Meeting of the Council on Graduate Medical Education, 19150-19151 [2020-07147]
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Federal Register / Vol. 85, No. 66 / Monday, April 6, 2020 / Notices
in the body of your comments and you
must identify this information as
‘‘confidential.’’ Any information marked
as ‘‘confidential’’ will not be disclosed
except in accordance with 21 CFR 10.20
and other applicable disclosure law. For
more information about FDA’s posting
of comments to public dockets, see 80
FR 56469, September 18, 2015, or access
the information at: https://
www.govinfo.gov/content/pkg/FR-201509-18/pdf/2015-23389.pdf.
Docket: For access to the docket to
read background documents or the
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received, go to https://
www.regulations.gov and insert the
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heading of this document, into the
‘‘Search’’ box and follow the prompts
and/or go to the Dockets Management
Staff, 5630 Fishers Lane, Rm. 1061,
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FOR FURTHER INFORMATION CONTACT:
Graham Thompson, Center for Drug
Evaluation and Research, Food and
Drug Administration, 10903 New
Hampshire Ave., Bldg. 51, Rm. 1146,
Silver Spring, MD 20993–0002, 301–
796–5003, Fax: 301–847–8443,
Graham.Thompson@fda.hhs.gov.
FDA is
announcing the publication of a report
providing options and
recommendations for a new
methodology to accurately assess
changes in the resource and capacity
needs of the human drug and biosimilar
biologic review programs. FDA, in both
the PDUFA VI and BsUFA II
commitment letters, committed to
obtaining this report and publishing it
before September 30, 2020. These
commitments were also codified in the
statute authorizing these programs
(sections 736(c)(2)(C) and 744H(c)(2)(B)
of the Federal Food, Drug, and Cosmetic
Act (21 U.S.C. 379h(c)(2)(C) and 379j–
52(c)(2)(B)).
PDUFA and BsUFA, (referred to
collectively here as ‘‘UFA(s)’’) each
establish fee amounts for each fiscal
year. Although the specifics for each
UFA are different, the process for each
generally involves the following: Taking
an annual base revenue amount and
adjusting that base revenue amount for
inflation and other UFA-specific
adjustments to establish a target revenue
amount for the fiscal year for the UFA.
The target revenue amount sets the total
amount of fee revenue for the UFA that
FDA expects to collect for that fiscal
year. The target revenue amount is then
divided up based on UFA-specific
processes to set the individual fee
amounts for the fiscal year.
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While this process creates a relatively
predictable source of UFA fee revenue
for FDA, it also requires a method for
adjustment to account for changes in
workload. For example, without an
adjustment for workload, during a
period of growth in regulatory
submissions the target revenue will
remain fixed and a higher number of
submissions results in the same total
revenue collected; in other words, the
Agency would have more work while
fee revenue remains fixed and would
not be able to afford hiring the
additional staff required to maintain
review timeline performance.
This issue was recognized by PDUFAprogram stakeholders, and in 2003, the
first year of PDUFA III, a Workload
Adjustment was introduced. This
adjustment created a means to adjust the
annual PDUFA target revenue to
account for long-term changes in the
volume of certain regulatory
submissions. Although an important
mechanism to help ensure that the
PDUFA target revenue keeps pace with
regulatory submissions, the Workload
Adjustment has been a topic in each
PDUFA reauthorization negotiation
since its inception. As such, it has
undergone a number of changes, notably
the addition and later removal of a
factor to adjust revenue based on the
complexity of submissions. It has also
been the subject of a number of studies.
A theme emerging from these studies
identified the Workload Adjuster
methodology as suboptimal, but the best
method reasonably possible based on
the data available to FDA at that time.
In PDUFA VI (fiscal years 2018 to
2022), FDA made commitments to help
improve the available data and in turn
the adjuster methodology. These
commitments included establishing a
Resource Capacity Planning capability
and modernizing FDA’s activity-based
time reporting to provide better data to
inform current and likely future
resource needs. PDUFA VI changed the
name of the adjustment to the Capacity
Planning Adjustment, established an
interim methodology for the early years
of PDUFA VI, and outlined a process to
implement a new fee adjustment
methodology.
The process calls for FDA to obtain,
through a contract with an independent
accounting or consulting firm, an
evaluation of options and
recommendations for a new
methodology to accurately assess
changes in the resource and capacity
needs of the human drug review
program. Booz Allen Hamilton was
commissioned to produce this report.
