Agency Information Collection Activities: Proposed Collection; Comment Request, 83859-83862 [2016-28043]
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Federal Register / Vol. 81, No. 225 / Tuesday, November 22, 2016 / Notices
Lung, and Blood Institute, 6701 Rockledge
Drive, Room 7182, Bethesda, MD 20892
sunnarborgsw@nhlbi.nih.gov.
This notice is being published less than 15
days prior to the meeting due to the timing
limitations imposed by the review and
funding cycle.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.233, National Center for
Sleep Disorders Research; 93.837, Heart and
Vascular Diseases Research; 93.838, Lung
Diseases Research; 93.839, Blood Diseases
and Resources Research, National Institutes
of Health, HHS)
Dated: November 15, 2016.
Michelle Trout,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2016–27996 Filed 11–21–16; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Substance Abuse and Mental Health
Services Administration
sradovich on DSK3GMQ082PROD with NOTICES
Agency Information Collection
Activities: Proposed Collection;
Comment Request
In compliance with Section
3506(c)(2)(A) of the Paperwork
Reduction Act of 1995 concerning
opportunity for public comment on
proposed collections of information, the
Substance Abuse and Mental Health
Services Administration (SAMHSA)
will publish periodic summaries of
proposed projects. To request more
information on the proposed projects or
to obtain a copy of the information
collection plans, call the SAMHSA
Reports Clearance Officer on (240) 276–
1243.
Comments are invited on: (a) Whether
the proposed collections of information
are necessary for the proper
performance of the functions of the
agency, including whether the
information shall have practical utility;
(b) the accuracy of the agency’s estimate
of the burden of the proposed collection
of information; (c) ways to enhance the
quality, utility, and clarity of the
information to be collected; and (d)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
other forms of information technology.
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Proposed Project: Community Mental
Health Services Block Grant and
Substance Abuse and Prevention
Treatment Block Grant FY 2018–2019
Plan and Report Guidance and
Instructions (OMB No. 0930–0168)—
Revision
The Substance Abuse and Mental
Health Services Administration
(SAMHSA) is requesting approval from
the Office of Management and Budget
(OMB) for a revision of the 2016–17
Community Mental Health Services
Block Grant (MHBG) and Substance
Abuse Prevention and Treatment Block
Grant (SABG) Plan and Report Guidance
and Instructions.
Currently, the SABG and the MHBG
differ on a number of their practices
(e.g., data collection at individual or
aggregate levels) and statutory
authorities (e.g., method of calculating
MOE, stakeholder input requirements
for planning, set asides for specific
populations or programs, etc.).
Historically, the Centers within
SAMHSA that administer these block
grants have had different approaches to
application requirements and reporting.
To compound this variation, states have
different structures for accepting,
planning, and accounting for the block
grants and the prevention set aside
within the SABG. As a result, how these
dollars are spent and what is known
about the services and clients that
receive these funds varies by block grant
and by state.
Increasingly, under the Affordable
Care Act, more individuals are eligible
for Medicaid and private insurance.
This expansion of health insurance
coverage will continue to have a
significant impact on how State Mental
Health Authorities (SMHAs) and Single
State Agencies (SSAs) use their limited
resources. In 2009, more than 39 percent
of individuals with serious mental
illnesses (SMI) or serious emotional
disturbances (SED) were uninsured.
Sixty percent of individuals with
substance use disorders whose
treatment and recovery support services
were supported wholly or in part by
SAMHSA block grant funds were also
uninsured. A substantial proportion of
this population has gained health
insurance coverage since enactment of
the Affordable Care Act and now has
various outpatient and other services
covered through Medicaid, Medicare, or
private insurance. However, coverage
provided by these plans and programs
do not necessarily provide access to the
full range of support services needed to
achieve and maintain recovery for most
of these individuals and their families.
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83859
Given these changes, SAMHSA has
conveyed that block grant funds be
directed toward four purposes: (1) To
fund priority treatment and support
services for individuals without
insurance or who cycle in and out of
health insurance coverage; (2) to fund
those priority treatment and support
services not covered by Medicaid,
Medicare or private insurance offered
through the exchanges and that
demonstrate success in improving
outcomes and/or supporting recovery;
(3) to fund universal, selective and
targeted prevention activities and
services; and (4) to collect performance
and outcome data to determine the
ongoing effectiveness of behavioral
health prevention, treatment and
recovery support services and to plan
the implementation of new services on
a nationwide basis.
