Lists of Designated Primary Medical Care, Mental Health, and Dental Health Professional Shortage Areas, 43214-43215 [2016-15678]

Download as PDF 43214 Federal Register / Vol. 81, No. 127 / Friday, July 1, 2016 / Notices The draft guidance, when finalized, will represent the current thinking of FDA on this topic. It does not establish any rights for any person and is not binding on FDA or the public. You can use an alternative approach if it satisfies the requirements of the applicable statutes and regulations. II. The Paperwork Reduction Act of 1995 This guidance refers to previously approved collections of information that are subject to review by the Office of Management and Budget (OMB) under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501–3520). The collections of information in 21 CFR part 312 have been approved under OMB control number 0910–0014. III. Electronic Access Persons with access to the Internet may obtain the document at either http://www.fda.gov/Drugs/Guidance ComplianceRegulatoryInformation/ Guidances/default.htm or http:// www.regulations.gov. Dated: June 27, 2016. Leslie Kux, Associate Commissioner for Policy. [FR Doc. 2016–15661 Filed 6–30–16; 8:45 am] BILLING CODE 4164–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Lists of Designated Primary Medical Care, Mental Health, and Dental Health Professional Shortage Areas Health Resources and Services Administration, HHS. ACTION: Notice. AGENCY: This notice advises the public of the published lists of all geographic areas, population groups, and facilities designated as primary medical care, mental health, and dental health professional shortage areas (HPSAs) as of May 13, 2016, available on the Health Resources and Services Administration (HRSA) Web site at http:// www.hrsa.gov/shortage/. HPSAs are designated or withdrawn by the Secretary of Health and Human Services (HHS) under the authority of section 332 of the Public Health Service (PHS) Act and 42 CFR part 5. FOR FURTHER INFORMATION CONTACT: Requests for further information on the HPSA designations listed on the HRSA Web site below should be submitted to Kae Brickerd, Ph.D., Director, Shortage asabaliauskas on DSK3SPTVN1PROD with NOTICES SUMMARY: VerDate Sep<11>2014 19:05 Jun 30, 2016 Jkt 238001 Designation Branch, Division of Policy and Shortage Designation, Bureau of Health Workforce (BHW), HRSA, Mail Stop 11SWH03, 5600 Fishers Lane, Rockville, Maryland 20857, (301) 594– 5168 or KBrickerd@hrsa.gov. SUPPLEMENTARY INFORMATION: Background Section 332 of the PHS Act, 42 U.S.C. 254e, provides that the Secretary of HHS 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. Section 332 further requires that the Secretary annually publish a list of the designated geographic areas, population groups, and facilities. HPSAs are to be reviewed at least annually and revised as necessary. HRSA’s BHW has the responsibility for designating and updating HPSAs. Public or private nonprofit entities are eligible to apply for assignment of National Health Service Corps (NHSC) personnel to provide primary care, mental, or dental health services in or to these HPSAs. NHSC health professionals with a service obligation may enter into service agreements to serve only in federally designated HPSAs. Entities with clinical training sites located in HPSAs are eligible to receive priority for certain residency training program grants administered by BHW. Many other federal programs also utilize HPSA designations. For example, under authorities administered by the Centers for Medicare & Medicaid Services, certain qualified providers in geographic area HPSAs are eligible for increased levels of Medicare reimbursement. Development of the Designation and Withdrawal Lists Criteria for designating HPSAs were published as final regulations (42 CFR part 5) in 1980. Criteria then were defined for each of seven health professional types (primary medical care, dental, psychiatric, vision care, podiatric, pharmacy, and veterinary care). The criteria for correctional facility HPSAs were revised and published on March 2, 1989 (54 FR 8735). The criteria for psychiatric HPSAs were expanded to mental health HPSAs on January 22, 1992 (57 FR 2473). Currently funded PHS Act programs use only the primary medical care, mental health, or dental HPSA designations. Individual requests for designation or withdrawal of a particular geographic PO 00000 Frm 00033 Fmt 4703 Sfmt 4703 area, population group, or a facility as a HPSA are received and reviewed continuously by BHW. The majority of the requests come from the Primary Care Offices (PCO) in the State Health Departments, who have access to the online