The report is publicly available on
FDA’s website at: https://www.fda.gov/
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industry/fda-user-fee-programs/
resource-capacity-planning-andmodernized-time-reporting, and FDA
will review public comments on the
report. After review of the public
comments, FDA can then implement a
new robust methodology for assessing
the resource needs of the program that
results from sustained increases in
PDUFA workload, as appropriate and
warranted in light of comments we
receive.
Within BsUFA II (fiscal years 2018 to
2022), FDA made a commitment to use
this same study to also assess options
and recommendations for a new
methodology to assess changes in the
resource and capacity needs of the
biosimilar biological product review
program. Whereas PDUFA has an
interim Capacity Planning Adjustment
in place now, BsUFA does not have and
has not had an adjustment designed to
accomplish similar goals for the BsUFA
program. Like with the process outlined
with PDUFA, FDA can also implement
an adjustment methodology following
the publication of the report and review
of any public comments, as appropriate
and warranted in light of comments we
receive.
Dated: April 1, 2020.
Lowell J. Schiller,
Principal Associate Commissioner for Policy.
[FR Doc. 2020–07175 Filed 4–3–20; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Meeting of the Council on Graduate
Medical Education
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice; correction.
AGENCY:
The Council on Graduate
Medical Education (COGME) meeting
previously announced as in-person and
webinar/conference call on Tuesday,
April 28, 2020, and Wednesday, April
29, 2020, has changed its format, date,
and time. The meeting will now be a
one-day webinar and conference call
only on Wednesday, April 29, 2020,
from 12:00 p.m.–5:00 p.m. Eastern
Time. The webinar link, conference
dial-in number, meeting materials, and
agenda will be available on the COGME
website: https://www.hrsa.gov/advisorycommittees/graduate-medical-edu/
meetings/.
SUMMARY:
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Federal Register / Vol. 85, No. 66 / Monday, April 6, 2020 / Notices
FOR FURTHER INFORMATION CONTACT:
Kennita Carter, MD, Senior Advisor and
Designated Federal Official, Division of
Medicine and Dentistry, Bureau of
Health Workforce, HRSA, 5600 Fishers
Lane, Rockville, Maryland 20857; 301–
945–9505; or BHWCOGME@hrsa.gov.
Correction: Meeting will be a one-day
webinar and conference call only rather
than two-days and in-person as
previously announced.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2020–07147 Filed 4–3–20; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Meeting of the National Advisory
Council on Nurse Education and
Practice
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services (HHS).
ACTION: Notice.
AGENCY:
In accordance with the
Federal Advisory Committee Act, this
notice announces that the National
Advisory Council on Nurse Education
and Practice (NACNEP) has scheduled a
writing subcommittee public meeting.
Information about NACNEP, the agenda,
and materials for this meeting can be
found on the NACNEP website at
https://www.hrsa.gov/advisorycommittees/nursing/.
DATES: April 20, 2020, 10:00 a.m.–2:00
p.m. Eastern Time (ET).
ADDRESSES: This meeting will be held
by teleconference, and/or Adobe
Connect webinar.
• Webinar link. https://
www.hrsa.gov/advisory-committees/
nursing/meetings.html.
• Conference call-in number: 1–888–
455–4141; Passcode: FACA Meeting.
FOR FURTHER INFORMATION CONTACT:
Camillus Ezeike, Ph.D., LL.M. J.D., RN,
PMP, Designated Federal Official,
NACNEP, Bureau of Health Workforce,
HRSA, 5600 Fishers Lane, Rockville,
Maryland 20857; 301–443–2886; or
BHWNACNEP@hrsa.gov.
SUPPLEMENTARY INFORMATION: NACNEP
provides advice and recommendations
to the Secretary of HHS and the U.S.
Congress on policy issues related to the
activities carried out under Title VIII of
the Public Health Service (PHS) Act,
including the range of issues relating to
the nurse workforce, education, and
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practice improvement. NACNEP also
prepares and submits an annual report
to the Secretary of HHS and Congress
describing its activities, including
NACNEP’s findings and
recommendations concerning activities
under Title VIII of the PHS Act.
During the April 20, 2020, meeting,
the writing sub-committee of NACNEP
will review recent literature and hear
from an expert speaker on the topic of
its 17th Report to Congress, Preparing
Nurse Faculty, and Addressing the
Shortage of Nurse Faculty and Clinical
Preceptors. Agenda items are subject to
change as priorities dictate. Refer to the
NACNEP website for updated
information concerning the meeting.
