Agency Information Collection Activities: Submission to OMB for Review and Approval; Public Comment Request, 79470-79471 [2013-31158]
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Federal Register / Vol. 78, No. 250 / Monday, December 30, 2013 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Submission to OMB for
Review and Approval; Public Comment
Request
Health Resources and Services
Administration, HHS.
ACTION: Notice.
AGENCY:
In compliance with Section
3507(a)(1)(D) of the Paperwork
Reduction Act of 1995, the Health
Resources and Services Administration
(HRSA) has submitted an Information
Collection Request (ICR) to the Office of
Management and Budget (OMB) for
review and approval. Comments
submitted during the first public review
of this ICR will be provided to OMB.
OMB will accept further comments from
the public during the review and
approval period.
DATES: Comments on this ICR should be
received within 30 days of this notice.
ADDRESSES: Submit your comments,
including the Information Collection
Request Title, to the desk officer for
HRSA, either by email to OIRA_
submission@omb.eop.gov or by fax to
202–395–5806.
FOR FURTHER INFORMATION CONTACT: To
request a copy of the clearance requests
submitted to OMB for review, email the
HRSA Information Collection Clearance
Officer at paperwork@hrsa.gov or call
(301) 443–1984.
SUPPLEMENTARY INFORMATION:
Information Collection Request Title:
Understanding and Monitoring Funding
Streams in Ryan White Clinics
OMB No:. 0915–xxxx—New
Abstract: HRSA’s HIV/AIDS Bureau
(HAB) administers the Ryan White HIV/
AIDS Program (RWHAP) authorized
under Title XXVI of the Public Health
Service Act as amended by the Ryan
White HIV/AIDS Treatment Extension
Act of 2009. Established in 1990, the
RWHAP is a federally funded program
designed to provide HIV-related medical
care and treatment, as well as support
services for individuals and families
affected by the disease who are
uninsured or underinsured. The
program consists of several ‘‘Parts,’’
corresponding to sections of the statute,
through which funding is provided to
states, cities, providers, and other
organizations. Part A provides
emergency relief for areas with
substantial need for HIV/AIDS care and
support services that are most severely
affected by the HIV/AIDS epidemic,
maindgalligan on DSK5TPTVN1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
17:15 Dec 27, 2013
Jkt 232001
including eligible metropolitan areas
(EMAs) and transitional grant areas
(TGAs). Part B provides grants to states
and U.S. territories to improve the
quality, availability, and organization of
HIV/AIDS health care and support
services. Part B grants include a base
grant; the AIDS Drug Assistance
Program (ADAP) award; ADAP
Supplemental Drug Treatment Program
funds; and supplemental grants to states
with ‘‘emerging communities,’’ defined
as jurisdictions reporting between 500
and 999 cumulative AIDS cases over the
most recent 5 years. The Part C Early
Intervention Services (EIS) component
of the Ryan White HIV/AIDS Program
funds comprehensive primary health
care in outpatient settings for people
living with HIV disease. Part D grantees
provide outpatient or ambulatory
family-centered primary medical care
for women, infants, children, and youth
with HIV/AIDS.
In 2010, the Patient Protection and
Affordable Care Act (ACA) was enacted
into law. The ACA is expansive and will
likely impact the RWHAP. Some of the
reforms have already been implemented
(including the creation of Pre-Existing
Condition Insurance Plans) and the
barring of insurance carriers from
denying coverage to children with preexisting conditions, such as HIV/AIDS;
cancelling coverage for adults with
health conditions because of
unintentional mistakes on the
application; and imposing lifetime
dollar caps on essential health benefits.
Effective January 2014, states will have
the option to expand Medicaid to
individuals younger than 65 years of age
with incomes up to 133 percent of the
federal poverty level (FPL). On October
1, 2013, insurance marketplaces
(exchanges) from which individuals can
purchase health insurance, began open
enrollment, with coverage to begin as
early as January 1, 2014. Individuals
with incomes up to 400 percent FPL
may be eligible for tax credits to reduce
premium costs. Individuals with lower
incomes may also be eligible for
reductions in cost-sharing.
