Lists of Designated Primary Medical Care, Mental Health, and Dental Health Professional Shortage Areas, 68198-68199 [2011-28318]

Download as PDF 68198 Federal Register / Vol. 76, No. 213 / Thursday, November 3, 2011 / Notices 4. What secondary efficacy endpoints might be considered clinically meaningful (e.g., subjective and objective assessments of memory, recall, anxiety, agitation, or delirium) if appropriately studied? 5. How should responses to rapid changes in procedural stimulation be considered in the evaluation of efficacy, e.g., the time of initial incision or negotiating a colonoscope around the splenic or hepatic flexure. 6. How do the responses for each of the previous questions differ for evaluation of sedation products used in the operating room (OR), the intensive care unit (ICU), the emergency department (ED), and the gastrointestinal (GI) suite? FDA will post the agenda and additional workshop background material approximately 5 days before the workshop at: http://www.fda.gov/ Drugs/NewsEvents/ucm221185.htm. Administration (HRSA) Web site at http://bhpr.hrsa.gov/shortage/ index.html. HPSAs are designated or withdrawn by the Secretary of Health and Human Services (HHS) under the authority of section 332 of the Public Health Service (PHS) Act and 42 CFR part 5. FOR FURTHER INFORMATION CONTACT: Requests for further information on the HPSA designations listed below and requests for additional designations, withdrawals, or reapplication for designation should be submitted to Andy Jordan, Office of Shortage Designation, Bureau of Health Professions, Health Resources and Services Administration, Room 9A–18, Parklawn Building, 5600 Fishers Lane, Rockville, Maryland 20857, (301) 594– 0816), http://bhpr.hrsa.gov/shortage/ index.html. II. Transcripts Background Please be advised that approximately 30 days after the public workshop, a transcript will be available. It will be accessible at http://www.regulations.gov and may be viewed at the Division of Dockets Management (see Comments). A transcript will also be available in either hardcopy or on CD–ROM, after submission of a Freedom of Information request. Written requests are to be sent to Division of Freedom of Information (ELEM–1029), Food and Drug Administration, 12420 Parklawn Dr., Element Bldg., Rockville, MD 20857. Section 332 of the PHS Act, 42 U.S.C. 254e, provides that the Secretary of HHS shall designate HPSAs based on criteria established by regulation. HPSAs are defined in section 332 to include (1) urban and rural geographic areas with shortages of health professionals, (2) population groups with such shortages, and (3) facilities with such shortages. Section 332 further requires that the Secretary annually publish a list of the designated geographic areas, population groups, and facilities. The lists of HPSAs are to be reviewed at least annually and revised as necessary. HRSA’s Bureau of Health Professions (BHPr) has the responsibility for designating and updating HPSAs. Public or private nonprofit entities are eligible to apply for assignment of National Health Service Corps (NHSC) personnel to provide primary health services in or to these HPSAs. NHSC health professionals with a service obligation may serve only in federally designated HPSAs. Entities with clinical training sites located in HPSAs are eligible to receive priority for certain training program grants administered by BHPr. Many other Federal programs also utilize HPSA designations. For example, under authorities administered by the Centers for Medicare and Medicaid Services, certain qualified providers in HPSAs are eligible for increased levels of Medicare reimbursement. Dated: October 28, 2011. Leslie Kux, Acting Assistant Commissioner for Policy. [FR Doc. 2011–28475 Filed 11–2–11; 8:45 am] BILLING CODE 4160–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Lists of Designated Primary Medical Care, Mental Health, and Dental Health Professional Shortage Areas Health Resources and Services Administration, HHS. ACTION: Notice. srobinson on DSK4SPTVN1PROD with NOTICES AGENCY: This notice advises the public of the published lists of all geographic areas, population groups, and facilities designated as primary medical care, mental health, and dental health professional shortage areas (HPSAs) as of September 1, 2011, available on the Health Resources and Services SUMMARY: VerDate Mar<15>2010 16:50 