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6988

Proposed Rules Federal Register


Vol. 71, No. 28

Friday, February 10, 2006

This section of the FEDERAL REGISTER 1. http://www.regulations.gov: Follow Electronic files should avoid the use of
contains notices to the public of the proposed the on-line instructions for submitting special characters, any form of
issuance of rules and regulations. The comments. encryption, and be free of any defects or
purpose of these notices is to give interested 2. E-mail: fortin.kelly@epa.gov. viruses. For additional information
persons an opportunity to participate in the 3. Fax: 404–562–9019. about EPA’s public docket visit the EPA
rule making prior to the adoption of the final
rules.
4. Mail: (Docket ID No. EPA–R04– Docket Center homepage at http://
OAR–2004–KY–004), Air Planning www.epa.gov/epahome/dockets.htm.
Branch, Air, Pesticides and Toxics Docket: All documents in the docket
ENVIRONMENTAL PROTECTION Management Division, U.S. are listed in the http://
AGENCY Environmental Protection Agency, www.regulations.gov index. Although
Region 4, 61 Forsyth Street, SW., listed in the index, some information is
40 CFR Part 52 Atlanta, Georgia 30303–8960. not publicly available, e.g., CBI or other
5. Hand Delivery: Deliver your information the disclosure of which is
[EPA–R04–OAR–2004–KY–0004–200603; comments to: Ms. Kelly Fortin, Air restricted by statute. Certain other
FRL–8031–2] Planning Branch, Air, Pesticides and material, such as copyrighted material,
Toxics Management Division, 12th will be publicly available only in hard
Approval and Promulgation of floor, U.S. Environmental Protection copy. Publicly available docket
Implementation Plans; Kentucky Agency Region 4, 61 Forsyth Street SW., materials are available either
Prevention of Significant Deterioration Atlanta, Georgia 30303–8960. Such electronically in http://
and Nonattainment New Source deliveries are only accepted during the www.regulations.gov or in hard copy at
Review Regional Office’s normal hours of the Regulatory Development Section,
operation. The Regional Office’s official Air Planning Branch, Air, Pesticides &
AGENCY: Environmental Protection hours of business are Monday through Toxics Management Division, U.S.
Agency (EPA). Friday, 8:30 to 4:30, excluding Federal Environmental Protection Agency,
ACTION: Proposed rule. holidays. Region 4, 61 Forsyth Street, SW.,
Instructions: Direct your comments to Atlanta, Georgia 30303–8960. EPA
SUMMARY: EPA is proposing to approve Docket ID No. EPA–R04–OAR–2004– requests that if at all possible, you
revisions to the Kentucky State KY–0004. EPA’s policy is that all contact the person listed in the FOR
Implementation Plan (SIP) submitted by comments received will be included in FURTHER INFORMATION CONTACT section to
the Commonwealth of Kentucky on the public docket without change and schedule your inspection. The Regional
September 2, 2004. The proposed may be made available online at Office’s official business hours are
revisions modify Kentucky’s Prevention http://www.regulations.gov, including Monday through Friday, 8:30 to 4:30,
of Significant Deterioration (PSD) and any personal information provided, excluding federal holidays.
Nonattainment New Source Review unless the comment includes FOR FURTHER INFORMATION CONTACT: For
(NNSR) regulations in the SIP to address information claimed to be Confidential information regarding the Kentucky
changes to the federal NSR regulations, Business Information (CBI) or other State Implementation Plan, contact Mr.
which were promulgated by EPA on information whose disclosure is Sean Lakeman, Regulatory Development
December 31, 2002 (67 FR 80186) and restricted by statute. Do not submit Section, Air Planning Branch, Air,
reconsidered with minor changes on information that you consider CBI or Pesticides and Toxics Management
November 7, 2003 (68 FR 63021) otherwise protected through http:// Division, U.S. Environmental Protection
(collectively, these two final actions are www.regulations.gov or e-mail. The Agency Region 4, 61 Forsyth Street SW.,
called the ‘‘2002 NSR Reform Rules’’). http://www.regulations.gov Web site is Atlanta, Georgia 30303–8960.
Together, the PSD and NNSR programs an ‘‘anonymous access’’ system, which Telephone number: (404) 562–9043; e-
are commonly referred to as the ‘‘NSR means EPA will not know your identity mail address: lakeman.sean@epa.gov.
programs.’’ EPA’s 2002 NSR Reform or contact information unless you For information regarding New Source
Rules, proposed for inclusion in the provide it in the body of your comment. Review, contact Ms. Kelly Fortin, Air
Kentucky SIP, include provisions for If you send an e-mail comment directly Permits Section, at the same address
baseline emissions calculations, an to EPA without going through http:// above. Telephone number: (404) 562–
actual-to-projected-actual methodology www.regulations.gov, your e-mail 9117; e-mail address:
for calculating emissions changes, address will be automatically captured fortin.kelly@epa.gov.
options for plantwide applicability and included as part of the comment SUPPLEMENTARY INFORMATION:
limits, recordkeeping and reporting that is placed in the public docket and Throughout this document, references
requirements, and a significance made available on the Internet. If you to ‘‘EPA,’’ ‘‘we,’’ ‘‘us,’’ or ‘‘our,’’ are
threshold for ozone depleting submit an electronic comment, EPA intended to mean the Environmental
substances. recommends that you include your Protection Agency. The supplementary
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name and other contact information in information is arranged as follows:


