Notice of Purchased/Referred Care Delivery Area Redesignation for the Confederated Tribes of the Grand Ronde Community of Oregon, 66120-66121 [2024-18081]
Download as PDF
<![CDATA[
66120
Federal Register / Vol. 89, No. 157 / Wednesday, August 14, 2024 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Meetings of the Presidential Advisory
Council on Combating AntibioticResistant Bacteria
Office of the Assistant
Secretary for Health, Office of the
Secretary, Department of Health and
Human Services.
ACTION: Notice.
AGENCY:
As stipulated by the Federal
Advisory Committee Act, the
Department of Health and Human
Services (HHS) is hereby giving notice
that a virtual meeting is scheduled to be
held for the Presidential Advisory
Council on Combating AntibioticResistant Bacteria (PACCARB). The
meeting will be available to the public
through the live stream on hhs.gov/live.
Individuals are encouraged to provide
written public comment, submitted via
email to CARB@hhs.gov. Registration
information is available on the
PACCARB website https://www.hhs.gov/
paccarb and should be completed by
August 27, 2024, for the August 29,
2024, virtual Public Meeting. Additional
information about registering for the
meeting can be obtained at https://
www.hhs.gov/paccarb on the Upcoming
Meetings page.
DATES: The meeting is scheduled to be
held on August 29, 2024, from 1:30 p.m.
to 2:00 p.m. ET (times are tentative and
subject to change). The confirmed times
and agenda items for the meeting will be
posted on the website for the PACCARB
at https://www.hhs.gov/paccarb when
this information becomes available. Preregistration for attending the meeting is
strongly suggested and should be
completed no later than August 27,
2024.
ADDRESSES: The virtual meeting can be
accessed through a live webcast on the
day of the meeting at hhs.gov/live.
Additional instructions regarding
attending this meeting virtually will be
posted at least one week prior to the
meeting at: https://www.hhs.gov/
paccarb.
FOR FURTHER INFORMATION CONTACT:
Jomana Musmar, M.S., Ph.D.,
Designated Federal Officer, Presidential
Advisory Council on Combating
Antibiotic-Resistant Bacteria, Office of
the Assistant Secretary for Health, U.S.
Department of Health and Human
Services, 1101 Wootton Parkway,
Rockville, MD 20852. Phone: 202–746–
1512; Email: CARB@hhs.gov.
SUPPLEMENTARY INFORMATION: The
Presidential Advisory Council on
Combating Antibiotic-Resistant Bacteria
ddrumheller on DSK120RN23PROD with NOTICES1
SUMMARY:
VerDate Sep<11>2014
18:22 Aug 13, 2024
Jkt 262001
(PACCARB), established by Executive
Order 13676, is continued by section
505 of Public Law 116–22, the
Pandemic and All-Hazards
Preparedness and Advancing Innovation
Act of 2019 (PAHPAIA). Activities and
duties of the PACCARB are governed by
the provisions of the Federal Advisory
Committee Act (FACA), Public Law 92–
463, as amended (5 U.S.C. app.), which
sets forth standards for the formation
and use of Federal advisory committees.
The PACCARB advises and provides
information and recommendations to
the Secretary of Health and Human
Services (Secretary) regarding programs
and policies intended to reduce or
combat antibiotic-resistant bacteria that
may present a public health threat and
improve capabilities to prevent,
diagnose, mitigate, or treat such
resistance. The PACCARB functions
solely for advisory purposes.
Such advice, information, and
recommendations may be related to
improving: the effectiveness of
antibiotics; research and advanced
research on, and the development of,
improved and innovative methods for
combating or reducing antibiotic
resistance, including new treatments,
rapid point-of-care diagnostics,
alternatives to antibiotics, including
alternatives to animal antibiotics, and
antimicrobial stewardship activities;
surveillance of antibiotic-resistant
bacterial infections, including publicly
available and up-to-date information on
resistance to antibiotics; education for
health care providers and the public
with respect to up-to-date information
on antibiotic resistance and ways to
reduce or combat such resistance to
antibiotics related to humans and
animals; methods to prevent or reduce
the transmission of antibiotic-resistant
bacterial infections; including
stewardship programs; and coordination
with respect to international efforts in
order to inform and advance the United
States capabilities to combat antibiotic
resistance.
The focus of the August 29, 2024,
virtual meeting will be for the
PACCARB to deliberate and vote on
transmittal of the draft resolution letter
from the Immediate Action
Subcommittee to the Secretary of Health
and Human Services. The meeting
agenda will be posted on the PACCARB
website at https://www.hhs.gov/paccarb
when it has been finalized. All agenda
items are tentative and subject to
change. Instructions regarding attending
the meeting virtually will be posted at
least one week prior to the meeting at:
https://www.hhs.gov/paccarb.
PO 00000
Frm 00091
Fmt 4703
Sfmt 4703
Dated: July 16, 2024.
Jomana F. Musmar,
Designated Federal Officer, Presidential
Advisory Council on Combating AntibioticResistant Bacteria, Office of the Assistant
Secretary for Health.
