Recruitment of Sites for Assignment of Corps Personnel, 34025-34026 [E8-13454]
Download as PDF
<![CDATA[
34025
Federal Register / Vol. 73, No. 116 / Monday, June 16, 2008 / Notices
Section 100.1(d) (21 CFR 100.1(d)) sets
forth the information a State is required
to submit in such a petition. The
information required under § 100.1(d)
enables FDA to determine whether the
State food labeling or standard of
identity requirement satisfies the
criteria of section 403A(b) of the act for
granting exemption from Federal
preemption.
In the Federal Register of March 4,
2008 (73 FR 11648), FDA published a
60-day notice requesting public
comment on the information collection
provisions. No comments were received.
TABLE 1.—ESTIMATED ANNUAL REPORTING BURDEN1
No. of
Respondents
21 CFR Section
100.1(d)
1 There
1
Total Annual
Responses
1
Hours per
Response
1
Total Hours
40
40
are no capital costs or operating and maintenance costs associated with this collection of information.
The reporting burden for § 100.1(d) is
minimal because petitions for
exemption from preemption are seldom
submitted by States. In the last 3 years,
FDA has not received any new petitions
for exemption from preemption;
therefore, the agency estimates that one
or fewer petitions will be submitted
annually. Although FDA has not
received any new petitions for
exemption from preemption in the last
3 years, it believes these information
collection provisions should be
extended to provide for the potential
future need of a State or local
government to petition for an exemption
from preemption under the provisions
of section 403(A) of the act.
Dated: June 10, 2008.
Jeffrey Shuren,
Associate Commissioner for Policy and
Planning.
[FR Doc. E8–13522 Filed 6–13–08; 8:45 am]
BILLING CODE 4160–01–S
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Recruitment of Sites for Assignment of
Corps Personnel
Health Resources and Services
Administration (HRSA), HHS.
ACTION: General notice.
AGENCY:
rwilkins on PROD1PC63 with NOTICES
Annual Frequency
per Response
SUMMARY: The Health Resources and
Services Administration (HRSA)
announces that the listing of entities,
and their Health Professional Shortage
Area (HPSA) scores, that will receive
priority for the assignment of National
Health Service Corps (NHSC) personnel
(Corps Personnel, Corps members) for
the period July 1, 2008, through June 30,
2009, is posted on the NHSC Web site
at https://nhsc.bhpr.hrsa.gov/jobs/
index.asp. This list specifies which
entities are eligible to receive
assignment of Corps members who are
participating in the NHSC Scholarship
VerDate Aug<31>2005
17:04 Jun 13, 2008
Jkt 214001
Program, the NHSC Loan Repayment
Program, and Corps members who have
become Corps members other than
pursuant to contractual obligations
under the Scholarship or Loan
Repayment Programs. Please note that
not all vacancies associated with sites
on this list will be for Corps members,
but could be for individuals serving an
obligation to the NHSC through the
Private Practice Option.
Eligible HPSAs and Entities
To be eligible to receive assignment of
Corps personnel, entities must: (1) Have
a current HPSA designation by the
Office of Shortage Designation, Bureau
of Health Professions, Health Resources
and Services Administration; (2) not
deny requested health care services, or
discriminate in the provision of services
to an individual because the individual
is unable to pay for the services or
because payment for the services would
be made under Medicare, Medicaid, or
the State Children’s Health Insurance
Program; (3) enter into an agreement
with the State agency that administers
Medicaid, accept payment under
Medicare and the State Children’s
Health Insurance Program, see all
patients regardless of their ability to
pay, and use and post a discounted fee
plan; and (4) be determined by the
Secretary to have (a) A need and
demand for health manpower in the
area; (b) appropriately and efficiently
used Corps members assigned to the
entity in the past; (c) general community
support for the assignment of Corps
members; (d) made unsuccessful efforts
to recruit; and (e) a reasonable prospect
for sound fiscal management by the
entity with respect to Corps members
assigned there. Priority in approving
applications for assignment of Corps
members goes to sites that (1) Provide
primary medical care, mental health,
and/or oral health services to a primary
medical care, mental health, or dental
HPSA of greatest shortage, respectively;
(2) are part of a system of care that
provides a continuum of services,
including comprehensive primary
PO 00000
Frm 00055
Fmt 4703
Sfmt 4703
health care and appropriate referrals or
arrangements for secondary and tertiary
care; (3) have a documented record of
sound fiscal management; and (4) will
experience a negative impact on its
capacity to provide primary health
services if a Corps members is not
assigned to the entity.
