Determining Mental Health Professional Shortage Areas of Greatest Need, 1919-1921 [2015-00398]

Download as PDF 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 http://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 Jkt 235001 PO 00000 Frm 00036 Fmt 4703 Sfmt 4725 E:\FR\FM\14JAN1.SGM 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]


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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.
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    Dated: January 6, 2015.
Mary K. Wakefield,
Administrator.
[FR Doc. 2015-00398 Filed 1-13-15; 8:45 am]
BILLING CODE 4165-15-C