[Federal Register: September 21, 2004 (Volume 69, Number 182)]
[Notices]
[Page 56429-56430]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr21se04-49]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-04-04KI]
Proposed Data Collections Submitted for Public Comment and
Recommendations
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for opportunity for public comment on
proposed data collection projects, the Centers for Disease Control and
Prevention (CDC) will publish periodic summaries of proposed projects.
To request more information on the proposed projects or to obtain a
copy of the data collection plans and instruments, call 404-498-1210 or
send comments to Sandi Gambescia, CDC Assistant Reports Clearance
Officer, 1600 Clifton Road, MS-E11, Atlanta, GA 30333 or send an e-mail
to omb@cdc.gov.
Comments are invited on: (a) Whether the proposed collection of
information is necessary for the proper performance of the functions of
the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques or other
forms of information technology. Written comments should be received
within 60 days of this notice.
Proposed Project
2004 State Medicaid Survey--New--National Center for Chronic
Disease Prevention and Control (NCCDPHP), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
The proposed 2004 State Medicaid Survey will assess State Medicaid
Programs to determine the extent of coverage for tobacco-dependence
treatment. Tobacco use is the leading preventable cause of death in the
United States. One of the 2010 National Health Objectives is to
increase insurance coverage of evidence-based treatment for nicotine
dependence (i.e., Food and Drug Administration [FDA]-approved
pharmacotherapies and total coverage of behavioral therapies in
Medicaid programs) from 36 states to all 50 states and the District of
Columbia. To increase both the use of treatment by smokers attempting
to quit and the number of smokers who quit successfully, the Guide to
Community Preventive Services recommends reducing the out-of-pocket
cost of effective tobacco-dependence treatments (i.e., individual,
group and telephone counseling and FDA-approved pharmacotherapies). The
2000 Public Health Service (PHS) Clinical Practice Guideline supports
expanded insurance coverage for tobacco-dependence treatment.
In 2000, approximately 32 million low-income persons in the United
States received their health insurance coverage through federally
funded State Medicaid programs; approximately 11.5 million (36%) of
these persons smoked. The amount and type of coverage for tobacco-
dependence treatment offered by Medicaid has been reported for 1998 and
annually from 2000-2003. In 2002 and 2003, surveys were funded by the
Robert Wood Johnson Foundation (RWJF). RWJF will no longer be tracking
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this coverage; therefore, CDC proposes to fund the survey. CDC proposed
to fund the survey from 2004-2010. The survey will allow CDC to
continue to measure progress of State Medicaid Programs toward the 2010
National Health Objective and document changes in the provision of
coverage toward reaching the Healthy People 2010 goal.
The objectives of the project are as follows:
Conduct a study of all 50 states and the District of
Columbia Medicaid Programs to determine coverage for tobacco dependence
treatment (counseling and FDA-approved pharmacotherapies) and assess
compliance with the PHS recommendations.
Analyze and publish the data.
Medicaid recipients have approximately 50% greater smoking
prevalence than the overall U.S. adult population, and they are
disproportionately affected by tobacco-related disease and disability.
Substantial action to improve coverage will be needed if the United
States is to achieve the 2010 National Health Objective of 12% smoking
prevalence among adults.
This project will provide an opportunity to assess the extent of
coverage for tobacco-dependence treatment under Medicaid. In 2002, 36
states provided coverage for some FDA approved medications; however,
only 10 states provided some form of coverage for counseling and only 2
states provided comprehensive coverage, counseling and medication.
Fifteen states provided no coverage. This project will be conducted
with a mailed request to State Medicaid directors to identify a
knowledgeable person within their system to respond to the survey. The
survey will be mailed to the identified individuals.
Respondents will be asked to submit a written copy of their
Medicaid coverage policies. If responses are not received, individuals
will receive a telephone follow-up. Respondents are mailed the survey
that they completed the previous year and asked to make revisions if
changes have occurred. If this is being done by the person who
completed the survey the previous year, the response burden is reduced.
If the questions are not answered or not answered clearly, follow-up is
required which takes additional time. All 50 states plus the District
of Columbia have reported in the past. There is no cost to respondents
except the time to complete the survey.
Annualized Burden Table
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Average
Number of Number of burden per Total burden
Respondents respondents responses per response (in hours
respondent hrs)
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State Medicaid Programs with Minimal Response... 35 1 15/60 9
State Medicaid Programs with Maximum Response... 16 1 1 16
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Dated: September 14, 2004.
Alvin Hall,
Director, Management Analysis and Services Office, Centers for Disease
Control and Prevention.
[FR Doc. 04-21170 Filed 9-20-04; 8:45 am]
BILLING CODE 4163-18-P