2010-30444. Regulatory Agenda  

  • [Federal Register Volume 75, Number 243 (Monday, December 20, 2010)]
    [Unknown Section]
    [Pages 79763-79786]
    From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
    [FR Doc No: 2010-30444]
    
    
    [[Page 79763]]
    
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    Part VIII
    
    
    
    
    
    Department of Health and Human Services
    
    
    
    
    
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    ###Semiannual Regulatory Agenda###
    
    [[Page 79764]]
    
    
    
    DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS)
    
    
    
    
    
    
    _______________________________________________________________________
    
    DEPARTMENT OF HEALTH AND HUMAN SERVICES
    
    Office of the Secretary
    
    21 CFR Ch. I
    
    42 CFR Chs. I-V
    
    45 CFR Subtitle A; Subtitle B, Chs. II, III, and XIII
    
    
    Regulatory Agenda
    
    AGENCY: Office of the Secretary, HHS.
    
    ACTION: Semiannual Regulatory Agenda.
    
    _______________________________________________________________________
    
    SUMMARY: The Regulatory Flexibility Act of 1980 and Executive Order 
    (EO) 12866 require the semi-annual issuance of an inventory of 
    rulemaking actions under development throughout the Department with a 
    view to offering summarized information about forthcoming regulatory 
    actions for public review.
    
    FOR FURTHER INFORMATION CONTACT: Dawn L. Smalls, Executive Secretary, 
    Department of Health and Human Services, Washington, DC 20201.
    
    SUPPLEMENTARY INFORMATION: The information provided in the Agenda 
    presents a forecast of the rulemaking activities that the Department of 
    Health and Human Services (HHS) expects to undertake in the foreseeable 
    future. Rulemakings are grouped according to pre-rulemaking actions, 
    proposed rules, final rules, long-term actions, and rulemaking actions 
    completed since the Spring 2009 Agenda was published.
    
        Please note that the rulemaking abstracts included in this 
    paper issue of the Federal Register relate strictly to those 
    prospective rulemakings that are likely to have a significant 
    economic impact on a substantial number of small entities, as 
    required by the Regulatory Flexibility Act of 1980. Also available 
    in this issue of the Register is the Department's submission to the 
    Fiscal Year 2011 Regulatory Plan, as required under Executive Order 
    12866.
    
        The purpose of the Agenda is to encourage more effective public 
    participation in the regulatory process, and HHS invites all 
    interested members of the public to comment on the rulemaking 
    actions included in this issuance of the Agenda. The complete 
    Regulatory Agenda of the Department is accessible online at 
    www.reginfo.gov in an interactive format that offers users enhanced 
    capabilities to obtain information from the Agenda's database.
    
    Dated:  September 21, 2010.
    
     Dawn L. Smalls,
    
    Executive Secretary,
    Department of Health and Human Services.
    
                                      Office of the Secretary--Proposed Rule Stage
    ----------------------------------------------------------------------------------------------------------------
                                                                                                         Regulation
     Sequence                                           Title                                            Identifier
      Number                                                                                               Number
    ----------------------------------------------------------------------------------------------------------------
    302         Revisions to Regulations Addressing the OIG's Authority To Impose Civil Money             0991-AB03
                Penalties and Assessments (Section 610 Review)........................................
    ----------------------------------------------------------------------------------------------------------------
    
    
                                        Office of the Secretary--Final Rule Stage
    ----------------------------------------------------------------------------------------------------------------
                                                                                                         Regulation
     Sequence                                           Title                                            Identifier
      Number                                                                                               Number
    ----------------------------------------------------------------------------------------------------------------
    303         Modifications to the HIPAA Privacy, Security, and Enforcement Rules Under the Health      0991-AB57
                Information Technology for Economic and Clinical Health Act (Reg Plan Seq No. 41).....
    ----------------------------------------------------------------------------------------------------------------
    References in boldface appear in The Regulatory Plan in part II of this issue of the Federal Register.
    
    
                                       Office of the Secretary--Completed Actions
    ----------------------------------------------------------------------------------------------------------------
                                                                                                         Regulation
     Sequence                                           Title                                            Identifier
      Number                                                                                               Number
    ----------------------------------------------------------------------------------------------------------------
    304         Health Information Technology: Initial Set of Standards, Implementation                   0991-AB58
                Specifications, and Certification Criteria for Electronic Health Record Technology
                (Rulemaking Resulting From a Section 610 Review)......................................
    ----------------------------------------------------------------------------------------------------------------
    
    
                      Substance Abuse and Mental Health Services Administration--Long-Term Actions
    ----------------------------------------------------------------------------------------------------------------
                                                                                                         Regulation
     Sequence                                           Title                                            Identifier
      Number                                                                                               Number
    ----------------------------------------------------------------------------------------------------------------
    305         Requirements Governing the Use of Seclusion and Restraint in Certain Nonmedical           0930-AA10
                Community-Based Facilities for Children and Youth.....................................
    306         Opioid Drugs in Maintenance or Detoxification Treatment of Opiate Addiction (Section      0930-AA14
                610 Review)...........................................................................
    ----------------------------------------------------------------------------------------------------------------
    
    
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                             Centers for Disease Control and Prevention--Proposed Rule Stage
    ----------------------------------------------------------------------------------------------------------------
                                                                                                         Regulation
     Sequence                                           Title                                            Identifier
      Number                                                                                               Number
    ----------------------------------------------------------------------------------------------------------------
    307         Control of Communicable Diseases: Foreign and Possessions Regulations; Nonhuman           0920-AA23
                Primate...............................................................................
    ----------------------------------------------------------------------------------------------------------------
    
    
                              Centers for Disease Control and Prevention--Final Rule Stage
    ----------------------------------------------------------------------------------------------------------------
                                                                                                         Regulation
     Sequence                                           Title                                            Identifier
      Number                                                                                               Number
    ----------------------------------------------------------------------------------------------------------------
    308         Control of Communicable Diseases: Foreign and Possessions.............................    0920-AA12
    309         Possession, Use, and Transfer of Select Agents and Toxins: Chapare Virus (Section 610     0920-AA32
                Review)...............................................................................
    ----------------------------------------------------------------------------------------------------------------
    
    
                              Centers for Disease Control and Prevention--Long-Term Actions
    ----------------------------------------------------------------------------------------------------------------
                                                                                                         Regulation
     Sequence                                           Title                                            Identifier
      Number                                                                                               Number
    ----------------------------------------------------------------------------------------------------------------
    310         Quality Assurance Requirements for Respirators........................................    0920-AA04
    ----------------------------------------------------------------------------------------------------------------
    
    
                                       Food and Drug Administration--Prerule Stage
    ----------------------------------------------------------------------------------------------------------------
                                                                                                         Regulation
     Sequence                                           Title                                            Identifier
      Number                                                                                               Number
    ----------------------------------------------------------------------------------------------------------------
    311         Food Labeling: Safe Handling Statements, Labeling of Shell Eggs; Refrigeration of         0910-AG06
                Shell Eggs Held for Retail Distribution (Section 610 Review)..........................
    ----------------------------------------------------------------------------------------------------------------
    
    
                                    Food and Drug Administration--Proposed Rule Stage
    ----------------------------------------------------------------------------------------------------------------
                                                                                                         Regulation
     Sequence                                           Title                                            Identifier
      Number                                                                                               Number
    ----------------------------------------------------------------------------------------------------------------
    312         Electronic Submission of Data From Studies Evaluating Human Drugs and Biologics (Reg      0910-AC52
                Plan Seq No. 45)......................................................................
    313         Over-the-Counter (OTC) Drug Review--Cough/Cold (Antihistamine) Products...............    0910-AF31
    314         Over-the-Counter (OTC) Drug Review--Internal Analgesic Products.......................    0910-AF36
    315         Over-the-Counter (OTC) Drug Review--Laxative Drug Products............................    0910-AF38
    316         Over-the-Counter (OTC) Drug Review--Sunscreen Products................................    0910-AF43
    317         Over-the-Counter (OTC) Drug Review--Topical Antimicrobial Drug Products...............    0910-AF69
    318         Import Tolerances for Residues of Unapproved New Animal Drugs in Food.................    0910-AF78
    319         Laser Products; Amendment to Performance Standard.....................................    0910-AF87
    320         Pet Food Labeling Requirements........................................................    0910-AG09
    321         Process Controls for Animal Feed Ingredients and Mixed Animal Feed....................    0910-AG10
    322         Over-the-Counter (OTC) Drug Review--Pediatric Dosing for Cough/Cold Products..........    0910-AG12
    323         Electronic Distribution of Content of Labeling for Human Prescription Drug and            0910-AG18
                Biological Products...................................................................
    324         Unique Device Identification (Reg Plan Seq No. 46)....................................    0910-AG31
    325         Cigars Subject to the Family Smoking Prevention and Tobacco Control Act...............    0910-AG38
    326         Cigarette Warning Label Statements (Reg Plan Seq No. 47)..............................    0910-AG41
    327         General Hospital and Personal Use Devices: Designation of Special Controls for            0910-AG54
                Infusion Pumps........................................................................
    328         Food Labeling: Nutrition Labeling for Food Sold in Vending Machines (Reg Plan Seq No.     0910-AG56
                48)...................................................................................
    329         Food Labeling: Nutrition Labeling of Standard Menu Items in Chain Restaurants (Reg        0910-AG57
                Plan Seq No. 49)......................................................................
    ----------------------------------------------------------------------------------------------------------------
    References in boldface appear in The Regulatory Plan in part II of this issue of the Federal Register.
    
    
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                                     Food and Drug Administration--Final Rule Stage
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                                                                                                         Regulation
     Sequence                                           Title                                            Identifier
      Number                                                                                               Number
    ----------------------------------------------------------------------------------------------------------------
    330         Postmarketing Safety Reporting Requirements for Human Drug and Biological Products....    0910-AA97
    331         Medical Gas Containers and Closures; Current Good Manufacturing Practice Requirements.    0910-AC53
    332         Content and Format of Labeling for Human Prescription Drugs and Biologics;                0910-AF11
                Requirements for Pregnancy and Lactation Labeling.....................................
    333         Infant Formula: Current Good Manufacturing Practices; Quality Control Procedures;         0910-AF27
                Notification Requirements; Records and Reports; and Quality Factors (Reg Plan Seq No.
                50)...................................................................................
    334         Over-the-Counter (OTC) Drug Review--Cough/Cold (Bronchodilator) Products..............    0910-AF32
    335         Over-the-Counter (OTC) Drug Review--Cough/Cold (Combination) Products.................    0910-AF33
    336         Over-the-Counter (OTC) Drug Review--External Analgesic Products.......................    0910-AF35
    337         Over-the-Counter (OTC) Drug Review--Skin Protectant Products..........................    0910-AF42
    338         Use of Materials Derived From Cattle in Human Food and Cosmetics......................    0910-AF47
    339         Label Requirement for Food That Has Been Refused Admission Into the United States.....    0910-AF61
    ----------------------------------------------------------------------------------------------------------------
    References in boldface appear in The Regulatory Plan in part II of this issue of the Federal Register.
    
    
                                     Food and Drug Administration--Long-Term Actions
    ----------------------------------------------------------------------------------------------------------------
                                                                                                         Regulation
     Sequence                                           Title                                            Identifier
      Number                                                                                               Number
    ----------------------------------------------------------------------------------------------------------------
    340         Current Good Manufacturing Practice in Manufacturing, Packing, Labeling, or Holding       0910-AB88
                Operations for Dietary Supplements....................................................
    341         Over-the-Counter (OTC) Drug Review--Cough/Cold (Nasal Decongestant) Products..........    0910-AF34
    342         Over-the-Counter (OTC) Drug Review--Labeling of Drug Products for OTC Human Use.......    0910-AF37
    343         Over-the-Counter (OTC) Drug Review--Ophthalmic Products...............................    0910-AF39
    344         Over-the-Counter (OTC) Drug Review--Oral Health Care Products.........................    0910-AF40
    345         Over-the-Counter (OTC) Drug Review--Vaginal Contraceptive Products....................    0910-AF44
    346         Over-the-Counter (OTC) Drug Review--Weight Control Products...........................    0910-AF45
    347         Over-the-Counter (OTC) Drug Review--Overindulgence in Food and Drink Products.........    0910-AF51
    348         Over-the-Counter (OTC) Drug Review--Antacid Products..................................    0910-AF52
    349         Over-the-Counter (OTC) Drug Review--Skin Bleaching Products...........................    0910-AF53
    350         Over-the-Counter (OTC) Drug Review--Stimulant Drug Products...........................    0910-AF56
    351         Over-the-Counter (OTC) Drug Review--Antidiarrheal Drug Products.......................    0910-AF63
    352         Over-the-Counter (OTC) Drug Review--Urinary Analgesic Drug Products...................    0910-AF70
    353         Over-the-Counter (OTC) Drug Review--Certain Category II Active Ingredients............    0910-AF95
    354         Prescription Drug Marketing Act of 1987; Prescription Drug Amendments of 1992;            0910-AG14
                Policies, Requirements, and Administrative Procedures (Section 610 Review)............
    355         Produce Safety Regulation.............................................................    0910-AG35
    356         Modernization of the Current Food Good Manufacturing Practices Regulation.............    0910-AG36
    ----------------------------------------------------------------------------------------------------------------
    
    
                                     Food and Drug Administration--Completed Actions
    ----------------------------------------------------------------------------------------------------------------
                                                                                                         Regulation
     Sequence                                           Title                                            Identifier
      Number                                                                                               Number
    ----------------------------------------------------------------------------------------------------------------
    357         Sterility Requirement for Aqueous-Based Drug Products for Oral Inhalation (Completion     0910-AG25
                of a Section 610 Review)..............................................................
    358         Regulations Restricting the Sale and Distribution of Cigarettes and Smokeless Tobacco     0910-AG33
                To Protect Children and Adolescents...................................................
    359         Over-the-Counter Human Drugs; Labeling Requirements (Completion of a Section 610          0910-AG34
                Review)...............................................................................
    ----------------------------------------------------------------------------------------------------------------
    
    
                              Centers for Medicare & Medicaid Services--Proposed Rule Stage
    ----------------------------------------------------------------------------------------------------------------
                                                                                                         Regulation
     Sequence                                           Title                                            Identifier
      Number                                                                                               Number
    ----------------------------------------------------------------------------------------------------------------
    360         Home Health Agency (HHA) Conditions of Participation (CoPs) (CMS-3819-P) (Section 610     0938-AG81
                Review)...............................................................................
    
