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[Education Assistance Programs] Title VI - Education of the Handicapped

Act; P.L. 91-230

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Employee Retirement Income Security Act of 1974; P.L. 93-406

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Federal Employees' Retirement System Act of 1986; P.L. 99-335
Federal Food, Drug, and Cosmetic Act; P.L. 75-717

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Financial Institutions Regulatory and Interest Rate Control Act of 1978;
P.L. 95-630.....

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Floyd D. Spence National Defense Authorization Act For Fiscal Year 2001;
P.L. 106-398

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Food Stamp Act of 1977; P.L. 88-525

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Foreign Relations Authorization Act, Fiscal Years 1988 and 1989; P.L. 100204

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Foreign Service Act of 1980; P.L. 96-465

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Foster Care Independence Act of 1999; P.L. 106-169

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[Further Continuing Appropriations for Fiscal Year 1983] P.L. 97-377 GI Bill Improvement Act of 1977; P.L. 95-202

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Health Care Quality Improvement Act of 1986, Title IV; P.L. 99-660
Health Care Safety Net Amendments of 2002; P.L. 107-251

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Health Insurance Portability and Accountability Act of 1996; P.L. 104-191
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Housing and Community Development Amendments of 1978; P.L. 95-557

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[Indian Claims Commission-Confederated Tribes and Bands of the Yakima Indian National]P.L. 95-433

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[Indian Claims Distribution of Funds to Seminole Indians] P.L. 101-277 Indian Health Care Amendments of 1988; P.L. 100-713

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Indian Self-Determination and Education Assistance Act; P.L. 93-638
Indian Tribal Judgment Funds Use or Distribution Act; P.L. 93-134
[Indian Tribes-Submarginal Lands] P.L. 94-114
Internal Revenue Code of 1986; P.L. 83-591
Internal Security Act of 1950; P.L. 81-831

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International Child Abduction Remedies Act; P.L. 100-300
[International Organizations Immunities Act] P.L. 79-291
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Maternal and Child Health Services Block Grant Act, Title XXI; P.L. 97-35.

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[Mdewakanton and Wahpekute Eastern or Mississippi Sioux] P.L. 99-130 Medicare Catastrophic Coverage Act of 1988; P.L. 100-360

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Medicare-Medicaid Anti-Fraud and Abuse Amendments; P.L. 95-142

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Old Age Assistance Claims Settlement Act; P.L. 98-500
Older Americans Act of 1965; P.L. 89-73

Older Americans Amendments of 1975; P.L. 94-135
Omnibus Budget Reconciliation Act of 1981; P.L. 97-35
Omnibus Budget Reconciliation Act of 1982; P.L. 97-253
Omnibus Budget Reconciliation Act of 1986; P.L. 99-509
Omnibus Budget Reconciliation Act of 1987; P.L. 100-203
Omnibus Budget Reconciliation Act of 1989; P.L. 101-239

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Omnibus Consolidated and Emergency Supplemental Appropriations Act, 1999; P.L. 105-277

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Omnibus Reconciliation Act of 1980; P.L. 96-499

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Peace Corps Act; P.L. 87-293

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Peer Review Improvement Act of 1982, Title I, Subtitle C; P.L. 97-248 [Per Capita Payments to Indians] P.L. 98-64

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Perishable Agricultural Commodities Act, 1930; P.L. 71-325

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Personal Responsibility and Work Opportunity Reconciliation Act of 1996;
P.L. 104-193 ......

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Privacy Act of 1974; P.L. 93-579

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Promoting Safe and Stable Families Amendments of 2001; P.L. 107-133
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Protection and Advocacy for Mentally Ill Individuals Act of 1986; P.L. 99319

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[Pueblo of Santa Ana Indians, New Mexico] P.L. 95-498

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Stewart B. McKinney Homeless Assistance Amendments Act of 1988; P.L. 100-628

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Strengthening Abuse and Neglect Courts Act of 2000; P.L. 106-314
Tax Equity and Fiscal Responsibility Act of 1982; P.L. 97-248
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United States Housing Act of 1937; P.L. 75-412

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Veterans' and Survivors' Pension Improvement Act of 1978; P.L. 95-588

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Victims of Terrorism Tax Relief Act of 2001; P.L. 107-134

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White Earth Reservation Land Settlement Act of 1985; P.L. 99-264 [Wyandotte Tribe of Oklahoma] P.L. 98-602

