Advisory Council on Alzheimer's Research, Care, and Services; Meeting, 791-792 [2023-29020]
Download as PDF
Federal Register / Vol. 89, No. 4 / Friday, January 5, 2024 / Notices
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www.aap.org/en/patient-care/oralhealth/oral-health-practice-tools/ and
refer to a dental home. Recommend
brushing with fluoride toothpaste in the
proper dosage for age. See ‘‘Maintaining
and Improving the Oral Health of Young
Children’’ (https://doi.org/10.1542/
peds.2022-060417).
and
Perform a risk assessment (https://
www.aap.org/en/patient-care/oralhealth/oral-health-practice-tools/). See
‘‘Maintaining and Improving the Oral
Health of Young Children’’ (https://
doi.org/10.1542/peds.2022-060417).
Discussion of Recommended Updated
Guidelines
A Federal Register notice on October
24, 2023, sought public comment on
these proposed footnote updates (88 FR
73034).1 The ICAPS Program considered
all public comments as part of its
deliberative process and provided the
comments to HRSA for its
consideration. A total of 25 respondents
commented on one or more of the six
proposed footnote updates. From the 25
respondents, 119 responses were
provided. Of these, 107 responses (89
percent) expressed agreement and 13
responses (11 percent) provided other
comments or concerns. HRSA
appreciates the comments in support of
the updates. The additional comments
and responses are summarized below.
1. Footnote 4, relating to the first
week well-child visit, also called the 3–
5 Day Visit.
20 respondents responded to this
proposed footnote update, and 19
indicated agreement. One respondent
expressed concern that formal
breastfeeding evaluation is not possible
in every situation and suggested the
proposed footnote include a qualified
statement such as, ‘‘if services are
available.’’ As this suggestion pertains
to implementation and not the updated
reference, the proposed footnote update
will not be modified.
2. Footnote 5, relating to Body Mass
Index.
18 respondents responded to this
proposed footnote update, and 17
indicated agreement. One respondent
expressed concern regarding the use of
BMI at the individual level to determine
intervention for children. This
suggestion does not align with the
recommendation in the clinical practice
guidelines, which is the updated
reference within the proposed footnote
change. The proposed footnote update
will not be modified.
1 See https://www.federalregister.gov/documents/
2023/10/24/2023-23396/notice-of-request-forpublic-comment-on-proposed-update-to-the-brightfutures-periodicity-schedule.
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3. Footnote 14, relating to Behavioral/
Social/Emotional Screening.
20 respondents responded to this
proposed footnote update, and 15
indicated agreement. One respondent
comment did not specifically address
the proposed footnotes or the Bright
Futures Periodicity Schedule and is
therefore beyond the scope of the
proposed updates. Three respondents
expressed concerns related to
implementation resources. As these
suggestions pertain to implementation
and not the additional reference that
was added, the proposed footnote
update will not be modified. One
respondent suggested including the
screening for anxiety in children under
8 years of age. This suggestion does not
align with the AAP clinical guidance or
the updated USPSTF reference. The
footnote update will be finalized as
proposed.
4. Footnote 15, relating to Tobacco,
Alcohol, or Drug Use Assessment.
20 respondents responded to this
proposed footnote update and 17
indicated agreement. Of the three
respondents expressing concern, one
respondent noted the need to ensure
insurance companies do not violate the
adolescent’s privacy to safely perform
recommended preventive services. This
suggestion is beyond the scope of the
proposed footnote update and the
proposed footnote update will not be
modified. One respondent expressed
concern with overprescribing naloxone
and the potential to create drug shortage
as well as suggesting the need for
oversight with how to administer. The
AAP has not found evidence supporting
the concern of overprescribing in the
pediatric primary care setting. The
footnote will be finalized as proposed.
Another respondent suggested removing
‘‘prescribing’’ from the proposed
footnote since naloxone is also available
over the counter. This comment is
reflected in the updated footnote
language stating that providers should
consider recommending or prescribing
naloxone. The footnote will be finalized
as proposed.
5. Footnote 21, relating to Newborn
Bilirubin Screening.
20 respondents responded to this
proposed footnote update and 18
indicated agreement. Two respondents
expressed concern about the
implementation of this screening due to
the cost and time for the primary care
provider to obtain patient hospital
records. As these suggestions pertain to
implementation and not the updated
reference. The proposed footnote update
will not be modified.
6. Footnote 35 and 36, relating to Oral
Health.
