Lists of Designated Primary Medical Care, Mental Health, and Dental Health Professional Shortage Areas, 42725-42726 [2023-14092]
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Federal Register / Vol. 88, No. 126 / Monday, July 3, 2023 / Notices
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Dated: June 27, 2023.
Lauren K. Roth,
Associate Commissioner for Policy.
[FR Doc. 2023–14037 Filed 6–30–23; 8:45 am]
BILLING CODE 4164–01–P
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17:10 Jun 30, 2023
Jkt 259001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Lists of Designated Primary Medical
Care, Mental Health, and Dental Health
Professional Shortage Areas
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services (HHS).
ACTION: Notice.
AGENCY:
This is the first of two notices
planned for the coming months
informing the public of the availability
of the complete lists of all geographic
areas, population groups, and facilities
designated as primary medical care,
dental health, and mental health
professional shortage areas (HPSAs).
This notice includes the lists of HPSAs
in a designated status as of April 28,
2023. The lists are available on the
shortage area topic page on HRSA’s
data.hrsa.gov website and includes
HPSAs which are proposed for
withdrawal but currently remain
designated. HRSA is extending the
transition time communicated in the
notice published on July 7, 2022, for
jurisdictions and facilities to prepare for
potential loss of HPSA designations.
HPSA designations that are currently
proposed for withdrawal will remain in
this status until they are re-evaluated in
preparation for the publication of the
January 2, 2024, HPSA Federal Register
notice. If these HPSAs do not meet the
requirements for designation by the data
pull scheduled for November 15, 2023,
they will be withdrawn with the
publication of a second Federal Register
notice planned for January 2, 2024.
ADDRESSES: Complete lists of HPSAs
designated as of April 28, 2023, are
available on the website at https://
data.hrsa.gov/tools/health-workforce/
shortage-areas/frn. Frequently updated
information on HPSAs is available at
https://data.hrsa.gov/topics/healthworkforce/health-workforce-shortageareas. Information on shortage
designations is available at https://
bhw.hrsa.gov/workforce-shortage-areas/
shortage-designation.
FOR FURTHER INFORMATION CONTACT: For
further information on the HPSA
designations listed on the website or to
request additional designation,
withdrawal, or reapplication for
designation, please contact Anthony
Estelle, Chief, Shortage Designation
Branch, Division of Policy and Shortage
Designation, Bureau of Health
Workforce (BHW), HRSA, 5600 Fishers
Lane, Room 11W16, Rockville,
SUMMARY:
PO 00000
Frm 00048
Fmt 4703
Sfmt 4703
42725
Maryland 20857, sdb@hrsa.gov or (301)
945–0942.
SUPPLEMENTARY INFORMATION:
Background
Section 332 of the Public Health
Service (PHS) Act, 42 U.S.C. 254e,
provides that the Secretary shall
designate HPSAs based on criteria
established by regulation. HPSAs are
defined in section 332 to include (1)
urban and rural geographic areas with
shortages of health professionals, (2)
population groups with such shortages,
and (3) facilities with such shortages.
Section 332 further requires that the
Secretary annually publish lists of the
designated geographic areas, population
groups, and facilities. This notice meets
that requirement. The lists of HPSAs are
to be reviewed at least annually and
revised as necessary.
Final regulations (42 CFR part 5) were
published in 1980 that include the
criteria for designating HPSAs. Criteria
were defined for seven health
professional types: primary medical
care, dental, psychiatric, vision care,
podiatric, pharmacy, and veterinary
care. The criteria for correctional facility
HPSAs were revised and published on
March 2, 1989 (54 FR 8735). The criteria
for psychiatric HPSAs were expanded to
mental health HPSAs on January 22,
1992 (57 FR 2473). Currently funded
PHS Act programs use only the primary
medical care, mental health, or dental
HPSA or relevant sub-score designations
such as Maternity Care Target Areas.
HPSA designation offers access to
potential Federal assistance. Public or
private nonprofit entities are eligible to
apply for assignment of National Health
Service Corps personnel to provide
primary medical care, mental health, or
dental health services in or to these
HPSAs. National Health Service Corps
health professionals enter into service
agreements to serve in federally
designated HPSAs. Entities with clinical
training sites located in HPSAs are
eligible to receive priority for certain
residency training program grants
administered by HRSA’s BHW. Other
Federal programs also utilize HPSA
designations. For example, under
authorities administered by the Centers
for Medicare & Medicaid Services,
certain qualified providers in
geographic area HPSAs are eligible for
increased levels of Medicare
reimbursement.
