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Federal Register / Vol. 86, No. 192 / Thursday, October 7, 2021 / Proposed Rules
Environmental Review
The Proposed Amendment
This proposal will be subject to an environmental analysis in accordance with FAA Order 1050.1F, Environmental Impacts: Policies and Procedures prior to any FAA final regulatory action.

In consideration of the foregoing, the Federal Aviation Administration proposes to amend 14 CFR part 71 as follows:

List of Subjects in 14 CFR Part 71
Airspace, Incorporation by reference, Navigation air.

PART 71DESIGNATION OF CLASS A, B, C, D, AND E AIRSPACE AREAS; AIR
TRAFFIC SERVICE ROUTES; AND
REPORTING POINTS
1. The authority citation for part 71
continues to read as follows:

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Issued in Washington, DC, on September 30, 2021.
Michael R. Beckles, Acting Manager, Rules and Regulations Group.
FR Doc. 202121861 Filed 10621; 8:45 am BILLING CODE 491013P

DEPARTMENT OF THE TREASURY

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Management OPM, the Employee Benefits Security Administration of the Department of Labor DOL, and the Center for Medicare & Medicaid Services of the Department of Health and Human Services HHS are issuing substantially similar interim final rules with request for comments. The text of those temporary regulations also serves as the text of these proposed regulations.
DATES:

Internal Revenue Service 26 CFR Part 54
REG10770721
RIN 1545BQ02

Requirements Related to Surprise Billing; Part II
Internal Revenue Service, Department of the Treasury.
ACTION: Notice of proposed rulemaking.
AGENCY:

The Department of the Treasury Treasury Department and Internal Revenue Service IRS are proposing regulations that provide for a federal independent dispute resolution IDR process to permit group health plans and nonparticipating providers, facilities, and providers of air ambulance services to determine the out-of-network rate for items and services that are emergency services, nonemergency services furnished by nonparticipating providers at participating facilities, and air ambulance services furnished by nonparticipating providers of air ambulance services, under certain circumstances. Elsewhere in this issue of the Federal Register, the IRS is issuing the temporary regulations that correspond to this proposal at the same time that the Office of Personnel
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SUMMARY:

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16:52 Oct 06, 2021

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Comment date: To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on December 6, 2021.
Applicability date: It is proposed that these regulations apply for plan years beginning on or after January 1, 2022.
ADDRESSES: In commenting, please refer to file code REG10770721. Comments, including mass comment submissions, must be submitted in one of the following two ways please choose only one of the ways listed:
1. Electronically. You may submit electronic comments on this regulation to http www.regulations.gov. Follow the Submit a comment instructions.
2. By mail. You may mail written comments to the following address ONLY: Office of Health Plan Standards and Compliance Assistance, Employee Benefits Security Administration, U.S.
Department of Labor, 200 Constitution Avenue NW, Room N5653, Washington, DC 20210, Attention: RIN
1210AB00.
Please allow sufficient time for mailed comments to be received before the close of the comment period.
FOR FURTHER INFORMATION CONTACT: Kari DiCecco, 202 3175500, Internal Revenue Service, Department of the Treasury.

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Authority: 49 U.S.C. 106f, 106g; 40103, 40113, 40120; E.O. 10854, 24 FR 9565, 3 CFR, 19591963 Comp., p. 389.
71.1

Amended
2. The incorporation by reference in 14 CFR 71.1 of FAA Order JO 7400.11F, Airspace Designations and Reporting Points, dated August 10, 2021, and effective September 15, 2021, is amended as follows:

Paragraph 6011 United States Area Navigation Routes.

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Inspection of Public Comments: All comments received before the close of the comment period are available for viewing by the public, including any personally identifiable or confidential business information that is included in a comment. We post all comments received before the close of the comment period on the following website as soon as possible after they have been received: http
regulations.gov. Follow the search instructions on that website to view public comments.

SUPPLEMENTARY INFORMATION:

Background and Regulatory Impact Analysis The Treasury Department and the IRS
propose to amend paragraphs a, c, d, and g of 54.98152719 of the Miscellaneous Excise Tax Regulations to expand the scope of claims eligible for external review to include adverse benefit determinations related to compliance with the surprise billing and cost-sharing protections under the No Surprises Act.
The Treasury Department and the IRS
also propose to add 54.98168 and 54.98172 to establish a federal IDR
process that nonparticipating providers or facilities, nonparticipating providers of air ambulance services, and group health plans may use following the end of an unsuccessful open negotiation period to determine the out-of-network rate for certain services.
The temporary regulations published elsewhere in this issue of the Federal Register add 54.98152719T, 54.98168T, and 54.98172T. The proposed and temporary regulations are being published as part of a joint rulemaking with the OPM, DOL, and HHS. The text of temporary sections added elsewhere also serves as the text of the corresponding sections proposed
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