DATES: Comments must be received on the body of your comment and with any
or before March 13, 2006. disk or CD–ROM you submit. If EPA I. What Action Is EPA Proposing to Take?
II. What is the Background for this Action?
ADDRESSES: Submit your comments, cannot read your comment due to III. What is EPA’s Analysis of Kentucky’s
identified by Docket ID No. EPA–R04– technical difficulties and cannot contact NSR Rule Revisions?
OAR–2004–KY–0004, by one of the you for clarification, EPA may not be a. Definitions for Chapter 51; 401 KAR
following methods: able to consider your comment. 51:001

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Federal Register / Vol. 71, No. 28 / Friday, February 10, 2006 / Proposed Rules 6989

B. Prevention of Significant Deterioration unit,’’ and clarified an issue regarding The 2002 NSR Reform Rules made
of Air Quality; 401 KAR 51:017 plantwide applicability limitations changes to five areas of the NSR
C. Review of New Sources in or Impacting (PALs). The December 31, 2002 and the programs. In summary, the 2002 Rules:
Upon Nonattainment Areas; 401 KAR
November 7, 2003, final actions, are (1) Provide a new method for
51:052
IV. What Action is EPA Taking Today? collectively referred to as the ‘‘2002 determining baseline actual emissions;
V. Statutory and Executive Order Reviews. NSR Reform Rules.’’ The purpose of (2) adopt an actual-to-projected-actual
today’s action is to propose approval of methodology for determining whether a
I. What Action Is EPA Proposing To the SIP submittal from the major modification has occurred; (3)
Take? Commonwealth of Kentucky, which allow major stationary sources to
On September 2, 2004, the includes EPA’s 2002 NSR Reform Rules. comply with plant-wide applicability
Commonwealth of Kentucky, through The 2002 NSR Reform Rules are part limits to avoid having a significant
the Kentucky Department of of EPA’s implementation of Parts C and emissions increase that triggers the
Environmental Protection (KDEP), D of title I of the Clean Air Act (CAA requirements of the major NSR program;
submitted revisions to the Kentucky or Act), 42 U.S.C. 7470–7515. Part C of (4) provide a new applicability
State Implementation Plan (SIP). The title I of the CAA, 42 U.S.C. 7470–7492, provision for emissions units that are
submittal consists of revisions to three is the PSD program, which applies in designated clean units; and (5) exclude
regulations that are already part of the areas that meet the National Ambient pollution control projects (PCPs) from
Kentucky SIP. The affected regulations Air Quality Standards (NAAQS)— the definition of ‘‘physical change or
are: 401 Kentucky Administrative ‘‘attainment’’ areas—as well as in areas change in the method of operation.’’ On
Regulations (KAR) 51:001, ‘‘Definitions for which there is insufficient November 7, 2003, EPA published a
for 401 KAR Chapter 51;’’ 401 KAR information to determine whether the notice of final action on its
51:017, ‘‘Prevention of Significant area meets the NAAQS— reconsideration of the 2002 NSR Reform
Deterioration of Air Quality;’’ and 401 ‘‘unclassifiable’’ areas. Part D of title I of Rules (68 FR 63021), which added a
KAR 51:052, ‘‘Review of New Sources in the CAA, 42 U.S.C. 7501–7515, is the definition for ‘‘replacement unit’’ and
or Impacting upon Nonattainment NNSR program, which applies in areas clarified an issue regarding PALs. For
Areas.’’ The revisions were made to that are not in attainment of the additional information on the 2002 NSR
update the Kentucky NSR programs to NAAQS—‘‘nonattainment areas.’’ Reform Rules, see 67 FR 80186
make them consistent with changes to Collectively, the PSD and NNSR (December 31, 2002), and http://
the Federal NSR regulations published programs are referred to as the ‘‘New www.epa.gov/nsr.
on December 31, 2002 (67 FR 80186) Source Review’’ or NSR programs. EPA After the 2002 NSR Reform Rules
and November 7, 2003 (68 FR 63021). regulations implementing these were finalized and effective (March 3,
These two EPA rulemakings are programs are contained in 40 CFR 2003), various petitioners challenged