Entities that receive assignment of
Corps personnel must assure that (1) the
position will permit the full scope of
practice and that the clinician meets the
credentialing requirements of the State
and site; and (2) the Corps member
assigned to the entity is engaged in fulltime clinical practice at the approved
service location for a minimum of 40
hours per week with at least 32 hours
per week in the ambulatory care setting.
Obstetricians/gynecologists, certified
nurse midwives (CNMs), and family
practitioners who practice obstetrics on
a regular basis, are required to engage in
a minimum of 21 hours per week of
outpatient clinical practice. The
remaining hours, making up the
minimum 40-hour per week total,
include delivery and other clinical
hospital-based duties. For all Corps
personnel, time spent on-call does not
count toward the 40 hours per week. In
addition, sites receiving assignment of
Corps personnel are expected to (1)
Report to the NHSC all absences,
including those in excess of the
authorized number of days (up to 35
work days or 280 hours per contract
year); (2) report to the NHSC any change
in the status of an NHSC clinician at the
site; (3) provide the time and leave
records, schedules, and any related
personnel documents for NHSC
assignees (including documentation, if
applicable, of the reason(s) for the
termination of an NHSC clinician’s
employment at the site prior to his or
her obligated service end date); and (4)
submit a Uniform Data System (UDS)
report. The UDS allows the site to assess
the age, sex, race/ethnicity of, and
provider encounter records for, its user
population. The UDS reports are site
specific. Providers fulfilling NHSC
commitments are assigned to a specific
E:\FR\FM\16JNN1.SGM
16JNN1
34026
Federal Register / Vol. 73, No. 116 / Monday, June 16, 2008 / Notices
rwilkins on PROD1PC63 with NOTICES
site or, in some cases, more than one
site. The scope of activity to be reported
in UDS includes all activity at the site(s)
to which the Corps member is assigned.
Evaluation and Selection Process
In approving applications for the
assignment of Corps members, the
Secretary shall give priority to any such
application that is made regarding the
provision of primary health services to
a HPSA with the greatest shortage. For
the program year July 1, 2008, through
June 30, 2009, HPSAs of greatest
shortage for determination of priority for
assignment of Corps personnel will be
defined as follows: (1) Primary medical
care HPSAs with scores of 14 and above
are authorized for the assignment of
Corps members who are primary care
physicians, family nurse practitioners
(NPs), physician assistants (PAs), or
CNMs participating in the Scholarship
Program; (2) mental health HPSAs with
scores of 19 and above are authorized
for the assignment of Corps members
who are psychiatrists participating in
the Scholarship Program; (3) dental
HPSAs with scores of 17 and above are
authorized for the assignment of Corps
members who are dentists participating
in the Scholarship Program; and (4)
HPSAs (appropriate to each discipline)
with scores of 17 and above are
authorized for priority assignment of
Corps members who are participating in
the Loan Repayment Program. HPSAs
with scores below 17 will be eligible to
receive assignment of Corps personnel
participating in the Loan Repayment
Program only after assignments are
made of those Corps members matching
to those HPSAs receiving priority for
placement of Corps members through
the Loan Repayment Program (i.e.,
HPSAs scoring 17 or above). Placements
made through the Loan Repayment
Program in HPSAs with scores 16 or
below will be made by decreasing HPSA
score, and only to the extent that
funding remains available. All sites on
the list are eligible sites for individuals
wishing to serve in an underserved area
but who are not contractually obligated
under the Scholarship or Loan
Repayment Program. Note, that in
response to the low number of NPs, PAs
and CNMs in this placement cycle of
NHSC Scholars, the primary care
physician HPSA score has been applied
to the entire primary care category. A
listing of HPSAs and their scores is
posted at https://hpsafind.hrsa.gov/.
Sites qualifying for automatic primary
medical care and dental HPSA
designations have been scored and may
be authorized to receive assignment of
Corps members if they meet the criteria
outlined above and their HPSA scores
VerDate Aug<31>2005
17:04 Jun 13, 2008
Jkt 214001
are above the stated cutoffs. If there are
any sites on the list with an unscored
HPSA designation they are authorized
for the assignment of Corps personnel
participating in the Loan Repayment
Program only, after assignments are
made of those Corps members matching
to scored HPSAs and only to the extent
that funding remains available. When
these HPSAs receive scores, these sites
will then be authorized to receive
assignment of Corps members if they
meet the criteria outlined above and
their newly assigned scores are above
the stated cutoffs.