To help states meet the challenges of
2018 and beyond, and to foster the
implementation and management of an
integrated physical health and mental
health and addiction service system,
SAMHSA must establish standards and
expectations that will lead to an
improved system of care for individuals
with or at risk of mental and substance
use disorders. Therefore, this
application package includes fully
exercising SAMHSA’s existing authority
regarding states’, territories’ and the Red
Lake Band of the Chippewa Tribe’s
(subsequently referred to as ‘‘states’’)
use of block grant funds as they fully
integrate behavioral health services into
the broader health care continuum.
Consistent with previous
applications, the FY 2018–2019
application has sections that are
required and other sections where
additional information is requested. The
FY 2018–2019 application requires
states to submit a face sheet, a table of
contents, a behavioral health assessment
and plan, reports of expenditures and
persons served, an executive summary,
and funding agreements and
certifications. In addition, SAMHSA is
requesting information on key areas that
are critical to the states success in
addressing health care integration.
Therefore, as part of this block grant
planning process, SAMHSA is asking
states to identify both their promising or
effective strategies as well as their
technical assistance needs to implement
the strategies they identify in their plans
for FYs 2018 and 2019.
To facilitate an efficient application
process for states in FYs 2018–2019,
SAMHSA convened an internal
workgroup to review and modify the
application for the block grant planning
section. In addition, SAMHSA utilized
the questions and requests for
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Federal Register / Vol. 81, No. 225 / Tuesday, November 22, 2016 / Notices
clarification from representatives from
SMHAs and SSAs to inform the
proposed changes to the block grants.
Based on these discussions with states,
SAMHSA is proposing several changes
to the block grant programs as discussed
in greater detail below.
Changes to Assessment and Planning
Activities
The proposed revisions reflect
changes within the planning section of
the application. The most significant
change involves a movement away from
a request for multiple narrative
descriptions of the state’s activities in a
variety of areas to a more quantitative
response to specific questions, reflecting
statutory or regulatory requirements
where applicable, or reflecting specific
uses of block grant funding. In addition,
to respond to the requests from states,
the required and requested sections
have been clearly identified.
The FY 2016–2017 application
sections that gave states policy guidance
on the planning and implementation of
system issues which were not
authorized services under either block
grant have been eliminated to avoid
confusion. In addition, the statutory
criteria which govern the plan, report
and application have been included in
the document as references.
Other specific proposed revisions are
described below:
• Health Care System, Parity and
Integration—This section is a
consolidation of the FY 2016–2017
sections on the Affordable Care Act,
health insurance marketplace, parity,
enrollment and primary and behavioral
health care integration. It is vital that
SMHAs and SSAs programming and
planning reflect the strong connection
between behavioral and physical health.
Fragmented or discontinuous care may
result in inadequate diagnosis and
treatment of both physical and
behavioral conditions, including cooccurring disorders. Health care
professionals, consumers of mental,
substance use disorders, co-occurring
mental, and substance use disorders
treatment recognize the need for
improved coordination of care and
integration of primary and behavioral
health care. Health information
technology, including electronic health
records (EHRs), and telehealth are
examples of important strategies to
promote integrated care. Use of EHRs—
in full compliance with applicable legal
requirements—may allow providers to
share information, coordinate care and
improve billing practices.
• Evidenced-Based Practices for Early
Intervention for the MHBG—In its FY
2016 appropriation, SAMHSA was
directed to require that states set aside
10 percent of their MHBG allocation to
support evidence-based programs that
provide treatment to those with early
SMI including but not limited to
psychosis at any age. SAMHSA worked
collaboratively with the National
Institute on Mental Health (NIMH) to
review evidence showing efficacy of
specific practices in ameliorating SMI
and promoting improved functioning.
NIMH has released information on
Components of Coordinated Specialty
Care (CSC) for First Episode Psychosis.
Results from the NIMH funded Recovery
After an Initial Schizophrenia Episode
(RAISE) initiative, a research project of
the NIMH, suggest that mental health
providers across multiple disciplines
can learn the principles of CSC for First
Episode of Psychosis (FEP), and apply
these skills to engage and treat persons
in the early stages of psychotic illness.
States can implement models across a
continuum, which have demonstrated
efficacy, including the range of services
and principles identified by NIMH.
Utilizing these principles, regardless of
the amount of investment, and with
leveraging funds through inclusion of
services reimbursed by Medicaid or
private insurance, every state will be
able to begin to move their system
toward earlier intervention, or enhance
the services already being implemented.
