type: legislation

jurisdiction: EU

text:
 2.7.2019
 NL
 Publicatieblad van de Europese Unie
 L 177/81
 UITVOERINGSVERORDENING (EU) 2019/1126 VAN DE COMMISSIE
 van 25 juni 2019
 tot inschrijving van een naam in het register van beschermde oorsprongsbenamingen en beschermde geografische aanduidingen “Jambon du Kintoa” (BOB)
 DE EUROPESE COMMISSIE,
 Gezien het Verdrag betreffende de werking van de Europese Unie,
 Gezien Verordening (EU) nr. 1151/2012 van het Europees Parlement en de Raad van 21 november 2012 inzake kwaliteitsregelingen voor landbouwproducten en levensmiddelen (1), en met name artikel 52, lid 2,
 Overwegende hetgeen volgt:
 (1)
 Overeenkomstig artikel 50, lid 2, onder a), van Verordening (EU) nr. 1151/2012 is de door Frankrijk ingediende aanvraag tot registratie van de naam “Jambon du Kintoa” bekendgemaakt in het Publicatieblad van de Europese Unie (2).
 (2)
 Aangezien bij de Commissie geen bezwaren zijn ingediend overeenkomstig artikel 51 van Verordening (EU) nr. 1151/2012, moet de naam “Jambon du Kintoa” worden ingeschreven in het register van beschermde oorsprongsbenamingen en beschermde geografische aanduidingen,
 HEEFT DE VOLGENDE VERORDENING VASTGESTELD:
 Artikel 1
 De naam “Jambon du Kintoa” (BOB) wordt ingeschreven in het register van beschermde oorsprongsbenamingen en beschermde geografische aanduidingen.
 Met de in de eerste alinea vermelde naam wordt een product aangeduid van categorie 1.2 “Vleesproducten (verhit, gepekeld, gerookt enz.)” als opgenomen in bijlage XI bij Uitvoeringsverordening (EU) nr. 668/2014 van de Commissie (3).
 Artikel 2
 Deze verordening treedt in werking op de twintigste dag na die van de bekendmaking ervan in het Publicatieblad van de Europese Unie.
 Deze verordening is verbindend in al haar onderdelen en is rechtstreeks toepasselijk in elke lidstaat.
 Gedaan te Brussel, 25 juni 2019.
 Voor de Commissie,
 namens de voorzitter,
 Phil HOGAN
 Lid van de Commissie
 (1) PB L 343 van 14.12.2012, blz. 1.
 (2) PB C 36 van 29.1.2019, blz. 19.
 (3) Uitvoeringsverordening (EU) nr. 668/2014 van de Commissie van 13 juni 2014 houdende uitvoeringsbepalingen van Verordening (EU) nr. 1151/2012 van het Europees Parlement en de Raad inzake kwaliteitsregelingen voor landbouwproducten en levensmiddelen (PB L 179 van 19.6.2014, blz. 36).


type: contracts

text:
 26.10.2012
 GA
 Iris Oifigiúil an Aontais Eorpaigh
 1
 PRÓTACAL (Uimh. 1)
 MAIDIR LE RÓL NA bPARLAIMINTÍ NÁISIÚNTA SAN AONTAS EORPACH
 TÁ NA hARDPHÁIRTITHE CONARTHACHA,
 AG MEABHRÚ DÓIBH gur ceist a bhaineann le heagrúchán agus le cleachtas bunreachtúil gach Ballstáit é an dóigh a ndéanann na Parlaimintí náisiúnta grinnscrúdú ar a rialtas féin i ndáil le gníomhaíochtaí an Aontais Eorpaigh,
 ÓS MIAN LEO níos mó rannpháirtíocht i ngníomhaíochtaí an Aontais Eorpaigh a chothú sna Parlaimintí náisiúnta agus feabhas a chur ar a n-ábaltacht a ndearcadh a nochtadh ar dhréachtghníomhartha reachtacha an Aontais Eorpaigh agus ar ábhair eile a bhfuil suim ar leith acu iontu,
 TAR ÉIS COMHAONTÚ ar na forálacha seo a leanas, a chuirfear i gceangal leis an gConradh ar an Aontas Eorpach, leis an gConradh ar Fheidhmiú an Aontais Eorpaigh agus leis an gConradh ag bunú an Chomhphobail Eorpaigh do Fhuinneamh Adamhach:
 TEIDEAL I
 FAISNÉIS LE hAGHAIDH NA bPARLAIMINTÍ NÁISIÚNTA
 Airteagal 1
 Cuirfidh an Coimisiún gach doiciméad comhairliúcháin dá chuid (páipéir ghlasa, páipéir bhána agus cumarsáidí) chuig na Parlaimintí náisiúnta go díreach ar iad a fhoilsiú. Cuirfidh an Coimisiún an clár reachtach bliantúil mar aon le gach ionstraim eile a bhaineann le pleanáil reachtach nó beartas chuig na Parlaimintí náisiúnta freisin san am céanna a gcuirfear chuig Parlaimint na hEorpa agus chuig an gComhairle iad.
 Airteagal 2
 Dréachtghníomhartha reachtacha a chuirfear chuig Parlaimint na hEorpa agus chuig an gComhairle, cuirfear chuig na Parlaimintí náisiúnta iad.
 Chun críocha an Phrótacail seo, ciallaíonn “dréachtghníomhartha reachtacha” tograí ón gCoimisiún, tionscnaimh ó ghrúpa Ballstát, tionscnaimh ó Pharlaimint na hEorpa, iarrataí ón gCúirt Bhreithiúnais, moltaí ón mBanc Ceannais Eorpach agus iarrataí ón mBanc Eorpach Infheistíochta, d'fhonn gníomh reachtach a ghlacadh.
 Dréachtghníomhartha reachtacha a eascróidh ón gCoimisiún, cuirfidh an Coimisiún go díreach chuig na Parlaimintí náisiúnta iad san am céanna a gcuirfear chuig Parlaimint na hEorpa agus chuig an gComhairle iad.
 Dréachtghníomhartha reachtacha a eascróidh ó Pharlaimint na hEorpa, cuirfidh Parlaimint na hEorpa go díreach chuig na Parlaimintí náisiúnta iad.
 Dréachtghníomhartha reachtacha a eascróidh ó ghrúpa Ballstát, ón gCúirt Bhreithiúnais, ón mBanc Ceannais Eorpach nó ón mBanc Eorpach Infheistíochta, cuirfidh an Chomhairle chuig na Parlaimintí náisiúnta iad.
 Airteagal 3
 Féadfaidh na Parlaimintí náisiúnta tuairim réasúnaithe a chur chuig Uachtarán Pharlaimint na hEorpa, chuig Uachtarán na Comhairle agus chuig Uachtarán an Choimisiúin á rá an gcomhlíonann dréachtghníomh reachtach prionsabal na coimhdeachta, de réir an nós imeachta a leagtar síos sa Phrótacal maidir le prionsabail na coimhdeachta agus na comhréireachta a chur i bhfeidhm.
 Más ó ghrúpa Ballstát a eascraíonn an dréachtghníomh reachtach, cuirfidh Uachtarán na Comhairle an tuairim nó na tuairimí réasúnaithe chuig rialtais na mBallstát sin.
 Más ón gCúirt Bhreithiúnais, ón mBanc Ceannais Eorpach nó ón mBanc Eorpach Infheistíochta a eascraíonn an dréachtghníomh reachtach, cuirfidh Uachtarán na Comhairle an tuairim nó na tuairimí réasúnaithe chuig an institiúid nó chuig an gcomhlacht i dtrácht.
 Airteagal 4
 Rachaidh tréimhse ocht seachtaine in éag idir an dáta a gcuirfear dréachtghníomh reachtach ar fáil do na Parlaimintí náisiúnta i dteangacha oifigiúla an Aontais agus an dáta a gcuirfear ar chlár oibre sealadach na Comhairle é lena ghlacadh nó le seasamh a ghlacadh faoi chuimsiú nós imeachta reachtaigh. Féadfaidh eisceachtaí i gcásanna práinne a bheith ann a sonrófar na cúiseanna atá leo i ngníomh nó i seasamh na Comhairle. Ach amháin i gcásanna práinneacha a bhfuil cúiseanna cuí tugtha ina leith, ní fhéadfar teacht ar aon chomhaontú ar dhréachtghníomh reachtach le linn na n-ocht seachtaine sin. Ach amháin i gcásanna práinneacha a bhfuil cúiseanna cuí tugtha ina leith, rachaidh tréimhse deich lá in éag idir dréachtghníomh reachtach a chur ar chlár oibre sealadach na Comhairle agus seasamh a ghlacadh.
 Airteagal 5
 Na cláir oibre do chruinnithe na Comhairle mar aon le torthaí na gcruinnithe sin, lena n-áirítear miontuairiscí na gcruinnithe ina mbíonn dréachtghníomhartha reachtacha á bplé ag an gComhairle, cuirfear go díreach chuig na Parlaimintí náisiúnta san am céanna a gcuirfear chuig rialtais na mBallstát iad.
 Airteagal 6
 Nuair a bheidh sé ar intinn ag an gComhairle Eorpach leas a bhaint as an gcéad fhomhír nó as an dara fomhír d'Airteagal 48(7) den Chonradh ar an Aontas Eorpach, cuirfear na Parlaimintí náisiúnta ar an eolas faoin tionscnamh ón gComhairle Eorpach sé mhí ar a laghad sula nglacfar aon chinneadh.
 Airteagal 7
 Cuirfidh an Chúirt Iniúchóirí a tuarascáil bhliantúil chuig na Parlaimintí náisiúnta mar eolas san am céanna a gcuirfear chuig Parlaimint na hEorpa agus chuig an gComhairle í.
 Airteagal 8
 Nuair nach seomra amháin atá sa chóras parlaiminteach náisiúnta, beidh feidhm ag Airteagail 1 go 7 maidir le seomraí a chomhdhéanta.
 TEIDEAL II
 COMHAR IDIRPHARLAIMINTEACH
 Airteagal 9
 Cinnfidh Parlaimint na hEorpa agus na Parlaimintí náisiúnta i gcomhar le chéile conas an comhar idirpharlaiminteach a eagrú agus a chur chun cinn go héifeachtúil tráthrialta san Aontas.
 Airteagal 10
 Féadfaidh Comhdháil de na Coistí Parlaiminteacha um Ghnóthaí an Aontais aon rannchuidiú a mheasann sí is iomchuí a chur i láthair Pharlaimint na hEorpa, na Comhairle agus an Choimisiúin. Ina theannta sin, cuirfidh an Chomhdháil sin chun cinn malartú faisnéise agus dea-chleachtais idir na Parlaimintí náisiúnta agus Parlaimint na hEorpa, go fiú idir a gcoistí speisialta. Féadfaidh sí comhdhálacha idirpharlaiminteacha a eagrú freisin ar théamaí sonracha, go háirithe chun ábhair a phlé a bhaineann leis an gcomhbheartas eachtrach agus slándála, lena n-áirítear an comhbheartas slándála agus cosanta. Ní bheidh rannchuidithe ón gComhdháil ina gceangal ar na Parlaimintí náisiúnta ná ní dhéanfaidh siad réamhbhreith ar a seasaimh.


