Notice of Purchased/Referred Care Delivery Area Redesignation for the Spokane Tribe of Indians in the State of Washington, 53899-53900 [2023-17058]
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Federal Register / Vol. 88, No. 152 / Wednesday, August 9, 2023 / Notices
agencies to foster effective independent
living programs.
Program Name: Statewide
Independent Living Councils (SILCs)
Training and Technical Assistance
Center.
Recipient: Independent Living
Research Utilization (ILRU).
Period of Performance: The award
will be issued for the current project
period of September 30, 2023 through
September 29, 2024.
Total Award Amount: $246,296 in FY
2023.
Award Type: Grant Supplement.
Statutory Authority: The statutory
authority is contained in the
Rehabilitation Act of 1973, as amended.
Basis for Award: ACL is completing a
year-long funded evaluation project
conducted by RTI that determines the
efficacy of current TA approaches used
by the Office of Independent Living
Programs. The research includes
recommendations as to what should be
included in future statements of work.
That project will end late September
2023; the findings will inform the
competition for TA providers next year.
The goal of the one-year extension
supplement is to continue to meet
statutory requirements and provide
timely, efficient, and responsive
expertise in training and technical
assistance for SILCs, while allowing
ACL to compete out the TA center for
the following year, drawing from the
results of the evaluation research. This
continued support to the SILC network
will ensure there is no lapse in TA
support and help them to improve their
outcomes, operations, and governance.
Dated: August 4, 2023.
Richard Nicholls,
Chief of Staff.
[FR Doc. 2023–17054 Filed 8–8–23; 8:45 am]
BILLING CODE 4154–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Health Service
Notice of Purchased/Referred Care
Delivery Area Redesignation for the
Spokane Tribe of Indians in the State
of Washington
Indian Health Service,
Department of Health and Human
Services.
ACTION: Notice.
lotter on DSK11XQN23PROD with NOTICES1
AGENCY:
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
SUMMARY:
VerDate Sep<11>2014
18:19 Aug 08, 2023
Jkt 259001
Spokane Tribe of the Spokane
Reservation to include the counties of
Spokane and Whitman in the State of
Washington. The current PRCDA for the
Spokane Tribe of the Spokane
Reservation includes the Washington
counties of Ferry, Lincoln, and Stevens.
Spokane Tribal 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 Spokane Tribal members and
beneficiaries to receive PRC services.
DATES: Comments must be submitted
September 8, 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:
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
PO 00000
Frm 00042
Fmt 4703
Sfmt 4703
53899
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;
(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 Spokane Tribe of the Spokane
Reservation is located in the
Northeastern part of Washington State.
The Tribe is located on an
approximately 157,000 acre reservation
that is located in Stevens, Lincoln, and
Spokane Counties.
The PRC Program is operated as a
Federal program through the Wellpinit
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09AUN1
lotter on DSK11XQN23PROD with NOTICES1
53900
Federal Register / Vol. 88, No. 152 / Wednesday, August 9, 2023 / Notices
Service Unit in Wellpinit, WA. The
Portland Area IHS estimates there are
currently 480 Tribal members who live
within Spokane and Whitman Counties
and would become PRC eligible through
this proposed expansion. The Tribe
states that Tribal members who reside in
Spokane and Whitman Counties are
socially and economically affiliated
with the Tribe through employment,
family, community, or services. The
Tribe would like to recognize them as
eligible for PRC. Accordingly, the IHS
proposes to expand the PRCDA of the
Spokane Tribe of the Spokane
Reservation to include the Washington
counties of Spokane and Whitman.
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 Spokane County and Whitman
County, the Spokane Tribe of the
Spokane Reservation’s eligible
population will be increased by an
estimated 480 tribal members.
2. The IHS finds that the Tribal
members within the expanded PRCDA
are socially and economically affiliated
with the Spokane Tribe of the Spokane
Reservation based on letters from the
Tribe, dated May 31, 2022 and August
8, 2022, which noted that the Spokane
Tribal Council had determined that
tribal members residing in Spokane and
Whitman counties are socially and
economically affiliated with the Tribe.
3. Spokane and Whitman counties in
the State of Washington are ‘‘on or near’’
the reservation, as they maintain a
common boundary with the current
PRCDA consisting of the counties of
Ferry, Lincoln, and Stevens in the State
of Washington. In addition to this,
Spokane County includes a recent
addition to the Spokane reservation (see
83 FR 18860), and Whitman County
includes the Tribe’s aboriginal territory.
4. The IHS administers the Wellpinit
Service Unit PRC program and will use
its existing Federal allocation for PRC to
provide services to the expanded
population. The Portland Area Director
acknowledged that no additional
financial resources will be allocated by
the IHS to the Portland Area IHS to
provide services to Spokane Tribal
members residing in Spokane and
Whitman counties in the State of
Washington.
VerDate Sep<11>2014
18:19 Aug 08, 2023
Jkt 259001
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. 2023–17058 Filed 8–8–23; 8:45 am]
BILLING CODE 4165–16–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Institute on Aging; Notice of
Closed Meeting
Pursuant to section 1009 of the
Federal Advisory Committee Act, as
amended, notice is hereby given of the
following meeting.
The meeting will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: National Institute on
Aging Special Emphasis Panel; Alzheimer’s
Disease Drug Development.