The final agenda will be posted at least
14 calendar days before the meeting.
Members of the public will have the
opportunity to provide comments.
Public participants may submit written
statements in advance of the scheduled
meeting. Oral comments will be
honored in the order they are requested
and may be limited as time allows.
Requests to submit a written statement
or make oral comments to NACNEP
should be sent to Camillus Ezeike using
the contact information above at least 3
business days before the meeting.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2020–07115 Filed 4–3–20; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Statement of Organization, Functions
and Delegations of Authority
This notice amends Part R of the
Statement of Organization, Functions
and Delegations of Authority of the
Department of Health and Human
Services (HHS), Health Resources and
Services Administration (HRSA) (60 FR
56605, as amended November 6, 1995;
as last amended at 84 FR 49535–49540
dated September 20, 2019).
HRSA is making changes within the
Federal Office of Rural Health Policy
(FORHP) in order to realign the
functions for the management of
emerging rural health program
initiatives, including rural substance
abuse programs.
This reorganization updates the
organization, functions, and delegation
of authority of FORHP (RH). Specifically
this reorganization (1) establishes the
Rural Strategic Initiatives Division; and
(2) updates the functional statement for
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19151
the Federal Office of Rural Health Policy
(RH).
Chapter RH—Federal Office of Rural
Health Policy
Section RH.10 Organization
Delete the organization for FORHP
(RH) in its entirety and replace with the
following:
The Federal Office of Rural Health
Policy is headed by the Associate
Administrator, who reports directly to
the Administrator, HRSA. FORHP
includes the following components:
(1) Office of the Associate
Administrator (RH)
(2) Hospital State Division (RH1);
(3) Community-Based Division (RH2);
(4) Office for the Advancement of
Telehealth (RH4);
(5) Policy Research Division (RH5);
(6) Administrative Operations Division
(RH6); and
(7) Rural Strategic Initiatives Division
(RH7).
Section RH.20 Function
Delete the functional statement for
FORHP (RH) and in its entirety and
replace with the following:
Federal Office of Rural Health Policy
(RH)
Office of the Associate Administrator
(RH)
The Federal Office of Rural Health
Policy (FORHP) is responsible for the
overall leadership and management of
the Office. FORHP serves as a focal
point within HHS for rural healthrelated issues and as a principal source
of advice to the Secretary for
coordinating efforts to strengthen and
improve the delivery of health services
to populations in the nation’s rural
areas. FORHP provides leadership
within HHS and with stakeholders in
providing information and counsel
related to access to, and financing and
quality of, health care to rural
populations. Specifically, the Office of
the Associate Administrator (1) provides
staff support to the National Advisory
Committee on Rural Health and Human
Services; (2) stimulates and coordinates
interaction on rural health activities and
programs in the agency, Department and
with other federal agencies; (3)
establishes and maintains a resource
center for the collection and
dissemination of the latest information
and research findings related to the
delivery of health services in rural areas;
(4) ensures successful dissemination of
appropriate information technology
advances, such as telehealth or
electronic health records systems; (5)
monitors the health information
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Agencies
[Federal Register Volume 85, Number 66 (Monday, April 6, 2020)]
[Notices]
[Pages 19150-19151]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-07147]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Meeting of the Council on Graduate Medical Education
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice; correction.
-----------------------------------------------------------------------
SUMMARY: The Council on Graduate Medical Education (COGME) meeting
previously announced as in-person and webinar/conference call on
Tuesday, April 28, 2020, and Wednesday, April 29, 2020, has changed its
format, date, and time. The meeting will now be a one-day webinar and
conference call only on Wednesday, April 29, 2020, from 12:00 p.m.-5:00
p.m. Eastern Time. The webinar link, conference dial-in number, meeting
materials, and agenda will be available on the COGME website: https://www.hrsa.gov/advisory-committees/graduate-medical-edu/meetings/.
[[Page 19151]]
FOR FURTHER INFORMATION CONTACT: Kennita Carter, MD, Senior Advisor and
Designated Federal Official, Division of Medicine and Dentistry, Bureau
of Health Workforce, HRSA, 5600 Fishers Lane, Rockville, Maryland
20857; 301-945-9505; or [email protected].
Correction: Meeting will be a one-day webinar and conference call
only rather than two-days and in-person as previously announced.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2020-07147 Filed 4-3-20; 8:45 am]
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