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Moto GP Australian Grand Prix Preview. Australian Grand Prix is the next stop on the Moto GP Calendar, and the race will take place at the legendary Phillip Island Circuit. Since 1. 99. 7, Phillip Island has hosted every Australian Grand Prix, and is a real favourite among the riders. The Australian Supercross industry has labeled the series’ first ever round alongside Phillip Island’s Australian Motorcycle Grand Prix as a standout success. MotoGP Australia, MotoGP Phillip. Imprint General Terms of Business Affiliate Program. Enjoy unprecedented networking opportunities in a. The home of Motorsport on BBC Sport online. Includes the latest news stories, results, photo galleries, video, audio and statistics. Round two of the Australian Supercross Championship has been officially confirmed to run alongside the MotoGP event in Phillip Island. Image: Sport the Library. MotoGP Rewind: A recap of the #. The Phillip Island circuit has many medium to high- speed corners, which makes it one of the fastest tracks on the calendar. The flowing part of the circuit from turn 3 to turn 9 is a big hit among the riders, and the track has a lot of overtaking spots which adds to the fun. Apart from the circuit, the breathtaking scenery and its beautiful ocean views make it one of the best tracks on the calendar. The track also has a classic feel to it, and over the years has seen many World Championships won and lost there. In the Malaysian Grand Prix, Sandro Cortese wrapped up the Moto 3 World Championship. On the other hand, Marc Marquez failed to seal Moto 2 title after crashing out of the race. In the Moto GP, Dani Pedrosa closed down the gap between himself and championship leader Jorge Lorenzo to 2. Pedrosa vs Lorenzo battle one to look forward to. Ben Spies will not be taking part in the Australian Grand Prix due to the injuries sustained by him during his crash in Malaysia. In other news, the organisers of the Phillip Island circuit have decided to name turn 3 after Casey Stoner, and five- time 5. World Champion Mick Doohan will take to the Phillip Island circuit over the Grand Prix weekend at the end of October on a current specification Repsol Honda RC2. V Moto. GP machine. Fetching more content.. Office for Diversity and. Staff; Calendar; Diversity and Inclusion; Get Involved. LGBT Academics; Alumni; MBLGTACC; Mentorship; LGBT Student Organizations; Give; Programs. Preferred Pronouns; University Resources; Ohio. The Lesbian, Gay, Bisexual & Transgender Community Center, serving NYC's LGBT community with health, wellness and community connection. Public Discourse Ryan T. Every October, Missouri State University celebrates LGBT History Month with a series of educational, social, and philanthropic events. The Office of Multicultural Programs collaborates with students, faculty, staff, and. Gender and Sexuality Center for Queer and Trans Life. Don't forget to mark your calendar with these amazing events! More > This Program is designed to increase participants’ knowledge of LGBTQIA identities and communities. More > The Endowment provides funding for initiatives that increase dialogue for social change across the U of M. More > Pride @ Work is an affinity group for UMN employees on campus. More > TU is a space by and for People of Color who identify as LGBTQIA and/or Same- Gender- Loving. More > Trans Com works for equity, access, and liberation for people of all gender identities. More > International Student Outreach provides support and resources for students. The Office of LGBT Life offers a variety of programs and events to support our students and provide opportunities to the entire Emory community. Our current offerings provide different benefits to our students as well as the. More > The LGBTQIA Leadership Retreat Program is defining and applying leadership with a social justice lens. More > The Mentor Program creates long- lasting connections across students and employees. July 1, 2016 / Comments Off on Welcome to UMKC! Welcome to the homepage for UMKC LGBTQIA Programs & Services. Housed in the Office of Student Involvement, our mission is to provide Lesbian, Gay, Bisexual. Office of LGBT Student Services. This willingness to embrace diversity extends to LGBT individuals and is exemplified in the University's LGBT-friendly programs, protections and policies: Safe Space. The IMPACT Program focuses on improving the health of the lesbian, gay, bisexual, and transgender (LGBT) community through research. Oblivion (2. 01. 3) - IMDb. Edit. Details. Release Date: 1. April 2. 01. 3 (Germany). Also Known As: Oblivion: El tiempo del olvido. See more ». Box Office. Budget: $1. 