Extension of Program of Comprehensive Assistance for Family Caregivers Eligibility for Legacy Participants and Legacy Applicants
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Issuing agencies
Abstract
The Department of Veterans Affairs (VA) is revising its regulations that govern VA's Program of Comprehensive Assistance for Family Caregivers (PCAFC) by extending eligibility for legacy participants, legacy applicants, and their Family Caregivers and the applicable benefits afforded to Family Caregivers, to include the monthly stipend, by one year. This change will provide VA with an additional year to complete reassessments of legacy participants, legacy applicants, and their Family Caregivers. This change will also ensure that legacy participants, legacy applicants, and their Family Caregivers are treated equitably.
Full Text
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<title>Federal Register, Volume 86 Issue 181 (Wednesday, September 22, 2021)</title>
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[Federal Register Volume 86, Number 181 (Wednesday, September 22, 2021)]
[Rules and Regulations]
[Pages 52614-52618]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-20112]
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DEPARTMENT OF VETERANS AFFAIRS
38 CFR Part 71
RIN 2900-AR28
Extension of Program of Comprehensive Assistance for Family
Caregivers Eligibility for Legacy Participants and Legacy Applicants
AGENCY: Department of Veterans Affairs.
ACTION: Interim final rule.
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SUMMARY: The Department of Veterans Affairs (VA) is revising its
regulations that govern VA's Program of Comprehensive Assistance for
Family Caregivers (PCAFC) by extending eligibility for legacy
participants, legacy applicants, and their Family Caregivers and the
applicable benefits afforded to Family Caregivers, to include the
[[Page 52615]]
monthly stipend, by one year. This change will provide VA with an
additional year to complete reassessments of legacy participants,
legacy applicants, and their Family Caregivers. This change will also
ensure that legacy participants, legacy applicants, and their Family
Caregivers are treated equitably.
DATES:
Effective date: This interim final rule is effective September 22,
2021.
Comment date: Comments must be received on or before November 22,
2021.
ADDRESSES: Comments must be submitted through <a href="http://www.Regulations.gov">www.Regulations.gov</a>.
Comments received will be available at <a href="http://regulations.gov">regulations.gov</a> for public
viewing, inspection or copies.
FOR FURTHER INFORMATION CONTACT: Colleen Richardson, PsyD, Executive
Director, Caregiver Support Program, Patient Care Services, Veterans
Health Administration, Department of Veterans Affairs, 810 Vermont Ave.
NW, Washington, DC 20420, (202) 461-7337. (This is not a toll-free
number.)
SUPPLEMENTARY INFORMATION:
Background
In 2010, Congress established section 1720G of title 38 of the
United States Code (U.S.C.). Caregivers and Veterans Omnibus Health
Services Act of 2010, Public Law (Pub. L.) 111-163, 124 Stat. 1130
(2010). Section 1720G required VA, in part, to establish a Program of
Comprehensive Assistance for Family Caregivers (PCAFC) for Family
Caregivers of eligible veterans who have a serious injury incurred or
aggravated in the line of duty in the active military, naval, or air
service on or after September 11, 2001. VA implemented PCAFC through
its regulations in part 71 of title 38, Code of Federal Regulations
(CFR). PCAFC provides certain benefits such as training, respite care,
counseling, technical support, beneficiary travel (to attend required
caregiver training and for an eligible veteran's medical appointments),
access to health care (if qualified) through the Civilian Health and
Medical Program of the Department of Veterans Affairs (CHAMPVA), and a
monthly stipend. 38 U.S.C. 1720G; 38 CFR 71.40.
In 2018, section 161 of the John S. McCain III, Daniel K. Akaka,
and Samuel R. Johnson VA Maintaining Internal Systems and Strengthening
Integrated Outside Networks Act of 2018 (VA MISSION Act of 2018),
Public Law 115-182, 132 Stat. 1393 (2018), amended 38 U.S.C. 1720G by
expanding PCAFC to Family Caregivers of eligible veterans who incurred
or aggravated a serious injury in the line of duty before September 11,
2001 in a phased approach, establishing new benefits for designated
Primary Family Caregivers of eligible veterans, and making other
changes affecting program eligibility and VA's evaluation of PCAFC
applications. To incorporate these and other necessary changes to
improve and expand VA's PCAFC, VA amended 38 CFR part 71. 85 Federal
Register (FR) 46226 (July 31, 2020). These changes took effect on
October 1, 2020. Id. As part of that rulemaking, VA revised the
eligibility criteria for PCAFC in Sec. 71.20.