application and review system. Requests that come from other sources are referred to the PCOs for their review and concurrence. In addition, interested parties, including the Governor, the State Primary Care Association and state professional associations are notified of each request submitted for their comments and recommendations. Recommendations for possible additions, continuations, revisions, or withdrawals from a HPSA list are reviewed by BHW, and the review findings are provided by letter to the agency or individual requesting action or providing data, with copies to other interested organizations and individuals. These letters constitute the official notice of designation as a HPSA, rejection of recommendations for HPSA designation, revision of a HPSA designation, and/or advance notice of pending withdrawals from the HPSA list. Designations (or revisions of designations) are effective as of the date on the notification letter from BHW. Proposed withdrawals become effective only after interested parties in the area affected have been afforded the opportunity to submit additional information to BHW in support of its continued or revised designation. If no new data are submitted, or if BHW review confirms the proposed withdrawal, the withdrawal becomes effective upon publication of the lists of designated HPSAs in the Federal Register. In addition, lists of HPSAs are updated daily on the HRSA Web site, http://www.hrsa.gov/shortage/, so that interested parties can access the most accurate and timely information. Publication and Format of Lists Due to the large volume of designations, a printed version of the list is no longer distributed. This notice serves to inform the public of the availability of the complete listings of designated HPSAs on the HRSA Web site. The three lists (primary medical care, mental health, and dental) of designated HPSAs are available at a link on the HRSA Web site at http:// www.hrsa.gov/shortage/ and include a snapshot of all geographic areas, population groups, and facilities that were designated HPSAs as of May 13, 2016. This notice incorporates the most recent annual reviews of designated HPSAs and supersedes the HPSA lists published in the Federal Register on July 1, 2015 (Federal Register/Vol. 80, E:\FR\FM\01JYN1.SGM 01JYN1 Federal Register / Vol. 81, No. 127 / Friday, July 1, 2016 / Notices asabaliauskas on DSK3SPTVN1PROD with NOTICES No. 126/Wednesday, July 1, 2015/ Notices 37637). The lists also include automatic facility HPSAs, designated as a result of the Health Care Safety Net Amendments of 2002 (Pub. L. 107–251), not subject to update requirements. Each list of designated HPSAs (primary medical care, mental health, and dental) is arranged by state. Within each state, the list is presented by county. If only a portion (or portions) of a county is (are) designated, or if the county is part of a larger designated service area, or if a population group residing in the county or a facility located in the county has been designated, the name of the service area, population group, or facility involved is listed under the county name. Counties that have a whole county geographic HPSA are indicated by the ‘‘Entire county HPSA’’ notation following the county name. Further details on the snapshot of HPSAs listed can be found on the HRSA Web site: http://www.hrsa.gov/ shortage/. In addition to the specific listings included in this notice, all Indian Tribes that meet the definition of such Tribes in the Indian Health Care Improvement Act of 1976, 25 U.S.C. 1603(d), are automatically designated as population groups with primary medical care and dental health professional shortages. The Health Care Safety Net Amendments of 2002 also made the following entities eligible for automatic facility HPSA designations: All federally qualified health centers (FQHCs) and rural health clinics that offer services regardless of ability to pay. These entities include: FQHCs funded under section 330 of the PHS Act, FQHC LookAlikes, and Tribal and urban Indian clinics operating under the Indian SelfDetermination and Education Act of 1975 (25 U.S.C. 450) or the Indian Health Care Improvement Act. Many, but not all, of these entities are included on this listing. Exclusion from this list does not exclude them from HPSA designation; any facilities eligible for automatic designation will be included in the HRSA Data Warehouse list of HPSAs as they are identified. Future Updates of Lists of Designated HPSAs The lists of HPSAs at http:// www.hrsa.gov/shortage/ consist of all those that were designated as of May 13, 2016. It should be noted that HPSAs are currently updated on an