Voglio sapere a riguardo di…

Federal Register / Vol. 86, No. 88 / Monday, May 10, 2021 / Rules and Regulations procedures for delineating and updating the statistical areas as new data become available. If changes to the standards are adopted by OMB and if those changes would affect the OMB delineations used for the IPPS wage index, we would address any such changes and impacts in future rulemaking.
In accordance with the provisions of Executive Order 12866, this IFC was reviewed by the Office of Management and Budget.
VI. Response to Comments Because of the large number of public comments we normally receive on Federal Register documents, we are not able to acknowledge or respond to them individually. We will consider all comments we receive by the date and time specified in the DATES section of this preamble, and, when we proceed with a subsequent document, we will respond to the comments in the preamble to that document.
I, Elizabeth Richter, Acting Administrator of the Centers for Medicare & Medicaid Services, approved this document on April 16, 2021.
List of Subjects in 42 CFR Part 412
Administrative practice and procedure, Health facilities, Medicare, Puerto Rico, Reporting and recordkeeping requirements.
For the reasons set forth in the preamble, the Centers for Medicare &
Medicaid Services amends 42 CFR
chapter IV, part 412, as follows:

1. The authority for part 412
continues to read as follows:

Authority: 42 U.S.C. 1302 and 1395hh.

2. Section 412.230 is amended by adding paragraph a1iii and revising paragraph a5i to read as follows:

khammond on DSKJM1Z7X2PROD with RULES

412.230 Criteria for an individual hospital seeking redesignation to another rural area or an urban area.

a
1
iii An urban hospital that has been granted redesignation as rural under 412.103 is considered to be located in the rural area of the state for the purposes of this section.

5
i An individual hospital may not be redesignated to another area for purposes of the wage index if the prereclassified average hourly wage for that area is lower than the pre-reclassified
16:22 May 07, 2021

Jkt 253001

Dated: April 23, 2021.
Xavier Becerra, Secretary, Department of Health and Human Services.
FR Doc. 202108889 Filed 42721; 4:45 pm BILLING CODE 412001P

DEPARTMENT OF HOMELAND
SECURITY
Federal Emergency Management Agency 44 CFR Part 64
Docket ID FEMA20210003; Internal Agency Docket No. FEMA8679

Suspension of Community Eligibility Federal Emergency Management Agency, DHS.
ACTION: Final rule.
AGENCY:

This rule identifies communities where the sale of flood insurance has been authorized under the National Flood Insurance Program NFIP that are scheduled for suspension on the effective dates listed within this rule because of noncompliance with the floodplain management requirements of the program. If the Federal Emergency Management Agency FEMA receives documentation that the community has adopted the required floodplain management measures prior to the effective suspension date given in this rule, the suspension will not occur.
Information identifying the current participation status of a community can be obtained from FEMAs CSB available at www.fema.gov/flood-insurance/workwith-nfip/community-status-book.
Please note that per Revisions to Publication Requirements for Community Eligibility Status Information Under the National Flood Insurance Program, notices such as this one for scheduled suspension will no longer be published in the Federal Register as of June 2021 but will be available at National Flood Insurance Community Status and Public Notification FEMA.gov. Individuals without internet access will be able to contact their local floodplain management official and/or State NFIP

SUMMARY:

PART 412PROSPECTIVE PAYMENT
SYSTEMS FOR INPATIENT HOSPITAL
SERVICES

VerDate Sep<11>2014

average hourly wage for the area in which the hospital is located. An urban hospital that has been granted redesignation as rural under 412.103 is considered to be located in the rural area of the state for the purposes of this paragraph a5i.

PO 00000

Frm 00041

Fmt 4700

Sfmt 4700

24739

Coordinating Office directly for assistance.
DATES: The effective date of each communitys scheduled suspension is the third date Susp. listed in the third column of the following tables.
FOR FURTHER INFORMATION CONTACT: If you want to determine whether a particular community was suspended on the suspension date or for further information, contact Adrienne L.
Sheldon, PE, CFM, Federal Insurance and Mitigation Administration, Federal Emergency Management Agency, 400 C
Street SW, Washington, DC 20472, 202
6741087. Details regarding updated publication requirements of community eligibility status information under the NFIP can be found on the CSB section at www.fema.gov.
SUPPLEMENTARY INFORMATION: The NFIP
enables property owners to purchase Federal flood insurance that is not otherwise generally available from private insurers. In return, communities agree to adopt and administer local floodplain management measures aimed at protecting lives, new and substantially improved construction, and development in general from future flooding. Section 1315 of the National Flood Insurance Act of 1968, as amended, 42 U.S.C. 4022, prohibits the sale of NFIP flood insurance unless an appropriate public body adopts adequate floodplain management measures with effective enforcement measures. The communities listed in this document no longer meet that statutory requirement for compliance with NFIP regulations, 44 CFR part 59.
Accordingly, the communities will be suspended on the effective date listed in the third column. As of that date, flood insurance will no longer be available in the community. FEMA recognizes communities may adopt and submit the required documentation after this rule is published but prior to the actual suspension date. These communities will not be suspended and will continue to be eligible for the sale of NFIP flood insurance. Their current NFIP
participation status can be verified at anytime on the CSB section at fema.gov.
In addition, FEMA publishes a Flood Insurance Rate Map FIRM that identifies the Special Flood Hazard Areas SFHAs in these communities.
The date of the published FIRM is indicated in the fourth column of the table. No direct federal financial assistance except assistance pursuant to the Robert T. Stafford Disaster Relief and Emergency Assistance Act not in connection with a flood may be provided for construction or acquisition of buildings in identified SFHAs for
E:FRFM10MYR1.SGM

10MYR1