The proposed study will provide HAB
and policymakers with a better
understanding of how the RWHAP
currently provides primary outpatient
health care and essential support
services to both uninsured and
underinsured clients. It will identify
what types of core medical services and
subservices and support services are
currently not covered or not fully
covered by Medicaid, Medicare, and
private insurance, which are needed to
provide high quality HIV/AIDS care.
The study also will provide information
on how grantees monitor patient
PO 00000
Frm 00081
Fmt 4703
Sfmt 4703
healthcare coverage (e.g., payer source,
type of insurance) and the cost of care.
Together, this information will help
HAB understand the abilities of Part C
and Part D grantees to support and track
expanded health insurance enrollment
for their clients and to adapt to the
changing funding landscape. The study
will also collect information on what
processes are used and what types of
data are stored within their data
information systems. Information about
data information systems will be used to
support the development of a technical
assistance tracker for RWHAP grantees
to monitor and assess changes in the
mix of funding sources used to pay for
primary health care and essential
support services to people living with
HIV/AIDS (PLWHA) as the ACA is fully
implemented.
Lastly, the study will gather
information regarding Part C and Part D
grantees’ levels of participation in statesponsored initiatives for the
development of health homes, their
relationship with managed care
organizations, and their status regarding
recognition as a Patient Centered
Medical Home. This information will
provide some basic information
regarding grantees’ abilities to continue
to service PLWHA as the ACA is
implemented differently among the
states.
The Ryan White Funding Streams
Survey (Survey) will be used to collect
this information. The survey will collect
both qualitative and quantitative data
and will be administered online to
program directors from a representative
sample of Part C and Part D grantees.
The Survey contains 32 questions that
capture information about the different
funding streams used for the provision
of services to PLWHA; grantees’ abilities
to track health insurance, funding
sources, and costs of care; and their
relationship with managed care
organizations. The data provided
through the survey will not contain
individual or personally identifiable
information. This information will
inform HAB in the development of
future RWHAP policy. It will also assist
HAB in the final development of the
technical assistance tracking tool for
grantees.
Need and Proposed Use of the
Information: The information collected
will help HAB understand how the
RWHAP currently provides primary
outpatient health care and essential
support services to both uninsured and
underinsured clients and which of these
are currently not covered or not fully
covered by Medicaid, Medicare, and
private insurance. It will help HAB
understand how grantees monitor
E:\FR\FM\30DEN1.SGM
30DEN1
Federal Register / Vol. 78, No. 250 / Monday, December 30, 2013 / Notices
patient healthcare coverage (e.g., payer
source, type of insurance) and the cost
of care. Together, this information will
help HAB gain knowledge on the
abilities of Part C and Part D grantees to
support and track expanded health
insurance enrollment for their clients
and to adapt to the changing funding
landscape. This will inform HAB in the
development of future RWHAP policies.
In addition, information about data
information systems will be used to
support the development of a technical
assistance tracker for RWHAP grantees
to monitor and assess changes in the
mix of funding sources used to pay for
primary health care and essential
support services to PLWHA as the ACA
is fully implemented. Information about
Part C and Part D grantees’ levels of
participation in state-sponsored
initiatives will provide some basic
information regarding grantees’ abilities
to continue to service PLWHA as the
ACA is implemented differently among
the states.
Likely Respondents: The survey will
be administered online to program
directors from a representative sample
of Part C and Part D grantees.
Burden Statement: Burden in this
context means the time expended by
persons to generate, maintain, retain,
disclose or provide the information
requested. This includes the time
79471
needed to review instructions; to
develop, acquire, install and utilize
technology and systems for the purpose
of collecting, validating and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information; to search
data sources; to complete and review
the collection of information; and to
transmit or otherwise disclose the
information. The total annual burden
hours estimated for this ICR are
summarized in the table below.
Total Estimated Annualized Burden—
Hours
Form
Number of
respondents
Number of
responses per
respondent
Total
responses
Average
burden per
response
(in hours)
Total burden
hours
Survey ..................................................................................
