Office of the National Coordinator; American Health Information Community Biosurveillance Data Steering Group Meeting, 38883 [06-6104]
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Federal Register / Vol. 71, No. 131 / Monday, July 10, 2006 / Notices
sroberts on PROD1PC70 with NOTICES
under the purview of HUD. HHS, as the
nation’s public health agency, does not
operate low-income housing programs,
and does not possess the experience or
expertise to complement HUD’s
mission. The policy revision is intended
to reaffirm HHS’ 1992 determination
that the provision of low-income
housing does not constitute an
appropriate public health use of surplus
real property under Title V. In contrast,
we are proposing a permanent
supportive housing program that is
long-term, affordable, community-based,
and linked to supportive services for
homeless persons with disabilities.
IV. Policy Revision
HHS has historically been involved in
the provision of permanent supportive
housing, such as through the Projects for
Assistance in Transition from
Homelessness (PATH) program that is
operated in the Substance Abuse and
Mental Health Services Administration
(SAMHSA). Given HHS’ history of
involvement in the health service
component of supportive housing
programs, there is precedent to suggest
that this would be an appropriate public
health use of surplus real property
under Title V.
Permanent supportive housing is a
service model that links housing and
services together, without the 24-month
time limit traditionally imposed by a
transitional housing program. Initial
research thus far suggests the
effectiveness of permanent supportive
housing for individuals with disabilities
and those who are chronically
homeless. In several studies, this model
has been successful at achieving
housing stability. For example,
placement of homeless people with
severe mental illness in permanent
supportive housing is associated with
reductions in subsequent use of shelters,
hospitalizations, and incarcerations
(Culhane et al., 2001). Early outcomes in
a study of supportive housing with
integrated services suggest that these
services reduced the use of emergency
health care rooms, psychiatric and
detoxification programs as well as
inpatient care (Corporation for
Supportive Housing, 2000).
Experimental studies comparing the
relative impact of case management and
housing resources suggest that long-term
housing resources are distinctively
effective in reducing homelessness
(Rosenheck, 2003).
The policy revision will allow
property acquired through the Title V
process to be utilized for the
development of permanent supportive
housing programs that provide
permanent housing along with
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supportive services to homeless people
in need of public health assistance and/
or services (e.g., substance abuse,
mental health, case management,
medical care services, and disabled and
frail elderly homeless services). This
revision would not preclude
communities from using surplus
property to develop transitional housing
programs, emergency shelter programs,
or any other homeless assistance
program currently approvable by HHS,
but simply expands the options
available under Title V.
For the purpose of the Title V
program, permanent supportive housing
means long-term, affordable,
community-based housing that is linked
to appropriate supportive health and
social services (e.g., substance abuse,
mental health, case management,
medical care services, and disabled and
frail elderly services) that enable
homeless individuals and homeless
families with disabilities to maintain
housing. Permanent means there is no
time limit to residency, provided a
tenant meets conditions of occupancy as
established by the program. Affordable
means that generally households or
tenants pay no more than 30 percent of
the occupant’s annual income on rent.
Eligible populations for this program
include homeless individuals with a
disability, homeless families with a
disabled family member (either parent
or child), and homeless frail elderly
populations. For the purposes of this
program, a disability is defined as a
diagnosable substance use disorder,
serious mental illness, developmental
disability, or chronic physical illness or
disability, including the co-occurrence
of two or more of these conditions. A
disabling condition limits an
individual’s ability to work or perform
one or more activities of daily living.
This definition of disability was
developed collaboratively by HHS,
HUD, and the Department of Veterans
Affairs for the Chronic Homelessness
Initiative.
The same evaluation criteria outlined
in the joint regulation will continue to
apply to all applications received for
consideration under Title V, including
those requesting property to be used for
permanent supportive housing.
Applicants must fully describe the
proposed program, demonstrate how the
services to be provided will address the
needs of the homeless population to be
served, and otherwise comply with the
requirements of Title V and the joint
regulation.
Existing grantees or lessees interested
in changing current programs to include
permanent supportive housing are
requested to provide a written
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expression of interest to the Division of
Property Management, Administrative
Operations Service, Program Support
Center, Room 5B–17, Parklawn
Building, 5600 Fishers Lane, Rockville,
Maryland 20857. Grantees and lessees
will be required to submit an amended
application.
This policy revision will be instituted
on the effective date of this final notice.
Dated: June 7, 2006.
J. Philip VanLandingham,
Deputy Assistant Secretary for Program
Support.
[FR Doc. E6–10703 Filed 7–7–06; 8:45 am]
BILLING CODE 4510–03–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Office of the National Coordinator;
American Health Information
Community Biosurveillance Data
Steering Group Meeting
ACTION:
Announcement of meeting.
SUMMARY: This notice announces the
first meeting of the American Health
Information Community Biosurveillance
Data Steering Group in accordance with
the Federal Advisory Committee Act
(Pub. L. 92–463, 5 U.S.C., App.)
DATES:
July 7, 2006 from 10 a.m. to 2
p.m.
Mary C. Switzer Building
(330 C Street, SW., Washington, DC
20201), Conference Room 4090.
ADDRESSES:
FOR FURTHER INFORMATION CONTACT:
https://www.hhs.gov/healthit/ahic./html.
The
Biosurveillance Data Steering Group
must convene in early July 2006 in
advance of the final deliverable from the
Health Information Technology
Standards Panel related to the
Biosurveillance Use Case.
The meeting will be available via
Internet access. Go to https://
www.hhs.gov/healthit/ahic.html for
additional information on the meeting.
SUPPLEMENTARY INFORMATION:
Judith Sparrow,
Director, American Health Information
Community, Office of Programs and
Coordination, Office of the National
Coordinator.
[FR Doc. 06–6104 Filed 7–6–06; 8:45 am]
BILLING CODE 4150–24–M
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]]>Agencies
[Federal Register Volume 71, Number 131 (Monday, July 10, 2006)]
[Notices]
[Page 38883]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 06-6104]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the National Coordinator; American Health Information
Community Biosurveillance Data Steering Group Meeting
ACTION: Announcement of meeting.
-----------------------------------------------------------------------
SUMMARY: This notice announces the first meeting of the American Health
Information Community Biosurveillance Data Steering Group in accordance
with the Federal Advisory Committee Act (Pub. L. 92-463, 5 U.S.C.,
App.)
DATES: July 7, 2006 from 10 a.m. to 2 p.m.
ADDRESSES: Mary C. Switzer Building (330 C Street, SW., Washington, DC
20201), Conference Room 4090.
FOR FURTHER INFORMATION CONTACT: https://www.hhs.gov/healthit/ahic./
html.
SUPPLEMENTARY INFORMATION: The Biosurveillance Data Steering Group must
convene in early July 2006 in advance of the final deliverable from the
Health Information Technology Standards Panel related to the
Biosurveillance Use Case.
The meeting will be available via Internet access. Go to https://
www.hhs.gov/healthit/ahic.html for additional information on the
meeting.
Judith Sparrow,
Director, American Health Information Community, Office of Programs and
Coordination, Office of the National Coordinator.
[FR Doc. 06-6104 Filed 7-6-06; 8:45 am]
BILLING CODE 4150-24-M
