Health Center Program, 22505-22506 [2014-09132]

Download as PDF 22505 Federal Register / Vol. 79, No. 77 / Tuesday, April 22, 2014 / Notices TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS Number of respondents Form name Number of responses per respondent Total responses Average burden per response (in hours) Total burden hours Preconception, Pregnancy, and Parenting Information Form ................................................................................. National Healthy Start Program Web Survey ...................... CAN member Web Survey .................................................. Healthy Start Site Visit Protocol .......................................... Healthy Start Participant Focus Group Protocol ................. 40,675 88 225 15 180 1 1 1 1 1 40,675 88 225 15 180 0.50 2.00 0.75 6.00 1.00 20,338 176 169 90 180 Total .............................................................................. 41,183 ........................ 41,183 ........................ 20,953 Dated: April 15, 2014. Bahar Niakan, Director, Division of Policy and Information Coordination. [FR Doc. 2014–09193 Filed 4–21–14; 8:45 am] BILLING CODE 4165–15–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Health Center Program Health Resources and Services Administration, HHS. ACTION: Notice of Class Deviation From Competition Requirements for Low-Cost Extensions and Administrative Supplement Thresholds To Minimize Disruption of Services for Certain Health Center Program Service Areas. AGENCY: In accordance with the Awarding Agency Grants Management Manual (AAGAM) Chapter 1.03.103, the Bureau of Primary Health Care (BPHC) requests a class deviation to award lowcost extensions of up to 6 months or, when necessary, administrative supplements to minimize disruption of services for specific health center program service areas. Per the requirements for low-cost extensions outlined in the AAGAM Chapter 2.04.104B–4A.1.a.(5)(b), these extensions may not exceed 25 percent of the approved federal direct cost budget authorized for the budget period (exclusive of the additional funding requested) or $100,000. Likewise, per the requirements for administrative supplements outlined in the AAGAM Chapter 2.04.104B–4A.4.b, these supplements may not exceed 25 percent of the approved federal direct cost budget authorized for the budget period (exclusive of the additional funding) or $250,000, whichever is less. In each case, the Health Resources and Services Administration (HRSA) is required to publish a notice in the Federal Register tkelley on DSK3SPTVN1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 16:26 Apr 21, 2014 Jkt 232001 in advance of, or concurrent with, the awarding of the funds. BPHC is requesting a class deviation to the requirements for low-cost extensions to allow HRSA to award extensions that exceed 25 percent of the approved federal direct cost budget authorized for the budget period (exclusive of the additional funding requested) and/or $100,000 in cases where the grantee would not receive future continued support under the Health Center Program. Likewise, BPHC is requesting a class deviation to the requirements for administrative supplements to allow HRSA to award supplements that exceed 25 percent of the approved federal direct cost budget authorized for the budget period (exclusive of the additional funding) and/or $250,000 in cases where the award is to a currently funded grantee located in or adjacent to the service area of a grantee that will not receive continued support under the Health Center Program. BPHC is also requesting that the deviation allow for the publication of a consolidated notice in the Federal Register annually that summarizes the actions taken in the prior fiscal year. The sole purpose of these low-cost extensions or administrative supplements is to avoid a gap in the provision of critical health care services for a funded service area by providing a ‘‘bridge’’ until HRSA is able to make an award to an eligible applicant under a Service Area Competition (SAC) and/ or to assure an orderly phase-out of Health Center Program activities by the current grantee. BPHC is not requesting that this class deviation cover single source replacement awards and will continue to request single case deviations for such non-competitive actions if necessary. SUPPLEMENTARY INFORMATION: Intended Recipient of the Award: Health Center Program Grantees. Amount of Non-Competitive Awards: Variable. PO 00000 Frm 00037 Fmt 4703 Sfmt 4703 Period of Supplemental Funding: Variable. CFDA Number: 93.224, 93.527. Authority: Section 330 of the Public Health Service Act (42 U.S.C. 254b), as amended; Public Law 111–148, the Affordable Care Act of 2010, Section 5601 and Section 10503, as amended; Public Law 111–152, Health Care and Education Reconciliation Act of 2010, Section 2303. Justification: BPHC always conducts an open competition to identify a new Health Center Program grantee for a previously funded but now available service area; however, it generally takes up to 6 months to announce and conduct the SAC and select a new grantee for the service area. In fiscal year 2013, BPHC awarded operational grants to support approximately 1,200 Health Center Program grantee organizations. Throughout the course of the current fiscal year, there have been 14 cases where a deviation and accompanying Federal Register Notice were warranted per AAGAM 2.04.104B–4A, based on the need to issue a low-cost extension or administrative supplement. Such cases occurred when a Health Center Program grant was discontinued prior to the project period end date. Discontinuations prior to the project period end date have been the result of a voluntary relinquishment of the grant award by the current grantee or an enforcement action taken by HRSA due to a grantee’s material noncompliance with program requirements. The need for a low-cost extension or administrative supplement has also occurred at the end of a grantee’s project period due to a lack of eligible or fundable applications for the announced service area. In all cases, the purpose for the HRSA award of the low-cost extension or administrative supplement was to avoid a gap in the provision of critical health care services for a service area by providing a ‘‘bridge’’ until HRSA was able to make an award to an eligible applicant under a SAC and to E:\FR\FM\22APN1.SGM 22APN1 22506 Federal Register / Vol. 79, No. 77 / Tuesday, April 22, 2014 / Notices assure an orderly phase-out of Health Center Program activities by the current grantee. Often the funds necessary to continue services in these service areas exceed the amount authorized for lowcost extensions and administrative supplements under the AAGAM. Given the commonality of purpose and time-sensitive circumstances