Zika Health Care Services Program, 89106-89107 [2016-29492]

Download as PDF 89106 Federal Register / Vol. 81, No. 237 / Friday, December 9, 2016 / Notices develop an adjustment model of those data based on those factors. CMS worked with RTI, the federal contractor to recruit approximately 100 home health agencies to participate in the mode experiment. The mode experiment included approximately 23,000 home health care patients. Form Number: CMS–10275 (OMB control number: 0938–1066); Frequency: Quarterly; Affected Public: Individuals and households and the Private sector (Business or other for-profit and Not-forprofit institutions); Number of Respondents: 2,715,890; Total Annual Responses: 2,715,890; Total Annual Hours: 699,440. (For policy questions regarding this collection contact Lori Teichman at 410–786–6684.) Dated: December 6, 2016. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2016–29584 Filed 12–8–16; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS–2431–N] Zika Health Care Services Program Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice. AGENCY: This notice announces the November 9, 2016 publication of a funding opportunity providing up to $66.1 million available to support prevention activities and treatment services for health conditions related to the Zika virus. The funding opportunity solicited single source emergency applications for a cooperative agreement aimed at supporting prevention activities and treatment services for women (including pregnant women), children, and men adversely or potentially impacted by the Zika virus. Entities eligible to apply for this funding opportunity are states, territories, tribes or tribal organizations, with active or local transmission of the Zika virus, as confirmed by the Centers for Disease Control and Prevention (CDC). As of October 12, 2016, the CDC designated American Samoa, Puerto Rico, the U.S. Virgin Islands, and Florida as areas with laboratory-confirmed active or local Zika virus transmission. As such, this emergency funding opportunity is currently available to the territorial and state health departments in these areas. mstockstill on DSK3G9T082PROD with NOTICES SUMMARY: VerDate Sep<11>2014 18:13 Dec 08, 2016 Jkt 241001 The project period of performance for the Cooperative Agreement will be 36 months from the date of award. FOR FURTHER INFORMATION CONTACT: Elizabeth Garbarczyk, 410–786–0426. SUPPLEMENTARY INFORMATION: DATES: I. Background The Zika Response and Preparedness Act (Pub. L. 114–223) provides $387,000,000 in funding to prevent, prepare for, and respond to the Zika virus. Of the funds appropriated by Public Law 114–223, Congress designated $75 million to support states, territories, tribes, or tribal organizations with active or local transmission cases of the Zika virus, as confirmed by the Centers for Disease Control and Prevention (CDC), to reimburse the costs of health care for health conditions related to the Zika virus not covered by private insurance. No less than $60 million of this funding is for territories with the highest rates of Zika transmission. II. Provisions of the Notice In accordance with the Zika Response and Preparedness Act (Pub. L. 114–223), entities eligible to apply for this funding opportunity include states, territories, tribes or tribal organizations with active or local transmission of the Zika virus, as confirmed by the Centers for Disease Control and Prevention (CDC). As of October 12, 2016, the CDC reports that American Samoa, Puerto Rico, the U.S. Virgin Islands, and Florida are the only areas with laboratory-confirmed active or local transmission of the Zika virus, and therefore, these are the only territories and state eligible to receive funding as authorized under the legislation. Funding available under the ‘‘Zika Health Care Services Program’’ may be used to address the following four critical components of a comprehensive response to Zika. Applicant needs may vary and some applicants may not have unmet needs across each of the four areas. If approved by CMS, recipients may use grant funds for additional health care services for health conditions related to the Zika virus that are not listed in the following section. 1. Increase Access to Contraceptive Services for Women and Men Contraceptive services for women and men can reduce the risk of unintended pregnancy, as well as sexual transmission of Zika. Preventing unintended pregnancy in areas affected by the Zika virus outbreak among people who may have been exposed is a primary strategy to reduce the number PO 00000 Frm 00065 Fmt 4703 Sfmt 4703 of pregnancies affected by Zika virus. To increase access to all FDA-approved contraceptive methods, a territory or state must use grant funds to provide client-centered contraceptive counseling to educate women (including women who are pregnant and post-partum) and men on effective contraception methods, increase contraceptive supplies in provider offices, increase family planning delivery sites, train providers on the full range of contraceptive methods and their use, including insertion and removal of longacting reversible contraception (LARC), and to remove a patient’s financial barriers to use of effective contraception through methods such as cost sharing assistance for contraceptive services. 2. Reduce Barriers to Diagnostic Testing, Screening, and Counseling for Pregnant Women and Newborns Uninsured or underinsured pregnant women may not seek testing and medical follow-up if Zika testing does not begin at the initial point of prenatal care or if it presents financial hardship. Testing should be performed as a part of routine prenatal care. However, additional unscheduled prenatal visits may be necessary to complete the testing protocol (for example, reflex testing) and to provide pre- and post-test counseling on the interpretation of results. Funds designated for diagnostic testing, screening, and counseling will be used to ensure access to diagnostic services to test for Zika infection wherever a pregnant woman initially presents for care. This will increase the identification of pregnant women infected with Zika, who require increased monitoring and prenatal care services, and will lead to early diagnosis of infants with special medical needs. 