commonly referred to as the ‘‘2002 NSR 51.165, 51.166, 52.21, 52.24, and part numerous aspects of the 2002 NSR
Reform Rules.’’ 51, appendix S. Reform Rules, along with portions of
In a letter to EPA dated August 23, The CAA’s NSR programs are EPA’s 1980 NSR Rules (45 FR 5276,
2005, Kentucky requested to amend the preconstruction review and permitting August 7, 1980). On June 24, 2005, the
September 2, 2004, SIP submittal in programs applicable to new and DC Circuit Court issued a decision on
light of the decision issued by the U.S. modified stationary sources of air the challenges to the 2002 NSR Reform
Circuit Court of Appeals for the District pollutants regulated under the CAA. Rules. New York v. United States, 413
of Columbia (DC Circuit Court) on June The NSR programs of the CAA include F.3d 3 (DC Cir. 2005). In summary, the
24, 2005. The June 24, 2005, decision is a combination of air quality planning DC Circuit Court vacated portions of the
discussed in further detail below. and air pollution control technology Rules pertaining to clean units and
Kentucky requested that the portion of program requirements. Briefly, section pollution control projects, remanded a
the Kentucky SIP revision related to the 109 of the CAA, 42 U.S.C. 7409, requires portion of the Rules regarding
EPA rules that were vacated by the DC EPA to promulgate primary NAAQS to recordkeeping, e.g., 40 CFR 52.21(r)(6)
Circuit Court not be approved into the protect public health and secondary and 40 CFR 51.166(r)(6), and either
SIP, namely Sections 20, 21, and 22 of NAAQS to protect public welfare. Once upheld or did not comment on the other
401 KAR 51:017, Sections 11, 12, and 13 EPA sets those standards, states must provisions included as part of the 2002
of 401 KAR 51:052, and definitions (38) develop, adopt, and submit to EPA for NSR Reform Rules. EPA has not yet
and (188) in Section 1 of 401 KAR approval, a State Implementation Plan responded to the Court’s remand
51:001. EPA is therefore now proposing (SIP) that contains emissions limitations regarding the recordkeeping provisions.
to approve the SIP submitted by KDEP and other control measures to attain and Today’s action is consistent with the
on September 2, 2004, as amended on maintain the NAAQS. Each SIP is decision of the DC Circuit Court because
August 23, 2005. required to contain a preconstruction Kentucky’s submittal does not include
review program for the construction and any portions of the 2002 NSR Reform
II. What Is the Background for This modification of any stationary source of Rules that were vacated as part of the
Action? air pollution to assure that the NAAQS June 2005, decision.
On December 31, 2002, EPA are achieved and maintained; to protect The 2002 NSR Reform Rules require
published final rule changes to 40 Code areas of clean air; to protect air quality that state agencies adopt and submit
of Federal Regulations (CFR) parts 51 related values (such as visibility) in revisions to their SIP permitting
and 52, regarding the Clean Air Act’s national parks and other areas; to assure programs implementing the minimum
PSD and Nonattainment New Source that appropriate emissions controls are program elements of the 2002 NSR
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Review (NNSR) programs. 67 FR 80186. applied; to maximize opportunities for Reform Rules no later than January 2,
On November 7, 2003, EPA published a economic development consistent with 2006. (Consistent with changes to 40
notice of final action on the the preservation of clean air resources; CFR 51.166(a)(6)(i), state agencies are
reconsideration of the December 31, and to ensure that any decision to now required to adopt and submit SIP
2002 final rule changes. 68 FR 63021. In increase air pollution is made only after revisions within three years after new
that November 7th final action, EPA full public consideration of the amendments are published in the
added the definition of ‘‘replacement consequences of the decision. Federal Register.) State agencies may