Date: September 15, 2023.
Time: 12:00 p.m. to 4:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Institute on Aging,
Gateway Building, 7201 Wisconsin Avenue,
Bethesda, MD 20892 (Virtual Meeting).
Contact Person: Mariel Jais, Ph.D., M.D.,
Scientific Review Officer, Scientific Review
Branch, National Institutes of Health,
National Institute on Aging, 7201 Wisconsin
Avenue, RM: 2E400, Bethesda, MD 20892,
mariel.jais@nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.866, Aging Research,
National Institutes of Health, HHS)
Dated: August 3, 2023.
Miguelina Perez,
Program Analyst, Office of Federal Advisory
Committee Policy.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Institute of Neurological
Disorders and Stroke; Notice of Closed
Meeting
Pursuant to section 1009 of the
Federal Advisory Committee Act, as
amended, notice is hereby given of the
following meeting.
The meeting will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: National Institute of
Neurological Disorders and Stroke Special
Emphasis Panel; Clinical Trials in Neurology.
Date: August 16–17, 2023.
Time: 9:00 a.m. to 3:30 p.m.
Agenda: To review and evaluate
cooperative agreement applications.
Place: National Institutes of Health,
Neuroscience Center, 6001 Executive
Boulevard, Rockville, MD 20852 (Virtual
Meeting).
Contact Person: Shanta Rajaram, Ph.D.,
Scientific Review Officer, Scientific Review
Branch, Division of Extramural Activities,
NINDS/NIH, NSC, 6001 Executive Blvd.,
Suite 3208, MSC 9529, Rockville, MD 20852,
301–435–6033, rajarams@mail.nih.gov.
This notice is being published less than 15
days prior to the meeting due to the timing
limitations imposed by the review and
funding cycle.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.853, Clinical Research
Related to Neurological Disorders; 93.854,
Biological Basis Research in the
Neurosciences, National Institutes of Health,
HHS.)
Dated: August 3, 2023.
Tyeshia M. Roberson-Curtis,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2023–17026 Filed 8–8–23; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
[FR Doc. 2023–17013 Filed 8–8–23; 8:45 am]
National Institute of Neurological
Disorders and Stroke; Notice of Closed
Meeting
BILLING CODE 4140–01–P
PO 00000
Pursuant to section 1009 of the
Federal Advisory Committee Act, as
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]]>Agencies
[Federal Register Volume 88, Number 152 (Wednesday, August 9, 2023)]
[Notices]
[Pages 53899-53900]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-17058]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Notice of Purchased/Referred Care Delivery Area Redesignation for
the Spokane Tribe of Indians in the State of Washington
AGENCY: Indian Health Service, Department of Health and Human Services.
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 Spokane Tribe of the
Spokane Reservation to include the counties of Spokane and Whitman in
the State of Washington. The current PRCDA for the Spokane Tribe of the
Spokane Reservation includes the Washington counties of Ferry, Lincoln,
and Stevens. Spokane Tribal 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 Spokane Tribal members and
beneficiaries to receive PRC services.
DATES: Comments must be submitted September 8, 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:
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;
(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 Spokane Tribe of the Spokane Reservation is located in the
Northeastern part of Washington State. The Tribe is located on an
approximately 157,000 acre reservation that is located in Stevens,
Lincoln, and Spokane Counties.
The PRC Program is operated as a Federal program through the
Wellpinit
[[Page 53900]]
Service Unit in Wellpinit, WA. The Portland Area IHS estimates there
are currently 480 Tribal members who live within Spokane and Whitman
Counties and would become PRC eligible through this proposed expansion.
The Tribe states that Tribal members who reside in Spokane and Whitman
Counties are socially and economically affiliated with the Tribe
through employment, family, community, or services. The Tribe would
like to recognize them as eligible for PRC. Accordingly, the IHS
proposes to expand the PRCDA of the Spokane Tribe of the Spokane
Reservation to include the Washington counties of Spokane and Whitman.
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 Spokane County and Whitman
County, the Spokane Tribe of the Spokane Reservation's eligible
population will be increased by an estimated 480 tribal members.
2. The IHS finds that the Tribal members within the expanded PRCDA
are socially and economically affiliated with the Spokane Tribe of the
Spokane Reservation based on letters from the Tribe, dated May 31, 2022
and August 8, 2022, which noted that the Spokane Tribal Council had
determined that tribal members residing in Spokane and Whitman counties
are socially and economically affiliated with the Tribe.
3. Spokane and Whitman counties in the State of Washington are ``on
or near'' the reservation, as they maintain a common boundary with the
current PRCDA consisting of the counties of Ferry, Lincoln, and Stevens
in the State of Washington. In addition to this, Spokane County
includes a recent addition to the Spokane reservation (see 83 FR
18860), and Whitman County includes the Tribe's aboriginal territory.
4. The IHS administers the Wellpinit Service Unit PRC program and
will use its existing Federal allocation for PRC to provide services to
the expanded population. The Portland Area Director acknowledged that
no additional financial resources will be allocated by the IHS to the
Portland Area IHS to provide services to Spokane Tribal members
residing in Spokane and Whitman counties in the State of Washington.
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. 2023-17058 Filed 8-8-23; 8:45 am]
BILLING CODE 4165-16-P