Other Changes
While the statutory deadlines and
block grant award periods remain
unchanged, SAMHSA encourages states
to turn in their application as early as
possible to allow for a full discussion
and review by SAMHSA. Applications
for the MHBG-only is due no later than
September 1, 2017. The application for
SABG-only is due no later than October
1, 2017. A single application for MHBG
and SABG is due no later than
September 1, 2017.
Estimates of Annualized Hour Burden
The estimated annualized burden for
the uniform application is 33,374 hours.
Burden estimates are broken out in the
following tables showing burden
separately for Year 1 and Year 2. Year
1 includes the estimates of burden for
the uniform application and annual
reporting. Year 2 includes the estimates
of burden for the recordkeeping and
annual reporting. The reporting burden
remains constant for both years.
TABLE 1—ESTIMATES OF APPLICATION AND REPORTING BURDEN FOR YEAR 1
Substance Abuse Prevention and Treatment and Community Mental Health Services Block Grants
Authorizing legislation
MHBG
Implementing regulation
Number of
respondent
Number of
responses
per year
Number of
hours per
response
...........................................
...........................................
...........................................
...........................................
...........................................
45 CFR 96.122(f) .............
...........................................
45 CFR 96.134(d) ............
....................
60
5
60
....................
1
1
1
....................
11,160
...........................................
42 USC § 300x–6(a) .........
42 U.S.C. 300x–52(a).
42 U.S.C. 300x–4(b)(3)B ..
...........................................
...........................................
....................
59
....................
1
....................
10,974
...........................................
59
1
...........................................
...........................................
45 CFR 96.124(c)()1) .......
45 CFR 96.126(f) .............
60
60
1
1
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Authorizing legislation
SABG
Reporting: Standard Form
and Content—
42 U.S.C. 300x–32(a).
SABG:
Annual Report
42 U.S.C. 300x–52(a)
42 U.S.C. 300x–30–b
42 U.S.C. 300x–
30(d)(2).
MHBG:
Annual Report—
State Plan (Covers 2
years)
SABG elements:
42 U.S.C. 300x–22(b)
42 U.S.C. 300x–23 .....
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Total hours
83861
Federal Register / Vol. 81, No. 225 / Tuesday, November 22, 2016 / Notices
TABLE 1—ESTIMATES OF APPLICATION AND REPORTING BURDEN FOR YEAR 1—Continued
Substance Abuse Prevention and Treatment and Community Mental Health Services Block Grants
Authorizing legislation
MHBG
42 U.S.C. 300x–24 .....
42 U.S.C. 300x–27 .....
42 U.S.C. 300x–29 .....
42 U.S.C. 300x–32(b)
MHBG elements:
...........................................
...........................................
...........................................
...........................................
45
45
45
45
............
.............
............
............
60
60
60
60
42 U.S.C. 300x–1(b) ........
42 U.S.C. 300x–1(b)(11) ..
42 U.S.C. 300x–2(a) ........
...........................................
...........................................
...........................................
...........................................
...........................................
...........................................
...........................................
59
59
59
....................
20
1
1
1
....................
1
...........................................
...........................................
...........................................
...........................................
...........................................
300x–2(a)(2) .....................
300x–4(b)(3) .....................
300x–6(b) .........................
45 CFR 96.132(d) ............
45 CFR 96.134(b) ............
...........................................
...........................................
...........................................
...........................................
...........................................
...........................................
5
10
1
7
10
10
10
7
1
1
1
1
Recordkeeping—
42 U.S.C. 300x–23 .....
42 U.S.C. 300x–25 .....
42 U.S.C 300x–65 ......
42 U.S.C. 300x–3 .............
...........................................
...........................................
45 CFR 96.126(c) .............
45 CFR 96.129(a)(13) ......
42 CFR Part 54 ................
60/59
10
60
Combined Burden ..............
...........................................
...........................................
....................
Number of
hours per
response
1
1
1
1
Waivers .......................
42 U.S.C. 300x–
24(b)(5)(B).
42 U.S.C. 300x–28(d)
42 U.S.C. 300x–30(c)
42 U.S.C. 300x–31(c)
42 U.S.C. 300x–32(c)
42 U.S.C. 300x–32(e)
Number of
respondent
Number of
responses
per year
Authorizing legislation
SABG
Implementing regulation
CFR
CFR
CFR
CFR
96.127(b)
96.131(f)
96.133(a)
96.122(g)
Total hours
120
7,200
120
7,080
....................
3,240
1
1
1
20
20
20
1,200
200
1,200
....................
....................
42,254
Report
300x–52(a)—Report.
300x–30(b)—Exclusion of Certain Funds (SABG).
300x–30(d)(2)—Maintenance of Effort (SABG).
