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Federal Register / Vol. 86, No. 189 / Monday, October 4, 2021 / Rules and Regulations
and add in its place
these changes. The average estimated increase for all IPFs is approximately 1.9
percent based on the FY 2019 claims, or 0.9
percent based on the FY 2020 claims. These estimated net increases include the effects of the 2016-based IPF market basket update of 2.7 percent reduced by the productivity adjustment of 0.7 percentage point, as required by section 1886s2Ai of the Act. They also include the overall estimated 0.1 percent decrease in estimated IPF outlier payments as a percent of total payments from updating the outlier fixed dollar loss threshold amount. In addition, column 5
includes the distributional effects of the final updates to the IPF wage index, the laborrelated share, and the final updated COLA
factors, whose impacts are displayed in column 4. Based on the FY 2020 claims distribution, the increase to estimated payments due to the market basket update factor are offset in large part for some provider types by the increase to the outlier fixed dollar loss threshold.

Finally, column 5 compares the total final changes reflected in this final rule for FY
2022 to the estimates for FY 2021 without
b. In the second column, in the first full paragraph, remove the paragraph,
increase for all IPFs is approximately 2.1
percent based on the FY 2019 claims, or 0.9
percent based on the FY 2020 claims. These estimated net increases include the effects of the 2016-based market basket update of 2.7
percent reduced by the productivity adjustment of 0.7 percentage point, as required by section 1886s2Ai of the Act. They also include the overall estimated 0.1 percent increase in estimated IPF outlier payments as a percent of total payments from updating the outlier fixed dollar loss threshold amount. In addition, column 5
includes the distributional effects of the final updates to the IPF wage index, the laborrelated share, and the final updated COLA
factors, whose impacts are displayed in column 4. Based on the FY 2020 claims distribution, the increase to estimated payments due to the market basket update factor are offset in large part for some provider types by the increase to the outlier fixed dollar loss threshold.

IPF payments are therefore estimated to increase by 2.1 percent in urban areas and 2.2
percent in rural areas based on this finalized policy. Overall, IPFs are estimated to experience a net increase in payments as a result of the updates in this final rule. The largest payment increase is estimated at 2.7
percent for IPFs in the South Atlantic region.

and add in its place IPF payments are therefore estimated to increase by 1.8 percent in urban areas and 2.1
percent in rural areas based on this finalized policy. Overall, IPFs are estimated to experience a net increase in payments as a result of the updates in this final rule. The largest payment increases are estimated at 2.5
percent for IPFs in the South Atlantic region and 2.5 percent for rural, government-owned IPF hospitals.

19. On page 42677, a. Above Table 15, in the third column, in the first full paragraph, in line 13, remove the number 1,519 and add in its place 1,520.
b. Revise Table 19 to read as follows:

TABLE 19ACCOUNTING STATEMENT: CLASSIFICATION OF ESTIMATED COSTS, SAVINGS, AND TRANSFERS
Primary estimate $million/year
Category
Regulatory Review Costs
Annualized Monetized Costs Savings
0.2
0.51
0.44
70

Annualized Monetized Transfers from Federal Government to IPF
Medicare Providers.

c. Below Table 19, in the third column, in line 10, remove the number 1,519 and add in its place 1,520.
Karuna Seshasai, Executive Secretary to the Department, Department of Health and Human Services.
FR Doc. 202121546 Filed 93021; 4:15 pm BILLING CODE 412001P

Units Low estimate
High estimate
0.38
0.33

0.64
0.54

Management BLM mineral resources regulations for the processing of certain minerals program-related actions. It also adjusts certain filing fees for mineralsrelated documents. These updated fees include those for actions such as lease renewals and mineral patent adjudications.
This final rule is effective on October 4, 2021.

DATES:

DEPARTMENT OF THE INTERIOR

You may send inquiries or suggestions to Director 630, Bureau of Land Management, 760 Horizon Drive, Grand Junction, CO 81506; Attention:
RIN 1004AE81.

ADDRESSES:

Bureau of Land Management 43 CFR Part 3000
212L1109AF.LLHQ300000.
L13100000.PP0000

FOR FURTHER INFORMATION CONTACT:

RIN 1004AE81

Minerals Management: Adjustment of Cost Recovery Fees Bureau of Land Management, Interior.
ACTION: Final rule.
AGENCY:

This final rule updates the fees set forth in the Bureau of Land
SUMMARY:

VerDate Sep<11>2014

16:13 Oct 01, 2021

Jkt 256001

Sheila Mallory, Acting Chief, Division of Fluid Minerals, 7752873293, smallory@blm.gov; Lindsey Curnutt, Chief, Division of Solid Minerals, 775
8242910, lcurnutt@blm.gov; or Faith Bremner, Regulatory Analyst, Division of Regulatory Affairs, fbremner@
blm.gov. Persons who use a telecommunications device for the deaf TDD may leave a message for these individuals with the Federal Relay
PO 00000

Discount rate %

Year dollars
Frm 00050

Fmt 4700

Sfmt 4700

2020
2019
2019
FY 2022

7 3

Period covered FY
FY
FY
FY

2022.
2023FY 2031.
2023FY 2031.
2022.

Service FRS at 18008778339, 24
hours a day, 7 days a week.
SUPPLEMENTARY INFORMATION:
I. Background The BLM has authority to charge fees for processing applications and other documents relating to public lands under section 304 of the Federal Land Policy and Management Act of 1976
FLPMA, 43 U.S.C. 1734. In 2005, the BLM published a final cost recovery rule 70 FR 58854 that established new fees or revised fees and service charges for processing documents related to its minerals programs 2005 Cost Recovery Rule. In addition, the 2005
Cost Recovery Rule also established the method the BLM would use to adjust those fees and service charges for inflation on an annual basis.
The regulations at 43 CFR 3000.12a provide that the BLM will annually adjust fees established in subchapter C
43 CFR parts 30003900 according to changes in the Implicit Price Deflator for Gross Domestic Product IPDGDP, which is published quarterly by the U.S.

E:FRFM04OCR1.SGM

04OCR1