Notice of Purchased/Referred Care Delivery Area Redesignation for the Confederated Tribes of Grand Ronde in the State of Oregon, 52185-52186 [2023-16843]
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Federal Register / Vol. 88, No. 150 / Monday, August 7, 2023 / Notices
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ddrumheller on DSK120RN23PROD with NOTICES1
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VerDate Sep<11>2014
18:58 Aug 04, 2023
Jkt 259001
Dated: August 2, 2023.
Lauren K. Roth,
Associate Commissioner for Policy.
[FR Doc. 2023–16814 Filed 8–4–23; 8:45 am]
BILLING CODE 4164–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Health Service
Notice of Purchased/Referred Care
Delivery Area Redesignation for the
Confederated Tribes of Grand Ronde
in the State of Oregon
Indian Health Service, HHS.
Notice.
AGENCY:
ACTION:
This Notice advises the public
that the Indian Health Service (IHS)
proposes to expand the geographic
boundaries of the Purchased/Referred
Care Delivery Area (PRCDA) for the
Confederated Tribes of Grand Ronde
(CTGR) in the State of Oregon to include
the county of Clackamas in the State of
Oregon. The current PRCDA for the
CTGR includes the Oregon counties of
Washington, Polk, Yamhill, Marion,
Multnomah, and Tillamook. The CTGR
members residing outside of the PRCDA
are eligible for direct care services,
however, they are not eligible for
Purchased/Referred Care (PRC) services.
The sole purpose of this expansion
would be to authorize additional CTGR
members and beneficiaries to receive
PRC services.
DATES: Comments must be submitted
September 6, 2023.
ADDRESSES: Because of staff and
resource limitations, we cannot accept
comments by facsimile (FAX)
transmission. You may submit
comments in one of four ways (please
choose only one of the ways listed):
1. Electronically. You may submit
electronic comments on this regulation
to https://www.regulations.gov. Follow
the ‘‘Submit a Comment’’ instructions.
2. By regular mail. You may mail
written comments to the following
address ONLY: Carl Mitchell, Director,
Division of Regulatory and Policy
Coordination, Indian Health Service,
5600 Fishers Lane, Mail Stop: 09E70,
Rockville, Maryland 20857.
Please allow sufficient time for mailed
comments to be received before the
close of the comment period.
3. By express or overnight mail. You
may send written comments to the
above address.
4. By hand or courier. If you prefer,
you may deliver (by hand or courier)
your written comments before the close
SUMMARY:
PO 00000
Frm 00078
Fmt 4703
Sfmt 4703
52185
of the comment period to the address
above.
If you intend to deliver your
comments to the Rockville address,
please call telephone number (301) 443–
1116 in advance to schedule your
arrival with a staff member.
FOR FURTHER INFORMATION CONTACT:
CAPT John Rael, Director, Office of
Resource Access and Partnerships,
Indian Health Service, 5600 Fishers
Lane, Mail Stop: 10E85C, Rockville,
Maryland 20857. Telephone (301) 443–
0969 (This is not a toll-free number).
SUPPLEMENTARY INFORMATION:
Inspection of Public Comments: All
comments received before the close of
the comment period are available for
viewing by the public, including any
personally identifiable or confidential
business information that is included in
a comment.
Background: The IHS provides
services under regulations in effect as of
September 15, 1987, and republished at
42 CFR part 136, subparts A–C. Subpart
C defines a Contract Health Service
Delivery Area (CHSDA), now referred to
as a PRCDA, as the geographic area
within which PRC will be made
available by the IHS to members of an
identified Indian community who reside
in the PRCDA. Residence within a
PRCDA by a person who is within the
scope of the Indian health program, as
set forth in 42 CFR 136.12, creates no
legal entitlement to PRC, but only
potential eligibility for services.
Services needed, but not available at an
IHS/Tribal facility, are provided under
the PRC program depending on the
availability of funds, the person’s
relative medical priority, and the actual
availability and accessibility of alternate
resources in accordance with the
regulations.
The regulations at 42 CFR part 136,
subpart C provide that, unless otherwise
designated, a PRCDA shall consist of a
county which includes all or part of a
reservation and any county or counties
which have a common boundary with
the reservation, 42 CFR 136.22(a)(6).
