Medicare and Medicaid Programs; Announcement of Applications From Hospitals Requesting Waivers for Organ Procurement Service Area

[[Page 24941]]

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[BPD-868-NC]

Medicare and Medicaid Programs; Announcement of Applications From

Hospitals Requesting Waivers for Organ Procurement Service Area

AGENCY: Health Care Financing Administration (HCFA), HHS.

ACTION: Notice with comment period.

-----------------------------------------------------------------------

SUMMARY: This notice announces applications which HCFA has received

since December 1, 1995, from hospitals requesting waivers from dealing

with their designated area organ procurement organizations (OPOs) in

accordance with section 1138(a)(2) of the Social Security Act. It

supplements a notice published in the Federal Register on January 19,

1996, that announced hospital waiver requests received by HCFA as of

December 1, 1995. Effective January 1, 1996, a hospital is required to

have an agreement with the OPO designated for the area in which it is

located unless HCFA grants it a waiver to have an agreement with an

alternative, out-of-area OPO. This notice requests comments from OPOs

and the general public for our consideration in determining whether

such a waiver should be granted.

DATES: Written comments will be considered if we receive them at the

appropriate address, as provided below, no later than 5:00 p.m. on July

16, 1996.

ADDRESSES: Mail written comments (one original and three copies) to the

following address: Health Care Financing Administration, Department of

Health and Human Services, Attention: BPD-868-NC, P.O. Box 7517,

Baltimore, MD 21244-0517.

If you prefer, you may deliver your written comments (one original

and three copies) to one of the following addresses:

Room 309-G, Hubert H. Humphrey Building, 200 Independence Avenue, SW.,

Washington, DC 20201, or

Room C5-09-26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

Because of staffing and resource limitations, we cannot accept

comments by facsimile (FAX) transmission. In commenting, please refer

to file code BPD-868-NC. Comments received timely will be available for

public inspection as they are received, generally beginning

approximately 3 weeks after publication of a document, in Room 309-G of

the Department's offices at 200 Independence Avenue SW., Washington,

DC, on Monday through Friday of each week from 8:30 a.m. to 5 p.m.

(phone: (202) 690-7890).

FOR FURTHER INFORMATION CONTACT: Mark A. Horney (410) 786-4554.

SUPPLEMENTARY INFORMATION:

I. Background

Section 1138(a)(1)(A)(iii) of the Social Security Act (the Act)

provides that a hospital or rural primary care hospital that

participates in the Medicare or Medicaid programs must establish

written protocols for the identification of potential organ donors.

Section 155 of the Social Security Act Amendments of 1994 (SSA '94)

(Public Law 103-432) amended section 1138 of the Act to require that

effective January 1, 1996, a hospital must notify the organ procurement

organization (OPO) designated for the service area in which it is

located of potential organ donors (sections 1138 (a)(1)(A)(iii) and

(a)(3)(B) of the Act). It must also have an agreement to do so only

with that designated OPO (sections 1138 (a)(1)(C) and (a)(3)(A)).

The statute also provides that the hospital may obtain a waiver of

these requirements from the Secretary. A waiver would allow the

hospital to have an agreement with an ``out-of-area'' OPO (section

1138(a)(2)) if it meets conditions specified in the statute (section

1138(a)(2)(A) (i) and (ii)).

The law further states that in granting a waiver, the Secretary

must determine that such a waiver: (1) Would be expected to increase

donation; and (2) will assure equitable treatment of patients referred

for transplants within the service area served by the designated OPO

and within the service area served by the out-of-area OPO (section

1138(a)(2)(A)). In making a waiver determination, the Secretary may

consider, among other factors: (1) Cost effectiveness; (2) improvements

in quality; (3) whether there has been any change in a hospital's

designated OPO service area due to the definition of metropolitan

statistical areas (MSAs); and (4) the length and continuity of a

hospital's relationship with the out-of-area OPO (section

1138(a)(2)(B)). Under section 1138(a)(2)(D) of the Act, the Secretary

is required to publish a notice of any waiver applications within 30

days of receiving the application and offer interested parties an

opportunity to comment in writing within 60 days of the published

notice. Section 155(a)(2) of SSA '94 provides that any hospital that

had an agreement with an out-of-area OPO on the date of enactment of

that legislation, October 31, 1994, may obtain a temporary or interim

waiver of the requirements of sections 1138 (a)(1)(A)(iii) and

(a)(1)(C). The statute requires that the hospital must have submitted a

waiver request to the Secretary by January 1, 1996. The statute

specifically provides that the hospital's existing agreement with the

out-of-area OPO would remain in effect pending the Secretary's final

determination under section 1138(a)(2) as to whether the hospital

should be granted a permanent waiver.