text:
 Avviż Legali Importanti
 |
 22004A0316(01)
 Official Journal L 078 , 16/03/2004 P. 0024 - 0031
 ANNESS IProtokoll ta' l-2003 għall-Konvenzjoni Internazzjonali ta' l-1992 dwar l-Istabbiliment ta' Fond Internazzjonali għal Kumpens għal Ħsara mit-Tinġis biż-ŻejtL-ISTATI KONTRAENTI GĦALL-PROTOKOLL PREŻENTI,WAQT LI JŻOMMU PREŻENTI l-Konvenzjoni Internazzjonali ta' l-1992 dwar ir-Responsabbiltà Ċivili għall-Ħsara mit-Tniġġis biż-Żejt (hawnhekk iżjed 'il quddiem imsejħa l-Konvenzjoni dwar ir-Responsabbiltà ta' l-1992),WARA LI KKUNSIDRAW il-Konvenzjoni Internazzjonali ta' l-1992 dwar l-Istabbiliment ta' Fond Internazzjonali għal Kumpens għal Ħsara mit-Tinġis biż-Żejt (hawnhekk iżjed 'il quddiem imsejħa l-Konvenzjoni dwar il-Fond ta' l-1992),WAQT LI JAFFERMAW l-importanza taż-żamma tal-vijabilità tas-sistema internazzjonali dwar ir-responsabbiltà ċivili u kumpens għal tinġis biż-żejt,WAQT LI JINNOTAW li l-kumpens massimu msemmi fil-Konvenzjoni dwar il-Fond ta' l-1992 jista' jkun insuffiċjenti biex jissoddisfa l-ħtiġiet ta' kumpens f'ċerti ċirkustanzi f'xi Stati Kontraenti għal dik il-Konvenzjoni,WAQT LI JIRRIKONOXXU li numru ta' Stati Kontraenti għall-Konvenzjonijiet dwar ir-Responsabbiltà ta' l-1992 u dwar il-Fond ta' l-1992 jikkunsidraw li hi kwistjoni ta' urġenza li jkun hemm disponibbli fondi addizzjonali għal kumpens permezz ta' ħolqien ta' skema supplimentari li l-Istati jistgħu jingħaqdu fiha jekk jixtiequ hekk,WAQT LI JEMMNU li l-iskema supplimentari għandha tfittex li tiżgura li vittmi ta' ħsara mit-tinġiż biż-żejt jingħataw kumpens sħiħ għat-telfa jew ħsara tagħhom u għandha wkoll ttaffi d-diffikultajiet li jiffaċċjaw il-vittmi f'każijiet fejn hemm riskju li l-ammont ta' kumpens disponibbli skond Konvenzjonijiet dwar ir-Responsabbiltà ta' l-1992 u dwar il-Fond ta' l-1992 se jkun insuffiċjenti biex jitħallsu sħiħ il-pretensjonijiet stabbiliti u li bħala konsegwenza l-Fond Internazzjonali ta' l-1992 dwar Kumpens għal Ħsara mit-Tinġis biż-Żejt iddeċieda provviżorjament li se jħallas biss proporzjoni ta' kull pretensjoni stabbilita,WAQT LI JIKKUNSIDRAW li adeżjoni għall-iskema supplimentari se tkun miftuħa biss għal Stati Kontraenti għall-Konvenzjoni dwar il-Fond ta' l-1992,FTEHMU KIF ĠEJ:DISPOSIZZJONIJIET ĠENERALIArtikolu 1Għall-iskopijiet ta' dan il-Protokoll:1. "Konvenzjoni dwar ir-Responsabbiltà ta' l-1992" tfisser il-Konvenzjoni Internazzjonali ta' l-1992 dwar ir-Responsabbilità Ċivili għall-Ħsara mit-Tniġġis biż-Żejt;2. "Konvenzjoni dwar il-Fond ta' l-1992" tfisser il-Konvenzjoni Internazzjonali ta' l-1992 dwar l-Istabbiliment ta' Fond Internazzjonali għal Kumpens għal Ħsara mit-Tinġis biż-Żejt;3. "Fond ta' l-1992" tfisser il-Fond Internazzjonali ta' l-1992 għal Ħsara mit-Tinġiż biż-Żejt, stabbilit fil-qafas tal-Konvenzjoni dwar il-Fond ta' l-1992;4. "Stat Kontraenti" tfisser Stat Kontraenti għal dan il-Protokoll, ħlief għal indikazzjoni kontrarja;5. Meta d-disposizzjonijiet tal-Konvenzjoni dwar il-Fond ta' l-1992 huma mdaħħla b'referenza f'dan il-Protokoll, "Fond" f'dik il-Konvenzjoni tfisser "Fond Supplimentari", ħlief għal indikazzjoni kontrarja;6. "Bastiment", "Persuna", "Sid", "Żejt", "Ħsara mit-Tinġis", "Miżuri Preventivi" u "Inċident" għandhom l-istess tifsira li għandhom fl-Artikolu I tal-Konvenzjoni dwar ir-Responsabbiltà ta' l-1992;7. "Żejt suġġett għal Kontribut", "Unità ta' Kont", "Tunnellata", "Garanti" u "Stallazzjoni Terminal" għandhom l-istess tifsira li għandhom fl-Artikolu I tal-Konvenzjoni dwar il-Fond ta' l-1992, ħlief għal indikazzjoni kontrarja;8. "Pretensjoni stabbilita" tfisser pretensjoni li ġiet rikonoxxuta mill-Fond ta' l-1992 jew ġiet aċċettata bħala ammissibbli b'deċiżjoni ta' qorti kompetenti vinkolanti fuq il-Fond ta' l-1992 li mhux suġġetta għal forom ordinarji ta' reviżjoni u li setgħet kienet kompletament ikkumpensata kieku l-limitu stabbilit fl-Artikolu 4(4), tal-Konvenzjoni dwar il-Fond ta' l-1992 ma kienx applikat għal dak l-inċident;9. "Assemblea" tfisser l-Assemblea tal-Fond Internazzjonali Supplimentari ta' l-2003 għal Kumpens għal Ħsara mit-Tinġis biż-Żejt, ħlief indikazzjoni kontrarja;10. "Organizzazzjoni" tfisser l-Organizzazzjoni Marittima Internazzjonali;11. "Segretarju-Ġenerali" tfisser is-Segretarju-Ġenerali ta' l-Organizzazzjoni.Artikolu 21. Fond Supplimentari Internazzjonali għal kumpens għal ħsara mit-tinġis, imsejjaħ "il-Fond Supplimentari Internazzjonali ta' l-2003 għal Kumpens għal Ħsara mit-Tinġis biż-Żejt" (hawnhekk iżjed 'il quddiem "il-Fond Supplimentari"), hu hawnhekk stabbilit.2. F'kull Stat Kontraenti, il-Fond Supplimentari għandu jkun rikonoxxut bħala persuna ġuridika li għandha l-kapaċità li tassumi drittijiet u obbligi skond il-liġijiet ta' dak l-Istat u li tkun parti f'proċeduri ġudizzjarji quddiem il-qrati ta' dak l-Istat. Kull Stat Kontraenti għandu jirrikonoxxi d-Direttur tal-Fond Supplimentari bħala r-rappreżentant legali tal-Fond Supplimentari.Artikolu 3Dan il-Protokoll għandu japplika esklussivament:(a) għal ħsara mit-tinġis ikkawżat:(i) fit-territorju, inkluż l-ibħra territorjali, ta' Stat Kontraenti, u(ii) fiż-żona ekonomika esklussiva ta' Stat Kontraenti, stabbilita skond il-liġi internazzjonali, jew, jekk Stat Kontraenti ma stabbilixxiex żona bħal din, f'żona lil hinn minn u li tmiss mal-baħar territorjali ta' dak l-Istat iddeterminat minn dak l-Istat skond il-liġi internazzjonali u li testendi mhux iktar minn 200 mil nawtiku mil-linji bażi li minnha hi mkejla l-wisa' ta' l-ibħra territorjali;(b) għal miżuri preventivi, kull fejn huma meħuda, bil-għan li jfixklu jew inaqqsu għall-minimu din il-ħsara.KUMPENS SUPPLIMENTARIArtikolu 41. Il-Fond Supplimentari għandu jħallas kumpens lil kwalunkwe persuna li ssofri ħsara mit-tinġis jekk din il-persuna ma kinitx kapaċi tikseb kumpens sħiħ u adegwat għal pretensjoni stabbilita għal din il-ħsara skond it-termini tal-Konvenzjoni dwar il-Fond ta' l-1992, minħabba li l-ħsara totali taqbeż, jew hemm riskju li taqbeż, il-limitu applikabbli għal kumpens stabbilit fl-Artikolu 4(4) tal-Konvenzjoni dwar il-Fond ta' l-1992 fir-rigward ta' kwalunkwe inċident.2. (a) L-ammont aggregat ta' kumpens imħallas mill-Fond Supplimentari skond dan l-Artikolu għandu jkun limitat fir-rigward ta' kwalunkwe inċident, sabiex is-somma totali ta' dak l-ammont flimkien ma' l-ammont tal-kumpens attwalment imħallas skond il-Konvenzjoni dwar ir-Responsabbiltà ta' l-1992 u l-Konvenzjoni dwar il-Fond ta' l-1992 fl-iskop ta' l-applikazzjoni ta' dan il-Protokoll ma taqbiżx il-750 miljun unità ta' kont.(b) L-ammont ta' 750 miljun unità ta' kont imsemmi fil-paragrafu 2(a) għandu jkun maqlub għall-munita nazzjonali fuq il-bażi tal-valur ta' dik il-munita b'referenza għad-Dritt Speċjali ta' Ġbid fid-data determinata mill-Assemblea tal-Fond ta' l-1992 għal konverżjoni ta' l-ammont massimu mħallas skond il-Konvenzjonijiet dwar ir-Responsabbiltà ta' l-1992 u dwar il-Fond ta' l-1992.3. Fejn l-ammont ta' pretensjonijiet stabbiliti kontra l-Fond Supplimentari jaqbeż l-ammont aggregat ta' kumpens imħallas skond il-paragrafu 2, l-ammont disponibbli għandu jitqassam b'tali mod li l-proporzjon bejn kwalunkwe pretensjoni stabbilita u l-ammont ta' kumpens attwalment miġbur mill-pretendent skond dan il-Protokoll ikun l-istess għall-pretendenti kollha.4. Il-Fond Supplimentari għandu jħallas kumpens fir-rigward ta' pretensjonijiet stabbiliti kif imfisser fl-Artikolu 1(8), u biss fir-rigward ta' dawn il-pretensjonijiet.Artikolu 5Il-Fond Supplimentari għandu jħallas kumpens meta l-Assemblea tal-Fond ta' l-1992 tikkunsidra li l-ammont totali tal-pretensjonijiet stabbiliti jaqbeż, jew hemm riskju li jaqbeż, l-ammont aggregat ta' kumpens disponibbli skond l-Artikolu 4(4) tal-Konvenzjoni dwar il-Fond ta' l-1992 u li konsegwentament l-Assemblea tal-Fond ta' l-1992 tiddeċiedi proviżorjament jew definitivament li l-ħlas se jsir biss għal proporzjon ta' kwalunkwe pretensjoni stabbilita. L-Assemblea tal-Fond Supplimentari għandha mbagħad tiddeċiedi jekk u f'liema miżura l-Fond Supplimentari għandu jħallas il-proporzjoni ta' kwalunkwe pretensjoni stabbilita mhux imħallsa skond il-Konvenzjoni dwar ir-Responsabbiltà ta' l-1992 u l-Konvenzjoni dwar il-Fond ta' l-1992.Artikolu 61. Bla ħsara għall-Artikoli 15(2) u (3), drittijiet għal kumpens fil-konfront tal-Fond Supplimentari jintfew biss jekk jintfew fil-konfront tal-Fond ta' l-1992 skond l-Artikolu 6 tal-Konvenzjoni dwar il-Fond ta' l-1992.2. Pretensjoni ppreżentata lill-Fond ta' l-1992 għandha titqies bħala ppreżentata mill-istess pretendent għall-Fond Supplimentari.Artikolu 71. Id-disposizzjonijiet ta' l-Artikolu 7(1), (2), (4), (5) u (6) tal-Konvenzjoni dwar il-Fond ta' l-1992 għandhom japplikaw għal azzjonijiet għal kumpens maħsuba fil-konfront tal-Fond Supplimentari skond l-Artikolu 4(1) ta' dan il-Protokoll.2. F'każ ta' azzjoni għal kumpens għal ħsara mit-tinġis imressqa f'qorti kompetenti skond l-Artikolu IX tal-Konvenzjoni dwar ir-Responsabbiltà ta' l-1992 kontra s-sid ta' bastiment jew il-garanti tiegħu, il-qorti għandha kompetenza ġurisdizzjonali esklussiva fi kwalunkwe azzjoni għal kumpens kontra l-Fond Supplimentari skond id-disposizzjonijiet ta' l-Artikolu 4 ta' dan il-Protokoll fir-rigward ta' l-istess ħsara. Madankollu, fejn azzjoni għal kumpens għal ħsara mit-tinġis skond il-Konvenzjoni dwar ir-Responsabbiltà ta' l-1992 imressqa quddiem qorti fi Stat Kontraenti għall-Konvenzjoni dwar ir-Responsabbiltà ta' l-1992 imma mhux għal dan il-Protokoll, kwalunkwe azzjoni fil-konfront tal-Fond Supplimentari skond l-Artikolu 4 ta' dan il-Protokoll tista' tkun ippreżentata, fuq l-għażla tal-pretendent, jew quddiem qorti ta' Stat fejn il-Fond Supplimentari għandu l-kwartieri ġenerali jew quddiem kwalunkwe qorti ta' Stat Kontraenti għal dan il-Protokoll kompetenti fis-sens ta' l-Artikolu IX tal-Konvenzjoni dwar ir-Responsabbiltà ta' l-1992.3. Minkejja paragrafu 1, meta azzjoni għal kumpens għal ħsara mit-tinġis imressqa fil-konfront tal-Fond ta' l-1992 quddiem qorti fi Stat Kontraenti għall-Konvenzjoni dwar il-Fond ta' l-1992 imma mhux għal dan il-Protokoll, kwalunkwe azzjoni relatata fil-konfront tal-Fond Supplimentari tista' tiġi ppreżentata, fuq l-għażla tal-pretendent, jew quddiem qort ta' Stat fejn il-Fond Supplimentari għandu l-kwartieri ġenerali jew quddiem qorti ta' Stat Kontraenti kompetenti fis-sens tal-paragrafu 1.Artikolu 81. Bla ħsara għal kwalunkwe deċiżjoni li tikkonċerna d-distribuzzjoni msemmija fl-Artikolu 4(3) ta' dan il-Protokoll, kwalunkwe sentenza mogħtija fil-konfront tal-Fond Supplimentari minn qorti li għandha ġurisdizzjoni skond l-Artikolu 7 ta' dan il-Protokoll, hi rikonoxxuta u tkun infurzata f'kull Stat Kontraenti fuq l-istess kondizzjonijiet li huma preskritti fl-Artikolu X tal-Konvenzjoni dwar ir-Responsabbiltà ta' l-1992, meta s-sentenza tiġi nfurzata fl-Istat ta' l-oriġini u f'dak l-Istat mhiex aktar suġġetta għal forma ordinarja ta' reviżjoni.2. Stat Kontraenti jista' japplika regoli oħra ta' rikonoxximent u ta' infurzar ta' sentenzi, iżda l-effett tagħhom hu li jiġi żgurat li s-sentenzi huma rikonoxxuti u nfurzati minn ta' l-inqas bl-istess miżura tal-paragrafu 1.Artikolu 91. Il-Fond Supplimentari għandu, fir-rigward ta' kwalunkwe ammont ta' kumpens għal ħsara mit-tinġis imħallas mill-Fond Supplimentari skond l-Artikolu 4(1) ta' dan il-Protokoll, jakkwista b'surroga d-drittijiet li l-persuna hekk ikkumpensata tista' tgawdi skond il-Konvenzjoni ta' Responsabbiltà ta' l-1992 kontra s-sid jew il-garanti tiegħu.2. Il-Fond Supplimentari għandu jakkwista b'surroga d-drittijiet li l-persuna kkumpensata minnha tista' tgawdi skond il-Konvenzjoni dwar il-Fond ta' l-1992 fil-konfront tal-Fond ta' l-1992.3. Xejn f'dan il-Protokoll ma jippreġudika d-dritt ta' reviżjoni jew surroga tal-Fond Supplimentari kontra persuni oħra għajr dawk imsemmija fil-paragrafi preċedenti. F'kwalunkwe każ id-dritt tal-Fond Supplimentari li jissuroga kontra