    [[Page 79767]]
    
     
    361         Requirements for Long-Term Care Facilities: Hospice Services (CMS-3140-F) (Section 610    0938-AP32
                Review)...............................................................................
    362         Influenza Vaccination Standard for Certain Medicare Participating Providers and           0938-AP92
                Suppliers(CMS-3213-P).................................................................
    363         Hospital Conditions of Participation: Requirements for Hospital Inpatient Psychiatric     0938-AP97
                and Rehabilitation Units Excluded From the Prospective Payment System and LTCH
                Requirements (CMS-3177-P).............................................................
    364         Proposed Changes to the Hospital Inpatient Prospective Payment Systems for Acute Care     0938-AQ24
                Hospitals and FY 2012 Rates and to the Long-Term Care Hospital PPS and RY 2012 Rates
                (CMS-1518-P) (Reg Plan Seq No. 55)....................................................
    365         Changes to the Hospital Outpatient Prospective Payment System and Ambulatory Surgical     0938-AQ26
                Center Payment System for CY 2012 (CMS-1525-P) (Reg Plan Seq No. 57)..................
    366         Changes to the ESRD Prospective Payment System for CY 2012 (CMS-1577-P)...............    0938-AQ27
    367         Federal Funding for Medicaid Eligibility Determination and Enrollment Activities (CMS-    0938-AQ53
                2346-P)...............................................................................
    ----------------------------------------------------------------------------------------------------------------
    References in boldface appear in The Regulatory Plan in part II of this issue of the Federal Register.
    
    
                               Centers for Medicare & Medicaid Services--Final Rule Stage
    ----------------------------------------------------------------------------------------------------------------
                                                                                                         Regulation
     Sequence                                           Title                                            Identifier
      Number                                                                                               Number
    ----------------------------------------------------------------------------------------------------------------
    368         Revisions to Payment Policies Under the Physician Fee Schedule and Part B for CY 2011     0938-AP79
                (CMS-1503-C)..........................................................................
    369         Changes to the Hospital Outpatient Prospective Payment System and Ambulatory Surgical     0938-AP82
                Center Payment System for CY 2011 (CMS-1504-C)........................................
    ----------------------------------------------------------------------------------------------------------------
    
    
                               Centers for Medicare & Medicaid Services--Completed Actions
    ----------------------------------------------------------------------------------------------------------------
                                                                                                         Regulation
     Sequence                                           Title                                            Identifier
      Number                                                                                               Number
    ----------------------------------------------------------------------------------------------------------------
    370         Revisions to the Medicare Advantage and Medicare Prescription Drug Benefit Programs       0938-AP77
                for Contract Year 2011 (CMS-4085-F)...................................................
    371         Electronic Health Record (EHR) Incentive Program (CMS-0033-F).........................    0938-AP78
    372         Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital      0938-AP80
                Prospective Payment System............................................................
    373         Hospital IPPS for Acute Care Hospitals and Fiscal Year 2010 Rates and to the Long-Term    0938-AQ03
                Care Hospital PPS and Rate Year 2010 Rates (CMS-1406-N)...............................
    ----------------------------------------------------------------------------------------------------------------
    
    _______________________________________________________________________
    
    
    Department of Health and Human Services (HHS)       Proposed Rule Stage
    
    
    Office of the Secretary (OS)
    
    
    
    _______________________________________________________________________
    
    
    <###doc>
    
    302. REVISIONS TO REGULATIONS ADDRESSING THE OIG'S AUTHORITY TO IMPOSE 
    CIVIL MONEY PENALTIES AND ASSESSMENTS (SECTION 610 REVIEW)
    
    Legal Authority: 42 USC 1320a-7a; 42 USC 1395mm; 42 USC 1395w-27; 42 
    USC 1396b; PL 99-660; PL 107-188
    
    Abstract: This proposed rule would revise part 1003, addressing the 
    Office of Inspector General's authority to propose the imposition of 
    civil money penalties and assessments by reorganizing and simplifying 
    existing regulatory text and eliminating obsolete references contained 
    in the current regulations. Among the proposed revisions, this rule 
    would establish separate subparts within part 1003 for various 
    categories of violations; clarify the availability of exclusion for 
    certain violations in addition to civil money penalties and 
    assessments; date various references to managed care organization 
    authorities; and clarify the application of section 1140 of the Social 
    Security Act with respect to the misuse of certain Departmental 
    symbols, emblems, or names through Internet and e mail communications.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            04/00/11
    NPRM Comment Period End         06/00/11
    
    Regulatory Flexibility Analysis Required: No
    
    Agency Contact: Patrice S. Drew, Department of Health and Human 
    Services, Office of the Secretary, Office of the Inspector General, 330 
    Independence Avenue SW., Washington, DC 20201
    Phone: 202 619-1368
    Email: patrice.drew@hhs.gov
    
    RIN: 0991-AB03
    
    [[Page 79768]]
    
    _______________________________________________________________________
    
    
    Department of Health and Human Services (HHS)          Final Rule Stage
    
    
    Office of the Secretary (OS)
    
    
    
    _______________________________________________________________________
    
    
    <###doc>
    
    303. MODIFICATIONS TO THE HIPAA PRIVACY, SECURITY, AND ENFORCEMENT RULES 
    UNDER THE HEALTH INFORMATION TECHNOLOGY FOR ECONOMIC AND CLINICAL HEALTH 
    ACT
    
     Regulatory Plan: This entry is Seq. No. 41 in part II of this issue of 
    the Federal Register.
    
    RIN: 0991-AB57
    _______________________________________________________________________
    
    
    Department of Health and Human Services (HHS)         Completed Actions
    
    
    Office of the Secretary (OS)
    
    
    
    _______________________________________________________________________
    
    
    <###doc>
    
    304. HEALTH INFORMATION TECHNOLOGY: INITIAL SET OF STANDARDS, 
    IMPLEMENTATION SPECIFICATIONS, AND CERTIFICATION CRITERIA FOR ELECTRONIC 
    HEALTH RECORD TECHNOLOGY (RULEMAKING RESULTING FROM A SECTION 610 
    REVIEW)
    
    Legal Authority: 42 USC 300jj-14
    
    Abstract: The Department of Health and Human Services (HHS), Office of 
    the National Coordinator for Health Information Technology, will issue 
    an interim final rule with a request for comments to adopt an initial 
    set of standards, implementation specifications, and certification 
    criteria, as required by section 3004(b)(1) of the Public Health 
    Service Act. The certification criteria adopted in this initial set 
    establish the technical capabilities and related standards that 
    certified electronic health record (EHR) technology will need to 
    include in support of the Medicare and Medicaid EHR Incentive Programs.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    Interim Final Rule              01/13/10                     75 FR 2014
    Interim Final Rule Comment 
    Period End                      03/15/10
    Interim Final Rule Effective    02/12/10
    Final Action                    07/28/10                    75 FR 44590
    
    Regulatory Flexibility Analysis Required: No
    
    Agency Contact: Steven Posnack, Policy Analyst, Department of Health 
    and Human Services, Office of the Secretary, Office of the National 
    Coordinator for Health Information Technology, 200 Independence Avenue 
    SW., Washington, DC 20201
    Phone: 202 690-7151
    
    RIN: 0991-AB58
    _______________________________________________________________________
    
    
    Department of Health and Human Services (HHS)         Long-Term Actions
    
    
    Substance Abuse and Mental Health Services Administration (SAMHSA)
    
    
    
    _______________________________________________________________________
    
    
    <###doc>
    
    305. REQUIREMENTS GOVERNING THE USE OF SECLUSION AND RESTRAINT IN 
    CERTAIN NONMEDICAL COMMUNITY-BASED FACILITIES FOR CHILDREN AND YOUTH
    
    Legal Authority: PL 106-310, 42 USC 290jj to 290jj-2
    
    Abstract: The Secretary is required by statute to publish regulations 
    governing States that license nonmedical, community-based residential 
    facilities for children and youth. The regulation requires States to 
    develop licensing rules and monitoring requirements concerning behavior 
    management practice that will ensure compliance; requires States to 
    develop and implement such licensing rules and implementation 
    requirements within one year; and ensures that States require such 
    facilities to have adequate staff, and that the States provide training 
    for professional staff.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                             To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Paolo Del Vecchio, Department of Health and Human 
    Services, Substance Abuse and Mental Health Services Administration, 
    Room 13-103, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857
    Phone: 301 443-2619
    
    RIN: 0930-AA10
    _______________________________________________________________________
    
    
    <###doc>
    
    306. OPIOID DRUGS IN MAINTENANCE OR DETOXIFICATION TREATMENT OF OPIATE 
    ADDICTION (SECTION 610 REVIEW)
    
    Legal Authority: 21 USC 823 (9); 42 USC 257a; 42 USC 290aa(d); 42 USC 
    290dd-2; 42 USC 300xx-23; 42 USC 300x-27(a); 42 USC 300y-11
    
    Abstract: This rule will amend the Federal opioid treatment program 
    regulations. It will modify the dispensing requirements for 
    buprenorphine and buprenorphine combination products that are approved 
    by the Food and Drug Administration (FDA) for opioid dependence and 
    used in federally certified and registered opioid treatment programs.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            06/19/09                    74 FR 29153
    NPRM Comment Period End         08/18/09
    Final Action                     To Be                       Determined
    
    Regulatory Flexibility Analysis Required: No
    
    Agency Contact: Nicholas Reuter, Department of Health and Human 
    Services, Substance Abuse and Mental Health Services Administration, 
    Suite
    
    [[Page 79769]]
    
    2-1063, One Choke Cherry Road, Rockville, MD 20857
    Phone: 240 276-2716
    
    RIN: 0930-AA14
    _______________________________________________________________________
    
    
    Department of Health and Human Services (HHS)       Proposed Rule Stage
    
    
    Centers for Disease Control and Prevention (CDC)
    
    
    
    _______________________________________________________________________
    
    
    <###doc>
    
    307. CONTROL OF COMMUNICABLE DISEASES: FOREIGN AND POSSESSIONS 
    REGULATIONS; NONHUMAN PRIMATE
    
    Legal Authority: 42 USC 264
    
    Abstract: By statute, the Secretary of Health and Human Services has 
    broad authority to prevent introduction, transmission, and spread of 
    communicable diseases from foreign countries into the United States and 
    from one State or possession into another. The Secretary has delegated 
    the authority to prevent the introduction of diseases from foreign 
    countries to the Director, CDC. CDC also enforces entry requirements 
    for certain animals, etiologic agents, and vectors deemed to be of 
    public health significance. CDC is proposing to amend its regulations 
    related to the importation of live nonhuman primates (NHPs) by 
    extending existing requirements for the importation of cynomolgus, 
    African green, and rhesus monkeys to all NHPs. The agency also is 
    proposing to reduce the frequency at which importers of the three 
    species are required to renew their registrations, (from every 180 days 
    to every two years). CDC proposes to incorporate existing guidelines 
    into the regulations and add new provisions to address NHPs imported as 
    part of a circus or trained animal act, NHPs imported by zoological 
    societies, the transfer of NHPs from approved laboratories, and non-
    live imported NHP products. CDC is also proposing that all NHPs be 
    imported only through ports of entry where a CDC quarantine station is 
    located.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            01/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Stacy Howard, Department of Health and Human Services, 
    Centers for Disease Control and Prevention, MS E03, CLFT Building 16, 
    Room 4324, Atlanta, GA 30329
    Phone: 404 498-1600
    Email: showard@cdc.gov
    
    RIN: 0920-AA23
    _______________________________________________________________________
    
    
    Department of Health and Human Services (HHS)          Final Rule Stage
    
    
    Centers for Disease Control and Prevention (CDC)
    
    
    
    _______________________________________________________________________
    
    
    <###doc>
    
    308. CONTROL OF COMMUNICABLE DISEASES: FOREIGN AND POSSESSIONS
    
    Legal Authority: 42 USC 243; 42 USC 264 and 265; 42 USC 267 and 268; 42 
    USC 270 and 271
    
    Abstract: By statute, the Secretary of Health and Human Services has 
    broad authority to prevent introduction, transmission, and spread of 
    communicable diseases from foreign countries into the United States and 
    from one State or possession into another. Communicable disease 
    regulations are divided into two parts: Part 71 pertaining to foreign 
    arrivals and part 70 pertaining to interstate matters. This rule (42 
    CFR Part 71) will update and improve CDC's response to both global and 
    domestic disease threats by creating a multi-tiered illness detection 
    and response process thus substantially enhancing the public health 
    system's ability to slow the introduction, transmission, and spread of 
    communicable disease. The final rule focuses primarily on requirements 
    relating to the reporting of deaths and illnesses onboard aircrafts and 
    ships, and the collection of specific traveler contact information for 
    the purpose of CDC contacting travelers in the event of an exposure to 
    a communicable disease.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            11/30/05                    70 FR 71892
    NPRM Comment Period End         01/20/06
    Final Action                    12/00/10
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Stacy Howard, Department of Health and Human Services, 
    Centers for Disease Control and Prevention, MS E03, CLFT Building 16, 
    Room 4324, Atlanta, GA 30329
    Phone: 404 498-1600
    Email: showard@cdc.gov
    
    RIN: 0920-AA12
    _______________________________________________________________________
    
    
    <###doc>
    
    309. POSSESSION, USE, AND TRANSFER OF SELECT AGENTS AND TOXINS: CHAPARE 
    VIRUS (SECTION 610 REVIEW)
    
    Legal Authority: PL 107-188
    
    Abstract: The Public Health Security and Bioterrorism Preparedness and 
    Response Act of 2002 authorizes the HHS Secretary to regulate the 
    possession, use, and transfer of select agents and toxins that have the 
    potential to pose a severe threat to public health and safety. These 
    regulations are set forth at 42 CFR 73. Criteria used to determine 
    whether a select agent or toxin should be included under the provisions 
    of these regulations are based on: (1) The effect on human health as a 
    result of exposure to the agent or toxin, (2) the degree of 
    contagiousness of the agent or toxin, (3) the methods by which the 
    agent or toxin is transferred to humans, (4) the availability and 
    effectiveness of pharmacotherapies and immunizations to treat and 
    prevent and illness resulting from infection by the agent or toxin, and 
    (5) any other criteria, including the needs of children and other 
    vulnerable populations that the HHS Secretary considers appropriate. 
    Based on these criteria, we are proposing to amend the list of HHS 
    select agents and toxins by adding Chapare virus to the list. After
    