For hospitals that do not meet these conditions, but that entered

into agreements with out-of-area OPOs prior to January 1996, we have

established a similar process. Under our section 1138(a)(2) authority

to grant waivers if statutory conditions are met, we will make a

preliminary determination as to whether the hospital's request meets

the requirements of section 1138(a)(2)(A) (i) and (ii) based upon an

initial review of its waiver request. If we determine that the hospital

appears preliminarily to meet those standards, we will grant the

hospital a temporary, interim waiver while we consider further the

merits of the hospital's waiver request on a permanent basis. In the

meantime, the hospital may continue its relationship with the OPO with

which it has an agreement.

II. Hospital Requests for Waiver

In October 1995, we issued a Program Memorandum (Transmittal No. A-

95-11) that has been supplied to each hospital. This Program Memorandum

detailed the waiver process and discussed the information that may be

provided by hospitals requesting a waiver. We indicated that upon

receipt of the waiver requests, we would publish a Federal Register

notice to solicit public comments, as required by law (section

1138(a)(2)(D)).

We will then review the requests and comments received. During the

review process, we may consult on an as-needed basis with agencies

outside HCFA, including the Public Health Service's Division of

Transplantation, the United Network for Organ Sharing, and HCFA

regional offices. If necessary, we may request additional clarifying

information from the applying hospital or others. We then will make a

final determination on the waiver requests and notify the affected

hospitals and OPOs.

III. Hospitals That Requested Waivers

On January 19, 1996, we published in the Federal Register (61 FR

1389) a notice that announced the waiver applications that we had

initially received from hospitals. The January 1996 notice listed eight

hospitals that had agreements on October 31, 1994,

[[Page 24942]]

whose waiver requests had been received by December 1, 1995.

This notice supplements the January 1996 notice. It announces an

additional 148 hospital waiver requests that we have received. The

hospitals whose waiver applications were received after December 1,

1995 are listed below under three distinct groups.

The Group I listing includes the hospitals that submitted waiver

requests after December 1, 1995 and that had agreements with the

requested out-of-area OPO on or before October 31, 1994. This listing

includes 132 hospitals that requested waivers, by the name of the

facility, the city and state location of the facility, the requested

out-of-area OPO, and the currently designated area OPO.

Group I

--------------------------------------------------------------------------------------------------------------------------------------------------------

Name of facility City State Requested OPO \1\ Designated OPO \1\

--------------------------------------------------------------------------------------------------------------------------------------------------------

White River Medical Center..................... Batesville.............................. AR AROR MOMA

Corona Regional Medical Center................. Corona.................................. CA CARO CAOP

Sierra View District Hospital.................. Porterville............................. CA CADN CAOP

Mark Twain St. Joseph's Hospital............... San Andreas............................. CA CAGS CADN

Cedars-Sinai Medical Center.................... Los Angeles............................. CA CAOP CARO

Kaweah Delta Health Care District.............. Visalia................................. CA CADN CAOP

Tulare District Hospital....................... Tulare.................................. CA CADN CAOP

Lindsay District Hospital...................... Lindsay................................. CA CADN CAOP

Alta District Hospital......................... Dinuba.................................. CA CADN CAOP

Sharp HealthCare Murrieta...................... Murrieta................................ CA CASD CAOP

Sierra Valley District Hospital................ Loyalton................................ CA CAGS CADN

Colusa Community Hospital...................... Colusa.................................. CA CAGS (\2\)

Sutter Solano Medical Center................... Vallejo................................. CA CAGS CADN

Summit Medical Center.......................... Oakland................................. CA CAGS CADN

Indian Valley Hospital District................ Greenville.............................. CA CAGS CADN

