Lists of Designated Primary Medical Care, Mental Health, and Dental Health Professional Shortage Areas, 38718-38720 [2013-15380]
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Federal Register / Vol. 78, No. 124 / Thursday, June 27, 2013 / Notices
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Agenda: On August 6, 2013, the
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Dated: June 21, 2013.
Jill Hartzler Warner,
Acting Associate Commissioner for Special
Medical Programs.
[FR Doc. 2013–15332 Filed 6–26–13; 8:45 am]
BILLING CODE 4160–01–P
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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
Health Resources and Services
Administration, HHS.
ACTION: Notice.
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 May 11, 2013, available on the Health
Resources and Services Administration
(HRSA) Web site at https://
www.hrsa.gov/shortage/. 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designated or withdrawn by the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 on the HRSA
Web site below and requests for
additional designations, withdrawals, or
reapplication for designation should be
submitted to Victoria Hux, Chief,
Shortage Designation Branch, Bureau of
Clinician Recruitment and Service,
Health Resources and Services
Administration, Room 9A–55, Parklawn
Building, 5600 Fishers Lane, Rockville,
Maryland 20857, (301) 594–0816,
https://www.hrsa.gov/shortage/.
SUPPLEMENTARY INFORMATION:
SUMMARY:
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 Clinician
Recruitment and Service (BCRS) 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 care,
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Federal Register / Vol. 78, No. 124 / Thursday, June 27, 2013 / Notices
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dental, or mental health services in or
to these HPSAs. NHSC health
professionals with a service obligation
may enter into service agreements to
serve only in federally designated
HPSAs. Entities with clinical training
sites located in HPSAs are eligible to
receive priority for certain residency
training program grants administered by
the Bureau of Health Professions. 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
geographic area 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 (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 BCRS. The majority of
the requests come from the Primary Care
Offices (PCO) 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, interested
parties, including the Governor, the
State Primary Care Association and state
professional associations are notified of
each request submitted for their
comments and recommendations.
Annually, lists of designated HPSAs
are made available 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
three 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 BCRS, and the review
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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
on the notification letter from BCRS.
Proposed withdrawals become effective
only after interested parties in the area
affected have been afforded the
opportunity to submit additional
information to BCRS in support of its
continued or revised designation. If no
new data are submitted, or if BCRS
review confirms the proposed
withdrawal, the withdrawal becomes
effective upon publication of the lists of
designated HPSAs in the Federal
Register. In addition, lists of HPSAs are
updated daily on the HRSA Web site,
https://www.hrsa.gov/shortage/, so that
interested parties can access the most
accurate and timely information.
Publication and Format of Lists
Due to the large volume of
designations, a printed version of the
list is no longer distributed. This notice
serves to inform the public of the
availability of the complete listings of
designated HPSA on the HRSA Web
site. The three lists (primary medical
care, mental health, and dental) of
designated HPSAs are available at a link
on the HRSA Web site at https://
www.hrsa.gov/shortage/ and include a
snapshot of all geographic areas,
population groups, and facilities that
were designated HPSAs as of May 11,
2013. This notice incorporates the most
recent annual reviews of designated
HPSAs and supersedes the HPSA lists
published in the Federal Register on
June 29, 2012 (77 FR 38838). The lists
also include automatic facility HPSAs,
designated as a result of the Health Care
Safety Net Amendments of 2002 (Pub. L.
107–251), not subject to update
requirements. 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
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38719
county HPSA’’ notation following the
county name. Further details on the
snapshot of HPSAs listed can be found
on the HRSA Web site: https://
www.hrsa.gov/shortage/.
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 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 HPSA
designation; any facilities eligible for
automatic designation will be included
in the database as they are identified.
Future Updates of Lists of Designated
HPSAs
The lists of HPSAs on the HRSA Web
site below consist of all those that were
designated as of May 11, 2013. It should
be noted that HPSAs are currently
updated on an ongoing basis based on
the identification of new areas,
population groups, and facilities and
sites that meet the eligibility criteria or
that no longer meet eligibility criteria
and/or are being replaced by another
type of designation. As such, 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 and are currently
included in the daily updates posted on
the HRSA Web site at https://
www.hrsa.gov/shortage/find.html.
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 such a withdrawal will
be the next publication of a notice
regarding this list in the Federal
Register.
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Federal Register / Vol. 78, No. 124 / Thursday, June 27, 2013 / Notices
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 list of HPSAs
designated as of May 11, 2013, are
available on the HRSA Web site at
https://www.hrsa.gov/shortage/.
Frequently updated information on
HPSAs is also available at https://
datawarehouse.hrsa.gov.
Dated: June 21, 2013.
Mary K. Wakefield,
Administrator.