The number of new NHSC placements
through the Scholarship and Loan
Repayment Programs allowed at any one
site are limited to the following:
(1) Primary Medical Care:
(a) Loan Repayment Program—no
more than 2 allopathic (MD) or
osteopathic (DO) physicians; and no
more than a combined total of 2 NPs,
PAs, or CNMs;
(b) Scholarship Program—no more
than 2 physicians (MD or DO); and no
more than a combined total of 2 NPs,
PAs, or CNMs.
(2) Dental:
(a) Loan Repayment Program—no
more than 2 dentists and 2 dental
hygienists;
(b) Scholarship Program—no more
than 1 dentist.
(3) Mental Health:
(a) Loan Repayment Program—no
more than 2 psychiatrists (MD or DO);
and no more than a combined total of
2 clinical or counseling psychologists,
licensed clinical social workers,
licensed professional counselors,
marriage and family therapists, or
psychiatric nurse specialists;
(b) Scholarship Program—no more
than 1 psychiatrist.
Application Requests, Dates and
Address
The list of HPSAs and entities that are
eligible to receive priority for the
placement of Corps personnel may be
updated periodically. Entities that no
longer meet eligibility criteria, including
HPSA score, will be removed from the
priority listing. Entities interested in
being added to the high priority list
must submit an NHSC Recruitment and
Retention Assistance Application to:
National Health Service Corps, 5600
Fishers Lane, Room 8A–08, Rockville,
MD 20857, fax 301–594–2721. These
applications must be submitted on or
before the deadline date of March 27,
2009. Applications submitted after this
deadline date will be considered for
placement on the priority placement list
in the following program year. Any
changes to this deadline will be posted
PO 00000
Frm 00056
Fmt 4703
Sfmt 4703
on the NHSC Web site at https://
nhsc.bhpr.hrsa.gov.
Entities interested in receiving
application materials may do so by
calling the HRSA call center at 1–800–
221–9393. They may also get
information and download application
materials from: https://
nhsc.bhpr.hrsa.gov/applications/
rraa.asp.
Additional Information
Entities wishing to provide additional
data and information in support of their
inclusion on the proposed list of HPSAs
and entities that would receive priority
in assignment of Corps members, must
do so in writing no later than July 16,
2008. This information should be
submitted to: Mark Pincus, Director,
Division of Site and Clinician
Recruitment, Bureau of Clinician
Recruitment and Service, 5600 Fishers
Lane, Room 8A–55, Rockville, MD
20857. This information will be
considered in preparing the final list of
HPSAs and entities that are receiving
priority for the assignment of Corps
personnel.
Paperwork Reduction Act: The
Recruitment & Retention Assistance
Application has been approved by the
Office of Management and Budget under
the Paperwork Reduction Act. The OMB
clearance number is 0915–0230 and
expires August 31, 2008.
The program is not subject to the
provisions of Executive Order 12372,
Intergovernmental Review of Federal
Programs (as implemented through 45
CFR Part 100).
Dated: June 6, 2008.
Elizabeth M. Duke,
Administrator.
[FR Doc. E8–13454 Filed 6–13–08; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Proposed Collection; Comment
Request; National Institutes of Health
Construction Grants—42 CFR Part 52b
(Final Rule)
Summary: In compliance with the
requirement of section 3506(c)(2)(A) of
the Paperwork Reduction Act of 1995,
for opportunity for public comment on
proposed data collection projects, the
National Institutes of Health (NIH) will
publish periodic summaries of proposed
projects to be submitted to the Office of
Management and Budget (OMB) for
review and approval.
E:\FR\FM\16JNN1.SGM
16JNN1
]]>Agencies
[Federal Register Volume 73, Number 116 (Monday, June 16, 2008)]
[Notices]
[Pages 34025-34026]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-13454]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Recruitment of Sites for Assignment of Corps Personnel
AGENCY: Health Resources and Services Administration (HRSA), HHS.
ACTION: General notice.
-----------------------------------------------------------------------
SUMMARY: The Health Resources and Services Administration (HRSA)
announces that the listing of entities, and their Health Professional
Shortage Area (HPSA) scores, that will receive priority for the
assignment of National Health Service Corps (NHSC) personnel (Corps
Personnel, Corps members) for the period July 1, 2008, through June 30,
2009, is posted on the NHSC Web site at https://nhsc.bhpr.hrsa.gov/jobs/
index.asp. This list specifies which entities are eligible to receive
assignment of Corps members who are participating in the NHSC
Scholarship Program, the NHSC Loan Repayment Program, and Corps members
who have become Corps members other than pursuant to contractual
obligations under the Scholarship or Loan Repayment Programs. Please
note that not all vacancies associated with sites on this list will be
for Corps members, but could be for individuals serving an obligation
to the NHSC through the Private Practice Option.