300x–4(b)(3)B—Maintenance of Effort (MHBG).
State Plan—SABG
300x–22(b)—Allocations for Women.
300x–23—Intravenous Substance Abuse.
300x–24—Requirements Regarding TB and HIV.
300x–27—Priority in Admissions to Treatment.
300x–29—Statewide Assessment of Need.
300x–32(b)—State Plan.
State Plan—MHBG
42 U.S.C. 300x–1(b)—Criteria for Plan.
42 U.S.C. 300x–1(b)(11)—Incidence and prevalence in the state adults with SMI and Children with SED.
42 U.S.C. 300x–2(a)—Allocations for Systems Integrated Services for Children.
Waivers—SABG
300x–24(b)(5)(B)—Rural requirement regarding EIS/HIV.
300x–28(d)—Additional Agreements.
300x–30(c)—Maintenance of Effort.
300x–31(c)—Construction.
300x–32(c)—Certain Territories.
300x–32(e)—Waiver amendment for 1922, 1923, 1924 and 1927.
Waivers—MHBG
300x–2(a)(2)—Allocations for Systems Integrated Services for Children.
300x–4(b)(3)—Waiver of Statewide Maintenance of Effort.
300x–6(b)—Waiver for Certain Territories.
Recordkeeping
300x–23—Waiting list.
300x–25—Revolving loan fund.
300x–65—Charitable Choice.
TABLE 2—ESTIMATES OF APPLICATION AND REPORTING BURDEN FOR YEAR 2
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Number of respondents
Number of
responses
per year
Number of
hours per
response
Total hours
Reporting:
SABG .........................................................................................
MHBG ........................................................................................
Recordkeeping .................................................................................
60 ..............................................
59 ..............................................
60/59 .........................................
1
1
1
186
186
40
11.160
10,974
2,360
Combined Burden .............................................................................
...................................................
....................
....................
24,494
The total annualized burden for the application and reporting is 33,374 hours (42,254 + 24,494 = 66,748/2 years = 33,374).
Link for the application: https://www.samhsa.gov/grants/block-grants.
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83862
Federal Register / Vol. 81, No. 225 / Tuesday, November 22, 2016 / Notices
through TTY by calling the toll-free
Federal Relay Service at (800) 877–8339.
Copies of available documents
submitted to OMB may be obtained
from Ms. Pollard.
SUPPLEMENTARY INFORMATION: This
notice informs the public that HUD is
seeking approval from OMB for the
information collection described in
Section A.
Summer King,
Statistician.
[FR Doc. 2016–28043 Filed 11–21–16; 8:45 am]
BILLING CODE 4162–20–P
DEPARTMENT OF HOUSING AND
URBAN DEVELOPMENT
[Docket No. FR–5913–N–33]
60-Day Notice of Proposed Information
Collection: Home Equity Conversion
Mortgage (HECM) Insurance
Application for the Origination of
Reverse Mortgages and Related
Documents
Office of the Assistant
Secretary for Housing-Federal Housing
Commissioner, HUD.
ACTION: Notice.
AGENCY:
HUD is seeking approval from
the Office of Management and Budget
(OMB) for the information collection
described below. In accordance with the
Paperwork Reduction Act, HUD is
requesting comment from all interested
parties on the proposed collection of
information. The purpose of this notice
is to allow for 60 days of public
comment.
SUMMARY:
DATES:
Comments Due Date: January 23,
2017.
Interested persons are
invited to submit comments regarding
this proposal. Comments should refer to
the proposal by name and/or OMB
Control Number and should be sent to:
Colette Pollard, Reports Management
Officer, QDAM, Department of Housing
and Urban Development, 451 7th Street
SW., Room 4176, Washington, DC
20410–5000; telephone 202–402–3400
(this is not a toll-free number) or email
at Colette.Pollard@hud.gov for a copy of
the proposed forms or other available
information. Persons with hearing or
speech impairments may access this
number through TTY by calling the tollfree Federal Relay Service at (800) 877–
8339.
FOR FURTHER INFORMATION CONTACT:
Cheryl Walker, Director, Home
Valuation Policy Division, Department
of Housing and Urban Development,
451-7th Street SW., Washington, DC
20410; email Colette Pollard at
Colette.Pollard@hud.gov or telephone
202–402–3400. This is not a toll-free
number. Persons with hearing or speech
impairments may access this number
sradovich on DSK3GMQ082PROD with NOTICES
ADDRESSES:
VerDate Sep<11>2014
18:53 Nov 21, 2016
Jkt 241001
collection of information; (3) Ways to
enhance the quality, utility, and clarity
of the information to be collected; and
(4) Ways to minimize the burden of the
collection of information on those who
are to respond; including through the
use of appropriate automated collection
techniques or other forms of information
technology, e.g., permitting electronic
submission of responses.