20,0. Opening Weekend: $3. April 2. 01. 3)Gross: $8. USA)(2. 1 June 2. See more ». Company Credits. Technical Specs. Runtime: 1. Aspect Ratio: 2. 3. See full technical specs ». Edit. Did You Know? Trivia. The DVD cover is extremely similar to that of I Am Legend (2. This would put the large nuclear blast approx 3,2. New York, before I was born. A place I've only seen pictures of. Elder Scrolls IV: Oblivion. Do this as many times as desired for unlimited gold. Note that a recent June patch has fixed this glitch. Note that a recent June patch has. The Elder Scrolls IV: Oblivion. The Elder Scrolls IV: Oblivion - Tip - Infinite Money (post Patch) Elder Scrolls IV: Oblivion Xbox 360. The Elder Scrolls IV: Oblivion Cheats. To duplicate items after downloading Xbox 360 Shivering. His gold will never run. Wats a quick way to make gold in oblivion? This no longer works after a recent June patch to the game. Unlimited Gold (Prepatch). But I don't know your name. But it feels like more than that. It feels like a memory. The UN Security Council has issued a series of sanctions against North Korea's nuclear program, including Resolution 1. Resolution 1. 71. Resolution 1. 87. Resolution 2. 08. Resolution 2. 27. The Six- Party Talks between North Korea, South Korea, Japan, China, Russia, and the United States began in 2. Korean Peninsula. However, these talks have been suspended since April 2. Tensions have continued to rise since North Korea torpedoed the South Korean naval ship, the Cheonan, and shelled the island of Yeonpyeong in 2. North Korea possesses full nuclear fuel cycle capabilities, including a presumed basic capability to enrich uranium, although the functionality of its centrifuges has not yet been substantiated to the outside world. North Korea is building a small light water reactor (LWR) at Yongbyon, which will be fueled by the enriched uranium after it is completed. In December 1. 95. Atomic Energy Research Institute and the Academy of Sciences, but nuclear work only began to progress when North Korea established cooperative agreements with the Soviet Union. In 1. 95. 9, North Korea and the Soviet Union signed an agreement on the peaceful use of nuclear energy that included a provision for Soviet help to establish a nuclear research complex in Yongbyon, North Pyongan Province. North Korea used this small research reactor to produce radioisotopes and to train personnel. Reportedly, Kim Il Sung asked Beijing to share its nuclear weapons technology following China's first nuclear test in October 1. Chinese leader Mao Zedong refused. By the early 1. 97. North Korean engineers were using indigenous technology to expand the IRT- 2. Pyongyang had begun to acquire plutoniumreprocessing technology from the Soviet Union. The Soviets were included in the agreement because they supplied the reactor's fuel. Simultaneously, North Korea began experimenting with the high explosives tests required for building the triggering mechanism of a nuclear bomb. By the mid- 1. 98. Pyongyang had begun constructing a 5. MW(e) nuclear reactor in Yongbyon, while also expanding its uranium processing facilities. This period coincided with the expansion of North Korea's indigenously designed reactor program, which was based on gas- graphite moderated reactors similar in design to the Calder Hall reactors first built in the United Kingdom in the 1. Pyongyang agreed to sign the Treaty on the Non- Proliferation of Nuclear Weapons (NPT) as a non- nuclear weapon state in December 1. North Korea's vow to restart its mothballed nuclear facilities raises fears. Pyongyang announced it would restart a plutonium reactor it had shut down in 2007. Nuclear experts say that North Korea’s main reactor. 2007 North Korea’s Estimated Stocks of Plutonium and. The North Korean nuclear weapons program dates back. In September 1989 the magazine JANE'S DEFENCE WEEKLY stated that North Korea 'could manufacture. As of 2007, Watts Bar 1 in. When this happens a nuclear power program can become a route leading to a nuclear weapon or a.