The regulations also provide that after
consultation with the Tribal governing
body or bodies on those reservations
included within the PRCDA, the
Secretary may from time to time,
redesignate areas within the United
States for inclusion in or exclusion from
a PRCDA, 42 CFR 136.22(b). The
regulations require that certain criteria
must be considered before any
redesignation is made. The criteria are
as follows:
(1) The number of Indians residing in
the area proposed to be so included or
excluded;
E:\FR\FM\07AUN1.SGM
07AUN1
ddrumheller on DSK120RN23PROD with NOTICES1
52186
Federal Register / Vol. 88, No. 150 / Monday, August 7, 2023 / Notices
(2) Whether the Tribal governing body
has determined that Indians residing in
the area near the reservation are socially
and economically affiliated with the
Tribe;
(3) The geographic proximity to the
reservation of the area whose inclusion
or exclusion is being considered; and
(4) The level of funding which would
be available for the provision of PRC.
Additionally, the regulations require
that any redesignation of a PRCDA must
be made in accordance with the
procedures of the Administrative
Procedure Act (5 U.S.C. 553), 42 CFR
136.22 (c). In compliance with this
requirement, the IHS is publishing this
Notice and requesting public comments.
The CTGR is located in Grand Ronde,
Oregon, which is located in Western
Oregon where it has an 11,500-acre
reservation in Yamhill County. The
Tribe has requested to add Clackamas
County to their PRCDA which is
currently comprised of Washington,
Polk, Yamhill, Marion, Multnomah, and
Tillamook Counties in Oregon.
Multnomah and Marion Counties are
contiguous to the requested expansion
into Clackamas County, and part of
ceded lands from the Willamette Valley
Treaty.
The CTGR’s PRC Program is operated
under a long standing Title V
agreement. The Portland Area IHS
estimates there are currently 179 Tribal
members who live within Clackamas
County and would become PRC eligible
through this proposed expansion. The
Tribe states that many of these members
routinely travel to Portland, or to the
Tribal facilities in Grand Ronde, to seek
care as they are not currently eligible for
PRC. They are also active members of
the community and routinely
participate in Tribal elections, General
Council meetings, and Tribal events.
The Tribe would like to recognize them
as eligible for PRC. Accordingly, the IHS
proposes to expand the PRCDA of the
CTGR to include the Oregon county of
Clackamas.
Under 42 CFR 136.23, those otherwise
eligible Indians who do not reside on a
reservation, but reside within a PRCDA,
must be either members of the Tribe or
other IHS beneficiaries who maintain
close economic and social ties with the
Tribe. In this case, applying the
aforementioned PRCDA redesignation
criteria required by operative
regulations codified at 42 CFR part 136,
subpart C, the following findings are
made:
1. By expanding the PRCDA to
include Clackamas County, the CTGR’s
eligible population will be increased by
an estimated 179 Tribal members
residing in Clackamas County.
VerDate Sep<11>2014
18:58 Aug 04, 2023
Jkt 259001
2. The IHS finds that the Tribal
members within the expanded PRCDA
are socially and economically affiliated
with CTGR based on a letter from the
CTGR, dated May 19, 2021, which noted
that the CTGR members residing in
Clackamas County are active members
of the community and routinely
participate in Tribal elections, General
Council meetings, and Tribal events.
3. Clackamas County in the State of
Oregon is ‘‘on or near’’ the reservation,
as it maintains a common boundary
with the current PRCDA consisting of
the counties of Washington, Polk,
Yamhill, Marion, Multnomah, and
Tillamook in the State of Oregon.
4. The CTGR administers the PRC
program and will use its existing
Federal allocation for PRC, along with
Tribal resources, to provide services to
the expanded population. The Tribe
acknowledged that no additional
financial resources will be allocated by
the IHS to the Portland Area IHS to
provide services to CTGR members
residing in Clackamas County in the
State of Oregon.
This Notice does not contain
reporting or recordkeeping requirements
subject to prior approval by the Office
of Management and Budget under the
Paperwork Reduction Act of 1995.
Roselyn Tso,
Director, Indian Health Service.
[FR Doc. 2023–16843 Filed 8–4–23; 8:45 am]
BILLING CODE 4165–16–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Health Service
Request for Public Comment: 30-Day
Information Collection: Indian SelfDetermination and Education
Assistance Act Contracts
Indian Health Service, HHS.
Notice and request for
comments; request for extension of
approval.
AGENCY:
ACTION:
In compliance with the
Paperwork Reduction Act of 1995, the
Indian Health Service (IHS) invites the
general public to comment on the
information collection titled, ‘‘Indian
Self-Determination and Education
Assistance Act Contracts,’’ Office of
Management and Budget (OMB) Control
Number 0917–0037. The IHS is
requesting OMB to approve an
extension for this collection, which
expires on August 31, 2023.
DATES:
Comment Due Date: September 6,
2023. Your comments regarding this
SUMMARY:
PO 00000
Frm 00079
Fmt 4703
Sfmt 4703
information collection are best assured
of having full effect if received within
30 days of the date of this publication.