persuni bħal dawn m'għandux ikun inqas favorevoli minn dak ta' assiguratur tal-persuna li lilha tħallas il-kumpens.4. Mingħajr preġudizzju għal kwalunkwe drittijiet eżistenti oħra ta' surroga jew reviżjoni fil-konfront tal-Fond Supplimentari, Stat Kontraenti li ħallas, jew aġenzija tiegħu li ħallset, il-kumpens għal ħsara mit-tinġis skond id-disposizzjonijiet tal-liġi nazzjonali għandu jakkwista/għandha takkwista b'surroga d-drittijiet li l-persuna hekk ikkumpensata kienet tgawdi skond dan il-Protokoll.KONTRIBUZZJONIJIETArtikolu 101. Fir-rigward ta' kull Stat Kontraenti, il-kontribuzzjonijiet annwali lill-Fond Supplimentari għandhom isiru minn kwalunkwe persuna li, fis-sena kalendarja msemmija fl-Artikolu 11(2)(a) jew (b), irċeviet fi kwantitajiet totali superjuri għal 150000 tunnellata ta':(a) żejt suġġettat għal kontribut, trasportat bil-baħar għall-portijiet jew stallazzjonijiet li jinsabu fit-territorju ta' dak li Stat; u(b) żejt suġġettat għal kontribut, trasportat bil-baħar u li nħatt f'port jew stallazzjoni ta' Stat mhux Kontraenti, fi stallazzjonijiet li jinsabu fit-territorju ta' dak l-Istat Kontraenti, b'kondizzjoni li ż-żejt suġġettat għal kontribut jittieħed f'kunsiderazzjoni biss bħala riżultat ta' dan is-sottoparagrafu fuq l-ewwel irċevuta fi Stat Kontraenti wara l-ħatt tiegħu fi Stat mhux Kontraenti.2. Id-disposizzjonijiet ta' l-Artikolu 10(2) tal-Konvenzjoni dwar il-Fond ta' l-1992 għandhom japplikaw fir-rigward ta' l-obbligu li jitħallsu kontribuzzjonijiet lill-Fond Supplimentari.Artikolu 111. Biex jiġi vvalutat l-ammont ta' kontribuzzjonijiet annwali dovuti u biex tiġi kkunsidrata n-neċessità li jinżammu fondi likwidi suffiċjenti, għal kull sena kalendarja, l-Assemblea għandha tagħmel stima ta' bilanċ strutturata kif ġej:(i) spejjeż(a) spejjeż minħabba l-amministrazzjoni tal-Fond Supplimentari fis-sena rilevanti u kwalunkwe żbilanċ mill-attivitajiet tas-snin ta' qabel;(b) ħlas li għandu jsir mill-Fond Supplimentari fis-sena rilevanti biex jiġu sodisfatti l-pretensjonijiet kontra l-Fond Supplimentari fis-sens ta' l-Artikolu 4, inkluż ħlas lura ta' self meħud qabel mill-Fond Supplimentari biex jiġu sodisfatti dawn il-pretensjonijiet;(ii) dħul(a) fondi b'bilanċ favorevoli minn attivitajiet fis-snin preċedenti, inkluż l-interessi;(b) kontribuzzjonijiet annwali, jekk meħtieġa biex jinżamm il-bilanċ tal-budget;(ċ) kwalunkwe dħul ieħor.2. L-Assemblea għandha tiddeċiedi l-ammont totali ta' kontribuzzjonijiet li għandu jiġi ntaxxat. Fuq bażi ta' dik id-deċiżjoni, id-Direttur tal-Fond Supplimentari għandu, fir-rigward ta' kull Stat Kontraenti, jikkalkula għal kull persuna msemmija fl-Artikolu 10, l-ammont tal-kontribuzzjoni annwali ta' dik il-persuna:(a) jekk il-kontribuzzjoni hi maħsuba biex tissodisfa l-ħlas imsemmi fil-paragrafu 1(i)(a) fuq il-bażi ta' somma fissa għal kull tunnellata ta' żejt suġġettat għal kontribut riċevut fl-Istat rilevanti minn din il-persuna matul is-sena kalendarja preċedenti; u(b) jekk il-kontribuzzjoni hi maħsuba biex tissodisfa l-ħlas imsemmi fil-paragrafu 1(i)(b) fuq il-bażi ta' somma fissa għal kull tunnellata ta' żejt suġġettat għal kontribut riċevut minn din il-persuna matul is-sena kalendarja preċedenti dik li fiha seħħ l-inċident in kwistjoni, sakemm l-Istat kien Stat Kontraenti għal dan il-Protokoll fid-data ta' l-inċident.3. Is-somom imsemmija fil-paragrafu 2 għandhom jinkisbu billi l-ammont totali rilevanti ta' kontribuzzjonijiet meħtieġa jiġi diviż bl-ammont totali ta' żejt suġġettat għal kontribut riċevut fl-Istati Kontraenti kollha fis-sena rilevanti.4. Il-kontribuzzjoni annwali hi dovuta fid-data li se tkun stabbilita fir-Regolamenti Interni tal-Fond Supplimentari. L-Assemblea tista' tagħżel data differenti għall-ħlas.5. L-Assemblea tista' tiddeċiedi, skond il-kondizzjonijiet li se jkunu stabbiliti fir-Regolament Finanzjarju tal-Fond Supplimentari, li tagħmel trasferimenti bejn il-fondi mirċieva skond il-paragrafu 2(a) u l-fondi mirċieva skond il-paragrafu 2(b).Artikolu 121. Id-disposizzjonijiet ta' l-Artikolu 13 tal-Konvenzjoni dwar il-Fond ta' l-1992 għandhom japplikaw għall-kontribuzzjonijiet għall-Fond Supplimentari.2. Stat Kontraenti jista' jassumi l-obbligu li jħallas kontribuzzjonijiet lill-Fond Supplimentari skond il-proċedura stabbilita fl-Artikolu 14 tal-Konvenzjoni dwar il-Fond ta' l-1992.Artikolu 131. Stati Kontraenti għandhom jikkomunikaw lid-Direttur tal-Fond Supplimentari informazzjoni dwar żejt riċevut skond l-Artikolu 15 tal-Konvenzjoni dwar il-Fond ta' l-1992 sakemm, madankollu, li l-komunikazzjonijiet magħmula lid-Direttur tal-Fond ta' l-1992 skond l-Artikolu 15(2), tal-Konvenzjoni dwar il-Fond ta' l-1992 ikunu meqjusa bħala li saru wkoll skond dan il-Protokoll.2. Fejn Stat Kontraenti ma jwettaqx l-obbligi tiegħu li jagħti l-informazzjoni msemmija fil-paragrafu 1 u dan jirriżulta f'telf finanzjarju għall-Fond Supplimentari, dak l-Istat Kontraenti għandu jkun responsabbli li jikkumpensa l-Fond għal dan it-telf. L-Assemblea għandha, fuq rakkomandazzjoni tad-Direttur tal-Fond Supplimentari, tiddeċiedi jekk dan il-kumpens għandux jitħallas minn dak l-Istat Kontraenti.Artikolu 141. Minkejja l-Artikolu 10, għall-iskopijiet ta' dan il-Protokoll għandu jitqies li hemm riċevuta minimu ta' miljun tunnellata ta' żejt suġġettat għal kontribut f'kull Stat Kontraenti.2. Meta l-kwantità aggregata ta' żejt suġġettat għal kontribut riċevut fi Stat Kontraenti hi inqas minn miljun tunnellata, l-Istat Kontraenti għandu jassumi l-obbligi applikabbli skond dan il-Protokoll fuq kwalunkwe persuna li tkun responsabbli għall-kontribuzzjoni fil-Fond Supplimentari fir-rigward ta' żejt riċevut fit-territorju ta' dak l-Istat safejn ma teżisti l-ebda persuna responsabbli għall-kwantità aggregata ta' żejt riċevut.Artikolu 151. Jekk fi Stat Kontraenti m'hemm l-ebda persuna li tissodisfa l-kondizzjonijiet ta' l-Artikolu 10, għall-iskopijiet ta' dan il-Protokoll, dak l-Istat Kontraenti għandu jinforma lid-Direttur tal-Fond Supplimentari b'dan.2. L-ebda kumpens m'għandu jitħallas mill-Fond Supplimentari għal ħsara mit-tinġis fit-territorju, fl-ibħra territorjali jew fiż-żona ekonomika esklussiva jew f'żona determinata skond l-Artikolu 3(a)(ii), ta' dan il-Protokoll, ta' Stat Kontraenti fir-rigward ta' inċident determinat jew ta' miżuri preventivi, meħuda fejn meħuda, biex jostakolaw jew inaqqsu għal minimu din il-ħsara, sakemm l-obbligu li jkun informat id-Direttur tal-Fond Supplimentari skond l-Artikolu 13(1) u l-paragrafu 1 ta' dan l-Artikolu ġie mħares fir-rigward ta' dak l-Istat Kontraenti għas-snin kollha qabel seħħ l-inċidenti. L-Assemblea għandha tistabbilixxi fir-Regolamenti Interni ċ-ċirkostanzi li fihom Stat Kontraenti jkun ikkunsidrat li falla milli jħares l-obbligi.3. Jekk kumpens ġie temporanjament irrifjutat skond il-paragrafu 2, il-kumpens hu rrifjutat b'mod permanenti fir-rigward ta' dak l-inċident jekk l-obbligi li jkun informat id-Direttur tal-Fond Supplimentari skond l-Artikolu 13(1) u paragrafu 1 ta' dan l-Artikolu, ma ġewx imħarsa sa sena wara li d-Direttur tal-Fond Supplimentari informa lill-Istat Kontraenti bin-nuqqas tiegħu li jirrapporta.4. Mill-ħlas ta' kontribuzzjonijiet dovut għall-Fond Supplimentari se jitnaqqas il-kumpens dovut lid-debitur jew lill-aġenti tad-debitur.ORGANIZZAZZJONI U AMMINISTRAZZJONIArtikolu 161. Il-Fond Supplimentari għandu jkollu Assemblea u Segretarjat immexxi minn Direttur.2. L-Artikoli 17 sa 20 u 28 sa' 33 tal-Konvenzjoni dwar il-Fond ta' l-1992 għandhom japplikaw għall-Assemblea, għas-Segretarjat u għad-Direttur tal-Fond Supplimentari.3. L-Artikolu 34 tal-Konvenzjoni dwar il-Fond ta' l-1992 għandu japplika għall-Fond Supplimentari.Artikolu 171. Is-Segretarjat tal-Fond ta' l-1992, immexxi mid-Direttur tal-Fond ta' l-1992, jista' jiffunzjona wkoll bħala s-Segretarjat u d-Direttur tal-Fond Supplimentari.2. Jekk, skond il-paragrafu 1, is-Segretarjat u d-Direttur tal-Fond ta' l-1992 iwettqu wkoll il-funzjoni ta' Segretarjat u Direttur tal-Fond Supplimentari, il-Fond Supplimentari għandu jkun irrappreżentat, f'każijiet ta' konflitti ta' interess bejn il-Fond ta' l-1992 u l-Fond Supplimentari, mill-President ta' l-Assemblea.3. Id-Direttur tal-Fond Supplimentari, u l-persunal u l-esperti maħtura mid-Direttur tal-Fond Supplimentari, li jwettqu d-dmirijiet tagħhom skond dan il-Protokoll u l-Konvenzjoni dwar il-Fond ta' l-1992, m'għandhomx jitqiesu bħala li qed jiksru d-disposizzjonijiet ta' l-Artikolu 30 tal-Konvenzjoni dwar il-Fond ta' l-1992 kif applikat mill-Artikolu 16(2) ta' dan il-Protokoll sakemm iwettqu dmirijiethom skond dan l-Artikolu.4. L-Assemblea għandha tipprova ma tieħux deċiżjonijiet li mhumiex kompatibbli mad-deċiżjonijiet meħuda mill-Assemblea tal-Fond ta' l-1992. Jekk jinqalgħu differenzi f'opinjonijiet fir-rigward ta' kwistjonijiet amministrattivi komuni, l-Assemblea għandha tipprova tilħaq kunsens ma' l-Assemblea tal-Fond ta' l-1992, fi spirtu ta' koperazzjoni reċiproka u waqt li żżomm preżenti l-għanijiet komuni taż-żewġ organizzazzjonijiet.5. Il-Fond Supplimentari għandhom jirrifonda lill-Fond ta' l-1992 l-ispejjeż kollha għas-servizzi amministrattivi mwettqa mill-Fond ta' l-1992 f'isem il-Fond Supplimentari.DISPOSIZZJONIJIET TRANSITORJIArtikolu 181. Bla ħsara għall-paragrafu 4, l-ammont aggregat tal-kontribuzzjonijiet annwali mħallsa fir-rigward ta' żejt suġġettat għal kontribut riċevut fi Stat Kontraenti wieħed matul is-sena kalendarja m'għandux jaqbeż l-20 % ta' l-ammont totali tal-kontribuzzjonijiet annwali skond dan il-Protokoll fir-rigward ta' dik is-sena kalendarja.2. Jekk l-applikazzjoni tad-disposizzjonijiet fl-Artikolu 11(2) u (3) tirriżulta fl-ammont aggregat tal-kontribuzzjonijiet imħallsa mill-kontributuri fi Stat Kontraenti wieħed fir-rigward ta' sena speċifikata jaqbeż l-20 % tal-kontribuzzjonijiet totali annwali, il-kontribuzzjonijiet imħallsa mill-kontributuri kollha f'dak l-Istat għandhom jitnaqqsu pro rata sabiex il-kontribuzzjonijiet aggregati tagħhom ikunu ugwali għal 20 % tal-kontribuzzjonijiet totali annwali għall-Fond Supplimentari fir-rigward ta' dik is-sena.3. Jekk il-kontribuzzjonijiet imħallsa minn persuni fi Stat Kontraenti speċifikat jitnaqqsu skond il-paragrafu 2, il-kontribuzzjonijiet imħallsa minn persuni fl-Istati Kontraenti l-oħra kollha għandhom jiżdiedu pro rata sabiex ikun żgurat li l-ammont totali ta' kontribuzzjonijiet imħallsa mill-persuni kollha responsabbli li jikkontribwixxu għall-Fond Supplimentari fir-rigward tas-sena kalendarja in kwistjoni jilħaq l-ammont totali ta' kontribuzzjonijiet deċiż mill-Assemblea.4. Id-disposizzjonijiet fil-paragrafi 1 sa 3 għandhom japplikaw sakemm il-kwantità totali ta' żejt suġġettat għal kontribut riċevut fl-Istati Kontraenti kollha f'sena kalendarja, inkluż il-kwantitajiet imsemmija fl-Artikolu 14(1), tilħaq l-1000 miljun tunnellata jew sakemm jgħaddi perjodu ta' 10 snin wara d-data tad-dħul fis-seħħ ta' dan il-Protokoll, liema minnhom iseħħ l-ewwel.KLAWSOLI FINALIArtikolu 19Firma, ratifika, aċċettazzjoni, approvazzjoni u adeżjoni1. Dan il-Protokoll għandu jkun miftuħ għal firma f'Londra mill-31 ta' Lulju 2003 sat-30 ta' Lulju 2004.2. L-Istati jistgħu jesprimu l-kunsens tagħhom li jintrabtu b'dan il-Protokoll permezz:(a) tal-firma mingħajr riserva fir-rigward tar-ratifika, aċċettazzjoni jew approvazzjoni; jew(b) ta' firma bla ħsara għal ratifika, aċċettazzjoni jew approvazzjoni segwiti minn ratifika, aċċettazzjoni jew approvazzjoni; jew(ċ) adeżjoni.3. L-Istati Kontraenti għall-Konvenzjoni dwar il-Fond ta' l-1992 biss jistgħu jsiru Stati Kontraenti għal dan il-Protokoll.4. Ratifika, aċċettazzjoni, approvazzjoni jew adeżjoni jseħħu permezz tad-depożitu ta' l-istrument formali rilevanti mas-Segretarju-Ġenerali.Artikolu 20Informazzjoni dwar żejt suġġettat għal kontributQabel ma dan il-Protokoll jidħol fis-seħħ għal Stat, dak l-Istat għandu, meta jiffirma dan il-Protokoll skond l-Artikolu 