Soviet assistance constructing four LWRs. Bush announced that the United States would withdraw its nuclear weapons from South Korea, and on December 1. President Roh Tae Woo declared that South Korea was free of nuclear weapons. Under the terms of the agreement, North Korea provided an . Pyongyang's initial declaration included a small plutonium sample (less than 1. North Korean officials said was reprocessed from damaged spent fuel rods that were removed from the 5. MW(e) reactor in Yongbyon- kun. However, IAEA analysis indicated that Korean technicians had reprocessed plutonium on three occasions—in 1. In reaction, North Korea announced its intention to withdraw from the NPT on March 1. Following intense bilateral negotiations with the United States, North Korea announced it was suspending its withdrawal from the NPT one day before the withdrawal was to take effect. Pyongyang agreed to suspend its withdrawal while talks continued with Washington, but claimed to have a special status in regard to its nuclear safeguards commitments. Under this special status, North Korea agreed to allow the continuity of safeguards on its present activities, but refused to allow inspections that could verify past nuclear activities. On May 1. 4, 1. 99. Korean technicians began removing the reactor's spent fuel rods without the supervision of IAEA inspectors. President Bill Clinton's administration announced that it would ask the UNSC to impose economic sanctions; Pyongyang responded that it would consider economic sanctions . President Jimmy Carter traveled to Pyongyang to meet with Kim Il Sung. Carter announced from Pyongyang that Kim had accepted the broad outline of a deal that was later finalized as the Agreed Framework in October 1. Pyongyang was also required to . In exchange, the United States agreed to lead an international consortium to construct two light water power reactors, and to provide 5. Furthermore, the United States was to provide . The United States was dissatisfied with the postponement of safeguards inspections to verify Pyongyang's past activities, and North Korea was dissatisfied with the delayed construction of the light water power reactors. Bush administration initiated a North Korean policy review, which it completed in early June. The review concluded that the United States should seek . In the summer of 2. U. S. Khan had sold gas- centrifuge technology to North Korea, Libya and Iran.) . Assistant Secretary of State for East Asia and Pacific Affairs James Kelly visited Pyongyang. State Department claimed that North Korean officials admitted to having such a program during a second day of meetings with Kelly, but North Korea later argued that it had only admitted to having a . Initially trilateral in format (China, North Korea and the United States), the process expanded to a six- party format with the inclusion of Japan, Russia and South Korea. The first round began in August 2. Six months later, in February 2. June 2. 00. 4. However, tensions between the parties—particularly the United States and North Korea—caused the talks to stall for more than a year, restarting in July 2. However, it would take a few months for North Korean engineers to extract the plutonium from the spent fuel rods. In July 2. 00. 5, satellite imagery indicated that the reactor had begun operations once again. The parties also agreed that the 1. Joint Declaration on the Denuclearization of the Korean Peninsula, which prohibited uranium enrichment or plutonium reprocessing, should be observed and implemented. The parties disagreed over the implications of the Statement of Principles for LWR transfer to North Korea. While Pyongyang argued that the six- party statement permitted LWR transfer, Washington countered that this was not guaranteed under the statement and could only occur after North Korea had dismantled its existing nuclear program. Shortly after signing the agreement in Beijing, the U. S. Treasury Department announced that U. S. The yield from this test appeared to be less than 1 kiloton. North Korea was reportedly expecting at least a 4 kiloton yield, possibly indicating that the North Korean plutonium program still had a number of technical hurdles to overcome before it would have a nuclear warhead. However, these talks ended without any sign of progress. Additionally, the United States agreed to release the approximately $2. North Korean assets held at the Macao- based Banco Delta Asia. The issue was eventually resolved when a Russian bank agreed to transfer the funds in June 2. In July 2. 00. 7, North Korea began shutting down and sealing it main nuclear facilities at Yongbyon- kun under IAEA supervision. Congress that it planned to remove North Korea from the U. S. These negotiations focused on ways to verify the disablement of North Korea's nuclear program, including taking nuclear samples. However, the negotiations failed to reach an agreement on a verification protocol, and the issue remains stalled. On May 2. 5, 2. 00. North Korea conducted its second nuclear test. KCNA announced that Pyongyang had carried out the nuclear test, and that it . North Korean leader Kim Jong Il visited China three times within one year, each time indicating he was willing to proceed with denuclearization efforts; however, North Korea also engaged in several military confrontations with the South. In November 2. 