3. Increase Access to Appropriate Specialized Healthcare Services for Pregnant Women, Children Born to Mothers With Maternal Zika Virus Infection, and Their Families Complex clinical and psychosocial needs associated with maternal Zika virus infection require access to comprehensive and appropriate specialized healthcare, and a coordinated suite of services that serves mother, child, and their families. Increased access to prenatal care is critical to plan for post-natal care, particularly access to ultrasounds which can detect abnormalities in fetal development. In addition, high-risk pregnancies and pregnancy loss, can be stressful for both the pregnant woman and her family and require psychosocial support. Moreover, the infants themselves require enhanced follow-up, E:\FR\FM\09DEN1.SGM 09DEN1 89107 Federal Register / Vol. 81, No. 237 / Friday, December 9, 2016 / Notices regardless of whether microcephaly or other conditions are diagnosed prenatally or at birth. CDC has published clinical guidance for care of pregnant women with evidence of Zika infection and care of infants born to mothers who had Zika infection. 4. Improve Provider Capacity and Capability We recognize that award recipients will have varying levels of infrastructure, provider capacity and capability, and other funding sources devoted to addressing Zika. Sufficient provider capacity and capability is critical to ensure successful implementation of an effective Zika prevention initiative in increasing access to contraceptives; reducing barriers to diagnostic testing, screening and counseling; and increasing access to appropriate specialized healthcare services. This funding opportunity has been structured to ensure an effective Zika response that addresses the four critical components of a comprehensive response to Zika as quickly as possible. Accordingly, the single source emergency funding opportunity is solely available to the territorial and state health departments in American Samoa, Puerto Rico, the U.S. Virgin Islands, and Florida, based on their ability to quickly and efficiently expand their existing Zika response efforts and to further determine the most effective use and dissemination of funds in their respective jurisdictions. The health departments in American Samoa, Puerto Rico, U.S. Virgin Islands, and Florida are uniquely positioned to meet the goals of the emergency cooperative agreement based on their capacity, partnerships, resources, prior experience, and ability to begin implementing the project immediately. Immediate implementation is critical to successfully addressing this rapidly spreading public health threat. The budget and project period under the specific funding opportunity will be 36 months. The total amount of federal funds available in the first round is up to $66,100,000 as follows: • American Samoa Government Department of Health: $1,100,000 • Puerto Rico Health Department: $60,600,000 • U.S. Virgin Islands Department of Health: $2,100,000 • Florida Department of Health: $2,300,000 A majority of the first round funds are being allocated to Puerto Rico based on the magnitude of infections and likely rates of infants born to mothers with maternal Zika infection. We expect to issue a second round of funds through an additional funding opportunity announcement in 2017. The initial funding opportunity seeks to issue funds to currently support areas of greatest need, while maintaining additional funds to prevent, detect, and respond to future Zika outbreaks. III. Collection of Information Requirements This notice establishes funding opportunities for health departments in areas with laboratory-confirmed active or local Zika virus transmission. Since we estimate fewer than ten respondents (American Samoa, Puerto Rico, the U.S. Virgin Islands, and Florida), any information collection requirements and burden are exempt (5 CFR 1320.3(c)) from the requirements of the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.). Dated: November 30, 2016. Andrew M. Slavitt, Acting Administrator, Centers for Medicare & Medicaid Services. [FR Doc. 2016–29492 Filed 12–8–16; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Child Support Convention; Federally Approved Forms. OMB No.: 0970–0488. On January 1, 2017, the 2007 Hague Convention on the International Recovery of Child Support and Other Forms of Family Maintenance will enter into force for the United States. In order to comply with the Convention, the U.S. must implement the Convention’s case processing forms. State and Federal law require states to use Federally-approved case processing forms. Section 311(b) of UIFSA 2008, which has been enacted by all 50 states, the District of Columbia, Guam, Puerto Rico and the Virgin Islands, requires States to use forms mandated by Federal law. 45 CFR 303.7 also requires child support programs to use federallyapproved forms in intergovernmental IV–D cases unless a country has provided alternative forms as a part of its chapter in a Caseworker’s Guide to Processing Cases with Foreign Reciprocating Countries. OCSE received few comments on the burden estimate related to this proposed collection during the 60-day comment period, which started September 30, 2016 (Federal Register Volume 81, Number 190, page 67355). Therefore, we have not changed the burden estimate. Concurrent with this request, OCSE requested an emergency clearance, pursuant to section 1320.13 of the implementing rule of the Paperwork Reduction Act, so that States could begin using the forms by January 1, 2017, the effective date for the Hague Child Support Convention in the U.S. OMB granted emergency approval, which will expire on May 31, 2017. Respondents: State, local, or Tribal agencies administering a child support enforcement program under title IV–D of the Social Security Act. Submission for OMB Review; Comment Request Title: Provision of Child Support Services in IV–D Cases under the Hague ANNUAL BURDEN ESTIMATES Number of respondents mstockstill on DSK3G9T082PROD with NOTICES Instrument Annex I: Transmittal form under Article 12(2) ................................................. Annex II: Acknowledgment form under Article 12(3) ....................................... Annex A: Application for Recognition and Enforcement, including restricted information on the applicant ......................................................................... Annex A: Abstract of Decision ......................................................................... Annex A: Statement of Enforceability of Decision ........................................... Annex A: Statement of Proper Notice ............................................................. VerDate Sep<11>2014 18:13 Dec 08, 2016 Jkt 241001 PO 00000 Frm 00066 Fmt 4703 Sfmt 4703 Number of responses per respondent Average burden hours per response Total burden hours 54 54 46 93 1 .5 2,484 2,511 54 54 54 54 19 5 19 5 .5 1 0.17 .5 513 270 174 135 E:\FR\FM\09DEN1.SGM 09DEN1