A. Overview of Information Collection
Send all comments via email to
blockgrants@samhsa.hhs.gov.
Comments should be received by
January 23, 2017.
HUD encourages interested parties to
submit comment in response to these
questions.
Title of Information Collection: Home
Equity Conversion Mortgage (HECM)
Insurance Application for the
Origination of Reverse Mortgages and
Related Documents.
OMB Approval Number: 2502–0524.
Type of Request: Revision.
Form Number: HUD–92901, HUD–
92902, HUD–92051, HUD–92561, HUD–
92800.5b, HUD–92900–A, HUD–1,
HUD–1Addendum, Fannie Mae
(FNMA)–1009, FNMA–1025, FNMA–
1003, FNMA–1004, FNMA–1004c,
FNMA–1073.
Description of the need for the
information and proposed use: The
Home Equity Conversion Mortgage
(HECM) program is the Federal Housing
Administration’s (FHA) reverse
mortgage program that enables seniors
who have equity in their homes to
withdraw a portion of the accumulated
equity. The intent of the HECM Program
is to ease the financial burden on
elderly homeowners facing increased
health, housing, and subsistence costs at
a time of reduced income. The currently
approved information collection is
necessary to screen mortgage insurance
applications in order to protect the FHA
insurance fund and the interests of
consumers and potential borrowers.
Respondents: 1,603.
Estimated Number of Respondents:
1,603.
Estimated Number of Responses:
80,000.
Frequency of Response: Occasionally.
Average Hours per Response: 3.41.
Total Estimated Burdens:
$11,366,400.
B. Solicitation of Public Comment
This notice is soliciting comments
from members of the public and affected
parties concerning the collection of
information described in Section A on
the following:
(1) Whether the proposed collection
of information is necessary for the
proper performance of the functions of
the agency, including whether the
information will have practical utility;
(2) The accuracy of the agency’s
estimate of the burden of the proposed
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C. Authority
Section 3507 of the Paperwork
Reduction Act of 1995, 44 U.S.C.
Chapter 35.
Dated: November 10, 2016.
Janet M. Golrick,
Associate General Deputy Assistant Secretary
for Housing Associate Deputy Federal
Housing Commissioner.
[FR Doc. 2016–28130 Filed 11–21–16; 8:45 am]
BILLING CODE 4210–67–P
DEPARTMENT OF THE INTERIOR
Fish and Wildlife Service
[FWS–R2–ES–2016–N189;
FXES11140200000–178–FF02ENEH00]
Receipt of an Incidental Take Permit
Application To Participate in the
Amended American Burying Beetle Oil
and Gas Industry Conservation Plan in
Oklahoma
AGENCY:
Fish and Wildlife Service,
Interior.
Notice of availability; request
for public comments.
ACTION:
Under the Endangered
Species Act, as amended (Act), we, the
U.S. Fish and Wildlife Service, invite
the public to comment on an incidental
take permit application for federally
listed American burying beetle (ABB)
take resulting from activities associated
with oil and gas well field infrastructure
geophysical exploration (seismic) and
construction, maintenance, operation,
repair, and decommissioning in
Oklahoma. If approved, the permit
would be issued under the approved
Amended Oil and Gas Industry
Conservation Plan (ICP)Associated with
Issuing Endangered Species Act Section
10(a)(1)(B) American Burying Beetle
Permits Oklahoma.
SUMMARY:
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]]>Agencies
[Federal Register Volume 81, Number 225 (Tuesday, November 22, 2016)]
[Notices]
[Pages 83859-83862]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-28043]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Substance Abuse and Mental Health Services Administration
Agency Information Collection Activities: Proposed Collection;
Comment Request
In compliance with Section 3506(c)(2)(A) of the Paperwork Reduction
Act of 1995 concerning opportunity for public comment on proposed
collections of information, the Substance Abuse and Mental Health
Services Administration (SAMHSA) will publish periodic summaries of
proposed projects. To request more information on the proposed projects
or to obtain a copy of the information collection plans, call the
SAMHSA Reports Clearance Officer on (240) 276-1243.
Comments are invited on: (a) Whether the proposed collections of
information are necessary for the proper performance of the functions
of the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques or other
forms of information technology.