01. LWR may be externally complete within the next year, but operations are unlikely to begin for another two to three years as machinery and equipment must be loaded and installed. After a series of bilateral talks with the U. S., North Korea announced a moratorium on nuclear testing, uranium enrichment, and long- range missile tests on February 2. This rocket successfully placed a satellite into orbit, and the UN Security Council followed up with Resolution 2. North Korea end its nuclear and missile programs. Dam failure could present major safety issues as a reliable supply of water for the secondary cooling system is essential to prevent overheating in the reactor core. This claim was met with wide skepticism from the international community. The test was met with widespread international criticism and led to further sanctions being imposed by the United Nations in March 2. Geological Survey registered the test as a 5. The yield appears to be larger than all previous tests carried out by the regime. Most estimates place the yield between 1. In a statement issued by the White House, President Obama condemned the test and stated that the regime's actions have only added to the instability of the region. Mansourov, eds., The North Korean Nuclear Program: Security, Strategy, and New Perspectives from Russia (New York: Routledge, 2. September 1. 99. 1; Joseph S. Lee Jong- hun, . 7. Don Oberdorfer, The Two Koreas: A Contemporary History (Reading, MA: Addison- Wesley, 1. Decides to Withdraw A- Weapons from S. Korea; North Korea to Be Pressed to Halt Program. Gamini Seneviratne, . Korea Won't Quit Nuclear Ban Treaty; Inspection of Two Key Sites Still Rejected. A1; Don Oberdorfer, Two Koreas: A Contemporary History (Reading, Massachusetts: Addison- Wesley Reading, 1. Delays Taking Steps Over A- Plant. Korea's Pledge on Graphite- Moderated Reactors Cited. Korea's Concession Revealed. Michael Knapik, . No 2. 4, June 1. 4, 2. Fears North Korea Could Gain Nuclear Capability through Pakistan. Special Envoy Leaves Pyongyang. Department of State, October 1. James A. Presidential Envoy was Arrogant and Pressured Us. Korean Fuel Oil Deliveries Should End. Policy in Northeast Asia. Nuclear Power in South Korea . It is building four nuclear reactors in UAE, under a $2. South Korea's electricity from 2. GWe of plant. Nuclear energy remains a strategic priority for South Korea, and capacity is planned to increase by 7. GWe by 2. 02. 9. The country is seeking relief from treaty commitments with the USA which currently constrain its fuel cycle options. South Korea imports 9. Some $1. 70 billion was spent on imported energy in 2. Without nuclear power, this import bill would have been about $2. KEPCO. Power demand in the Republic of Korea (South Korea) has increased by more than 9% per year since 1. Per capita consumption in 2. Wh, up from 8. 60 k. Wh/yr in 1. 98. 0. Over the last three- and- a- half decades, South Korea has enjoyed 8. GDP, which has caused corresponding growth in electricity consumption – from 3. TWh in 1. 98. 0 to 5. TWh in 2. 01. 4. South Korea is the only OECD country with nuclear power and where the electricity market has not yet been liberalised. In 2. 01. 4 electricity production was 5. TWh gross, with 2. TWh of this from coal, 1. TWh (2. 8. 6%) from nuclear, 1. TWh from gas, 1. 6. TWh from oil, 8 TWh from hydro and 4 TWh from solar and wind (IEA provisional data). In 2. 01. 5 nuclear supplied 1. TWh, 3. 1. 7% of total. At the end of 2. 01. GWe, comprising 2. GWe coal, 3. 0. 4 GWe gas, 2. GWe nuclear, 4. 1 GWe oil, 1. GWe hydro and other renewables (KHNP figures). From 1. 96. 1 until April 2. South Korea's sole electric power utility was Korea Electric Power Company (KEPCO). Set up as a government corporation, 4. The power generation part of KEPCO (now 6. GWe) was then split into six entities and all the nuclear generation capacity, with a small amount of hydro, became part of the largest of these, Korea Hydro & Nuclear Power Co Ltd – KHNP. KEPCO remains a transmission and distribution monopoly. KEPCO E& C is another KEPCO subsidiary, with engineering focus, KEPCO NF makes nuclear fuel and KEPCO KPS handles maintenance. Power supply plans. Under the country's 5th long- term power development plan, finalised in January 2. MWe) were to be constructed by 2. This would bring nuclear to one third of the country's total generating capacity and it would supply 4. The Ministry of Education, Science & Technology's (MOTIE) third comprehensive nuclear energy development plan, for 2. South Korea should develop its nuclear industry into one of the top five in the world, with about 6. As well as emphasis on production of nuclear fuel, the report envisaged construction of the Korean APR- 1. UAE. In the country's 2. Energy Master Plan to 2. In 2. 