surrounding these low-cost extensions and administrative supplements, approval of a class deviation to allow a streamlined process for these awards would ensure both consistency and efficiency, and support HRSA’s commitment to minimizing a disruption in services to health center patients. The number of grantees that HRSA would award low-cost extensions or administrative supplements to is expected to be extremely limited (less than 10–15 per year) based on recent experience. In addition, the amount of grant funds provided under the extension or supplement would be determined based on pro-rating HRSA’s existing funding commitment to the service area. In all cases, current fiscal year funds will be used to supplement or extend the grantee’s existing budget period award. FOR FURTHER INFORMATION CONTACT: Olivia Shockey, Chief, Expansion Branch, Office of Policy and Program Development, Bureau of Primary Health Care, Health Resources and Services Administration, 5600 Fishers Lane, Rockville, Maryland 20857, email: oshockey@hrsa.gov. Dated: April 16, 2014. Mary K. Wakefield, Administrator. [FR Doc. 2014–09132 Filed 4–21–14; 8:45 am] BILLING CODE 4165–15–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration ‘‘Low Income Levels’’ Used for Various Health Professions and Nursing Programs Included in Titles III, VII, and VIII of the Public Health Service Act Health Resources and Services Administration, HHS. ACTION: Notice. tkelley on DSK3SPTVN1PROD with NOTICES AGENCY: The Health Resources and Services Administration (HRSA) is updating income levels used to identify a ‘‘low income family’’ for the purpose of determining eligibility for programs that provide health professions and nursing training for individuals from disadvantaged backgrounds. These SUMMARY: VerDate Mar<15>2010 16:26 Apr 21, 2014 Jkt 232001 various programs are included in Titles III, VII, and VIII of the Public Health Service Act. The Department periodically publishes in the Federal Register lowincome levels used to determine eligibility for grants and cooperative agreements to institutions providing training for (1) disadvantaged individuals, (2) individuals from disadvantaged backgrounds, or (3) individuals from low-income families. SUPPLEMENTARY INFORMATION: The various health professions and nursing grant and cooperative agreement programs that use the low-income levels to determine whether an individual is from an economically disadvantaged background in making eligibility and funding determinations generally make awards to: accredited schools of medicine, osteopathic medicine, public health, dentistry, veterinary medicine, optometry, pharmacy, allied health podiatric medicine, nursing, chiropractic, public or private nonprofit schools which offer graduate programs in behavioral health and mental health practice, and other public or private nonprofit health or education entities to assist the disadvantaged to enter and graduate from health professions and nursing schools. Some programs provide for the repayment of health professions or nursing education loans for disadvantaged students. The Secretary defines a ‘‘low-income family/household’’ for programs included in Titles III, VII, and VIII of the Public Health Service Act as having an annual income that does not exceed 200 percent of the Department’s poverty guidelines. A family is a group of two or more individuals related by birth, marriage, or adoption who live together. On June 26, 2013, in U.S. v. Windsor, 133 S. Ct. 2675 (2013), the Supreme Court held that section 3 of the Defense of Marriage Act, which prohibited federal recognition of same-sex spouses and same-sex marriages, was unconstitutional. In light of this decision, please note that in determining eligibility for these programs, same-sex marriages and samesex spouses will be recognized on equal terms with opposite-sex spouses and opposite-sex marriages, regardless of where the couple resides. This approach is consistent with a post-Windsor policy of treating same-sex marriages on the same terms as opposite sex marriages to the greatest extent reasonably possible. Thus, a ‘‘family or household’’ includes same-sex spouses that are legally married in a jurisdiction that recognizes same-sex marriage regardless of whether the same-sex spouses live in a PO 00000 Frm 00038 Fmt 4703 Sfmt 4703 jurisdiction that recognizes same-sex marriage or a jurisdiction that does not recognize same-sex marriage and the family members that result from such same sex-marriage. A ‘‘household’’ may be only one person. Most HRSA programs use the income of the student’s parents to compute low income status. Other programs, depending upon the legislative intent of the program, the programmatic purpose related to income level, as well as the age and circumstances of the participant, will apply these low income standards to the individual student to determine eligibility, as long as he or she is not listed as a dependent on his or her parents’ tax form. Each program will announce the rationale and choice of methodology for determining low income levels in their program guidance. The Department’s poverty guidelines are based on poverty thresholds published by the U.S. Bureau of the Census, adjusted annually for changes in the Consumer Price Index. The Secretary annually adjusts the low-income levels based on the Department’s poverty guidelines and makes them available to persons responsible for administering the applicable programs. The income figures below have been updated to reflect increases in the Consumer Price Index through December 31, 2013. 2014 POVERTY GUIDELINES FOR THE 48 CONTIGUOUS STATES AND THE DISTRICT OF COLUMBIA Size of parents’ family * 1 2 3 4 5 6 7 8 .................................................... .................................................... .................................................... .................................................... .................................................... .................................................... .................................................... .................................................... Income level ** $23,340 31,460 39,580 47,700 55,820 63,940 72,060 80,180 For families with more than 8 persons, add $8,120 for each additional person. 2014 POVERTY GUIDELINES FOR ALASKA Size of parents’ family * 1 2 3 4 5 6 7 .................................................. .................................................. .................................................. .................................................. .................................................. .................................................. .................................................. E:\FR\FM\22APN1.SGM 22APN1 Income level ** $29,160 39,320 49,480 59,640 69,800 79,960 90,120