VA recognized that there were individuals whose applications had
already been received by VA and were in the process of being evaluated
under the pre-October 1, 2020 criteria and who would be approved for
PCAFC on or after October 1, 2020, as well as individuals who were
already participating in PCAFC before October 1, 2020. Id. VA
classified these individuals as legacy applicants and legacy
participants, respectively. 38 CFR 71.15. A legacy applicant is a
veteran or servicemember who submits a joint application for PCAFC that
was received by VA before October 1, 2020 and for whom a Family
Caregiver(s) was approved and designated on or after October 1, 2020,
subject to certain criteria. Id. A legacy participant is an eligible
veteran whose Family Caregiver(s) was approved and designated by VA
under 38 CFR part 71 as of September 30, 2020 so long as the Primary
Family Caregiver (as applicable) continues to be approved and
designated as such. Id.
In Sec. 71.30, VA set forth requirements for reassessment to
determine whether legacy applicants, legacy participants, and their
Family Caregivers would continue to be eligible for PCAFC. Paragraph
(e)(1) states that if the eligible veteran is a legacy participant or a
legacy applicant, that eligible veteran and their Family Caregiver(s)
will be reassessed by VA during the one-year period beginning on
October 1, 2020 to determine whether the legacy participant or legacy
applicant meets the new eligibility requirements in Sec. 71.20(a). VA
acknowledged that it would need to reassess legacy applicants, legacy
participants, and their Family Caregivers to determine their continued
eligibility for PCAFC, and believed one year from the effective date of
the final rule would be necessary and appropriate to ensure these
reassessments were completed. 85 FR at 46253.
VA foresaw possible impacts of the new regulation on the legacy
cohort. For instance, there was the possibility that a legacy applicant
or legacy participant would no longer be eligible for PCAFC under the
criteria in Sec. 71.20(a). In addition, there was the possibility that
the legacy applicant or legacy participant would be determined eligible
for PCAFC, but the Primary Family Caregiver would be eligible for a
stipend amount that was less than they were receiving under the
previous regulations. Because of these potential impacts, VA allowed
for an extension of eligibility under the pre-October 1, 2020 criteria
for a one-year transition period under Sec. 71.20(b) and (c) for
legacy participants, legacy applicants, and their Family Caregivers.
During this transition period, legacy participants, legacy applicants,
and their Family Caregivers would continue to be eligible to receive
benefits under PCAFC and would not have the amount of their monthly
stipend reduced (except as the result of the eligible veteran moving to
a new address).
In Sec. 71.40(c)(4), VA set forth requirements for determining
monthly stipend amounts for Primary Family Caregivers. This paragraph
explains how the stipend is calculated for Primary Family Caregivers of
legacy participants and legacy applicants during the one-year
transition period.
As explained in the proposed rule, VA believed that a one-year
transition period was reasonable. It would allow individuals who are
participating in PCAFC as of September 30, 2020, the day before the
effective date of the rule, to remain eligible for the program and not
experience a stipend amount decrease (except as specified) while VA
completes a reassessment to determine eligibility under the new
criteria--regardless of when such reassessment occurred during the one-
year period. This was important because it would be inequitable for
similarly situated veterans and their Family Caregivers to be
disadvantaged based solely on when VA conducted their reassessment. In
addition, this one-year period would minimize disruption to these
individuals by allowing for a period to plan and adjust to the
possibility of a legacy applicant or legacy participant being
determined no longer eligible or eligible such that the monthly stipend
would be a lesser amount. We believed this to be fair, reasonable, and
an appropriate use of taxpayer dollars. 85 FR 13356 (March 6, 2020); 85
FR 46226 (July 31, 2020).
For the reasons explained below, we are extending the one-year
transition period and timeline for VA to complete reassessments of
legacy applicants, legacy participants, and their Family
[[Page 52616]]
Caregivers for one additional year. Legacy applicants, legacy
participants, and their Family Caregivers will remain eligible for
PCAFC in accordance with revised Sec. 71.20(b) and (c) and will
continue to receive benefits in accordance with revised Sec. 71.40 for
the additional one-year period. Accordingly, we are amending Sec. Sec.