02. 0 nuclear generation capacity of 2. GWe is expected to supply over 2. TWh – some 4. 3% of electricity, simply considering those units now under construction and allowing for Kori 1 retirement. In 2. 02. 2 nuclear capacity of 3. GWe was expected to be nearly one- third of the national total of 1. GWe then. By 2. 03. TWh), from 4. 1% of the installed capacity. This would require adding about 2. GWe nuclear by 2. But at the end of 2. MOTIE’s 2nd Energy Master Plan announced in January 2. This would require 4. GWe of installed capacity by 2. GWe beyond the 8. GWe already planned. The target for renewables of 1. Then the government’s 7th basic long- term power development plan of electricity supply and demand was released by MOTIE in July 2. Kori 1 closed by then. This is two more than earlier planned. Electricity demand is expected to increase 2. TWh/yr and with peak demand 1. GWe with aggressive conservation measures, 1. Nuclear capacity would increase to 3. GWe, 2. 3. 4% of total, up from 2. GWe in 2. 01. 5, but less than the 4. GWe, 2. 9% target for 2. This will reduce coal- fired capacity from 3. LNG capacity will be 2. Development of domestic nuclear policy. Nuclear activities were initiated when South Korea became a member of the International Atomic Energy Agency in 1. In 1. 95. 8 the Atomic Energy Law was passed and in 1. Office of Atomic Energy was established by the government. The first nuclear reactor to achieve criticality in South Korea was a small research unit in 1. Ten years later construction began of the first nuclear power plant – Kori 1, a Westinghouse unit built on turnkey contract. It started up in 1. After this there was a burst of activity, with eight reactors under construction in the early 1. South Korean energy policy has been driven by considerations of energy security and the need to minimise dependence on current imports. Energy policy continues to have nuclear power as a major element of electricity production. Nuclear power costs are low in Korea: for 2. KHNP reported 3. 9 won (KRW) per k. Wh (about 3. KHNP average price to KEPCO is 6. In 2. 00. 5 the KSNP/KSNP+ was rebranded as OPR- 1. Optimised Power Reactor) apparently for Asian markets, particularly Indonesia and Vietnam. Ten operating units are now designated OPR- 1. Beyond this, the Generation III APR- 1. CE System 8. 0+ innovations, which are evolutionary rather than radical. See section below. Nuclear plants are at only four sites, and future plans and proposals add only one, so that up to eight units are likely at each. Korea- US Atomic Energy Agreement. South Korea is very constrained in its nuclear power policy by the 1. Korea- US Atomic Energy Agreement. This is a so- called '1. Agreement', named after section 1. US Atomic Energy Act, which constrains raw material supply and disallows uranium enrichment and reprocessing used fuel. Following the UAE agreement, the government has described these US constraints as . The main concern is reprocessing. The 1. 97. 3 agreement expired in March 2. US Congress. Even this time horizon had implications for long lead- time components for building the Barakah units in the UAE. See Fuel Cycle section below. After several years of intensive negotiation, a 2. USA was signed in June 2. This is worded more in terms of a partnership than the 1. However, it contains no provision to allow South Korea itself to enrich uranium or to recycle used nuclear fuel through reprocessing, apart from providing for US consent for some research on electrometallurgical reprocessing, and opening the possibility of future uranium enrichment “through consultations with the USA.” The High- Level Bilateral Commission was established for ongoing high- level discussion which will include enrichment and reprocessing, holding out the possibility of future concessions on both. According to the Ministry of Foreign Affairs, South Korea achieved three goals in the agreement: the right to deal with used nuclear fuel, a stable supply of nuclear fuel, and promoting the export of nuclear power plants. The new agreement, approved by both presidents, brings South Korea closer to what the USA allows for Japan. The Bilateral Commission held its first meeting in April 2. US and South Korean experts will collaborate on the management of used nuclear fuel, the promotion of nuclear exports and export control cooperation, assured fuel supply, and nuclear security. Nuclear export policy and action. KEPCO is actively marketing OPR- 1. APR1. 40. 0 units in Middle East and North African countries, as well as Latin America. In December 2. 