Barstow Community Hospital..................... Barstow................................. CA CARO CAOP

Bear Valley Community Hospital................. Big Bear Lake........................... CA CARO CAOP

Chino Valley Medical Center.................... Chino................................... CA CARO CAOP

Community Hospital of San Bernadino............ San Bernadino........................... CA CARO CAOP

Corona Regional Medial Center.................. Corona.................................. CA CARO CAOP

Desert Hospital................................ Palm Springs............................ CA CARO CAOP

Desert Valley Hospital......................... Victorville............................. CA CARO CAOP

Eisenhower Memorial Hospital................... Rancho Mirage........................... CA CARO CAOP

Hi-Desert Medical Center....................... Joshua Tree............................. CA CARO CAOP

Kaiser Foundation Hospitals.................... Riverside............................... CA CARO CAOP

Kaiser Foundation Hospitals.................... Fontana................................. CA CARO CAOP

Mountains Community Hospital................... Lake Arrowhead.......................... CA CARO CAOP

Parkview Community Hospital Medical Center..... Riverside............................... CA CARO CAOP

Ridgecrest Community Hospital.................. Ridgecrest.............................. CA CARO CAOP

Riverside Community Hospital................... Riverside............................... CA CARO CAOP

San Antonio Community Hospital................. Upland.................................. CA CARO CAOP

St. Bernardine Medical Center.................. San Bernardino.......................... CA CARO CAOP

St. Mary Regional Medical Center............... Apple Valley............................ CA CARO CAOP

Valley Health System........................... Hemet................................... CA CARO CAOP

Victor Valley Community Hospital............... Victorville............................. CA CARO CAOP

Antelope Valley Hospital....................... Lancaster............................... CA CAOP CARO

Bellwood General Hospital...................... Bellflower.............................. CA CAOP CARO

Beverly Hospital............................... Montebello.............................. CA CAOP CARO

Brotman Medical Center......................... Culver City............................. CA CAOP CARO

California Hospital Medical Center............. Los Angeles............................. CA CAOP CARO

Century City Hospital.......................... Los Angeles............................. CA CAOP CARO

Charter Community Hospital..................... Hawaiian Gardens........................ CA CAOP CARO

Childrens Hospital............................. Los Angeles............................. CA CAOP CARO

Daniel Freeman Marina Hospital................. Marina del Rey.......................... CA CAOP CARO

Daniel Freeman Memorial Hospital............... Inglewood............................... CA CAOP CARO

Desert Palms Community Hospital................ Palmdale................................ CA CAOP CARO

Doctors Hospital of West Covina................ West Covina............................. CA CAOP CARO

Garfield Medical Center........................ Monterey Park........................... CA CAOP CARO

Henry Mayo Newhall Memorial Hospital........... Valencia................................ CA CAOP CARO

High Desert Hospital........................... Lancaster............................... CA CAOP CARO

Huntington East Valley Hospital................ Glendora................................ CA CAOP CARO

Lakewood Regional Medical Center............... Lakewood................................ CA CAOP CARO

Lancaster Community Hospital................... Lancaster............................... CA CAOP CARO

Lincoln Hospital............................... Los Angeles............................. CA CAOP CARO

Little Company of Mary Hospital................ Torrance................................ CA CAOP CARO

Long Beach Memorial Medical Center/Miller Long Beach.............................. CA CAOP CARO

Childrens Hospital.

Monterey Park Hospital......................... Monterey Park........................... CA CAOP CARO

Orthopaedic Hospital........................... Los Angeles............................. CA CAOP CARO

Pacific Alliance Medical Center................ Los Angeles............................. CA CAOP CARO

Pacific Hospital of Long Beach................. Long Beach.............................. CA CAOP CARO

Pioneer Hospital............................... Artesia................................. CA CAOP CARO

Presbyterian Intercommunity Hospital........... Whittier................................ CA CAOP CARO

Queen of the Valley Hospital................... West Covina............................. CA CAOP CARO

[[Page 24943]]

Santa Marta Hospital........................... Los Angeles............................. CA CAOP CARO

St. Francis Medical Center..................... Lynwood................................. CA CAOP CARO

St. Joseph Medical Center...................... Burbank................................. CA CAOP CARO

