Extramural Support Program for Reimbursement of Travel and Subsistence Expenses Incurred Toward Living Organ Donations, 59760-59762 [05-20456]

Download as PDF 59760 Federal Register / Vol. 70, No. 197 / Thursday, October 13, 2005 / Notices Michigan, in the amount of $95,000; Centerforce, Inc. of San Rafael, California in the amount of $63,170; Big Brothers Big sisters of Boone County, Columbia, Missouri, in the amount of $95,000; Big Brothers Big Sisters of Kentucky, Louisville, Kentucky, in the amount of $95,000; Rhode Islanders Sponsoring Education, Providence, Rhode Island, in the amount of $13,900; Mississippi Gulf Coast YMCA, Ocean Springs, Mississippi, in the amount of $99,553; Families Under Urban and Social Attacks, Houston, Texas, in the amount of $56,250; Big Buddy Program, Baton Rouge, Louisiana, in the amount of $90,000; Big Brothers Big Sisters of Nevada, Reno, Nevada, in the amount of $95,000; Big Brothers Big Sisters of Eastern Missouri, St. Louis, Missouri, in the amount of $95,000; Pima Prevention Partnership, Tucson, Arizona, in the amount of $33,936; The University of Oklahoma National Resource Center for Youth Services, Tulsa, Oklahoma, in the amount of $700,000; Mid-Atlantic Network of Youth and Family Services, Pittsburgh, Pennsylvania, in the amount of $100,000; Youth Network Council, Chicago, Illinois, in the amount of $100,000; Southeastern Network of Youth and Family Services, Bonita Springs, Florida, in the amount of $100,000; Empire State Coalition of Youth and Family Services, New York, New York, in the amount of $100,000; Northwest Network of Runaway and Youth Services, Seattle, Washington, in the amount of $100,000; Western States Youth Services Network, Petaluma, California, in the amount of $100,000; New England Network for Child, Youth and Family Services, Burlington, Vermont, in the amount of $100,000; Southwest Network of Youth Services, Austin, Texas, in the amount of $100,000; Mountain Plains Network for Youth, Bismarck, North Dakota, in the amount of $100,000; MINK Network of Runaway and Homeless Youth Services, Lenexa, Kansas, in the amount of $65,000. The seventeen Mentoring Children of Prisoners Programs will be responsible for reconnecting or establishing new mentoring relationships with evacuated children of incarcerated persons in their new communities. In addition to the seventeen Mentoring Children of Prisoners Programs being funded, the Family and Youth Services Bureau is funding eleven Training and Technical Assistance providers that will provide specialized technical assistance to the Mentoring Children of Prisoners Program grantees in their respective regions. The eleven Training and Technical Assistance Providers are well VerDate Aug<31>2005 16:14 Oct 12, 2005 Jkt 208001 positioned to assist the seventeen Mentoring Children of Prisoners Programs in identifying children of incarcerated persons who are new to a community, developing a plan to provide them with mentoring support and coordinating services with other programs, Federal staff and their contractors. FOR FURTHER INFORMATION CONTACT: Curtis O. Porter, Director, Youth Development Division, Family and Youth Services Bureau, 330 C Street, SW., Washington, DC 20447, Phone: 202–205–8102. Dated: October 6, 2005. Joan E. Ohl, Commissioner, Administration on Children, Youth and Families. [FR Doc. 05–20532 Filed 10–12–05; 8:45 am] BILLING CODE 4184–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Head Start Bureau; Unsolicited Proposal on Gubernatorial Leadership for Early Care and Education Head Start Bureau, Administration for Children and Families (ACF), Department of Health and Human Services (HHS). ACTION: Award Announcement, 3 Year Unsolicited Application Project. AGENCY: CFDA#: The Catalog of Federal Domestic Assistance (CFDA) number for this program is 93.600. The title is Unsolicited Proposal on Gubernatorial Leadership for Early Care and Education. Legislative Authority: Grants to enhance collaboration efforts between Head Start and other early childhood providers are authorized by The Head Start Action (Pub. L. 05–285). Amount of Award: $600,000. Project Period: 11/1/05–10/31/08. Summary and Purpose: Notice is hereby given that the Head Start Bureau will award grant funds without competition to the National Governor’s Association Center for Best Practices. The grant is an unsolicited service grant award that is within legislative authorities and that proposes activities that may be lawfully supported through grant mechanisms. This application is of merit, and the project will have significant impact on State efforts to design, implement, and improve early childhood systems of care and education. The National Governor’s Association Center for Best Practices proposes to PO 00000 Frm 00047 Fmt 4703 Sfmt 4703 work with Governors to develop and implement new strategic early childhood plans in order to improve quality and coordination of early childhood care and education. The NGA Center will