00. APR1. 40. 0 was selected as the basis of the United Arab Emirates (UAE) nuclear power program, with the first four reactors to be operating at Barakah by 2. Construction has commenced. The choice was on the basis of cost and reliability of building schedule. An application for US Design Certification is likely. Shortly following its sale of four modern nuclear power reactors to the United Arab Emirates (UAE), the South Korean Ministry of Knowledge Economy (now Ministry of Trade, Industry & Energy – MOTIE) declared in January 2. USA and France or Russia. This was under a plan known as Nu- Tech 2. Innovative, Passive, Optimised, Worldwide Economical Reactor (I- POWER) by late 2. The 8. 0 reactors by 2. KEPCO had a target of six reactors by 2. Barakah plant. Following the UAE sale, it was marketing to Turkey, Jordan, Romania and Ukraine, as well as southeast Asian countries, but is now focused on Egypt, Saudi Arabia, Kenya, Philippines, Vietnam and Czech Republic. In addition to exporting reactors, it also plans to enter the $7. In April 2. 01. 5 KEPCO signed an agreement with Brazil’s Eletrobras and Eletronuclear, as a bridgehead into Latin America. In August 2. 01. 6 KEPCO signed an agreement with Kenya Nuclear Electricity Board (KNEB) to cooperate on construction of nuclear power plants in Kenya. In November 2. 01. UAE engineers at Korean nuclear plants, gaining experience for Barakah. The workforce of 1. Barakah includes 2. Koreans. In 2. 01. KHNP signed an agreement with Ukraine’s Energotatom, one objective of which is to complete the construction of the Khmelnitski 3& 4 partly- built Russian nuclear power reactors. An associated objective is to cooperate in the Ukraine- EU . See section on SMART reactors below. In December 2. 00. Jordan Atomic Energy Commission (JAEC) selected a consortium headed by the Korean Atomic Energy Research Institute (KAERI) with Daewoo to build a 5 MW research and test reactor (JRTR) at the Jordan University for Science & Technology – the country's first. The reactor will be similar to South Korea's HANARO heavy water reactor, and is financed partly by a $7. South Korea, with 0. Licence renewals and uprates. KHNP and MEST (now MOTIE) have been negotiating licence renewals to extend 3. Kori 1 and Wolsong 1, by ten years. A six- month upgrading and inspection outage at Kori 1 in the second half of 2. In 2. 01. 5 the energy advisory panel recommended against further life extension. At Wolsong 1, a Candu 6 PHWR, considerable refurbishment was undertaken in a longer outage from April 2. July 2. 01. 1, including replacement of all 3. Some KRW 5. 60 billion ($5. It had been operating at slightly derated capacity (6. MWe gross) since 2. MWe gross. However, it was then shut down in November 2. NSSC. In October 2. Electrical measurements lab - Free download as PDF File (.pdf), Text File (.txt). Crompton’s DC Potentiometer Crompton Free PDF ebooks (user's guide, manuals, sheets) about Crompton potentiometer construction and operation ready for download. Voltmeter M. I 0- 3. V 1. 3 Ammeter M. I 0- 1. 0A 1. 4 Wattmeter UPF 0- 3. V, 0- 1. 0A. 1. 5 Autotransformer 1- . 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Dc Crompton Potentiometer Pdf To WordFederal Register. Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long- Term Care Hospital Prospective Payment System and Proposed Fiscal Year 2. Rates; Quality Reporting Requirements for Specific Providers; Reasonable Compensation Equivalents for Physician Services in Excluded Teaching Hospitals; Provider Administrative Appeals and Judicial Review; Enforcement Provisions for Organ Transplant Centers; and Electronic Health Record (EHR) Incentive Program. This proposed rule would revise the Medicare hospital outpatient prospective payment system (OPPS). Hospital Value-Based Purchasing (VBP) Program. Facility Value-Based Purchasing (SNF VBP) Program beginning with FY 2019 under which value-based incentive. Nursing Facilities Proposed Rule for FY 2017, SNF Value-Based Purchasing Program, SNF. Skilled Nursing Facility Value-Based Purchasing Program (SNF VBP). FY 2016 Inpatient PPS Proposed Rule – Quality Issues. FY 2016 IPPS Proposed Rule Key. Value Based Purchasing Program. HEALTH PAYMENT RATES, VALUE-BASED PURCHASING PILOT. Health Industry Washington Watch. Regulations CMS Proposes Hospital Value Based Purchasing Program. Hospital Inpatient Quality Reporting and Hospital Value-Based Purchasing—Program. The LTCH PPS tables for this FY 2015 proposed rule are available. The CMS has responded to calls to eliminate patient satisfaction on pain management from the value-based purchasing program. Start Preamble. Start Printed Page 2. AGENCY: Centers for Medicare