Proposed Project: Community Mental Health Services Block Grant and
Substance Abuse and Prevention Treatment Block Grant FY 2018-2019 Plan
and Report Guidance and Instructions (OMB No. 0930-0168)--Revision
The Substance Abuse and Mental Health Services Administration
(SAMHSA) is requesting approval from the Office of Management and
Budget (OMB) for a revision of the 2016-17 Community Mental Health
Services Block Grant (MHBG) and Substance Abuse Prevention and
Treatment Block Grant (SABG) Plan and Report Guidance and Instructions.
Currently, the SABG and the MHBG differ on a number of their
practices (e.g., data collection at individual or aggregate levels) and
statutory authorities (e.g., method of calculating MOE, stakeholder
input requirements for planning, set asides for specific populations or
programs, etc.). Historically, the Centers within SAMHSA that
administer these block grants have had different approaches to
application requirements and reporting. To compound this variation,
states have different structures for accepting, planning, and
accounting for the block grants and the prevention set aside within the
SABG. As a result, how these dollars are spent and what is known about
the services and clients that receive these funds varies by block grant
and by state.
Increasingly, under the Affordable Care Act, more individuals are
eligible for Medicaid and private insurance. This expansion of health
insurance coverage will continue to have a significant impact on how
State Mental Health Authorities (SMHAs) and Single State Agencies
(SSAs) use their limited resources. In 2009, more than 39 percent of
individuals with serious mental illnesses (SMI) or serious emotional
disturbances (SED) were uninsured. Sixty percent of individuals with
substance use disorders whose treatment and recovery support services
were supported wholly or in part by SAMHSA block grant funds were also
uninsured. A substantial proportion of this population has gained
health insurance coverage since enactment of the Affordable Care Act
and now has various outpatient and other services covered through
Medicaid, Medicare, or private insurance. However, coverage provided by
these plans and programs do not necessarily provide access to the full
range of support services needed to achieve and maintain recovery for
most of these individuals and their families.
Given these changes, SAMHSA has conveyed that block grant funds be
directed toward four purposes: (1) To fund priority treatment and
support services for individuals without insurance or who cycle in and
out of health insurance coverage; (2) to fund those priority treatment
and support services not covered by Medicaid, Medicare or private
insurance offered through the exchanges and that demonstrate success in
improving outcomes and/or supporting recovery; (3) to fund universal,
selective and targeted prevention activities and services; and (4) to
collect performance and outcome data to determine the ongoing
effectiveness of behavioral health prevention, treatment and recovery
support services and to plan the implementation of new services on a
nationwide basis.
To help states meet the challenges of 2018 and beyond, and to
foster the implementation and management of an integrated physical
health and mental health and addiction service system, SAMHSA must
establish standards and expectations that will lead to an improved
system of care for individuals with or at risk of mental and substance
use disorders. Therefore, this application package includes fully
exercising SAMHSA's existing authority regarding states', territories'
and the Red Lake Band of the Chippewa Tribe's (subsequently referred to
as ``states'') use of block grant funds as they fully integrate
behavioral health services into the broader health care continuum.
Consistent with previous applications, the FY 2018-2019 application
has sections that are required and other sections where additional
information is requested. The FY 2018-2019 application requires states
to submit a face sheet, a table of contents, a behavioral health
assessment and plan, reports of expenditures and persons served, an
executive summary, and funding agreements and certifications. In
addition, SAMHSA is requesting information on key areas that are
critical to the states success in addressing health care integration.
Therefore, as part of this block grant planning process, SAMHSA is
asking states to identify both their promising or effective strategies
as well as their technical assistance needs to implement the strategies
they identify in their plans for FYs 2018 and 2019.
To facilitate an efficient application process for states in FYs
2018-2019, SAMHSA convened an internal workgroup to review and modify
the application for the block grant planning section. In addition,
SAMHSA utilized the questions and requests for
[[Page 83860]]
clarification from representatives from SMHAs and SSAs to inform the
proposed changes to the block grants. Based on these discussions with
states, SAMHSA is proposing several changes to the block grant programs
as discussed in greater detail below.
Changes to Assessment and Planning Activities
The proposed revisions reflect changes within the planning section
of the application. The most significant change involves a movement
away from a request for multiple narrative descriptions of the state's
activities in a variety of areas to a more quantitative response to
specific questions, reflecting statutory or regulatory requirements
where applicable, or reflecting specific uses of block grant funding.
In addition, to respond to the requests from states, the required and
requested sections have been clearly identified.