Agencies

[Federal Register Volume 79, Number 77 (Tuesday, April 22, 2014)]
[Notices]
[Pages 22505-22506]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-09132]


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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 Class Deviation From Competition Requirements for 
Low-Cost Extensions and Administrative Supplement Thresholds To 
Minimize Disruption of Services for Certain Health Center Program 
Service Areas.

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

SUMMARY: In accordance with the Awarding Agency Grants Management 
Manual (AAGAM) Chapter 1.03.103, the Bureau of Primary Health Care 
(BPHC) requests a class deviation to award low-cost extensions of up to 
6 months or, when necessary, administrative supplements to minimize 
disruption of services for specific health center program service 
areas.
    Per the requirements for low-cost extensions outlined in the AAGAM 
Chapter 2.04.104B-4A.1.a.(5)(b), these extensions may not exceed 25 
percent of the approved federal direct cost budget authorized for the 
budget period (exclusive of the additional funding requested) or 
$100,000. Likewise, per the requirements for administrative supplements 
outlined in the AAGAM Chapter 2.04.104B-4A.4.b, these supplements may 
not exceed 25 percent of the approved federal direct cost budget 
authorized for the budget period (exclusive of the additional funding) 
or $250,000, whichever is less. In each case, the Health Resources and 
Services Administration (HRSA) is required to publish a notice in the 
Federal Register in advance of, or concurrent with, the awarding of the 
funds.
    BPHC is requesting a class deviation to the requirements for low-
cost extensions to allow HRSA to award extensions that exceed 25 
percent of the approved federal direct cost budget authorized for the 
budget period (exclusive of the additional funding requested) and/or 
$100,000 in cases where the grantee would not receive future continued 
support under the Health Center Program. Likewise, BPHC is requesting a 
class deviation to the requirements for administrative supplements to 
allow HRSA to award supplements that exceed 25 percent of the approved 
federal direct cost budget authorized for the budget period (exclusive 
of the additional funding) and/or $250,000 in cases where the award is 
to a currently funded grantee located in or adjacent to the service 
area of a grantee that will not receive continued support under the 
Health Center Program. BPHC is also requesting that the deviation allow 
for the publication of a consolidated notice in the Federal Register 
annually that summarizes the actions taken in the prior fiscal year.
    The sole purpose of these low-cost extensions or administrative 
supplements is to avoid a gap in the provision of critical health care 
services for a funded service area by providing a ``bridge'' until HRSA 
is able to make an award to an eligible applicant under a Service Area 
Competition (SAC) and/or to assure an orderly phase-out of Health 
Center Program activities by the current grantee.
    BPHC is not requesting that this class deviation cover single 
source replacement awards and will continue to request single case 
deviations for such non-competitive actions if necessary.