conduct an independent and confidential audit of existing early childhood efforts in four states, provide implementation recommendations to early childhood stakeholders, and publish and disseminate findings and recommendations to the broader policy community. The NGA Center has a history of work with Governors on special early childhood initiatives and has the capacity to take state coordination efforts to the highest level of policy and funding decision making. This unique approach will provide valuable information on effective strategies and improvements in quality and service delivery, yielding valuable information on early childhood investments for States and Federal programs. Contact for Further Information: Administration for Children and Families, Head Start Bureau, 330 C Street, SW., Washington, DC 20447, Kiersten Beigel—(202) 260–4869, kbeigel@acf.hhs.gov. Dated: October 5, 2005. Joan Ohl, Commissioner, Head Start Bureau. [FR Doc. 05–20555 Filed 10–12–05; 8:45 am] BILLING CODE 4184–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Extramural Support Program for Reimbursement of Travel and Subsistence Expenses Incurred Toward Living Organ Donations Health Resources and Services Administration (HRSA), HHS. ACTION: Request for public comment. AGENCY: SUMMARY: Congress has provided specific authority under section 377 of the Public Health Service (PHS) Act, 42 U.S.C. § 274f, as amended by Public Law 108–216 for providing reimbursement of travel and subsistence expenses for certain individuals donating their organs. Additionally, Congress has provided the Secretary the authority to provide reimbursement for other incidental non-medical expenses as the Secretary determines by regulation to be appropriate. The Health Resources and Services Administration is developing a demonstration program to fulfill this authority. In the first cycle, E:\FR\FM\13OCN1.SGM 13OCN1 Federal Register / Vol. 70, No. 197 / Thursday, October 13, 2005 / Notices the program will focus exclusively on providing reimbursement of travel and subsistence expenses for certain individuals donating their organs. In the future, the program may provide reimbursement for other incidental nonmedical expense. The purpose of this solicitation of comments is to assist HRSA in establishing an effective program which addresses the concerns and the needs of the community. In addition, the Division of Transplantation, Healthcare Systems Bureau plans two conference calls to discuss the program. DATES: The conference calls will be held on October 19, 2005, at 1 p.m. to 3 p.m. e.s.t. and October 25, 2005, at 10 a.m. to 12 p.m. e.s.t. Participants are asked to register for the conference calls by contacting Mesmin German at (301) 443–0053 or e-mail mgerman@hrsa.gov. The registration deadline is October 12, 2005, for the October 19, 2005, conference call and October 20, 2005, for the October 25, 2005, conference call. Since similar information will be discussed on both calls, it is not necessary to register for both. Registration is not guaranteed; it is on a first come basis. To be considered, written comments should be postmarked no later than November 4, 2005. ADDRESSES: Please send all written comments to James F. Burdick, M.D., Director, Division of Transplantation, Healthcare Systems Bureau, Health Resources and Services Administration, Room 12C–06, Parklawn Building, 5600 Fishers Lane, Rockville, Maryland 20857; telephone (301) 443–7577; fax (301) 594–6095; or e-mail: jburdick@hrsa.gov. FOR FURTHER INFORMATION CONTACT: James F. Burdick, M.D., Director, DOT, HSB, HRSA, Parklawn Building, Room 12C–06, 5600 Fishers Lane, Rockville, Maryland 20857; telephone (301) 443– 7577; fax (301) 594–6095; or e-mail: jburdick@hrsa.gov. SUPPLEMENTARY INFORMATION: Solicitation of Comments The Health Resources and Services Administration’s (HRSA) Healthcare Systems Bureau (HSB), Division of Transplantation (DoT), is soliciting input from the community on the following: (1) The general structure and processes of the proposed program to account for geographic variations; (2) criteria for the Secretary to use in determining individuals who are more likely to be otherwise unable to meet such expenses; and (3) the reasonableness of the level of reimbursement to be made available per VerDate Aug<31>2005 16:14 Oct 12, 2005 Jkt 208001 59761 living donor and accompanying persons. HRSA is also soliciting input on what other incidental non-medal expenses may be covered under this program. Moreover, HRSA is seeking input on what the Secretary should consider when drafting regulations for reimbursement for other non-medical expenses. program include: identifying the medical and non-medical benefits and risks of reimbursement for such expenses to donating individuals and recipients alike; assessing the impact of this program on the number of living donors; and assessing the impact on access to living donation by recipients of lower socio-economic status. Background The number of