The FY 2016-2017 application sections that gave states policy
guidance on the planning and implementation of system issues which were
not authorized services under either block grant have been eliminated
to avoid confusion. In addition, the statutory criteria which govern
the plan, report and application have been included in the document as
references.
Other specific proposed revisions are described below:
Health Care System, Parity and Integration--This section
is a consolidation of the FY 2016-2017 sections on the Affordable Care
Act, health insurance marketplace, parity, enrollment and primary and
behavioral health care integration. It is vital that SMHAs and SSAs
programming and planning reflect the strong connection between
behavioral and physical health. Fragmented or discontinuous care may
result in inadequate diagnosis and treatment of both physical and
behavioral conditions, including co-occurring disorders. Health care
professionals, consumers of mental, substance use disorders, co-
occurring mental, and substance use disorders treatment recognize the
need for improved coordination of care and integration of primary and
behavioral health care. Health information technology, including
electronic health records (EHRs), and telehealth are examples of
important strategies to promote integrated care. Use of EHRs--in full
compliance with applicable legal requirements--may allow providers to
share information, coordinate care and improve billing practices.
Evidenced-Based Practices for Early Intervention for the
MHBG--In its FY 2016 appropriation, SAMHSA was directed to require that
states set aside 10 percent of their MHBG allocation to support
evidence-based programs that provide treatment to those with early SMI
including but not limited to psychosis at any age. SAMHSA worked
collaboratively with the National Institute on Mental Health (NIMH) to
review evidence showing efficacy of specific practices in ameliorating
SMI and promoting improved functioning. NIMH has released information
on Components of Coordinated Specialty Care (CSC) for First Episode
Psychosis. Results from the NIMH funded Recovery After an Initial
Schizophrenia Episode (RAISE) initiative, a research project of the
NIMH, suggest that mental health providers across multiple disciplines
can learn the principles of CSC for First Episode of Psychosis (FEP),
and apply these skills to engage and treat persons in the early stages
of psychotic illness.
States can implement models across a continuum, which have
demonstrated efficacy, including the range of services and principles
identified by NIMH. Utilizing these principles, regardless of the
amount of investment, and with leveraging funds through inclusion of
services reimbursed by Medicaid or private insurance, every state will
be able to begin to move their system toward earlier intervention, or
enhance the services already being implemented.
Other Changes
While the statutory deadlines and block grant award periods remain
unchanged, SAMHSA encourages states to turn in their application as
early as possible to allow for a full discussion and review by SAMHSA.
Applications for the MHBG-only is due no later than September 1, 2017.
The application for SABG-only is due no later than October 1, 2017. A
single application for MHBG and SABG is due no later than September 1,
2017.
Estimates of Annualized Hour Burden
The estimated annualized burden for the uniform application is
33,374 hours. Burden estimates are broken out in the following tables
showing burden separately for Year 1 and Year 2. Year 1 includes the
estimates of burden for the uniform application and annual reporting.
Year 2 includes the estimates of burden for the recordkeeping and
annual reporting. The reporting burden remains constant for both years.
Table 1--Estimates of Application and Reporting Burden for Year 1
--------------------------------------------------------------------------------------------------------------------------------------------------------
Substance Abuse Prevention and Treatment and Community Mental Health Services Block Grants
---------------------------------------------------------------------------------------------------------------------------------------------------------
Number of Number of
Authorizing legislation SABG Authorizing legislation MHBG Implementing regulation Number of responses hours per Total hours
respondent per year response
--------------------------------------------------------------------------------------------------------------------------------------------------------
Reporting: Standard Form and Content--
42 U.S.C. 300x-32(a).................
SABG:
Annual Report ............................ ........................... ........... ........... ........... 11,160
42 U.S.C. 300x-52(a)................. ............................ 45 CFR 96.122(f)........... 60 1
42 U.S.C. 300x-30-b.................. ............................ ........................... 5 1
42 U.S.C. 300x-30(d)(2).............. ............................ 45 CFR 96.134(d)........... 60 1
MHBG:
Annual Report-- ............................ ........................... ........... ........... ........... 10,974