[FR Doc. 2024–18047 Filed 8–13–24; 8:45 am]
BILLING CODE 4150–44–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Health Service
Notice of Purchased/Referred Care
Delivery Area Redesignation for the
Confederated Tribes of the Grand
Ronde Community of Oregon
Indian Health Service,
Department of Health and Human
Services.
ACTION: Final notice.
AGENCY:
Notice is hereby given that
the Indian Health Service (IHS) has
decided to expand the geographic
boundaries of the Purchased/Referred
Care Delivery Area (PRCDA) for the
Confederated Tribes of the Grand Ronde
Community of Oregon (CTGR) 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 sole
purpose of this expansion is to
authorize additional CTGR members
and beneficiaries to receive purchased/
referred care (PRC) services.
DATES: This expansion is effective as of
the publication date of this notice.
ADDRESSES: This notice can be found at
https://www.federalregister.gov. Written
requests for information should be
delivered to: CAPT John Rael, Director,
Office of Resource Access and
Partnerships, Indian Health Service,
5600 Fishers Lane, Mail Stop 10E85C,
Rockville, MD 20857, or by phone at
(301) 443–0969 (this is not a toll-free
number).
SUPPLEMENTARY INFORMATION: 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
SUMMARY:
E:\FR\FM\14AUN1.SGM
14AUN1
ddrumheller on DSK120RN23PROD with NOTICES1
Federal Register / Vol. 89, No. 157 / Wednesday, August 14, 2024 / Notices
services. Services needed, but not
available at an IHS/Tribal facility, are
provided under the PRC program
depending on the availability of funds,
the relative medical priority of the
services to be provided, 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 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 published a proposed notice of
redesignation and requested public
comments on August 7, 2023 (88 FR
52185). The IHS received one comment
in response to the proposed notice of
redesignation; the comment requested
that the IHS engage in additional Tribal
Consultation regarding the proposed
PRCDA expansion.
Redesignation and expansion of the
CTGR’s PRCDA to include Clackamas
County, Oregon, would create overlap
with two Tribes whose existing PRCDAs
also include Clackamas County: the
Confederated Tribes of Siletz Indians of
Oregon and the Confederated Tribes of
the Warm Springs Reservation of
Oregon.
The IHS initiated Consultation with
each of these Tribes in 2021, and
continued Consultation, as requested,
through 2024. The primary concern
VerDate Sep<11>2014
18:22 Aug 13, 2024
Jkt 262001
raised during Tribal Consultation was
whether the proposed expansion of the
CTGR’s PRCDA to include Clackamas
County, Oregon, exceeded
Congressional intent as expressed in the
Grande Ronde Restoration Act, Public
Law 98–165, Nov. 22, 1983. Although
the IHS acknowledges this concern, the
IHS has, under the PRC regulations,
preserved flexibility to redesignate areas
as appropriate for inclusion in or
exclusion from PRC service delivery.
See 81 FR 20388.
In support of this expansion, the IHS
makes the following findings:
1. By expanding the PRCDA to
include Clackamas County, the CTGR’s
eligible population will increase by an
estimated 179 Tribal members residing
in Clackamas County.
2. The Tribal members within the
expanded PRCDA are socially and
economically affiliated with the
Confederated Tribes of the Grande
Ronde Community of Oregon. A letter
from the CTGR, dated May 19, 2021,
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 intends to use its existing
Federal allocation for PRC, along with
Tribal resources, to provide services to
the expanded population. The CTGR
acknowledged that no additional
financial resources will be allocated by
the IHS to provide services to CTGR
members residing in Clackamas County
in the State of Oregon.
An updated listing of the PRCDAs for
all federally recognized Tribes may be
accessed via a link on the IHS PRCDA
Expansion website (https://
www.ihs.gov/prc/prcda-expansion).
Public Comments: The IHS received
one comment in response to the notice
of proposed expansion. The comment
requested that the IHS engage in
additional Tribal Consultation regarding
the proposed expansion. The IHS did
engage in such additional Tribal
Consultation, and decided to finalize
the PRCDA expansion for the
PO 00000
Frm 00092
Fmt 4703
Sfmt 4703
66121
Confederated Tribes of the Grand Ronde
Community of Oregon as proposed.
Roselyn Tso,
Director, Indian Health Service.
[FR Doc. 2024–18081 Filed 8–13–24; 8:45 am]
BILLING CODE 4166–14–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Eunice Kennedy Shriver National
Institute of Child Health and Human
Development; Notice of Meeting
Pursuant to section 1009 of the
Federal Advisory Committee Act, as
amended, notice is hereby given of a
meeting of the National Advisory Child
Health and Human Development
Council. The meeting will be open to
the public as indicated below, with
attendance limited to space available.
Individuals who plan to attend and
need special assistance, such as sign
language interpretation or other
reasonable accommodations, should
notify the Contact Person listed below
in advance of the 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 Advisory
Child Health and Human Development
Council.