Content and Format of Lists
The three lists of designated HPSAs
are available on the HRSA Data
Warehouse shortage area topic web page
and include a snapshot of all geographic
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03JYN1
42726
Federal Register / Vol. 88, No. 126 / Monday, July 3, 2023 / Notices
lotter on DSK11XQN23PROD with NOTICES1
areas, population groups, and facilities
that were designated HPSAs as of April
28, 2023. This notice incorporates the
most recent annual reviews of
designated HPSAs (including those that
have been proposed for withdrawal but
have not yet been withdrawn) which
can be located on HRSA’s data.hrsa.gov
website and supersedes the HPSA lists
published in the Federal Register on
July 7, 2022, (87 FR 40540–40451).
In addition, all Indian Tribes that
meet the definition of such Tribes in the
Indian Health Care Improvement Act of
1976, 25 U.S.C. 1603, are automatically
designated as population groups with
primary medical care and dental health
professional shortages. Further, the
Health Care Safety Net Amendments of
2002 provides eligibility for automatic
facility HPSA designations for all
federally qualified health centers
(FQHCs) and rural health clinics that
offer services regardless of ability to
pay. Specifically, these entities include
FQHCs funded under section 330 of the
PHS Act, FQHC Look-Alikes, and Tribal
and urban Indian clinics operating
under the Indian Self-Determination
and Education Act of 1975 (25 U.S.C.
450) or the Indian Health Care
Improvement Act. Many, but not all, of
these entities are included on this
listing. Since they are automatically
designated by statute, absence from this
list does not exclude them from HPSA
designation; facilities eligible for
automatic designation are included in
the database when they are identified.
Each list of designated HPSAs is
arranged by state. Within each state, the
list is presented by county. If only a
portion (or portions) of a county is (are)
designated, a county is part of a larger
designated service area, or a population
group residing in a county or a facility
located in the county has been
designated, the name of the service area,
population group, or facility involved is
listed under the county name. A county
that has a whole county geographic or
population group HPSA is indicated by
the phrase ‘‘County’’ following the
county name.
Development of the Designation and
Withdrawal Lists
Requests for designation or
withdrawal of a particular geographic
area, population group, or facility as a
HPSA are received continuously by
BHW. Under a Cooperative Agreement
between HRSA and the 54 state and
territorial Primary Care Offices (PCOs),
PCOs conduct needs assessments and
submit applications to HRSA to
designate HPSAs. BHW also receives
other requests for designation from
other sources and refers them to PCOs
VerDate Sep<11>2014
17:10 Jun 30, 2023
Jkt 259001
for review. As part of the HPSA
designation process, interested parties,
including Governors, state Primary Care
Associations, and state professional
associations, are notified of requests so
that they may submit their comments
and recommendations.
BHW reviews each recommendation
for possible addition, continuation,
revision, or withdrawal. Following
review, BHW notifies the appropriate
agency, individuals, and interested
organizations of each designation of a
HPSA, rejection of recommendation for
HPSA designation, revision of a HPSA
designation, and/or advance notice of
pending withdrawals from the HPSA
list. Designations (or revisions of
designations) are effective as of the date
on the notification from BHW and are
updated daily on the HRSA Data
Warehouse website. While this list is a
snapshot of HPSAs at a point in time,
HPSA designations are regularly being
updated so the best source of current
designation status is the HRSA Data
Warehouse website at (https://
data.hrsa.gov/tools/shortage-area).
State and territorial PCOs will have
additional time to update their HPSA
designations. HPSA designations that
are currently proposed for withdrawal
will remain in this status until they are
re-evaluated in mid-November in
preparation for the publication of the
January 2, 2024, HPSA Federal Register
notice. If these HPSAs do not meet the
requirements for designation as of
November 15, 2023, they will be
withdrawn with the publication of a
second Federal Register notice planned
for January 2, 2024.
Carole Johnson,
Administrator.
[FR Doc. 2023–14092 Filed 6–30–23; 8:45 am]
BILLING CODE 4165–15–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Health Service
Request for Public Comment: 60-Day
Information Collection: Indian Health
Service Forms To Implement the
Privacy Rule
Indian Health Service,
Department of Health and Human
Services.
ACTION: Notice and request for
comments. Request for extension of
approval.
AGENCY:
In compliance with the
Paperwork Reduction Act of 1995, the
Indian Health Service (IHS) invites the
general public to comment on the
SUMMARY:
PO 00000
Frm 00049
Fmt 4703
Sfmt 4703
information collection titled, ‘‘IHS
Forms to Implement the Privacy Rule’’
Office of Management and Budget
(OMB) Control Number 0917–0030. This
previously approved information
collection project was last published in
the Federal Register (84 FR 42935) on
August 19, 2019, and allowed 30 days
for public comment. No public
comment was received in response to
the notice. This notice announces the
IHS’s intent to submit the collection,
which expires August 31, 2023, to OMB
for approval of an extension with
modifications, and to solicit comments
on specific aspects of the information
collection.