St. Vincent Medical Center..................... Los Angeles............................. CA CAOP CARO

Temple Community Hospital...................... Los Angeles............................. CA CAOP CARO

USC University Hospital........................ Los Angeles............................. CA CAOP CARO

White Memorial Medical Center.................. Los Angeles............................. CA CAOP CARO

Woodruff Community Hospital.................... Long Beach.............................. CA CAOP CARO

Day Kimball Hospital........................... Putnam.................................. CT CTHH MAOB

Windham Hospital............................... Willimantic............................. CT CTHH MAOB

Veterans Memorial Medical Center............... Meriden................................. CT CTHH MAOB

Martin Memorial Medical Center, Inc............ Stuart.................................. FL FLWC FLMP

Hendry General Hospital........................ Clewiston............................... FL FLSW FLMP

Phoebe Putney Memorial Hospital................ Albany.................................. GA GALL GAMC

Palmyra Medical Centers........................ Albany.................................. GA GALL GAMC

St. Francis Hospital........................... Columbus................................ GA GALL ALOB

Meadows Regional Medical Center................ Vidalia................................. GA GALL GAMC

Doctors Hospital............................... Columbus................................ GA GALL ALOB

Hughston Sports Medicine Hospital.............. Columbus................................ GA GALL ALOB

The Medical Center, Inc........................ Columbus................................ GA GALL ALOB

Athens Regional Medical Center................. Athens.................................. GA GALL GAMC

Davenport Medical Center....................... Davenport............................... IA IAOP ILIP

Genesis Medical Center......................... Davenport............................... IA IAOP ILIP

Jennie Edmundson Memorial Hospital............. Council Bluffs.......................... IA IAOP NEOR

Swedish American Hospital...................... Rockford................................ IL WIUW ILIP

Saint Anthony Medical Center................... Rockford................................ IL WIUW ILIP

Porter Memorial Hospital....................... Valparaiso.............................. IN INOP ILIP

Franklin Medical Center........................ Greenfield.............................. MA CTHH MAOB

Mary Lane Hospital............................. Ware.................................... MA CTHH MAOB

Baystate Medical Center........................ Springfield............................. MA CTHH MAOB

Calvert Memorial Hospital...................... Prince Frederick........................ MD MDPC DCTC

Union Hospital................................. Elkton.................................. MD MDPC PADV

Frederick Memorial Hospital.................... Frederick............................... MD MDPC DCTC

Marquette General Hospital..................... Marquette............................... MI WIUW MIOP

Lester E. Cox Medical Center................... Springfield............................. MO MOMA MWOB

St. John's Regional Health Center.............. Springfield............................. MO MOMA MWOB

Skaggs Community Health Center................. Branson................................. MO MOMA MWOB

Warren Hospital................................ Philipsburg............................. NJ NJTO PADV

Our Lady of Lourdes Medical Center............. Camden.................................. NJ NJTO PADV

Cooper Hospital/University Medical Center...... Camden.................................. NJ NJTO PADV

Saint Mary's Regional Medical Center........... Reno.................................... NV CADN NVLV

Washoe Health System........................... Reno.................................... NV CADN NVLV

Arnot Ogden Medical Center..................... Elmira.................................. NY NYFL PATF

Hempstead General Hospital Medical Center...... Hempstead............................... NY NYRT NYSB

Long Beach Medical Center...................... Long Beach.............................. NY NYRT NYSB

St. Francis Hospital........................... Roslyn.................................. NY NYRT NYSB

North Shore University Hospital................ Manhassett.............................. NY NYRT NYSB

Hardin Memorial Hospital....................... Kenton.................................. OH OHLP OHLC

Mercy Hospital................................. Willard................................. OH OHLP OHLB

Mercy Medical Center........................... Springfield............................. OH OHLP OHLC

Hood General Hospital.......................... Gransbury............................... TX TXGC TXSB

St. Michael Health Care Center................. Texarkana............................... TX AROR TXSB

Darnall Army Community Hospital................ Fort Hood............................... TX TXSA TXSB

Metroplex Hospital............................. Killeen................................. TX TXSA TXSB

Parkview Regional Hospital..................... Mexia................................... TX TXGC TXSB