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791
22 respondents responded to this
proposed footnote update and 21
indicated agreement. One respondent
suggested adding the American
Academy of Pediatric Dentistry (AAPD)
recommendation that the first oral exam
occur by age 12 months and that the
interval of exams be based on the child’s
individual needs or risk status and
susceptibility to disease. The proposed
footnote simply adds an updated
reference to the latest AAP clinical
report, which recommends a dental visit
for children by 1 year of age. The
proposed footnote update will not be
modified in response to this comment.
After consideration of public
comment, the ICAPS Program submitted
recommended footnote updates to
HRSA for consideration, as detailed
above. On December 29, 2023, the
HRSA Administrator accepted the
ICAPS Program recommendations and,
as such, updated the HRSA-supported
guidelines as set forth in the Bright
Futures Periodicity Schedule. While
non-grandfathered group health plans
and health insurance issuers offering
group or individual health insurance
coverage must cover without costsharing the services and screenings
listed as the HRSA-supported
preventive services guidelines for
infants, children, and adolescents as
indicated above, these updates to the
Bright Futures Periodicity Schedule
footnotes do not change the clinical
recommendations or the requirements
for coverage without cost-sharing under
section 2713 of the Public Health
Service Act. Additional information
regarding the ICAPS Program can be
accessed at the following link: https://
mchb.hrsa.gov/maternal-child-healthtopics/child-health/bright-futures.html.
Authority: Section 2713(a)(4) of the
Public Health Service Act, 42 U.S.C.
300gg–13(a)(4).
Carole Johnson,
Administrator.
[FR Doc. 2024–00024 Filed 1–4–24; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Advisory Council on Alzheimer’s
Research, Care, and Services; Meeting
Assistant Secretary for
Planning and Evaluation, HHS.
ACTION: Notice of meeting.
AGENCY:
This notice announces the
public meeting of the Advisory Council
on Alzheimer’s Research, Care, and
Services (Advisory Council). The
Advisory Council provides advice on
SUMMARY:
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Federal Register / Vol. 89, No. 4 / Friday, January 5, 2024 / Notices
how to prevent or reduce the burden of
Alzheimer’s disease and related
dementias (ADRD) on people with the
disease and their caregivers. During the
meeting on January 22, 2024, the
Advisory Council will hear updates
from the field on implementation of
disease-modifying therapies for
Alzheimer’s disease and outstanding
research questions. A panel will present
on the latest research on diagnosis and
development of treatments for other
populations and causes of dementia.
DATES: The meeting will be January 22,
2024 from 9:30 p.m. to 4:30 p.m. EST.
ADDRESSES: The meeting will be a
hybrid of in-person and virtual. The
meeting will be held in Room 800 of the
Hubert H. Humphrey Building, 200
Independence Avenue SW, Washington,
DC 20201. It will also stream live at
www.hhs.gov/live.
Comments: Time is allocated on the
agenda to hear public comments from
4:00 p.m. to 4:30 p.m. The time for oral
comments will be limited to two (2)
minutes per individual. In order to
provide a public comment, please
register by emailing your name to
napa@hhs.gov by Wednesday, January
17. Registered commenters will receive
both a dial-in number and a link to join
the meeting virtually; individuals will
have the choice to either join virtually
via the link, or to call in only by using
the dial-in number. Note: There may be
a 30–45 second delay in the livestream
video presentation of the conference.
For this reason, if you have preregistered to submit a public comment,
it is important to connect to the meeting
by 3:45 p.m. to ensure that you do not
miss your name and allotted time when
called. If you miss your name and
allotted time to speak, you may not be
able to make your public comment.
Public commenters will not be admitted
to the virtual meeting before 3:30 p.m.
but are encouraged to watch the meeting
at www.hhs.gov/live. Should you have
questions during the session, please
email napa@hhs.gov and someone will
respond to your message as quickly as
possible.
In order to ensure accuracy, please
submit a written copy of oral comments
for the record by emailing napa@
hhs.gov by Tuesday, January 23, 2024.
These comments will be shared on the
website and reflected in the meeting
minutes.
In lieu of oral comments, formal
written comments may be submitted for
the record by Tuesday, January 23, 2024
to Helen Lamont, Ph.D., OASPE, 200
Independence Avenue SW, Room 424E,
Washington, DC 20201. Comments may
also be sent to napa@hhs.gov. Those
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submitting written comments should
identify themselves and any relevant
organizational affiliations.