DATES: September 1, 2023. Your
comments regarding this information
collection are best assured of having full
effect if received within 60 days of the
date of this publication.
ADDRESSES: Send your written
comments, requests for more
information on the collection, or
requests to obtain a copy of the data
collection instrument and instructions
to Heather McClane, Privacy Officer, by
email at: Heather.McClane@ihs.gov or
telephone at (240) 479–8521.
FOR FURTHER INFORMATION CONTACT: To
request additional information, please
contact Evonne Bennett, Information
Collection Clearance Officer by email at:
Evonne.Bennett@ihs.gov or telephone at
(240) 472–1996.
SUPPLEMENTARY INFORMATION: The
purpose of this notice is to allow 60
days for public comment to be
submitted to the IHS. A copy of the
supporting statement is available at
www.regulations.gov (see Docket ID
IHS_FRDOC_0001).
Title of Collection: 0917–0030, IHS
Forms to Implement the Privacy Rule
(45 CFR parts 160 and 164). Type of
Information Collection Request:
Extension of the currently approved
information collection, with
modifications 0917–0030, IHS Forms to
Implement the Privacy Rule (45 CFR
parts 160 and 164). Form(s): IHS–810,
IHS–912–1, IHS–912–2, IHS–913, IHS–
917, IHS–XXX, and IHS–963. Need and
Use of Information Collection: This
collection of information is made
necessary by the Department of Health
and Human Services Rule entitled
‘‘Standards for Privacy of Individually
Identifiable Health Information’’
(Privacy Rule) (45 CFR parts 160 and
164). The Privacy Rule implements the
privacy requirements of the
Administrative Simplification subtitle
of the Health Insurance Portability and
Accountability Act (HIPAA) of 1996,
creates national standards to protect an
individual’s personal health
E:\FR\FM\03JYN1.SGM
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]]>Agencies
[Federal Register Volume 88, Number 126 (Monday, July 3, 2023)]
[Notices]
[Pages 42725-42726]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-14092]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Lists of Designated Primary Medical Care, Mental Health, and
Dental Health Professional Shortage Areas
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services (HHS).
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This is the first of two notices planned for the coming months
informing the public of the availability of the complete lists of all
geographic areas, population groups, and facilities designated as
primary medical care, dental health, and mental health professional
shortage areas (HPSAs). This notice includes the lists of HPSAs in a
designated status as of April 28, 2023. The lists are available on the
shortage area topic page on HRSA's data.hrsa.gov website and includes
HPSAs which are proposed for withdrawal but currently remain
designated. HRSA is extending the transition time communicated in the
notice published on July 7, 2022, for jurisdictions and facilities to
prepare for potential loss of HPSA designations. HPSA designations that
are currently proposed for withdrawal will remain in this status until
they are re-evaluated in preparation for the publication of the January
2, 2024, HPSA Federal Register notice. If these HPSAs do not meet the
requirements for designation by the data pull scheduled for November
15, 2023, they will be withdrawn with the publication of a second
Federal Register notice planned for January 2, 2024.
ADDRESSES: Complete lists of HPSAs designated as of April 28, 2023, are
available on the website at https://data.hrsa.gov/tools/health-workforce/shortage-areas/frn. Frequently updated information on HPSAs
is available at https://data.hrsa.gov/topics/health-workforce/health-workforce-shortage-areas. Information on shortage designations is
available at https://bhw.hrsa.gov/workforce-shortage-areas/shortage-designation.
FOR FURTHER INFORMATION CONTACT: For further information on the HPSA
designations listed on the website or to request additional
designation, withdrawal, or reapplication for designation, please
contact Anthony Estelle, Chief, Shortage Designation Branch, Division
of Policy and Shortage Designation, Bureau of Health Workforce (BHW),
HRSA, 5600 Fishers Lane, Room 11W16, Rockville, Maryland 20857,
[email protected] or (301) 945-0942.
SUPPLEMENTARY INFORMATION:
Background
Section 332 of the Public Health Service (PHS) Act, 42 U.S.C. 254e,
provides that the Secretary shall designate HPSAs based on criteria
established by regulation. HPSAs are defined in section 332 to include
(1) urban and rural geographic areas with shortages of health
professionals, (2) population groups with such shortages, and (3)
facilities with such shortages. Section 332 further requires that the
Secretary annually publish lists of the designated geographic areas,
population groups, and facilities. This notice meets that requirement.
The lists of HPSAs are to be reviewed at least annually and revised as
necessary.
