Office of Global Affairs: Stakeholder Listening Session on Amendments to the International Health Regulations (2005), 12955-12956 [2023-04160]
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Federal Register / Vol. 88, No. 40 / Wednesday, March 1, 2023 / Notices
Regional Managers who report to the
Deputy Director for ORD and are
responsible for civil rights, conscience
and religious freedom, and HIPAA
complaint investigations, enforcement,
and outreach. ORD is responsible for
responding to stakeholder calls and
triaging civil rights, conscience and
religious freedom, and HIPAA
complaints at intake’’ after ‘‘property
management, accountability, and
performance metrics.’’
VI. Under Chapter AT, Office for Civil
Rights (OCR), Section ‘‘AT.20
Functions’’ at subsection ‘‘C. Civil
Rights Division (ATB),’’ delete ‘‘Civil
Rights’’ and replace with ‘‘Policy’’ and
add ‘‘(including sexual orientation,
gender identity, and pregnancy)’’ after
‘‘sex’’ and add ‘‘religion’’ after
‘‘disability’’ and delete ‘‘enforces’’ and
add ‘‘oversees’’ and add ‘‘protection’’
after ‘‘conscience’’ and delete ‘‘provides
national leadership in OCR’s
enforcement and compliance activities,
including advising OCR staff
nationwide on case development and
quality and assisting in developing
negotiation, enforcement, and litigation
strategies;’’ and delete ‘‘The Civil Rights
Division also leads national civil rights
compliance reviews;’’ and replace with
‘‘The Policy Division also consults and
coordinates with the Enforcement
Division on national civil rights and
conscience protection laws enforcement
and compliance activities;’’ and add
‘‘and conscience protection’’ after
‘‘designs civil rights’’ and add ‘‘and
conscience protection’’ after ‘‘regional
civil rights’’ and add ‘‘and conscience
protection’’ after ‘‘provides civil rights’’
VII. Under Chapter AT, Office for
Civil Rights (OCR), Section ‘‘AT.20
Functions’’ at subsection ‘‘D. Health
Information Privacy Division (ATC),
delete ‘‘Health Information Privacy’’ and
replace with ‘‘Health Information
Privacy, Data, and Cybersecurity’’.
VIII. Under Chapter AT, Office for
Civil Rights (OCR), Section ‘‘AT.20
Functions’’ delete subsection E in its
entirety and replace with the following:
AT.20 Functions
‘‘E. Enforcement Division (ATD). The
Enforcement Division is headed by the
Deputy Director of Enforcement, who
reports to the Director. The Enforcement
Division is responsible for overseeing
OCR’s regional operations and case
management to support comprehensive
implementation all of its authorities.
Responsibilities of the Deputy Director
of Enforcement include: Advising on all
regional operations and the Centralized
Case Management Operation (CCMO);
developing and conducting public
education activities in coordination and
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18:10 Feb 28, 2023
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collaboration with the Strategic
Planning Division to drive compliance
with the law,; directing case
management on data analytics and
operations; and coordinating and
implementing leadership and
professional development training for
staff within the Enforcement Division.
Regional offices are led by Regional
Managers who report to the Deputy
Director of Enforcement and are
responsible for civil rights, conscience
protection, and HIPAA complaint
investigations, enforcement, and
outreach. The Enforcement Division is
responsible for responding to
stakeholder calls and triaging civil
rights, conscience protection, and
HIPAA complaints at intake and
throughout the investigation or
compliance process.’’
VIII. Under Chapter AT, Office for
Civil Rights (OCR), Section ‘‘AT.20
Functions’’ add a new subsection F as
follows:
AT.20 Functions
‘‘F. Strategic Planning Division (ATE).
The Strategic Planning Division is
headed by the Deputy Director for
Strategic Planning, who reports to the
Director. The Strategic Planning
Division oversees OCR’s outreach and
other activities to provide the public
with information about their rights and
how OCR protects civil rights,
conscience protections, and the privacy
of individuals’ health information. The
division promotes OCR’s enforcement
activities to ensure covered entities are
aware of their obligations under federal
law and the consequences of violations
of that law. The Division provides other
HHS components with technical
assistance and training on civil rights,
conscience protections, and information
privacy laws and works with other
Operating and Staff Divisions within
HHS to drive compliance with the law.