and Medicaid Services (CMS), HHS. ACTION: Proposed rule. SUMMARY: We are proposing to revise the Medicare hospital inpatient prospective payment systems (IPPS) for operating and capital- related costs of acute care hospitals to implement changes arising from our continuing experience with these systems. Some of the proposed changes implement certain statutory provisions contained in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2. Affordable Care Act), the Protecting Access to Medicare Act of 2. These proposed changes would be applicable to discharges occurring on or after October 1, 2. We also are proposing to update the rate- of- increase limits for certain hospitals excluded from the IPPS that are paid on a reasonable cost basis subject to these limits. The proposed updated rate- of- increase limits would be effective for cost reporting periods beginning on or after October 1, 2. Department of Health and Human Services. SNF Value-Based Purchasing Program. Proposed Rule for FY 2017, SNF Value- Based Purchasing Program. FY2015 Proposed Hospital Inpatient Rule. Proposed changes to the Hospital Value-based Purchasing Program. We also are proposing to update the payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long- term care hospitals (LTCHs) and to implement certain statutory changes to the LTCH PPS under the Affordable Care Act and the Pathway for Sustainable Growth Rate (SGR) Reform Act of 2. Protecting Access to Medicare Act of 2. In addition we are proposing to revise the interruption of stay policy for LTCHs and to retire the “5 percent” payment adjustment for co- located LTCHs. While many of the statutory mandates of the Pathway for SGR Reform Act will apply to discharges occurring on or after October 1, 2. However, in light of the degree of forthcoming change, we discuss changes infra and request public feedback to inform our proposals for FY 2. In addition, we are proposing to make a number of changes relating to direct graduate medical education (GME) and indirect medical education (IME) payments. We are proposing to establish new requirements or revise requirements for quality reporting by specific providers (acute care hospitals, PPS- exempt cancer hospitals, and LTCHs) that are participating in Medicare. We are proposing to update policies relating to the Hospital Value- Based Purchasing (VBP) Program, the Hospital Readmissions Reduction Program, and the Hospital- Acquired Condition (HAC) Reduction Program. In addition, we are proposing changes to the regulations governing provider administrative appeals and judicial review relating to appropriate claims in provider cost reports; updates to the reasonable compensation equivalent (RCE) limits for services furnished by physicians to teaching hospitals excluded from the IPPS; regulatory revisions to broaden the specified uses of risk adjustment data and to specify the conditions for release of risk adjustment data to entities outside of CMS; and changes to the enforcement procedures for organ transplant centers. We are proposing to align the reporting and submission timelines for clinical quality measures for the Medicare EHR Incentive Program for eligible hospitals and critical access hospitals (CAHs) with the reporting and submission timelines for the Hospital IQR Program. In addition, we provide guidance and clarification of certain policies for eligible hospitals and CAHs such as our policy for reporting zero denominators on clinical quality measures and our policy for case threshold exemptions. DATES: Comment Period: To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p. EDT on June 3. 0, 2. ADDRESSES: In commenting, please refer to file code CMS- 1. P. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission. You may submit comments in one of four ways (no duplicates, please): 1. You may (and we encourage you to) submit electronic comments on this regulation to http: //www. Follow the instructions under the “submit a comment” tab. You may mail written comments to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS- 1. P, P. O. Box 8. 01. Baltimore, MD 2. 