FOR FURTHER INFORMATION CONTACT:
Helen Lamont, 202–260–6075,
helen.lamont@hhs.gov. Note: The
meeting will be available to the public
live at www.hhs.gov/live.
Notice of
these meetings is given under the
Federal Advisory Committee Act (5
U.S.C. App. 2, section 10(a)(1) and
(a)(2)). Topics of the Meeting:
subcommittee recommendations, NIA
bypass budget, FDA drug coverage
decisions, and CDC Health Brain
Initiative.
Procedure and Agenda: The meeting
will be webcast at www.hhs.gov/live and
video recordings will be added to the
National Alzheimer’s Project Act
website when available after the
meeting. This meeting is open to the
public. Please allow 30 minutes to go
through security and walk to the
meeting room. Participants joining in
person should note that seating may be
limited. Those wishing to attend the
meeting in person must send an email
to napa@hhs.gov and put ‘‘January 22
Meeting Attendance’’ in the subject line
by Wednesday, January 17 so that their
names may be put on a list of expected
attendees and forwarded to the security
officers at the Department of Health and
Human Services. Any interested
member of the public who is a non-U.S.
citizen should include this information
at the time of registration to ensure that
the appropriate security procedure to
gain entry to the building is carried out.
Although the meeting is open to the
public, procedures governing security
and the entrance to Federal buildings
may change without notice. If you wish
to make a public comment, you must
note that within your email.
Authority: 42 U.S.C. 11225; Section
2(e)(3) of the National Alzheimer’s
Project Act. The panel is governed by
provisions of Public Law 92–463, as
amended (5 U.S.C. Appendix 2), which
sets forth standards for the formation
and use of advisory committees.
SUPPLEMENTARY INFORMATION:
Dated: December 22, 2023.
Miranda Lynch-Smith,
Deputy Assistant Secretary for Human
Services Policy, Performing the Delegable
Duties of the Assistant Secretary for Planning
and Evaluation.
[FR Doc. 2023–29020 Filed 1–4–24; 8:45 am]
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DEPARTMENT OF HOMELAND
SECURITY
U.S. Customs and Border Protection
[OMB Control Number 1651–0074]
Agency Information Collection
Activities; Extension; Prior Disclosure
U.S. Customs and Border
Protection (CBP), Department of
Homeland Security.
ACTION: 60-Day notice and request for
comments.
AGENCY:
The Department of Homeland
Security, U.S. Customs and Border
Protection (CBP) will be submitting the
following information collection request
to the Office of Management and Budget
(OMB) for review and approval in
accordance with the Paperwork
Reduction Act of 1995 (PRA). The
information collection is published in
the Federal Register to obtain comments
from the public and affected agencies.
DATES: Comments are encouraged and
must be submitted (no later than March
5, 2024) to be assured of consideration.
ADDRESSES: Written comments and/or
suggestions regarding the item(s)
contained in this notice must include
the OMB Control Number 1651–0074 in
the subject line and the agency name.
Please use the following method to
submit comments:
Email. Submit comments to: CBP_
PRA@cbp.dhs.gov.
FOR FURTHER INFORMATION CONTACT:
Requests for additional PRA information
should be directed to Seth Renkema,
Chief, Economic Impact Analysis
Branch, U.S. Customs and Border
Protection, Office of Trade, Regulations
and Rulings, 90 K Street NE, 10th Floor,
Washington, DC 20229–1177,
Telephone number 202–325–0056 or via
email CBP_PRA@cbp.dhs.gov. Please
note that the contact information
provided here is solely for questions
regarding this notice. Individuals
seeking information about other CBP
programs should contact the CBP
National Customer Service Center at
877–227–5511, (TTY) 1–800–877–8339,
or CBP website at https://www.cbp.
gov/.
SUPPLEMENTARY INFORMATION: CBP
invites the general public and other
Federal agencies to comment on the
proposed and/or continuing information
collections pursuant to the Paperwork
Reduction Act of 1995 (44 U.S.C. 3501
et seq.). This process is conducted in
accordance with 5 CFR 1320.8. Written
comments and suggestions from the
public and affected agencies should
address one or more of the following
SUMMARY:
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Agencies
[Federal Register Volume 89, Number 4 (Friday, January 5, 2024)]
[Notices]
[Pages 791-792]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-29020]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Advisory Council on Alzheimer's Research, Care, and Services;
Meeting
AGENCY: Assistant Secretary for Planning and Evaluation, HHS.