42 USC Sec. 300x-6(a)..... ........................... 59 1
42 U.S.C. 300x-52(a)........
42 U.S.C. 300x-4(b)(3)B..... ........................... 59 1
State Plan (Covers 2 years)
SABG elements:
42 U.S.C. 300x-22(b)................. ............................ 45 CFR 96.124(c)()1)....... 60 1
42 U.S.C. 300x-23.................... ............................ 45 CFR 96.126(f)........... 60 1
[[Page 83861]]
42 U.S.C. 300x-24.................... ............................ 45 CFR 96.127(b)........... 60 1
42 U.S.C. 300x-27.................... ............................ 45 CFR 96.131(f)........... 60 1
42 U.S.C. 300x-29.................... ............................ 45 CFR 96.133(a)........... 60 1
42 U.S.C. 300x-32(b)................. ............................ 45 CFR 96.122(g)........... 60 1 120 7,200
MHBG elements:
42 U.S.C. 300x-1(b)......... ........................... 59 1 120 7,080
42 U.S.C. 300x-1(b)(11)..... ........................... 59 1
42 U.S.C. 300x-2(a)......... ........................... 59 1
Waivers.............................. ............................ ........................... ........... ........... ........... 3,240
42 U.S.C. 300x-24(b)(5)(B)........... ............................ ........................... 20 1
42 U.S.C. 300x-28(d)................. ............................ 45 CFR 96.132(d)........... 5 1
42 U.S.C. 300x-30(c)................. ............................ 45 CFR 96.134(b)........... 10 1
42 U.S.C. 300x-31(c)................. ............................ ........................... 1 1
42 U.S.C. 300x-32(c)................. ............................ ........................... 7 1
42 U.S.C. 300x-32(e)................. ............................ ........................... 10
300x-2(a)(2)................ ........................... 10
300x-4(b)(3)................ ........................... 10
300x-6(b)................... ........................... 7
Recordkeeping--
42 U.S.C. 300x-23.................... 42 U.S.C. 300x-3............ 45 CFR 96.126(c)........... 60/59 1 20 1,200
42 U.S.C. 300x-25.................... ............................ 45 CFR 96.129(a)(13)....... 10 1 20 200
42 U.S.C 300x-65..................... ............................ 42 CFR Part 54............. 60 1 20 1,200
--------------------------------------------------------------------------------------------------------------------------------------------------------
Combined Burden.......................... ............................ ........................... ........... ........... ........... 42,254
--------------------------------------------------------------------------------------------------------------------------------------------------------
Report
300x-52(a)--Report.
300x-30(b)--Exclusion of Certain Funds (SABG).
300x-30(d)(2)--Maintenance of Effort (SABG).
300x-4(b)(3)B--Maintenance of Effort (MHBG).
State Plan--SABG
300x-22(b)--Allocations for Women.
300x-23--Intravenous Substance Abuse.
300x-24--Requirements Regarding TB and HIV.
300x-27--Priority in Admissions to Treatment.
300x-29--Statewide Assessment of Need.
300x-32(b)--State Plan.
State Plan--MHBG
42 U.S.C. 300x-1(b)--Criteria for Plan.
42 U.S.C. 300x-1(b)(11)--Incidence and prevalence in the state adults with SMI and Children with SED.
42 U.S.C. 300x-2(a)--Allocations for Systems Integrated Services for Children.
Waivers--SABG
300x-24(b)(5)(B)--Rural requirement regarding EIS/HIV.
300x-28(d)--Additional Agreements.
300x-30(c)--Maintenance of Effort.
300x-31(c)--Construction.
300x-32(c)--Certain Territories.
300x-32(e)--Waiver amendment for 1922, 1923, 1924 and 1927.
Waivers--MHBG
300x-2(a)(2)--Allocations for Systems Integrated Services for Children.
300x-4(b)(3)--Waiver of Statewide Maintenance of Effort.
300x-6(b)--Waiver for Certain Territories.
Recordkeeping
300x-23--Waiting list.
300x-25--Revolving loan fund.
300x-65--Charitable Choice.
Table 2--Estimates of Application and Reporting Burden for Year 2
----------------------------------------------------------------------------------------------------------------
Number of Number of
Number of respondents responses hours per Total hours
per year response
----------------------------------------------------------------------------------------------------------------
Reporting:
SABG.................................. 60........................... 1 186 11.160
MHBG.................................. 59........................... 1 186 10,974
Recordkeeping............................. 60/59........................ 1 40 2,360
----------------------------------------------------------------------------------------------------------------
Combined Burden........................... ............................. ........... ........... 24,494
----------------------------------------------------------------------------------------------------------------
The total annualized burden for the application and reporting is 33,374 hours (42,254 + 24,494 = 66,748/2 years
= 33,374).
Link for the application: https://www.samhsa.gov/grants/block-grants.
[[Page 83862]]
Send all comments via email to blockgrants@samhsa.hhs.gov. Comments
should be received by January 23, 2017.
Summer King,
Statistician.
[FR Doc. 2016-28043 Filed 11-21-16; 8:45 am]
BILLING CODE 4162-20-P