Nov 02, 2011 Jkt 226001 SUPPLEMENTARY INFORMATION: Development of the Designation and Withdrawal Lists Criteria for designating HPSAs were published as final regulations (42 CFR part 5) in 1980. Criteria then were defined for each of seven health PO 00000 Frm 00073 Fmt 4703 Sfmt 4703 professional types (primary medical care, dental, psychiatric, vision care, podiatric, pharmacy, and veterinary care). The criteria for correctional facility HPSAs were revised and published on March 2, 1989, in the Federal Register (54 FR 8735). The criteria for psychiatric HPSAs were expanded to mental health HPSAs on January 22, 1992 (57 FR 2473). Currently funded PHS Act programs use only the primary medical care, mental health, or dental HPSA designations. Individual requests for designation or withdrawal of a particular geographic area, population group, or a facility as a HPSA are received and reviewed continuously by BHPr. The majority of the requests come from the Primary Care Offices (PCOs) in the State Health Departments, who have access to the online application and review system. Requests that come from other sources are referred to the PCOs for their review and concurrence. In addition, applicants are expected to share copies of the requests with other interested parties, including the Governor, the State Primary Care Association and state professional associations for their comments and recommendations. Annually, lists of designated HPSAs are provided to all PCOs, state medical and dental societies and others, with a request to review and update the data on which the designations are based. Emphasis is placed on updating those designations that are more than 3 years old or where significant changes relevant to the designation criteria have occurred. Recommendations for possible additions, continuations, revisions or withdrawals from a HPSA list are reviewed by BHPr, and the review findings are provided by letter to the agency or individual requesting action or providing data, with copies to other interested organizations and individuals. These letters constitute the official notice of designation as a HPSA, rejection of recommendations for HPSA designation, revision of a HPSA designation, and/or advance notice of pending withdrawals from the HPSA list. Designations (or revisions of designations) are effective as of the date of the notification letter from BHPr. Proposed withdrawals become effective only after interested parties in the area affected have been afforded the opportunity to submit additional information to BHPr in support of its continued or revised designation. If no new data are submitted, or if BHPr review confirms the proposed withdrawal, it becomes effective upon publication in the Federal Register of the lists of HPSAs that do not include E:\FR\FM\03NON1.SGM 03NON1 Federal Register / Vol. 76, No. 213 / Thursday, November 3, 2011 / Notices srobinson on DSK4SPTVN1PROD with NOTICES the proposed withdrawals. In addition, lists of HPSAs are continuously available on the HRSA Web site, http://bhpr.hrsa.gov/shortage/ index.html, so that interested parties can access the most accurate and timely information. Publication and Format of Lists Due to the volume of designations, this notice informs the public of the availability on the HRSA Web site of the published lists of designated shortage areas. The three lists of designated HPSAs are available at a link on the Office of Shortage Designation Web site at http://bhpr.hrsa.gov/shortage/ index.html. Each list (primary medical care, mental health, and dental) includes all those geographic areas, population groups, and facilities that were designated HPSAs as of September 1, 2011. This notice incorporates the most recent annual reviews of designated HPSAs and supersedes the HPSA lists published in the Federal Register on February 20, 2002 (67 FR 7740). The lists include those automatic facility HPSAs that have been entered into the HPSA data base. Automatic facility HPSAs, designated as a result of the Health Care Safety Net Amendments of 2002 (Pub. L. 107–251), are not subject to the updating requirements. The lists are constantly changing based on the identification of new sites that meet the eligibility criteria or current sites that lose their eligibility and need to be removed. Each list of designated HPSAs (primary medical care, mental health, and dental) is arranged by state. Within