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Federal Register / Vol. 70, No.

23 / Friday, February 4, 2005 / Rules and Regulations 5927

Unfunded Mandates Approved: October 20, 2004. services that VA provided less than
Anthony J. Principi, eight times in Alaska in FY 2003, for
The Unfunded Mandates Reform Act Secretary of Veterans Affairs. services represented by codes
requires, in 2 U.S.C. 1532, that agencies
■ For the reasons set out in the preamble, established after FY 2003, and for unit-
prepare an assessment of anticipated based codes prior to FY 2004, VA will
38 CFR part 17 is amended as set forth
costs and benefits before developing any take the Centers for Medicare and
below:
rule that may result in an expenditure Medicaid Services’ rate for each code
by State, local, or tribal governments, in PART 17—MEDICAL and multiply it times the average
the aggregate, or by the private sector, of percentage paid by VA in Alaska for
■ 1. The authority citation for part 17
$100 million or more in any given year. Centers for Medicare and Medicaid
This final rule would have no such continues to read as follows: Services-like codes. VA will increase
effect on State, local, or tribal Authority: 38 U.S.C. 501, 1721, unless the amounts on the VA Alaska Fee
governments, or the private sector. otherwise noted. Schedule annually beginning in 2005 in
■ 2. Section 17.56 is amended by: accordance with the published national
Paperwork Reduction Act ■ a. Revising the section heading. Medicare Economic Index (MEI). For
■ b. In paragraph (a), removing ‘‘Except those years where the annual average is
This document contains no provisions
for anesthesia services,’’ and adding, in a negative percentage, the fee schedule
constituting a collection of information
its place, ‘‘Except for anesthesia services, will remain the same as the previous
under the Paperwork Reduction Act (44
and services provided in the State of year. Payment for non-VA health care
U.S.C. 3501–3521). Alaska under paragraph (d) of this professional services in Alaska shall be
Executive Order 12866 section,’’; removing ‘‘Department of the lesser of the amount billed, or the
Health & Human Services, Health Care amount calculated under this subpart.
The Office of Management and Budget Financing Administration (HCFA) under * * * * *
has reviewed this document under Medicare’s participating’’ and adding, in
(Authority: 38 U.S.C. 513, 1703, 1728)
Executive Order 12866. its place, ‘‘Centers for Medicare and
Medicaid Services’ (CMS) [FR Doc. 05–2107 Filed 2–3–05; 8:45 am]
Regulatory Flexibility Act
participating’’; removing ‘‘calculated BILLING CODE 8320–01–P