[FR Doc. 2013–15380 Filed 6–26–13; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
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Statement of Organization, Functions
and Delegations of Authority
This notice amends Part R of the
Statement of Organization, Functions
and Delegations of Authority of the
Department of Health and Human
Services (HHS), Health Resources and
Services Administration (HRSA) (60 FR
56605, as amended November 6, 1995;
as last amended at 78 FR 32404–32405
dated May 30, 2013).
This notice reflects organizational
changes in the Health Resources and
Services Administration (HRSA).
Specifically, this notice abolishes the
Office of Special Health Affairs (OSHA)
(RA1) and transfers functions to other
areas throughout HRSA. (1) The Office
of Health Equity (RAB) function will
transfer from OSHA to the Office of the
Administrator (RA); (2) the Office of
Global Health Affairs (RPJ) function will
transfer from OSHA to the Bureau of
Health Professions (RP); (3) the Office of
Strategic Priorities will be abolished, the
oral and behavioral health function will
transfer to the Bureau of Health
Professions (RP); (4) the Office of
Emergency Preparedness and Continuity
of Operations function will transfer to
the Office of Information Technology
(RB5); (5) the Office of Health
Information Technology and Quality
will be abolished and functions will
transfer to (a) the Healthcare Systems
Bureau (RR); (b) the Office of Rural
Health Policy (RH); and (c) the Office of
Planning, Analysis and Evaluation
(RA5); (6) establishes the Office of
Performance and Quality Measurement
(RA58) within the Office of Planning,
Analysis and Evaluation (RA5). HRSA
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18:12 Jun 26, 2013
Jkt 229001
will benefit from the improvements and
efficiencies gained through this
reorganization.
Chapter RA—Office of the
Administrator
Section RA–10, Organization
Delete in its entirety and replace with
the following:
The Office of the Administrator (RA)
is headed by the Administrator, Health
Resources and Services Administration,
who reports directly to the Secretary.
The Office of the Administrator
includes the following components:
(1) Immediate Office of the
Administrator (RA);
(2) Office of Equal Opportunity, Civil
Rights, and Diversity Management
(RA2);
(3) Office of Planning, Analysis and
Evaluation (RA5);
(4) Office of Communications (RA6);
(5) Office of Legislation (RAE);
(6) Office of Women’s Health (RAW);
and
(7) Office of Health Equity (RAB).
Section RA–20, Functions
Delete the functional statement for the
Office of Special Health Affairs (RA1).
Establish the functional statement for
the Office of Health Equity (RAB) within
the Office of the Administrator (RA).
Office of Health Equity (RAB)
Serves as the principal advisor and
coordinator to the Agency for the
special needs of minority and
disadvantaged populations, including:
(1) Providing leadership and direction
to address HHS and HRSA Strategic
Plan goals and objectives related to
improving minority health and
eliminating health disparities; (2)
establishing and managing an Agencywide data collection system for minority
health activities and initiatives
including the White House Initiatives
for Historically Black Colleges and
Universities, Educational Excellence for
Hispanic Americans, Tribal Colleges
and Universities, Asian Americans and
Pacific Islanders, and departmental
initiatives; (3) implementing activities
to increase the availability of data to
monitor the impact of Agency programs
in improving minority health and
eliminating health disparities; (4)
participating in the formulation of
HRSA’s goals, policies, legislative
proposals, priorities, and strategies as
they affect health professional
organizations and institutions of higher
education and others involved in or
concerned with the delivery of
culturally-appropriate, quality health
services to minorities and
disadvantaged populations; (5)
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consulting with federal agencies and
other public and private sector agencies
and organizations to collaborate in
addressing health equity, including
enhancing cultural competence in
health service providers; (6) establishing
short-term and long-range objectives;
and (7) participating in the focus of
activities and objectives in assuring
equity in access to resources and health
careers for minorities and the
disadvantaged.
Chapter RP—Bureau of Health
Professions
Section RP–10, Organization
Delete in its entirety and replace with
the following:
The Bureau of Health Professions is
(RP) is headed by the Associate
Administrator, Bureau of Health
Professions, who reports directly to the
Administrator, Health Resources and
Services Administration (RA). The
Bureau of Health Professions includes
the following components:
(1) Office of the Associate
Administrator (RP);
(2) Office of Administrative
Management Services (RP1);
(3) Office of Global Health Affairs
(RPJ);
(4) Office of Policy Coordination
(RP3);
(5) Office of Performance
Measurement (RP4);
(6) Division of Public Health and
Interdisciplinary Education (RPF);
(7) Division of Medicine and Dentistry
(RPC);
(8) Division of Nursing (RPB);
(9) Division of Practitioner Data Banks
(RPG);
(10) Division of Student Loans and
Scholarships (RPD); and
(11) National Center for Health
Workforce (RPW).
