Determining Mental Health Professional Shortage Areas of Greatest Need, 1919-1921 [2015-00398]
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Federal Register / Vol. 80, No. 9 / Wednesday, January 14, 2015 / Notices
Management (see ADDRESSES) between 9
a.m. and 4 p.m., Monday through Friday
and will be posted to the docket at
https://www.regulations.gov.
This notice is issued under section
351 of the Public Health Service Act (42
U.S.C. 262) and sections 201, 501, 502,
505, and 701 of the Federal Food, Drug,
and Cosmetic Acts (21 U.S.C. 321, 351,
352, 355, and 371), and under the
authority delegated to the Commissioner
and redelegated to the Director and
Deputy Director of the Center for
Biologics Evaluation and Research (FDA
Staff Manual Guide 1410.203).
Dated: January 9, 2015.
Leslie Kux,
Associate Commissioner for Policy.
[FR Doc. 2015–00442 Filed 1–13–15; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Determining Mental Health
Professional Shortage Areas of
Greatest Need
Health Resources and Services
Administration (HRSA), Health and
Human Services (HHS).
ACTION: updating of the scoring criteria
for determining mental health
professional shortage areas (HPSA) of
greatest need.
AGENCY:
In accordance with the
requirements of section 333A(b)(1) of
SUMMARY:
the Public Health Service (PHS) Act, as
amended by the Health Care Safety Net
Amendments of 2002, 42 U.S.C. 254f1(b)(1), the Secretary of HHS shall
establish the criteria which she will use
to make determinations under section
333A(a)(1)(A) of the HPSAs with the
greatest shortages. This notice sets forth
revised criteria for determining mental
health HPSAs with the greatest shortage.
This updates the previous criteria
published on May 30, 2003.
DATES: Effective January 14, 2015.
FOR FURTHER INFORMATION CONTACT: Kae
Brickerd, Ph.D., Chief, Shortage
Designation Branch, Bureau of Health
Workforce, Division of Policy and
Shortage Designation, Health Resources
and Services Administration, 11W14
Parklawn Building, 5600 Fishers Lane,
Rockville, Maryland 20857, 301 945–
0828, kbrickerd@hrsa.gov.
SUPPLEMENTARY INFORMATION: Section
332 of the PHS Act, 42 U.S.C. 254e,
provides that the Secretary 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.
The required regulations setting forth
the criteria for designating HPSAs are
codified at 42 CFR part 5. Section
333A(a)(1)(A) of the PHS Act and
requires that the Secretary give priority
in the assignment of National Health
Service Corps personnel to entities
serving HPSAs with the greatest health
professional shortage. Section 333A(b)
of the PHS Act requires that the
Secretary establish criteria specifying
the manner in which she determines
HPSAs of greatest shortage and publish
the criteria, and any revisions to the
criteria, in the Federal Register. The
criteria established by the Secretary
create a method for scoring HPSAs
based on relative shortage.
In the Federal Register notice on May
30, 2003, 68 FR 32531, the following
criteria were identified for determining
scores for mental health HPSAs:
population to provider ratio, percentage
of the population below 100 percent of
poverty, travel time to the nearest
alternative source of care, the ratio of
children under age 18 to adults age 18–
64, the ratio of adults over age 65 to
adults age 18–64, and alcohol and
substance abuse prevalence rates. Each
factor is given points and the score is
the sum of the points, up to 25. This
notice modifies and provides
clarification to the point scale for the
population to provider ratio component
of the formula, based on an assessment
that the current point scale for the
population to provider ratio does not
adequately reflect the level of shortage.
As a result of the modifications, the
point values assigned for some
population to provider ratios will see
either a small increase or decrease,
while others may remain unchanged.
All other scoring criteria and point
scales remain the same as published in
the previous notice.
The point scale published in 2003 for
the population to provider ratio is
presented in the following table:
Psychiatrist ratio
Core mental health ratio
>45,000:0 AND ..............................................................................
>4,500:0 .......................................................................................
>4500:1 and <6000:11 .................................................................
>6000:1 and <9,000:1 .................................................................
>4,500:1 and <6,000:1 ................................................................
>4,500:0 and <6,000:0 ................................................................
>6,000:1 .......................................................................................
......................................................................................................
>9,000:1 .......................................................................................
<20,000:1
<30,000:1
<45,000:1
>20,000:1
>30,000:1
1>
mstockstill on DSK4VPTVN1PROD with NOTICES
1919
and >15,000:1 AND .....................................................
and >15,000:1 OR .......................................................
and > 20,000:1 AND ....................................................
AND ..............................................................................
......................................................................................
Score
= Greater Than; < = Less Than
To reflect the mental health services
available in a community, entities
applying for Mental Health HPSAs are
encouraged to report on the number of
both psychiatrists and core mental
VerDate Sep<11>2014
17:15 Jan 13, 2015
Jkt 235001
health providers rendering services. The
revised point scale is as follows:
For Geographic High Need and
Population HPSAs, as defined in the
PO 00000
Frm 00035
Fmt 4703
Sfmt 4703
designation criteria set forth in 42 CFR
part 5, Appendix C, Part 1, and A.4.