ADDRESSES:
Direct Your Comments to OMB: Send
your comments and suggestions
regarding the proposed information
collection contained in this notice,
especially regarding the estimated
public burden and associated response
time to: Office of Management and
Budget, Office of Regulatory Affairs,
New Executive Office Building, Room
10235, Washington, DC 20503,
Attention: Desk Officer for IHS.
FOR FURTHER INFORMATION CONTACT: To
request additional information, please
contact Evonne Bennett, Information
Collection Clearance Officer at:
Evonne.Bennett@ihs.gov or 240–472–
1996.
This
notice announces our intent to seek an
extension of the collection already
approved by OMB, and to solicit
comments on specific aspects of the
information collection. There were two
public comments received in response
to the notice. The purpose of this notice
is to allow 30 days for public comment
to be submitted to OMB. A copy of the
supporting statement is available at
www.regulations.gov (see Docket ID
IHS–2023–0001).
Comments: Both comments did not
pertain to the collection, or the IHS.
Response to Comment: The Agency
does not have a response to the
comments.
Information Collection Title: Indian
Self-Determination and Education
Assistance Act Contracts, 25 CFR part
900, 0917–0037.
Type of Information Collection
Request: Extension of currently
approved collection.
Form Numbers: 0917–0037.
Need and Use of Information
Collection: In 1975, Congress enacted
the Indian Self-Determination and
Education Assistance Act (ISDEAA) to
authorize Tribes and Tribal
organizations (T/TO) to assume control
of certain Federal programs, e.g., health
care programs that certain Federal
agencies would otherwise provide to
American Indians and Alaska Natives.
The T/TO that intend to establish a
new or expanded Title I selfdetermination contract with the IHS are
required to provide proposal
information identified at 25 CFR 900.8,
which describes what a contract
proposal must contain. This information
is used by the IHS to determine
applicant eligibility, evaluate applicant
capabilities, protect the service
SUPPLEMENTARY INFORMATION:
E:\FR\FM\07AUN1.SGM
07AUN1
]]>Agencies
[Federal Register Volume 88, Number 150 (Monday, August 7, 2023)]
[Notices]
[Pages 52185-52186]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-16843]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Notice of Purchased/Referred Care Delivery Area Redesignation for
the Confederated Tribes of Grand Ronde in the State of Oregon
AGENCY: Indian Health Service, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This Notice advises the public that the Indian Health Service
(IHS) proposes to expand the geographic boundaries of the Purchased/
Referred Care Delivery Area (PRCDA) for the Confederated Tribes of
Grand Ronde (CTGR) in the State of Oregon to include the county of
Clackamas in the State of Oregon. The current PRCDA for the CTGR
includes the Oregon counties of Washington, Polk, Yamhill, Marion,
Multnomah, and Tillamook. The CTGR members residing outside of the
PRCDA are eligible for direct care services, however, they are not
eligible for Purchased/Referred Care (PRC) services. The sole purpose
of this expansion would be to authorize additional CTGR members and
beneficiaries to receive PRC services.
DATES: Comments must be submitted September 6, 2023.
ADDRESSES: Because of staff and resource limitations, we cannot accept
comments by facsimile (FAX) transmission. You may submit comments in
one of four ways (please choose only one of the ways listed):
1. Electronically. You may submit electronic comments on this
regulation to https://www.regulations.gov. Follow the ``Submit a
Comment'' instructions.
2. By regular mail. You may mail written comments to the following
address ONLY: Carl Mitchell, Director, Division of Regulatory and
Policy Coordination, Indian Health Service, 5600 Fishers Lane, Mail
Stop: 09E70, Rockville, Maryland 20857.
Please allow sufficient time for mailed comments to be received
before the close of the comment period.
3. By express or overnight mail. You may send written comments to
the above address.
4. By hand or courier. If you prefer, you may deliver (by hand or
courier) your written comments before the close of the comment period
to the address above.
If you intend to deliver your comments to the Rockville address,
please call telephone number (301) 443-1116 in advance to schedule your
arrival with a staff member.
FOR FURTHER INFORMATION CONTACT: CAPT John Rael, Director, Office of
Resource Access and Partnerships, Indian Health Service, 5600 Fishers
Lane, Mail Stop: 10E85C, Rockville, Maryland 20857. Telephone (301)
443-0969 (This is not a toll-free number).
SUPPLEMENTARY INFORMATION:
Inspection of Public Comments: All comments received before the
close of the comment period are available for viewing by the public,
including any personally identifiable or confidential business
information that is included in a comment.
