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Federal Register / Vol. 70, No.

68 / Monday, April 11, 2005 / Notices 18399

As in other orders addressing health In the event that a Respondent forms DEPARTMENT OF HEALTH AND
care providers’ collective contracting a qualified risk-sharing joint HUMAN SERVICES
with payors, certain kinds of agreements arrangement or a qualified clinically-
are excluded from the general bar on integrated joint arrangement, Paragraph Meeting of the Advisory Committee on
joint negotiations. Respondents are not IV requires the Respondent, for five Minority Health
precluded from engaging in conduct years, to notify the Commission at least AGENCY: Department of Health and
that is reasonably necessary to form or 90 days prior to initially contacting, Human Services, Office of the Secretary.
participate in legitimate joint negotiating, or entering into agreements
contracting arrangements among ACTION: Notice.
with payors concerning the
competing physicians, whether a SUMMARY: As stipulated by the Federal
arrangement. Notification is not
‘‘qualified risk-sharing joint Advisory Committee Act, the
required for subsequent negotiations or
arrangement’’ or a ‘‘qualified clinically- Department of Health and Human
integrated joint arrangement.’’ However, agreements with payors pursuant to any
arrangement for which notice was Services (DHHS) is hereby giving notice
such arrangements must not restrict the
already given under Paragraph IV, nor is that the Advisory Committee on
ability, or facilitate the refusal, of the
notice required for renegotiation of any Minority Health (ACMH) will hold a
arrangements’ physician members to
risk-sharing contract identified at meeting. This meeting is open to the
deal with payors on an individual basis
confidential Appendix 1 of the Order. public.
or through any other arrangement. As
discussed below in connection with The final proviso to Paragraph IV sets DATES: The meeting will be held on
Paragraph IV, Respondents are required out the information necessary to make April 25, 2005 from 1 p.m. to 5 p.m. and
to notify the Commission about such an the notification complete, and on April 26, 2005 from 9 a.m. to 5 p.m.
arrangement prior to negotiating on establishes the Commission’s right to ADDRESSES: The meeting will be held at
behalf of the arrangement’s members, or obtain additional information regarding the Marriott Bethesda North Hotel and
before those members jointly discuss the arrangement. Conference Center, 5701 Marinelli Road,
any terms of dealing with a payor. Paragraph V, which applies only to North Bethesda, Maryland 20852. This
Respondents would not be barred location is metro accessible to the White
from activities solely involving the ENH Medical Group, requires ENH
Medical Group to distribute the Flint Station.
salaried physicians with respect to ENH FOR FURTHER INFORMATION CONTACT: Ms.
physician services. complaint and order to: (1) All
physicians that have participated in Monica A. Farrar, Tower Building, 1001
As defined in the proposed order, a
ENH Medical Group since January 1, Wootton Parkway, Rockville, Maryland
‘‘qualified risk-sharing joint
2000, and (2) payors that ENH Medical 20852. Phone: 301–443–5084. Fax: 301–
arrangement’’ must satisfy two
Group has a record of having been in 594–0767.
conditions. First, all physician
participants must share substantial contact with regarding contracting for SUPPLEMENTARY INFORMATION: In
financial risk through the arrangement the provision of affiliated physician accordance with Pub. L. 105–392, the
and thereby create incentives for the services since January 1, 2000. Advisory Committee on Minority Health
physician participants jointly to control Paragraph V.B requires ENH Medical was established to provide advice to the
costs and improve quality by managing Group, at any payor’s request and Secretary DHHS, through the Deputy
the provision of services. Second, any Assistant Secretary for Minority Health,
without penalty, or within one year after
agreements concerning reimbursement on issues related to the health of racial
the Order is made final, to terminate its
or other terms or conditions of dealing and ethnic minority populations.
current contracts with respect to Topics to be discussed during this
must be reasonably necessary to obtain providing physician services. However,
significant efficiencies through the joint meeting will include programs and
ENH Medical Group is not required by activities related to the Office of
arrangement.
As defined in the proposed order, a Paragraph V.B to terminate its risk- Minority Health and presentations on
‘‘qualified clinically-integrated joint sharing contracts identified in the status of racial and ethnic health
arrangement’’ also must satisfy two confidential Appendix 1 of the order. disparities as well as other related
conditions. First, all physician Paragraph V.C requires ENH Medical issues. A tentative agenda will be made
participants must participate in active Group to distribute payor requests for available one week prior to meeting for
and ongoing programs to evaluate and contract termination to all physicians review at http://www.omhrc.gov/acmh.
modify their clinical practice patterns, who participate in ENH Medical Group. Public attendance at the meeting is
creating a high degree of The remaining provisions of limited to space available. Individuals
interdependence and cooperation Paragraph V, and Paragraphs VI through who plan to attend and need special
among physicians, in order to control X, of the proposed order impose assistance, such as sign language
costs and ensure the quality of services obligations on ENH Medical Group and interpretation or other reasonable
provided. Second, any agreements ENH to report or provide access to accommodations, should notify the
concerning reimbursement or other designated contact person. Members of
information to the Commission to
terms or conditions of dealing must be the public will have the opportunity to
facilitate monitoring Respondents’
reasonably necessary to obtain provide comments at the meeting.
compliance with the order. Public comments will be limited to five
significant efficiencies through the joint
arrangement. The proposed order will expire in 20 minutes per speaker. Individuals who
Paragraph III requires Respondents to years. would like to submit written statements
notify the Commission before entering By direction of the Commission, Chairman should mail or fax their comments to
into any arrangement to act as a Majoras not participating. the Office of Minority Health at least
messenger, or as an agent on behalf of two business days prior to the meeting.
Donald S. Clark,
any physicians, with payors regarding Any members of the public who wish to
contracts. The paragraph also sets out Secretary. have printed material distributed to
the information necessary to make the [FR Doc. 05–7244 Filed 4–8–05; 8:45 am] ACMH committee members should
notification complete. BILLING CODE 6750–01–U submit their materials to the Executive