ongoing basis based on the identification of new areas, population groups, facilities, and sites that meet the eligibility criteria or that no longer meet eligibility criteria and/or are being replaced by another type of designation. As such, additional HPSAs VerDate Sep<11>2014 19:05 Jun 30, 2016 Jkt 238001 may have been designated by letter since that date. The appropriate agencies and individuals have been or will be notified of these actions by letter. These newly designated HPSAs will be included in the next publication of the HPSA list and are currently included in the daily updates posted on the HRSA Web site at http:// www.hrsa.gov/shortage/find.html. Any designated HPSA listed on the HRSA Web site is subject to withdrawal from designation if new information received and confirmed by HRSA indicates that the relevant data for the area involved have significantly changed since its designation. The effective date of such a withdrawal will be the next publication of a notice regarding this list in the Federal Register. All requests for new designations, updates, or withdrawals should be based on the relevant criteria in regulations published at 42 CFR part 5. Electronic Access Address The complete list of HPSAs designated as of May 13, 2016, are available on the HRSA Web site at http://www.hrsa.gov/shortage/. Frequently updated information on HPSAs is also available at http:// datawarehouse.hrsa.gov. Dated: June 24, 2016. James Macrae, Acting Administrator. [FR Doc. 2016–15678 Filed 6–30–16; 8:45 am] BILLING CODE 4165–15–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency Information Collection Activities: Proposed Collection: Comment Request Health Resources and Services Administration, HHS. ACTION: Notice. AGENCY: In compliance with the requirement for opportunity for public comment on proposed data collection projects (Section 3506(c)(2)(A) of Title 44, United States Code, as amended by the Paperwork Reduction Act of 1995, Pub. L. 104–13), the Health Resources and Services Administration (HRSA) publishes periodic summaries of proposed projects being developed for submission to the Office of Management and Budget (OMB) under the Paperwork Reduction Act of 1995. To request more information on the proposed project or SUMMARY: PO 00000 Frm 00034 Fmt 4703 Sfmt 4703 43215 to obtain a copy of the data collection plans and draft instruments, email paperwork@hrsa.gov or call the HRSA Information Collection Clearance Officer at (301) 443–1984. DATES: Comments on this ICR should be received no later than August 30, 2016. ADDRESSES: Submit your comments to paperwork@hrsa.gov or by mail to the HRSA Reports Clearance Officer, 14N39, 5600 Fishers Lane, Rockville, MD 20857. FOR FURTHER INFORMATION CONTACT: To request more information on the proposed project or to obtain a copy of the data collection plans and draft instruments, email paperwork@hrsa.gov or call the HRSA Information Collection Clearance Officer at (301) 443–1984. SUPPLEMENTARY INFORMATION: When submitting comments or requesting information, please include the information request collection title for reference. Information Collection Request Title: Countermeasures Injury Compensation Program. OMB No. 0915–0334—Extension. Abstract: This is an extension request for OMB approval of the information collection requirements for the Countermeasures Injury Compensation Program (CICP or Program). CICP, within the Division of Injury Compensation Programs (DICP), Healthcare Systems Bureau, HRSA, administers the compensation program specified by the Public Readiness and Emergency Preparedness Act of 2005 (PREP Act). CICP provides compensation to eligible individuals who suffer serious injuries directly caused by a covered countermeasure administered or used pursuant to a PREP Act Declaration, or to their estates and/or to certain survivors. A declaration is issued by the Secretary of the Department of Health and Humans Services (Secretary). The purpose of a declaration is to identify a disease, health condition, or a threat to health that is currently, or may in the future constitute, a public health emergency. In addition, the Secretary, through a declaration, may recommend and encourage the development, manufacturing, distribution, dispensing, and administration or use of one or more covered countermeasures to treat, prevent, or diagnose the disease, condition, or threat specified in the declaration. To determine whether a requester is eligible for Program benefits (compensation) for the injury, CICP must review the Request for Benefits Package, which includes the Request for Benefits Form and Authorization for E:\FR\FM\01JYN1.SGM 01JYN1

