021 / Proposed Rules concerns that such a list may not accurately reflect all employee benefits available to practitioners and would need frequent updates through the rulemaking process in order to remain relevant. The available benefits may vary between states and we would, again, defer to specific state laws and regulations as the basis for implementing the proposed rule. We are soliciting public comments on whether to codify a defined list of benefits that may be deducted from a providers payment and, on behalf of the provider, be made to third parties. We are also soliciting public comments on whether there are additional types of benefits that state Medicaid agencies make to third parties on behalf of a provider receiving benefits that were not contemplated in the examples described in this section. In particular, we are seeking comments on whether the described list of benefits is generally permissible and consistent with deductions or payments made by states on behalf of state employees, as well as examples of potential impermissible arrangements we may exclude from the final rule. Finally, we are requesting that commenters further explain why the benefits they provide as examples within their comments are permissible or impermissible under the proposed 447.10i. As noted in the Overall Impact section, we are also seeking public comments, as well as data on the type and amount of benefit deductions broken down by benefit that may be included under 447.10i.
We considered but did not propose to require consent only for specific types of deductions, rather than all types of benefits, for which Medicaid payment amounts may be deducted and paid to a third party in the regulatory text based on the concern that we may not accurately capture all of the employee benefits practitioners believe should require consent. Additionally, identifying certain types of employee benefits for which payments may be deducted and paid to a third party in the regulatory text would also need frequent updates through the rulemaking process in order to remain relevant. We are soliciting public comments on whether to codify that consent is only required for deductions for certain types of employee benefits, which benefits, and why those benefits should require consent from the practitioner. We are also soliciting public comments on whether requiring consent for certain types of employee benefits is advantageous or disadvantageous for the state and practitioner rather than requiring
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consent for all types of employee benefits.
E. Conclusion
List of Subjects in 42 CFR Part 447
Accounting, Administrative practice and procedure, Drugs, Grant programs health, Health facilities, Health professions, Medicaid, Reporting and recordkeeping requirements, Rural areas.
For the reasons set forth in the preamble, the Centers for Medicare &
Medicaid Services proposes to amend 42 CFR chapter IV as set forth below:
PART 447PAYMENTS FOR
SERVICES
1. The authority citation for part 447
continues to read as follows:
Authority: 42 U.S.C. 1302 and 1396r8.

2. Amend 447.10 by revising paragraph a and adding new paragraph i to read as follows:

447.10 Prohibition against reassignment of provider claims.

a Basis and purpose. This section implements section 1902a32 of the Act which prohibits State payments for Medicaid services to anyone other than a provider or beneficiary, under an assignment, power of attorney, or similar arrangement, except in specified circumstances.

i Payment prohibition. The payment prohibition in section 1902a32 of the Act and paragraph d of this section does not apply to payments to a third party on behalf of an individual practitioner for benefits such as health insurance, skills training, and other benefits customary for employees, in the case of a class of practitioners for which the Medicaid program is the primary source of revenue, if the practitioner voluntarily consents to such payments to third parties on the practitioners behalf.
Dated: July 28, 2021.
Andrea Palm, Deputy Secretary, Department of Health and Human Services.
FR Doc. 202116430 Filed 73021; 4:15 pm
Receipt of Pesticide Petitions Filed for Residues of Pesticide Chemicals in or on Various Commodities July 2021
Environmental Protection Agency EPA.

AGENCY:

Notices of filing of petitions and request for comment.

ACTION:

This document announces the Agencys receipt of initial filings of pesticide petitions requesting the establishment or modification of regulations for residues of pesticide chemicals in or on various commodities.

SUMMARY:

Comments must be received on or before September 2, 2021.

DATES:

Submit your comments, identified by docket identification ID
number and the pesticide petition PP
of interest as shown in the body of this document, online at http
www.regulations.gov. Follow the online instructions for submitting comments.
Do not submit electronically any information you consider to be Confidential Business Information CBI
or other information whose disclosure is restricted by statute. Additional instructions on commenting or visiting the docket, along with more information about dockets generally, is available at http www.epa.gov/dockets.
Due to the public health concerns related to COVID19, the EPA/DC and Reading Room is closed to visitors with limited exceptions. The staff continues to provide remote customer service via email, phone, and webform. For the latest status information on the EPA/DC
and docket access, visit https
www.epa.gov/dockets.

FOR FURTHER INFORMATION CONTACT:

Marietta Echeverria, Registration Division 7505P, main telephone number: 703 3057090, email address:
RDFRNotices@epa.gov. The mailing address for each contact person is:
Office of Pesticide Programs, Environmental Protection Agency, 1200
Pennsylvania Ave. NW, Washington, DC
204600001. As part of the mailing address, include the contact persons name, division, and mail code. The division to contact is listed at the end of each pesticide petition summary.
SUPPLEMENTARY INFORMATION:

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ADDRESSES:

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ENVIRONMENTAL PROTECTION
AGENCY
40 CFR Parts 174 and 180

In accordance with the provisions of Executive Order 12866, this proposed rule was reviewed by the Office of Management and Budget.
Chiquita Brooks-LaSure, Administrator of the Centers for Medicare & Medicaid Services, approved this document on July 21, 2021.

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