Health Center Program, 21001-21002 [2010-9308]
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srobinson on DSKHWCL6B1PROD with NOTICES
Federal Register / Vol. 75, No. 77 / Thursday, April 22, 2010 / Notices
Government Employees Participating in
FDA Product Specific Advisory
Committees,’’ and requested comments
on the draft guidance (formerly Docket
No. 02D–0049 now Docket No. FDA–
2002–D–0094). The draft guidance was
limited in application to special
government employees (SGEs)
participating in advisory committee
meetings at which particular matters
relating to particular products were
discussed.
In August 2008, after an internal
assessment of FDA’s advisory
committee process and based on the
comments submitted to the docket for
the January 2002 draft guidance and a
revised draft guidance published for
public comment in October 2007, the
agency issued guidance that expanded
public availability of relevant
information, brought additional
transparency to FDA’s waiver process,
and increased the consistency and
clarity of the process (www.fda.gov/
downloads/RegulatoryInformation/
Guidances/ucm125647.pdf).
FDA is now making available for
public comment revisions to the August
2008 guidance that provide even greater
transparency. The agency has
tentatively concluded that it is
appropriate to request that individuals
receiving a waiver of conflict of interest
to participate in an FDA advisory
committee meeting disclose the name of
the company or institution when
identifying the ‘‘nature’’ of the
disqualifying financial interest.
In determining how much
information to publicly disclose, FDA
needs to provide enough detail so the
public can understand the nature of the
potential conflict and FDA’s
decisionmaking regarding participation,
while not disclosing so much detail that
the agency would be unable to attract
essential expertise to its advisory
committees. Under the August 2008
guidance, the nature of the financial
interest was identified only as sponsor,
competitor, or other affected firm. This
approach was informed, in part, by a
survey in 2001 of active advisory
committee members that asked whether
members would decline to participate
based on varying levels of disclosure.
FDA is now proposing to disclose
more detail than it did under its August
2008 guidance. Specifically, the agency
proposes to disclose the name of the
company or institution associated with
the financial interest. New information
indicates that this additional detail
would not be a deterrent to current and
potential advisory committee members.
For example, the agency notes that
academic institutions, peer-reviewed
journals, and scientific symposia,
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among other entities/venues, have in
recent years developed more rigorous
policies for disclosure of potential
conflicts of interest with the work that
is being presented or discussed. (See
‘‘Conflict of Interest in Medical
Research, Education, and Practice,
Committee on Conflict of Interest in
Medical Research, Education, and
Practice, Board on Health Sciences
Policy,’’ Institute of Medicine of the
National Academies (see p. 62 at https://
books.nap.edu/
openbook.php?record_id=12598). While
policies differ among organizations,
many provide for disclosure of the name
of the company or entity constituting
the potential conflict of interest. (See
‘‘Uniform Format for Disclosure of
Competing Interests in ICMJE Journals’’
that describes a disclosure policy and
format that includes identification of the
entity that is the source of the financial
interest; adopted by all International
Committee of Medical Journal Editors
(ICMJE) journals (accessed at https://
content.nejm.org/cgi/content/full/361/
19/1896)). In addition, FDA informally
polled several active advisory
committee members. While not a
representative sample, the survey
indicated that disclosing the names of
companies would not adversely affect
FDA’s ability to attract and retain expert
advisors. Accordingly, we have
tentatively concluded that the public
now expects this level of detail to help
them understand the nature of a
potential conflict and that individuals
would accept this level of detail as a
routine part of required disclosures.
To help us in issuing a final guidance,
FDA is requesting comments on
whether disclosing the name of the
company or institution associated with
the financial interest would: (1) Increase
the transparency of FDA’s decisions
regarding advisory committee member
participation and (2) not significantly
deter current and potential advisory
committee members from service on
those committees.
The draft guidance also includes a
template for disclosing to the public the
financial interests for which waivers are
granted and a template for disclosing to
the public all waivers that FDA grants.
The draft guidance further describes
FDA’s process for making these
documents available on its Web site in
advance of each advisory committee
meeting.
This draft guidance is being issued
consistent with FDA’s good guidance
practices regulation (21 CFR 10.115).
The draft guidance, when finalized, will
represent the agency’s current thinking
on public availability of information
regarding advisory committee members’
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financial interests and waivers granted
by FDA to permit participation in
advisory committee meetings. It does
not create or confer any rights for or on
any person and does not operate to bind
FDA or the public. An alternative
approach may be used if such approach
satisfies the requirements of the
applicable statutes and regulations.
II. Comments
Interested persons may submit to the
Division of Dockets Management (see
ADDRESSES) written or electronic
comments regarding this document.
Submit a single copy of electronic
comments or two paper copies of any
mailed comments, except that
individuals may submit one paper copy.
Comments are to be identified with the
docket number found in brackets in the
heading of this document. Received
comments may be seen in the Division
of Dockets Management between 9 a.m.
and 4 p.m., Monday through Friday.