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[Federal Register Volume 81, Number 127 (Friday, July 1, 2016)]
[Notices]
[Pages 43214-43215]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-15678]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Lists of Designated Primary Medical Care, Mental Health, and 
Dental Health Professional Shortage Areas

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice.

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

SUMMARY: This notice advises the public of the published lists of all 
geographic areas, population groups, and facilities designated as 
primary medical care, mental health, and dental health professional 
shortage areas (HPSAs) as of May 13, 2016, available on the Health 
Resources and Services Administration (HRSA) Web site at http://www.hrsa.gov/shortage/. HPSAs are designated or withdrawn by the 
Secretary of Health and Human Services (HHS) under the authority of 
section 332 of the Public Health Service (PHS) Act and 42 CFR part 5.

FOR FURTHER INFORMATION CONTACT: Requests for further information on 
the HPSA designations listed on the HRSA Web site below should be 
submitted to Kae Brickerd, Ph.D., Director, Shortage Designation 
Branch, Division of Policy and Shortage Designation, Bureau of Health 
Workforce (BHW), HRSA, Mail Stop 11SWH03, 5600 Fishers Lane, Rockville, 
Maryland 20857, (301) 594-5168 or KBrickerd@hrsa.gov.

SUPPLEMENTARY INFORMATION: 

Background

    Section 332 of the PHS Act, 42 U.S.C. 254e, provides that the 
Secretary of HHS 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. Section 332 further requires that the Secretary annually 
publish a list of the designated geographic areas, population groups, 
and facilities. HPSAs are to be reviewed at least annually and revised 
as necessary. HRSA's BHW has the responsibility for designating and 
updating HPSAs.
    Public or private nonprofit entities are eligible to apply for 
assignment of National Health Service Corps (NHSC) personnel to provide 
primary care, mental, or dental health services in or to these HPSAs. 
NHSC health professionals with a service obligation may enter into 
service agreements to serve only in federally designated HPSAs. 
Entities with clinical training sites located in HPSAs are eligible to 
receive priority for certain residency training program grants 
administered by BHW. Many other federal programs also utilize HPSA 
designations. For example, under authorities administered by the 
Centers for Medicare & Medicaid Services, certain qualified providers 
in geographic area HPSAs are eligible for increased levels of Medicare 
reimbursement.

Development of the Designation and Withdrawal Lists

    Criteria for designating HPSAs were published as final regulations 
(42 CFR part 5) in 1980. Criteria then were defined for each of seven 
health professional types (primary medical care, dental, psychiatric, 
vision care, podiatric, pharmacy, and veterinary care). The criteria 
for correctional facility HPSAs were revised and published on March 2, 
1989 (54 FR 8735). The criteria for psychiatric HPSAs were expanded to 
mental health HPSAs on January 22, 1992 (57 FR 2473). Currently funded 
PHS Act programs use only the primary medical care, mental health, or 
dental HPSA designations.
    Individual requests for designation or withdrawal of a particular 
geographic area, population group, or a facility as a HPSA are received 
and reviewed continuously by BHW. The majority of the requests come 
from the Primary Care Offices (PCO) in the State Health Departments, 
who have access to the on-line application and review system. Requests 
that come from other sources are referred to the PCOs for their review 
and concurrence. In addition, interested parties, including the 
Governor, the State Primary Care Association and state professional 
associations are notified of each request submitted for their comments 
and recommendations.
    Recommendations for possible additions, continuations, revisions, 
or withdrawals from a HPSA list are reviewed by BHW, and the review 
findings are provided by letter to the agency or individual requesting 
action or providing data, with copies to other interested organizations 
and individuals. These letters constitute the official notice of 
designation as a HPSA, rejection of recommendations for HPSA 
designation, revision of a HPSA designation, and/or advance notice of 
pending withdrawals from the HPSA list. Designations (or revisions of 
designations) are effective as of the date on the notification letter 
from BHW. Proposed withdrawals become effective only after interested 
parties in the area affected have been afforded the opportunity to 
submit additional information to BHW in support of its continued or 
revised designation. If no new data are submitted, or if BHW review 
confirms the proposed withdrawal, the withdrawal becomes effective upon 
publication of the lists of designated HPSAs in the Federal Register. 
In addition, lists of HPSAs are updated daily on the HRSA Web site, 
http://www.hrsa.gov/shortage/, so that interested parties can access 
the most accurate and timely information.

