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26392 Federal Register / Vol. 72, No.

89 / Wednesday, May 9, 2007 / Notices

holding companies may be obtained information, and analytical tools into DEPARTMENT OF HEALTH AND
from the National Information Center Electronic Health Records (EHR) to HUMAN SERVICES
Web site at www.ffiec.gov/nic/. support clinical decision-making for the
Unless otherwise noted, comments health care provider and patient. Office of the National Coordinator for
regarding each of these applications Health Information Technology;
The meeting will be available via Web American Health Information
must be received at the Reserve Bank
indicated or the offices of the Board of cast. For additional information, go to: Community Consumer Empowerment
Governors not later than June 4, 2007. http://www.hhs.gov/healthit/ahic/ Workgroup Meeting
A. Federal Reserve Bank of Chicago healthcare/phc_instruct.html.
(Burl Thornton, Assistant Vice Dated: April 31, 2007. ACTION: Announcement of meeting.
President) 230 South LaSalle Street, Judith Sparrow, SUMMARY: This notice announces the
Chicago, Illinois 60690-1414: 17th meeting of the American Health
Director, American Health Information
1. Midwest Banc Holdings, Inc., Information Community Consumer
Community, Office of Programs and
Melrose Park, Illinois; to merge with Coordination, Office of the National Empowerment Workgroup in
Northwest Suburban Bancorp, Inc., Coordination for Health Information accordance with the Federal Advisory
Mount Prospect, Illinois, and thereby Technology. Committee Act (Pub. L. No. 92–463, 5
indirectly acquire Mount Prospect [FR Doc. 07–2274 Filed 5–8–07; 8:45 am] U.S.C., App.)
National Bank, Mount Prospect, Illinois.
BILLING CODE 4150–24–M DATES: June 13, 2007, from 1 p.m. to 4
B. Federal Reserve Bank of Kansas
City (Donna J. Ward, Assistant Vice p.m.
President) 925 Grand Avenue, Kansas ADDRESSES: Mary C. Switzer Building
City, Missouri 64198-0001: DEPARTMENT OF HEALTH AND (330 C Street, SW., Washington, DC
1. Southwest Bancorp, Inc., Stillwater, HUMAN SERVICES 20201), Conference Room 4090. Please
Oklahoma; to acquire up to 100 percent bring photo ID for entry to a Federal
of the voting shares of Hart Food Stores, Office of the National Coordinator for building.
Inc., Hutchinson, Kansas, and thereby Health Information Technology;
FOR FURTHER INFORMATION: http://
indirectly acquire voting shares of Bank American Health Information www.hhs.gov/healthit/ahic/consumer/
of Kansas, South Hutchinson, Kansas. Community Chronic Care Workgroup
SUPPLEMENTARY INFORMATION: The
Meeting
Board of Governors of the Federal Reserve Workgroup will continue its discussion
System, May 3, 2007. on how to encourage the widespread
Robert deV. Frierson,
ACTION: Announcement of meeting. adoption of a personal health record
Deputy Secretary of the Board. that is easy-to-use, portable,
SUMMARY: This notice announces the longitudinal, affordable, and consumer-