Agencies

[Federal Register Volume 81, Number 237 (Friday, December 9, 2016)]
[Notices]
[Pages 89106-89107]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-29492]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-2431-N]


Zika Health Care Services Program

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Notice.

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

SUMMARY: This notice announces the November 9, 2016 publication of a 
funding opportunity providing up to $66.1 million available to support 
prevention activities and treatment services for health conditions 
related to the Zika virus. The funding opportunity solicited single 
source emergency applications for a cooperative agreement aimed at 
supporting prevention activities and treatment services for women 
(including pregnant women), children, and men adversely or potentially 
impacted by the Zika virus. Entities eligible to apply for this funding 
opportunity are states, territories, tribes or tribal organizations, 
with active or local transmission of the Zika virus, as confirmed by 
the Centers for Disease Control and Prevention (CDC). As of October 12, 
2016, the CDC designated American Samoa, Puerto Rico, the U.S. Virgin 
Islands, and Florida as areas with laboratory-confirmed active or local 
Zika virus transmission. As such, this emergency funding opportunity is 
currently available to the territorial and state health departments in 
these areas.

DATES: The project period of performance for the Cooperative Agreement 
will be 36 months from the date of award.

FOR FURTHER INFORMATION CONTACT: Elizabeth Garbarczyk, 410-786-0426.

SUPPLEMENTARY INFORMATION: 

I. Background

    The Zika Response and Preparedness Act (Pub. L. 114-223) provides 
$387,000,000 in funding to prevent, prepare for, and respond to the 
Zika virus. Of the funds appropriated by Public Law 114-223, Congress 
designated $75 million to support states, territories, tribes, or 
tribal organizations with active or local transmission cases of the 
Zika virus, as confirmed by the Centers for Disease Control and 
Prevention (CDC), to reimburse the costs of health care for health 
conditions related to the Zika virus not covered by private insurance. 
No less than $60 million of this funding is for territories with the 
highest rates of Zika transmission.