Publication and Format of Lists

    Due to the large volume of designations, a printed version of the 
list is no longer distributed. This notice serves to inform the public 
of the availability of the complete listings of designated HPSAs on the 
HRSA Web site. The three lists (primary medical care, mental health, 
and dental) of designated HPSAs are available at a link on the HRSA Web 
site at http://www.hrsa.gov/shortage/ and include a snapshot of all 
geographic areas, population groups, and facilities that were 
designated HPSAs as of May 13, 2016. This notice incorporates the most 
recent annual reviews of designated HPSAs and supersedes the HPSA lists 
published in the Federal Register on July 1, 2015 (Federal Register/
Vol. 80,

[[Page 43215]]

No. 126/Wednesday, July 1, 2015/Notices 37637). The lists also include 
automatic facility HPSAs, designated as a result of the Health Care 
Safety Net Amendments of 2002 (Pub. L. 107-251), not subject to update 
requirements. Each list of designated HPSAs (primary medical care, 
mental health, and dental) is arranged by state. Within each state, the 
list is presented by county. If only a portion (or portions) of a 
county is (are) designated, or if the county is part of a larger 
designated service area, or if a population group residing in the 
county or a facility located in the county has been designated, the 
name of the service area, population group, or facility involved is 
listed under the county name. Counties that have a whole county 
geographic HPSA are indicated by the ``Entire county HPSA'' notation 
following the county name. Further details on the snapshot of HPSAs 
listed can be found on the HRSA Web site: http://www.hrsa.gov/shortage/ shortage/.
    In addition to the specific listings included in this notice, all 
Indian Tribes that meet the definition of such Tribes in the Indian 
Health Care Improvement Act of 1976, 25 U.S.C. 1603(d), are 
automatically designated as population groups with primary medical care 
and dental health professional shortages. The Health Care Safety Net 
Amendments of 2002 also made the following entities eligible for 
automatic facility HPSA designations: All federally qualified health 
centers (FQHCs) and rural health clinics that offer services regardless 
of ability to pay. These entities include: FQHCs funded under section 
330 of the PHS Act, FQHC Look-Alikes, and Tribal and urban Indian 
clinics operating under the Indian Self-Determination and Education Act 
of 1975 (25 U.S.C. 450) or the Indian Health Care Improvement Act. 
Many, but not all, of these entities are included on this listing. 
Exclusion from this list does not exclude them from HPSA designation; 
any facilities eligible for automatic designation will be included in 
the HRSA Data Warehouse list of HPSAs as they are identified.

Future Updates of Lists of Designated HPSAs

    The lists of HPSAs at http://www.hrsa.gov/shortage/ consist of all 
those that were designated as of May 13, 2016. It should be noted that 
HPSAs are currently updated on an ongoing basis based on the 
identification of new areas, population groups, facilities, and sites 
that meet the eligibility criteria or that no longer meet eligibility 
criteria and/or are being replaced by another type of designation. As 
such, additional HPSAs may have been designated by letter since that 
date. The appropriate agencies and individuals have been or will be 
notified of these actions by letter. These newly designated HPSAs will 
be included in the next publication of the HPSA list and are currently 
included in the daily updates posted on the HRSA Web site at http://www.hrsa.gov/shortage/find.html.
    Any designated HPSA listed on the HRSA Web site is subject to 
withdrawal from designation if new information received and confirmed 
by HRSA indicates that the relevant data for the area involved have 
significantly changed since its designation. The effective date of such 
a withdrawal will be the next publication of a notice regarding this 
list in the Federal Register.
    All requests for new designations, updates, or withdrawals should 
be based on the relevant criteria in regulations published at 42 CFR 
part 5.

Electronic Access Address

    The complete list of HPSAs designated as of May 13, 2016, are 
available on the HRSA Web site at http://www.hrsa.gov/shortage/. 
Frequently updated information on HPSAs is also available at http://datawarehouse.hrsa.gov.

    Dated: June 24, 2016.
James Macrae,
Acting Administrator.
[FR Doc. 2016-15678 Filed 6-30-16; 8:45 am]
 BILLING CODE 4165-15-P