The Secretary hereby certifies that under Medicare’s participating’’ and


this final rule would not have a adding, in its place, ‘‘calculated under
significant economic impact on a Centers for Medicare and Medicaid ENVIRONMENTAL PROTECTION
substantial number of small entities as Services’ participating’’; and removing AGENCY
they are defined in the Regulatory all references to ‘‘non-VA physician
services’’ and adding, in their place, 40 CFR Part 52
Flexibility Act, 5 U.S.C. 601 through
‘‘non-VA health care professional [R04–OAR–2004–KY–0001–200425(w); FRL–
612. The final rule would not cause a
services’’. 7868–8]
significant economic impact on health ■ c. In paragraph (b), removing
care providers, suppliers, or entities ‘‘Medicare’s participating’’ and adding, Approval and Promulgation of
since only a small portion of the in its place, ‘‘Centers for Medicare and Implementation Plans for Kentucky: 1-
business of such entities concerns VA Medicaid Services’ participating’’; and Hour Ozone Maintenance Plan Update
beneficiaries. Therefore, pursuant to 5 removing ‘‘calculating the Medicare fee’’ for Edmonson Area; Withdrawal of
U.S.C. 605(b), the final rule is exempt and adding, in its place, ‘‘calculating the Direct Final Rule
from the initial and final regulatory Centers for Medicare and Medicaid
flexibility analysis requirements of AGENCY: Environmental Protection
Services’ fee’’.
sections 603 and 604. ■ d. Redesignating paragraphs (d) and (e)
Agency (EPA).
as paragraphs (e) and (f), respectively. ACTION : Withdrawal of direct final rule.
Catalog of Federal Domestic Assistance ■ e. Adding a new paragraph (d).
Numbers SUMMARY: Due to adverse comment, EPA
■ f. In redesignated paragraph (f),
is withdrawing the direct final rule
removing the phrase ‘‘paragraphs (a)
The Catalog of Federal Domestic published December 17, 2004, (69 FR
through (d)’’ and adding, in its place,
Assistance Numbers are 64.009, 64.010 75473) approving revisions to the
‘‘paragraphs (a) through (e)’’.
and 64.011. The revision and addition read as Edmonson County portion of the State
follows: Implementation Plan (SIP) submitted by
List of Subjects in 38 CFR Part 17 the Commonwealth of Kentucky on
Administrative practice and § 17.56 Payment for non-VA physician and August 24, 2004. The submittal provides
other health care professional services. the 10-year update to the original 1-hour
procedure, Alcohol abuse, Alcoholism,
Claims, Day care, Dental health, Drug * * * * * ozone maintenance plans for three 1-
(d) For services rendered in Alaska, hour ozone maintenance areas,
abuse, Foreign relations, Government
VA will pay for services in accordance including the Edmonson County
contracts, Grant programs—health,
with a fee schedule that uses the Health Maintenance Area, and also provides
Government programs—veterans, Health
Insurance Portability and revised 2004 motor vehicle emission
care, Health facilities, Health Accountability Act mandated national budgets (MVEBs) and establishes 2015
professions, Health records, Homeless, standard coding sets. VA will pay a MVEBs. EPA stated in the direct final
Medical and dental schools, Medical specific amount for each service for rule that if EPA received adverse
devices, Medical research, Mental which there is a corresponding code. comment by January 18, 2005, the rule
health programs, Nursing home care, Under the VA Alaska Fee Schedule the would be withdrawn and not take effect.
Philippines, Reporting and amount paid in Alaska for each code EPA subsequently received adverse
recordkeeping requirements, will be 90 percent of the average amount comment. EPA will address the
Scholarships and fellowships, Travel VA actually paid in Alaska for the same comment in a subsequent final action
and transportation expenses, Veterans. services in Fiscal Year (FY) 2003. For based upon the proposed action also

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5928 Federal Register / Vol. 70, No. 23 / Friday, February 4, 2005 / Rules and Regulations