II. Electronic Access
Persons with access to the Internet
may obtain the document at either
https://www.fda.gov/
RegulatoryInformation/Guidances/
ucm122045.htm or https://
www.regulations.gov.
Dated: April 19, 2010.
David Dorsey,
Acting Deputy Commissioner for Policy,
Planning and Budget.
[FR Doc. 2010–9313 Filed 4–21–10; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Health Center Program
AGENCY: Health Resources and Services
Administration, HHS.
ACTION: Notice of Noncompetitive
Replacement Awards to Cornerstone
Care, Inc.
SUMMARY: The Health Resources and
Services Administration (HRSA) will be
transferring Health Center Program
(section 330 of the Public Health Service
Act) New Access Point (NAP), Increased
Demand for Service (IDS), and Capital
Improvement Program (CIP) funds
originally awarded to Community
Medical Services to Cornerstone Care,
Inc. to ensure the provision of critical
primary health care services to
underserved populations in Fayette
County, Pennsylvania.
SUPPLEMENTARY INFORMATION:
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srobinson on DSKHWCL6B1PROD with NOTICES
21002
Federal Register / Vol. 75, No. 77 / Thursday, April 22, 2010 / Notices
Former Grantee of Record:
Community Medical Services.
Original Period of Grant Support:
March 1, 2009 to February 28, 2011
(NAP); March 27, 2009 to March 26,
2011 (IDS); and June 29, 2009 to June
28, 2011 (CIP).
Replacement Awardee: Cornerstone
Care, Inc.
Amount of Replacement Awards:
$391,306 (NAP), $101,000 (IDS) and
$250,000 (CIP).
Period of Replacement Awards: The
period of support for the replacement
awards is March 1, 2009 to February 28,
2011 (NAP); March 27, 2009 to March
26, 2011 (IDS); and June 29, 2009 to
June 28, 2011 (CIP).
Authority: Section 330 of the Public
Health Service Act, 42 U.S.C. 245b.
CFDA Number: 93.703.
Justification for the Exception to
Competition:
The former grantee, Community
Medical Services (CMS), Inc., is unable
to meet several Health Center Program
statutory and regulatory requirements.
CMS notified HRSA that it was unable
to carry out the administrative and
programmatic requirements to
appropriately manage the grant funds
and indicated that it would be
relinquishing the grant funds. CMS’s
inability to meet these requirements has
restricted it from providing necessary
primary health care services in Fayette
County, Pennsylvania, to the more than
10,500 low income, underserved and
uninsured individuals in the service
area, as had been proposed in their
approved New Access Point grant
application.
Cornerstone Care Inc. (CCI) is an
experienced provider of care and is
currently providing primary health care
services under a contractual agreement
with CMS to the original target
population, has a demonstrated record
of compliance with the Health Center
Program statutory and regulatory
requirements and is located in the same
geographical area.
This underserved target population
has an immediate need for vital primary
health care services and would be
negatively impacted by any delay or
disruption of services caused by a
competition. As a result, in order to
ensure that critical primary health care
services remain available to the original
target population without disruption,
this replacement award will not be
competed.
FOR FURTHER INFORMATION CONTACT:
Marquita Cullom-Stott via e-mail at
MCullom-Stott@hrsa.gov or 301–594–
4300.
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Dated: April 16, 2010.
Marcia K. Brand,
Deputy Administrator.
[FR Doc. 2010–9308 Filed 4–21–10; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Notice of Meeting: Secretary’s
Advisory Committee on Genetics,
Health, and Society
Pursuant to Public Law 92–463,
notice is hereby given of the twentysecond meeting of the Secretary’s
Advisory Committee on Genetics,
Health, and Society (SACGHS), U.S.
Public Health Service. The meeting will
be held from 8:30 a.m. to approximately
5:30 p.m. on Tuesday, June 15, 2010,
and from 8 a.m. to approximately 2:45
p.m. on Wednesday, June 16, 2010, at
the Washington Plaza Hotel, 10 Thomas
Circle, NW., Washington, DC 20005.
The meeting will be open to the public
with attendance limited to space
available. The meeting will also be Web
cast.
The main agenda item will be an
exploratory session on the implications
of affordable whole-genome sequencing.
The meeting will also include updates
and discussions on other issues
SACGHS has been addressing, including
the work of the Secretary’s Advisory
Committee on Heritable Disorders in
Newborns and Children related to the
retention and use of dried blood spot
specimens from newborn screening.
As always, the Committee welcomes
hearing from anyone wishing to provide
public comment on any issue related to
genetics, health and society. Please note
that because SACGHS operates under
the provisions of the Federal Advisory
Committee Act, all public comments
will be made available to the public.
Individuals who would like to provide
public comment should notify the
SACGHS Executive Secretary, Ms. Sarah
Carr, by telephone at 301–496–9838 or
e-mail at carrs@od.nih.gov. The
SACGHS office is located at 6705
Rockledge Drive, Suite 750, Bethesda,
MD 20892. Anyone planning to attend
the meeting who needs special
assistance, such as sign language
interpretation or other reasonable
accommodations, is also asked to
contact the Executive Secretary.