II. Provisions of the Notice

    In accordance with the Zika Response and Preparedness Act (Pub. L. 
114-223), entities eligible to apply for this funding opportunity 
include states, territories, tribes or tribal organizations with active 
or local transmission of the Zika virus, as confirmed by the Centers 
for Disease Control and Prevention (CDC). As of October 12, 2016, the 
CDC reports that American Samoa, Puerto Rico, the U.S. Virgin Islands, 
and Florida are the only areas with laboratory-confirmed active or 
local transmission of the Zika virus, and therefore, these are the only 
territories and state eligible to receive funding as authorized under 
the legislation. Funding available under the ``Zika Health Care 
Services Program'' may be used to address the following four critical 
components of a comprehensive response to Zika. Applicant needs may 
vary and some applicants may not have unmet needs across each of the 
four areas. If approved by CMS, recipients may use grant funds for 
additional health care services for health conditions related to the 
Zika virus that are not listed in the following section.
1. Increase Access to Contraceptive Services for Women and Men
    Contraceptive services for women and men can reduce the risk of 
unintended pregnancy, as well as sexual transmission of Zika. 
Preventing unintended pregnancy in areas affected by the Zika virus 
outbreak among people who may have been exposed is a primary strategy 
to reduce the number of pregnancies affected by Zika virus. To increase 
access to all FDA-approved contraceptive methods, a territory or state 
must use grant funds to provide client-centered contraceptive 
counseling to educate women (including women who are pregnant and post-
partum) and men on effective contraception methods, increase 
contraceptive supplies in provider offices, increase family planning 
delivery sites, train providers on the full range of contraceptive 
methods and their use, including insertion and removal of long-acting 
reversible contraception (LARC), and to remove a patient's financial 
barriers to use of effective contraception through methods such as cost 
sharing assistance for contraceptive services.
2. Reduce Barriers to Diagnostic Testing, Screening, and Counseling for 
Pregnant Women and Newborns
    Uninsured or underinsured pregnant women may not seek testing and 
medical follow-up if Zika testing does not begin at the initial point 
of prenatal care or if it presents financial hardship. Testing should 
be performed as a part of routine prenatal care. However, additional 
unscheduled prenatal visits may be necessary to complete the testing 
protocol (for example, reflex testing) and to provide pre- and post-
test counseling on the interpretation of results. Funds designated for 
diagnostic testing, screening, and counseling will be used to ensure 
access to diagnostic services to test for Zika infection wherever a 
pregnant woman initially presents for care. This will increase the 
identification of pregnant women infected with Zika, who require 
increased monitoring and prenatal care services, and will lead to early 
diagnosis of infants with special medical needs.
3. Increase Access to Appropriate Specialized Healthcare Services for 
Pregnant Women, Children Born to Mothers With Maternal Zika Virus 
Infection, and Their Families
    Complex clinical and psychosocial needs associated with maternal 
Zika virus infection require access to comprehensive and appropriate 
specialized healthcare, and a coordinated suite of services that serves 
mother, child, and their families. Increased access to prenatal care is 
critical to plan for post-natal care, particularly access to 
ultrasounds which can detect abnormalities in fetal development. In 
addition, high-risk pregnancies and pregnancy loss, can be stressful 
for both the pregnant woman and her family and require psychosocial 
support. Moreover, the infants themselves require enhanced follow-up,

[[Page 89107]]

regardless of whether microcephaly or other conditions are diagnosed 
prenatally or at birth. CDC has published clinical guidance for care of 
pregnant women with evidence of Zika infection and care of infants born 
to mothers who had Zika infection.
4. Improve Provider Capacity and Capability
    We recognize that award recipients will have varying levels of 
infrastructure, provider capacity and capability, and other funding 
sources devoted to addressing Zika. Sufficient provider capacity and 
capability is critical to ensure successful implementation of an 
effective Zika prevention initiative in increasing access to 
contraceptives; reducing barriers to diagnostic testing, screening and 
counseling; and increasing access to appropriate specialized healthcare 
services.
    This funding opportunity has been structured to ensure an effective 
Zika response that addresses the four critical components of a 
comprehensive response to Zika as quickly as possible. Accordingly, the 
single source emergency funding opportunity is solely available to the 
territorial and state health departments in American Samoa, Puerto 
Rico, the U.S. Virgin Islands, and Florida, based on their ability to 
quickly and efficiently expand their existing Zika response efforts and 
to further determine the most effective use and dissemination of funds 
in their respective jurisdictions. The health departments in American 
Samoa, Puerto Rico, U.S. Virgin Islands, and Florida are uniquely 
positioned to meet the goals of the emergency cooperative agreement 
based on their capacity, partnerships, resources, prior experience, and 
ability to begin implementing the project immediately. Immediate 
implementation is critical to successfully addressing this rapidly 
spreading public health threat.
    The budget and project period under the specific funding 
opportunity will be 36 months. The total amount of federal funds 
available in the first round is up to $66,100,000 as follows:
 American Samoa Government Department of Health: $1,100,000
 Puerto Rico Health Department: $60,600,000
 U.S. Virgin Islands Department of Health: $2,100,000
 Florida Department of Health: $2,300,000

A majority of the first round funds are being allocated to Puerto Rico 
based on the magnitude of infections and likely rates of infants born 
to mothers with maternal Zika infection. We expect to issue a second 
round of funds through an additional funding opportunity announcement 
in 2017. The initial funding opportunity seeks to issue funds to 
currently support areas of greatest need, while maintaining additional 
funds to prevent, detect, and respond to future Zika outbreaks.

III. Collection of Information Requirements

    This notice establishes funding opportunities for health 
departments in areas with laboratory-confirmed active or local Zika 
virus transmission. Since we estimate fewer than ten respondents 
(American Samoa, Puerto Rico, the U.S. Virgin Islands, and Florida), 
any information collection requirements and burden are exempt (5 CFR 
1320.3(c)) from the requirements of the Paperwork Reduction Act of 1995 
(44 U.S.C. 3501 et seq.).

    Dated: November 30, 2016.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2016-29492 Filed 12-8-16; 8:45 am]
 BILLING CODE 4120-01-P
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.