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