BILLING CODE 4165–15–P
E:\FR\FM\14JAN1.SGM
14JAN1
8
7
6
5
4
3
2
1
1920
Federal Register / Vol. 80, No. 9 / Wednesday, January 14, 2015 / Notices
Geographic High Need
and Population
·0
~
0::
ifJ.
......
.~
.tl
·ro
,.s:::
(.)
~
ifJ.
0...
> 15K and <20K: 1
2:20K and <25K: 1
2:25K and <30K: 1
2:30K and <35K:l
2:35K and <40K: 1
>40K and <45K: 1
2:45K:1 or 0
psychiatrists as
verified by HRSA
2
7
7
7
7
Only Reporting Core Mental
Health Providers( Geographic
High Need and Population)
Ratio
Score
2:6K and <7.5K:l
1
2:7 .5K and <9K: 1
2
2:9Kand <12K: 1
3
4
2:12K and <15K:l
2: 5K and <18K:1
5
2:18K and <24K:1
6
2:24K:l
7
7
2:15K
and
<18K:l 2: 18K:l
6
7
7
7
7
7
7
7
7
7
7
7
7
7
No Psychiatrists or Core Mental
Health Providers as verified by
HRSA (Geographic High Need and
Population)
Ratio
Score
2:1.5K and <3K:O
1
2:3K and <4.5K:O
2
2:4.5K and <6K:O
3
2:6K and <7.5K:O
4
2:7.5K and <9K:O
5
2:9K and <12K:O
6
2:12K and <15K:O
7
:=::=Greater Than or Equal to; K=thousand
VerDate Sep<11>2014
17:15 Jan 13, 2015
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Frm 00036
Fmt 4703
Sfmt 4725
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14JAN1
EN14JA15.000</GPH>
mstockstill on DSK4VPTVN1PROD with NOTICES
Only Reporting
Psychiatrists (Geographic
High Need and
Population)
Ratio
Score
2:20K and <25K: 1
1
2:25K and <30K: 1
2
2:30K and <35K:1
3
2:35K and <40K:1
4
2:40K and <45K: 1
5
2:45K and <50K: 1
6
2:50K:l
7
2:4.5K
2:6K
and
and
2
<6K:1 <7.5K:1
1
2
2
3
3
4
4
5
5
6
7
6
Core Mental Health Ratio
2:7.5K
2:12K
2:9K
and
and
and
<9K:l <12K:1 <15K:l
4
3
5
4
5
6
5
6
7
6
7
7
7
7
7
7
7
7
Dated: January 6, 2015.
Mary K. Wakefield,
Administrator.
[FR Doc. 2015–00398 Filed 1–13–15; 8:45 am]
BILLING CODE 4165–15–C
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
mstockstill on DSK4VPTVN1PROD with NOTICES
National Institutes of Health
Submission for OMB Review; 30-day
Comment Request Progress Reports
for Center for Global Health’s Low and
Mid-Income Countries (LMICs) Global
Health Collaborations (NCI)
Under the provisions of
Section 3507(a)(1)(D) of the Paperwork
Reduction Act of 1995, the National
Institutes of Health (NIH), has submitted
to the Office of Management and Budget
(OMB) a request for review and
approval of the information collection
SUMMARY:
VerDate Sep<11>2014
13:56 Jan 13, 2015
Jkt 235001
listed below. This proposed information
collection was previously published in
the Federal Register on July 28, 2014,
Vol. 79, P. 43755 and allowed 60-days
for public comment. No public
comments were received. The purpose
of this notice is to allow an additional
30 days for public comment. The
National Cancer Institute (NCI),
National Institutes of Health, may not
conduct or sponsor, and the respondent
is not required to respond to, an
information collection that has been
extended, revised, or implemented on or
after October 1, 1995, unless it displays
a currently valid OMB control number.
Direct Comments to OMB: Written
comments and/or suggestions regarding
the item(s) contained in this notice,
especially regarding the estimated
public burden and associated response
time, should be directed to the: Office
of Management and Budget, Office of
Regulatory Affairs, OIRA_submission@
PO 00000
Frm 00037
Fmt 4703
Sfmt 4703
1921
omb.eop.gov or by fax to 202–395–6974,
Attention: NIH Desk Officer.
DATES: Comment Due Date: Comments
regarding this information collection are
best assured of having their full effect if
received within 30-days of the date of
this publication.
FOR FURTHER INFORMATION CONTACT: To
obtain a copy of the data collection
plans and instruments, or request more
information on the proposed project,
contact: Paul C. Pearlman, Ph.D., Center
for Global Health, National Cancer
Institute, 9609 Medical Center Dr., RM
3W550, Rockville, MD 20850 or call
non-toll-free number 240–276–5354 or
Email your request, including your
address to: paul.pearlman@nih.gov.