patients waiting for transplants exceeds 89,000. In 2004, fewer than 26,000 Americans received transplants and 6,271 died waiting. The dire shortage of organs for transplantation has been the impetus for the development of protocols intended to expand the donor pool, including the use of more than 7,000 organs from living donors in 2004. Living donors have provided life-saving treatment for many individuals with conditions leading to life-threatening end-stage organ failure. In addition, in 2003 the number of living donors in the United States exceeded the number of deceased donors for the first time. Potential living donors, recipients, and family alike face many challenges. Even though surgical costs are covered by recipient insurance, other costs associated with being a living organ donor can represent a substantial financial burden on the parties involved. Medically appropriate living donor transplantations can be impossible for some individuals because of prohibitive related subsistence expenses. Individuals wishing to donate an organ may not be able to afford travel, subsistence, and other incidental non-medical costs associated with the donation. Congress has given the Department of Health and Human Services (HHS) the authority to provide limited financial assistance for reimbursement of travel and subsistence expenses incurred by the donating individuals when appropriate. HRSA, therefore, plans to initiate the demonstration program discussed herein. Congress also provided the Secretary the authority to provide reimbursement for other incidental non-medical expenses as the Secretary determines by regulations to be appropriate. Therefore, the type of expenses considered under this program may expand in the future. The primary goal of this demonstration program is to assist one eligible entity in the implementation of an equitable, effective, and efficient national program to provide financial assistance to individuals who are serving as living organ donors but are unable to meet such expenses. Secondary goals of this demonstration Funding HRSA expects to award $2 million under this program to support the first year of a 3-year demonstration program. Subsequent years of funding depend on the availability of appropriations, program priorities, and awardees performance. PO 00000 Frm 00048 Fmt 4703 Sfmt 4703 Program Authority Below is the program authority pursuant to Public Law 108–216, the Organ Donation and Recovery Improvement Act: Sec. 3. Reimbursement of Travel and Subsistence Expenses Incurred Toward Living Organ Donation Section 377 of the Public Health Service Act (42 U.S.C. 274f) is amended to read as follows: Sec. 377. Reimbursement of Travel and Subsistence Expenses Incurred Toward Living Organ Donation (a) In General—The Secretary may award grants to States, transplant centers, qualified organ procurement organizations under section 371, or other public or private entities for the purpose of— (1) Providing for reimbursement of travel and subsistence expenses incurred by individuals toward making living donations of their organs (in this section referred to as ‘‘donating individuals’’); and (2) Providing for the reimbursement of such incidental non-medical expenses that are so incurred as the Secretary determines by regulation to be appropriate. (b) Preference—The Secretary shall, in carrying out subsection (a), give preference to those individuals that the Secretary determines are more likely to be otherwise unable to meet such expenses. (c) Certain Circumstances—The Secretary may, in carrying out subsection (a), consider— (1) The term ‘‘donating individuals’’ as including individuals who in good faith incur qualifying expenses toward the intended donation of an organ but with respect to whom, for such reasons as the Secretary determines to be appropriate, no donation of the organ occurs; and E:\FR\FM\13OCN1.SGM 13OCN1 59762 Federal Register / Vol. 70, No. 197 / Thursday, October 13, 2005 / Notices (2) The term ‘‘qualifying expenses’’ as including the expenses of having relatives or other individuals, not to exceed 2, who accompany or assist the donating individual for purposes of subsection (a) (subject to making payment for only those types of expenses that are paid for a donating individual). (d) Relationship to Payments Under Other Programs—An award may be made under subsection (a) only if the applicant involved agrees that the award will not be expended to pay the qualifying expenses of a donating individual to the extent that payment has been made, or can reasonably be expected to be made, with respect to such expenses— (1) Under any State compensation program, under an insurance policy, or under any Federal or State health benefits program; (2) By an entity that provides health services on a prepaid basis; or (3) By the recipient of the organ. (e) Definitions—For purposes of this section: (1) The term ‘‘donating individuals’’ has the meaning indicated for such term in subsection (a)(1), subject to subsection (c)(1). (2) The term ‘‘qualifying expenses’’ means the expenses authorized for purposes of subsection (a), subject to subsection (c)(2). (f) Authorization of Appropriations— For the purpose of carrying out this section, there is authorized to be appropriated $5,000,000 for each of the fiscal years 2005 through 2009. Dated: October 5, 2005. Elizabeth M. Duke, Administrator. [FR Doc. 05–20456 Filed 10–12–05; 8:45 am] BILLING CODE 4165–15–P DEPARTMENT OF HOMELAND SECURITY [USCG–2005–22656] Chemical Transportation Advisory Committee Coast Guard, DHS. Notice of meeting. AGENCY: The Chemical Transportation Advisory Committee (CTAC) and its Subcommittees on Outreach and Hazardous Cargo Transportation Security (HCTS) will meet to discuss various issues relating to the marine transportation of hazardous materials in bulk. These meetings will be open to the public. SUMMARY: VerDate Aug<31>2005 16:14 Oct 12, 2005 Jkt 208001 CTAC and its Outreach and HCTS Subcommittees will meet at the Moody Gardens Hotel and Convention Center, 7 Hope Blvd., Galveston, TX. Send written material and requests to make oral presentations to Commander Robert J. Hennessy, Executive Director of CTAC, Commandant (G–MSO–3), U.S. Coast Guard Headquarters, 2100 Second Street SW., Washington, DC 20593–0001 or E-mail: CTAC@comdt.uscg.mil. This notice is available on the Internet at http:// dms.dot.gov. ADDRESSES: FOR FURTHER INFORMATION CONTACT: Commander Robert J. Hennessy, Executive Director of CTAC, or Ms. Sara Ju, Assistant to the Executive Director, telephone 202–267–1217, fax 202–267– 4570. Notice of these meetings is given under the Federal Advisory Committee Act, 5 U.S.C. App. 2. SUPPLEMENTARY INFORMATION: Agenda of Outreach Subcommittee Meeting on Monday, November 7, 2005 (1) Introduce Subcommittee members and attendees. (2) Review Task Statement. (3) Discuss future outreach initiatives. Agenda of HCTS Subcommittee Meeting on Monday, November 7, 2005 Coast Guard ACTION: CTAC will meet on Tuesday, November 8, 2005, from 9 a.m. to 3:30 p.m. The Outreach Subcommittee will meet on Monday, November 7, 2005, from 9 a.m. to 11 a.m. and the HCTS Subcommittee will meet on Monday, November 7, 2005, from 12 noon to 3:30 p.m. These meetings may close early if all business is finished. Written material and requests to make oral presentations should reach the Coast Guard on or before October 31, 2005. Requests to have a copy of your material distributed to each member of the Committee should reach the Coast Guard on or before October 31, 2005. DATES: (1) Introduce Subcommittee members and attendees. (2) Review video on Sensitive Security Information. (3) Discuss on-line security training. (4) Review Policy Advisory Council Decision No. 56–05. (5) Brief on Certain Dangerous Cargo (CDC) list consolidation. (6) Discuss status of CDC residue regulations. (7) Brief on Houston Galveston Navigation Safety Advisory Committee (HOGANSAC) Declaration of Inspection Working Group. PO 00000 Frm 00049 Fmt 4703 Sfmt 4703 Agenda of CTAC Meeting on Tuesday, November 8, 2005 (1) Introduce Committee members and attendees. (2) Status report presentation from the CTAC National Fire Protection Association (NFPA) 472 Subcommittee. (3) Status report presentation from the CTAC HCTS Subcommittee. (4) Status report presentation from the CTAC Outreach Subcommittee. (5) Discussion on the CTAC Membership Working Group. (6) Presentation by the Louisiana Department of Environmental Quality Marine Response. (7) Presentation on Acrylonitrile Antidotes. (8) Presentation on Good Manufacturing Practices. (9) Presentation on the role of the International Tanker Owners Pollution Federation in marine oil and chemical response. (10) Update on Coast Guard Regulatory Projects. Procedural These meetings are open to the public. Please note that the meetings may close early if all business is finished. At the discretion of the Chair, members of the public may make oral presentations during the meetings generally limited to 5 minutes. If you would like to make an oral presentation at a meeting, please notify the Executive Director and submit written material on or before October 31, 2005. If you would like a copy of your material distributed to each member of the Committee in advance of a meeting, please submit 25 copies to the Executive Director (see ADDRESSES) no later than October 31, 2005. Information on Services for Individuals With Disabilities For information on facilities or services for individuals with disabilities, or to request special assistance at the meeting, telephone the Executive Director as soon as possible. Dated: October 4, 2005. Howard L. Hime, Acting Director of Standards, Marine Safety, Security and Environmental Protection. [FR Doc. 05–20469 Filed 10–12–05; 8:45 am] BILLING CODE 4910–15–P DEPARTMENT OF THE INTERIOR Office of the Secretary Notice of Proposed Information Collection AGENCY: E:\FR\FM\13OCN1.SGM Office of the Secretary, Interior. 13OCN1