71.20(b) and (c) regarding program eligibility, Sec. 71.30(e)
regarding reassessments, and Sec. Sec. 71.40(c)(4)(i)(B) through (D),
(c)(4)(ii)(C)(2)(i) and (ii), and the note to (c)(4)(ii)(C)(2)
regarding the stipend methodology, to account for the additional one-
year period through September 30, 2022.
Discussion
When the prior rulemaking became effective on October 1, 2020, VA
intended to complete reassessments for all legacy participants, legacy
applicants, and their Family Caregivers within a one-year period to
determine their eligibility under new Sec. 71.20(a); however, this is
no longer achievable. For the reasons explained below, VA is unable to
conduct all necessary reassessments of legacy applicants, legacy
participants, and their Family Caregivers within the one-year period.
It is therefore necessary to extend PCAFC eligibility of legacy
applicants, legacy participants, and their Family Caregivers under
Sec. Sec. 71.20(b) and (c) and their applicable benefits, including
the monthly stipend calculation under Sec. 71.40(c)(4), for an
additional one-year period through September 30, 2022.
The VA MISSION Act of 2018 expanded eligibility for PCAFC to Family
Caregivers of eligible veterans who incurred or aggravated a serious
injury in the line of duty before September 11, 2001 in a phased
approach. The first phase, which became effective on October 1, 2020,
expanded PCAFC eligibility to include eligible veterans who incurred or
aggravated a serious injury in the line of duty on or before May 7,
1975. Since the onset of this first phase of expansion, VA has seen a
dramatic increase in new applications for PCAFC. This increase is
significantly higher than VA anticipated.
We acknowledge that anticipating the number of applications that
may be received is subject to significant variability and subjectivity.
An individual need not be eligible to apply for PCAFC; there is no
restriction on who may choose to apply. However, VA estimated that it
would receive 76,635 applications in FY 2021, and as of July 1, 2021,
VA has received approximately 90,500 applications. The number of
applications received so far exceeds the total number of applications
PCAFC received in any previous year and exceeds VA's projections for
the entire FY 2021. For reference, in FY 2020, VA received
approximately 22,900 applications, with an average of 1,900
applications per month. Between October 1, 2020 and July 1, 2021, VA
has received an average of approximately 10,000 applications per
month.. We note that, of the approximately 90,500 applications VA
received between October 1, 2020 and July 1, 2021, approximately 11
percent of these veteran applicants were born in 1983 or later,
demonstrating that new applicants are not only from those veterans who
have been waiting for expansion to begin, but also from veterans who
may have incurred or aggravated a serious injury in the line of duty on
or after September 11, 2001, and are newly interested in the Program.
As part of planning for PCAFC expansion, a staffing model was
developed to guide and inform staffing decisions to augment resources
available to administer, monitor, and oversee PCAFC. In particular,
this action was necessary to prepare for the anticipated increased
workload associated with expanding PCAFC, to include application
processing, completion of wellness contacts, completion of
reassessments, and supporting delivery of clinical care. The first
phase of the staffing augmentation called for an additional 680 field
based and Veteran Integrated Service Network (VISN) level staff to
support administration and delivery of caregiver support programming.
The second phase of staffing augmentation began in August 2020 and
sought to add over 750 additional field-based front-line staff. As of
July 2021, over 90 percent of staff had been hired.
Despite these staffing augmentations, given the significantly
larger volume of applications than was anticipated, VA focused its
resources on processing new applications versus reassessing eligibility
of legacy applicants, legacy participants and their Family Caregivers.
As a result, as of July 1, 2021, VA has only completed 4 percent of the
estimated 19,800 reassessment needed for the legacy cohort. VA will be
unable to complete reassessments of each legacy applicant, legacy
participant, and their Family Caregiver(s) within the one-year period
provided in Sec. 71.30(e).