120
1
120
4.7
564
Dated: December 23, 2013.
Bahar Niakan,
Director, Division of Policy and Information
Coordination.
[FR Doc. 2013–31158 Filed 12–27–13; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
maindgalligan on DSK5TPTVN1PROD with NOTICES
Discretionary Advisory Committee on
Heritable Disorders in Newborns and
Children; Notice of Meeting
In accordance with section 10(a)(2) of
the Federal Advisory Committee Act
(Pub. L. 92–463, codified at 5 U.S.C.
App.), notice is hereby given of the
following meeting:
Name: Discretionary Advisory
Committee on Heritable Disorders in
Newborns and Children.
Dates and Times: January 16, 2014,
10:30 a.m. to 2:30 p.m., January 17,
2014, 10:00 a.m. to 3:30 p.m.
Place: Virtual via Webinar.
Status: The meeting is open to the
public. For more information on
registration and webinar details, please
visit the Advisory Committee’s Web
site: https://www.hrsa.gov/
advisorycommittees/mchbadvisory/
heritabledisorders.
The registration deadline is
Wednesday, January 8, 2014, 11:59 p.m.
Eastern Standard Time (EST).
Purpose: The Discretionary Advisory
Committee on Heritable Disorders in
Newborns and Children (Committee), as
VerDate Mar<15>2010
17:15 Dec 27, 2013
Jkt 232001
authorized by Public Health Service Act
(PHS), 42 U.S.C. 217a: Advisory
councils or committees, was established
to advise the Secretary of the
Department of Health and Human
Services about the development of
newborn screening activities,
technologies, policies, guidelines, and
programs for effectively reducing
morbidity and mortality in newborns
and children having, or at risk for,
heritable disorders. Note: the
Committee’s recommendations
regarding additional conditions/
inherited disorders for screening that
have been adopted by the Secretary are
included in the Recommended Uniform
Screening Panel and constitutes part of
the comprehensive guidelines
supported by the Health Resources and
Services Administration. Pursuant to
section 2713 of the Public Health
Service Act, codified at 42 U.S.C.
300gg–13, non-grandfathered health
plans are required to cover screenings
included in the HRSA-supported
comprehensive guidelines without
charging a co-payment, co-insurance, or
deductible for plan years (i.e., policy
years) beginning on or after the date that
is one year from the Secretary’s
adoption of the condition for screening.
Agenda: The meeting will include: (1)
The Nomination and Prioritization
Workgroup’s review on X-linked
Adrenoleukodystrophy (ALD); (2) an
update on Mucopolysaccharidosis type
1 (MPS–1) from the Condition Review
Workgroup; (3) an update on the HRSAfunded Newborn Screening Technical
Assistance Center; (4) a presentation on
the impact of the rapid implementation
PO 00000
Frm 00082
Fmt 4703
Sfmt 4703
of electronic health records on the Early
Hearing Detection and Intervention
State Programs; (5) an introduction to
the HRSA-funded Long Term Follow-up
Program; and (6) updates from the
Committee’s subcommittees and ad-hoc
workgroups including Laboratory
Standards and Procedures, Follow-up
and Treatment, and Education and
Training subcommittees. Tentatively,
the Committee is expected to review
and/or vote on whether to refer the ALD
nomination to the Condition Review
Workgroup. This vote does not involve
a proposed addition of a condition to
the Recommended Uniform Screening
Panel.
Agenda items may be subject to
change as necessary or appropriate. The
agenda, webinar information,
Committee Roster, Charter,
presentations, and other meeting
materials are located on the Advisory
Committee’s Web site at https://
www.hrsa.gov/advisorycommittees/
mchbadvisory/heritabledisorders.