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6990 Federal Register / Vol. 71, No. 28 / Friday, February 10, 2006 / Proposed Rules

meet the requirements of 40 CFR part depleting substances (ODS) of 100 tons provisions, the pollution control
51, and the 2002 NSR Reform Rules, per year (tpy). This definition, as projects exclusion, and equipment
with different but equivalent applied by 401 KAR 51:017, has the replacement provision which was
regulations. However, if a state decides effect of requiring that facilities with promulgated shortly after the 2002 NSR
not to implement any of the new emissions or net emissions increases Reform Rules. As noted earlier, EPA has
applicability provisions, that state is greater than or equal to 100 tpy of ODS not yet responded to the DC Circuit
required to demonstrate that its existing obtain a major source permit. The Court’s remand of the recordkeeping
program is at least as stringent as the current Federal rule (51.166(b)(23)(ii)) provisions of EPA’s 2002 NSR Reform
federal program. does not contain a specific threshold for Rules. Kentucky’s rule contains
On September 2, 2004, the ODS. In 1996, however, EPA proposed recordkeeping requirements that are
Commonwealth of Kentucky submitted a 100 tpy threshold for ODS. See 61 FR substantially the same as the remanded
a SIP revision for the purpose of 38250, July 23, 1996. Based on the Federal rule. While final action by EPA
revising the Commonwealth’s NSR rationale provided in the 1996 proposal, with regard to the remand may require
permitting provisions. These changes EPA believes that it is reasonable for EPA to take further action on this
were made primarily to adopt EPA’s Kentucky to adopt this threshold. If EPA portion of Kentucky’s rules, at this time,
2002 NSR Reform Rules. As discussed issues a final rule that establishes a the rules are the same as existing
in further detail below, EPA believes the threshold for ODS that is different from Federal law.
revisions contained in the Kentucky the one proposed in 1996, Kentucky The requirements included in
submittal are approvable for inclusion will have the obligation to amend its Kentucky’s PSD program are
into the Kentucky SIP. rule. Additional information regarding substantively the same as the
significance threshold levels for ODS corresponding federal provisions. The
III. What Is EPA’s Analysis of
can be found in the Docket for this Kentucky rules have been formatted to
Kentucky’s NSR Rule Revisions?
action. General information about ODS conform to Kentucky rule drafting
Kentucky currently has an approved is available on the EPA Web site at: standards (Kentucky Revised Standards
NSR program for new and modified http://www.epa.gov/ozone/index.html. Chapter 13A), but in substantive content
sources. Today, EPA is proposing to EPA performed a line by line review the rules are the same as the Federal
approve revisions to Kentucky’s existing of the Kentucky definitions and found rules. As part of its review of the
NSR program in the SIP. These them to be consistent with the 2002 Kentucky SIP submittal, EPA performed
proposed revisions became state- NSR Reform Rules and other federal a line-by-line review of the proposed
effective on July 14, 2004, and were requirements set forth in 40 CFR 51 revisions and has determined that they
submitted to EPA on September 2, 2004. subpart I. Per Kentucky’s request, as are consistent with the program
Copies of the revised rules, as well as discussed above, EPA is not proposing requirements for the preparation,
the State’s Technical Support Document to approve the definition of ‘‘clean unit’’ adoption and submittal of
(TSD), can be obtained from the Docket, or the definition of ‘‘pollution control implementation plans for the Prevention