While VA received higher than anticipated applications, it is
important to note that educating and training new staff as well as
educating and training existing staff on the program changes has
continued, culminating in more streamlined processes, implementation of
best practices, and increased efficiencies. As a result of these
efforts, VA has significantly increased the rate in which applications
are being adjudicated. During the first quarter of FY 2021, VA
adjudicated an average of 4,075 applications per month. In comparison,
during the third quarter of FY 2021, VA adjudicated an average of
10,663 applications per month--an increase of 162 percent in
adjudications made. While VA's rate of application adjudication has
been increasing, there has been a corresponding decrease in the number
of new PCAFC applications being received. The average number of
applications received each month in the third quarter of FY 2021 was
approximately 7,300 compared to an average of approximately 11,600 each
month during the first quarter--a decrease of approximately 59 percent
in the average number of new applications received each month (during
third quarter compared to first quarter). As noted above, VA's rate of
adjudicating applications has increased with the passage of time during
FY 2021. With the rate of new application submissions decreasing and
adjudications of such new applications increasing, VA has been able to
devote more resources to reassessments of legacy participants, legacy
applicants, and their Family Caregivers. With these continued efforts,
VA believes that reassessments of legacy participants, legacy
applicants, and their Family Caregivers will be able to be completed
with the extension of an additional one-year period.
Extending the eligibility period of legacy participants, legacy
applicants, and their Family Caregivers from a one-year period to a
two-year period from October 1, 2020 will ensure that all legacy
participants, legacy applicants, and their Family Caregivers have the
same transition period and the same effective date for any termination
or reduction in benefits, regardless of when VA conducts the
reassessment during the two-year period. Without this extension, legacy
applicants, legacy participants, and their Family Caregivers who are
reassessed and found to be no longer eligible for PCAFC under Sec.
71.20(a) or who have their stipend reduced under Sec. 71.40(c)(4)
would be impacted at different times, resulting in unequal treatment in
the provision of PCAFC benefits. As noted above, VA has already begun
conducting some reassessments. If those individuals were determined
through a reassessment completed before October 1, 2021, to be no
longer eligible for PCAFC or to be eligible but the Primary
[[Page 52617]]
Family Caregiver would receive a lesser stipend amount, an advanced
notice would be issued to the legacy applicants, legacy participants,
and their Family Caregivers on October 1, 2021 (at the conclusion of
the one-year period) and the change would take effect not less than 60
days following this notification. For those determined to no longer be
eligible, benefits would be extended for an additional 90 days after
the date of discharge. Individuals who VA is unable to reassess prior
to October 1, 2021 and who are ultimately determined not eligible or
eligible but with a lesser stipend amount would continue to receive
benefits in effect prior to October 1, 2020 for longer than those
reassessed prior to October 1, 2021 for no reason other than when VA
conducted their reassessment.
When VA established the initial one-year transition period for
legacy participants, legacy applicants, and their Family Caregivers, it
was intended to provide a reasonable amount of time for VA to conduct
reassessments, minimize disruption to those individuals, and provide a
fair and reasonable time for transition. 85 FR at 46253. VA intended
that all legacy applicants, legacy participants, and their Family
Caregivers would have the same transition period, regardless of when
the reassessment is completed during the one-year transition period.
Id. This transition period was intended to ensure equitable treatment
for all legacy applicants, legacy participants, and their Family
Caregivers. Id. Extending the transition period for an additional year
beyond the one-year period beginning October 1, 2020 for all legacy
participants, legacy applicants, and their Family Caregivers will
continue to ensure equitable treatment among this cohort.
Changes to 38 CFR Part 71
For the reasons explained above, VA amends its regulations codified
in Sec. 71.20 regarding program eligibility, Sec. 71.30 regarding
reassessments, and Sec. 71.40 regarding caregiver benefits, to extend
the transition period for legacy applicants, legacy participants, and
their Family Caregivers from one year to two years (that is, until
October 1, 2022) and to extend the time period for reassessments of
such individuals from one year to two years (that is, until October 1,
2022).
VA amends Sec. 71.20 by removing the words ``one year'' in
Sec. Sec. 71.20(b) and (c), and adding, in their place, the words
``two years''.
VA amends Sec. 71.30 by removing the words ``one-year'' in
paragraphs (e)(1) and (2) and adding, in their place, the words ``two-
year''.
VA also amends Sec. 71.40 by removing the words ``one year'' in
paragraphs (c)(4)(i)(B) through (D) and adding, in their place, the
words ``two years''. VA similarly amends paragraph (c)(4)(ii)(C)(2)(i)
by removing the words ``one-year'' and adding, in their place, the
words ``two-year''. Lastly, VA amends paragraph (c)(4)(ii)(C)(2)(ii)
and the note to paragraph (c)(4)(ii)(C)(2) by removing the words ``the
date that is one year after October 1, 2020'', and adding, in their
place, the words ``October 1, 2022''.