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$310.6. Applicability of "new drug" or safety or effectiveness findings in drug efficacy study implementation notices and notices of opportunity for hearing to identical, related, and similar drug products. (a) The Food and Drug Administration's conclusions on the effectiveness of drugs are currently being published in the FEDERAL REGISTER as Drug Efficacy Study Implementation (DESI) Notices and as Notices of Opportunity for Hearing. The specific products listed in these notices include only those that were introduced into the market through the new drug procedures from 1938-62 and were submitted for review by the National Academy of Sciences-National Research Council (NAS-NRC), Drug Efficacy Study Group. Many products which are identical to, related to, or similar to the products listed in these notices have been marketed under different names or by different firms during this same period or since 1962 without going through the new drug procedures or the Academy review. Even though these products are not listed in the notices, they are covered by the new drug applications reviewed and thus are subject to these notices. All persons with an interest in a product that is identical, related, or similar to a drug listed in a drug efficacy notice or a notice of opportunity for a hearing will be given the same opportunity as the applicant to submit data and information, to request a hearing, and to participate in any hearing. It is not feasible for the Food and Drug Administration to list all products which are covered by an NDA and thus subject to each notice. However, it is essential that the findings and conclusions that a drug product is a "new drug" or that there is a lack of evidence to show that a drug product is safe or effective be applied to all identical, related, and similar drug products to which they are reasonably applicable. Any product not in compliance with an applicable drug efficacy notice is in violation of section 505 (new drugs) and/or section 502 (misbranding) of the act. (b)(1) An identical, related, or similar drug includes other brands, potencies, dosage forms, salts, and esters of the same drug moiety as well as of any drug moiety related in chemical structure or known pharmacological properties.

(2) Where experts qualified by scientific training and experience to evaluate the safety and effectiveness of drugs would conclude that the findings and conclusions, stated in a drug efficacy notice or notice of opportunity for hearing, that a drug product is a “new drug" or that there is a lack of evidence to show that a drug product is safe or effective are applicable to an identical, related, or similar drug product, such product is affected by the notice. A combination drug product containing a drug that is identical, related, or similar to a drug named in a notice may also be subject to the findings and conclusions in a notice that a drug product is a "new drug" or that there is a lack of evidence to show that a drug product is safe or effective.

(3) Any person may request an opinion on the applicability of such a notice to a specific product by writing to the Food and Drug Administration at the address shown in paragraph (e) of this section.

(c) Manufacturers and distributors of drugs should review their products as drug efficacy notices are published and assure that identical, related, or similar products comply with all applicable provisions of the notices.

(d) The published notices and summary lists of the conclusions are of particular interest to drug purchasing agents. These agents should take particular care to assure that the same purchasing policy applies to drug products that are identical, related, or similar to those named in the drug efficacy notices. The Food and Drug Administration applies the same regulatory policy to all such products. In many instances a determination can readily be made as to the applicability of a drug efficacy notice by an individual who is knowledgeable about drugs and their indications for use. Where the relationships are more subtle and not readily recognized, the

§310.6.

purchasing agent may request an opinion by writing to the Food and Drug Administration at the address shown in paragraph (e) of this section.

(e) Interested parties may submit to the Food and Drug Administration, Center for Drugs and Biologics, Office of Compliance, HFN-300, 5600 Fishers Lane, Rockville, MD 20857, the names of drug products, and of their manufacturers or distributors, that should be the subject of the same purchasing and regulatory policies as those reviewed by the Drug Efficacy Study Group. Appropriate action, including referral to purchasing officials of various government agencies, will be taken.

(f) This regulation does not apply to OTC drugs identical, similar, or related to a drug in the Drug Efficacy Study unless there has been or is notification in the FEDERAL REGISTER that a drug will not be subject to an OTC panel review pursuant to §§330.10, 330.11, and 330.5 of this chapter.

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[Internal References.-Social Security Act §§1862(c) and 1927(k) cite §310.6 of title 21 of the Code of Federal Regulations.]

Code of Federal Regulations

Title 42

§405.454. Payments to providers. 1

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(j) Periodic interim payment method of reimbursement.

(1Xi) Covered services furnished before July 1, 1987. In addition to the regular methods of interim payment on individual provider billings for covered services, the periodic interim payment (PIP) method is available for Part A hospital and SNF inpatient services and for both Part A and Part B HHA services.

(ii) Covered services furnished on or after July 1, 1987. Effective with covered services furnished to beneficiaries on or after July 1, 1987, the PIP method, in addition to the other methods of interim payment on individual provider billings for covered services, is available only for the following:

(A) Part A SNF services.

(B) Part A and Part B HHA services.

(C) Part A services furnished in hospitals receiving payment in accordance with a demonstration project authorized under section 402(a) of Pub. L. 90-248 (42 U.S.C. 1395b-1) or section 222(a) of Pub. L. 92-603 (42 U.S.C. 1395b-1 (note)), or a State reimbursement control system approved under section 1886(c) of the Act and Subpart C of Part 403 of this chapter, if that type of payment is specifically approved by HCFA as a part of the demonstration or control system.

(D) Part A services furnished in hospitals located in a rural area as defined in §412.62(f) of this chapter that have fewer than 100 beds available for use excluding beds assigned to newborns.

(2) Any participating provider furnishing the services described in paragraph (j)(1) of this section that establishes to the satisfaction of the intermediary that it meets the following requirements may elect to be reimbursed under the PIP method, beginning with the first month after its request that the intermediary finds administratively feasible:

1 As in effect October 1, 1986.

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