Background: The IHS provides services under regulations in effect
as of September 15, 1987, and republished at 42 CFR part 136, subparts
A-C. Subpart C defines a Contract Health Service Delivery Area (CHSDA),
now referred to as a PRCDA, as the geographic area within which PRC
will be made available by the IHS to members of an identified Indian
community who reside in the PRCDA. Residence within a PRCDA by a person
who is within the scope of the Indian health program, as set forth in
42 CFR 136.12, creates no legal entitlement to PRC, but only potential
eligibility for services. Services needed, but not available at an IHS/
Tribal facility, are provided under the PRC program depending on the
availability of funds, the person's relative medical priority, and the
actual availability and accessibility of alternate resources in
accordance with the regulations.
The regulations at 42 CFR part 136, subpart C provide that, unless
otherwise designated, a PRCDA shall consist of a county which includes
all or part of a reservation and any county or counties which have a
common boundary with the reservation, 42 CFR 136.22(a)(6). The
regulations also provide that after consultation with the Tribal
governing body or bodies on those reservations included within the
PRCDA, the Secretary may from time to time, redesignate areas within
the United States for inclusion in or exclusion from a PRCDA, 42 CFR
136.22(b). The regulations require that certain criteria must be
considered before any redesignation is made. The criteria are as
follows:
(1) The number of Indians residing in the area proposed to be so
included or excluded;
[[Page 52186]]
(2) Whether the Tribal governing body has determined that Indians
residing in the area near the reservation are socially and economically
affiliated with the Tribe;
(3) The geographic proximity to the reservation of the area whose
inclusion or exclusion is being considered; and
(4) The level of funding which would be available for the provision
of PRC.
Additionally, the regulations require that any redesignation of a
PRCDA must be made in accordance with the procedures of the
Administrative Procedure Act (5 U.S.C. 553), 42 CFR 136.22 (c). In
compliance with this requirement, the IHS is publishing this Notice and
requesting public comments.
The CTGR is located in Grand Ronde, Oregon, which is located in
Western Oregon where it has an 11,500-acre reservation in Yamhill
County. The Tribe has requested to add Clackamas County to their PRCDA
which is currently comprised of Washington, Polk, Yamhill, Marion,
Multnomah, and Tillamook Counties in Oregon. Multnomah and Marion
Counties are contiguous to the requested expansion into Clackamas
County, and part of ceded lands from the Willamette Valley Treaty.
The CTGR's PRC Program is operated under a long standing Title V
agreement. The Portland Area IHS estimates there are currently 179
Tribal members who live within Clackamas County and would become PRC
eligible through this proposed expansion. The Tribe states that many of
these members routinely travel to Portland, or to the Tribal facilities
in Grand Ronde, to seek care as they are not currently eligible for
PRC. They are also active members of the community and routinely
participate in Tribal elections, General Council meetings, and Tribal
events. The Tribe would like to recognize them as eligible for PRC.
Accordingly, the IHS proposes to expand the PRCDA of the CTGR to
include the Oregon county of Clackamas.
Under 42 CFR 136.23, those otherwise eligible Indians who do not
reside on a reservation, but reside within a PRCDA, must be either
members of the Tribe or other IHS beneficiaries who maintain close
economic and social ties with the Tribe. In this case, applying the
aforementioned PRCDA redesignation criteria required by operative
regulations codified at 42 CFR part 136, subpart C, the following
findings are made:
1. By expanding the PRCDA to include Clackamas County, the CTGR's
eligible population will be increased by an estimated 179 Tribal
members residing in Clackamas County.
2. The IHS finds that the Tribal members within the expanded PRCDA
are socially and economically affiliated with CTGR based on a letter
from the CTGR, dated May 19, 2021, which noted that the CTGR members
residing in Clackamas County are active members of the community and
routinely participate in Tribal elections, General Council meetings,
and Tribal events.
3. Clackamas County in the State of Oregon is ``on or near'' the
reservation, as it maintains a common boundary with the current PRCDA
consisting of the counties of Washington, Polk, Yamhill, Marion,
Multnomah, and Tillamook in the State of Oregon.
4. The CTGR administers the PRC program and will use its existing
Federal allocation for PRC, along with Tribal resources, to provide
services to the expanded population. The Tribe acknowledged that no
additional financial resources will be allocated by the IHS to the
Portland Area IHS to provide services to CTGR members residing in
Clackamas County in the State of Oregon.
This Notice does not contain reporting or recordkeeping
requirements subject to prior approval by the Office of Management and
Budget under the Paperwork Reduction Act of 1995.
Roselyn Tso,
Director, Indian Health Service.
[FR Doc. 2023-16843 Filed 8-4-23; 8:45 am]
BILLING CODE 4165-16-P