Public Comments: Members of the
public may register to present oral
comments and/or submit written
comments. All comments, whether oral
or written, are part of the official
Committee record and will be available
on the Committee’s Web site. Advance
registration is required to present oral
comments. The public comment period
is scheduled for the morning of January
16, 2014. Written comments may be
emailed to Lisa Vasquez at lvasquez@
hrsa.gov by Wednesday, January 8,
2014, 11:59 p.m. EST. Written
comments should identify the
individual’s name, address, email,
E:\FR\FM\30DEN1.SGM
30DEN1
]]>Agencies
[Federal Register Volume 78, Number 250 (Monday, December 30, 2013)]
[Notices]
[Pages 79470-79471]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-31158]
[[Page 79470]]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Submission to OMB for
Review and Approval; Public Comment Request
AGENCY: Health Resources and Services Administration, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In compliance with Section 3507(a)(1)(D) of the Paperwork
Reduction Act of 1995, the Health Resources and Services Administration
(HRSA) has submitted an Information Collection Request (ICR) to the
Office of Management and Budget (OMB) for review and approval. Comments
submitted during the first public review of this ICR will be provided
to OMB. OMB will accept further comments from the public during the
review and approval period.
DATES: Comments on this ICR should be received within 30 days of this
notice.
ADDRESSES: Submit your comments, including the Information Collection
Request Title, to the desk officer for HRSA, either by email to OIRA_submission@omb.eop.gov or by fax to 202-395-5806.
FOR FURTHER INFORMATION CONTACT: To request a copy of the clearance
requests submitted to OMB for review, email the HRSA Information
Collection Clearance Officer at paperwork@hrsa.gov or call (301) 443-
1984.
SUPPLEMENTARY INFORMATION: Information Collection Request Title:
Understanding and Monitoring Funding Streams in Ryan White Clinics
OMB No:. 0915-xxxx--New
Abstract: HRSA's HIV/AIDS Bureau (HAB) administers the Ryan White
HIV/AIDS Program (RWHAP) authorized under Title XXVI of the Public
Health Service Act as amended by the Ryan White HIV/AIDS Treatment
Extension Act of 2009. Established in 1990, the RWHAP is a federally
funded program designed to provide HIV-related medical care and
treatment, as well as support services for individuals and families
affected by the disease who are uninsured or underinsured. The program
consists of several ``Parts,'' corresponding to sections of the
statute, through which funding is provided to states, cities,
providers, and other organizations. Part A provides emergency relief
for areas with substantial need for HIV/AIDS care and support services
that are most severely affected by the HIV/AIDS epidemic, including
eligible metropolitan areas (EMAs) and transitional grant areas (TGAs).
Part B provides grants to states and U.S. territories to improve the
quality, availability, and organization of HIV/AIDS health care and
support services. Part B grants include a base grant; the AIDS Drug
Assistance Program (ADAP) award; ADAP Supplemental Drug Treatment
Program funds; and supplemental grants to states with ``emerging
communities,'' defined as jurisdictions reporting between 500 and 999
cumulative AIDS cases over the most recent 5 years. The Part C Early
Intervention Services (EIS) component of the Ryan White HIV/AIDS
Program funds comprehensive primary health care in outpatient settings
for people living with HIV disease. Part D grantees provide outpatient
or ambulatory family-centered primary medical care for women, infants,
children, and youth with HIV/AIDS.
In 2010, the Patient Protection and Affordable Care Act (ACA) was
enacted into law. The ACA is expansive and will likely impact the
RWHAP. Some of the reforms have already been implemented (including the
creation of Pre-Existing Condition Insurance Plans) and the barring of
insurance carriers from denying coverage to children with pre-existing
conditions, such as HIV/AIDS; cancelling coverage for adults with
health conditions because of unintentional mistakes on the application;
and imposing lifetime dollar caps on essential health benefits.
Effective January 2014, states will have the option to expand Medicaid
to individuals younger than 65 years of age with incomes up to 133
percent of the federal poverty level (FPL). On October 1, 2013,
insurance marketplaces (exchanges) from which individuals can purchase
health insurance, began open enrollment, with coverage to begin as
early as January 1, 2014. Individuals with incomes up to 400 percent
FPL may be eligible for tax credits to reduce premium costs.
Individuals with lower incomes may also be eligible for reductions in
cost-sharing.