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18400 Federal Register / Vol. 70, No. 68 / Monday, April 11, 2005 / Notices

Secretary, ACMH, prior to close of Purpose: This board is charged with (a) DEPARTMENT OF HEALTH AND
business April 19, 2005. Preregistration providing advice to the Secretary, HHS on HUMAN SERVICES
is required for both public attendance the development of guidelines under
and comment. Any individual who Executive Order 13179; (b) providing advice Centers for Disease Control and
wishes to attend the meeting and/or to the Secretary, HHS on the scientific Prevention
participate in the public comment validity and quality of dose reconstruction
session should e-mail efforts performed for this Program; and (c) Interventions for Individuals With Fetal
acmh@osophs.dhhs.gov. upon request by the Secretary, HHS, advising Alcohol Syndrome: Transitioning
the Secretary on whether there is a class of Science to Community Projects
Dated: April 5, 2005.
employees at any Department of Energy
Garth N. Graham, Announcement Type: New.
facility who were exposed to radiation but for
Deputy Assistant Secretary for Minority Funding Opportunity Number: RFA
whom it is not feasible to estimate their
Health, Executive Secretary, ACMH. DD05–079.
radiation dose, and on whether there is Catalog of Federal Domestic
[FR Doc. 05–7206 Filed 4–8–05; 8:45 am] reasonable likelihood that such radiation Assistance Number: 93.283.
BILLING CODE 4150–29–P doses may have endangered the health of Key Dates:
members of this class. Application Deadline: May 26, 2005.
Matters to be Discussed: Agenda for this
DEPARTMENT OF HEALTH AND meeting will focus on Status of Activities I. Funding Opportunity Description
HUMAN SERVICES concerning Iowa Army Ammunition Plant
and Mallinckrodt Downtown Site; Special Authority: This program is authorized
Centers for Disease Control and under Sections 317(k)(2) and 317C of the
Exposure Cohort Task for SC&A, Inc.; and Public Health Service Act, (42 U.S.C.
Prevention review of Draft, Agenda for the upcoming 247b(k)(2) and 247b–(4), as amended.
meeting.
National Institute for Occupational The agenda is subject to change as Purpose:
Safety and Health Advisory Board on priorities dictate. The purpose of this cooperative
Radiation and Worker Health In the event an individual cannot attend, agreement is to implement the
written comments may be submitted. Any continuation of a directive within the
In accordance with the Federal
written comments received will be provided Children’s Health Act of 2000 to
Advisory Committee Act, 5 U.S.C. app.
at the meeting and should be submitted to develop and scientifically evaluate
section 10(a), the Centers for Disease
the contact person below well in advance of interventions for children and
Control and Prevention (CDC)
the meeting. adolescents affected by Fetal Alcohol
announces the following committee
Supplementary Information: This Syndrome (FAS) or other conditions
meeting:
conference call is scheduled for April 11, resulting from prenatal alcohol exposure
Name: Advisory Board on Radiation and 2005 and set to begin at 8 a.m. eastern time
Worker Health (ABRWH), National Institute
and their families. Interventions were
and run through 11:30 a.m. eastern standard developed to (1) improve developmental
for Occupational Safety and Health (NIOSH). time. To access the teleconference you must
Place: Teleconference call will originate at outcomes, (2) prevent secondary
dial 1–888–324–8504. You will need to conditions, and (3) provide education