    [[Page 79770]]
    
    consulting with subject matter experts from CDC, the National 
    Institutes of Health (NIH), the Food Drug Administration (FDA), the 
    United States Department of Agriculture (USDA) /Animal and Plant Health 
    Inspection Service (APHIS), USDA/Agricultural Research Service (ARS), 
    USDA/CVB (Center for Veterinary Biologics), and the Department of 
    Defense (DOD)/United States Army Medical Research Institute for 
    Infectious Diseases (USAMRIID) and review of relevant published 
    studies, we believe the Chapare virus should be added to the list of 
    HHS select agents and toxins based on our conclusion that the Chapare 
    virus has been phylogenetically identified as a Clade B arenavirus and 
    is closely related to other South American arenaviruses that cause 
    haemorrhagic fever, particularly Sabia virus.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            08/19/09                      74 FR 159
    NPRM Comment Period End         10/19/09
    Final Action                    11/00/11
    
    Regulatory Flexibility Analysis Required: No
    
    Agency Contact: Robbin Weyant, Department of Health and Human Services, 
    Centers for Disease Control and Prevention, CLFT Building 20, Room 
    4202, 1600 Clifton Road NE., Atlanta, GA 30333
    Phone: 404 718-2000
    
    RIN: 0920-AA32
    _______________________________________________________________________
    
    
    Department of Health and Human Services (HHS)         Long-Term Actions
    
    
    Centers for Disease Control and Prevention (CDC)
    
    
    
    _______________________________________________________________________
    
    
    <###doc>
    
    310. QUALITY ASSURANCE REQUIREMENTS FOR RESPIRATORS
    
    Legal Authority: 29 USC 651 et seq; 30 USC 3; 30 USC 5; 30 USC 7; 30 
    USC 811; 30 USC 842(h); 30 USC 844
    
    Abstract: NIOSH plans to modify the Administrative/Quality Assurance 
    sections of 42 CFR part 84, Approval of Respiratory Protective Devices. 
    Areas for potential modification in this module are: (1) Upgrade of 
    quality assurance requirements; (2) ability to use private sector 
    quality auditors and private sector testing laboratories in the 
    approval program; and (3) revised approval label requirements.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            12/10/08                    73 FR 75045
    NPRM Comment Period End         02/09/09
    NPRM Comment Period Reopened    03/04/09                     74 FR 9381
    NPRM Comment Period Reopened End04/10/09
    NPRM Comment Period Reopening 
    Extended                        05/21/09                    74 FR 23815
    NPRM Comment Period End         10/09/09
    Final Action                     To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: William E. Newcomb, Physical Scientist, Department of 
    Health and Human Services, Centers for Disease Control and Prevention, 
    626 Cochran Mill Road, PO Box 18070, Pittsburgh, PA 15236
    Phone: 412 386-5200
    
    RIN: 0920-AA04
    _______________________________________________________________________
    
    
    Department of Health and Human Services (HHS)             Prerule Stage
    
    
    Food and Drug Administration (FDA)
    
    
    
    _______________________________________________________________________
    
    
    <###doc>
    
    311. FOOD LABELING: SAFE HANDLING STATEMENTS, LABELING OF SHELL EGGS; 
    REFRIGERATION OF SHELL EGGS HELD FOR RETAIL DISTRIBUTION (SECTION 610 
    REVIEW)
    
    Legal Authority: 15 USC 1453 to 1455; 21 USC 321; 21 USC 331; 21 USC 
    342 and 343; 21 USC 348; 21 USC 371; 42 USC 243; 42 USC 264; 42 USC 271
    
    Abstract: Section 101.17(h) (21 CFR 101.17(h)) describes requirements 
    for the labeling of the cartons of shell eggs that have not been 
    treated to destroy Salmonella microorganisms. Section 115. 50 (21 CFR 
    115.50) describes requirements for refrigeration of shell eggs held for 
    retail distribution. Section 16.5(a)(4) (21 CFR 16.5(a)(4)) provides 
    that part 16 does not apply to a hearing on an order for relabeling, 
    diversion, or destruction of shell eggs under section 361 of the Public 
    Health Service Act (42 U.S.C. 264) and sections 101.17(h) and 115.50. 
    FDA amended 21 CFR 101.17(h) on August 20, 2007 (72 FR 46375) to permit 
    the safe handling statement to appear on the inside lid of egg cartons 
    to provide the industry greater flexibility in the placement of the 
    statement, provided the words ``keep refrigerated'' appear on the 
    principal display panel or information panel. FDA is undertaking a 
    review of 21 CFR sections 101.17(h), 115.50, and 16.5(a)(4) under 
    section 610 of the Regulatory Flexibility Act. The purpose of this 
    review is to determine whether the regulations in sections 101.17(h), 
    115.50 and 16.5(a)(4) should be continued without change, or whether 
    they should be amended or rescinded, consistent with the stated 
    objectives of applicable statutes, to minimize any significant economic 
    impact on a substantial number of small entities. FDA will consider, 
    and is soliciting comments on, the following: (1) The continued need 
    for the rule; (2) the nature of complaints or comments received 
    concerning the rule from the public; (3) the complexity of the rule; 
    (4) the extent to which the rule overlaps, duplicates, or conflicts 
    with other Federal rules, and, to the extent feasible, with State and 
    local governmental rules; and (5) the length of time since the rule has 
    been evaluated or the degree to which technology, economic conditions, 
    or other factors have changed in the area affected by the rule.
    
    [[Page 79771]]
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    Begin Review                    12/15/09
    End Review                      12/00/10
    
    Regulatory Flexibility Analysis Required: Undetermined
    
    Agency Contact: Geraldine A. June, Supervisor, Product Evaluation and 
    Labeling Team, Department of Health and Human Services, Food and Drug 
    Administration, Center for Food Safety and Applied Nutrition, (HFS-
    820), 5100 Paint Branch Parkway, College Park, MD 20740
    Phone: 301 436-1802
    Fax: 301 436-2636
    Email: geraldine.june@fda.hhs.gov
    
    RIN: 0910-AG06
    _______________________________________________________________________
    
    
    Department of Health and Human Services (HHS)       Proposed Rule Stage
    
    
    Food and Drug Administration (FDA)
    
    
    
    _______________________________________________________________________
    
    
    <###doc>
    
    312. ELECTRONIC SUBMISSION OF DATA FROM STUDIES EVALUATING HUMAN DRUGS 
    AND BIOLOGICS
    
     Regulatory Plan: This entry is Seq. No. 45 in part II of this issue of 
    the Federal Register.
    
    RIN: 0910-AC52
    _______________________________________________________________________
    
    
    <###doc>
    
    313. OVER-THE-COUNTER (OTC) DRUG REVIEW--COUGH/COLD (ANTIHISTAMINE) 
    PRODUCTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 360; 21 USC 371
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a final monograph (i.e., final rule) is issued, only 
    OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. This action 
    addresses antihistamine labeling claims for the common cold.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    Reopening of Administrative 
    Record                          08/25/00                    65 FR 51780
    NPRM (Amendment) (Common Cold)  10/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: M. Scott Furness, Department of Health and Human 
    Services, Food and Drug Administration, Center for Drug Evaluation and 
    Research, WO22, 10903 New Hamphsire Avenue, Silver Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: micheal.furness@fda.hhs.gov
    
    RIN: 0910-AF31
    _______________________________________________________________________
    
    
    <###doc>
    
    314. OVER-THE-COUNTER (OTC) DRUG REVIEW--INTERNAL ANALGESIC PRODUCTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 360; 21 USC 371; 21 USC 374; 21 USC 379e
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a final monograph (i.e., final rule) is issued, only 
    OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. The first 
    action addresses products labeled to relieve upset stomach associated 
    with overindulgence in food and drink and to relieve symptoms 
    associated with a hangover. The second action addresses acetaminophen 
    safety. The third action addresses products marketed for children under 
    2 years old and weight- and age-based dosing for children's products. 
    The fourth action addresses combination products containing the 
    analgesic acetaminophen or aspirin and sodium bicarbonate used as an 
    antacid ingredient. The last document finalizes the internal analgesic 
    products monograph.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM (Amendment) (Required 
    Warnings and Other Labeling)    12/26/06                    71 FR 77314
    NPRM Comment Period End         05/25/07
    Final Action (Required Warnings 
    and Other Labeling)             04/29/09                    74 FR 19385
    Final Action (Correction)       06/30/09                    74 FR 31177
    Final Action (Technical 
    Amendment)                      11/25/09                    74 FR 61512
    NPRM (Acetaminophen)            03/00/11
    NPRM (Amendment) (Pediatric)     To Be                       Determined
    NPRM (Amendment) (Sodium 
    Bicarbonate)                     To Be                       Determined
    NPRM (Overindulgence/ Hangover)  To Be                       Determined
    Final Action (Internal 
    Analgesics)                      To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Matthew R. Holman, Ph.D., Department of Health and 
    Human Services, Food and Drug Administration, Center for Drug 
    Evaluation and Research, WO 22, 10903 New Hampshire Avenue, Silver 
    Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: matthew.holman@fda.hhs.gov
    
    RIN: 0910-AF36
    _______________________________________________________________________
    
    
    <###doc>
    
    315. OVER-THE-COUNTER (OTC) DRUG REVIEW--LAXATIVE DRUG PRODUCTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 360 to 360a; 21 USC 371 to 371a
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a final monograph (i.e., final rule) is issued, only 
    OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. The first NPRM 
    listed will address the professional labeling for sodium phosphate drug 
    products. The second NPRM listed will address all other professional 
    labeling requirements for laxative drug products. The final action will 
    address laxative drug products.
    
    [[Page 79772]]
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    Final Action (Granular Psyllium)03/29/07                    72 FR 14669
    NPRM (Professional Labeling--
    Sodium Phosphate)               12/00/10
    NPRM (Professional Labeling)     To Be                       Determined
    Final Action (Laxative Drug 
    Products)                        To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: M. Scott Furness, Department of Health and Human 
    Services, Food and Drug Administration, Center for Drug Evaluation and 
    Research, WO22, 10903 New Hamphsire Avenue, Silver Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: micheal.furness@fda.hhs.gov
    
    RIN: 0910-AF38
    _______________________________________________________________________
    
    
    <###doc>
    
    316. OVER-THE-COUNTER (OTC) DRUG REVIEW--SUNSCREEN PRODUCTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 360; 21 USC 371
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a final monograph (i.e., final rule) is issued, only 
    OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. The first 
    action addresses active ingredients reviewed under Time and Extent 
    Applications. The second action addresses other safety and 
    effectiveness issues for OTC sunscreen drug products. The third action 
    finalizes sunscreen labeling and testing requirements for both 
    ultraviolet B and ultraviolet A radiation protection. The fourth action 
    addresses the safety of sunscreen products. The last action addresses 
    combination products containing sunscreen and insect repellent 
    ingredients.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    ANPRM (Sunscreen and Insect 
    Repellent)                      02/22/07                     72 FR 7941
    ANPRM Comment Period End        05/23/07
    NPRM (UVA/UVB)                  08/27/07                    72 FR 49070
    NPRM Comment Period End         12/26/07
    NPRM (Safety and Effectiveness) 12/00/10
    Final Action (UVA/UVB)          12/00/10
    NPRM (Time and Extent 
    Applications)                   04/00/11
    ANPRM (Safety)                  04/00/11
    NPRM (Sunscreen and Insect 
    Repellent)                       To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Matthew R. Holman, Ph.D., Department of Health and 
    Human Services, Food and Drug Administration, Center for Drug 
    Evaluation and Research, WO 22, 10903 New Hampshire Avenue, Silver 
    Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: matthew.holman@fda.hhs.gov
    
    RIN: 0910-AF43
    _______________________________________________________________________
    
    
    <###doc>
    
    317. OVER-THE-COUNTER (OTC) DRUG REVIEW--TOPICAL ANTIMICROBIAL DRUG 
    PRODUCTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 360; 21 USC 371
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a final monograph (i.e., final rule) is issued, only 
    OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. The first 
    action addresses food handler products. The second action addresses 
    testing requirements for healthcare professional products. The third 
    action addresses the safety and effectiveness of consumer products. The 
    final actions listed will address the healthcare, consumer, food 
    handlers, and first aid antiseptic drug products respectively.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM (Healthcare)               06/17/94                    59 FR 31402
    NPRM (Consumer)                 03/00/11
    NPRM (Food Handlers)             To Be                       Determined
    NPRM (Testing -- Healthcare 
    Professional Products)           To Be                       Determined
    Final Action (Healthcare)        To Be                       Determined
    Final Action (Consumer)          To Be                       Determined
    Final Action (Food Handlers)     To Be                       Determined
    Final Action (First Aid 
    Antiseptic)                      To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Matthew R. Holman, Ph.D., Department of Health and 
    Human Services, Food and Drug Administration, Center for Drug 
    Evaluation and Research, WO 22, 10903 New Hampshire Avenue, Silver 
    Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: matthew.holman@fda.hhs.gov
    
    RIN: 0910-AF69
    _______________________________________________________________________
    
    
    <###doc>
    
    318. IMPORT TOLERANCES FOR RESIDUES OF UNAPPROVED NEW ANIMAL DRUGS IN 
    FOOD
    
    Legal Authority: 21 USC 360b(a)(6); 21 USC 371
    
    Abstract: The Food and Drug Administration (FDA) plans to publish a 
    proposed rule related to the implementation of the import tolerances 
    provision of the Animal Drug Availability Act of 1996 (ADAA). The ADAA 
    authorizes FDA to establish tolerances for unapproved new animal drugs 
    where edible portions of animals imported into the United States may 
    contain residues of such drugs (import tolerances). It is unlawful to 
    import animal-derived food that bears or contains residues of a new 
    animal drug that is not approved in the United States, unless FDA has 
    established an import tolerance for that new animal drug and the 
    residue of the new animal drug in the animal-derived food does not 
    exceed that tolerance.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            03/00/11
    NPRM Comment Period End         06/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    [[Page 79773]]
    