Final regulations (42 CFR part 5) were published in 1980 that
include the criteria for designating HPSAs. Criteria were defined for
seven health professional types: primary medical care, dental,
psychiatric, vision care, podiatric, pharmacy, and veterinary care. The
criteria for correctional facility HPSAs were revised and published on
March 2, 1989 (54 FR 8735). The criteria for psychiatric HPSAs were
expanded to mental health HPSAs on January 22, 1992 (57 FR 2473).
Currently funded PHS Act programs use only the primary medical care,
mental health, or dental HPSA or relevant sub-score designations such
as Maternity Care Target Areas.
HPSA designation offers access to potential Federal assistance.
Public or private nonprofit entities are eligible to apply for
assignment of National Health Service Corps personnel to provide
primary medical care, mental health, or dental health services in or to
these HPSAs. National Health Service Corps health professionals enter
into service agreements to serve in federally designated HPSAs.
Entities with clinical training sites located in HPSAs are eligible to
receive priority for certain residency training program grants
administered by HRSA's BHW. Other Federal programs also utilize HPSA
designations. For example, under authorities administered by the
Centers for Medicare & Medicaid Services, certain qualified providers
in geographic area HPSAs are eligible for increased levels of Medicare
reimbursement.
Content and Format of Lists
The three lists of designated HPSAs are available on the HRSA Data
Warehouse shortage area topic web page and include a snapshot of all
geographic
[[Page 42726]]
areas, population groups, and facilities that were designated HPSAs as
of April 28, 2023. This notice incorporates the most recent annual
reviews of designated HPSAs (including those that have been proposed
for withdrawal but have not yet been withdrawn) which can be located on
HRSA's data.hrsa.gov website and supersedes the HPSA lists published in
the Federal Register on July 7, 2022, (87 FR 40540-40451).
In addition, all Indian Tribes that meet the definition of such
Tribes in the Indian Health Care Improvement Act of 1976, 25 U.S.C.
1603, are automatically designated as population groups with primary
medical care and dental health professional shortages. Further, the
Health Care Safety Net Amendments of 2002 provides eligibility for
automatic facility HPSA designations for all federally qualified health
centers (FQHCs) and rural health clinics that offer services regardless
of ability to pay. Specifically, these entities include FQHCs funded
under section 330 of the PHS Act, FQHC Look-Alikes, and Tribal and
urban Indian clinics operating under the Indian Self-Determination and
Education Act of 1975 (25 U.S.C. 450) or the Indian Health Care
Improvement Act. Many, but not all, of these entities are included on
this listing. Since they are automatically designated by statute,
absence from this list does not exclude them from HPSA designation;
facilities eligible for automatic designation are included in the
database when they are identified.
Each list of designated HPSAs is arranged by state. Within each
state, the list is presented by county. If only a portion (or portions)
of a county is (are) designated, a county is part of a larger
designated service area, or a population group residing in a county or
a facility located in the county has been designated, the name of the
service area, population group, or facility involved is listed under
the county name. A county that has a whole county geographic or
population group HPSA is indicated by the phrase ``County'' following
the county name.
Development of the Designation and Withdrawal Lists
Requests for designation or withdrawal of a particular geographic
area, population group, or facility as a HPSA are received continuously
by BHW. Under a Cooperative Agreement between HRSA and the 54 state and
territorial Primary Care Offices (PCOs), PCOs conduct needs assessments
and submit applications to HRSA to designate HPSAs. BHW also receives
other requests for designation from other sources and refers them to
PCOs for review. As part of the HPSA designation process, interested
parties, including Governors, state Primary Care Associations, and
state professional associations, are notified of requests so that they
may submit their comments and recommendations.
BHW reviews each recommendation for possible addition,
continuation, revision, or withdrawal. Following review, BHW notifies
the appropriate agency, individuals, and interested organizations of
each designation of a HPSA, rejection of recommendation for HPSA
designation, revision of a HPSA designation, and/or advance notice of
pending withdrawals from the HPSA list. Designations (or revisions of
designations) are effective as of the date on the notification from BHW
and are updated daily on the HRSA Data Warehouse website. While this
list is a snapshot of HPSAs at a point in time, HPSA designations are
regularly being updated so the best source of current designation
status is the HRSA Data Warehouse website at (https://data.hrsa.gov/tools/shortage-area).
State and territorial PCOs will have additional time to update
their HPSA designations. HPSA designations that are currently proposed
for withdrawal will remain in this status until they are re-evaluated
in mid-November in preparation for the publication of the January 2,
2024, HPSA Federal Register notice. If these HPSAs do not meet the
requirements for designation as of November 15, 2023, they will be
withdrawn with the publication of a second Federal Register notice
planned for January 2, 2024.
Carole Johnson,
Administrator.
[FR Doc. 2023-14092 Filed 6-30-23; 8:45 am]
BILLING CODE 4165-15-P