19(2)(a), jew meta jiddepożita strument imsemmi fl-Artikolu 19(4) u suċċessivament kull sena f'data li tiġi determinata mis-Segretarju-Ġenerali, jikkomunika miegħu l-isem u l-indirizz ta' kwalunkwe persuna li fir-rigward ta' dak l-Istat se tkun responsabbli mill-kontribuzzjoni għall-Fond Supplimentari skond l-Artikolu 10 kif ukoll b'data dwar kwantitajiet rilevanti ta' żejt suġġettat għal kontribut riċevut minn kwalunkwe persuna bħal din fit-territorju ta' dak l-Istat matul is-sena kalendarja preċedenti.Artikolu 21Dħul fis-seħħ1. Dan il-Protokoll għandu jidħol fis-seħħ tliet xhur wara d-data li fiha huma sodisfatti l-ħtiġiet li ġejjin:(a) minn ta' l-inqas tmien Stati ffirmaw il-Protokoll mingħajr riservi fir-rigward ta' ratifika, aċċettazzjoni jew approvazzjoni, jew iddepożitaw strumenti ta' ratifika, aċċettazzjoni, approvazzjoni jew adeżjoni mas-Segretarju-Ġenerali; u(b) is-Segretarju-Ġenerali rċieva informazzjoni mid-Direttur tal-Fond ta' l-1992 li dawn il-persuni li għandhom ikunu responsabbli li jikkontribwixxu skond l-Artikolu 10 irċevew matul is-sena kalendarja preċedenti kwantità totali ta' minn ta' l-inqas 450 miljun tunnellata ta' żejt suġġettat għal kontribut, inklużi l-kwantitajiet imsemmija fl-Artikolu 14(1).2. Għal kull Stat li jiffirma dan il-Protokoll mingħajr riservi fir-rigward ta' ratifika, aċċettazzjoni jew approvazzjoni, jew li jirratifika, jaċċetta, japprova jew jiffirma dan il-Protokoll, wara li jkun issodisfa l-kondizzjonijiet fil-paragrafu 1 għad-dħul fis-seħħ, il-Protokoll għandu jidħol fis-seħħ tliet xhur wara d-data tad-depożitu ta' strument rilevanti minn dan l-Istat.3. Minkejja paragrafi 1 u 2, dan il-Protokoll m'għandux jidħol fis-seħħ fir-rigward ta' kwalunkwe State li għalih ma tapplikax il-Konvenzjoni dwar il-Fond ta' l-1992.Artikolu 22L-ewwel sessjoni ta l-AssembleaIs-Segretarju-Ġenerali għandu jlaqqa' l-ewwel sessjoni ta' l-Assemblea. Din is-sessjoni għandha sseħħ kemm jista' jkun malajr wara d-dħul fis-seħħ ta' dan il-Protokoll u, fi kwalunkwe każ, mhux aktar tard minn 30 ġurnata wara dan id-dħul fis-seħħ.Artikolu 23Reviżjoni u emendi1. L-organizzazzjoni tista' tlaqqa' konferenza għall-iskop li jkun rivedut jew emendat dan il-Protokoll.2. L-organizzazzjoni tista' tlaqqa' Konferenza ta' Stati Kontraenti għall-iskop li jkun rivedut jew emendat dan il-Protokoll fuq talba ta' mhux inqas minn terz ta' l-Istati Kontraenti kollha.Artikolu 24Emendi tal-limiti ta' kumpens1. Fuq talba ta' minn ta' l-inqas kwart ta' l-Istati Kontraenti, kull proposta li temenda l-limiti ta' l-ammonti ta' kumpens stabbiliti fl-Artikolu 4(2)a għandha tkun iċċirkolata mis-Segretarju-Ġenerali lill-Membri kollha ta' l-Organizzazzjoni u lill-Istati Kontraenti kollha.2. Kwalunkwe emenda proposta u ċċirkolata kif imfisser hawn fuq għandha tingħata lill-Kumitat Ġuridiku ta' l-Organizzazzjoni għal konsiderazzjoni f'data minn ta' l-inqas sitt xhur wara d-data taċ-ċirkolazzjoni tagħha.3. L-Istati Kontraenti kollha għal dan il-Protokoll, huma jew mhumiex Membri ta' l-Organizzazzjoni, huma intitolati li jipparteċipaw fl-azzjonijiet tal-Kumitat Ġuridiku għall-konsiderazzjoni u l-adozzjoni ta' l-emendi.4. L-emendi għandhom jiġu adottati minn maġġoranza ta' żewġ terzi ta' l-Istati Kontraenti preżenti u li vvutaw fil-Kumitat Ġuridiku, estiż kif previst fil-paragrafu 3, fuq kondizzjoni li minn ta' l-inqas nofs l-Istati Kontraenti huma preżenti fil-ħin tal-votazzjoni.5. Fl-eżaminazzjoni ta' proposta biex temenda l-limiti, il-Kumitat Ġuridiku għandu jikkunsidra l-esperjenza ta' l-inċidenti u b'mod partikolari l-ammont ta' ħsara li rriżultat minn dan u tibdil fil-valuri monetarji.6. (a) L-ebda emenda tal-limiti skond dan l-Artikolu ma tista' tiġi kkunsidrata qabel id-dħul fis-seħħ ta' dan il-Protokoll jew f'inqas minn tliet snin mid-data tad-dħul fis-seħħ ta' emenda preċedenti skond dan l-Artikolu.(b) Il-limitu ma jistax jiżdied b'tali mod li jaqbeż ammont li jikkorrispondi għal-limitu stabbilit f'dan il-Protokoll, miżjud b'6 % kull sena ikkalkolat fuq bażi komposta mid-data li fiha dan il-Protokoll ikun miftuħ għall-firma sad-data li fiha tidħol fis-seħħ id-deċiżjoni tal-Kumitat Ġuridiku.(ċ) Il-limitu ma jistax jiżdied b'tali mod li jaqbeż ammont li jikkorrispondi għal-limitu stabbilit b'dan il-Protokoll immultiplikat bi tlieta.7. Kwalunkwe emenda adottata skond il-paragrafu 4 għandha tkun notifikata mill-Organizzazzjoni lill-Istati Kontraenti kollha. L-emenda għandha titqies bħala li ġiet aċċettata fl-aħħar tal-perijodu ta' 12-il xahar wara d-data tan-notifika, sakemm f'dak il-perjodu mhux inqas minn kwart ta' l-Istati li kienu Stati Kontraenti fil-ħin ta' l-adozzjoni ta' l-emenda mill-Kumitat Ġuridiku kkomunikaw lill-Organizzazzjoni li huma ma jaċċettawx l-emenda, f'liema każ l-emenda hi rroftata u ma tidħolx fis-seħħ.8. Emenda li titqies bħala li ġiet aċċettata skond il-paragrafu 7 għandha tidħol fis-seħħ 12-il xahar wara l-aċċettazzjoni tagħha.9. L-Istati Kontraenti kollha għandhom jintrabtu bl-emenda, sakemm huma ma joħorġux minn dan il-Protokoll skond l-Artikoli 26(1) u (2), minn ta' l-inqas sitt xhur qabel ma tidħol fis-seħħ l-emenda. Din id-denunzja għandha effett meta tidħol fis-seħħ l-emenda.10. Fil-każ li emenda tkun adottata mill-Kumitat Ġuridiku, imma l-perjodu ta' 12-il xahar għadu ma skadiex, Stat li jsir Stat Kontraenti matul dak il-perjodu għandu jintrabat bl-emenda jekk tidħol fis-seħħ. Stat li jsir Stat Kontraenti wara dak il-perjodu għandu jintrabat b'emenda li ġiet aċċettata skond il-paragrafu 7. Fil-każijiet imsemmija f'dan il-paragrafu, Stat jintrabat b'emenda meta dik l-emenda tidħol fis-seħħ, jew meta dan il-Protokoll jidħol fis-seħħ għal dak l-Istat, jekk din id-data hi suċċessiva.Artikolu 25Protokoll għall-Konvenzjoni dwar il-Fond ta' l-19921. Jekk il-limiti stabbiliti fil-Konvenzjoni dwar il-Fond ta' l-1992 żdiedu minħabba l-Protokoll anness magħha, il-limitu stabbilit fl-Artikolu 4(2)(a) jista' jiżdied bl-istess ammont permezz tal-proċedura stabbilita fl-Artikolu 24. Id-disposizzjonijiet ta' l-Artikolu 24(6) m'għandhomx japplikaw f'dawn il-każijiet.2. Jekk il-proċedura msemmija fil-paragrafu 1 ġiet applikata, kwalunkwe emenda sussegwenti tal-limitu stabbilit fl-Artikolu 4(2), permezz ta' l-applikazzjoni tal-proċedura fl-Artikolu 24, għall-iskop ta' l-Artikolu 24(6)(b) u (ċ), għandha tkun ikkalkolata fuq il-bażi tal-limitu l-ġdid kif miżjud skond il-paragrafu 1.Artikolu 26Denunzja1. Dan il-Protokoll jista' jkun iddenunzjat minn kwalunkwe Stat Kontraenti fi kwalunkwe ħin wara d-data li jidħol fis-seħħ għal dak l-Istat Kontraenti.2. Id-denunzja sseħħ bid-depożitu ta' strument mas-Segretarju-Ġenerali.3. Denunzja għandha effett wara 12-il xahar, jew wara perjodu itwal kif ikun speċifikat fl-istrument ta' denunzja, wara d-depożitu tiegħu mas-Segretarju-Ġenerali.4. Denunzja tal-Konvenzjoni dwar il-Fond ta' l-1992 għandha titqies li hi denunzja ta' dan il-Protokoll. Din id-denunzja għandha effett fid-data li fiha d-denunzja tal-Protokoll ta' l-1992 li jemenda l-Konvenzjoni dwar il-Fond ta' l-1971 tidħol fis-seħħ skond l-Artikolu 34 ta' dak il-Protokoll.5. Minkejja denunzja tal-Protokoll preżenti minn Stat Kontraenti skond dan l-Artikolu, għandha tibqa' tapplika kwalunkwe disposizzjoni ta' dan il-Protokoll relatata ma' l-obbligi li jsiru kontribuzzjonijiet għall-Fond Supplimentari fir-rigward ta' inċident imsemmi fl-Artikolu 11(2)(b), u li jseħħ qabel ma jkollha effett id-denunzja.Artikolu 27Sessjonijiet straordinarji ta' l-Assemblea1. Kwalunkwe Stat Kontraenti jista', fi żmien 90 ġurnata wara d-depożitu ta' strument ta' denunzja, liema effett hu meqjus bħala li jista' jżid il-livell ta' kontribuzzjonijiet għall-Istati Kontraenti li fadal, jitlob lid-Direttur tal-Fond Supplimentari biex ilaqqa' sessjoni straordinarja ta' l-Assemblea. Id-Direttur tal-Fond Supplimentari għandu jlaqqa' l-Assemblea mhux aktar tard minn 60 ġurnata wara l-irċevuta tat-talba.2. Id-Direttur tal-Fond Supplimentari jista' jlaqqa', fuq inizjattiva proprja tiegħu, sessjoni straordinarja ta' l-Assemblea fi żmien sittin ġurnata wara d-depożitu ta' kwalunkwe strument ta' denunzja, jekk hu jikkunsidra li din id-denunzja se tirriżulta fi żieda sinifikanti fil-livell ta' kontribuzzjonijiet ta' l-Istati Kontraenti li fadal.3. Jekk l-Assemblea mlaqqa' f'sessjoni straordinarja skond il-paragrafi 1 jew 2 tiddeċiedi li din id-denunzja se tirriżulta fi żieda sinifikanti fil-livell ta' kontribuzzjonijiet għall-Istati Kontraenti li fadal, kwalunkwe Stat bħal dan jista', mhux aktar tard minn 120 ġurnata qabel id-data li fiha għandha effett id-denunzja, jiddenunzja dan il-Protokoll b'effett fl-istess data.Artikolu 28Tmiem1. Dan il-Protokoll għandu jieqaf japplika fid-data meta n-numru ta' Stati Kontraenti jaqa' taħt sebgħa jew meta l-kwantità totali ta' żejt suġġettat għal kontribut riċevut fl-Istati Kontraenti li fadal, inkluż il-kwantitajiet imsemmija fl-Artikolu 14(1), taqa' taħt il-350 miljun tunnellata, liema waħda sseħħ l-ewwel.2. Stati li huma marbutin b'dan il-Protokoll fil-ġurnata qabel id-data li fiha jieqaf japplika għandhom jawtorizzaw lill-Fond Supplimentari biex iwettaq il-funzjonijiet tiegħu kif deskritti fl-Artikolu 29 u għandhom, għal dak l-iskop biss, jibqgħu marbutin b'dan il-Protokoll.Artikolu 29Likwidazzjoni tal-Fond Supplimentari1. Jekk dan il-Protokoll jieqaf milli jkun fis-seħħ, il-Fond Supplimentari għandu xorta waħda:(a) jissodisfa l-obbligi tiegħu fir-rigward ta' ta' kwalunkwe inċident li seħħ qabel ma l-Protokoll waqaf milli jkun fis-seħħ;(b) ikun intitolat li jwettaq id-drittijiet tiegħu għal kontribuzzjonijiet fil-miżura li dawn il-kontribuzzjonijiet huma neċessarji biex jissodisfaw l-obbligi skond il-paragrafu 1(a), inkluż spejjeż għall-amministrazzjoni tal-Fond Supplimentari neċessarji għal dan l-iskop.2. L-Assemblea għandha tieħu l-miżuri kollha neċessarji biex tikkompleta l-likwidazzjoni tal-Fond Supplimentari, inkluż id-distribuzzjoni f'manjiera retta ta' l-assi li fadal fost dawk il-persuni li kkontribwixxu għall-Fond Supplimentari.3. Għall-iskop ta' dan l-Artikolu, il-Fond Supplimentari għandu jibqa' persuna ġuridika.Artikolu 30Depożitarju1. Dan il-Protokoll u kwalunkwe emendi aċċettati skond l-Artikolu 24 għandhom ikunu depożitati mas-Segretarju-Ġenerali.2. Is-Segretarju-Ġenerali għandu:(a) jinforma lill-Istati kollha li ffirmaw dan il-Protokoll jew li se jiffirmawh:(i) b'kull firma ġdida jew depożitu ġdid ta' strument flimkien mad-data relattiva tiegħu;(ii) bid-data tad-dħul fis-seħħ ta' dan il-Protokoll;(iii) bi kwalunkwe proposta li temenda l-limiti ta' ammonti ta' kumpens li saru skond l-Artikolu 24(1);(iv) bi kwalunkwe emenda li ġiet adottata skond l-Artikolu 24(4);(v) bi kwalunkwe emenda meqjusa li ġiet aċċettata skond l-Artikolu 24(7), flimkien mad-data li fiha dik l-emenda daħlet fis-seħħ skond il-paragrafi 8 u 9 ta' dak l-Artikolu;(vi) bid-depożitu ta' strument ta' denunzja ta' dan il-Protokoll flimkien mad-data tad-depożitu u dik li fiha għandha effett;(vii) bi kwalunkwe komunikazzjoni prevista bi kwalunkwe Artikolu ta' dan il-Protokoll.(b) jittrasmetti kopji veri ċċertifikat ta' dan il-Protokoll lill-Istati Firmatarji kollha u lill-Istati kollha li ffirmaw dan il-Protokoll.3. Hekk kif dan il-Protokoll jidħol fis-seħħ, it-test għandu jiġi trasmess mis-Segretarju-Ġenerali lis-Segretarjat tan-Nazzjonijiet Uniti għal reġistrazzjoni u pubblikazzjoni skond l-Artikolu 102 tal-Karta tan-Nazzjonijiet Uniti.Artikolu 31LingwiDan il-Protokoll hu stabbilit f'oriġinal wieħed fl-ilsna Għarbi, Ċiniż, Ingliż, Franċiż, Russu u Spanjol, kull test ikun ugwalment awtentiku.MAGĦMUL F'LONDRA, is-sittax ta' Mejju, elfejn u tlieta.B'XHUD TAS-sottofirmati, li huma debitament awtorizzati mill-Gvernijiet rispettivi tagħhom għal dak il-għan, iffirmaw dan il-Protokoll.--------------------------------------------------


type: wikipedia

text:
Vinse il Meisterschaft von Zürich nel 1936.