the Centers for Disease Control and
provide the passcode 22906 to be connected and support to caregivers and families.
Prevention, National Institutes for
to the call.
Occupational Safety and Health, Atlanta, The primary objective of this program is
Georgia. Please see SUPPLEMENTARY In accordance with 41 CFR 102–3.150b,
to translate successful or promising
INFORMATION for details on accessing the this notice is being published less than 15
scientifically evaluated interventions for
teleconference. days prior to the meeting due to the
children with FAS to community
Status: Open to the public, teleconference unexpected urgency of the topics that will be
access limited only by ports available.
settings.
discussed.
Background: The ABRWH was established
This program addresses the ‘‘Healthy
Contact Person for More Information: Lew
under the Energy Employees Occupational People 2010’’ focus areas of Substance
Wade, Senior Science Advisor, NIOSH, CDC,
Illness Compensation Program Act Abuse and Maternal, Infant, and Child
4676 Columbia Parkway, Cincinnati, Ohio
(EEOICPA) of 2000 to advise the President, Health.
45226, telephone (513) 533–6825, fax (513)
delegated to the Secretary of Health and Measurable outcomes of the program
533–6826.
Human Services (HHS), on a variety of policy will be in alignment with FAS-related
and technical functions required to The Director, Management Analysis and
performance goals for the National
implement and effectively manage the new Services Office, has been delegated the
Center on Birth Defects and
compensation program. Key functions of the authority to sign Federal Register notices
Developmental Disabilities that include
Board include providing advice on the pertaining to announcements of meetings and
other committee management activities for
establishing new, or enhancing existing
development of probability of causation
guidelines which have been promulgated by both the Centers for Disease Control and
prevention programs designed to reduce
HHS as a final rule, advice on methods of Prevention and the Agency for Toxic
the prevalence of FAS, reduce prenatal
dose reconstruction which have also been Substances and Disease Registry. exposure to alcohol, and improve and/
promulgated by HHS as a final rule, advice or link children currently affected by
on the scientific validity and quality of dose Dated: April 6, 2005. FAS to health services.
estimation and reconstruction efforts being John Howard,
performed for purposes of the compensation Research Objectives and Background
Director, National Institute for Occupational
program, and advice on petitions to add Safety and Health, Centers for Disease Control Development of interventions and
classes of workers to the Special Exposure public health programs often occur in
and Prevention (CDC).
Cohort (SEC). large research-oriented medical schools
In December 2000 the President delegated [FR Doc. 05–7263 Filed 4–8–05; 8:45 am]
and universities. These settings provide
responsibility for funding, staffing, and BILLING CODE 4163–19–M
operating the Board to HHS, which
a large number of intellectual and
subsequently delegated this authority to the logistical resources that facilitate
CDC. NIOSH implements this responsibility development of state-of-the-art
for CDC. The charter was issued on August interventions and programs. Frequently
3, 2001, and renewed on august 3, 2003. however, developed programs are

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