Administrative Procedure Act
The Secretary of Veterans Affairs finds that there is good cause
under the provisions of 5 U.S.C. 553(b)(B) to waive prior notice and an
opportunity for public comment and publish this rule, as notice and
comment would be contrary to public interest. VA is issuing this rule
to extend the time to complete reassessments for legacy applicants,
legacy participants, and their Family Caregivers for an additional
year, through September 30, 2022, and to similarly extend the
transition period. As discussed earlier, VA will not be able to
complete the required reassessments of this legacy cohort by October 1,
2021.
Absent regulatory action, effective October 1, 2021 the
reassessment period of legacy applicants, legacy participants, and
their Family Caregivers sunsets. This would leave legacy applicants,
legacy participants, and their Family Caregivers in a state of
uncertainty about their status and eligibility for benefits moving
forward. Extending the reassessment period in advance of October 1,
2021 will provide clarity to the legacy applicants, legacy
participants, and their Family Caregivers about the duration of their
current benefits and about next steps. Additionally, if the date to
complete the reassessments and the period of transition is not
extended, legacy applicants, legacy participants, and their Family
Caregivers who are reassessed and found to be no longer eligible for
PCAFC, or eligible but with a reduced stipend amount, would be impacted
at different times. Some legacy participants, legacy applicants, and
their Family Caregivers would experience negative impacts before others
within this same cohort based on when they are reassessed. The varying
impact would result from no reason other than that VA was able to
reassess certain individuals earlier than others. Therefore, VA must
amend its regulations to provide a one-year extension for the
reassessment period and for VA to conduct the reassessments.
Notwithstanding the effective date of this rulemaking, VA invites
public comments on this interim final rule and will fully consider and
address any comments received. Generally, VA would seek notice and
comment in advance of a rule becoming effective. However, in this
circumstance, VA does not have sufficient time to provide the public
with the opportunity for prior notice and comment and have the
amendments effective by October 1, 2021. As noted earlier in the
preamble, the number of applications received has far exceeded
expectations, and by focusing its resources on processing new
applications (while also implementing new regulations and processes for
evaluating PCAFC eligibility), VA was unable to prioritize the
reassessment of legacy participants, legacy applicants, and their
Family Caregivers. In October 2020, VA received an estimated 18,400
applications with a decline in applications received in November and
December 2020. However, during the second quarter of FY 2021, VA
received another surge in applications, which further delayed VA's
ability to prioritize the reassessment of legacy participants, legacy
applicants, and their Family Caregivers. To manage these competing
issues, VA explored options to complete the reassessments while
continuing to process applications. During this exploration, however,
VA determined that, even with processing applications while conducting
legacy reassessments, an additional 12-month period would be required
to complete the legacy reassessments, which is the basis for this
interim final rule.
For the reasons stated above, the Secretary also finds good cause
under 5 U.S.C. 553(d)(3) to make this interim final rule effective on
the date of its publication in the Federal Register.
VA recognizes that this extension will continue for an additional
year the existing disparity between PCAFC participants who applied for
the program on or after October 1, 2020 (and were approved for PCAFC
based on the existing regulatory criteria), and legacy participants,
legacy applicants, and their Family Caregivers (who were approved for
PCAFC based on pre-October 1, 2020 regulatory requirements). However,
any harm associated with continuing the current inequity between these
two cohorts for an additional one-year period, does not outweigh the
harm associated with the alternative outcomes that would result in the
absence of this regulatory action. In contrast to PCAFC participants
who
[[Page 52618]]
applied for the program on or after October 1, 2020, legacy
participants and their Family Caregivers were not aware of the
regulatory changes that would go into effect on October 1, 2020, and
are therefore at the greatest risk of being affected by those changes.
Executive Orders 12866 and 13563
Executive Orders 12866 and 13563 direct agencies to assess the
costs and benefits of available regulatory alternatives and, when
regulation is necessary, to select regulatory approaches that maximize
net benefits (including potential economic, environmental, public
health and safety effects, and other advantages; distributive impacts;
and equity). Executive Order 13563 (Improving Regulation and Regulatory
Review) emphasizes the importance of quantifying both costs and
benefits, reducing costs, harmonizing rules, and promoting flexibility.