 Carriera
 Si piazò e salì, in diverse occasioni, sui podi delle principali corse in linea del panorama elvetico quali Meisterschaft von Zürich, Tour du Lac Léman, Nordwest-Schweizer-Rundfahrt e campionati nazionali.
 Nel 1941 perese il Tour de Suisse, che si disputava sulla distanza di tre tappe, ed in cui vinse la prima frazione che prevedeva l'arrivo a Lugano, da Josef Wagner.
 Anche suo fratello minore Edgar fu un ciclista professionista.
 Palmarès
 1935 (Individuale, una vittoria)
 2a tappa Tour de Suisse (Sankt Moritz > Lugano)
 1936 (Individuale, una vittoria)
 Meisterschaft von Zürich
 1937 (Individuale, una vittoria)
 Tour du Lac Léman
 1941 (Individuale, una vittoria)
 2a tappa Tour de Suisse (Zurigo > Losanna)
 Altri successi
 1936 (Individuale, una vittoria)
 Criterium di Leibstadt
 1938 (Olyimpia, una vittoria)
 Grand Prix von Basel (Criterium)
 1940 (Individuale, una vittoria)
 Criterim di Zurigo
 Piazzamenti
 Competizioni mondiali
 Campionati mondiali
 Floreffe 1935 - In linea dilettanti: 4o
 Collegamenti esterni


type: other

jurisdiction: US

text: b' DEPARTMENT OF HEALTH & HUMAN SERVICES Office of Inspector General\n\n Washington, D.C. 20201\n\n\n\n\nJune 16, 2010\n\nTO: Marilyn Tavenner\n Acting Administrator and Chief Operating Officer\n Centers for Medicare & Medicaid Services\n\n\nFROM: /George M. Reeb/\n Acting Deputy Inspector General for Audit Services\n\n\nSUBJECT: Review of Jurisdiction C Medicare Payments for Selected Durable Medical\n Equipment Claims With the KX Modifier for Calendar Year 2007\n (A-04-09-04039)\n\n\nAttached, for your information, is an advance copy of our final report on Jurisdiction C Medicare\npayments for selected durable medical equipment claims with the KX modifier for calendar year\n2007. We will issue this report to CIGNA Government Services (CGS), the durable medical\nequipment Medicare administrative contractor for Jurisdiction C, within 5 business days.\n\nIf you have any questions or comments about this report, please do not hesitate to call me, or\nyour staff may contact Robert A. Vito, Acting Assistant Inspector General for the Centers for\nMedicare & Medicaid Audits, at (410) 786-7104 or through email at Robert.Vito@oig.hhs.gov\nor Peter J. Barbera, Regional Inspector General for Audit Services, Region IV, at (404) 562-7800\nor through email at Peter.Barbera@oig.hhs.gov. Please refer to report number A-04-09-04039.\n\n\n\nAttachment\n\x0c DEPARTMENT OF HEALTH & HUMAN SERVICES OFFICE OF INSPECTOR GENERAL\n\n Office of Audit Services, Region IV\n 61 Forsyth Street, SW, Suite 3T41\n Atlanta, GA 30303\n\nJune 22, 2010\n\nReport Number: A-04-09-04039\n\nMs. Jean Rush\nPresident, CIGNA Government Services\n2 Vantage Way\nNashville, TN 37228\n\nDear Ms. Rush:\n\nEnclosed is the U.S. Department of Health & Human Services (HHS), Office of Inspector\nGeneral (OIG), final report entitled Review of Jurisdiction C Medicare Payments for Selected\nDurable Medical Equipment Claims With the KX Modifier for Calendar Year 2007. We will\nforward a copy of this report to the HHS action official noted on the following page for review\nand any action deemed necessary.\n\nThe HHS action official will make final determination as to actions taken on all matters reported.\nWe request that you respond to this official within 30 days from the date of this letter. Your\nresponse should present any comments or additional information that you believe may have a\nbearing on the final determination.\n\nSection 8L of the Inspector General Act, 5 U.S.C. App., requires that OIG post its publicly\navailable reports on the OIG Web site. Accordingly, this report will be posted at\nhttp://oig.hhs.gov.\n\nIf you have any questions or comments about this report, please do not hesitate to call me at\n(404) 562-7800, or contact Mark Wimple, Audit Manager, at (919) 790-2765, extension 24, or\nthrough email at Mark.Wimple@oig.hhs.gov. Please refer to report number A-04-09-04039 in\nall correspondence.\n\n Sincerely,\n\n\n\n /Peter J. Barbera/\n Regional Inspector General\n for Audit Services\n\n\nEnclosure\n\x0cPage 2 \xe2\x80\x93 Ms. Jean Rush\n\n\nDirect Reply to HHS Action Official:\n\nMs. Nanette Foster Reilly\nConsortium Administrator\nConsortium for Financial Management & Fee for Service Operations\nCenters for Medicare & Medicaid Services\n601 East 12th Street, Room 235\nKansas City, MO 64106\n\x0c Department of Health & Human Services\n OFFICE OF\n INSPECTOR GENERAL\n\n\n\n\nREVIEW OF JURISDICTION C MEDICARE\n PAYMENTS FOR SELECTED DURABLE\n MEDICAL EQUIPMENT CLAIMS WITH\n THE KX MODIFIER\n FOR CALENDAR YEAR 2007\n\n\n\n\n Daniel R. Levinson\n Inspector General\n\n June 2010\n A-04-09-04039\n\x0c Office of Inspector General\n http://oig.hhs.gov\n\n\n\nThe mission of the Office of Inspector General (OIG), as mandated by Public Law 95-452, as amended, is\nto protect the integrity of the Department of Health & Human Services (HHS) programs, as well as the\nhealth and welfare of beneficiaries served by those programs. This statutory mission is carried out\nthrough a nationwide network of audits, investigations, and inspections conducted by the following\noperating components:\n\nOffice of Audit Services\n\nThe Office of Audit Services (OAS) provides auditing services for HHS, either by conducting audits with\nits own audit resources or by overseeing audit work done by others. Audits examine the performance of\nHHS programs and/or its grantees and contractors in carrying out their respective responsibilities and are\nintended to provide independent assessments of HHS programs and operations. These assessments help\nreduce waste, abuse, and mismanagement and promote economy and efficiency throughout HHS.\n\nOffice of Evaluation and Inspections\nThe Office of Evaluation and Inspections (OEI) conducts national evaluations to provide HHS, Congress,\nand the public with timely, useful, and reliable information on significant issues. These evaluations focus\non preventing fraud, waste, or abuse and promoting economy, efficiency, and effectiveness of\ndepartmental programs. To promote impact, OEI reports also present practical recommendations for\nimproving program operations.\n\nOffice of Investigations\nThe Office of Investigations (OI) conducts criminal, civil, and administrative investigations of fraud and\nmisconduct related to HHS programs, operations, and beneficiaries. With investigators working in all 50\nStates and the District of Columbia, OI utilizes its resources by actively coordinating with the Department\nof Justice and other Federal, State, and local law enforcement authorities. The investigative efforts of OI\noften lead to criminal convictions, administrative sanctions, and/or civil monetary penalties.\n\nOffice of Counsel to the Inspector General\nThe Office of Counsel to the Inspector General (OCIG) provides general legal services to OIG, rendering\nadvice and opinions on HHS programs and operations and providing all legal support for OIG\xe2\x80\x99s internal\noperations. OCIG represents OIG in all civil and administrative fraud and abuse cases involving HHS\nprograms, including False Claims Act, program exclusion, and civil monetary penalty cases. In\nconnection with these cases, OCIG also negotiates and monitors corporate integrity agreements. OCIG\nrenders advisory opinions, issues compliance program guidance, publishes fraud alerts, and provides\nother guidance to the health care industry concerning the anti-kickback statute and other OIG enforcement\nauthorities.\n\x0c Notices\n\n\n THIS REPORT IS AVAILABLE TO THE PUBLIC\n at http://oig.hhs.gov\n\n Section 8L of the Inspector General Act, 5 U.S.C. App., requires\n that OIG post its publicly available reports on the OIG Web site.\n\nOFFICE OF AUDIT SERVICES FINDINGS AND OPINIONS\n\n The designation of financial or management practices as\n questionable, a recommendation for the disallowance of costs\n incurred or claimed, and any other conclusions and\n recommendations in this report represent the findings and\n opinions of OAS. Authorized officials of the HHS operating\n divisions will make final determination on these matters.\n\x0c EXECUTIVE SUMMARY\n\nBACKGROUND\n\nPursuant to sections 1832(a)(1) and 1861(n) of the Social Security Act (the Act), Medicare\nPart B provides for the coverage of durable medical equipment, prosthetics, orthotics, and\nsupplies (DMEPOS). As a result of the Medicare Prescription Drug, Improvement, and\nModernization Act of 2003, the Centers for Medicare & Medicaid Services (CMS) contracted\nwith four durable medical equipment Medicare administrative contractors (DME MAC) to\nprocess and pay Medicare Part B claims for DMEPOS. These DME MACs replaced the Durable\nMedical Equipment Regional Carriers (DMERC). Also, CMS contracts with Palmetto\nGovernment Benefits Administrators, LLC (Palmetto GBA), to serve as the National Supplier\nClearinghouse. The National Supplier Clearinghouse is responsible for enrolling and reenrolling\nDMEPOS suppliers.\n\nUnder the statutory and policy framework of the Act, the Medicare National Coverage\nDeterminations Manual defines DME as equipment that can withstand repeated use, serves a\nmedical purpose, is generally not useful to a person in the absence of illness or injury, and is\nappropriate for use in a patient\xe2\x80\x99s home. For certain DMEPOS, suppliers must use the KX\nmodifier on filed claims. The KX modifier indicates that the claim meets the Medicare coverage\ncriteria and the supplier has the required documentation on file. While suppliers must have a\nwritten physician\xe2\x80\x99s order and proof of delivery for all DMEPOS, suppliers must have additional\ndocumentation on file for items requiring the KX modifier. For example, respiratory assist\ndevices also require documentation that a sleep study was performed before the date on the\nphysician\xe2\x80\x99s order.\n\nOn January 16, 2007, CMS awarded the DME MAC contract for Jurisdiction C to CIGNA\nGovernment Services (CGS). CGS assumed full responsibility for administering the DME MAC\nwork and began processing DMEPOS claims for Jurisdiction C as of June 1, 2007. Palmetto\nGBA was the Region C DMERC and processed the DMEPOS claims through May 31, 2007.\n(CMS refers to the DMERCs\xe2\x80\x99 coverage areas as \xe2\x80\x9cregions\xe2\x80\x9d and the DME MACs\xe2\x80\x99 coverage areas\nas \xe2\x80\x9cjurisdictions.\xe2\x80\x9d)\n\nPalmetto GBA and CGS processed approximately $4 billion in Medicare DMEPOS claims with\ncalendar year 2007 dates of service. This audit focused on $257,266,589 of Medicare paid\nclaims processed by either Palmetto GBA or CGS for therapeutic shoes for diabetics, continuous\npositive airway pressure systems, respiratory assist devices, and pressure reducing support\nsurfaces (groups 1 and 2) that included the KX modifier.\n\nOBJECTIVE\n\nOur objective was to determine whether the KX modifier was effective in ensuring that suppliers\nof DMEPOS who submitted claims to Palmetto GBA or CGS had the required supporting\ndocumentation on file.\n\n\n\n\n i\n\x0cSUMMARY OF FINDINGS\n\nThe KX modifier was not effective in ensuring that suppliers of DMEPOS who submitted claims\nto either Palmetto GBA or CGS had the required supporting documentation on file. Of the 100\nsampled items, suppliers had the required documentation on file for 45 items. Suppliers did not\nhave the required documentation on file for the remaining 55 items. As a result, Palmetto GBA\nand CGS made unallowable payments totaling $4,544 for 55 of the 100 sampled items. Based on\nour sample, we estimated that Palmetto GBA and CGS paid approximately $137 million to\nsuppliers who did not have the required documentation on file to support the DMEPOS items\nwith 2007 dates of service.\n\nThe types of missing documentation included:\n\n \xe2\x80\xa2 proof of delivery (14 of 100 items),\n\n \xe2\x80\xa2 physician\xe2\x80\x99s order (40 of 100 items),\n\n \xe2\x80\xa2 use or compliant use followup documentation (12 of 76 applicable items), and\n\n \xe2\x80\xa2 physician\xe2\x80\x99s statement (8 of 24 applicable items).\n\nFor 17 of the 55 items, suppliers were missing multiple required documents.\n\nThese errors occurred because Palmetto GBA\xe2\x80\x99s and CGS\xe2\x80\x99s electronic edits in place were not\neffective for determining whether suppliers had the required documentation on file when they\nused the KX modifier on claims. The edits could only determine whether the required KX\nmodifier was on the claim. In addition, CGS added the KX modifier to claims at the request of\nsuppliers who said they had erroneously failed to add it to their claims.\n\nRECOMMENDATIONS\n\nWe recommend that CGS, as the current DME MAC:\n\n \xe2\x80\xa2 recover the $4,544 in payments for specific DMEPOS items claimed for which the\n suppliers did not have the required documentation,\n\n \xe2\x80\xa2 review other payments for DMEPOS related to our unallowable sample items and recover\n any additional unallowable payments,\n\n \xe2\x80\xa2 notify CMS of the 14 suppliers who did not meet the supplier standard for maintaining\n proof of delivery so CMS can take appropriate action, and\n\n \xe2\x80\xa2 develop a corrective action plan to improve the effectiveness of the KX modifier and\n potentially save an estimated $137 million.\n\n\n\n ii\n\x0cAUDITEE COMMENTS\n\nIn written comments to the draft report, CGS acknowledged the unallowable payments and listed\nactions it intends to take in response to our recommendations. CGS\xe2\x80\x99s comments are included in\ntheir entirety as Appendix D.\n\n\n\n\n iii\n\x0c TABLE OF CONTENTS\n Page\n\nINTRODUCTION....................................................................................................................... 1\n\n BACKGROUND .............................................................................................................. 1\n Contracts for Processing Medicare Durable Medical Equipment,\n Prosthetics, Orthotics, and Supplies Claims ...................................................... 1\n KX Modifier Used for Durable Medical Equipment, Prosthetics,\n Orthotics, and Supplies Claims Processing ....................................................... 2\n\n OBJECTIVE, SCOPE, AND METHODOLOGY ............................................................ 3\n Objective ............................................................................................................... 3\n Scope ..................................................................................................................... 3\n Methodology ......................................................................................................... 4\n\nFINDINGS AND RECOMMENDATIONS ............................................................................. 5\n\n MISSING REQUIRED DOCUMENTATION ................................................................. 5\n Proof of Delivery .................................................................................................. 5\n Physician\xe2\x80\x99s Order .................................................................................................. 