The Division also provides identifies
and provides staff with training
opportunities that meet workforce
development objectives, goals for
individual professional growth, and
succession planning.’’
VIII. Pending further delegations,
directives, or orders by the Secretary or
the OCR Director, all delegations and
redelegations of authority to positions of
the affected organizations in effect prior
to the date of this notice shall continue
in effect in them or their successors,
provided they are consistent with this
reorganization.
Xavier Becerra,
Secretary, Department of Health and Human
Services.
[FR Doc. 2023–03892 Filed 2–27–23; 11:15 am]
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12955
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Office of Global Affairs: Stakeholder
Listening Session on Amendments to
the International Health Regulations
(2005)
Notice of public listening
session; request for comments.
ACTION:
The listening session
will be held on Friday, March 17, 2023,
from 10 a.m. to 12 p.m., Eastern
Daylight Time.
PLACE: The session will be held
virtually, with online slide share and
dial-in information shared with
registered participants.
STATUS: This meeting is open to the
public but requires RSVP to
OGA.RSVP1@hhs.gov by Wednesday,
March 8, 2023. See RSVP section below
for details.
SUPPLEMENTARY INFORMATION:
Purpose: The U.S. Department of
Health and Human Services (HHS) is
charged with leading U.S. participation
in the Working Group on the
Amendments to the International Health
Regulations (2005) and will convene a
Stakeholder Listening Session.
The World Health Assembly (WHA)
originally adopted the International
Health Regulations (IHR) in 1969. The
regulations were amended multiple
times, resulting in the current IHR
(2005). The purpose of IHR (2005) is to
prevent, protect against, control, and
provide public health response to the
international spread of disease. In May
2021, Member States set up a Working
Group on Strengthening WHO
Preparedness and Response to Health
Emergencies (WGPR) with the intent of
strengthening WHO’s capacities and
ability to support Member States in the
prevention and response of public
health emergencies. The WGPR
produced a report with key findings and
recommendations that included
amending the IHR. The United States
submitted a package of targeted
amendments to the IHR for
consideration. These amendments seek
to improve early warnings and alerts,
transparency, and accountability in a
manner that does not compromise
national security or sovereignty. Other
countries have also submitted proposals
that the United States seek feedback
from stakeholders on the proposed
amendments. The Stakeholder Listening
Session is designed to seek input from
stakeholders and subject-matter experts
on these proposals and to help inform
and prepare the U.S. government for
engagement with the Working Group on
TIME AND DATE:
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12956
Federal Register / Vol. 88, No. 40 / Wednesday, March 1, 2023 / Notices
the Amendments to the International
Health Regulations (2005).
Matters to be Discussed: The listening
session will discuss potential
amendments to the IHR (2005). Topics
will include those amendments
currently under consideration by the
Working Group. An Article-by-Article
Compilation of Proposed Amendments
to the International Health Regulations
(2005) can be found here: https://
apps.who.int/gb/wgihr/pdf_files/wgihr1/
WGIHR_Compilation-en.pdf.
Participation is welcome from
stakeholder communities, including:
• Public health and advocacy groups
• State, local, and Tribal groups
• Private industry
• Minority health organizations
• Academic and scientific
organizations, etc.
RSVP: Persons seeking to attend or
speak at the listening session must
register by Wednesday, March 8, 2023.
Registrants must include their full
name and organization, if any, and
indicate whether they are registering as
a listen-only attendee or as a speaker
participant to OGA.RSVP1@hhs.gov.
Requests to participate as a speaker
must include:
1. The name of the person desiring to
participate;
2. The organization(s) that person
represents, if any;
3. Identification of the primary
amendment of interest.
Other Information: Written comments
should be emailed to OGA.RSVP1@
hhs.gov with the subject line ‘‘Written
Comment Re: Stakeholder Listening
Session 1 for the WGIHR’’ by Friday,
March 31, 2023.
We look forward to your comments on
proposed amendments to the
International Health Regulations (2005).
Dated: February 23, 2023.