Harris Methodist Erath County Hospital......... Stephenville............................ TX TXGC TXSB

Hamilton General Hospital...................... Hamilton................................ TX TXGC TXSB

Palo Pinto General Hospital.................... Mineral Wells........................... TX TXGC TXSB

Glen Rose Medical Center....................... Glen Rose............................... TX TXGC TXSB

Decatur Community Hospital..................... Decatur................................. TX TXGC TXSB

Silsbee Doctors Hospital....................... Silsbee................................. TX TXGC TXSB

Nan Travis Memorial Hospital................... Jacksonville............................ TX TXGC TXSB

Memorial Medical Center........................ Port Lavaca............................. TX TXGC TXSB

Clinch Valley Medical Center................... Richlands............................... VA TNET VAOP

Luther/Midelfort Mayo Health System............ Eau Claire.............................. WI MNOP WIUW

Door County Memorial Hospital.................. Sturgeon Bay............................ WI WISE WIUW

Appleton Medical Center........................ Appleton................................ WI WIUW WISE

Potomac Valley Hospital........................ Keyser.................................. WV PATF MDPC

Weirton Medical Center......................... Weirton................................. WV PATF OHLP

--------------------------------------------------------------------------------------------------------------------------------------------------------

\1\ See Section IV of this notice for keys to the OPO codes and the addresses of the OPOs.

[[Page 24944]]

\2\ Area not designated.

The Group II listing includes the 11 hospitals that submitted

waiver applications after December 1, 1995, and that did not have

agreements with the requested out-of-area OPOs on October 31, 1994, but

did enter into agreements with the requested OPOs prior to January 1,

1996. We are granting the 11 hospitals included in the Group II listing

``interim waivers'' pending receipt of public comments and our complete

review of those comments.

Section 1138(a)(2)(A) of the Act requires that a waiver can be

granted only if it is expected to increase donations and equitable

treatment of patients referred for transplant within the service area

served by the hospital's designated OPO and within the service area

served by the OPO with which the hospital seeks to have an agreement

under the waiver. These 11 hospitals requesting waiver have asserted

that they meet these standards and have provided specific information

to support their claims. We have determined on initial review that

these hospitals satisfy the statutory criteria for waiver. We have also

determined that to force these hospitals to change from their existing

OPO arrangements to their designated OPO during our full consideration

of the waiver request could disrupt services provided by hospitals and

OPOs, impairing their working relationships, and ultimately possibly

eroding the supply of organs for the growing list of people awaiting

transplant. In accordance with section 1138(a)(2)(D) of the Act, we are

publishing a listing of these providers' requests for waiver and are

requesting comments on the requests for waiver before making a final

determination.

Group II

----------------------------------------------------------------------------------------------------------------

Designated

Name of facility City State Requested OPO 1 OPO1

----------------------------------------------------------------------------------------------------------------

Community Hospital of Sonoma County....... Santa Rosa............ CA CAGS CADN

Santa Rose Memorial Hospital.............. Santa Rosa............ CA CAGS CADN

New Milford Hospital...................... New Milford........... CT CTHH NYRT

Noble Hospital............................ Westfield............. MA CTHH MAOB

Citizens Memorial Hospital................ Bolivar............... MO MOMA MWOB

Springfield Community Hospital and Clinic. Springfield........... MO MOMA MWOB

Lima Memorial Hospital.................... Lima.................. OH OHLP OHLC

St. Rita's Medical Center................. Lima.................. OH OHLP OHLC

War Memorial Hospital..................... Berkeley Springs...... WV VAOP PATF

Carson-Tahoe Hospital..................... Carson City........... NV CADN NVLV

Jackson General Hospital.................. Ripley................ WV OHLP PATF

----------------------------------------------------------------------------------------------------------------

1 See Section IV of this notice for keys to the OPO codes and the addresses of the OPOs.

The Group III listing includes the five hospitals that submitted

waiver applications after December 1, 1995, and that did not enter an

agreement with the requested OPOs, but are desirous of changing OPOs.