each state, the list is presented by county. If only a portion (or portions) of a county is (are) designated, or if the county is part of a larger designated service area, or if a population group residing in the county or a facility located in the county has been designated, the name of the service area, population group, or facility involved is listed under the county name. Counties that have a whole county geographic HPSA are indicated by the ‘‘Entire county HPSA’’ notation following the county name. Further details for the HPSAs listed can be found on the HRSA Web site: http://bhpr.hrsa.gov/shortage/ index.html. In addition to the specific listings included in this notice, all Indian Tribes that meet the definition of such Tribes in the Indian Health Care Improvement Act of 1976, 25 U.S.C. 1603(d), are automatically designated as population groups with primary medical care and dental health professional shortages. The Health Care Safety Net Amendments of 2002 also made the following entities eligible for automatic VerDate Mar<15>2010 16:50 Nov 02, 2011 Jkt 226001 facility HPSA designations: all federally qualified health centers (FQHCs) and rural health clinics that offer services regardless of ability to pay. These entities include: FQHCs funded under section 330 of the PHS Act, FQHC LookAlikes, and Tribal and urban Indian clinics operating under the Indian SelfDetermination and Education Act of 1975 (25 U.S.C. 450) or the Indian Health Care Improvement Act. Many, but not all, of these entities are included on this listing. Exclusion from this list does not exclude them from the list of HPSAs; all will be included in the data base as they are identified. Future Updates of Lists of Designated HPSAs The lists of HPSAs below consist of all those that were designated as of September 1, 2011. It should be noted that additional HPSAs may have been designated by letter since that date. The appropriate agencies and individuals have been or will be notified of these actions by letter. These newly designated HPSAs will be included in the next publication of the HPSA list. Any designated HPSA listed on the HRSA Web site below is subject to withdrawal from designation if new information received and confirmed by HRSA indicates that the relevant data for the area involved have significantly changed since its designation. The effective date of the withdrawal will be the next publication of a notice regarding this list in the Federal Register. All requests for new designations, updates, or withdrawals should be based on the relevant criteria in regulations published at 42 CFR part 5. Electronic Access Address The complete lists of HPSAs designated as of September 1, 2011, are available on the HRSA Web site at http://bhpr.hrsa.gov/shortage/ index.html. Frequently updated information on HPSAs is also available at http://datawarehouse.hrsa.gov. Dated: October 25, 2011. Mary K. Wakefield, Administrator. [FR Doc. 2011–28318 Filed 11–1–11; 11:15 am] BILLING CODE 4165–15–P PO 00000 68199 DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Center for Scientific Review; Notice of Closed Meeting 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 meeting. The meeting 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: Center for Scientific Review Special Emphasis Panel; Virology B: Overflow. Date: November 17, 2011. Time: 12 p.m. to 1 p.m. Agenda: To review and evaluate grant applications. Place: National Institutes of Health, 6701 Rockledge Drive, Bethesda, MD 20892 (Telephone Conference Call). Contact Person: John C Pugh, Ph.D., Scientific Review Officer, Center for Scientific Review, National Institutes of Health, 6701 Rockledge Drive, Room 1206, MSC 7808, Bethesda, MD 20892, (301) 435– 2398, pughjohn@csr.nih.gov. (Catalogue of Federal Domestic Assistance Program Nos. 93.306, Comparative Medicine; 93.333, Clinical Research, 93.306, 93.333, 93.337, 93.393–93.396, 93.837–93.844, 93.846–93.878, 93.892, 93.893, National Institutes of Health, HHS) Dated: October 28, 2011. Jennifer S. Spaeth, Director, Office of Federal Advisory Committee Policy. [FR Doc. 2011–28507 Filed 11–2–11; 8:45 am] BILLING CODE 4140–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting 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 meeting. The meeting will be closed to the public in accordance with the Frm 00074 Fmt 4703 Sfmt 4703 E:\FR\FM\03NON1.SGM 03NON1