    Agency Contact: Thomas Moskal, Consumer Safety Officer, Department of 
    Health and Human Services, Food and Drug Administration, Center for 
    Veterinary Medicine, Room 101, (MPN-4, HFV-232), 7519 Standish Place, 
    Rockville, MD 20855
    Phone: 240 276-9242
    Fax: 240 276-9241
    Email: thomas.moskal@fda.hhs.gov
    
    RIN: 0910-AF78
    _______________________________________________________________________
    
    
    <###doc>
    
    319. LASER PRODUCTS; AMENDMENT TO PERFORMANCE STANDARD
    
    Legal Authority: 21 USC 360hh to 360ss; 21 USC 371; 21 USC 393
    
    Abstract: FDA is proposing to amend the performance standard for laser 
    products to achieve closer harmonization between the current standard 
    and the International Electrotechnical Commission (IEC) standard for 
    laser products and medical laser products. The proposed amendment is 
    intended to update FDA's performance standard to reflect advancements 
    in technology. The proposal would adopt portions of an IEC standard to 
    achieve greater harmonization and reflect current science. In addition, 
    the proposal would include an alternative mechanism for providing 
    certification and identification, address novelty laser products, and 
    clarify the military exemption for laser products.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            06/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Nancy Pirt, Regulatory Counsel, Department of Health 
    and Human Services, Food and Drug Administration, Center for Devices 
    and Radiological Health, WO 66 Room 4438, 10903 New Hampshire Avenue, 
    Silver Spring, MD 20993
    Phone: 301 796-6248
    Fax: 301 847-8145
    Email: nancy.pirt@fda.hhs.gov
    
    RIN: 0910-AF87
    _______________________________________________________________________
    
    
    <###doc>
    
    320. PET FOOD LABELING REQUIREMENTS
    
    Legal Authority: 21 USC 343; 21 USC 371; PL 110-85, sec 1002(a)(3)
    
    Abstract: The President signed into law the Food and Drug 
    Administration Amendments Act of 2007 (FDAAA) on September 27, 2007 
    (Pub. L. 110-85). Title X of the FDAAA includes several provisions 
    pertaining to food safety, including the safety of pet food. Section 
    1002(a) of the new law directs FDA to issue new regulations to 
    establish updated standards for the labeling of pet food that include 
    nutritional and ingredient information. This same provision of the law 
    also directs that, in developing these new regulations, FDA obtain 
    input from its stakeholders, including the Association of American Feed 
    Control Officials, veterinary medical associations, animal health 
    organizations, and pet food manufacturers.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            03/00/11
    NPRM Comment Period End         06/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: William Burkholder, Veterinary Medical Officer, 
    Department of Health and Human Services, Food and Drug Administration, 
    Center for Veterinary Medicine, Room 2642 (MPN-4, HFV-228), 7519 
    Standish Place, Rockville, MD 20855
    Phone: 240 453-6865
    Email: william.burkholder@fda.hhs.gov
    
    RIN: 0910-AG09
    _______________________________________________________________________
    
    
    <###doc>
    
    321. PROCESS CONTROLS FOR ANIMAL FEED INGREDIENTS AND MIXED ANIMAL FEED
    
    Legal Authority: 21 USC 342; 21 USC 350e; 21 USC 371; 21 USC 374; 42 
    USC 264; PL 110-85, sec 1002(a)(2)
    
    Abstract: The Food and Drug Administration (FDA) is proposing 
    regulations for process controls for animal feed ingredients and mixed 
    animal feed to provide greater assurance that marketed animal feed 
    ingredients and mixed feeds intended for all animals, including pets, 
    are safe. This action is being taken as part of the FDA's Animal Feed 
    Safety System initiative. The proposed process controls will apply to 
    animal feed ingredients and mixed animal feed, including pet food. This 
    action is also being taken to carry out the requirements of the Food 
    and Drug Administration Amendments Act of 2007. Section 1002(a) directs 
    FDA to establish by regulation processing standards for pet food. This 
    same provision of the law also directs that, in developing these new 
    regulations, FDA obtain input from its stakeholders, including the 
    Association of American Feed Control Officials, veterinary medical 
    associations, animal health organizations, and pet food manufacturers.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            03/00/11
    NPRM Comment Period End         06/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Kim Young, Deputy Director, Division of Compliance, 
    Department of Health and Human Services, Food and Drug Administration, 
    Center for Veterinary Medicine, Room 106 (MPN-4, HFV-230), 7519 
    Standish Place, Rockville, MD 20855
    Phone: 240 276-9207
    Email: kim.young@fda.hhs.gov
    
    RIN: 0910-AG10
    _______________________________________________________________________
    
    
    <###doc>
    
    322. OVER-THE-COUNTER (OTC) DRUG REVIEW--PEDIATRIC DOSING FOR COUGH/COLD 
    PRODUCTS
    
    Legal Authority: 21 USC 331; 21 USC 351 to 353; 21 USC 355; 21 USC 360; 
    21 USC 371
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a monograph is issued, only OTC drugs meeting the 
    conditions of the monograph, or having an approved new drug 
    application, may be legally marketed. This action will propose changes 
    to the final monograph to address safety and efficacy issues associated 
    with pediatric cough and cold products.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            06/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: M. Scott Furness, Department of Health and Human 
    Services, Food and Drug Administration, Center for Drug Evaluation and 
    Research, WO22, 10903
    
    [[Page 79774]]
    
    New Hamphsire Avenue, Silver Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: micheal.furness@fda.hhs.gov
    
    RIN: 0910-AG12
    _______________________________________________________________________
    
    
    <###doc>
    
    323. ELECTRONIC DISTRIBUTION OF CONTENT OF LABELING FOR HUMAN 
    PRESCRIPTION DRUG AND BIOLOGICAL PRODUCTS
    
    Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351; 21 USC 352; 21 USC 
    353; 21 USC 355; 21 USC 358; 21 USC 360; 21 USC 360b; 21 USC 360gg to 
    360ss; 21 USC 371; 21 USC 374; 21 USC 379e; 42 USC 216; 42 USC 241; 42 
    USC 262; 42 USC 264
    
    Abstract: This rule would require electronic package inserts for human 
    drug and biological prescription products, in lieu of paper, which is 
    currently used. These inserts contain prescribing information intended 
    for healthcare practitioners. This would ensure that the information 
    accompanying the product is the most up-to-date information regarding 
    important safety and efficacy issues about these products.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            04/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Connie T. Jung, Senior Advisor for Pharmacy Affairs, 
    Department of Health and Human Services, Food and Drug Administration, 
    Office of Policy, WO32, Room 4254, 10903 New Hampshire Avenue, Silver 
    Spring, MD 20993
    Phone: 301 796-4830
    Email: connie.jung@fda.hhs.gov
    
    RIN: 0910-AG18
    _______________________________________________________________________
    
    
    <###doc>
    
    324. UNIQUE DEVICE IDENTIFICATION
    
     Regulatory Plan: This entry is Seq. No. 46 in part II of this issue of 
    the Federal Register.
    
    RIN: 0910-AG31
    _______________________________________________________________________
    
    
    <###doc>
    
    325. CIGARS SUBJECT TO THE FAMILY SMOKING PREVENTION AND TOBACCO CONTROL 
    ACT
    
    Legal Authority: 21 USC 301 et seq, The Federal Food, Drug, and 
    Cosmetic Act; PL 111-31, The Family Smoking Prevention and Tobacco 
    Control Act
    
    Abstract: The Family Smoking Prevention and Tobacco Control Act (the 
    Tobacco Control Act) provides FDA authority to regulate cigarettes, 
    cigarette tobacco, roll-your-own tobacco, and smokeless tobacco. 
    Section 901 of the Federal Food, Drug, and Cosmetic Act, as amended by 
    the Tobacco Control Act, permits FDA to issue regulations deeming other 
    tobacco products to be subject to the Tobacco Control Act. This 
    proposed rule would deem cigars to be subject to the Tobacco Control 
    Act and include provisions to address public health concerns raised by 
    cigars.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            06/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: May Nelson, Regulatory Counsel, Department of Health 
    and Human Services, Food and Drug Administration, 9200 Corporate 
    Boulevard, Rockville, MD 20850
    Phone: 877 287-1373
    Fax: 240 276-3904
    Email: may.nelson@fda.hhs.gov
    
    RIN: 0910-AG38
    _______________________________________________________________________
    
    
    <###doc>
    
    326. CIGARETTE WARNING LABEL STATEMENTS
    
     Regulatory Plan: This entry is Seq. No. 47 in part II of this issue of 
    the Federal Register.
    
    RIN: 0910-AG41
    _______________________________________________________________________
    
    
    <###doc>
    
    327. <> GENERAL HOSPITAL AND PERSONAL USE DEVICES: 
    DESIGNATION OF SPECIAL CONTROLS FOR INFUSION PUMPS
    
    Legal Authority: 21 USC 351 371; 21 USC 360 and 360c; 21 USC 360e and 
    360j; 21 USC 371
    
    Abstract: Since 2003, FDA has seen a dramatic increase in the number of 
    device recalls, as well as an increase in the number of death and 
    serious injury reports submitted regarding infusion pumps. An analysis 
    of the reports reveals that a majority of the recalls and failures were 
    caused by user error and/or device design flaw. As a result of these 
    incidents, FDA is proposing to designate a special controls guidance 
    document as the special controls for infusion pumps. The agency 
    believes that establishing these special controls for infusion pumps is 
    necessary to provide reasonable assurance of the safety and 
    effectiveness of these devices.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            09/00/11
    NPRM Comment Period End         12/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Nancy Pirt, Regulatory Counsel, Department of Health 
    and Human Services, Food and Drug Administration, Center for Devices 
    and Radiological Health, WO 66 Room 4438, 10903 New Hampshire Avenue, 
    Silver Spring, MD 20993
    Phone: 301 796-6248
    Fax: 301 847-8145
    Email: nancy.pirt@fda.hhs.gov
    
    RIN: 0910-AG54
    _______________________________________________________________________
    
    
    <###doc>
    
    328. <> FOOD LABELING: NUTRITION LABELING FOR FOOD SOLD 
    IN VENDING MACHINES
    
     Regulatory Plan: This entry is Seq. No. 48 in part II of this issue of 
    the Federal Register.
    
    RIN: 0910-AG56
    _______________________________________________________________________
    
    
    <###doc>
    
    329. <> FOOD LABELING: NUTRITION LABELING OF STANDARD 
    MENU ITEMS IN CHAIN RESTAURANTS
    
     Regulatory Plan: This entry is Seq. No. 49 in part II of this issue of 
    the Federal Register.
    
    RIN: 0910-AG57
    
    [[Page 79775]]
    
    _______________________________________________________________________
    
    
    Department of Health and Human Services (HHS)          Final Rule Stage
    
    
    Food and Drug Administration (FDA)
    
    
    
    _______________________________________________________________________
    
    
    <###doc>
    
    330. POSTMARKETING SAFETY REPORTING REQUIREMENTS FOR HUMAN DRUG AND 
    BIOLOGICAL PRODUCTS
    
    Legal Authority: 42 USC 216; 42 USC 241; 42 USC 242a; 42 USC 262 and 
    263; 42 USC 263a to 263n; 42 USC 264; 42 USC 300aa; 21 USC 321; 21 USC 
    331; 21 USC 351 to 353; 21 USC 355; 21 USC 360; 21 USC 360b to 360j; 21 
    USC 361a; 21 USC 371; 21 USC 374; 21 USC 375; 21 USC 379e; 21 USC 381
    
    Abstract: The final rule would amend the postmarketing expedited and 
    periodic safety reporting regulations for human drugs and biological 
    products to revise certain definitions and reporting formats as 
    recommended by the International Conference on Harmonisation and to 
    define new terms; to add to or revise current reporting requirements; 
    to revise certain reporting time frames; and to propose other revisions 
    to these regulations to enhance the quality of safety reports received 
    by FDA. These revisions were proposed as part of a single rulemaking 
    (68 FR 12406) to clarify and revise both premarketing and postmarketing 
    safety reporting requirements for human drug and biological products. 
    FDA plans to finalize the premarket and postmarket safety reporting 
    requirements in separate final rules.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            03/14/03                    68 FR 12406
    NPRM Comment Period Extended    06/18/03
    NPRM Comment Period End         07/14/03
    NPRM Comment Period Extension 
    End                             10/14/03
    Final Action                    08/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Jane E. Baluss, Regulatory Counsel, Department of 
    Health and Human Services, Food and Drug Administration, Center for 
    Drug Evaluation and Research, WO 51, Room 6362, 10903 New Hampshire 
    Avenue, Silver Spring, MD 20993-0002
    Phone: 301 796-3469
    Fax: 301 847-8440
    Email: jane.baluss@fda.hhs.gov
    
    RIN: 0910-AA97
    _______________________________________________________________________
    
    
    <###doc>
    
    331. MEDICAL GAS CONTAINERS AND CLOSURES; CURRENT GOOD MANUFACTURING 
    PRACTICE REQUIREMENTS
    
    Legal Authority: 21 USC 321; 21 USC 351 to 21 USC 353
    
    Abstract: The Food and Drug Administration is amending its current good 
    manufacturing practice regulations and other regulations to clarify and 
    strengthen requirements for the label, color, dedication, and design of 
    medical gas containers and closures. Despite existing regulatory 
    requirements and industry standards for medical gases, there have been 
    repeated incidents in which cryogenic containers of harmful industrial 
    gases have been connected to medical oxygen supply systems in hospitals 
    and nursing homes and subsequently administered to patients. These 
    incidents have resulted in death and serious injury. There have also 
    been several incidents involving high-pressure medical gas cylinders 
    that have resulted in death and injuries to patients. These amendments, 
    together with existing regulations, are intended to ensure that the 
    types of incidents that have occurred in the past, as well as other 
    types of foreseeable and potentially deadly medical gas accidents, do 
    not occur in the future. FDA has described a number of proposals in the 
    proposed rule including requiring that gas use outlet connections on 
    portable cryogenic medical gas containers be permanently attached to 
    the valve body.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            04/10/06                    71 FR 18039
    NPRM Comment Period End         07/10/06
    Final Action                    10/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Patrick Raulerson, Regulatory Counsel, Department of 
    Health and Human Services, Food and Drug Administration, Center for 
    Drug Evaluation and Research, WO 51, Room 6368, 10903 New Hampshire 
    Avenue, Silver Spring, MD 20993-0002
    Phone: 301 796-3522
    Fax: 301 847-8440
    Email: patrick.raulerson@fda.hhs.gov
    