as discussed in the ‘‘Docket’’ section project’’ into the Kentucky SIP. of Significant Deterioration of Air
above. A discussion of the specific Quality, set forth at 40 CFR 51.166.
changes to Kentucky’s rule, proposed B. Prevention of Significant
for inclusion in the SIP, follows. Deterioration of Air Quality; 401 KAR C. Review of New Resources in or
51:017 Impacting Upon Nonattainment Areas;
A. Definitions for 401 KAR Chapter 51; Kentucky regulation 401 KAR 51:017 401 KAR 51:052
401 KAR 51:001 contains the preconstruction review Kentucky’s permitting requirements
Regulation 401 KAR 51:001 defines program that provides for the for major sources in or impacting upon
the terms used in Chapter 51 of the prevention of significant deterioration of non-attainment areas are set forth at 401
Kentucky Administrative Regulations. ambient air quality as required under KAR 51:052 (NNSR program). The
The amendments to section 51:001 Part C of title I of the Clean Air Act. The Kentucky NNSR program was originally
provide the definitions of terms used in program applies to major stationary approved into the Kentucky SIP on
401 KAR 51:017 and 401 KAR 51:052, sources or modifications constructing in January 25, 1980 (with subsequent
which were changed to include the 2002 areas that are designated as attainment amendments) and applies to the
NSR Reform Rules, as discussed above. or unclassifiable with respect to the construction and modification of any
Specifically, the revisions include new NAAQS. Kentucky’s PSD program was major stationary source of air pollution
or revised definitions for terms such as originally approved into the SIP by EPA in a nonattainment area, as required by
‘‘actual emissions,’’ ‘‘actual PALs,’’ on November 6, 1989, and has been Part D of title I of the CAA. To receive
‘‘allowable emissions,’’ ‘‘baseline actual revised several times. approval to construct, a source that is
emissions,’’ and ‘‘major modification.’’ The current revisions to 401 KAR subject to this regulation must show that
The Kentucky definitions correspond 51:017, which EPA is proposing to it will not cause a net increase in
with the federal definitions. approve into the SIP, were provided to pollution, will not create a delay in
Furthermore, the introductory update the existing provisions to be meting the NAAQS, and that the source
paragraph of Chapter 51:001 states that consistent with the current Federal PSD will install and use control technology
the definitions ‘‘are not more stringent rules, including the 2002 NSR Reform that achieves the lowest achievable
or otherwise different than the Rules. These revisions address baseline emissions rate.
corresponding federal definitions.’’ actual emissions, actual-to projected The revisions to this regulation,
Kentucky’s revisions to Chapter actual applicability tests, and PALs. which EPA is proposing to approve into
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51:017 contain a minor provision that is Definitions previously contained in this the SIP, update the existing provisions
different from the existing federal rule section were moved to 401 KAR 51:001, to be consistent with the current Federal
found in 40 CFR 51.166(b)(23), which ‘‘Definitions for 401 KAR Chapter 51.’’ nonattainment rule, including the 2002
defines significance levels for various 401 KAR 51:017 does not incorporate NSR Reform Rules. These revisions
pollutants. Kentucky’s definition of the portions of the Federal rules that address baseline actual emissions,
‘‘significance’’ (definition 221), includes were recently vacated by the DC Circuit actual-to-projected-actual applicability
a significance threshold for ozone Court, including the clean unit tests, and PALs. Definitions previously