Agencies

[Federal Register Volume 76, Number 213 (Thursday, November 3, 2011)]
[Notices]
[Pages 68198-68199]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-28318]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Lists of Designated Primary Medical Care, Mental Health, and 
Dental Health Professional Shortage Areas

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice.

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

SUMMARY: This notice advises the public of the published lists of all 
geographic areas, population groups, and facilities designated as 
primary medical care, mental health, and dental health professional 
shortage areas (HPSAs) as of September 1, 2011, available on the Health 
Resources and Services Administration (HRSA) Web site at http://bhpr.hrsa.gov/shortage/index.html. HPSAs are designated or withdrawn by 
the Secretary of Health and Human Services (HHS) under the authority of 
section 332 of the Public Health Service (PHS) Act and 42 CFR part 5.

FOR FURTHER INFORMATION CONTACT: Requests for further information on 
the HPSA designations listed below and requests for additional 
designations, withdrawals, or reapplication for designation should be 
submitted to Andy Jordan, Office of Shortage Designation, Bureau of 
Health Professions, Health Resources and Services Administration, Room 
9A-18, Parklawn Building, 5600 Fishers Lane, Rockville, Maryland 20857, 
(301) 594-0816), http://bhpr.hrsa.gov/shortage/index.html.

SUPPLEMENTARY INFORMATION:

Background

    Section 332 of the PHS Act, 42 U.S.C. 254e, provides that the 
Secretary of HHS shall designate HPSAs based on criteria established by 
regulation. HPSAs are defined in section 332 to include (1) urban and 
rural geographic areas with shortages of health professionals, (2) 
population groups with such shortages, and (3) facilities with such 
shortages. Section 332 further requires that the Secretary annually 
publish a list of the designated geographic areas, population groups, 
and facilities. The lists of HPSAs are to be reviewed at least annually 
and revised as necessary. HRSA's Bureau of Health Professions (BHPr) 
has the responsibility for designating and updating HPSAs.
    Public or private nonprofit entities are eligible to apply for 
assignment of National Health Service Corps (NHSC) personnel to provide 
primary health services in or to these HPSAs. NHSC health professionals 
with a service obligation may serve only in federally designated HPSAs. 
Entities with clinical training sites located in HPSAs are eligible to 
receive priority for certain training program grants administered by 
BHPr. Many other Federal programs also utilize HPSA designations. For 
example, under authorities administered by the Centers for Medicare and 
Medicaid Services, certain qualified providers in HPSAs are eligible 
for increased levels of Medicare reimbursement.

Development of the Designation and Withdrawal Lists

    Criteria for designating HPSAs were published as final regulations 
(42 CFR part 5) in 1980. Criteria then were defined for each of seven 
health professional types (primary medical care, dental, psychiatric, 
vision care, podiatric, pharmacy, and veterinary care). The criteria 
for correctional facility HPSAs were revised and published on March 2, 
1989, in the Federal Register (54 FR 8735). The criteria for 
psychiatric HPSAs were expanded to mental health HPSAs on January 22, 
1992 (57 FR 2473). Currently funded PHS Act programs use only the 
primary medical care, mental health, or dental HPSA designations.
    Individual requests for designation or withdrawal of a particular 
geographic area, population group, or a facility as a HPSA are received 
and reviewed continuously by BHPr. The majority of the requests come 
from the Primary Care Offices (PCOs) in the State Health Departments, 
who have access to the on-line application and review system. Requests 
that come from other sources are referred to the PCOs for their review 
and concurrence. In addition, applicants are expected to share copies 
of the requests with other interested parties, including the Governor, 
the State Primary Care Association and state professional associations 
for their comments and recommendations.
    Annually, lists of designated HPSAs are provided to all PCOs, state 
medical and dental societies and others, with a request to review and 
update the data on which the designations are based. Emphasis is placed 
on updating those designations that are more than 3 years old or where 
significant changes relevant to the designation criteria have occurred.
    Recommendations for possible additions, continuations, revisions or 
withdrawals from a HPSA list are reviewed by BHPr, and the review 
findings are provided by letter to the agency or individual requesting 
action or providing data, with copies to other interested organizations 
and individuals. These letters constitute the official notice of 
designation as a HPSA, rejection of recommendations for HPSA 
designation, revision of a HPSA designation, and/or advance notice of 
pending withdrawals from the HPSA list. Designations (or revisions of 
designations) are effective as of the date of the notification letter 
from BHPr. Proposed withdrawals become effective only after interested 
parties in the area affected have been afforded the opportunity to 
submit additional information to BHPr in support of its continued or 
revised designation. If no new data are submitted, or if BHPr review 
confirms the proposed withdrawal, it becomes effective upon publication 
in the Federal Register of the lists of HPSAs that do not include

[[Page 68199]]

the proposed withdrawals. In addition, lists of HPSAs are continuously 
available on the HRSA Web site, http://bhpr.hrsa.gov/shortage/index.html, so that interested parties can access the most accurate and 
timely information.