    RIN: 0910-AC53
    _______________________________________________________________________
    
    
    <###doc>
    
    332. CONTENT AND FORMAT OF LABELING FOR HUMAN PRESCRIPTION DRUGS AND 
    BIOLOGICS; REQUIREMENTS FOR PREGNANCY AND LACTATION LABELING
    
    Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351 to 353; 21 USC 355; 
    21 USC 358; 21 USC 360; 21 USC 360b; 21 USC 360gg to 360ss; 21 USC 371; 
    21 USC 374; 21 USC 379e; 42 USC 216; 42 USC 241; 42 USC 262; 42 USC 264
    
    Abstract: To amend the regulations governing the format and content of 
    labeling for human prescription drugs and biological products (21 CFR 
    parts 201.56, 201.57, and 201.80). Under FDA's current regulations, 
    labeling concerning the use of prescription drugs in pregnancy uses 
    letter categories (A, B, C, D, X) to characterize the risk to the fetus 
    of using the drug in pregnancy. One of the deficiencies of the category 
    system is that drugs may be assigned to the same category when the 
    severity, incidence, and types of risk are quite different. 
    Dissatisfaction with the category system has been expressed by health 
    care providers, medical organizations, experts in the study of birth 
    defects, women's health researchers, and women of childbearing age. 
    Stakeholders consulted through a public hearing, several focus groups, 
    and several advisory committees have recommended that FDA replace the 
    category system with a concise narrative summarizing a product's risks 
    to pregnant women and to women of childbearing age. Therefore, the 
    revised format and the information provided in the labeling would make 
    it easier for health care providers to understand the risks and 
    benefits of drug use during pregnancy and lactation.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            05/29/08                    73 FR 30831
    NPRM Comment Period End         08/27/08
    Final Action                    10/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Rachel S. Bressler, Regulatory Counsel, Department of 
    Health and Human Services, Food and Drug Administration, Center for 
    Drug Evaluation Research, WO 51, Room 6224, 10903 New Hampshire Avenue, 
    Silver Spring, MD 20993-0002
    Phone: 301 796-4288
    
    [[Page 79776]]
    
    Fax: 301 847-8440
    Email: rachel.bressler@fda.hhs.gov
    
    RIN: 0910-AF11
    _______________________________________________________________________
    
    
    <###doc>
    
    333. INFANT FORMULA: CURRENT GOOD MANUFACTURING PRACTICES; QUALITY 
    CONTROL PROCEDURES; NOTIFICATION REQUIREMENTS; RECORDS AND REPORTS; AND 
    QUALITY FACTORS
    
     Regulatory Plan: This entry is Seq. No. 50 in part II of this issue of 
    the Federal Register.
    
    RIN: 0910-AF27
    _______________________________________________________________________
    
    
    <###doc>
    
    334. OVER-THE-COUNTER (OTC) DRUG REVIEW--COUGH/COLD (BRONCHODILATOR) 
    PRODUCTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 360; 21 USC 371
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a final monograph (i.e., final rule) is issued, only 
    OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. This action 
    addresses labeling for single ingredient bronchodilator products.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM (Amendment--Ephedrine 
    Single Ingredient)              07/13/05                    70 FR 40237
    NPRM Comment Period End         11/10/05
    Final Action (Technical 
    Amendment)                      11/30/07                    72 FR 67639
    Final Action (Amendment--Single 
    Ingredient Labeling)            01/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: M. Scott Furness, Department of Health and Human 
    Services, Food and Drug Administration, Center for Drug Evaluation and 
    Research, WO22, 10903 New Hamphsire Avenue, Silver Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: micheal.furness@fda.hhs.gov
    
    RIN: 0910-AF32
    _______________________________________________________________________
    
    
    <###doc>
    
    335. OVER-THE-COUNTER (OTC) DRUG REVIEW--COUGH/COLD (COMBINATION) 
    PRODUCTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 360; 21 USC 371
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a final monograph (i.e., final rule) is issued, only 
    OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. This action 
    addresses cough/cold drug products containing an oral bronchodilator 
    (ephedrine and its salts) in combination with any expectorant or any 
    oral nasal decongestant.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM (Amendment)                07/13/05                    70 FR 40232
    NPRM Comment Period End         11/10/05
    Final Action (Technical 
    Amendment)                      03/19/07                    72 FR 12730
    Final Action                    10/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: M. Scott Furness, Department of Health and Human 
    Services, Food and Drug Administration, Center for Drug Evaluation and 
    Research, WO22, 10903 New Hamphsire Avenue, Silver Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: micheal.furness@fda.hhs.gov
    
    RIN: 0910-AF33
    _______________________________________________________________________
    
    
    <###doc>
    
    336. OVER-THE-COUNTER (OTC) DRUG REVIEW--EXTERNAL ANALGESIC PRODUCTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 360; 21 USC 371
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a final monograph (i.e., final rule) is issued, only 
    OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. The final 
    action addresses the 2003 proposed rule on patches, plasters, and 
    poultices. The proposed rule will address issues not addressed in 
    previous rulemakings.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    Final Action (GRASE dosage 
    forms)                          10/00/11
    NPRM (Amendment)                 To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Matthew R. Holman, Ph.D., Department of Health and 
    Human Services, Food and Drug Administration, Center for Drug 
    Evaluation and Research, WO 22, 10903 New Hampshire Avenue, Silver 
    Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: matthew.holman@fda.hhs.gov
    
    RIN: 0910-AF35
    _______________________________________________________________________
    
    
    <###doc>
    
    337. OVER-THE-COUNTER (OTC) DRUG REVIEW--SKIN PROTECTANT PRODUCTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 360; 21 USC 371
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a final monograph (i.e., final rule) is issued, only 
    OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. The first 
    action identifies safe and effective skin protectant active ingredients 
    to treat and prevent diaper rash. The second action addresses skin 
    protectant products used to treat fever blisters and cold sores.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    Final Action (Aluminum Acetate) 
    (Technical Amendment)           03/06/09                     74 FR 9759
    Final Action (Technical 
    Amendments)                     02/01/08                     73 FR 6014
    Final Action (Diaper Rash)      10/00/11
    Final Action (Fever Blisters/
    Cold Sores)                     10/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Matthew R. Holman, Ph.D., Department of Health and 
    Human Services, Food and Drug
    
    [[Page 79777]]
    
    Administration, Center for Drug Evaluation and Research, WO 22, 10903 
    New Hampshire Avenue, Silver Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: matthew.holman@fda.hhs.gov
    
    RIN: 0910-AF42
    _______________________________________________________________________
    
    
    <###doc>
    
    338. USE OF MATERIALS DERIVED FROM CATTLE IN HUMAN FOOD AND COSMETICS
    
    Legal Authority: 21 USC 342; 21 USC 361; 21 USC 371
    
    Abstract: On July 14, 2004, FDA issued an interim final rule (IFR), 
    effective immediately, to prohibit the use of certain cattle material 
    and to address the potential risk of bovine spongiform encephalopathy 
    (BSE) in human food, including dietary supplements, and cosmetics. 
    Prohibited cattle materials under the IFR include specified risk 
    materials, small intestine of all cattle, material from nonambulatory 
    disabled cattle, material from cattle not inspected and passed for 
    human consumption, and mechanically separated (MS) beef. Specified risk 
    materials are the brain, skull, eyes, trigeminal ganglia, spinal cord, 
    vertebral column (excluding the vertebrae of the tail, the transverse 
    processes of the thoracic and lumbar vertebrae, and the wings of the 
    sacrum), and dorsal root ganglia of cattle 30 months and older; and the 
    tonsils and distal ileum of the small intestine of all cattle. 
    Prohibited cattle materials do not include tallow that contains no more 
    than 0.15 percent hexane-insoluble impurities and tallow derivatives. 
    This action minimizes human exposure to materials that scientific 
    studies have demonstrated are highly likely to contain the BSE agent in 
    cattle infected with the disease. Scientists believe that the human 
    disease variant Creutzfeldt-Jakob disease (vCJD) is likely caused by 
    the consumption of products contaminated with the agent that causes 
    BSE.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    Interim Final Rule              07/14/04                    69 FR 42256
    Interim Final Rule Effective    07/14/04
    Interim Final Rule Comment 
    Period End                      10/12/04
    Interim Final Rule (Amendments) 09/07/05                    70 FR 53063
    Interim Final Rule (Amendments) 
    Effective                       10/07/05
    Interim Final Rule (Amendments) 
    Comment Period End              11/07/05
    Interim Final Rule (Amendments) 04/17/08                    73 FR 20785
    Interim Final Rule (Amendments) 
    Comment Period End              07/16/08
    Interim Final Rule (Amendments) 
    Effective                       07/16/08
    Final Action                    04/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Amber McCoig, Consumer Safety Officer, Department of 
    Health and Human Services, Food and Drug Administration, Center for 
    Food Safety and Applied Nutrition, (HFS-316), 5100 Paint Branch 
    Parkway, College Park, MD 20740
    Phone: 301 436-2131
    Fax: 301 436-2644
    Email: amber.mccoig@fda.hhs.gov
    
    RIN: 0910-AF47
    _______________________________________________________________________
    
    
    <###doc>
    
    339. LABEL REQUIREMENT FOR FOOD THAT HAS BEEN REFUSED ADMISSION INTO THE 
    UNITED STATES
    
    Legal Authority: 15 USC 1453 to 1455; 21 USC 321; 21 USC 342 and 343; 
    21 USC 371; 21 USC 374; 21 USC 381; 42 USC 216; 42 USC 264
    
    Abstract: The final rule will require owners or consignees to label 
    imported food that is refused entry into the United States. The label 
    will read, ``UNITED STATES: REFUSED ENTRY.'' The proposal describes the 
    label's characteristics (such as its size) and processes for verifying 
    that the label has been affixed properly. We are taking this action to 
    prevent the introduction of unsafe food into the United States, to 
    facilitate the examination of imported food, and to implement section 
    308 of the Public Health Security and Bioterrorism Preparedness and 
    Response Act of 2002 (the Bioterrorism Act) (Pub. L. 107-188).
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            09/18/08                    73 FR 54106
    NPRM Comment Period End         12/02/08
    Final Action                    03/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Daniel Sigelman, Regulatory Counsel, Department of 
    Health and Human Services, Food and Drug Administration, Center for 
    Food Safety and Applied Nutrition, WO Building 1, Room 4245, 10903 New 
    Hampshire Avenue, Silver Spring, MD 20993
    Phone: 301 796-4706
    Email: daniel.sigelman@fda.hhs.gov
    
    RIN: 0910-AF61
    _______________________________________________________________________
    
    
    Department of Health and Human Services (HHS)         Long-Term Actions
    
    
    Food and Drug Administration (FDA)
    
    
    
    _______________________________________________________________________
    
    
    <###doc>
    
    340. CURRENT GOOD MANUFACTURING PRACTICE IN MANUFACTURING, PACKING, 
    LABELING, OR HOLDING OPERATIONS FOR DIETARY SUPPLEMENTS
    
    Legal Authority: 21 USC 321; 21 USC 342; 21 USC 343; 21 USC 371; 21 USC 
    374; 21 USC 381; 21 USC 393; 42 USC 264
    
    Abstract: The Food and Drug Administration published a final rule in 
    the Federal Register of June 25, 2007 (72 FR 34752), on current good 
    manufacturing practice (CGMP) regulations for dietary supplements. FDA 
    also published an Interim Final Rule in the same Federal Register (72 
    FR 34959) that provided a procedure for requesting an exemption from 
    the final rule requirement that the manufacturer conduct at least one 
    appropriate test or examination to verify the identity of any component 
    that is a dietary ingredient. This IFR allows for submission to, and 
    review
    
    [[Page 79778]]
    
    by, FDA of an alternative to the required 100 percent identity testing 
    of components that are dietary ingredients, provided certain conditions 
    are met. This IFR also establishes a requirement for retention of 
    records relating to the FDA's response to an exemption request.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    ANPRM                           02/06/97                     62 FR 5700
    ANPRM Comment Period End        06/06/97
    NPRM                            03/13/03                    68 FR 12157
    NPRM Comment Period End         08/11/03
    Final Rule                      06/25/07                    72 FR 34752
    Interim Final Rule              06/25/07                    72 FR 34959
    Interim Final Rule Comment 
    Period End                      10/24/07
    Final Action                     To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Linda Kahl, Senior Policy Analyst, Department of Health 
    and Human Services, Food and Drug Administration, Center for Food 
    Safety and Applied Nutrition (HFS-024), 5100 Paint Branch Parkway, 
    College Park, MD 20740
    Phone: 301 436-2784
    Fax: 301 436-2657
    Email: linda.kahl@fda.hhs.gov
    
    RIN: 0910-AB88
    _______________________________________________________________________
    
    
    <###doc>
    
    341. OVER-THE-COUNTER (OTC) DRUG REVIEW--COUGH/COLD (NASAL DECONGESTANT) 
    PRODUCTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 360; 21 USC 371
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a final monograph (i.e., final rule) is issued, only 
    OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. This action 
    addresses the ingredient phenylpropanolamine.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM (Amendment) (Sinusitis 
    Claim)                          08/02/04                    69 FR 46119
    NPRM Comment Period End         11/01/04
    NPRM (Phenylephrine Bitartrate) 11/02/04                    69 FR 63482
    NPRM Comment Period End         01/31/05
    NPRM (Phenyl- propanolamine)    12/22/05                    70 FR 75988
    NPRM Comment Period End         03/22/06
    Final Action (Amendment) 
    (Sinusitis Claim)               10/31/05                    70 FR 58974
    Final Action (Phenylephrine 
    Bitartrate)                     08/01/06                    71 FR 83358
    Final Action (Phenyl- 
    propanolamine)                   To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: M. Scott Furness, Department of Health and Human 
    Services, Food and Drug Administration, Center for Drug Evaluation and 
    Research, WO22, 10903 New Hamphsire Avenue, Silver Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: micheal.furness@fda.hhs.gov
    