Eligible HPSAs and Entities
To be eligible to receive assignment of Corps personnel, entities
must: (1) Have a current HPSA designation by the Office of Shortage
Designation, Bureau of Health Professions, Health Resources and
Services Administration; (2) not deny requested health care services,
or discriminate in the provision of services to an individual because
the individual is unable to pay for the services or because payment for
the services would be made under Medicare, Medicaid, or the State
Children's Health Insurance Program; (3) enter into an agreement with
the State agency that administers Medicaid, accept payment under
Medicare and the State Children's Health Insurance Program, see all
patients regardless of their ability to pay, and use and post a
discounted fee plan; and (4) be determined by the Secretary to have (a)
A need and demand for health manpower in the area; (b) appropriately
and efficiently used Corps members assigned to the entity in the past;
(c) general community support for the assignment of Corps members; (d)
made unsuccessful efforts to recruit; and (e) a reasonable prospect for
sound fiscal management by the entity with respect to Corps members
assigned there. Priority in approving applications for assignment of
Corps members goes to sites that (1) Provide primary medical care,
mental health, and/or oral health services to a primary medical care,
mental health, or dental HPSA of greatest shortage, respectively; (2)
are part of a system of care that provides a continuum of services,
including comprehensive primary health care and appropriate referrals
or arrangements for secondary and tertiary care; (3) have a documented
record of sound fiscal management; and (4) will experience a negative
impact on its capacity to provide primary health services if a Corps
members is not assigned to the entity.
Entities that receive assignment of Corps personnel must assure
that (1) the position will permit the full scope of practice and that
the clinician meets the credentialing requirements of the State and
site; and (2) the Corps member assigned to the entity is engaged in
full-time clinical practice at the approved service location for a
minimum of 40 hours per week with at least 32 hours per week in the
ambulatory care setting. Obstetricians/gynecologists, certified nurse
midwives (CNMs), and family practitioners who practice obstetrics on a
regular basis, are required to engage in a minimum of 21 hours per week
of outpatient clinical practice. The remaining hours, making up the
minimum 40-hour per week total, include delivery and other clinical
hospital-based duties. For all Corps personnel, time spent on-call does
not count toward the 40 hours per week. In addition, sites receiving
assignment of Corps personnel are expected to (1) Report to the NHSC
all absences, including those in excess of the authorized number of
days (up to 35 work days or 280 hours per contract year); (2) report to
the NHSC any change in the status of an NHSC clinician at the site; (3)
provide the time and leave records, schedules, and any related
personnel documents for NHSC assignees (including documentation, if
applicable, of the reason(s) for the termination of an NHSC clinician's
employment at the site prior to his or her obligated service end date);
and (4) submit a Uniform Data System (UDS) report. The UDS allows the
site to assess the age, sex, race/ethnicity of, and provider encounter
records for, its user population. The UDS reports are site specific.
Providers fulfilling NHSC commitments are assigned to a specific
[[Page 34026]]
site or, in some cases, more than one site. The scope of activity to be
reported in UDS includes all activity at the site(s) to which the Corps
member is assigned.
Evaluation and Selection Process
In approving applications for the assignment of Corps members, the
Secretary shall give priority to any such application that is made
regarding the provision of primary health services to a HPSA with the
greatest shortage. For the program year July 1, 2008, through June 30,
2009, HPSAs of greatest shortage for determination of priority for
assignment of Corps personnel will be defined as follows: (1) Primary
medical care HPSAs with scores of 14 and above are authorized for the
assignment of Corps members who are primary care physicians, family
nurse practitioners (NPs), physician assistants (PAs), or CNMs
participating in the Scholarship Program; (2) mental health HPSAs with
scores of 19 and above are authorized for the assignment of Corps
members who are psychiatrists participating in the Scholarship Program;
(3) dental HPSAs with scores of 17 and above are authorized for the
assignment of Corps members who are dentists participating in the
Scholarship Program; and (4) HPSAs (appropriate to each discipline)
with scores of 17 and above are authorized for priority assignment of
Corps members who are participating in the Loan Repayment Program.