SUPPLEMENTARY INFORMATION:
    Intended Recipient of the Award: Health Center Program Grantees.
    Amount of Non-Competitive Awards: Variable.
    Period of Supplemental Funding: Variable.
    CFDA Number: 93.224, 93.527.
    Authority: Section 330 of the Public Health Service Act (42 U.S.C. 
254b), as amended; Public Law 111-148, the Affordable Care Act of 2010, 
Section 5601 and Section 10503, as amended; Public Law 111-152, Health 
Care and Education Reconciliation Act of 2010, Section 2303.
    Justification: BPHC always conducts an open competition to identify 
a new Health Center Program grantee for a previously funded but now 
available service area; however, it generally takes up to 6 months to 
announce and conduct the SAC and select a new grantee for the service 
area.
    In fiscal year 2013, BPHC awarded operational grants to support 
approximately 1,200 Health Center Program grantee organizations. 
Throughout the course of the current fiscal year, there have been 14 
cases where a deviation and accompanying Federal Register Notice were 
warranted per AAGAM 2.04.104B-4A, based on the need to issue a low-cost 
extension or administrative supplement. Such cases occurred when a 
Health Center Program grant was discontinued prior to the project 
period end date. Discontinuations prior to the project period end date 
have been the result of a voluntary relinquishment of the grant award 
by the current grantee or an enforcement action taken by HRSA due to a 
grantee's material noncompliance with program requirements. The need 
for a low-cost extension or administrative supplement has also occurred 
at the end of a grantee's project period due to a lack of eligible or 
fundable applications for the announced service area. In all cases, the 
purpose for the HRSA award of the low-cost extension or administrative 
supplement was to avoid a gap in the provision of critical health care 
services for a service area by providing a ``bridge'' until HRSA was 
able to make an award to an eligible applicant under a SAC and to

[[Page 22506]]

assure an orderly phase-out of Health Center Program activities by the 
current grantee. Often the funds necessary to continue services in 
these service areas exceed the amount authorized for low-cost 
extensions and administrative supplements under the AAGAM.
    Given the commonality of purpose and time-sensitive circumstances 
surrounding these low-cost extensions and administrative supplements, 
approval of a class deviation to allow a streamlined process for these 
awards would ensure both consistency and efficiency, and support HRSA's 
commitment to minimizing a disruption in services to health center 
patients.
    The number of grantees that HRSA would award low-cost extensions or 
administrative supplements to is expected to be extremely limited (less 
than 10-15 per year) based on recent experience. In addition, the 
amount of grant funds provided under the extension or supplement would 
be determined based on pro-rating HRSA's existing funding commitment to 
the service area. In all cases, current fiscal year funds will be used 
to supplement or extend the grantee's existing budget period award.

FOR FURTHER INFORMATION CONTACT: Olivia Shockey, Chief, Expansion 
Branch, Office of Policy and Program Development, Bureau of Primary 
Health Care, Health Resources and Services Administration, 5600 Fishers 
Lane, Rockville, Maryland 20857, email: oshockey@hrsa.gov.

    Dated: April 16, 2014.
Mary K. Wakefield,
Administrator.
[FR Doc. 2014-09132 Filed 4-21-14; 8:45 am]
BILLING CODE 4165-15-P