[Federal Register: September 25, 2008 (Volume 73, Number 187)]
[Notices]
[Page 55515-55516]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr25se08-49]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60-Day-08-0691]
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 404-639-5960 or
send comments to Maryam Daneshvar, CDC Acting Reports Clearance
Officer, 1600 Clifton Road, MS-D74, 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
State Medicaid Tobacco Coverage Survey (OMB No. 0920-0691)--
Reinstatement--National Center for Chronic Disease Prevention and
Control (NCCDPHP), Centers for Disease Control and Prevention (CDC).
Background and Brief Description
Tobacco use remains the leading preventable cause of death in the
United States despite the availability of evidence-based treatments for
tobacco dependence, which include counseling and FDA-approved
pharmacotherapies. 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, and the Public
Health Service (PHS) Clinical Practice Guideline supports expanded
insurance coverage for tobacco-dependence treatment.
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.
In 2000, approximately 32 million low-income persons in the United
States received their health insurance coverage through federally
funded State Medicaid programs, and approximately 11.5 million (36%) of
these persons smoked. Substantial action to improve coverage of
tobacco-dependence treatments through Medicaid will be needed if the
United States is to achieve the 2010 National Health Objective of 12%
smoking prevalence among adults.
The amount and type of coverage for tobacco-dependence treatment
offered by Medicaid has been collected for 1998, 2000, 2001, 2002,
2003, 2005, 2006, and 2007. Surveys have been funded by the Robert Wood
Johnson Foundation (RWJF) (1998, 2000-2003) and the Centers for Disease
Control and Prevention (CDC) (2005-2007) (OMB No. 0920-0691, expiration
date 8/31/2008). The most recent analysis of these information
collections demonstrated that in 2006, 39 states provided coverage for
some FDA-approved medications for the general Medicaid population;
however, only 17 states provided some form of coverage for counseling
and only seven states covered all FDA-approved medications and at least
one form of counseling for all enrollees. Some progress has been made
in that the number of states offering no benefits decreased from 15 in
2002 to eight in 2006.
CDC plans to request reinstatement of OMB approval to collect
similar information about Medicaid coverage of tobacco-dependence
treatments during the years 2008-2010. Respondents will be Medicaid
directors in all 50 states and the District of Columbia. To minimize
burden, each respondent will receive an electronic copy of the survey
pre-filled with the previous year's results. Respondents will only be
asked to record changes that occurred since the time of the previous
submission. In addition, respondents will be asked to answer new
questions pertaining to the recommendations made in the updated PHS
clinical practice guideline issued in May of 2008 regarding coverage
for combination therapies, smokeless tobacco use, and their familiarity
with and use of the 2000 PHS guideline. The minor changes to be
incorporated in the revised survey instrument are not expected to have
a significant impact on the overall burden estimate. As in previous
years, each respondent will also attach a copy of the state's Medicaid
coverage plan to their completed survey, in order to assist the
research team with the interpretation of responses.
The information to be collected will allow CDC to continue
monitoring compliance with the most recent PHS recommendations and the
progress of State Medicaid Programs toward the 2010 National Health
Objectives and Healthy People 2010 goals.
There are no costs to respondents except the time to complete the
survey.
[[Page 55516]]
Estimated Annualized Burden Hours
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No. of Average burden
Respondents No. of responses per per response Total burden
respondents respondent (in hours) (in hours)
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State Medicaid Programs..................... 51 1 0.5 26
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Total................................... ............... ............... ............... 26
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Dated: September 16, 2008.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for Disease Control and
Prevention.
[FR Doc. E8-22594 Filed 9-24-08; 8:45 am]
BILLING CODE 4163-18-P