[FR Doc. E7–8803 Filed 5–8–07; 8:45 am]
16th meeting of the American Health centered.
BILLING CODE 6210–01–S
Information Community Chronic Care The meeting will be available via Web
Workgroup in accordance with the cast. For additional information, go to:
Federal Advisory Committee Act (Pub. http://www.hhs.gov/healthit/ahic/
DEPARTMENT OF HEALTH AND
L. No. 92–463, 5 U.S.C., App.) consumer/ce_instruct.html.
HUMAN SERVICES
DATES: June 5, 2007, from 1 p.m. to 4 Dated: April 30, 2007.
Office of the National Coordinator for p.m. Eastern Daylight Time. Judith Sparrow,
Health Information Technology; Director, American Health Information
American Health Information ADDRESSES: Mary C. Switzer Building Community, Office of Programs and
Community Personalized Healthcare (330 C Street, SW, Washington, DC Coordination, Office of the National
Workgroup Meeting 20201), Conference Room 4090. Please Coordinator for Health Information
bring photo ID for entry to a Federal Technology.
ACTION: Announcement of meeting. building. [FR Doc. 07–2276 Filed 5–8–07; 8:45 am]
BILLING CODE 4150–24–M
SUMMARY: This notice announces the FOR FURTHER INFORMATION CONTACT:
sixth meeting of the American Health http://www.hhs.gov/healthit/ahic/
Information Community Personalized chroniccare/ DEPARTMENT OF HEALTH AND
Healthcare Workgroup in accordance
SUPPLEMENTARY INFORMATION: The HUMAN SERVICES
with the Federal Advisory Committee
Act (Pub. L. No. 92–463, 5 U.S.C., App.) Workgroup will discuss barriers to Office of the National Coordinator for
DATES: June 7, 2007, from 2 p.m. to 5 availability of care in the virtual setting. Health Information Technology;
p.m. [Eastern Daylight Time]. The meeting will be available via Web American Health Information
ADDRESSES: Mary C. Switzer Building cast. For additional information, go to: Community Confidentiality, Privacy,
(330 C Street, SW., Washington, DC http://www.hhs.gov/healthit/ahic/ and Security Workgroup; Meeting
20201), Conference Room 4090 (please chroniccare/cc_instruct.html
bring photo ID for entry to a Federal ACTION: Announces of meeting.
Dated: April 30, 2007.
building). Judith Sparrow, SUMMARY: This notice announces the
FOR FURTHER INFORMATION CONTACT: Director, American Health Information 11th meeting of the American Health
http://www.hhs.gov/healthit/ahic/ Community, Office of Programs and Information Community Confidentiality,
healthcare/ Coordination, Office of the National Privacy, and Security Workgroup in
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SUPPLEMENTARY INFORMATION: The Coordinator for Health Information accordance with the Federal Advisory
Workgroup will discuss possible Technology. Committee Act (Pub. L. 92–463, 5
common data standards to incorporate [FR Doc. 07–2275 Filed 5–8–07; 8:45 am] U.S.C., App.)
interoperable, clinically useful genetic BILLING CODE 4150–24–M DATES: June 22, 2007, from 10 a.m. to
laboratory test data, family history 4:30 p.m.[Eastern].

