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Federal Register / Vol. 86, No. 102 / Friday, May 28, 2021 / Proposed Rules Medicaid Services proposes to amend 42 CFR chapter IV as set forth below:

proceed with a subsequent document, we will respond to the applicable comments in the preamble to that document, as appropriate.
I, Elizabeth Richter, Acting Administrator of the Centers for Medicare & Medicaid Services, approved this document on May 18, 2021.

PART 447PAYMENT FOR SERVICES
1. The authority citation for part 447
continues to read as follows:

Authority: 42 U.S.C. 1302 and 1396r8.

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 &

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2. Amend 447.502 by revising the definitions of States and United States to read as follows:

447.502

Definitions.

States means the 50 States and the District of Columbia and, beginning April 1, 2024, also includes the Commonwealth of Puerto Rico, the Virgin Islands of the United States,
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Guam, the Commonwealth of the Northern Mariana Islands, and American Samoa.
United States means the 50 States and the District of Columbia and, beginning April 1, 2024, also includes the Commonwealth of Puerto Rico, the Virgin Islands of the United States, Guam, the Commonwealth of the Northern Mariana Islands, and American Samoa.

Dated: May 21, 2021.
Xavier Becerra, Secretary, Department of Health and Human Services.
FR Doc. 202111160 Filed 52621; 4:15 pm BILLING CODE 412001P

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