The five hospitals in the Group III listing did not have agreements on

October 31, 1994, nor did they enter into an agreement by January 1,

1996. These hospitals have submitted requests for change on a

prospective basis. Upon receipt of public comments and our review of

the comments, HCFA will make a determination of each hospital's

request. Any approval of these requests will be prospective. The

hospitals have already been informed that their waivers approvals, if

granted, will be on a prospective basis.

Group III

----------------------------------------------------------------------------------------------------------------

Name of facility City State Requested OPO 1 Designated OPO

--------------------------------------------------------------------------------------------------------1-------

VacaValley Hospital....................... Vacaville............. CA CAGS CADN

NorthBay Medical Center................... Fairfield............. CA CAGS CADN

St. Joseph Hospital....................... Eureka................ CA CAGS CADN

Redwood Memorial Hospital................. Fortuna............... CA CAGS CADN

Rockford Memorial Hospital................ Rockford.............. IL WIUW ILIP

----------------------------------------------------------------------------------------------------------------

1 See Section IV of this notice for keys to the OPO codes, and the addresses of the OPOs.

IV. Keys to the OPO Codes

The keys to the acronyms used in the Group I, II and III listings

to identify OPOs and the OPOs' addresses are as follows:

------------------------------------------------------------------------

OPO code OPO name and address

------------------------------------------------------------------------

ALOB............................ ALABAMA ORGAN CENTER, 301 South 20th

Street, Suite 1001, Birmingham, AL

35233.

AROR............................ ARKANSAS REGIONAL ORGAN RECOVERY

AGENCY, 1100 N. University, Suite

200, Little Rock, AR 72207.

AZOB............................ DONOR NETWORK OF ARIZONA, 3877 North

Seventh Street, Phoenix, AZ 85014.

CADN............................ CALIFORNIA TRANSPLANT DONOR NETWORK,

55 Francisco Street, Suite 510, San

Francisco, CA 94133-2115.

CAGS............................ GOLDEN STATE TRANSPLANT SERVICES, 1760

Creekside Oaks Drive, Suite 160,

Sacramento, CA 95833.

CAOP............................ SOUTHERN CALIFORNIA ORGAN PROCUREMENT

CENTER, 2100 W. 3rd Street, Suite

350, Los Angeles, CA 90057.

CARO............................ REGIONAL ORGAN PROCUREMENT AGENCY OF

SOUTHERN CALIFORNIA, 10920 Wiltshire

Blvd., Suite 910, Los Angeles, CA

90024-6511.

[[Page 24945]]

CASD............................ ORGAN AND TISSUE ACQUISITION CENTER OF

SOUTHERN CALIFORNIA, 3500 Fifth

Avenue, Suite 203, San Diego, CA

92103.

CORS............................ COLORADO ORGAN RECOVERY SYSTEMS, INC.,

3773 Cherry Creek North Drive, Suite

601, Denver, CO 80209.

CTHH............................ NORTHEAST OPO AND TISSUE BANK,

Hartford Hospital, 80 Seymour Street,

Hartford, CT 06102-5037.

DCTC............................ WASHINGTON REGIONAL TRANSPLANT

CONSORTIUM, 8110 Gatehouse Road,

Suite 101 W, Falls Church, VA 22042.

FLFH............................ TRANSLIFE, 2501 North Orange Avenue,

Suite 40, Orlando, FL 32804.

FLWC............................ LIFELINK OF FLORIDA, 2111 West Swann

Avenue, Tampa, FL 33606-2486.

FLMP............................ UNIVERSITY OF MIAMI OPO, University of

Miami School of Medicine, P.O. Box

016310, Miami, FL 33101.

FLSW............................ LIFELINK OF SOUTHWEST FLORIDA, 12573

New Brittany Blvd., Bldg. 23, Ft.

Myers, FL 33907.

FLUF............................ THE OPO AT UNIVERSITY OF FLORIDA, PO

Box 100286, Gainesville, FL 32610-

0286.

GALL............................ LIFELINK OF GEORGIA, 3715 Northside

Parkway, 100 Northcreek, Suite 300,

Atlanta, GA 30327.

GAMC............................ MEDICAL COLLEGE OF GEORGIA ORGAN AND

TISSUE DONOR SERVICES, BA-S1600, 1120

15th Street, Augusta, GA 30912.