    RIN: 0910-AF34
    _______________________________________________________________________
    
    
    <###doc>
    
    342. OVER-THE-COUNTER (OTC) DRUG REVIEW--LABELING OF DRUG PRODUCTS FOR 
    OTC HUMAN USE
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 358; 21 USC 360; 21 USC 371; 21 UCS 374; 21 USC 379e
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a final monograph (i.e., final rule) is issued, only 
    OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. This action 
    addresses labeling for convenience (small) size OTC drug packages.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM (Convenience Sizes)        12/12/06                    71 FR 74474
    NPRM Comment Period End         04/11/07
    Final Action                     To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: M. Scott Furness, Department of Health and Human 
    Services, Food and Drug Administration, Center for Drug Evaluation and 
    Research, WO22, 10903 New Hamphsire Avenue, Silver Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: micheal.furness@fda.hhs.gov
    
    RIN: 0910-AF37
    _______________________________________________________________________
    
    
    <###doc>
    
    343. OVER-THE-COUNTER (OTC) DRUG REVIEW--OPHTHALMIC PRODUCTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 360; 21 USC 371
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a final monograph (i.e., final rule) is issued, only 
    OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. This action 
    finalizes the monograph for emergency first aid eyewash drug products.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM (Amendment) (Emergency 
    First Aid Eyewashes)            02/19/03                     68 FR 7917
    Final Action (Amendment) 
    (Emergency First Aid Eyewashes)  To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: M. Scott Furness, Department of Health and Human 
    Services, Food and Drug Administration, Center for Drug Evaluation and 
    Research, WO22, 10903 New Hamphsire Avenue, Silver Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: micheal.furness@fda.hhs.gov
    
    RIN: 0910-AF39
    _______________________________________________________________________
    
    
    <###doc>
    
    344. OVER-THE-COUNTER (OTC) DRUG REVIEW--ORAL HEALTH CARE PRODUCTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 360 to 360a; 21 USC 371 to 371a
    
    Abstract: The OTC drug review establishes conditions under which
    
    [[Page 79779]]
    
    OTC drugs are considered generally recognized as safe and effective and 
    not misbranded. After a final monograph (i.e., final rule) is issued, 
    only OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. The NPRM and 
    final action will address oral health care products used to reduce or 
    prevent dental plaque and gingivitis.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    ANPRM (Plaque Gingivitis)       05/29/03                    68 FR 32232
    ANPRM Comment Period End        08/27/03
    NPRM (Plaque Gingivitis)         To Be                       Determined
    Final Action                     To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Matthew R. Holman, Ph.D., Department of Health and 
    Human Services, Food and Drug Administration, Center for Drug 
    Evaluation and Research, WO 22, 10903 New Hampshire Avenue, Silver 
    Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: matthew.holman@fda.hhs.gov
    
    RIN: 0910-AF40
    _______________________________________________________________________
    
    
    <###doc>
    
    345. OVER-THE-COUNTER (OTC) DRUG REVIEW--VAGINAL CONTRACEPTIVE PRODUCTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 358; 21 USC 360; 21 USC 371; 21 USC 374; 21 USC 379e
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a final monograph (i.e., final rule) is issued, only 
    OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. The proposed 
    rule addresses vaginal contraceptive drug products.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    Final Action (Warnings)         12/19/07                    72 FR 71769
    NPRM (Vaginal Contraceptive Drug 
    Products)                        To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: M. Scott Furness, Department of Health and Human 
    Services, Food and Drug Administration, Center for Drug Evaluation and 
    Research, WO22, 10903 New Hamphsire Avenue, Silver Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: micheal.furness@fda.hhs.gov
    
    RIN: 0910-AF44
    _______________________________________________________________________
    
    
    <###doc>
    
    346. OVER-THE-COUNTER (OTC) DRUG REVIEW--WEIGHT CONTROL PRODUCTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 360; 21 USC 371
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a final monograph (i.e., final rule) is issued, only 
    OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. The NPRM 
    addresses the use of benzocaine for weight control. The first final 
    action finalizes the 2005 proposed rule for weight control products 
    containing phenylpropanolamine. The second final action will finalize 
    the proposed rule for weight control products containing benzocaine.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM (Phenyl- propanolamine)    12/22/05                    70 FR 75988
    NPRM Comment Period End         03/22/06
    NPRM (Benzocaine)                To Be                       Determined
    Final Action (Phenyl- 
    propanolamine)                   To Be                       Determined
    Final Action (Benzocaine)        To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: M. Scott Furness, Department of Health and Human 
    Services, Food and Drug Administration, Center for Drug Evaluation and 
    Research, WO22, 10903 New Hamphsire Avenue, Silver Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: micheal.furness@fda.hhs.gov
    
    RIN: 0910-AF45
    _______________________________________________________________________
    
    
    <###doc>
    
    347. OVER-THE-COUNTER (OTC) DRUG REVIEW--OVERINDULGENCE IN FOOD AND 
    DRINK PRODUCTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 360; 21 USC 371
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a final monograph (i.e., final rule) is issued, only 
    OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. This action 
    addresses products containing bismuth subsalicylate for relief of 
    symptoms of upset stomach due to overindulgence resulting from food and 
    drink.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM (Amendment)                01/05/05                      70 FR 741
    NPRM Comment Period End         04/05/05
    Final Action                     To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: M. Scott Furness, Department of Health and Human 
    Services, Food and Drug Administration, Center for Drug Evaluation and 
    Research, WO22, 10903 New Hamphsire Avenue, Silver Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: micheal.furness@fda.hhs.gov
    
    RIN: 0910-AF51
    _______________________________________________________________________
    
    
    <###doc>
    
    348. OVER-THE-COUNTER (OTC) DRUG REVIEW--ANTACID PRODUCTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 360; 21 USC 371
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a final monograph (i.e., final rule) is issued, only 
    OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. One action 
    addresses the labeling of products containing sodium
    
    [[Page 79780]]
    
    bicarbonate as an active ingredient. The other action addresses the use 
    of antacids to relieve upset stomach associated with overindulgence in 
    food and drink.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    Final Action (Sodium Bicarbonate 
    Labeling)                        To Be                       Determined
    Final Action (Overindulgence 
    Labeling)                        To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: M. Scott Furness, Department of Health and Human 
    Services, Food and Drug Administration, Center for Drug Evaluation and 
    Research, WO22, 10903 New Hamphsire Avenue, Silver Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: micheal.furness@fda.hhs.gov
    
    RIN: 0910-AF52
    _______________________________________________________________________
    
    
    <###doc>
    
    349. OVER-THE-COUNTER (OTC) DRUG REVIEW--SKIN BLEACHING PRODUCTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 360; 21 USC 371
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a final monograph (i.e., final rule) is issued, only 
    OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. This action 
    addresses skin bleaching drug products containing hydroquinone.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            08/29/06                    71 FR 51146
    NPRM Comment Period End         12/27/06
    Final Action                     To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Matthew R. Holman, Ph.D., Department of Health and 
    Human Services, Food and Drug Administration, Center for Drug 
    Evaluation and Research, WO 22, 10903 New Hampshire Avenue, Silver 
    Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: matthew.holman@fda.hhs.gov
    
    RIN: 0910-AF53
    _______________________________________________________________________
    
    
    <###doc>
    
    350. OVER-THE-COUNTER (OTC) DRUG REVIEW--STIMULANT DRUG PRODUCTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 360; 21 USC 371
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a final monograph (i.e., final rule) is issued, only 
    OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. This action 
    addresses the use of stimulant active ingredients to relieve symptoms 
    associated with a hangover.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM (Amendment) (Hangover)      To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: M. Scott Furness, Department of Health and Human 
    Services, Food and Drug Administration, Center for Drug Evaluation and 
    Research, WO22, 10903 New Hamphsire Avenue, Silver Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: micheal.furness@fda.hhs.gov
    
    RIN: 0910-AF56
    _______________________________________________________________________
    
    
    <###doc>
    
    351. OVER-THE-COUNTER (OTC) DRUG REVIEW--ANTIDIARRHEAL DRUG PRODUCTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 360; 21 USC 371
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a final monograph (i.e., final rule) is issued, only 
    OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. These actions 
    address new labeling for antidiarrheal drug products.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM (New Labeling)              To Be                       Determined
    Final Action (New Labeling)      To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: M. Scott Furness, Department of Health and Human 
    Services, Food and Drug Administration, Center for Drug Evaluation and 
    Research, WO22, 10903 New Hamphsire Avenue, Silver Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: micheal.furness@fda.hhs.gov
    
    RIN: 0910-AF63
    _______________________________________________________________________
    
    
    <###doc>
    
    352. OVER-THE-COUNTER (OTC) DRUG REVIEW--URINARY ANALGESIC DRUG PRODUCTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 360; 21 USC 371
    
    Abstract: The OTC drug review establishes conditions under which OTC 
    drugs are considered generally recognized as safe and effective and not 
    misbranded. After a final monograph (i.e., final rule) is issued, only 
    OTC drugs meeting the conditions of the monograph, or having an 
    approved new drug application, may be legally marketed. This action 
    addresses the products used for urinary pain relief.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM (Urinary Analgesic)         To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: M. Scott Furness, Department of Health and Human 
    Services, Food and Drug Administration, Center for Drug Evaluation and 
    Research, WO22, 10903 New Hamphsire Avenue, Silver Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: micheal.furness@fda.hhs.gov
    
    RIN: 0910-AF70
    
    [[Page 79781]]
    
    _______________________________________________________________________
    
    
    <###doc>
    
    353. OVER-THE-COUNTER (OTC) DRUG REVIEW--CERTAIN CATEGORY II ACTIVE 
    INGREDIENTS
    
    Legal Authority: 21 USC 321p; 21 USC 331; 21 USC 351 to 353; 21 USC 
    355; 21 USC 360; 21 USC 371
    
    Abstract: The Food and Drug Administration (FDA) is proposing that 
    certain ingredients in over-the-counter (OTC) drug products are not 
    generally recognized as safe and effective or are misbranded. FDA 
    issued this proposed rule because we did not receive any data and 
    information on these ingredients in response to our request on December 
    31, 2003 (68 FR 75585). This rule will finalize the 2008 proposed rule.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            06/19/08                    73 FR 34895
    NPRM Comment Period End         09/17/08
    Final Action                     To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Matthew R. Holman, Ph.D., Department of Health and 
    Human Services, Food and Drug Administration, Center for Drug 
    Evaluation and Research, WO 22, 10903 New Hampshire Avenue, Silver 
    Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: matthew.holman@fda.hhs.gov
    
    RIN: 0910-AF95
    _______________________________________________________________________
    
    
    <###doc>
    
    354. PRESCRIPTION DRUG MARKETING ACT OF 1987; PRESCRIPTION DRUG 
    AMENDMENTS OF 1992; POLICIES, REQUIREMENTS, AND ADMINISTRATIVE 
    PROCEDURES (SECTION 610 REVIEW)
    
    Legal Authority: 21 USC 331; 21 USC 333; 21 USC 351; 21 USC 352; 21 USC 
    353; 21 USC 360; 21 USC 371; 21 USC 374; 21 USC 381
    
    Abstract: Pursuant to section 610 of the Regulatory Flexibility Act, 
    FDA is currently undertaking a review of regulations promulgated under 
    the Prescription Drug Marketing Act (PDMA) including those contained in 
    21 CFR part 203 and 21 CFR sections 205.3 and 205.50 (as amended in 64 
    FR 67762 and 67763). The purpose of this review is to determine whether 
    the regulations in 21 CFR part 203 and 21 CFR sections 205.3 and 205.50 
    (as amended in 64 FR 67762 and 67763) should be continued without 
    change, or whether they should be amended or rescinded, consistent with 
    the stated objectives of applicable statues, to minimize adverse 
    impacts on a substantial number of small entities. FDA solicited 
    comments on the following: (1) The continued need for the regulations 
    in 21 CFR part 203 and 21 CFR sections 205.3 and 205.50 (as amended in 
    64 FR 67762 and 67763); (2) the nature of complaints or comments 
    received from the public concerning the regulations in 21 CFR part 203 
    and 21 CFR sections 205.3 and 205.50 (as amended in 64 FR 67762 and 
    67763); (3) the complexity of the regulations in 21 CFR part 203 and 21 
    CFR sections 205.3 and 205.50 (as amended in 64 FR 67762 and 67763); 
    (4) the extent to which the regulations in 21 CFR part 203 and 21 CFR 
    sections 205.3 and 205.50 (as amended in 64 FR 67762 and 67763) 
    overlap, duplicate, or conflict with other Federal rules, and to the 
    extent feasible, with State and local governmental rules, and (5) the 
    degree to which technology, economic conditions, or other factors have 
    changed in the area affected by the regulations in 21 CFR part 203 and 
    21 CFR sections 205.3 and 205.50 (as amended in 64 FR 67762 and 67763).
    FDA received one comment on this review; and FDA notes that portions of 
    the PDMA have been stayed in connection with RxUSA Wholesale, Inc., v. 
    HHS, 467 F. Supp.2d 285 (E.D.N.Y. 2006), aff'd, 2008 U.S. App. LEXIS 
    14661 (2d Cir. 2008)); and that the litigation itself has been 
    administratively closed (with either party having the right to reopen) 
    through June 30, 2011. FDA is certifying that it is not feasible for 
    the agency to complete its review by December 4, 2010, and therefore is 
    extending the completion date by one year.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    Begin Review of Current 
    Regulation                      11/24/08
    End Review of Current Regulation12/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Howard Muller, Office of Regulatory Policy, Department 
    of Health and Human Services, Food and Drug Administration, Center for 
    Drug Evaluation and Research, WO 51, Room 6234, 10903 New Hampshire 
    Avenue, Silver Spring, MD 20993-0002
    Phone: 301 796-3601
    Fax: 301 847-8440
    Email: pdma610(c)review@fda.hhs.gov
    