6\n Use or Compliant Use Followup Documentation ................................................. 6\n Physician\xe2\x80\x99s Statement ........................................................................................... 7\n\n KX MODIFIER SYSTEM EDITS .................................................................................. 7\n\n EFFECT OF UNALLOWABLE PAYMENTS ................................................................ 7\n\n RECOMMENDATIONS .................................................................................................. 8\n\n AUDITEE COMMENTS.................................................................................................. 8\n\nAPPENDIXES\n\n A \xe2\x80\x93 SAMPLING METHODOLOGY\n\n B \xe2\x80\x93 SAMPLE RESULTS AND ESTIMATES\n\n C \xe2\x80\x93 ERROR DETAILS\n\n D \xe2\x80\x93 AUDITEE COMMENTS\n\n\n\n\n iv\n\x0c INTRODUCTION\n\n\nBACKGROUND\n\nThe Medicare program, established by Title XVIII of the Social Security Act (the Act) in 1965\nprovides health insurance coverage to people aged 65 and over, people with disabilities, and\npeople with end-stage renal disease. The Centers for Medicare & Medicaid Services (CMS)\nadministers the Medicare program. Pursuant to sections 1832(a)(1) and 1861(n) of the Act,\nMedicare Part B provides for the coverage of durable medical equipment, prosthetics, orthotics,\nand supplies (DMEPOS).\n\nAs a result of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003,\nCMS contracted with four durable medical equipment Medicare administrative contractors\n(DME MAC) to process and pay Medicare Part B claims for DMEPOS. These DME MACs\nreplaced the Durable Medical Equipment Regional Carriers (DMERC). Also, CMS contracts\nwith Palmetto Government Benefits Administrators, LLC (Palmetto GBA), to serve as the\nNational Supplier Clearinghouse. The National Supplier Clearinghouse is responsible for\nenrolling and reenrolling DMEPOS suppliers. CMS will revoke a supplier\xe2\x80\x99s billing privileges if\nit finds that the supplier does not meet the supplier standards (42 CFR \xc2\xa7 424.57(c) and (d)). 1\n\nContracts for Processing Medicare Durable Medical Equipment, Prosthetics, Orthotics,\nand Supplies Claims\n\nOn January 16, 2007, CMS awarded the DME MAC contract for Jurisdiction C to CIGNA\nGovernment Services, LLC (CGS). CGS assumed full responsibility for administering the\nDME MAC work and began processing DMEPOS claims for Jurisdiction C as of June 1, 2007.\nCGS processes DMEPOS claims for Alabama, Arkansas, Colorado, Florida, Georgia, Louisiana,\nMississippi, New Mexico, North Carolina, Oklahoma, Puerto Rico, South Carolina, Tennessee,\nTexas, U.S. Virgin Islands, Virginia, and West Virginia.\n\nPalmetto GBA was the Region C DMERC and processed the DMEPOS claims through May 31,\n2007. 2 Palmetto GBA transferred its DMEPOS files to CGS after CMS awarded CGS the\nDME MAC contract for Jurisdiction C.\n\n\n\n\n1\n Federal requirements referenced in this document are the ones that were in effect during our audit period.\n2\n CMS refers to the DMERCs\xe2\x80\x99 coverage areas as \xe2\x80\x9cregions\xe2\x80\x9d and the DME MACs\xe2\x80\x99 coverage areas as \xe2\x80\x9cjurisdictions.\xe2\x80\x9d\nThe Region C DMERC\xe2\x80\x99s coverage area also included Kentucky but did not include Virginia or West Virginia.\n\n\n 1\n\x0cKX Modifier Used for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies\nClaims Processing\n\nNational Coverage Determinations (NCD) describe the circumstances for Medicare coverage\nnationwide for specific medical service procedures or devices including DMEPOS and generally\noutline the conditions under which a service or device is considered covered. The Medicare\nNational Coverage Determinations Manual (Pub. No. 100-03, chapter 1, section 280.1) defines\nDMEPOS as equipment that can withstand repeated use, serves a medical purpose, is generally\nnot useful to a person in the absence of illness or injury, and is appropriate for use in a patient\xe2\x80\x99s\nhome.\n\nContractors develop supplier manuals, Local Coverage Determinations (LCD), and Policy\nArticles for covered DMEPOS items. These materials specify under what clinical circumstances\nthe DMEPOS item is considered to be reasonable and necessary. For covered DMEPOS items\n(including therapeutic shoes for diabetics (therapeutic shoes), continuous positive airway\npressure systems (CPAP), respiratory assist devices (RAD), and pressure reducing support\nsurfaces (groups 1 and 2) (PRSS)), 3 the LCDs require a KX modifier be added to the claims\nbefore they can be paid. By adding the KX modifier, the supplier attests that the claim meets the\nMedicare coverage criteria and that the specific required documentation, which varies based on\nthe DMEPOS item, is on file at the supplier before submitting the claim to the DME MAC. This\ndocumentation requirement includes the written physician\xe2\x80\x99s order and proof of delivery that are\nrequired for all DMEPOS, as well as additional documentation such as a sleep study for a RAD\nclaim.\n\nThrough supplier manuals, LCDs, and Internet postings, the contractors instructed the suppliers\nto use the KX modifier only if the suppliers have the required documentation on file. However,\nif the KX modifier is not used with claims for DMEPOS that require it, the claims will be denied.\n\nThis audit focused on claims paid by Palmetto GBA and CGS for therapeutic shoes, CPAPs,\nRADs, and PRSS.\n\n\n\n\n3\n These DMEPOS are included in the Level II Healthcare Common Procedure Coding System, which is a\ncomprehensive, standardized system that classifies similar medical products into categories for efficient claims\nprocessing. It is the standardized coding system used for describing, identifying, and preparing claims for\nDMEPOS.\n\n 2\n\x0c Documentation Requirements for Selected Durable Medical Equipment, Prosthetics,\n Orthotics, and Supplies Requiring the KX Modifier\n Documentation\n Required to be on Therapeutic\n File at Supplier Required by Shoes CPAP RAD PRSS\n\n -Program Integrity\nPhysician\xe2\x80\x99s Order Manual (PIM), X X X X\n(written, signed, and Pub. No. 100-08, chapter 5\ndated) -LCDs\n -42 CFR \xc2\xa7 424.57(c)(12)\n X X X X\nProof of Delivery -PIM, chapter 4\nStatement of\nTreating/ Certifying -The Act, \xc2\xa7 1861(s)(12)\n X X\nPhysician Before (A-C)\nBilling -LCDs and Policy Articles\nPolysomnography\n(sleep study) Before - NCD X X\nPhysician\xe2\x80\x99s Order - LCDs\nUse or Compliant\nUse Followup\nStatement of X X\nPhysician and/or\nBeneficiary - LCDs\n\nOBJECTIVE, SCOPE, AND METHODOLOGY\n\nObjective\n\nOur objective was to determine whether the KX modifier was effective in ensuring that suppliers\nof DMEPOS who submitted claims to Palmetto GBA or CGS had the required supporting\ndocumentation on file.\n\nScope\n\nOf the approximately $4 billion in Medicare DMEPOS claims in Jurisdiction C with calendar\nyear 2007 dates of service, Palmetto GBA paid suppliers $1.2 billion (31 percent) and CGS paid\n$2.8 billion (69 percent). This audit focused on $257,266,589 of these Medicare paid claims for\ntherapeutic shoes, CPAPs, RADs, and PRSS that included the KX modifier. Palmetto GBA, the\nRegion C DMERC, processed the DMEPOS claims through May 31, 2007. However, in\nconnection with the transition to DME MACs, Palmetto GBA transferred its workload to CGS,\nthe current Jurisdiction C DME MAC, which processed DMEPOS claims starting with June 1,\n2007 dates of services. 4\n\n4\n Kentucky was part of the Region C DMERC\xe2\x80\x99s coverage area. However, CMS made certain coverage area\nrealignments during the transition to DME MACs, including making Kentucky part of DME MAC Jurisdiction B,\nwhich began processing claims on July 1, 2006.\n\n 3\n\x0cSince Palmetto GBA transferred all of its claims payment files, we were able to obtain its claims\npayment file information from CGS; however, we were unable to determine the supplier training\nand education that Palmetto GBA provided.\n\nWe limited our review of internal controls to gaining an understanding of the contractors\xe2\x80\x99\nprocessing of selected DMEPOS claims that were submitted with the KX modifier. We did not\ndetermine whether the sample items met other Medicare coverage criteria, such as medical\nnecessity.\n\nFrom June 2009 through December 2009, we conducted fieldwork at CGS offices in Nashville,\nTennessee, and at suppliers\xe2\x80\x99 offices in 13 States.\n\nMethodology\n\nTo accomplish our audit objective, we:\n\n \xe2\x80\xa2 reviewed applicable Federal laws, regulations, and guidance;\n\n \xe2\x80\xa2 interviewed CGS officials concerning the manual and electronic claims processing\n procedures for claims for therapeutic shoes, CPAPs, RADs, and PRSS with the KX\n modifier and CGS\xe2\x80\x99s and Palmetto GBA\xe2\x80\x99s edits in the claims processing system to ensure\n that claims were adjudicated;\n\n \xe2\x80\xa2 interviewed CGS officials concerning the education and training specific to the KX\n modifier that CGS provided to the suppliers of therapeutic shoes, CPAPs, RADs, and\n PRSS;\n\n \xe2\x80\xa2 selected a simple random sample of 100 items from four categories of DMEPOS\n (Appendix A);\n\n \xe2\x80\xa2 made unannounced visits to the 97 suppliers 5 to obtain their documentation supporting\n the use of the KX modifier;\n\n \xe2\x80\xa2 reviewed the suppliers\xe2\x80\x99 documentation for the sample items to determine whether it met\n the documentation requirements for using the KX modifier; and\n\n \xe2\x80\xa2 requested CGS\xe2\x80\x99s medical review staff review the documentation provided by the\n suppliers for those sample items that we determined did not meet the documentation\n requirements for use of the KX modifier.\n\nWe conducted this performance audit in accordance with generally accepted government\nauditing standards. Those standards require that we plan and perform the audit to obtain\nsufficient, appropriate evidence to provide a reasonable basis for our findings and conclusions\n\n5\n Three of the ninety-seven suppliers had two items in the sample.\n\n\n 4\n\x0cbased on our audit objectives. We believe that the evidence obtained provides a reasonable basis\nfor our findings and conclusions based on our audit objective.\n\n FINDINGS AND RECOMMENDATIONS\n\nThe KX modifier was not effective in ensuring that suppliers of DMEPOS who submitted claims\nto either Palmetto GBA or CGS had the required supporting documentation on file. Of the 100\nsampled items, suppliers had the required documentation on file for 45 items. 6 Suppliers did not\nhave the required documentation on file for the remaining 55 items. As a result, Palmetto GBA\nand CGS made unallowable payments totaling $4,544 for 55 of the 100 sampled items. Based on\nour sample, we estimated that Palmetto GBA and CGS paid approximately $137 million to\nsuppliers who did not have the required documentation on file to support the DMEPOS items\nwith 2007 dates of service.\n\nThe types of missing documentation included:\n\n \xe2\x80\xa2 proof of delivery (14 of 100 items),\n\n \xe2\x80\xa2 physician\xe2\x80\x99s order (40 of 100 items),\n\n \xe2\x80\xa2 use or compliant use followup documentation (12 of 76 applicable items), and\n\n \xe2\x80\xa2 physician\xe2\x80\x99s statement (8 of 24 applicable items). 7\n\nAdditional details on the results of the sampled items are provided in Appendixes B and C.\n\nThese errors occurred because Palmetto GBA\xe2\x80\x99s and CGS\xe2\x80\x99s electronic edits in place were not\neffective for determining whether suppliers had the required documentation on file when they\nused the KX modifier on claims. The edits could only determine whether the required KX\nmodifier was on the claim. In addition, CGS added the KX modifier to claims at the request of\nsuppliers who said they had erroneously failed to add it to their claims.\n\nMISSING REQUIRED DOCUMENTATION\n\nProof of Delivery\n\nPursuant to the supplier standard (42 CFR \xc2\xa7 424.57(c)(12)), the supplier \xe2\x80\x9c[m]ust be responsible\nfor the delivery of Medicare covered items to beneficiaries and maintain proof of delivery.\xe2\x80\x9d\nAlso, the PIM, chapter 4, section 4.26, requires suppliers to maintain proof of delivery\ndocumentation in their files for 7 years. Section 4.26.1 outlines proof of delivery requirements\nfor different methods of delivery. Section 4.26 also states that, for \xe2\x80\x9cany services, which do not\n\n\n6\n One of these forty-five sampled items was from a supplier who was no longer active.\n7\n For 17 of the 55 sampled items, suppliers were missing multiple required documents.\n\n\n 5\n\x0chave proof of delivery from the supplier, such claimed items and services shall be denied and\noverpayments recovered.\xe2\x80\x9d\n\nFor 14 of the 100 items, suppliers did not have proof of delivery documentation on file to support\nbilling for the DMEPOS. In all 14 instances, at least one of the following deficiencies occurred:\nthe delivery documentation was missing, the delivery documentation was not signed and dated\nby the beneficiary or his or her designee, or the documentation for shipped items such as tracking\nnumbers or the supplier\xe2\x80\x99s invoice was missing.\n\nPhysician\xe2\x80\x99s Order\n\nThe PIM, chapter 5, sections 5.2.1 and 5.2.2, state that all DMEPOS suppliers are required to\nkeep on file a physician\xe2\x80\x99s order. The treating physician must sign and date the order. Section\n5.2.3 states that if the supplier does not have a written order signed and dated by the treating\nphysician before billing Medicare, the item will be denied.\n\nFor 40 of the 100 items, suppliers did not have a physician\xe2\x80\x99s order on file to support billing for\nthe DMEPOS. In all 40 instances, at least one of the following deficiencies occurred: the order\nwas missing, the order was not signed and dated by the physician, or the DMEPOS item was not\nlisted on the order.\n\nUse or Compliant Use Followup Documentation\n\nThe LCDs for the CPAP effective March 1, 2006, June 1, 2007, and July 1, 2007, and the LCDs\nfor the RAD effective April 1, 2006, June 1, 2007, and July 1, 2007, state that, for an E0601\n(CPAP) and an E0470 (RAD) to be covered beyond the first 3 months of therapy, the supplier\nmust ascertain no sooner than the 61st day after initiating therapy that the CPAP is being used\nand that the RAD is being compliantly used. For the CPAP, either the beneficiary or the treating\nphysician must confirm that the beneficiary is continuing to use the CPAP, and the supplier must\nmaintain documentation that the requirement has been met. For the RAD, the supplier must\nobtain signed statements from both the treating physician and the beneficiary stating that the\nRAD is being compliantly used. 8 The LCDs state that continued coverage of the device will be\ndenied if the requirements are not met.