Publication and Format of Lists

    Due to the volume of designations, this notice informs the public 
of the availability on the HRSA Web site of the published lists of 
designated shortage areas. The three lists of designated HPSAs are 
available at a link on the Office of Shortage Designation Web site at 
http://bhpr.hrsa.gov/shortage/index.html. Each list (primary medical 
care, mental health, and dental) includes all those geographic areas, 
population groups, and facilities that were designated HPSAs as of 
September 1, 2011. This notice incorporates the most recent annual 
reviews of designated HPSAs and supersedes the HPSA lists published in 
the Federal Register on February 20, 2002 (67 FR 7740). The lists 
include those automatic facility HPSAs that have been entered into the 
HPSA data base. Automatic facility HPSAs, designated as a result of the 
Health Care Safety Net Amendments of 2002 (Pub. L. 107-251), are not 
subject to the updating requirements. The lists are constantly changing 
based on the identification of new sites that meet the eligibility 
criteria or current sites that lose their eligibility and need to be 
removed. Each list of designated HPSAs (primary medical care, mental 
health, and dental) is arranged by state. Within each state, the list 
is presented by county. If only a portion (or portions) of a county is 
(are) designated, or if the county is part of a larger designated 
service area, or if a population group residing in the county or a 
facility located in the county has been designated, the name of the 
service area, population group, or facility involved is listed under 
the county name. Counties that have a whole county geographic HPSA are 
indicated by the ``Entire county HPSA'' notation following the county 
name. Further details for the HPSAs listed can be found on the HRSA Web 
site: http://bhpr.hrsa.gov/shortage/index.html.
    In addition to the specific listings included in this notice, all 
Indian Tribes that meet the definition of such Tribes in the Indian 
Health Care Improvement Act of 1976, 25 U.S.C. 1603(d), are 
automatically designated as population groups with primary medical care 
and dental health professional shortages. The Health Care Safety Net 
Amendments of 2002 also made the following entities eligible for 
automatic facility HPSA designations: all federally qualified health 
centers (FQHCs) and rural health clinics that offer services regardless 
of ability to pay. These entities include: FQHCs funded under section 
330 of the PHS Act, FQHC Look-Alikes, and Tribal and urban Indian 
clinics operating under the Indian Self-Determination and Education Act 
of 1975 (25 U.S.C. 450) or the Indian Health Care Improvement Act. 
Many, but not all, of these entities are included on this listing. 
Exclusion from this list does not exclude them from the list of HPSAs; 
all will be included in the data base as they are identified.

Future Updates of Lists of Designated HPSAs

    The lists of HPSAs below consist of all those that were designated 
as of September 1, 2011. It should be noted that additional HPSAs may 
have been designated by letter since that date. The appropriate 
agencies and individuals have been or will be notified of these actions 
by letter. These newly designated HPSAs will be included in the next 
publication of the HPSA list.
    Any designated HPSA listed on the HRSA Web site below is subject to 
withdrawal from designation if new information received and confirmed 
by HRSA indicates that the relevant data for the area involved have 
significantly changed since its designation. The effective date of the 
withdrawal will be the next publication of a notice regarding this list 
in the Federal Register.
    All requests for new designations, updates, or withdrawals should 
be based on the relevant criteria in regulations published at 42 CFR 
part 5.

Electronic Access Address

    The complete lists of HPSAs designated as of September 1, 2011, are 
available on the HRSA Web site at http://bhpr.hrsa.gov/shortage/index.html. Frequently updated information on HPSAs is also available 
at http://datawarehouse.hrsa.gov.

    Dated: October 25, 2011.
Mary K. Wakefield,
Administrator.
[FR Doc. 2011-28318 Filed 11-1-11; 11:15 am]
BILLING CODE 4165-15-P