HIOP............................ ORGAN DONOR CENTER OF HAWAII, 1000

Bishop Street, Honolulu, HI 96813.

IAOP............................ IOWA STATEWIDE ORGAN PROCUREMENT

ORGANIZATION, 1165 S. Riverside

Drive, Iowa City, IA 52246.

ILIP............................ REGIONAL ORGAN BANK OF ILLINOIS, 800

South Wells, Suite 190, Chicago, IL

60607.

INOP............................ INDIANA ORGAN PROCUREMENT

ORGANIZATION, INC., 719 Indiana

Avenue, Suite 100, Indianapolis, IN

46202.

KYDA............................ KENTUCKY ORGAN DONOR AFFILIATES, 305

West Broadway, Suite 316, Louisville,

KY 40402.

LAOP............................ LOUISIANA ORGAN PROCUREMENT AGENCY,

3501 N. Causeway Blvd., #940,

Metaire, LA 70002-3626.

MAOB............................ NEW ENGLAND ORGAN BANK, INC., One

Gateway Center, Newton, MA 02158.

MDPC............................ TRANSPLANT RESOURCE CENTER OF

MARYLAND, 1540 Canton Center Drive,

Suite R, Baltimore, MD 21227.

MIOP............................ ORGAN PROCUREMENT AGENCY OF MICHIGAN,

2203 Platt Road, Ann Arbor, MI 48104.

MNOP............................ LIFESOURCE, UPPER MIDWEST ORGAN

PROCUREMENT ORGANIZATION, INC., 2550

University Avenue West, Suite 315

South, St. Paul, MN 55114-1904.

MOMA............................ MID-AMERICA TRANSPLANT ASSOCIATION,

1139 Olivette Executive Parkway, St.

Louis, MO 63132.

MSOP............................ MISSISSIPPI ORGAN RECOVERY AGENCY,

INC., 12 River Bend Place, Suite B,

Jackson, MS 39208.

MWOB............................ MIDWEST ORGAN BANK, 1900 W 47th Place,

Suite 400, Westwood, KS 66205.

NCBG............................ CAROLINA LIFE CARE, North Carolina

Baptist Hospitals, Inc., Medical

Center Boulevard, Winston-Salem, NC

27157.

NCCM............................ LIFE SHARE OF THE CAROLINAS, Carolinas

Medical Center, P.O. Box 32861,

Charlotte, NC 28232.

NCNC............................ CAROLINA ORGAN PROCUREMENT, 702 Johns

Hopkins Drive, Greenville, NC 27834.

NEOR............................ NEBRASKA ORGAN RETRIEVAL SYSTEM, INC.,

4060 Vinton Street, Suite 200, Omaha,

ME 68105.

NJTO............................ NEW JERSEY ORGAN & TISSUE SHARING

NETWORK, 150 Morris Avenue,

Springfield, NJ 07081.

NMOP............................ NEW MEXICO DONOR PROGRAM, 2715

Broadbent Parkway NE., Suite J,

Albuquerque, NM 87107.

NVLV............................ NEVADA DONOR NETWORK, 4580

Southeastern Avenue, Suite 33, Las

Vegas, NV 89119.

NYAP............................ OPO OF ALBANY MEDICAL COLLEGE, 47 New

Scotland Avenue, AP8, Albany, NY

12208.

NYFL............................ UNIVERSITY OF ROCHESTER ORGAN

PROCUREMENT PROGRAM, 601 Elmwood

Avenue, P.O. Box Surgery, Rochester,

NY 14642.

NYRT............................ NEW YORK REGIONAL TRANSPLANT PROGRAM,

475 Riverside Drive--Suite 1244, New

York, NY 10115.

NYSB............................ LONG ISLAND TRANSPLANT PROGRAM

UNIVERSITY HOSPITAL OPO, State

University of New York at Stony

Brook, Stony Brook, NY 11794.

NYWN............................ UPSTATE NEW YORK TRANSPLANT SERVICES,

INC., 165 Genesee Street Suite 102,

Buffalo, NY 14209.

OHLB............................ LIFEBANC, 20600 Chagrin Blvd., Suite

350, Cleveland, OH 44122.