The Office of Information and Regulatory Affairs has determined that
this rule is not a significant regulatory action under Executive Order
12866. The Regulatory Impact Analysis associated with this rulemaking
can be found as a supporting document at www.<a href="http://regulations.gov">regulations.gov</a>.
Regulatory Flexibility Act
The Secretary hereby certifies that this interim final rule will
not have a significant economic impact on a substantial number of small
entities as they are defined in the Regulatory Flexibility Act (5
U.S.C. 601-612). This interim final rule extends the time for VA to
conduct legacy reassessments and the transition period for legacy
applicants, legacy participants, and their Family Caregivers. This rule
has no impact on small entities. Therefore, pursuant to 5 U.S.C.
605(b), the initial and final regulatory flexibility analysis
requirements of 5 U.S.C. 603 and 604 do not apply.
Unfunded Mandates
The Unfunded Mandates Reform Act of 1995 requires, at 2 U.S.C.
1532, that agencies prepare an assessment of anticipated costs and
benefits before issuing any rule that may result in the expenditure by
State, local, and tribal governments, in the aggregate, or by the
private sector, of $100 million or more (adjusted annually for
inflation) in any one year. This interim final rule will have no such
effect on State, local, and tribal governments, or on the private
sector.
Paperwork Reduction Act
This interim final rule contains no provisions constituting a
collection of information under the Paperwork Reduction Act of 1995 (44
U.S.C. 3501-3521).
Catalog of Federal Domestic Assistance
The Catalog of Federal Domestic Assistance numbers and titles for
the programs affected by this document are 64.009, Veterans Medical
Care Benefits.
Congressional Review Act
Pursuant to the Congressional Review Act (5 U.S.C. 801 et seq.),
the Office of Information and Regulatory Affairs designated this rule
as not a major rule, as defined by 5 U.S.C. 804(2).
List of Subjects in 38 CFR Part 71
Administrative practice and procedure, Caregivers program, Claims,
Health care, Health facilities, Health professions, Mental health
programs, Travel and transportation expenses, Veterans.
Signing Authority
Denis McDonough, Secretary of Veterans Affairs, approved this
document on July 30, 2021, and authorized the undersigned to sign and
submit the document to the Office of the Federal Register for
publication electronically as an official document of the Department of
Veterans Affairs.
Consuela Benjamin,
Regulations Development Coordinator, Office of Regulation Policy &
Management, Office of General Counsel, Department of Veterans Affairs.
For the reasons stated in the preamble, the Department of Veterans
Affairs amends 38 CFR part 71 as follows:
PART 71--CAREGIVERS BENEFITS AND CERTAIN MEDICAL BENEFITS OFFERED
TO FAMILY MEMBERS OF VETERANS
0
1. The authority citation for part 71 continues to read as follows:
Authority: 38 U.S.C. 501, 1720G, unless otherwise noted.
Section 71.40 also issued under 38 U.S.C. 111(e), 1720B, 1782.
Section 71.47 also issued under 31 U.S.C. 3711; 38 U.S.C. 5302,
5314.
Section 71.50 also issued under 38 U.S.C. 1782.
Sec. 71.20 [Amended]
0
2. Amend Sec. 71.20 in paragraphs (b) and (c) by removing ``one year''
and adding ``two years'' in its place.
Sec. 71.20 [Amended]
0
3. Amend Sec. 71.30 in paragraphs (e)(1) and (2) by removing ``one-
year'' and adding ``two-year'' in its place.
Sec. 71.40 [Amended]
0
4. Amend Sec. 71.40:
0
a. In paragraphs (c)(4)(i)(B) introductory text and (c)(4)(i)(C) and
(D), by removing the words ``one year'' and adding in their place the
words ``two years''.
0
b. In paragraph (c)(4)(ii)(C)(2)(i), by removing the words ``one-year''
each place they appear and adding in their place the words ``two-
year''.
0
c. In paragraph (c)(4)(ii)(C)(2)(ii) and note to paragraph
(c)(4)(ii)(C)(2), by removing the words ``the date that is one year
after October 1, 2020'' each place they appear and adding in their
place the words ``October 1, 2022''.
[FR Doc. 2021-20112 Filed 9-21-21; 8:45 am]
BILLING CODE 8320-01-P
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