\n\nFor 12 of the 76 applicable items in our sample, suppliers did not have the use or compliant use\nfollowup documentation on file to support billing for the DMEPOS. In all 12 instances, at least\none of the following deficiencies occurred: the use or compliant use followup documentation\nwas missing, the use or compliant use followup was done within 60 days after initiating therapy,\nthe statement(s) required to be completed by the treating physician and/or the beneficiary were\nmissing for the RAD, or the item was billed after the first 3 months but before the supplier\nobtained use or compliant use followup documentation.\n\n\n\n\n8\n The LCD defines \xe2\x80\x9ccompliantly used\xe2\x80\x9d for a RAD as an average usage of 4 hours out of 24 hours.\n\n\n 6\n\x0cPhysician\xe2\x80\x99s Statement\n\nPursuant to the Act, \xc2\xa7 1861(s)(12)(A), the physician must certify that the patient meets specific\ncriteria for therapeutic shoes. The LCDs and Policy Articles for therapeutic shoes and PRSS,\ngroups 1 and 2, state that DMEPOS items are covered if the supplier obtains a signed and dated\nstatement from the certifying or treating physician 9 saying the patient meets specific criteria. 10\nThe physician\xe2\x80\x99s statement must be signed and dated some time during the year before the date of\nservice for therapeutic shoes, and the Policy Articles state that the items will be denied if the\nrequirements are not met.\n\nFor 8 of the 24 applicable items in our sample requiring a physician\xe2\x80\x99s statement, suppliers did\nnot have the physicians\xe2\x80\x99 statements on file to support billing for the DMEPOS. In all eight\ninstances, at least one of the following deficiencies occurred: the physician\xe2\x80\x99s statement of\nmedical need was missing, was incomplete, or was not timely.\n\nKX MODIFIER SYSTEM EDITS\n\nThe LCDs require DMEPOS suppliers to include the KX modifier on claims submitted for\ntherapeutic shoes, CPAPs, RADs, and PRSS when the \xe2\x80\x9cspecific required documentation is on\nfile.\xe2\x80\x9d Use of the KX modifier constitutes a statement that the suppliers have the documentation\non file that the policy requires for the particular item or service.\n\nPalmetto GBA and CGS established electronic edits to evaluate the claims submitted by the\nDMEPOS suppliers. However, the edits were not effective for determining whether suppliers\nhad the required documentation on file when they used the KX modifier on claims. The edits\ncould only determine whether the required KX modifier was on the claim.\n\nIn addition, CGS considered suppliers\xe2\x80\x99 omissions of the KX modifier to be a \xe2\x80\x9cclerical error.\xe2\x80\x9d\nWhen suppliers contacted CGS about claims denied because of a missing KX modifier, CGS\nadded the KX modifier to the claims at the suppliers\xe2\x80\x99 requests.\n\nEFFECT OF UNALLOWABLE PAYMENTS\n\nFor 55 of the 100 items in our sample, suppliers who did not have the required documentation on\nfile to support their use of the KX modifier received $4,544 in payments. Based on our sample,\nwe estimated that Palmetto GBA and CGS paid approximately $137 million in unallowable\nMedicare payments to DMEPOS suppliers with 2007 dates of service.\n\n\n\n9\n The certifying or treating physician is the physician who treats the underlying condition that requires the use of the\nDMEPOS.\n10\n For therapeutic shoes, LCDs were effective March 1, 2006, June 1, 2007, and July 1, 2007, and Policy Articles\nwere effective June 1 and July 1, 2007. For PRSS (group 1 only), an LCD was effective January 1, 2007, and a\ndifferent LCD and a Policy Article were effective June 1, 2007. For PRSS (group 2 only), LCDs were effective\nMarch 1, 2006, June 1, 2007, and July 1, 2007, and Policy Articles were effective March 1, 2006, and June 1, 2007.\n\n\n 7\n\x0cRECOMMENDATIONS\n\nWe recommend that CGS, as the current DME MAC:\n\n \xe2\x80\xa2 recover the $4,544 in payments for specific DMEPOS items claimed for which the\n suppliers did not have the required documentation,\n\n \xe2\x80\xa2 review other payments for DMEPOS related to our unallowable sample items and recover\n any additional unallowable payments,\n\n \xe2\x80\xa2 notify CMS of the 14 suppliers who did not meet the supplier standard for maintaining\n proof of delivery so CMS can take appropriate action, and\n\n \xe2\x80\xa2 develop a corrective action plan to improve the effectiveness of the KX modifier and\n potentially save an estimated $137 million.\n\nAUDITEE COMMENTS\n\nIn written comments to the draft report, CGS acknowledged the unallowable payments and\ndescribed actions it intends to take in response to our recommendations.\n\nCGS said that it would develop a proposal, which includes additional targeted provider education\nand a verification process for supplier documentation on a prepay basis, to improve the\neffectiveness of the KX modifier for submission to CMS by June 20, 2010.\n\nIn addition, CGS said that it has partnered with the other DME MACs to strengthen controls and\nincrease the effectiveness of the KX modifier. CGS said that the four DME MAC directors\nmade revisions to LCDs, effective December 1, 2009, which require suppliers to file\nredetermination requests for changes to the KX and other modifiers and to deny claims without\nthe KX modifier. CGS said that these policy changes increase the effectiveness of the KX\nmodifier by requiring the supplier to file an appeal to either add or change the KX modifier and\nto provide the documentation required to support the use of the KX modifier.\n\nCGS\xe2\x80\x99s comments are included in their entirety as Appendix D.\n\n\n\n\n 8\n\x0cAPPENDIXES\n\x0c APPENDIX A: SAMPLING METHODOLOGY\n\nPOPULATION\n\nThe population consisted of durable medical equipment, prosthetics, orthotics, and supplies\n(DMEPOS) items for the year ending December 31, 2007, that DMEPOS suppliers claimed for\npayment using the KX modifier under Medicare Part B.\n\nSAMPLE FRAME\n\nThe sampling frame consisted of 3,024,176 line items totaling $257,266,589 for the year ending\nDecember 31, 2007. These items were for specific categories of DMEPOS (therapeutic shoes for\ndiabetics, continuous positive airway pressure systems, respiratory assist devices, and pressure\nreducing support surfaces (groups 1 and 2)) claimed for payment using the KX modifier under\nMedicare Part B.\n\nSAMPLE UNIT\n\nThe sample unit was a line item.\n\nSAMPLE DESIGN\n\nWe used a simple random sample.\n\nSAMPLE SIZE\n\nWe selected a sample of 100 line items.\n\nSOURCE OF RANDOM NUMBERS\n\nWe generated the random numbers with the Office of the Inspector General (OIG), Office of\nAudit Services (OAS), statistical software.\n\nMETHOD OF SELECTING SAMPLE ITEMS\n\nWe consecutively numbered the sampling frame. After generating 100 random numbers, we\nselected the corresponding frame items.\n\nESTIMATION METHODOLOGY\n\nWe used OIG/OAS statistical software to estimate the amount of potentially unallowable\npayments.\n\x0c APPENDIX B: SAMPLE RESULTS AND ESTIMATES\n\n SAMPLE RESULTS\n\n Number of Value of\n Frame Sample Value of Unallowable Unallowable\n Size Frame Value Size Sample Payments Payments\n3,024,176 $257,266,589 100 $8,478 55 $4,544\n\n\n\n ESTIMATES OF UNALLOWABLE PAYMENTS\n (Limits Calculated for a 90-Percent Confidence Interval)\n\n Point estimate $137,404,646\n Lower limit 103,735,580\n Upper limit 171,073,712\n\x0c APPENDIX C: ERROR DETAILS\n\n\n DMEPOS Total Number of Errors Line Items\n TYPES OF Required In with Only\n MISSING DOCUMENTATION For Sample Total CPAP TS * RAD PRSS One Error\nProof of Delivery All 100 14 8 2 2 2 4\nPhysician\'s Prescription/Order All 100 40 25 9 3 3 25\nUse or Compliant Use Follow-up Documentation CPAP, RAD 76 12 8 0 4 0 7\nPolysomnogram (Steep Study) CPAP, RAD 76 0 0 0 0 0 0\nPhysician\'s Certifying Statement TS, PRSS 24 8 0 6 0 2 2\n\n Total Errors (Duplicated Count) 74 41 17 9 7 38\n\n\n\n\n CATEGORIES OF DME Dollars Items Items Items Dollars 1 2 3 Multiple\n Tested Tested Allowed \xe2\x80\xa0 Errors in Error Error Errors Errors Errors \xe2\x80\xa1\nContinuous Positive Airway Pressure Systems $4,813.14 66 33 33 $2,401.06 25 8 0 8\nTherapeutic Shoes for Diabetics 1,926.60 19 7 12 1,244.16 7 5 0 5\nRespiratory Assist Devices 1,021.40 10 4 6 419.75 4 1 1 2\nPressure Reducing Support Surfaces (groups 1 and 2) 716.44 5 1 4 478.57 2 1 1 2\n\n Totals $8,477.58 100 45 55 $4,543.54 38 15 2 17\n\n* Therapeutic shoes are a one-time purchase.\n\xe2\x80\xa0 One of these forty-five sampled items was for a supplier who was no longer active and was considered a non-error.\n\xe2\x80\xa1 Seventeen of the fifty-five unallowable sampled items had multiple errors.\n\nCPAP = continuous positive airway pressure systems\nTS = therapeutic shoes for diabetics\nRAD = respiratory assist devices\nPRSS = pressure reducing support surfaces (groups 1 and 2)\n\x0c APPENDIX D: AUDITEE COMMENTS\n\t Page 1 of 2\nJ~lIn Ru.sh\nJelln RU5h\nPresident\n\n\nMay 11, 2010\n\n\n CIGNAGovernment\n Services\n Two Vantage Way\nPeter J. Barber\n Barberaa Nashville, TN 37228\n Telephone 615.252.3657\n Tdephone\nRegional [nInspecto\n spectorr Genera\n Generall for Audit Services Facsimile\n Fa oimite 615.782.4695\n 6\\5.782.4695\nOffice of Audit Services, Region\n Reg\'ion IV Jean\n ean.Rush\xc2\xaeCIGNA\n .Rush\xc2\xaeCIGNA.com\n .eom\n6 1 Forsyt\n rsythh Str\n tree\n eet,\n t, S.W., Ste. 3T41\n 3T4 1\nAtlanta, GA 30303\n\n\nDear Mr. Barbera,\n\nOn April 13, 2010, C IGNGNA A GoGovernment\n vernment SeSerrvices (CGS) rece eceived\n ived Draft Report A-04-09-04039\nentitled\nen titled "Review o( stiicti\n of Jurisdic ti on C Medicare\n Metiicare Payments (o forr Selected Durable Claims With th e KX Mo(/ir\n Modifi er\n(or Calenda\n Calendarr Year 2007." CGS ha hass reviewed the report and acknowledges the unallowable\npayments made re lated ated t o the KX modifi\n modifier\n er w h e re th\n thee su pp\n pplilier\n er did not have\n h ave the requi\n equired\n red\nclaim docum e ntntaa tion\n tion.. CGS will take th thee following\n fo llowing actions in response to th thee recommendatio\n ecommendationns:\n\n \xe2\x80\xa2 Upon receipt of a lilisting sti ng of unallowable payments from th thee OIG, CGS will adjust the\n claa im\n cl imss a nd beg in recovery ef\n begin efffo rt thee $4,544\n rtss for th $4 ,544 in identified overpayments.\n \xe2\x80\xa2 Review th thee unall owable samp\n unallowable sample le it ems t o determine if add\n items additiitioo n al\n al ove\n overpa ymentts ca\n rpaymen cann be\n identifi\n identifieded and re cove red.\n covered.\n a ppropriate CMS staff\n \xe2\x80\xa2 Repo rt to the appropriate taff,, as well as th Supplilier\n thee Natitioo nal Supp er C learinghou\n lea ringhouse se\n Medicare Admi ni nisstra tiv\n tivee Con\n Contratracct o r (NSC-MAC) the supp supplie liers\n rs Id en tified\n iden ti fied w h o violat\n iolated\n ed the\n su pplie\n plierr stan\n sta nd\n d a rds.\n \xe2\x80\xa2 Devevellop a proposal to imp imprrove the effec tiveness of the KX modifier for submi\n effectiveness ub missssiion to CMS\n (Mr. Edward Lain, DME MAC Pr oject Off\n Project Offiicer) by Ju\n Junn e 30, 2010.\n 20 10. Addi tional tar\n Additional targeted\n geted\n prov\n provid ider\n er education on th thee KX mod odifier\n ifie r will be a component of th thee proposa\n proposal.l. ThThee\n proposal will also include a ve ri fication\n verifi cation process fo r supp\n supplilierer documentation o n a p re-pay\n basis.\n\n Supple mentin\n Suppleme nting\n g the\n th e actions to be taken by CGS, we have partnered with our DME MAC peers to\n stren\n st reng\n gth\n thee n cont\n con trro ls su\n surrounding\n rrounding claims pa payment\n yment for subm\n submiiss\n ssiions ththaa t include ththee KX mod\n modifier.\n ifi er.\n The four DME MAC Medical Dire Directo\n ctorrs rev\n evised\n ised the Loca\n Locall Cove\n Coverarage\n ge Deci\n Decissions (Le(LCDs)\n Ds) and\n documentation requi eq uirreme nt fo r 17 poliCies\n ntss for policies fo\n forr the use of th\n thee KX, GA, GZ and GY modifiers\n effective\n effec tive December 1I,,2009 2009.. PriPrior\n or to ththiis date, the add ition,\n additi on , change or removaremovall of th these\n ese\n modifie\n modif ierrs was cons\n consiid e red a cler\n clerical rroo r reope\n ical e rr eopenn in\n ingg that could be reque\n requested\n sted v ia paper\n paper//fax\n ubmiss\n subm issiion or over the phone.\n ph one. Th Thee cove\n coverrage a nd documentation cha changes effectt ive on\n nges effec\n December 1, 2009 2009,, requir\n req uiree that providers n ow file a redetermination request for c hang hanges\n es to these\n modi fie rs. Also, cl\n modifiers. claims\n ai ms submitte\n submitted d without th these\n ese modifiers are denied\n den ied and mu must st be\n resubmitted with th thee required modifi\n modifiee rs. These poli policy\n cy c hang\n hanges es in crease the e ffectiveness\n ffecti veness of\n modifiee r b y requiring that th\n the KX modifi thee provider file an appeal t o add o r C c hange the KX\n modiffier and provide the required docum\n modi documee ntation\n ntatio n t o suppo\n support rt th\n thee u se ofo f the KX modifi\n m odifieer.\n\n\n\n\n c_s/\nAn affiliate of Conn calCuI Gent,.1 Ule Insu,anct Company rart 8 I"< OMECont,act~ eaTne, 10\' Iht Qmt" /0\' Mt<lIea\'t I"< Medicaid StrvICM.\n -~-\'--I\n\x0c Page 2 of 2\n\nMay 11, 2010\nPage 2\n\n\n\nIf you\n you have\n have any\n any questions\n questions or\n or additional\n additional requests\n requests related\n related to\n to the review, please\n the review, please contact\n contact Elizabeth\n Elizabeth\nNoelting, Compliance\nNoelting, Compliance Specialist\n Specialist at\n at 615-782-4541.\n 615-782-4541.\n\nSincerely,\nSincerely,\n\n\nII Jean\n Jean Rush\n Rush II\n\n\nJean Rush\nJean Rush\nPresident\nPresident\nCIGNA Government\nCIGNA Government Services\n Services\n\x0c'


text:
 8.1.2015
 NL
 Publicatieblad van de Europese Unie
 L 4/18
 UITVOERINGSVERORDENING (EU) 2015/24 VAN DE COMMISSIE
 van 7 januari 2015
 tot vaststelling van de forfaitaire invoerwaarden voor de bepaling van de invoerprijs van bepaalde groenten en fruit
 DE EUROPESE COMMISSIE,
 Gezien het Verdrag betreffende de werking van de Europese Unie,
 Gezien Verordening (EU) nr. 1308/2013 van het Europees Parlement en de Raad van 17 december 2013 tot vaststelling van een gemeenschappelijke ordening van de markten voor landbouwproducten en tot intrekking van de Verordeningen (EEG) nr. 922/72, (EEG) nr. 234/79, (EG) nr. 1037/2001 en (EG) nr. 1234/2007 van de Raad (1),
 Gezien Uitvoeringsverordening (EU) nr. 543/2011 van de Commissie van 7 juni 2011 tot vaststelling van nadere bepalingen voor de toepassing van Verordening (EG) nr. 1234/2007 van de Raad, wat de sectoren groenten en fruit en verwerkte groenten en fruit betreft (2), en met name artikel 136, lid 1,
 Overwegende hetgeen volgt:
 (1)
 Bij Uitvoeringsverordening (EU) nr. 543/2011 zijn, op grond van de resultaten van de multilaterale handelsbesprekingen van de Uruguayronde, de criteria vastgesteld aan de hand waarvan de Commissie voor de producten en de perioden die in bijlage XVI, deel A, bij die verordening zijn vermeld, de forfaitaire waarden bij invoer uit derde landen vaststelt.
