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9538 Federal Register / Vol. 72, No.

41 / Friday, March 2, 2007 / Notices

Reports Clearance Office on (410) 786– methodology to determine the timing 1995, as referenced in the Federal
1326. and amount of provider payments, but Acquisition Regulation 32.803(d) it is
Written comments and the methodology must reflect each hereby determined that the use of a no-
recommendations for the proposed provider’s share of total Medicare setoff provision is appropriate to
information collections must be mailed payments during a specified period of facilitate the private financing of a
or faxed within 30 days of this notice time. Grant funds may not be steam production facility at NCI-
directly to the OMB desk officer: OMB distributed to hospitals and SNFs that Frederick.
Human Resources and Housing Branch, are not in operation. States’ payment
Attention: Carolyn Lovett, New methodologies should specify the Findings
Executive Office Building, Room 10235, relevant time periods and any other 1. Despite an essentially static space
Washington, DC 20503, Fax Number: factors that will be considered in inventory, the cost of steam under NCI-
(202) 395–6974. distributing available grant funds Frederick’s interagency agreement with
Dated: February 22, 2007. according to the principles specified the Fort Detrick U.S. Army Garrison has
Michelle Shortt,
above, and are subject to approval by increased by 70% from 2003 to 2006. In
CMS. addition, despite numerous energy
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory Justification for Exception to saving projects accomplished over the
Affairs. Competition past 9 years, quantities of steam billed
[FR Doc. E7–3654 Filed 3–1–07; 8:45 am] by the Army to the NCI have remained
The Secretary has invoked his 20%–30% above amounts estimated/
BILLING CODE 4120–01–P authority to restore health care in measured through engineering methods.
impacted communities affected by 2. In response to the escalation in
Hurricane Katrina by offering this steam related energy costs/quantities, a
DEPARTMENT OF HEALTH AND unique funding opportunity which will
HUMAN SERVICES thorough review of steam production
enable States to make payments to assist alternatives was conducted. Based on
Centers for Medicare & Medicaid hospitals and SNFs that are paid under this analysis it was concluded that
a Medicare PPS, with the financial significant energy and cost savings
Services
pressures that may result from changing could be achieved through the
Notice of Single-Source Grant Award wage rates in those impacted construction of a new steam production
to Louisiana, Alabama, and Mississippi communities. For the reasons cited
facility and the subsequent severing of
for a Project Entitled, ‘‘Deficit above, the Secretary has directed the
ties to the existing Fort Detrick boiler
Reduction Act Hurricane Katrina Centers for Medicare & Medicaid
plant.
Healthcare Related Provider Services to offer a single-source award
3. On behalf of Potomac Edison
Stabilization’’ to the States of Louisiana, Alabama and
Company, APS Constellation, L.L.C. has
Mississippi.
AGENCY: Centers for Medicare & proposed a privately financed Energy
FOR FURTHER INFORMATION CONTACT:
Medicaid Services (CMS), HHS. Savings Performance Contract (ESPC) to
Wendy J. Taparanskas, PhD., Health construct the new steam facility.
ACTION: New Grant Awards. Insurance Specialist, Office of the Securing the private financing for this
Center Director, Centers for Medicaid project is dependent upon incorporation
Funding Amount: $160,000,000. and State Operations, Centers for
Period of Performance: February 12, of a no-setoff provision in the contract.
Medicare & Medicaid Services, Mail 4. Inclusion of the no-setoff provision
2007–September 30, 2009. Stop S2–26–12, 7500 Security
SUMMARY: The Secretary has authorized will enable the Contractor to secure
Boulevard, Baltimore, MD 21244, (410) financing with an interest rate that is
a total of $160 million in grant funds 786–5245.
available to all three States. Based on lower than the interest rate that would
Authority: Section 6201(a)(4) of the Deficit be obtained in the absence of the no-
each eligible IPPS hospital’s and SNF’s
Reduction Act of 2005 (DRA) . setoff provision. The Government will
share of total Medicare inpatient
(Catalog of Federal Domestic Assistance benefit directly from a lower interest
payments in the FEMA designated Program No. 93.779)
counties in calendar year 2005 (the rate in the form of lower interest
latest and most complete year of Dated: February 13, 2007. payments over the 20-year term of the
Medicare billing data available to us), Leslie V. Norwalk, repayment.
this funding is being allocated for each Acting Administrator, Centers for Medicare 5. Incorporating a no-setoff provision
State in the following proportions: 45 & Medicaid Services. will not increase the risk of the
percent to Louisiana ($71,633,492), 38 [FR Doc. E7–3655 Filed 3–1–07; 8:45 am] Government since the Basic Ordering
percent to Mississippi ($60,556,425) and BILLING CODE 4120–01–P Agreement requires that the Contractor
17 percent to Alabama ($27,810,083). guarantee that the energy and energy-
This grant program is to fund State related cost savings exceed the
payments to general, acute care DEPARTMENT OF HEALTH AND payments to the Contractor during the
hospitals, and skilled nursing facilities HUMAN SERVICES performance period following
in impacted communities that may face construction of the project. In the event
financial pressures because of changing National Institutes of Health that the savings fall below the level
wage rates that are not yet reflected in guaranteed by the Contractor, the
Notice of Determination and Findings;
Medicare PPS payment methodologies. Contractor will be responsible for
Authority To Incorporate a No-Setoff
The grant funds must be used by the crediting the difference to the
Commitment
States to make payments to all Medicare Government.
pwalker on PROD1PC71 with NOTICES

participating general hospitals, acute Upon the basis of the following 6. In accordance with the guidance set
care hospitals, and SNFs that are findings pursuant to authority of Title forth in FAR 32.803(d), a review of the
currently paid under a Medicare PPS in 31 U.S.C. Section 3727 and in proposed contractor’s financial status
the impacted communities. States have accordance with the Presidential revealed no significant indebtedness to
some flexibility in determining the delegation of authority dated October 3, the United States.

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