Agencies

[Federal Register Volume 70, Number 197 (Thursday, October 13, 2005)]
[Notices]
[Pages 59760-59762]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-20456]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Extramural Support Program for Reimbursement of Travel and 
Subsistence Expenses Incurred Toward Living Organ Donations

AGENCY: Health Resources and Services Administration (HRSA), HHS.

ACTION: Request for public comment.

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

SUMMARY: Congress has provided specific authority under section 377 of 
the Public Health Service (PHS) Act, 42 U.S.C. Sec.  274f, as amended 
by Public Law 108-216 for providing reimbursement of travel and 
subsistence expenses for certain individuals donating their organs. 
Additionally, Congress has provided the Secretary the authority to 
provide reimbursement for other incidental non-medical expenses as the 
Secretary determines by regulation to be appropriate. The Health 
Resources and Services Administration is developing a demonstration 
program to fulfill this authority. In the first cycle,

[[Page 59761]]

the program will focus exclusively on providing reimbursement of travel 
and subsistence expenses for certain individuals donating their organs. 
In the future, the program may provide reimbursement for other 
incidental non-medical expense. The purpose of this solicitation of 
comments is to assist HRSA in establishing an effective program which 
addresses the concerns and the needs of the community. In addition, the 
Division of Transplantation, Healthcare Systems Bureau plans two 
conference calls to discuss the program.

DATES: The conference calls will be held on October 19, 2005, at 1 p.m. 
to 3 p.m. e.s.t. and October 25, 2005, at 10 a.m. to 12 p.m. e.s.t. 
Participants are asked to register for the conference calls by 
contacting Mesmin German at (301) 443-0053 or e-mail mgerman@hrsa.gov. 
The registration deadline is October 12, 2005, for the October 19, 
2005, conference call and October 20, 2005, for the October 25, 2005, 
conference call. Since similar information will be discussed on both 
calls, it is not necessary to register for both. Registration is not 
guaranteed; it is on a first come basis. To be considered, written 
comments should be postmarked no later than November 4, 2005.

ADDRESSES: Please send all written comments to James F. Burdick, M.D., 
Director, Division of Transplantation, Healthcare Systems Bureau, 
Health Resources and Services Administration, Room 12C-06, Parklawn 
Building, 5600 Fishers Lane, Rockville, Maryland 20857; telephone (301) 
443-7577; fax (301) 594-6095; or e-mail: jburdick@hrsa.gov.

FOR FURTHER INFORMATION CONTACT: James F. Burdick, M.D., Director, DOT, 
HSB, HRSA, Parklawn Building, Room 12C-06, 5600 Fishers Lane, 
Rockville, Maryland 20857; telephone (301) 443-7577; fax (301) 594-
6095; or e-mail: jburdick@hrsa.gov.

SUPPLEMENTARY INFORMATION:

Solicitation of Comments

    The Health Resources and Services Administration's (HRSA) 
Healthcare Systems Bureau (HSB), Division of Transplantation (DoT), is 
soliciting input from the community on the following: (1) The general 
structure and processes of the proposed program to account for 
geographic variations; (2) criteria for the Secretary to use in 
determining individuals who are more likely to be otherwise unable to 
meet such expenses; and (3) the reasonableness of the level of 
reimbursement to be made available per living donor and accompanying 
persons. HRSA is also soliciting input on what other incidental non-
medal expenses may be covered under this program. Moreover, HRSA is 
seeking input on what the Secretary should consider when drafting 
regulations for reimbursement for other non-medical expenses.