published on December 17, 2004 (69 FR available at the Air Permits Section, Air which the State adopted in July 2000
75495). EPA will not institute a second Planning Branch, Air, Pesticides and and amended on June 12, 2003, as well
comment period on this action. Toxics Management Division, U.S. as draft implementing regulations and
DATES: The direct final rule is Environmental Protection Agency, supporting material. FDEP formally
withdrawn as of February 4, 2005. Region 4, 61 Forsyth Street, SW., adopted these implementing regulations
FOR FURTHER INFORMATION CONTACT: Atlanta, Georgia 30303–8960. EPA in December 2002. 62–210.340 F.A.C.
Michele Notarianni, Air Planning requests that you contact the person FDEP also requested that the statute and
Branch, U.S. Environmental Protection listed in the FOR FURTHER INFORMATION regulation be considered by EPA
Agency Region 4, 61 Forsyth Street, CONTACT section to schedule your pursuant to the Joint EPA/State
SW., Atlanta, Georgia 30303–8960. inspection. The Regional Office’s Agreement to Pursue Regulatory
((404) 562–9031 (phone) or official hours of business are Monday Innovation between EPA and the
notarianni.michele@epa.gov (e-mail).) through Friday, 8:30 to 4:30, excluding Environmental Council of the States
Federal holidays. Copies of the State (‘‘ECOS’’). 63 FR 24784. After a detailed
List of Subjects in 40 CFR Part 52 submittal are also available for public review, EPA responded to FDEP with
Environmental protection, Air inspection during normal business letters, dated September 18, 2002, and
pollution control, Intergovernmental hours, by appointment at the State Air April 24, 2003, listing several changes to
relations, Nitrogen dioxide, Ozone, Agency: Florida Department of the program that must be made in order
Reporting and recordkeeping Environmental Protection, Division of for EPA to incorporate the program into
requirements, Volatile organic Air Resources Management, 2600 Blair the Florida SIP. On January 31, 2003,
compounds. Stone Road, Tallahassee, Florida 32399– FDEP made a supplemental submittal
Dated: January 24, 2005. 2400. outlining their intent to make necessary
FOR FURTHER INFORMATION CONTACT: Ms. statutory and regulatory revisions to the
A. Stanley Meiburg,
Kelly Fortin, Air Permits Section, Air program. In a Federal Register notice
Acting Regional Administrator, Region 4.
Planning Branch, Air, Pesticides and published on January 30, 2004, EPA
[FR Doc. 05–2069 Filed 2–3–05; 8:45 am] requested comment on a proposal to
Toxics Management Division, Region 4,
BILLING CODE 6560–50–P conditionally approve the proposed
U.S. Environmental Protection Agency,
61 Forsyth Street, SW., Atlanta, Georgia changes to the Florida SIP. The Federal
30303–8960. The telephone number is Register notice described the proposed
ENVIRONMENTAL PROTECTION program and identified specific
AGENCY (404) 562–9117. Ms. Fortin can also be
reached via electronic mail at deficiencies that EPA has determined
40 CFR Part 52 fortin.kelly@epa.gov. must be corrected in order for EPA to
approve the program as part of the
[FL–87; FL–89–200501, FRL–7869–2] SUPPLEMENTARY INFORMATION:
Florida SIP. You may access this notice
I. Today’s Action and the January 30, 2004 Federal
Approval and Promulgation of Register document electronically at
Implementation Plans; Florida: Citrus Today’s action is a conditional
approval under section 110(k)(4) of the http://www.regulations.gov. No
Juice Processing comments were received by EPA during
Clean Air Act (CAA). EPA may
AGENCY: Environmental Protection conditionally approve a plan based on the 30 day public comment period.
Agency (EPA). a commitment from the State to adopt The proposed program requires the
ACTION: Final conditional approval. specific enforceable measures within existing juice processing facilities in
one year from the effective date of final Florida to comply with specified terms
SUMMARY: The EPA is conditionally in the statute when they construct,
conditional approval. Because the
approving a revision to the Florida State revisions would materially alter the operate, and modify air emissions units.
Implementation Plan (SIP) consisting of existing SIP approved rule, the State For some units these conditions are
a new Florida statute and implementing must make a SIP submittal. If the State different from those required by the
regulations that set emission limits for fails to adopt and submit the specified conventional construction and operating
existing and new equipment at existing measures by the end of one year from permit requirements required by the
citrus juice processing facilities in the effective date of this conditional SIP-approved Florida regulations that
Florida. This approval is conditioned approval, or fails to make a submittal, currently apply to citrus juice
upon a commitment from the State to EPA will issue a finding of disapproval. processing facilities. The statute
adopt specific enforceable measures, as If EPA determines that the rule with the requires a 65 percent recovery (50
stated in the proposed rule published specified measures is approvable, EPA percent the first year) of d-limonene oil
January 30, 2004 (69 FR 4459), within will propose approval of the rule in the from peel processed through the peel
one year from the effective date of this Federal Register. EPA will dryer. This reduction will decrease
rule. If the State fails to meet its conditionally approve a certain rule emissions of volatile organic
commitment by adopting and only once. compounds (VOC) from these facilities
submitting to EPA the necessary by approximately 38 percent. The citrus
revisions within the one-year period, II. Background facilities can comply with the VOC
the approval is treated as a disapproval. EPA is taking this action in response emission limitations through a
DATES: Effective Date: This rule will be to a request from the Florida combination of emission controls,
effective March 7, 2005. Department of Environmental Protection pollution prevention, and emission
ADDRESSES: EPA has established a (FDEP) to revise Florida’s SIP and Title credits that can be generated through
docket for this action under Docket V operating permit program to include over-control of the juice processing
Control No. FL–87 and FL–89. Some an alternative regulatory program for facilities. The statute includes
information may not be publicly citrus juice processing facilities. FDEP’s requirements for emissions of VOC,
available, i.e., CBI or other information complete submittal, received by EPA on nitrogen oxides (NOX), sulfur dioxide
whose disclosure is restricted by statute. July 29, 2002, includes a new citrus (SO2), and particulate matter (PM), for
Publicly available docket materials are statute (Florida Statute 403.08725), existing units and for new units. New

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