Susan Kim,
Chief of Staff, Office of Global Affairs.
[FR Doc. 2023–04160 Filed 2–28–23; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
ddrumheller on DSK120RN23PROD with NOTICES
Indian Health Service
Preventing Alcohol-Related Deaths
Through Social Detoxification
Announcement Type: New.
Funding Announcement Number:
HHS–2023–IHS–PARD–0001.
Assistance Listing (Catalog of Federal
Domestic Assistance or CFDA) Number:
93.654.
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Key Dates
Application Deadline Date: March 31,
2023.
Earliest Anticipated Start Date: April
17, 2023.
I. Funding Opportunity Description
Statutory Authority
The Indian Health Service (IHS),
Office of Clinical and Preventive
Services, Division of Behavioral Health
(DBH) is accepting applications for
cooperative agreements for the
Preventing Alcohol-Related Deaths
(PARD) through Detoxification. This
program is authorized under the Snyder
Act, 25 U.S.C. 13; Consolidated
Appropriations Act, 2023, Public Law
117–328, 136 Stat. 4459 (2022); and the
Transfer Act, 42 U.S.C. 2001(a). This
program is described in the Assistance
Listings located at https://sam.gov/
content/home (formerly known as the
CFDA) under 93.654.
Background
According to the Centers for Disease
Control and Prevention (CDC) mortality
data (Centers for Disease Control and
Prevention, National Center for Health
Statistics. National Vital Statistics
System, Mortality 1999–2020 on CDC
WONDER Online Database, released in
2021), alcohol related deaths among
American Indian and Alaska Native (AI/
AN) persons is a significant and
persistent tragic outcome in the US.
From 2016 to 2020, the crude rates for
alcohol-related deaths was 51.9 (per
100,000) for AI/AN persons, nearly five
times higher than non-AI/AN persons
(11.7 per 100,000). The geography of
these deaths is telling, as 48% were in
a cluster across Arizona and New
Mexico. Twenty of those counties have
death rates over the 51.9 national rate.
The highest rates were within McKinley
County, with a 147.7 crude death rate
for AI/AN persons—nearly 13 times
higher than the rate for non-AI/AN,
nationally. In the most recent PARD
grant program (2017–2022, https://
www.gpo.gov/fdsys/pkg/FR-2017-08-14/
pdf/2017-17102.pdf), the estimated
alcohol-related crude death rates in the
proximities of the previous project sites
(https://www.ihs.gov/sites/asap/themes/
responsive2017/display_objects/
documents/pardaward
sbystate2017.pdf), McKinley County,
New Mexico (Gallup City project) and
Oglala Lakota County, South Dakota
(formerly Shannon County), remain
notably high. With this opportunity, in
coordination with the PARD awardee,
IHS will address increasing the clinical
capacity of services offered between the
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awardee and local continuum of
services.
Purpose
The purpose of this program is to
increase access to community-based
prevention strategies that provide social
detoxification, evaluation, stabilization,
fostering patient readiness for and entry
into treatment for alcohol use, and other
substance use disorders In alignment
with the IHS 2019–2023 Strategic Plan
Goal 1: To ensure that comprehensive,
culturally appropriate personal and
public health services are available and
accessible to AI/AN people, the PARD
project is designed to provide
communities the ability to reduce
alcohol-related mortality and encourage
clients to seek additional alcohol and/or
substance use disorder treatment after
discharge from a detoxification program.
IHS will use this funding to focus on
the provision of services in Tribal and
Urban Indian communities with the
highest burden of alcohol-related deaths
among AI/AN persons. IHS analyzed the
national rates of causes of deaths using
the CDC data (Centers for Disease
Control and Prevention, National Center
for Health Statistics. National Vital
Statistics System, Mortality 1999–2020
on CDC WONDER Online Database,
released in 2021), and determined that
McKinley County, New Mexico (with
the largest city of Gallup), continues to
have the highest burden of alcoholrelated deaths among AI/AN persons.
Additionally, the 2017 Senate
Appropriations Committee Report 114–
281 expressed the Committee’s
expectation that IHS address alcohol
and substance abuse through Federal,
State, local, and tribal partners, calling
for a sustainable model for life-saving
community services, with specific
attention on the capabilities of the
Na’Nizhoozhi Center in Gallup, New
Mexico.