Background

    The number of patients waiting for transplants exceeds 89,000. In 
2004, fewer than 26,000 Americans received transplants and 6,271 died 
waiting. The dire shortage of organs for transplantation has been the 
impetus for the development of protocols intended to expand the donor 
pool, including the use of more than 7,000 organs from living donors in 
2004. Living donors have provided life-saving treatment for many 
individuals with conditions leading to life-threatening end-stage organ 
failure. In addition, in 2003 the number of living donors in the United 
States exceeded the number of deceased donors for the first time.
    Potential living donors, recipients, and family alike face many 
challenges. Even though surgical costs are covered by recipient 
insurance, other costs associated with being a living organ donor can 
represent a substantial financial burden on the parties involved. 
Medically appropriate living donor transplantations can be impossible 
for some individuals because of prohibitive related subsistence 
expenses. Individuals wishing to donate an organ may not be able to 
afford travel, subsistence, and other incidental non-medical costs 
associated with the donation.
    Congress has given the Department of Health and Human Services 
(HHS) the authority to provide limited financial assistance for 
reimbursement of travel and subsistence expenses incurred by the 
donating individuals when appropriate. HRSA, therefore, plans to 
initiate the demonstration program discussed herein. Congress also 
provided the Secretary the authority to provide reimbursement for other 
incidental non-medical expenses as the Secretary determines by 
regulations to be appropriate. Therefore, the type of expenses 
considered under this program may expand in the future.
    The primary goal of this demonstration program is to assist one 
eligible entity in the implementation of an equitable, effective, and 
efficient national program to provide financial assistance to 
individuals who are serving as living organ donors but are unable to 
meet such expenses. Secondary goals of this demonstration program 
include: identifying the medical and non-medical benefits and risks of 
reimbursement for such expenses to donating individuals and recipients 
alike; assessing the impact of this program on the number of living 
donors; and assessing the impact on access to living donation by 
recipients of lower socio-economic status.

Funding

    HRSA expects to award $2 million under this program to support the 
first year of a 3-year demonstration program. Subsequent years of 
funding depend on the availability of appropriations, program 
priorities, and awardees performance.

Program Authority

    Below is the program authority pursuant to Public Law 108-216, the 
Organ Donation and Recovery Improvement Act:

Sec. 3. Reimbursement of Travel and Subsistence Expenses Incurred 
Toward Living Organ Donation

    Section 377 of the Public Health Service Act (42 U.S.C. 274f) is 
amended to read as follows:

Sec. 377. Reimbursement of Travel and Subsistence Expenses Incurred 
Toward Living Organ Donation

    (a) In General--The Secretary may award grants to States, 
transplant centers, qualified organ procurement organizations under 
section 371, or other public or private entities for the purpose of--
    (1) Providing for reimbursement of travel and subsistence expenses 
incurred by individuals toward making living donations of their organs 
(in this section referred to as ``donating individuals''); and
    (2) Providing for the reimbursement of such incidental non-medical 
expenses that are so incurred as the Secretary determines by regulation 
to be appropriate.
    (b) Preference--The Secretary shall, in carrying out subsection 
(a), give preference to those individuals that the Secretary determines 
are more likely to be otherwise unable to meet such expenses.
    (c) Certain Circumstances--The Secretary may, in carrying out 
subsection (a), consider--
    (1) The term ``donating individuals'' as including individuals who 
in good faith incur qualifying expenses toward the intended donation of 
an organ but with respect to whom, for such reasons as the Secretary 
determines to be appropriate, no donation of the organ occurs; and

[[Page 59762]]

    (2) The term ``qualifying expenses'' as including the expenses of 
having relatives or other individuals, not to exceed 2, who accompany 
or assist the donating individual for purposes of subsection (a) 
(subject to making payment for only those types of expenses that are 
paid for a donating individual).
    (d) Relationship to Payments Under Other Programs--An award may be 
made under subsection (a) only if the applicant involved agrees that 
the award will not be expended to pay the qualifying expenses of a 
donating individual to the extent that payment has been made, or can 
reasonably be expected to be made, with respect to such expenses--
    (1) Under any State compensation program, under an insurance 
policy, or under any Federal or State health benefits program;
    (2) By an entity that provides health services on a prepaid basis; 
or
    (3) By the recipient of the organ.
    (e) Definitions--For purposes of this section:
    (1) The term ``donating individuals'' has the meaning indicated for 
such term in subsection (a)(1), subject to subsection (c)(1).
    (2) The term ``qualifying expenses'' means the expenses authorized 
for purposes of subsection (a), subject to subsection (c)(2).
    (f) Authorization of Appropriations--For the purpose of carrying 
out this section, there is authorized to be appropriated $5,000,000 for 
each of the fiscal years 2005 through 2009.

    Dated: October 5, 2005.
Elizabeth M. Duke,
Administrator.
[FR Doc. 05-20456 Filed 10-12-05; 8:45 am]
BILLING CODE 4165-15-P