OHLC............................ LIFE CONNECTION OF OHIO, 1545 Holland

Road, Suite C, Maumme, OH 43537.

OHLP............................ LIFELINE OF OHIO, 770 Kinnear Road,

Suite 200, Columbus, OH 43212.

OHOV............................ OHIO VALLEY LIFE CENTER, 2939 Vernon

Place, Cincinnati, OH 45219-2430.

OKOP............................ OKLAHOMA ORGAN SHARING NETWORK, INC.,

5801 N. Broadway, Suite 100, Oklahoma

City, OK.

ORUO............................ PACIFIC NORTHWEST TRANSPLANT BANK,

2611 SW Third, Suite 320, Portland,

OR 97201-4952.

PADV............................ DELAWARE VALLEY TRANSPLANT PROGRAM,

2000 Hamilton Street, Suite 201,

Philadelphia, PA 19130.

PATF............................ CENTER FOR ORGAN RECOVERY AND

EDUCATION, 204 Sigma Drive, RIDC

Park, Pittsburgh, PA 15238.

PRLL............................ LIFELINK OF PUERTO RICO, LIFELINK

FOUNDATION, INC., Texaco Plaza/Metro

Office Park, 2 Calle 1, Suite 411,

Guaynabo, PR 00968.

SCOP............................ SOUTH CAROLINA ORGAN PROCUREMENT

AGENCY, 1064 Gardner Road, Suite 105,

Charleston, SC 29407.

TNDS............................ TENNESSEE DONOR SERVICES, 1714 Hayes

Street, Nashville, TN 37203.

TNET............................ LIFE RESOURCES DONOR CENTER, 2812

McKinley Road, Johnson City, TN

37604.

TNMS............................ MID-SOUTH TRANSPLANT FOUNDATION, 956

Court Avenue, Memphis, TN 38163.

TXGC............................ LIFE GIFT ORGAN DONATION CENTER, 5615

Kirby Drive, Suite 900, Houston, TX

77005.

TXSA............................ SOUTH TEXAS ORGAN BANK, 8122 Datapoint

Drive, Suite 1150, San Antonio, TX

78229.

TXSB............................ SOUTHWEST ORGAN BANK, 3500 Maple

Avenue, Suite 800, Dallas, TX 75219.

UTOP............................ INTERMOUTAIN ORGAN RECOVERY SYSTEMS,

230 South 500 East, Suite 290, Salt

Lake, UT 84102.

VAOP............................ VIRGINIA ORGAN PROCUREMENT AGENCY,

1527 Huguenot Road, Midlothian, VA

23113.

VATB............................ LIFE NET, 5809 Ward Court, Virginia

Beach, VA 23455.

WANW............................ NORTHWEST ORGAN PROCUREMENT AGENCY,

700 Broadway, Seattle, WA 98122.

[[Page 24946]]

WASH............................ SACRED HEART ORGAN PROCUREMENT AGENCY,

West 101 Eighth Avenue, TAF-C9,

Spokane, WA 99220-4045.

WISE............................ WISCONSIN DONOR NETWORK, Froedtert

Memorial Lutheran Hospital, 9200 W.

Wisconsin Avenue, Milwaukee, WI

53226.

WIUW............................ UNIVERSITY OF WISCONSIN OPO,

University of Wisconsin Hospital and

Clinics, 600 Highland Avenue,

Madison, WI 53792.

------------------------------------------------------------------------

This notice does not contain any paperwork burden that is subject

to approval by the Office of Management and Budget under the Paperwork

Reduction Act of 1995. The form used by hospitals to request waivers of

designated OPOs is currently approved by the Office of Management and

Budget under 0938-0580, with an expiration date of March 31, 1998.

Authority: Section 1138 of the Social Security Act (42 U.S.C.

1320b-8).

(Catalog of Federal Domestic Assistance Program No. 93.778, Medical

Assistance Program; No. 93.773 Medicare--Hospital Insurance Program;

and No. 93.774, Medicare--Supplementary Medical Insurance Program)

Dated: April 22, 1996.

Thomas A. Ault,

Director, Bureau of Policy Development, Health Care Financing

Administration.

[FR Doc. 96-12463 Filed 5-16-96; 8:45 am]

BILLING CODE 4120-01-P