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Federal Register / Vol. 72, No. 89 / Wednesday, May 9, 2007 / Notices 26393

ADDRESSES: Hubert H. Humprey HIPAA is used to help establish a have a function analogous to a ‘‘facility
Building (200 Independence Avenue, common understanding of what federal directory’’ and therefore compliance with
SW., Washington, DC 20201), health information privacy and security that type of requirement may not be
Conference Room 505A (please bring requirements apply to whom and for appropriate.
photo ID for entry into a Federal what. Its inclusion in the ‘‘working 3. Business Associates
building). hypothesis’’ should not be
The CPS workgroup is concerned that
FOR FURTHER INFORMATION: http:// misinterpreted to mean the CPS
an electronic health information
www.hhs.gov/health/ahic/ workgroup is only considering HIPAA-
exchange environment may lead to an
confidentiality/ Purpose: The focused recommendations. Rather, the
unwieldy amount of contractual
Workgroup Members will continue CPS workgroup intends to evaluate, in
relationships in the form of business
discussing the working hypothesis and the future, whether the overall, baseline
associate agreements each with their
evaluate the confidentiality, privacy, standard for participating in these
own specific confidentiality, privacy,
and security protections for participants networks should be changed to a
and security nuances—with limited
in an electronic information exchange standard that is different from or
direct enforcement. The workgroup is
network at a local, state, regional, and exceeds the current HIPAA privacy and
seeking comments on the pros and cons
nationwide level. The meeting will be security rules.
THe CPS workgroup is interested to of having business associates directly
available via Web cast. For additional responsible for HIPAA requirements—
information, go to: http://www.hhs.gov/ hear from any party that may be affected
by its ‘‘working hypothesis.’’ Responses not through contractual arrangements. If
healthit/cps_instruct.html. you are a business associate please
SUPPLEMENTARY INFORMATION: The
should address the following questions
in the sections below. Please reference answer the following questions:
American Health Information (A) How does your organization
Community Confidentiality, Privacy, the section with which your comment is
ensure compliance with the privacy and
and Security (CPS) workgroup is associated when making a comment.
security policies of covered entities with
seeking public feedback on its working 1. Enforceable Mechanisms whom it contracts, particularly when
hypothesis. To submit comments via e- The CPS workgroup understands that there are numerous contracts?
mail (preferred), please send them to there may be one or more appropriate (B) How do you handle business
cps-wkg@hsrnet.com (to ensure that mechanisms to properly enforce and associate contracts with large numbers
your e-mail is received and ensure that confidentiality, privacy, and of covered entities including
appropriately filed, we ask that you put security requirements are met in an compliance with each covered entity’s
‘‘CPS June 2007 Public Comment’’ in the electronic health information exchange privacy policies?
subject line of your e-mail) or mail your environment Therefore, the workgroup (C) How are business associate
comments to Steven Posnack, Office of is interested in comments on agreements negotiated? Do you have a
the National Coordinator (ONC), 330 C appropriate, effective, and feasible ways standard contract?
Street, SW., Suite 4090, Washington, DC to enforce confidentiality, privacy, and (D) How is the data protection
20201. Written testimony submitted by security protections in this new compliance of subcontractors ensured
the public is not required to address all environment. Comments will be and/or assessed?
of the questions listed below, and considered by the workgroup for the (E) Do you have subcontractors and
answers to any or all of the questions purposes of developing one or more how do you handle those agreements?
will be accepted so long as they comply recommendations associated with the (F) How would direct accountability
with the following guidelines. ‘‘working hypothesis’’ above. for meeting relevant HIPAA
Comments should be double-spaced and requirements impact your business?
submitted via e-mail or mail by 5 p.m. 2. Relevant Requirements
4. General Questions
Eastern Daylight Time and June 4, 2007, For a given participant’s
in order to receive consideration by the characteristics and role in an electronic The CPS workgroup is seeking
CPS workgroup. health information environment, certain comment on any of the following
For the past several months, the CPS confidentiality, privacy, and security additional questions.
workgroup has been refining the requirements may be more relevant than (A) What are the implications of
following ‘‘working hypothesis’’ as an others. The CPS workgroup requests having some entities performing similar
approach to gather information and comment as to whether particular services covered by federal law (e.g.,
develop recommendations regarding the confidentiality, privacy, and security HIPAA) and others not? For example, a
protections that should apply to certain requirements equivalent to those in the personal health record (PHR) could be
persons and entities in a nationwide HIPAA Privacy and Security Rules offered by a health plan (covered entity)
health information exchange should or should not apply to a and an independent PHR service
environment. The main tenet of the particular type of person or entity and provider (non-covered entity).
‘‘working hypothesis’’ is as follows: why. Please identify specific section(s) i. How does this impact your
All persons and entities excluding of the HIPAA Privacy and Security competitiveness?
consumers that participate in an Rules. The following examples have ii How doe this impact your ability to
electronic health information exchange been developed to identify the level of exchange information with others?
network at a local, state, regional or detail and specificity the workgroup is iii. Does contracting with non-covered
nationwide level, through which seeking in a response: entities create different levels of
individually identifiable electronic accountability and/or enforceability in
health information is stored, compiled, Example 1: Similar to the treatment of the exchange of health information?
transmitted, or accessed, should be health care clearinghouses under the HIPAA (B) Assuming you are not a covered
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Privacy Rule it may not be appropriate for a


required to meet privacy and security health information exchange organization to
entity, what would be the implications
criteria at least equivalent to relevant provide privacy notices (Section 164.500(b)). of complying with enforceable
Health Insurance Portability and Example 2: With respect to Section 164.510 confidentiality, privacy, and security
Accountability Act (HIPAA) Privacy and of the HIPAA Privacy Rule, a health requirements at least equivalent to
Security Rate requirements In this case, information exchange organization may not relevant HIPAA principles?

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26394 Federal Register / Vol. 72, No. 89 / Wednesday, May 9, 2007 / Notices