    RIN: 0910-AG14
    _______________________________________________________________________
    
    
    <###doc>
    
    355. PRODUCE SAFETY REGULATION
    
    Legal Authority: 21 USC 342; 21 USC 371; 42 USC 264
    
    Abstract: The Food and Drug Administration (FDA) has determined that 
    enforceable standards (as opposed to voluntary recommendations) for the 
    production and packing of fresh produce are necessary to ensure best 
    practices are commonly adopted. FDA is proposing to promulgate 
    regulations setting enforceable standards for fresh produce safety at 
    the farm and packing house. The purpose of the proposed rule is to 
    reduce the risk of illness associated with contaminated fresh produce. 
    The proposed rule will be based on prevention-oriented public health 
    principles and incorporate what we have learned in the past decade 
    since the agency issued general good agricultural practice guidelines 
    entitled ``Guide to Minimize Microbial Food Safety Hazards for Fresh 
    Fruits and Vegetables'' (GAPs Guide). The proposed rule also will 
    reflect comments received on the agency's 1998 update of its GAPs guide 
    and its July 2009 draft commodity specific guidances for tomatoes, 
    leafy greens, and melons. Although the proposed rule will be based on 
    recommendations that are included in the GAPs guide, FDA does not 
    intend to make the entire guidance mandatory. FDA's proposed rule 
    would, however, set out clear standards for implementation of modern 
    preventive controls. The proposed rule also would emphasize the 
    importance of environmental assessments to identify hazards and 
    possible pathways of contamination and provide examples of risk 
    reduction practices recognizing that operators must tailor their 
    preventive controls to particular hazards and conditions affecting 
    their operations. The requirements of the proposed rule would be scale 
    appropriate and commensurate with the relative risks and complexity of 
    individual operations. FDA intends to issue guidance after the proposed 
    rule is finalized to assist industry in
    
    [[Page 79782]]
    
    complying with the requirements of the new regulation.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                             To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Samir Assar, Department of Health and Human Services, 
    Food and Drug Administration, Center for Food Safety and Applied 
    Nutrition, Office of Food Safety, 5100 Paint Branch Parkway, College 
    Park, MD 20740
    Phone: 301 436-1636
    Email: samir.assar@fda.hhs.gov
    
    RIN: 0910-AG35
    _______________________________________________________________________
    
    
    <###doc>
    
    356. MODERNIZATION OF THE CURRENT FOOD GOOD MANUFACTURING PRACTICES 
    REGULATION
    
    Legal Authority: 21 USC 342; 21 USC 371; 42 USC 264
    
    Abstract: The Food and Drug Administration (FDA) is proposing to amend 
    its current good manufacturing practices (CGMP) regulations (21 CFR 
    part 110) for manufacturing, packing, or holding human food. This 
    proposed rule would require food facilities to address issues such as 
    environmental pathogens, food allergens, mandatory employee training, 
    and sanitation of food contact surfaces. The proposed rule also would 
    require food facilities to develop and implement preventive control 
    systems. FDA is taking this action to better address changes that have 
    occurred in the food industry and protect public health.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                             To Be                       Determined
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Paul South, Department of Health and Human Services, 
    Food and Drug Administration, Center for Food Safety and Applied 
    Nutrition (HFS-317), Office of Food Safety, 5100 Paint Branch Parkway, 
    College Park, MD 20740
    Phone: 301 436-1640
    Email: paul.south@fda.hhs.gov
    
    RIN: 0910-AG36
    _______________________________________________________________________
    
    
    Department of Health and Human Services (HHS)         Completed Actions
    
    
    Food and Drug Administration (FDA)
    
    
    
    _______________________________________________________________________
    
    
    <###doc>
    
    357. STERILITY REQUIREMENT FOR AQUEOUS-BASED DRUG PRODUCTS FOR ORAL 
    INHALATION (COMPLETION OF A SECTION 610 REVIEW)
    
    Legal Authority: 21 USC 321; 21 USC 331; 21 USC 351 to 353; 21 USC 355; 
    21 USC 358; 21 USC 360e; 21 USC 371; 21 USC 374; 21 USC 375
    
    Abstract: FDA is undertaking a review of 21 CFR 200.51, under section 
    610 of the Regulatory Flexibility Act. The purpose of this review is to 
    determine whether this regulation on aqueous-based drug products for 
    oral inhalation should be continued without change, or whether it 
    should be amended or rescinded, consistent with the stated objectives 
    of applicable statues, to minimize adverse impacts on a substantial 
    number of small entities. FDA will consider, and is soliciting comments 
    on the following: (1) The continued need for 21 CFR 200.51; (2) the 
    nature of complaints or comments received concerning 21 CFR 200.51; (3) 
    the complexity of 21 CFR 200.51; (4) the extent to which the regulation 
    overlaps, duplicates, or conflicts with other Federal, State, or 
    governmental rules; and (5) the degree to which technology, economic 
    conditions, or other factors have changed in the area affected by 21 
    CFR 200.51. No comments were required. FDA's review of these 
    regulations concluded that they should be continued without change.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    Begin Review                    05/01/09
    End Review                      05/31/10
    
    Regulatory Flexibility Analysis Required: No
    
    Agency Contact: Howard P. Muller, Office of Regulatory Policy, 
    Department of Health and Human Services, Food and Drug Administration, 
    Center for Drug Evaluation and Research, WO 51, Room 6234, 10903 New 
    Hampshire Avenue, Silver Spring, MD 20993-0002
    Phone: 301 796-3601
    Fax: 301 847-8440
    Email: howard.mullerjr@fda.hhs.gov
    
    RIN: 0910-AG25
    _______________________________________________________________________
    
    
    <###doc>
    
    358. REGULATIONS RESTRICTING THE SALE AND DISTRIBUTION OF CIGARETTES AND 
    SMOKELESS TOBACCO TO PROTECT CHILDREN AND ADOLESCENTS
    
    Legal Authority: 21 USC 301 et seq, The Federal Food, Drug, and 
    Cosmetic Act; PL 111-31, Family Smoking Prevention and Tobacco Control 
    Act
    
    Abstract: This rule establishes regulations restricting the sale and 
    distribution of cigarettes and smokeless tobacco to children and 
    adolescents, implementing section 102 of the Family Smoking Prevention 
    and Tobacco Control Act (FSPTCA). FSPTCA sections 102 and 6(c)(1) 
    require the Secretary to publish, within 270 days of enactment, a final 
    rule regarding cigarettes and smokeless tobacco. This final rule must 
    be identical, except for several changes identified in section 
    102(a)(2) of FSPTCA, to part 897 of the regulations promulgated by the 
    Secretary of HHS in the August 28, 1996, issue of the Federal Register 
    (61 FR 44396).
    This final rule prohibits the sale of cigarettes and smokeless tobacco 
    to individuals under the age of 18 and requires manufacturers, 
    distributors, and retailers to comply with certain conditions regarding 
    access to, and promotion of, these products. Among other things, the 
    final rule requires retailers to verify a purchaser's age by 
    photographic identification. It also prohibits, with limited exception, 
    free samples and prohibits the sale of these products through vending 
    machines and self-service displays except in facilities where 
    individuals under the age of 18 are not present or permitted at any 
    time. The rule also limits the advertising and labeling to which 
    children and adolescents are exposed. The rule accomplishes this by 
    generally restricting advertising to which children and adolescents are 
    exposed to a black-and-white, text-only format. The rule also prohibits 
    the sale or
    
    [[Page 79783]]
    
    distribution of brand-identified promotional, non-tobacco items such as 
    hats and tee shirts. Furthermore, the rule prohibits sponsorship of 
    sporting and other events, teams, and entries in a brand name of a 
    tobacco product, but permits such sponsorship in a corporate name.
    FDA also published in the same issue of the Federal Register an advance 
    notice of proposed rulemaking requesting comments, data, research, or 
    other information on the regulation of outdoor advertising of 
    cigarettes and smokeless tobacco.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    ANPRM                           03/19/10                    75 FR 13241
    Final Rule                      03/19/10                    75 FR 13225
    ANPRM Comment Period End        05/18/10
    Final Rule Effective            06/22/10
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Annette L. Marthaler, Regulatory Counsel, Department of 
    Health and Human Services, Food and Drug Administration, 9200 Corporate 
    Boulevard, 100K, Rockville, MD 20850
    Phone: 877 287-1373
    Fax: 240 276-3904
    Email: annette.marthaler@fda.hhs.gov
    
    RIN: 0910-AG33
    _______________________________________________________________________
    
    
    <###doc>
    
    359. OVER-THE-COUNTER HUMAN DRUGS; LABELING REQUIREMENTS (COMPLETION OF 
    A SECTION 610 REVIEW)
    
    Legal Authority: 5 USC 610
    
    Abstract: Section 201.66 (21 CFR section 201.66) established a 
    standardized format for the labeling of OTC drug products that 
    included: (1) Specific headings and subheadings presented in a 
    standardized order, (2) standardized graphical features such as 
    headings in bold type and the use of ``bullet points'' to introduce key 
    information, and (3) minimum standards for type size and spacing. FDA 
    issued the final rule to improve labeling after considering comments 
    submitted to the agency following the publication of the proposed 
    regulation in 1997. In 1999, FDA published the final rule and stated 
    that a standardized labeling format would significantly improve 
    readability by familiarizing consumers with the types of information in 
    OTC drug product labeling and the location of that information. In 
    addition, a standardized appearance and standardized content, including 
    various ``user-friendly'' visual cues, would help consumers locate and 
    read important health and safety information and allow quick and 
    effective product comparisons, thereby helping consumers to select the 
    most appropriate product.
    FDA undertook a review of section 201.66 under section 610 of the 
    Regulatory Flexibility Act. The purpose of this review is to determine 
    whether the regulation in section 201.66 should be continued without 
    change, or whether it should be further amended or rescinded, 
    consistent with the stated objectives of applicable statutes, to 
    minimize adverse impacts on a substantial number of small entities. FDA 
    will consider, and is soliciting comments on the following: (1) The 
    continued need for the regulation in section 201.66; (2) the nature of 
    the complaints or comments received concerning the regulation in 
    section 201.66; (3) the complexity of the regulations in section 
    201.66; (4) the extent to which the regulations in section 201.66 
    overlap, duplicate, or conflict with other Federal, State, or 
    governmental rules; and (5) the degree to which technology, economic 
    conditions, or other factors have changed for the products still 
    subject to the labeling standard regulations in section 201.
    No comments were received. FDA's review of these regulations concluded 
    that they should be continued without change.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    Begin Review of Current 
    Regulation                      08/03/09
    End Review of Current Regulation05/27/10
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: M. Scott Furness, Department of Health and Human 
    Services, Food and Drug Administration, Center for Drug Evaluation and 
    Research, WO22, 10903 New Hamphsire Avenue, Silver Spring, MD 20993
    Phone: 301 796-2090
    Fax: 301 796-9899
    Email: micheal.furness@fda.hhs.gov
    
    RIN: 0910-AG34
    _______________________________________________________________________
    
    
    Department of Health and Human Services (HHS)       Proposed Rule Stage
    
    
    Centers for Medicare & Medicaid Services (CMS)
    
    
    
    _______________________________________________________________________
    
    
    <###doc>
    
    360. HOME HEALTH AGENCY (HHA) CONDITIONS OF PARTICIPATION (COPS) (CMS-
    3819-P) (SECTION 610 REVIEW)
    
    Legal Authority: 42 USC 1302; 42 USC 1395x; 42 USC 1395cc(a); 42 USC 
    1395hh; 42 USC 1395bb
    
    Abstract: This proposed rule would revise the existing Conditions of 
    Participation (CoPs) that Home Health Agencies (HHAs) must meet to 
    participate in the Medicare program. The CoPs were last revised in 
    1989. The new requirements will focus on the actual care delivered to 
    patients by HHAs, reflect an interdisciplinary view of patient care, 
    allow HHAs greater flexibility in meeting quality standards, and 
    eliminate unnecessary procedural requirements. These changes are an 
    integral part of our efforts to achieve broad-based improvements and 
    measurements of the quality of care furnished through federal programs 
    while at the same time reducing procedural burdens on providers.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            03/10/97                    62 FR 11005
    NPRM Comment Period End         06/09/97
    Second NPRM                     07/00/11
    
    Regulatory Flexibility Analysis Required: Undetermined
    
    Agency Contact: Danielle Shearer, Health Insurance Specialist, 
    Department of Health and Human Services, Centers for Medicare & 
    Medicaid Services, Clinical Standards & Quality, Mailstop S3-02-01, 
    7500 Security Boulevard, Baltimore, MD 21244
    
    [[Page 79784]]
    
    Phone: 410 786-6617
    Email: danielle.shearer@cms.hhs.gov
    
    RIN: 0938-AG81
    _______________________________________________________________________
    
    
    <###doc>
    
    361. REQUIREMENTS FOR LONG-TERM CARE FACILITIES: HOSPICE SERVICES (CMS-
    3140-F) (SECTION 610 REVIEW)
    
    Legal Authority: 42 USC 1302; 42 USC 1395hh
    
    Abstract: This rule establishes that in order to participate in the 
    Medicare and Medicaid programs, long-term care facilities must have an 
    agreement with hospice agencies when hospice care is provided in a 
    long-term care facility. The rule also contains quality of care 
    requirements.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            10/22/10                    75 FR 65282
    NPRM Comment Period End         12/21/10
    Final Action                    10/00/13
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Patricia Brooks, Health Insurance Specialist, 
    Department of Health and Human Services, Centers for Medicare & 
    Medicaid Services, Office of Clinical Standards and Quality, Mailstop 
    S3-02-01, 7500 Security Boulevard, Baltimore, MD 21244
    Phone: 410 786-4561
    Email: patricia.brooks@cms.hhs.gov
    
    RIN: 0938-AP32
    _______________________________________________________________________
    
    
    <###doc>
    
    362. INFLUENZA VACCINATION STANDARD FOR CERTAIN MEDICARE PARTICIPATING 
    PROVIDERS AND SUPPLIERS(CMS-3213-P)
    
    Legal Authority: Social Security Act sec 1881, 1861, 1920, 1102, 1871, 
    1965
    
    Abstract: This proposed rule would require certain Medicare providers 
    and suppliers to offer all patients an annual influenza vaccination, 
    unless medically inadvisable or if the patient declines vaccination. 
    This proposed rule is intended to increase the number of patients 
    receiving annual vaccination against seasonal influenza and to decrease 
    the morbidity and mortality rate from influenza.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            01/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Lauren Oviatt, Health Insurance Specialist, Department 
    of Health and Human Services, Centers for Medicare & Medicaid Services, 
    Mail Stop S3-02-01, 7500 Security Boulevard, Baltimore, MD 21244
    Phone: 410 786-4683
    Email: lauren.oviatt@cms.hhs.gov
    