 (2)
 De forfaitaire invoerwaarde wordt elke dag berekend overeenkomstig artikel 136, lid 1, van Uitvoeringsverordening (EU) nr. 543/2011, met inachtneming van de variabele gegevens voor die dag. Bijgevolg moet deze verordening in werking treden op de dag van de bekendmaking ervan in het Publicatieblad van de Europese Unie,
 HEEFT DE VOLGENDE VERORDENING VASTGESTELD:
 Artikel 1
 De in artikel 136 van Uitvoeringsverordening (EU) nr. 543/2011 bedoelde forfaitaire invoerwaarden worden vastgesteld in de bijlage bij de onderhavige verordening.
 Artikel 2
 Deze verordening treedt in werking op de dag van de bekendmaking ervan in het Publicatieblad van de Europese Unie.
 Deze verordening is verbindend in al haar onderdelen en is rechtstreeks toepasselijk in elke lidstaat.
 Gedaan te Brussel, 7 januari 2015.
 Voor de Commissie,
 namens de voorzitter,
 Jerzy PLEWA
 Directeur-generaal Landbouw en Plattelandsontwikkeling
 (1) PB L 347 van 20.12.2013, blz. 671.
 (2) PB L 157 van 15.6.2011, blz. 1.
 BIJLAGE
 Forfaitaire invoerwaarden voor de bepaling van de invoerprijs van bepaalde groenten en fruit
 (EUR/100 kg)
 GN-code
 Code derde landen (1)
 Forfaitaire invoerwaarde
 0702 00 00
 AL
 69,6
 IL
 104,4
 MA
 89,1
 TN
 130,5
 TR
 108,0
 ZZ
 100,3
 0707 00 05
 TR
 160,8
 ZZ
 160,8
 0709 93 10
 MA
 96,9
 SN
 80,8
 TR
 157,6
 ZZ
 111,8
 0805 10 20
 EG
 41,2
 MA
 68,6
 TR
 74,1
 ZA
 40,1
 ZW
 32,9
 ZZ
 51,4
 0805 20 10
 MA
 58,8
 ZZ
 58,8
 0805 20 30, 0805 20 50, 0805 20 70, 0805 20 90
 IL
 89,3
 JM
 106,8
 TR
 80,9
 ZZ
 92,3
 0805 50 10
 TR
 53,0
 ZZ
 53,0
 0808 10 80
 AR
 164,5
 BR
 62,9
 CL
 82,5
 MK
 39,8
 US
 145,8
 ZA
 147,0
 ZZ
 107,1
 0808 30 90
 US
 171,4
 ZZ
 171,4
 (1) Landennomenclatuur vastgesteld bij Verordening (EU) nr. 1106/2012 van de Commissie van 27 november 2012 tot uitvoering van Verordening (EG) nr. 471/2009 van het Europees Parlement en de Raad betreffende communautaire statistieken van de buitenlandse handel met derde landen, wat de bijwerking van de nomenclatuur van landen en gebieden betreft (PB L 328 van 28.11.2012, blz. 7). De code „ZZ” staat voor „overige oorsprong”.


type: caselaw

text:
 25.4.2016
 HU
 Az Európai Unió Hivatalos Lapja
 C 145/32
 A Közszolgálati Törvényszék F-101/14., F-102/14. és F-103/14. sz., Clarke és társai kontra EUIPO egyesített ügyekben 2015. december 15-én hozott ítélete ellen Nicole Clarke, Sigrid Dickmanns és Elisavet Papathanasiou által 2016. február 26-án benyújtott fellebbezés
 (T-89/16. P. sz. ügy)
 (2016/C 145/39)
 Az eljárás nyelve: német
 Felek
 Fellebbezők: Nicole Clarke (Alicante, Spanyolország), Sigrid Dickmanns (Gran Alacant, Spanyolország) és Elisavet Papathanasiou (Alicante) (képviselők: H. Tettenborn ügyvéd)
 A másik fél az eljárásban: az Európai Unió Szellemi Tulajdoni Hivatala (EUIPO)
 Kérelmek
 A fellebbezők azt kérik, hogy a Törvényszék:
 —
 teljes egészében helyezze hatályon kívül az Európai Unió Közszolgálati Törvényszékének (harmadik tanács) az F-101/14., F-102/14. és F-103/14. sz. egyesített ügyekben 2015. december 15-én hozott ítéletét;
 —
 adjon helyt az említett eljárásokban részt vevő (fellebbező) felek kérelmeinek;
 —
 az EUIPO-t kötelezze az eljárás egésze – azaz mind az EU Közszolgálati Törvényszéke előtti eljárás, mind az EU Törvényszéke előtti fellebbezési eljárás – költségeinek megtérítésére.
 Jogalapok és fontosabb érvek
 Fellebbezésük alátámasztása érdekében a fellebbezők négy jogalapra hivatkoznak.
 1.
 Az első, a fellebbezők ideiglenes alkalmazotti szerződéseiben foglalt megszüntető kikötés, valamint az EUIPO és az említett fellebbezők által aláírt „visszahelyezésről szóló jegyzőkönyv” téves alkalmazására alapított jogalap, amiatt, hogy a jelen versenyvizsga nem minősül „következő” versenyvizsgának a megszüntető kikötés értelmében.
 2.
 A második, a fellebbezők ideiglenes alkalmazotti szerződéseiben foglalt megszüntető kikötés téves alkalmazására alapított jogalap, amiatt, hogy a jelen versenyvizsgák nem az ezen kikötésben említett „ipari tulajdon” szakterületével kapcsolatosak, és így nem adhatnak jogszerű alapot a szóban forgó kikötés alkalmazására.
 Az első két jogalap keretében a fellebbezők azt róják fel a Közszolgálati Törvényszéknek, hogy az a megtámadott ítéletben figyelmen kívül hagyta a megszüntető kikötés szövegét, értelmét és célját, valamint annak időbeli vonatkozását és időbeli alkalmazhatóságát;
 3.
 A harmadik, Az Európai Unió egyéb alkalmazottaira vonatkozó alkalmazási feltételek (a továbbiakban: RAA) 8. cikke (1) bekezdésének téves alkalmazására alapított jogalap.
 A fellebbezők ezzel összefüggésben arra hivatkoznak, hogy a megtámadott ítéletben a Közszolgálati Törvényszék figyelmen kívül hagyta azt a tényt, hogy a visszahelyezésről szóló jegyzőkönyvek, amelyeket ők az EUIPO-val együtt aláírtak, mint szerződéses kikötések, ideiglenes alkalmazotti szerződéseik legalább második meghosszabbításának minősültek, aminek az RAA 8. cikke (1) bekezdése rendelkezéseinek értelmében az lett a következménye, hogy azokat határozatlan időre szóló szerződéseknek kellett volna tekinteni.
 4.
 A negyedik, a gondoskodási kötelezettségnek és a bizalomvédelem elvének megsértésére alapított jogalap.
 E jogalappal a fellebbezők azt róják fel a Közszolgálati Törvényszéknek, hogy az tévesen hivatkozik a visszahelyezés időpontjára a megszüntető kikötés aláírásának időpontja helyett azon kérdés megítélésénél, hogy az EUIPO eleget tett-e gondoskodási kötelezettségének, illetve megsértette-e a bizalomvédelem elvét, amiatt, hogy kilenc évet várt azon versenyvizsga kiírásával, amelynek a fellebbezők szakmai jövőjéről kellett volna döntenie.


text:
 23.10.2010
 LT
 Europos Sąjungos oficialusis leidinys
 C 288/11
 2010 m. rugsėjo 2 d. Teisingumo Teismo (antroji kolegija) sprendimas byloje (Lietuvos Aukščiausiojo Teismo (Lietuva) prašymas priimti prejudicinį sprendimą) Kirin Amgen, Inc. prieš Lietuvos Respublikos valstybinį patentų biurą
 (Byla C-66/09) (1)
 (Patentų teisė - Vaistai - Reglamentas (EEB) Nr. 1768/92 - 7 ir 19 straipsniai bei 19a straipsnio e punktas - Medicinos produktų papildomos apsaugos liudijimas - Paraiškos tokiam liudijimui gauti padavimo terminas)
 (2010/C 288/17)
 Proceso kalba: lietuvių
 Prašymą priimti prejudicinį sprendimą pateikęs teismas
 Lietuvos Aukščiausiasis Teismas
 Šalys pagrindinėje byloje
 Ieškovė: Kirin Amgen, Inc.
 Atsakovas: Lietuvos Respublikos valstybinis patentų biuras
 Dalyvaujant: Amgen Europe BV
 Dalykas
 Prašymas priimti prejudicinį sprendimą — Lietuvos Aukščiausiasis Teismas — 1992 m. birželio 18 d. Tarybos reglamento (EEB) Nr. 1768/92 dėl medicinos produktų papildomos apsaugos liudijimo sukūrimo (OL L 182, p. 1; 2004 m. specialusis leidimas lietuvių k., 13 sk., 11 t., p. 200) 3 straipsnio b punkto, 7 straipsnio 1 dalies, 13 straipsnio 1 dalies bei 19 ir 23 straipsnių aiškinimas — Bendrovė, turinti Europos patentą medicinos produktui ir Bendrijos leidimą pateikti šį medicinos produktą į rinką ir paprašiusi papildomos apsaugos liudijimo šiam medicinos produktui — Papildomos apsaugos liudijimo prašymo padavimui nustatyto termino pradžios momento nustatymas — Leidimo prekiauti išdavimo data ar minėto reglamento įsigaliojimo Lietuvai data, jai įstojus į Europos Sąjungą
 Rezoliucinė dalis
 1992 m. birželio 18 d. Tarybos reglamento (EEB) Nr. 1768/92 dėl medicinos produktų papildomos apsaugos liudijimo sukūrimo, iš dalies pakeisto Aktu dėl Čekijos Respublikos, Estijos Respublikos, Kipro Respublikos, Latvijos Respublikos, Lietuvos Respublikos, Vengrijos Respublikos, Maltos Respublikos, Lenkijos Respublikos, Slovėnijos Respublikos ir Slovakijos Respublikos stojimo sąlygų ir Sutarčių, kuriomis yra grindžiama Europos Sąjunga, pritaikomųjų pataisų, 7 straipsnį ir 19a straipsnio e punktą reikia aiškinti taip, kad jais produktui išduoto galiojančio pagrindinio patento turėtojui neleidžiama prašyti kompetentingų Lietuvos institucijų išduoti papildomos apsaugos liudijimą per 6 mėnesius nuo Lietuvos Respublikos įstojimo į Sąjungą dienos, jeigu daugiau nei prieš 6 mėnesius iki įstojimo šiam produktui, kaip medicinos produktui, buvo gautas leidimas pateikti į rinką pagal 1993 m. liepos 22 d. Tarybos reglamentą (EEB) Nr. 2309/93, nustatantį Bendrijos leidimų dėl žmonėms skirtų ir veterinarinių vaistų išdavimo bei priežiūros tvarką ir įsteigiantį Europos vaistų vertinimo agentūrą, tačiau Lietuvoje leidimas pateikti į rinką šiam produktui nebuvo gautas.
 (1) OL C 90, 2009 4 18.