HPSAs with scores below 17 will be eligible to receive assignment of
Corps personnel participating in the Loan Repayment Program only after
assignments are made of those Corps members matching to those HPSAs
receiving priority for placement of Corps members through the Loan
Repayment Program (i.e., HPSAs scoring 17 or above). Placements made
through the Loan Repayment Program in HPSAs with scores 16 or below
will be made by decreasing HPSA score, and only to the extent that
funding remains available. All sites on the list are eligible sites for
individuals wishing to serve in an underserved area but who are not
contractually obligated under the Scholarship or Loan Repayment
Program. Note, that in response to the low number of NPs, PAs and CNMs
in this placement cycle of NHSC Scholars, the primary care physician
HPSA score has been applied to the entire primary care category. A
listing of HPSAs and their scores is posted at https://
hpsafind.hrsa.gov/.
Sites qualifying for automatic primary medical care and dental HPSA
designations have been scored and may be authorized to receive
assignment of Corps members if they meet the criteria outlined above
and their HPSA scores are above the stated cutoffs. If there are any
sites on the list with an unscored HPSA designation they are authorized
for the assignment of Corps personnel participating in the Loan
Repayment Program only, after assignments are made of those Corps
members matching to scored HPSAs and only to the extent that funding
remains available. When these HPSAs receive scores, these sites will
then be authorized to receive assignment of Corps members if they meet
the criteria outlined above and their newly assigned scores are above
the stated cutoffs.
The number of new NHSC placements through the Scholarship and Loan
Repayment Programs allowed at any one site are limited to the
following:
(1) Primary Medical Care:
(a) Loan Repayment Program--no more than 2 allopathic (MD) or
osteopathic (DO) physicians; and no more than a combined total of 2
NPs, PAs, or CNMs;
(b) Scholarship Program--no more than 2 physicians (MD or DO); and
no more than a combined total of 2 NPs, PAs, or CNMs.
(2) Dental:
(a) Loan Repayment Program--no more than 2 dentists and 2 dental
hygienists;
(b) Scholarship Program--no more than 1 dentist.
(3) Mental Health:
(a) Loan Repayment Program--no more than 2 psychiatrists (MD or
DO); and no more than a combined total of 2 clinical or counseling
psychologists, licensed clinical social workers, licensed professional
counselors, marriage and family therapists, or psychiatric nurse
specialists;
(b) Scholarship Program--no more than 1 psychiatrist.
Application Requests, Dates and Address
The list of HPSAs and entities that are eligible to receive
priority for the placement of Corps personnel may be updated
periodically. Entities that no longer meet eligibility criteria,
including HPSA score, will be removed from the priority listing.
Entities interested in being added to the high priority list must
submit an NHSC Recruitment and Retention Assistance Application to:
National Health Service Corps, 5600 Fishers Lane, Room 8A-08,
Rockville, MD 20857, fax 301-594-2721. These applications must be
submitted on or before the deadline date of March 27, 2009.
Applications submitted after this deadline date will be considered for
placement on the priority placement list in the following program year.
Any changes to this deadline will be posted on the NHSC Web site at
https://nhsc.bhpr.hrsa.gov.
Entities interested in receiving application materials may do so by
calling the HRSA call center at 1-800-221-9393. They may also get
information and download application materials from: https://
nhsc.bhpr.hrsa.gov/applications/rraa.asp.
Additional Information
Entities wishing to provide additional data and information in
support of their inclusion on the proposed list of HPSAs and entities
that would receive priority in assignment of Corps members, must do so
in writing no later than July 16, 2008. This information should be
submitted to: Mark Pincus, Director, Division of Site and Clinician
Recruitment, Bureau of Clinician Recruitment and Service, 5600 Fishers
Lane, Room 8A-55, Rockville, MD 20857. This information will be
considered in preparing the final list of HPSAs and entities that are
receiving priority for the assignment of Corps personnel.
Paperwork Reduction Act: The Recruitment & Retention Assistance
Application has been approved by the Office of Management and Budget
under the Paperwork Reduction Act. The OMB clearance number is 0915-
0230 and expires August 31, 2008.
The program is not subject to the provisions of Executive Order
12372, Intergovernmental Review of Federal Programs (as implemented
through 45 CFR Part 100).
Dated: June 6, 2008.
Elizabeth M. Duke,
Administrator.
[FR Doc. E8-13454 Filed 6-13-08; 8:45 am]
BILLING CODE 4165-15-P