Date: September 4–5, 2024.
Open: September 04, 2024, 9:30 a.m. to
5:00 p.m.
Agenda: NICHD Director’s Report and
other Council Business.
Place: Porter Neuroscience Research
Center, Building 35A, ROOM 620/630, 35
Convent Drive, Bethesda, MD 20892 (In
Person and Virtual Meeting).
Open: September 05, 2024, 9:00 a.m. to
9:45 a.m.
Agenda: Council Business.
Place: Eunice Kennedy Shriver National
Institute of Child Health and Human
Development, National Institutes of Health,
6710B Rockledge Drive, Room 1425 & 1427,
Bethesda, MD 20817 (In Person and Virtual
Meeting).
Closed: September 05, 2024, 9:45 a.m. to
12:15 p.m.
Agenda: To review and evaluate grant
applications.
Place: Eunice Kennedy Shriver National
Institute of Child Health and Human
E:\FR\FM\14AUN1.SGM
14AUN1
]]>Agencies
[Federal Register Volume 89, Number 157 (Wednesday, August 14, 2024)]
[Notices]
[Pages 66120-66121]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-18081]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Notice of Purchased/Referred Care Delivery Area Redesignation for
the Confederated Tribes of the Grand Ronde Community of Oregon
AGENCY: Indian Health Service, Department of Health and Human Services.
ACTION: Final notice.
-----------------------------------------------------------------------
SUMMARY: Notice is hereby given that the Indian Health Service (IHS)
has decided to expand the geographic boundaries of the Purchased/
Referred Care Delivery Area (PRCDA) for the Confederated Tribes of the
Grand Ronde Community of Oregon (CTGR) 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 sole purpose of this expansion is to
authorize additional CTGR members and beneficiaries to receive
purchased/referred care (PRC) services.
DATES: This expansion is effective as of the publication date of this
notice.
ADDRESSES: This notice can be found at https://www.federalregister.gov.
Written requests for information should be delivered to: CAPT John
Rael, Director, Office of Resource Access and Partnerships, Indian
Health Service, 5600 Fishers Lane, Mail Stop 10E85C, Rockville, MD
20857, or by phone at (301) 443-0969 (this is not a toll-free number).
SUPPLEMENTARY INFORMATION: 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
[[Page 66121]]
services. Services needed, but not available at an IHS/Tribal facility,
are provided under the PRC program depending on the availability of
funds, the relative medical priority of the services to be provided,
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 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 published a proposed notice of redesignation and
requested public comments on August 7, 2023 (88 FR 52185). The IHS
received one comment in response to the proposed notice of
redesignation; the comment requested that the IHS engage in additional
Tribal Consultation regarding the proposed PRCDA expansion.
Redesignation and expansion of the CTGR's PRCDA to include
Clackamas County, Oregon, would create overlap with two Tribes whose
existing PRCDAs also include Clackamas County: the Confederated Tribes
of Siletz Indians of Oregon and the Confederated Tribes of the Warm
Springs Reservation of Oregon.
The IHS initiated Consultation with each of these Tribes in 2021,
and continued Consultation, as requested, through 2024. The primary
concern raised during Tribal Consultation was whether the proposed
expansion of the CTGR's PRCDA to include Clackamas County, Oregon,
exceeded Congressional intent as expressed in the Grande Ronde
Restoration Act, Public Law 98-165, Nov. 22, 1983. Although the IHS
acknowledges this concern, the IHS has, under the PRC regulations,
preserved flexibility to redesignate areas as appropriate for inclusion
in or exclusion from PRC service delivery. See 81 FR 20388.
In support of this expansion, the IHS makes the following findings:
1. By expanding the PRCDA to include Clackamas County, the CTGR's
eligible population will increase by an estimated 179 Tribal members
residing in Clackamas County.
2. The Tribal members within the expanded PRCDA are socially and
economically affiliated with the Confederated Tribes of the Grande
Ronde Community of Oregon. A letter from the CTGR, dated May 19, 2021,
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 intends to use its
existing Federal allocation for PRC, along with Tribal resources, to
provide services to the expanded population. The CTGR acknowledged that
no additional financial resources will be allocated by the IHS to
provide services to CTGR members residing in Clackamas County in the
State of Oregon.
An updated listing of the PRCDAs for all federally recognized
Tribes may be accessed via a link on the IHS PRCDA Expansion website
(https://www.ihs.gov/prc/prcda-expansion).
Public Comments: The IHS received one comment in response to the
notice of proposed expansion. The comment requested that the IHS engage
in additional Tribal Consultation regarding the proposed expansion. The
IHS did engage in such additional Tribal Consultation, and decided to
finalize the PRCDA expansion for the Confederated Tribes of the Grand
Ronde Community of Oregon as proposed.
Roselyn Tso,
Director, Indian Health Service.
[FR Doc. 2024-18081 Filed 8-13-24; 8:45 am]
BILLING CODE 4166-14-P