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contained in this seciton were moved to U.S.C. 601 et seq.). Because this rule Nitrogen dioxide, Ozone, Particulate
401 KAR 51:001, ‘‘Definitions for 401 proposes to approve pre-existing matter, Reporting and recordkeeping
KAR Chapter 51.’’ The rule does not requirements under state law and does requirements, Sulfur oxides, Volatile
incorporate the portions of the Federal not impose any additional enforceable organic compounds.
rules that were recently vacated by the duty beyond that required by state law, Authority: 42 U.S.C. 7401 et seq.
DC Circuit Court, including the clean it does not contain any unfunded
unit provisions, the pollution control mandate or significantly or uniquely Dated: February 3, 2006.
projects exclusion, and the equipment affect small governments, as described J.I. Palmer Jr.,
replacement provision, which was in the Unfunded Mandates Reform Act Regional Administrator, Region 4.
promulgated shortly after the 2002 NSR of 1995 (Pub. L. 104–4). [FR Doc. 06–1318 Filed 2–9–06; 8:45 am]
Reform Rules. This proposed rule also does not have BILLING CODE 6560–50–M
The revisions included in Kentucky’s tribal implications because it will not
NNSR program are substantively the have a substantial direct effect on one or
same as the 2002 NSR Reform Rules. more Indian tribes, on the relationship DEPARTMENT OF HEALTH AND
The Kentucky Rules have been between the Federal Government and HUMAN SERVICES
formatted to conform to Kentucky rule Indian tribes, or on the distribution of
drafting standards (KRS Chapter 13A), power and responsibilities between the Centers for Medicare & Medicaid
but in substantive content the rules are Federal Government and Indian tribes, Services
the same as the Federal rules. As part of as specified by Executive Order 13175
its review of the Kentucky submittal, (65 FR 67249, November 9, 2000). This 42 CFR Part 413
EPA performed a line-by-line review of action also does not have Federalism
the proposed revisions and has implications because it does not have [CMS–1126–RCN]
determined that they are consistent with substantial direct effects on the states, RIN 0938–AK02
the program requirements for the on the relationship between the national
preparation, adoption and submittal of government and the states, or on the Medicare Program; Provider Bad Debt
implementation plans for New Source distribution of power and Payment; Extension of Timeline for
Review, set forth at 40 CFR 51.165. responsibilities among the various Publication of Final Rule
levels of government, as specified in
IV. What Action Is EPA Proposing To AGENCY: Centers for Medicare &
Executive Order 13132 (64 FR 43255,
Take? Medicaid Services (CMS), HHS.
August 10, 1999). This action merely
EPA is proposing to approve revisions proposes to approve a state rule ACTION: Extension of timeline.
to the Kentucky SIP (Kentucky implementing a Federal standard, and
regulations, 401 KAR 51:01, 401 KAR does not alter the relationship or the SUMMARY: Section 1871(a)(3)(A) of the
51:017, and 401 KAR 51:052) submitted distribution of power and Social Security Act (the Act) requires us
by the Common wealth of Kentucky on responsibilities established in the Clean to publish a Medicare final rule no later
September 2, 2004, and amended on Air Act. This proposed rule also is not than 3 years after the publication date
August 23, 2005. EPA proposed to take subject to Executive Order 13045 of the proposed rule. This notice
no action on the following provisions of ‘‘Protection of Children from announces an extension of the timeline
the Kentucky regulations, which Environmental Health Risks and Safety for publication of a Medicare final rule
include portions of the 2002 NSR Risks’’ (62 FR 19885, April 23, 1997), in accordance with section 1871(a)(3)(B)
Reform Rules that were vacated by the because it is not economically of the Act, which allows us to extend
D.C. Circuit Court: Sections 20, 21, and significant. the timeline for publication of the
22 of 401 KAR 51:017, Sections 11, 12, In reviewing SIP submissions, EPA’s ‘‘Medicare Program; Provider Bad Debt
and 13 of 401 KAR 51:052, and role is to approve state choices, Payment’’ final rule under exceptional
definitions (38) and (188) in Section 1 provided that they meet the criteria of circumstances.
of 401 KAR 51:001. the Clear Air Act. In this context, in the DATES: Effective Date: This notice is
absence of a prior existing requirement effective on February 10, 2006.
VI. Statutory and Executive Order
for the State to use voluntary consensus
Reviews FOR FURTHER INFORMATION CONTACT: Jill
standards (VCS), EPA has no authority
Under Executive Order 12866 (58 FR to disapprove a SIP submission for Keplinger, (410) 786–4550.
51735, October 4, 1993), this proposed failure to use VCS. It would thus be SUPPLEMENTARY INFORMATION: On
action is not a ‘‘significant regulatory inconsistent with applicable law for February 10, 2003 (68 FR 6682), we
action’’ and therefore is not subject to EPA, when it reviews a SIP submission, published a proposed rule that would
review by the Office of Management and to use VCS in place of a SIP submission revise existing regulations governing
Budget. For this reason, this action is that otherwise satisfies the provisions of reimbursement for bad debts for all
also not subject to Executive Order the Clean Air Act. Thus, the providers or entities, other than
13211, ‘‘Actions Concerning Regulations requirements of section 12(d) of the hospitals, currently eligible for bad debt
That Significantly Affect Energy Supply, National Technology Transfer and reimbursement under the Medicare
Distribution, or Use’’ (66 FR 28355, May Advancement Act of 1995 (15 U.S.C. program. These proposed revisions were
22, 2001). This proposed action merely 272 note) do not apply. This proposed intended to provide for a consistent bad
proposes to approve state law as rule does not impose an information debt reimbursement policy for all
meeting Federal requirements and collection burden under the provisions providers currently eligible to receive
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imposes no additional requirements of the Paperwork Reduction Act of 1995 payments from Medicare for bad debt.
beyond those imposed by state law. (44 U.S.C. 3501 et seq.). The proposed revisions also would
Accordingly, the Administrator certifies remove a cap on End Stage Renal
that this proposed rule will not have a List of Subjects in 40 CFR Part 52 Disease (ESRD) bad debt
significant economic impact on a Environmental protection, Air reimbursement, which limits payment
substantial number of small entities pollution control, Carbon monoxide, of allowable bad debts to the facility’s
under the Regulatory Flexibility Act (5 Intergovernmental relations, Lead, unrecovered costs. In addition, the

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