A consensus among clinical and
subject matter experts understand
detoxification does not provide the full
spectrum of alcohol and/or substance
use disorder treatment but can serve as
a pathway to seeking treatment and as
a component in the continuum of
services for alcohol and substance use
disorders (Substance Abuse and Mental
Health Services Administration
(SAMHSA) Treatment Improvement
Protocol (TIP) 45 (https://
www.samhsa.gov/resource/ebp/tip-45detoxification-substance-abusetreatment).
Required Activities
The PARD program requires
applicants to review the Substance
Abuse and Mental Health Services
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Agencies
[Federal Register Volume 88, Number 40 (Wednesday, March 1, 2023)]
[Notices]
[Pages 12955-12956]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-04160]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of Global Affairs: Stakeholder Listening Session on
Amendments to the International Health Regulations (2005)
ACTION: Notice of public listening session; request for comments.
-----------------------------------------------------------------------
Time and Date: The listening session will be held on Friday, March 17,
2023, from 10 a.m. to 12 p.m., Eastern Daylight Time.
Place: The session will be held virtually, with online slide share and
dial-in information shared with registered participants.
Status: This meeting is open to the public but requires RSVP to
[email protected] by Wednesday, March 8, 2023. See RSVP section below
for details.
SUPPLEMENTARY INFORMATION:
Purpose: The U.S. Department of Health and Human Services (HHS) is
charged with leading U.S. participation in the Working Group on the
Amendments to the International Health Regulations (2005) and will
convene a Stakeholder Listening Session.
The World Health Assembly (WHA) originally adopted the
International Health Regulations (IHR) in 1969. The regulations were
amended multiple times, resulting in the current IHR (2005). The
purpose of IHR (2005) is to prevent, protect against, control, and
provide public health response to the international spread of disease.
In May 2021, Member States set up a Working Group on Strengthening WHO
Preparedness and Response to Health Emergencies (WGPR) with the intent
of strengthening WHO's capacities and ability to support Member States
in the prevention and response of public health emergencies. The WGPR
produced a report with key findings and recommendations that included
amending the IHR. The United States submitted a package of targeted
amendments to the IHR for consideration. These amendments seek to
improve early warnings and alerts, transparency, and accountability in
a manner that does not compromise national security or sovereignty.
Other countries have also submitted proposals that the United States
seek feedback from stakeholders on the proposed amendments. The
Stakeholder Listening Session is designed to seek input from
stakeholders and subject-matter experts on these proposals and to help
inform and prepare the U.S. government for engagement with the Working
Group on
[[Page 12956]]
the Amendments to the International Health Regulations (2005).
Matters to be Discussed: The listening session will discuss
potential amendments to the IHR (2005). Topics will include those
amendments currently under consideration by the Working Group. An
Article-by-Article Compilation of Proposed Amendments to the
International Health Regulations (2005) can be found here: https://apps.who.int/gb/wgihr/pdf_files/wgihr1/WGIHR_Compilation-en.pdf.
Participation is welcome from stakeholder communities, including:
Public health and advocacy groups
State, local, and Tribal groups
Private industry
Minority health organizations
Academic and scientific organizations, etc.
RSVP: Persons seeking to attend or speak at the listening session
must register by Wednesday, March 8, 2023.
Registrants must include their full name and organization, if any,
and indicate whether they are registering as a listen-only attendee or
as a speaker participant to [email protected].
Requests to participate as a speaker must include:
1. The name of the person desiring to participate;
2. The organization(s) that person represents, if any;
3. Identification of the primary amendment of interest.
Other Information: Written comments should be emailed to
[email protected] with the subject line ``Written Comment Re:
Stakeholder Listening Session 1 for the WGIHR'' by Friday, March 31,
2023.
We look forward to your comments on proposed amendments to the
International Health Regulations (2005).
Dated: February 23, 2023.
Susan Kim,
Chief of Staff, Office of Global Affairs.
[FR Doc. 2023-04160 Filed 2-28-23; 8:45 am]
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