Formal requests for additional plans and
instruments must be requested in
writing.
Proposed Collection: Progress Reports
for Center for Global Health’s Low and
Mid-Income Countries (LMICs) Global
E:\FR\FM\14JAN1.SGM
14JAN1
EN14JA15.001</GPH>
Federal Register / Vol. 80, No. 9 / Wednesday, January 14, 2015 / Notices
]]>Agencies
[Federal Register Volume 80, Number 9 (Wednesday, January 14, 2015)]
[Notices]
[Pages 1919-1921]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2015-00398]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Determining Mental Health Professional Shortage Areas of Greatest
Need
AGENCY: Health Resources and Services Administration (HRSA), Health and
Human Services (HHS).
ACTION: updating of the scoring criteria for determining mental health
professional shortage areas (HPSA) of greatest need.
-----------------------------------------------------------------------
SUMMARY: In accordance with the requirements of section 333A(b)(1) of
the Public Health Service (PHS) Act, as amended by the Health Care
Safety Net Amendments of 2002, 42 U.S.C. 254f-1(b)(1), the Secretary of
HHS shall establish the criteria which she will use to make
determinations under section 333A(a)(1)(A) of the HPSAs with the
greatest shortages. This notice sets forth revised criteria for
determining mental health HPSAs with the greatest shortage. This
updates the previous criteria published on May 30, 2003.
DATES: Effective January 14, 2015.
FOR FURTHER INFORMATION CONTACT: Kae Brickerd, Ph.D., Chief, Shortage
Designation Branch, Bureau of Health Workforce, Division of Policy and
Shortage Designation, Health Resources and Services Administration,
11W14 Parklawn Building, 5600 Fishers Lane, Rockville, Maryland 20857,
301 945-0828, kbrickerd@hrsa.gov.
SUPPLEMENTARY INFORMATION: Section 332 of the PHS Act, 42 U.S.C. 254e,
provides that the Secretary 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. The required regulations setting forth
the criteria for designating HPSAs are codified at 42 CFR part 5.
Section 333A(a)(1)(A) of the PHS Act and requires that the Secretary
give priority in the assignment of National Health Service Corps
personnel to entities serving HPSAs with the greatest health
professional shortage. Section 333A(b) of the PHS Act requires that the
Secretary establish criteria specifying the manner in which she
determines HPSAs of greatest shortage and publish the criteria, and any
revisions to the criteria, in the Federal Register. The criteria
established by the Secretary create a method for scoring HPSAs based on
relative shortage.
In the Federal Register notice on May 30, 2003, 68 FR 32531, the
following criteria were identified for determining scores for mental
health HPSAs: population to provider ratio, percentage of the
population below 100 percent of poverty, travel time to the nearest
alternative source of care, the ratio of children under age 18 to
adults age 18-64, the ratio of adults over age 65 to adults age 18-64,
and alcohol and substance abuse prevalence rates. Each factor is given
points and the score is the sum of the points, up to 25. This notice
modifies and provides clarification to the point scale for the
population to provider ratio component of the formula, based on an
assessment that the current point scale for the population to provider
ratio does not adequately reflect the level of shortage. As a result of
the modifications, the point values assigned for some population to
provider ratios will see either a small increase or decrease, while
others may remain unchanged. All other scoring criteria and point
scales remain the same as published in the previous notice.
The point scale published in 2003 for the population to provider
ratio is presented in the following table:
------------------------------------------------------------------------
Psychiatrist ratio Core mental health ratio Score
------------------------------------------------------------------------
>45,000:0 AND.................... >4,500:0................ 8
>4500:1 and <6000:1\1\.. 7
<20,000:1 and >15,000:1 AND...... >6000:1 and <9,000:1.... 6
<30,000:1 and >15,000:1 OR....... >4,500:1 and <6,000:1... 5
<45,000:1 and > 20,000:1 AND..... >4,500:0 and <6,000:0... 4
>20,000:1 AND.................... >6,000:1................ 3
>30,000:1........................ ........................ 2
>9,000:1................ 1
------------------------------------------------------------------------
\1\ > = Greater Than; < = Less Than
To reflect the mental health services available in a community,
entities applying for Mental Health HPSAs are encouraged to report on
the number of both psychiatrists and core mental health providers
rendering services. The revised point scale is as follows:
For Geographic High Need and Population HPSAs, as defined in the
designation criteria set forth in 42 CFR part 5, Appendix C, Part 1,
and A.4.
BILLING CODE 4165-15-P
[[Page 1920]]
[GRAPHIC] [TIFF OMITTED] TN14JA15.000
[[Page 1921]]
[GRAPHIC] [TIFF OMITTED] TN14JA15.001
Dated: January 6, 2015.
Mary K. Wakefield,
Administrator.
[FR Doc. 2015-00398 Filed 1-13-15; 8:45 am]
BILLING CODE 4165-15-C