(C) Is there a minimum set of go/15208). The process includes • Formaldehyde


confidentiality, privacy, and security development of a draft background • Glass wool fibers (certain)
protections that you think everyone document for each candidate substance
should follow, if not HIPAA, what? undergoing review for the 12th RoC. • Metalworking fluids
The meeting will be available via Web The NTP will convene an ad hoc expert • ortho-Nitrotoluene
cast. For additional information, go to panel to peer review the draft • Riddelliine
http://www.hhs.gov/healthit/ahic/ background document at a public
cps_instruct.html. meeting and make a recommendation to • Styrene
Dated: May 2, 2007. the NTP on the candidate substance’s Background Information on the Report
Judith Sparrow, listing status for the RoC. The NTP on Carcinogens
Director, American Health Information invites the public to nominate scientists
Community, Office of Programs and to serve on the expert panels who have The RoC is a congressionally
Coordination, Office of the National expertise and/or knowledge relevant to mandated document [Section 301(b)(4)
Coordinator for Health Information the evaluation of carcinogenicity for the of the Public Health Services Act, 42
Technology. candidate substances (listed below). U.S.C. 241(b)(4)], approved by the
[FR Doc. 07–2277 Filed 5–8–07; 8:45 am] Relevant areas of expertise and/or Secretary of Health and Human Services
BILLING CODE 4150–24–M knowledge include, for example, (HHS), that identifies agents,
biostatistics, carcinogenesis, chemistry, substances, mixtures, or exposure
epidemiology, exposure assessment, circumstances (collectively referred to
DEPARTMENT OF HEALTH AND molecular biology, pathology, as ‘‘substances’’) that may pose a
HUMAN SERVICES toxicokinetics, and toxicology. carcinogenic hazard to human health.
Scientists nominated in response to a The Secretary, HHS, delegated
National Toxicology Program (NTP); previous notice (70FR60548), which
Report on Carcinogens; Request for responsibility for preparing the report to
sought names of scientists to write and/ the NTP. Substances are listed in the
Nominations of Scientific Experts for or review background documents, will
Review of Candidate Substances for RoC as either known to be human
also be considered as potential
the 12th Report on Carcinogens carcinogens or reasonably anticipated to
candidates for the expert panels.
be human carcinogens. Publication of
AGENCY: National Institute of Each nomination should include
contact information for the nominee the RoC is the end result of an extensive
Environmental Health Sciences
[name, affiliation (if any), address, scientific review and assessment
(NIEHS), National Institutes of Health
telephone, fax, and e-mail], the process with multiple opportunities for
(NIH).
candidate substance(s) for which they public comment
ACTION: Request for nominations of
scientific experts. have relevant expertise and/or The NTP solicits and encourages the
knowledge, and a complete curriculum broadest participation from interested
SUMMARY: On April 16, 2007, NTP vitae. Final selection of individuals to individuals or parties in nominating
released the final review process for serve on these panels will be made in agents, substances, mixtures, or
preparation of the 12th Report on accordance with the Federal Advisory exposure circumstances for review for
Carcinogens (RoC, 72FR18999, available Committee Act and Department of future RoCs. Nominations should
at http://ntp.niehs.nih.gov/go/9732). Health and Human Services contain a rationale for review.
This notice invites the public to implementing regulations. Previously, Appropriate background information
nominate scientists to serve on expert NTP sought input on substances and relevant data [e.g., journal articles,
panels. These scientists should have nominated for possible review for the NTP Technical Reports, International
expertise and/or knowledge relevant to 12th RoC (69FR28940, 69FR62276, and Agency for Research on Cancer (IARC)
evaluation of the potential carcinogenic 70FR60548). The 14 candidate
listings, exposure surveys, release
hazard of the candidate substances that substances selected for review for the
will undergo review for the 12th RoC. inventories, etc.] that support a
12th RoC are listed below. Information
nomination should be provided or
DATES: Nominations of scientific experts on these candidate substances is
available on the NTP Web site for the referenced when possible. Contact
received by June 8, 2007.
12th RoC (http://ntp.niehs.nih.gov/go/ information for the nominator should
ADDRESSES: Nominations should be sent
10091) or by contacting Dr. C. W. also be included [name, affiliation (if
to Dr. C. W. Jameson, Report on
Jameson (see ‘‘FOR FURTHER INFORMATION any), address, telephone, fax, and e-
Carcinogens (NIEHS, P.O Box 12233,
MD EC–17, Research Triangle Park, NC CONTACT’’ above). mail].
27709; fax: (919) 541–0144, e-mail: The candidate substances for the 12th Dated: April 30, 2007.
jameson@niehs.nih.gov. Courier RoC are: Samuel H. Wilson,
address: Report on Carcinogens, NIEHS, • Aristolochic acid-related exposures: Deputy Director, National Institute of
79 Alexander Drive, Building 4401, (1) Botanical products containing Environmental Health Sciences and National
Room 3118, Research Triangle Park, NC aristolochic acid Toxicology Program.
27709). (2) Aristolochic acid [FR Doc. E7–8899 Filed 5–8–07; 8:45 am]
FOR FURTHER INFORMATION CONTACT: Dr. • Captafol BILLING CODE 4140–01–P
C. W. Jameson, telephone: (919) 541– • Cobalt-tungsten carbide powders and
4096 or jameson@niehs.nih.gov. hard metals
SUPPLEMENTARY INFORMATION: • Di (2-ethylhexyl) phthalate
• Selected DNA topoisomerase II
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Request for Nominations of Scientific inhibitors:


Experts (1) Etoposide
The review process for preparation of (2) Etoposide in combination with
the 12th RoC is available on the NTP cisplatin and bleomycin
RoC Web site (http://ntp.niehs.nih.gov/ (3) Teniposide

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