12. Please allow sufficient time for mailed comments to be received before the close of the comment period. By express or overnight mail. You may send written comments via express or overnight mail to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS- 1. P, Mail Stop C4- 2. Security Boulevard, Baltimore, MD 2. If you prefer, you may deliver (by hand or courier) your written comments before the close of the comment period to either of the following addresses: a. For delivery in Washington, DC—Centers for Medicare & Medicaid Services, Department of Health and Human Services, Room 4. G, Hubert H. Humphrey Building, 2. Independence Avenue SW., Washington, DC 2. Because access to the interior of the Hubert H. Humphrey Building is not readily available to persons without Federal Government identification, commenters are encouraged to leave their comments in the CMS drop slots located in the main lobby of the building. A stamp- in clock is available for persons wishing to retain a proof of filing by stamping in and retaining an extra copy of the comments being filed.)b. For delivery in Baltimore, MD—Centers for Medicare & Medicaid Services, Department of Health and Human Services, 7. Security Boulevard, Baltimore, MD 2. If you intend to deliver your comments to the Baltimore address, please call the telephone number (4. Comments mailed to the addresses indicated as appropriate for hand or courier delivery may be delayed and received after the comment period. For information on viewing public comments, we refer readers to the Start Printed Page 2. SUPPLEMENTARY INFORMATION section. Start Further Info. FOR FURTHER INFORMATION CONTACT: Donald Thompson, (4. Tiffany Swygert, (4. Operating Prospective Payment, MS- DRGs, Hospital- Acquired Conditions (HAC), Wage Index, New Medical Service and Technology Add- On Payments, Hospital Geographic Reclassifications, Graduate Medical Education, Capital Prospective Payment, Excluded Hospitals, and Medicare Disproportionate Share Hospital (DSH) Issues. Michele Hudson, (4. Judith Richter, (4. Long- Term Care Hospital Prospective Payment System and MS- LTC- DRG Relative Weights Issues. Siddhartha Mazumdar, (4. Rural Community Hospital Demonstration Program Issues. James Poyer, (4. 10) 7. Hospital Inpatient Quality Reporting and Hospital Value- Based Purchasing—Program Administration, Validation, and Reconsideration Issues. Karen Nakano, (4. Hospital Inpatient Quality Reporting—Measures Issues Except Hospital Consumer Assessment of Healthcare Providers and Systems Issues; and Readmission Measures for Hospitals Issues. Elizabeth Goldstein, (4. Hospital Inpatient Quality Reporting—Hospital Consumer Assessment of Healthcare Providers and Systems Measures Issues. Mary Pratt, (4. 10) 7. LTCH Quality Data Reporting Issues. Kim Spalding Bush, (4. Hospital Value- Based Purchasing Efficiency Measures Issues. James Poyer, (4. 10) 7. PPS- Exempt Cancer Hospital Quality Reporting Issues. Kellie Shannon, (4. Appropriate Claims in Provider Cost Reports; Administrative Appeals by Providers and Judicial Review Issues. Amelia Citerone, (4. Robert Kuhl (4. 10) 7. Reasonable Compensation Equivalent (RCE) Limits for Physician Services Provided in Providers. Ann Hornsby, (4. 10) 7. Jennifer Harlow, (4. Medicare Advantage Encounter Data Issues. Thomas Hamilton, (4. Organ Transplant Center Issues. Jennifer Phillips, (4. Midnight Rule Benchmark Issues. End Further Info. End Preamble. Start Supplemental Information. SUPPLEMENTARY INFORMATION: Inspection of Public Comments: All public comments received before the close of the comment period are available for viewing by the public, including any personally identifiable or confidential business information that is included in a comment. We post all public comments received before the close of the comment period on the following Web site as soon as possible after they have been received: http: //www. Follow the search instructions on that Web site to view public comments. Electronic Access. This Federal Register document is also available from the Federal Register online database through Federal Digital System (FDsys), a service of the U. S. Government Printing Office. This database can be accessed via the Internet at: http: //www. Tables Available Only Through the Internet on the CMS Web Site. In the past, a majority of the tables referred to throughout this preamble and in the Addendum to the proposed rule and the final rule were published in the Federal Register as part of the annual proposed and final rules. However, beginning in FY 2. IPPS tables and LTCH PPS tables are no longer published in the Federal Register. Instead, these tables are available only through the Internet. The IPPS tables for this proposed rule are available only through the Internet on the CMS Web site at: http: //www. Medicare/medicare- Fee- for- Service- Payment/Acute. Inpatient. PPS/index. Click on the link on the left side of the screen titled, “FY 2. IPPS Proposed Rule Home Page” or “Acute Inpatient—Files for Download”. The LTCH PPS tables for this FY 2. Internet on the CMS Web site at: http: //www. Medicare/Medicare- Fee- for- Service- Payment/Long. Term. Care. Hospital. PPS/index. html under the list item for Regulation Number CMS- 1. 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