The proposed study will provide HAB and policymakers with a better
understanding of how the RWHAP currently provides primary outpatient
health care and essential support services to both uninsured and
underinsured clients. It will identify what types of core medical
services and subservices and support services are currently not covered
or not fully covered by Medicaid, Medicare, and private insurance,
which are needed to provide high quality HIV/AIDS care. The study also
will provide information on how grantees monitor patient healthcare
coverage (e.g., payer source, type of insurance) and the cost of care.
Together, this information will help HAB understand the abilities of
Part C and Part D grantees to support and track expanded health
insurance enrollment for their clients and to adapt to the changing
funding landscape. The study will also collect information on what
processes are used and what types of data are stored within their data
information systems. Information about data information systems will be
used to support the development of a technical assistance tracker for
RWHAP grantees to monitor and assess changes in the mix of funding
sources used to pay for primary health care and essential support
services to people living with HIV/AIDS (PLWHA) as the ACA is fully
implemented.
Lastly, the study will gather information regarding Part C and Part
D grantees' levels of participation in state-sponsored initiatives for
the development of health homes, their relationship with managed care
organizations, and their status regarding recognition as a Patient
Centered Medical Home. This information will provide some basic
information regarding grantees' abilities to continue to service PLWHA
as the ACA is implemented differently among the states.
The Ryan White Funding Streams Survey (Survey) will be used to
collect this information. The survey will collect both qualitative and
quantitative data and will be administered online to program directors
from a representative sample of Part C and Part D grantees. The Survey
contains 32 questions that capture information about the different
funding streams used for the provision of services to PLWHA; grantees'
abilities to track health insurance, funding sources, and costs of
care; and their relationship with managed care organizations. The data
provided through the survey will not contain individual or personally
identifiable information. This information will inform HAB in the
development of future RWHAP policy. It will also assist HAB in the
final development of the technical assistance tracking tool for
grantees.
Need and Proposed Use of the Information: The information collected
will help HAB understand how the RWHAP currently provides primary
outpatient health care and essential support services to both uninsured
and underinsured clients and which of these are currently not covered
or not fully covered by Medicaid, Medicare, and private insurance. It
will help HAB understand how grantees monitor
[[Page 79471]]
patient healthcare coverage (e.g., payer source, type of insurance) and
the cost of care. Together, this information will help HAB gain
knowledge on the abilities of Part C and Part D grantees to support and
track expanded health insurance enrollment for their clients and to
adapt to the changing funding landscape. This will inform HAB in the
development of future RWHAP policies.
In addition, information about data information systems will be
used to support the development of a technical assistance tracker for
RWHAP grantees to monitor and assess changes in the mix of funding
sources used to pay for primary health care and essential support
services to PLWHA as the ACA is fully implemented. Information about
Part C and Part D grantees' levels of participation in state-sponsored
initiatives will provide some basic information regarding grantees'
abilities to continue to service PLWHA as the ACA is implemented
differently among the states.
Likely Respondents: The survey will be administered online to
program directors from a representative sample of Part C and Part D
grantees.
Burden Statement: Burden in this context means the time expended by
persons to generate, maintain, retain, disclose or provide the
information requested. This includes the time needed to review
instructions; to develop, acquire, install and utilize technology and
systems for the purpose of collecting, validating and verifying
information, processing and maintaining information, and disclosing and
providing information; to train personnel and to be able to respond to
a collection of information; to search data sources; to complete and
review the collection of information; and to transmit or otherwise
disclose the information. The total annual burden hours estimated for
this ICR are summarized in the table below.
Total Estimated Annualized Burden--Hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
Number of Average burden
Form Number of responses per Total responses per response Total burden
respondents respondent (in hours) hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
Survey............................................................. 120 1 120 4.7 564
--------------------------------------------------------------------------------------------------------------------------------------------------------
Dated: December 23, 2013.
Bahar Niakan,
Director, Division of Policy and Information Coordination.
[FR Doc. 2013-31158 Filed 12-27-13; 8:45 am]
BILLING CODE 4165-15-P