    RIN: 0938-AP92
    _______________________________________________________________________
    
    
    <###doc>
    
    363. HOSPITAL CONDITIONS OF PARTICIPATION: REQUIREMENTS FOR HOSPITAL 
    INPATIENT PSYCHIATRIC AND REHABILITATION UNITS EXCLUDED FROM THE 
    PROSPECTIVE PAYMENT SYSTEM AND LTCH REQUIREMENTS (CMS-3177-P)
    
    Legal Authority: 42 USC 1385 X; 42 USC 1396 d; 42 USC 1395 hh
    
    Abstract: This proposed rule would transfer the existing process 
    requirements for hospital inpatient psychiatric and rehabilitation 
    units that are excluded from prospective payment systems to the 
    hospital conditions of participation (CoPs) part of the Act. This would 
    allow accrediting organizations to deem these units as part of their 
    hospital accreditation process providing a timely and cost effective 
    survey and certification process under the CoPs. In addition, this rule 
    would propose long term care hospital requirements mandated by the 
    Medicare, Medicaid and SCHIP Extension Act of 2007.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            05/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Capt. Katherine Berkhousen, Department of Health and 
    Human Services, Centers for Medicare & Medicaid Services, 7500 Security 
    Boulevard, Mailstop S3-02-01, Baltimore, MD 21244
    Phone: 410 786-1154
    Email: katherine.berkhousen@cms.hhs.gov
    
    RIN: 0938-AP97
    _______________________________________________________________________
    
    
    <###doc>
    
    364. <> PROPOSED CHANGES TO THE HOSPITAL INPATIENT 
    PROSPECTIVE PAYMENT SYSTEMS FOR ACUTE CARE HOSPITALS AND FY 2012 RATES 
    AND TO THE LONG-TERM CARE HOSPITAL PPS AND RY 2012 RATES (CMS-1518-P)
    
     Regulatory Plan: This entry is Seq. No. 55 in part II of this issue of 
    the Federal Register.
    
    RIN: 0938-AQ24
    _______________________________________________________________________
    
    
    <###doc>
    
    365. <> CHANGES TO THE HOSPITAL OUTPATIENT PROSPECTIVE 
    PAYMENT SYSTEM AND AMBULATORY SURGICAL CENTER PAYMENT SYSTEM FOR CY 2012 
    (CMS-1525-P)
    
     Regulatory Plan: This entry is Seq. No. 57 in part II of this issue of 
    the Federal Register.
    
    RIN: 0938-AQ26
    _______________________________________________________________________
    
    
    <###doc>
    
    366. <> CHANGES TO THE ESRD PROSPECTIVE PAYMENT SYSTEM 
    FOR CY 2012 (CMS-1577-P)
    
    Legal Authority: Sec 1881 of the Social Security Act
    
    Abstract: This proposed rule would update the bundled payment system 
    for End Stage Renal Disease (ESRD) facilities as required by the 
    Medicare Improvments for Patients and Providers Act (MIPPA). These 
    changes would be applicable to services furnished on or after January 1 
    annually.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            06/00/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Janet Samen, Director, Division of Chronic Care 
    Management, Department of Health and Human Services, Centers for 
    Medicare & Medicaid Services, Mailstop C5-05-27, 7500 Security 
    Boulevard, Baltimore, MD 21244
    Phone: 410 786-4533
    Email: janet.samen@cms.hhs.gov
    
    RIN: 0938-AQ27
    _______________________________________________________________________
    
    
    <###doc>
    
    367. <> FEDERAL FUNDING FOR MEDICAID ELIGIBILITY 
    DETERMINATION AND ENROLLMENT ACTIVITIES (CMS-2346-P)
    
    Legal Authority: PL 111-148, sec 1413
    
    [[Page 79785]]
    
    Abstract: The Affordable Care Act requires States' residents to apply, 
    enroll, receive determinations, and participate in the State health 
    subsidy programs known as ``the Exchange''. The ACA requires many 
    changes to State eligibility and enrollment systems and each State is 
    responsible for developing a secure, electronic interface allowing the 
    exchange of data. Existing legacy eligibility systems are not able to 
    implement the numerous requirements. This proposed rule is key to 
    informing States about the higher rates that CMS will provide to help 
    them update or build legacy eligibility systems that meet the ACA 
    requirements.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            11/08/10                    75 FR 68583
    NPRM Comment Period End         01/07/11
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Richard H. Friedman, Director, Division of State 
    Systems, Department of Health and Human Services, Centers for Medicare 
    & Medicaid Services, Mail Stop S3-18-13, 7500 Security Boulevard, 
    Baltimore, MD 21244
    Phone: 410 786-4451
    Email: richard.friedman@cms.hhs.gov
    
    RIN: 0938-AQ53
    _______________________________________________________________________
    
    
    Department of Health and Human Services (HHS)          Final Rule Stage
    
    
    Centers for Medicare & Medicaid Services (CMS)
    
    
    
    _______________________________________________________________________
    
    
    <###doc>
    
    368. REVISIONS TO PAYMENT POLICIES UNDER THE PHYSICIAN FEE SCHEDULE AND 
    PART B FOR CY 2011 (CMS-1503-C)
    
    Legal Authority: Social Security Act, sec 1102; Social Security Act, 
    sec 1871
    
    Abstract: This annual final rule revises payment polices under the 
    physician fee schedule, as well as other policy changes to payment 
    under Part B for CY 2011.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            07/13/10                    75 FR 40040
    NPRM Comment Period End         09/24/10
    Final Action                    12/00/10
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Carol Bazell, Director, Division of Practitioner 
    Services, Department of Health and Human Services, Centers for Medicare 
    & Medicaid Services, Mail Stop C4-03-06, 7500 Security Boulevard, 
    Baltimore, MD 21244
    Phone: 410 786-6960
    Email: carol.bazell@cms.hhs gov
    
    RIN: 0938-AP79
    _______________________________________________________________________
    
    
    <###doc>
    
    369. CHANGES TO THE HOSPITAL OUTPATIENT PROSPECTIVE PAYMENT SYSTEM AND 
    AMBULATORY SURGICAL CENTER PAYMENT SYSTEM FOR CY 2011 (CMS-1504-C)
    
    Legal Authority: sec 1833 of the Social Security Act; BBA, BA, BIPA, 
    MMA, PPACA
    
    Abstract: This final rule revises the Medicare hospital outpatient 
    prospective payment system to implement applicable statutory 
    requirements and changes arising from our continuing experience with 
    this system. The rule also describes changes to the amounts and factors 
    used to determine payment rates for services. In addition, the rule 
    changes the Ambulatory Surgical Center Payment System list of services 
    and rates.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            08/03/10                    75 FR 46169
    NPRM Comment Period End         08/31/10
    Final Action                    12/00/10
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Alberta Dwivedi, Health Insurance Specialist, 
    Department of Health and Human Services, Centers for Medicare & 
    Medicaid Services, Mail Stop C5-01-26, 7500 Security Boulevard, 
    Baltimore, MD 21244
    Phone: 410 786-0763
    Email: alberta.dwivedi@cms.hhs.gov
    
    RIN: 0938-AP82
    _______________________________________________________________________
    
    
    Department of Health and Human Services (HHS)         Completed Actions
    
    
    Centers for Medicare & Medicaid Services (CMS)
    
    
    
    _______________________________________________________________________
    
    
    <###doc>
    
    370. REVISIONS TO THE MEDICARE ADVANTAGE AND MEDICARE PRESCRIPTION DRUG 
    BENEFIT PROGRAMS FOR CONTRACT YEAR 2011 (CMS-4085-F)
    
    Legal Authority: MMA 2003; MIPPA (title XVIII of the Social Security 
    Act)
    
    Abstract: This final rule makes revisions to the regulations governing 
    the Medicare Advantage (MA) program (Part C) and prescription drug 
    benefit program (Part D) based on our continued experience in the 
    administration of the Part C and D programs. The revisions strengthen 
    various program participation and exit requirements; strengthen 
    beneficiary protections; ensure that plan offerings to beneficiaries 
    include meaningful differences; improve plan payment rules and 
    processes; improve data collection for oversight and quality 
    assessment; implement new policy such as a Part D formulary policy; and 
    clarify program policy.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            10/22/09                    74 FR 54634
    NPRM Comment Period End         12/07/09
    Final Action                    04/15/10                    75 FR 19678
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Alissa Deboy, Director, Division of Drug Plan Policy 
    and Quality, Department of Health and Human Services, Centers for 
    Medicare & Medicaid Services, Mail Stop
    
    [[Page 79786]]
    
    C1-26-26, 7500 Security Boulevard, Baltimore, MD 21244
    Phone: 410 786-6041
    Email: alissa.deboy@cms.hhs.gov
    
    RIN: 0938-AP77
    _______________________________________________________________________
    
    
    <###doc>
    
    371. ELECTRONIC HEALTH RECORD (EHR) INCENTIVE PROGRAM (CMS-0033-F)
    
    Legal Authority: PL 111-5 (The American Recovery and Reinvestment Act 
    of 2009, Title IV of Division B, Medicare and Medicaid Health 
    Information Technology)
    
    Abstract: This rule would implement provisions of the American Recovery 
    Act of 2009 (Recovery Act) that authorize incentive payments to 
    eligible professionals (EPS) and eligible hospitals participating in 
    the Medicare and Medicaid programs for adopting and becoming meaningful 
    users of certified electronic health records (HER) technology. In 
    accordance with the Recovery Act, the rule will establish maximum 
    annual incentive amounts and include Medicare penalties for failing to 
    meaningfully use EHRs beginning in 2015.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            01/13/10                     75 FR 1843
    NPRM Comment Period End         03/15/10
    Final Action                    07/28/10                    75 FR 44413
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Elizabeth S. Holland, Health Insurance Specialist, 
    Department of Health and Human Services, Centers for Medicare & 
    Medicaid Services, Mailstop S2-26-17, 7500 Security Boulevard, 
    Baltimore, MD 21244
    Phone: 410 786-1309
    Email: elizabeth.holland@cms.hhs.gov
    
    RIN: 0938-AP78
    _______________________________________________________________________
    
    
    <###doc>
    
    372. PROSPECTIVE PAYMENT SYSTEMS FOR ACUTE CARE HOSPITALS AND THE LONG-
    TERM CARE HOSPITAL PROSPECTIVE PAYMENT SYSTEM
    
    Legal Authority: Sec 1886(d) of the Social Security Act
    
    Abstract: This rule updates the fiscal year (FY) 2011 hospital 
    inpatient prospective payment systems (IPPS) and long-term care 
    prospective payment system (LTCH PPS). This rule payments to hospitals 
    for inpatient services that are contained in the Patient Protection and 
    Affordable Care Act (the Affordable Care Act) as amended by the Health 
    Care and Education Reconciliation Act of 2010 (HCERA) (collectively 
    known as the Affordable Care Act). It would also specify statutorily 
    required changes to the amounts and factors used to determine the rates 
    for Medicare acute care hospital inpatient services for operating costs 
    and capital-related costs, and for long-term care hospital costs.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    NPRM                            05/04/10                    75 FR 23851
    NPRM Comment Period End         06/18/10
    Second NPRM                     06/02/10                    75 FR 30917
    Second NPRM Comment Period End  07/02/10
    Final Action                    08/16/10                    75 FR 50041
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Tiffany Swygert, Health Insurance Specialist, 
    Department of Health and Human Services, Centers for Medicare & 
    Medicaid Services, Mailstop C4-25-11, 7500 Security Boulevard, 
    Baltimore, MD 21244
    Phone: 410 786-4642
    Email: tiffany.swygert@cms.hhs.gov
    
    RIN: 0938-AP80
    _______________________________________________________________________
    
    
    <###doc>
    
    373. <> HOSPITAL IPPS FOR ACUTE CARE HOSPITALS AND 
    FISCAL YEAR 2010 RATES AND TO THE LONG-TERM CARE HOSPITAL PPS AND RATE 
    YEAR 2010 RATES (CMS-1406-N)
    
    Legal Authority: PL 111 148; PL 111-152
    
    Abstract: This notice contains the final wage indices, hospital 
    reclassifications, payment rates, impacts, and other related tables 
    effective for the fiscal year (FY) 2010 hospital inpatient prospective 
    payment systems (IPPS) and rate year 2010 long-term care hospital 
    (LTCH) prospective payment system (PPS) . The rates, tables, and 
    impacts included in this notice reflect changes required or resulting 
    from the implementation of several provisions of the Patient Protection 
    and Affordable Care Act as amended by the Health Care and Education 
    Reconciliation Act of 2010. These provisions require the extension of 
    the expiration date for certain geographic reclassifications and 
    special exception wage indices through September 30, 2010, and certain 
    market basket updates for the IPPS and LTCH PPS effective April 1, 
    2010.
    
    Timetable:
    ________________________________________________________________________
    
    Action                            Date                      FR Cite
    
    ________________________________________________________________________
    
    Final Action                    06/02/10                    75 FR 31118
    
    Regulatory Flexibility Analysis Required: Yes
    
    Agency Contact: Tzvi Hefter, Department of Health and Human Services, 
    Centers for Medicare & Medicaid Services, 7500 Security Boulevard, 
    Baltimore, MD 21244
    Phone: 410 786-4487
    Email: tzvi.hefter@cms.hhs.gov
    
    RIN: 0938-AQ03
    [FR Doc. 2010-30444 Filed 12-17-10; 8:45 am]
    BILLING CODE 4150-24-S
    
    
    

Document Information

Published:
12/20/2010
Department:
Health and Human Services Department
Entry Type:
Uncategorized Document
Action:
Semiannual Regulatory Agenda.
Document Number:
2010-30444
Pages:
79763-79786 (24 pages)
PDF File:
2010-30444.pdf
CFR: (1)
21 CFR None