Section RP–20, Functions
Delete and replace the functional
statement for (1) the Bureau of Health
Professions (RP); (2) the Office of the
Associate Administrator; (3) the
Division of Public Health and
Interdisciplinary Education; (4) the
Division of Medicine and Dentistry; and
(5) establish the functional statement for
the Office of Global Health Affairs (RPJ).
Bureau of Health Professions (RP)
The Bureau of Health Professions’
programs are designed to improve the
health of the nation’s underserved
communities and vulnerable
populations by assuring a diverse,
culturally competent workforce that is
ready to provide access to quality health
care services. Bureau of Health
Professions’ program components
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]]>Agencies
[Federal Register Volume 78, Number 124 (Thursday, June 27, 2013)]
[Notices]
[Pages 38718-38720]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-15380]
-----------------------------------------------------------------------
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 May 11, 2013, available on the Health
Resources and Services Administration (HRSA) Web site at https://www.hrsa.gov/shortage/. 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 on the HRSA Web site below and requests
for additional designations, withdrawals, or reapplication for
designation should be submitted to Victoria Hux, Chief, Shortage
Designation Branch, Bureau of Clinician Recruitment and Service, Health
Resources and Services Administration, Room 9A-55, Parklawn Building,
5600 Fishers Lane, Rockville, Maryland 20857, (301) 594-0816, https://www.hrsa.gov/shortage/.
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 Clinician Recruitment and
Service (BCRS) 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 care,
[[Page 38719]]
dental, or mental health services in or to these HPSAs. NHSC health
professionals with a service obligation may enter into service
agreements to serve only in federally designated HPSAs. Entities with
clinical training sites located in HPSAs are eligible to receive
priority for certain residency training program grants administered by
the Bureau of Health Professions. 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 geographic area 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 (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 BCRS. The majority of the requests come
from the Primary Care Offices (PCO) 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, interested parties, including the
Governor, the State Primary Care Association and state professional
associations are notified of each request submitted for their comments
and recommendations.
Annually, lists of designated HPSAs are made available 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 three 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 BCRS, 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 on the notification letter
from BCRS. Proposed withdrawals become effective only after interested
parties in the area affected have been afforded the opportunity to
submit additional information to BCRS in support of its continued or
revised designation. If no new data are submitted, or if BCRS review
confirms the proposed withdrawal, the withdrawal becomes effective upon
publication of the lists of designated HPSAs in the Federal Register.
In addition, lists of HPSAs are updated daily on the HRSA Web site,
https://www.hrsa.gov/shortage/, so that interested parties can access
the most accurate and timely information.
Publication and Format of Lists
Due to the large volume of designations, a printed version of the
list is no longer distributed. This notice serves to inform the public
of the availability of the complete listings of designated HPSA on the
HRSA Web site. The three lists (primary medical care, mental health,
and dental) of designated HPSAs are available at a link on the HRSA Web
site at https://www.hrsa.gov/shortage/ and include a snapshot of all
geographic areas, population groups, and facilities that were
designated HPSAs as of May 11, 2013. This notice incorporates the most
recent annual reviews of designated HPSAs and supersedes the HPSA lists
published in the Federal Register on June 29, 2012 (77 FR 38838). The
lists also include automatic facility HPSAs, designated as a result of
the Health Care Safety Net Amendments of 2002 (Pub. L. 107-251), not
subject to update requirements. 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 on the snapshot of HPSAs
listed can be found on the HRSA Web site: https://www.hrsa.gov/shortage/.
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 HPSA designation;
any facilities eligible for automatic designation will be included in
the database as they are identified.
Future Updates of Lists of Designated HPSAs
The lists of HPSAs on the HRSA Web site below consist of all those
that were designated as of May 11, 2013. It should be noted that HPSAs
are currently updated on an ongoing basis based on the identification
of new areas, population groups, and facilities and sites that meet the
eligibility criteria or that no longer meet eligibility criteria and/or
are being replaced by another type of designation. As such, 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 and are currently included in
the daily updates posted on the HRSA Web site at https://www.hrsa.gov/shortage/find.html.
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 such
a withdrawal will be the next publication of a notice regarding this
list in the Federal Register.
[[Page 38720]]
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 list of HPSAs designated as of May 11, 2013, are
available on the HRSA Web site at https://www.hrsa.gov/shortage/.
Frequently updated information on HPSAs is also available at https://datawarehouse.hrsa.gov.
Dated: June 21, 2013.
Mary K. Wakefield,
Administrator.
[FR Doc. 2013-15380 Filed 6-26-13; 8:45 am]
BILLING CODE 4165-15-P