Under authority of 42 U.S.C. 217a,
section 222 of the Public Health Service
Act, as amended, the Department of
Health and Human Services established
SACGHS to serve as a public forum for
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deliberations on the broad range of
human health and societal issues raised
by the development and use of genetic
and genomic technologies and, as
warranted, to provide advice on these
issues. The draft meeting agenda and
other information about SACGHS,
including information about access to
the Web cast, will be available at the
following Web site: https://
oba.od.nih.gov/SACGHS/
sacghs_meetings.html.
Dated: April 16, 2010.
Jennifer Spaeth,
Director, NIH Office of Federal Advisory
Committee Policy.
[FR Doc. 2010–9311 Filed 4–21–10; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Cancer Institute; Notice of
Closed Meetings
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended (5 U.S.C. App.), notice is
hereby given of the following meetings.
The meetings will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: National Cancer
Institute Special Emphasis Panel, Drug
Discovery, Chemoprevention and Targeted
Therapy.
Date: May 25–27, 2010.
Time: 8 a.m. to 12 p.m.
Agenda: To review and evaluate grant
applications.
Place: Hilton Washington/Rockville, 1750
Rockville Pike, Rockville, MD 20852.
Contact Person: Peter J. Wirth, PhD,
Scientific Review Officer, Research Programs
Review Branch, Division of Extramural
Activities, National Cancer Institute, NIH,
6116 Executive Boulevard, Room 8129,
Bethesda, MD 20892–8328. 301–496–
7565.pw2q@nih.gov.
Name of Committee: National Cancer
Institute Special Emphasis Panel, Innovative
and Early Stage Development of Emerging
Technologies in Biospecimen Science.
Date: June 14, 2010.
Time: 8 a.m. to 5 p.m.
Agenda: To review and evaluate grant
applications.
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Agencies
[Federal Register Volume 75, Number 77 (Thursday, April 22, 2010)]
[Notices]
[Pages 21001-21002]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-9308]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Health Center Program
AGENCY: Health Resources and Services Administration, HHS.
ACTION: Notice of Noncompetitive Replacement Awards to Cornerstone
Care, Inc.
-----------------------------------------------------------------------
SUMMARY: The Health Resources and Services Administration (HRSA) will
be transferring Health Center Program (section 330 of the Public Health
Service Act) New Access Point (NAP), Increased Demand for Service
(IDS), and Capital Improvement Program (CIP) funds originally awarded
to Community Medical Services to Cornerstone Care, Inc. to ensure the
provision of critical primary health care services to underserved
populations in Fayette County, Pennsylvania.
SUPPLEMENTARY INFORMATION:
[[Page 21002]]
Former Grantee of Record: Community Medical Services.
Original Period of Grant Support: March 1, 2009 to February 28,
2011 (NAP); March 27, 2009 to March 26, 2011 (IDS); and June 29, 2009
to June 28, 2011 (CIP).
Replacement Awardee: Cornerstone Care, Inc.
Amount of Replacement Awards: $391,306 (NAP), $101,000 (IDS) and
$250,000 (CIP).
Period of Replacement Awards: The period of support for the
replacement awards is March 1, 2009 to February 28, 2011 (NAP); March
27, 2009 to March 26, 2011 (IDS); and June 29, 2009 to June 28, 2011
(CIP).
Authority: Section 330 of the Public Health Service Act, 42 U.S.C.
245b.
CFDA Number: 93.703.
Justification for the Exception to Competition:
The former grantee, Community Medical Services (CMS), Inc., is
unable to meet several Health Center Program statutory and regulatory
requirements. CMS notified HRSA that it was unable to carry out the
administrative and programmatic requirements to appropriately manage
the grant funds and indicated that it would be relinquishing the grant
funds. CMS's inability to meet these requirements has restricted it
from providing necessary primary health care services in Fayette
County, Pennsylvania, to the more than 10,500 low income, underserved
and uninsured individuals in the service area, as had been proposed in
their approved New Access Point grant application.
Cornerstone Care Inc. (CCI) is an experienced provider of care and
is currently providing primary health care services under a contractual
agreement with CMS to the original target population, has a
demonstrated record of compliance with the Health Center Program
statutory and regulatory requirements and is located in the same
geographical area.
This underserved target population has an immediate need for vital
primary health care services and would be negatively impacted by any
delay or disruption of services caused by a competition. As a result,
in order to ensure that critical primary health care services remain
available to the original target population without disruption, this
replacement award will not be competed.
FOR FURTHER INFORMATION CONTACT: Marquita Cullom-Stott via e-mail at
MCullom-Stott@hrsa.gov or 301-594-4300.
Dated: April 16, 2010.
Marcia K. Brand,
Deputy Administrator.
[FR Doc. 2010-9308 Filed 4-21-10; 8:45 am]
BILLING CODE 4165-15-P