ACTION: Notice of meeting.
-----------------------------------------------------------------------
SUMMARY: This notice announces the public meeting of the Advisory
Council on Alzheimer's Research, Care, and Services (Advisory Council).
The Advisory Council provides advice on
[[Page 792]]
how to prevent or reduce the burden of Alzheimer's disease and related
dementias (ADRD) on people with the disease and their caregivers.
During the meeting on January 22, 2024, the Advisory Council will hear
updates from the field on implementation of disease-modifying therapies
for Alzheimer's disease and outstanding research questions. A panel
will present on the latest research on diagnosis and development of
treatments for other populations and causes of dementia.
DATES: The meeting will be January 22, 2024 from 9:30 p.m. to 4:30 p.m.
EST.
ADDRESSES: The meeting will be a hybrid of in-person and virtual. The
meeting will be held in Room 800 of the Hubert H. Humphrey Building,
200 Independence Avenue SW, Washington, DC 20201. It will also stream
live at www.hhs.gov/live.
Comments: Time is allocated on the agenda to hear public comments
from 4:00 p.m. to 4:30 p.m. The time for oral comments will be limited
to two (2) minutes per individual. In order to provide a public
comment, please register by emailing your name to [email protected] by
Wednesday, January 17. Registered commenters will receive both a dial-
in number and a link to join the meeting virtually; individuals will
have the choice to either join virtually via the link, or to call in
only by using the dial-in number. Note: There may be a 30-45 second
delay in the livestream video presentation of the conference. For this
reason, if you have pre-registered to submit a public comment, it is
important to connect to the meeting by 3:45 p.m. to ensure that you do
not miss your name and allotted time when called. If you miss your name
and allotted time to speak, you may not be able to make your public
comment. Public commenters will not be admitted to the virtual meeting
before 3:30 p.m. but are encouraged to watch the meeting at
www.hhs.gov/live. Should you have questions during the session, please
email [email protected] and someone will respond to your message as quickly
as possible.
In order to ensure accuracy, please submit a written copy of oral
comments for the record by emailing [email protected] by Tuesday, January
23, 2024. These comments will be shared on the website and reflected in
the meeting minutes.
In lieu of oral comments, formal written comments may be submitted
for the record by Tuesday, January 23, 2024 to Helen Lamont, Ph.D.,
OASPE, 200 Independence Avenue SW, Room 424E, Washington, DC 20201.
Comments may also be sent to [email protected]. Those submitting written
comments should identify themselves and any relevant organizational
affiliations.
FOR FURTHER INFORMATION CONTACT: Helen Lamont, 202-260-6075,
[email protected]. Note: The meeting will be available to the public
live at www.hhs.gov/live.
SUPPLEMENTARY INFORMATION: Notice of these meetings is given under the
Federal Advisory Committee Act (5 U.S.C. App. 2, section 10(a)(1) and
(a)(2)). Topics of the Meeting: subcommittee recommendations, NIA
bypass budget, FDA drug coverage decisions, and CDC Health Brain
Initiative.
Procedure and Agenda: The meeting will be webcast at www.hhs.gov/live and video recordings will be added to the National Alzheimer's
Project Act website when available after the meeting. This meeting is
open to the public. Please allow 30 minutes to go through security and
walk to the meeting room. Participants joining in person should note
that seating may be limited. Those wishing to attend the meeting in
person must send an email to [email protected] and put ``January 22 Meeting
Attendance'' in the subject line by Wednesday, January 17 so that their
names may be put on a list of expected attendees and forwarded to the
security officers at the Department of Health and Human Services. Any
interested member of the public who is a non-U.S. citizen should
include this information at the time of registration to ensure that the
appropriate security procedure to gain entry to the building is carried
out. Although the meeting is open to the public, procedures governing
security and the entrance to Federal buildings may change without
notice. If you wish to make a public comment, you must note that within
your email.
Authority: 42 U.S.C. 11225; Section 2(e)(3) of the National
Alzheimer's Project Act. The panel is governed by provisions of Public
Law 92-463, as amended (5 U.S.C. Appendix 2), which sets forth
standards for the formation and use of advisory committees.
Dated: December 22, 2023.
Miranda Lynch-Smith,
Deputy Assistant Secretary for Human Services Policy, Performing the
Delegable Duties of the Assistant Secretary for Planning and
Evaluation.
[FR Doc. 2023-29020 Filed 1-4-24; 8:45 am]
BILLING CODE 4150-05-P