Notice of Proposed Purchased/Referred Care Delivery Area Redesignation for the Sac and Fox Nation of Missouri in Kansas and Nebraska, 99885-99887 [2024-29102]
Download as PDF
<![CDATA[
lotter on DSK11XQN23PROD with NOTICES1
Federal Register / Vol. 89, No. 238 / Wednesday, December 11, 2024 / Notices
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 services 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 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
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 is publishing this Notice and
requesting public comments.
The Iowa Tribe is located in White
Cloud, Kansas, and operates their PRC
program as a Tribal Health Program out
of the White Cloud Health Center. The
VerDate Sep<11>2014
18:17 Dec 10, 2024
Jkt 265001
IHS and the Iowa Tribe estimate that
approximately 77 Tribal members reside
in Jackson County, Kansas, and Holt
County, Missouri, and would become
PRC eligible through the proposed
redesignation and expansion of the
Tribe’s PRCDA.
If the Iowa Tribe’s PRCDA
redesignation and expansion is finalized
as proposed, the Tribe’s expanded
PRCDA would overlap the PRCDAs of
three other Tribes: the Sac and Fox
Nation of Missouri in Kansas and
Nebraska, the Kickapoo Tribe of Indians
of the Kickapoo Reservation (Jackson
County, Kansas), and the Prairie Band of
Potawatomi Nation (Jackson County,
Kansas). The Iowa Tribe and the Sac
and Fox Nation of Missouri in Kansas
and Nebraska share a PRC program, but
currently have different PRCDAs; the
Sac and Fox Nation of Missouri has
submitted a concurrent request for
redesignation and expansion of their
own PRCDA. Both redesignation
requests were submitted to the IHS
through the same correspondence from
the White Cloud Health Center. If the
Iowa Tribe’s and Sac and Fox Nation of
Missouri’s PRCDAs are each
redesignated and expanded as
requested, the Tribes would have
identical, overlapping PRCDAs,
simplifying the administration and
operation of their local PRC program.
The IHS has consulted with the
Kickapoo Tribe of Indians of the
Kickapoo Reservation and the Prairie
Band of Potawatomi Nation regarding
the potential for overlapping PRCDAs in
Jackson County, Kansas. Neither the
Kickapoo Tribe of Indians of the
Kickapoo Reservation nor the Prairie
Band of Potawatomi Nation expressed
concerns regarding the proposed
redesignation and expansion.
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 Jackson County, Kansas, and
Holt County, Missouri, the Iowa Tribe’s
PRC eligible population will increase by
an estimated 77 Tribal members.
2. The Iowa Tribe communicated its
governing body’s determination that
their members residing in the proposed
expansion counties are socially and
economically affiliated with the Tribe.
The IHS therefore finds that the Tribe’s
PO 00000
Frm 00059
Fmt 4703
Sfmt 4703
99885
members within the proposed,
expanded PRCDA are socially and
economically affiliated with the Iowa
Tribe.
3. The expanded PRCDA counties
form a contiguous area with the existing
PRCDA. Holt County, Missouri, shares a
common boundary with the Iowa
Tribe’s reservation lands in Richardson
County, Nebraska. Jackson County,
Kansas, is contiguous with Brown
County, which includes part of the Iowa
Tribe’s reservation lands and is
currently included in the Iowa Tribe’s
PRCDA. Members of the Iowa Tribe
reside in each of the counties proposed
for inclusion in the expanded PRCDA.
For these reasons, the IHS has
determined the additional counties
proposed for inclusion herein to be
geographically proximate, meaning ‘‘on
or near,’’ to the Tribe’s reservation.
4. The White Cloud Health Center has
indicated that the PRC program can
continue providing the same level of
care to the PRC eligible population if the
PRCDA is expanded as proposed,
without requiring additional funding or
reduction of the current medical priority
level.
Accordingly, the IHS proposes to
expand the PRCDA of the Iowa Tribe to
include the counties of Jackson in the
State of Kansas, and Holt in the State of
Missouri.
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 1980.
Roselyn Tso,
Director, Indian Health Service.
[FR Doc. 2024–29101 Filed 12–10–24; 8:45 am]
BILLING CODE 4166–14–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Indian Health Service
Notice of Proposed Purchased/
Referred Care Delivery Area
Redesignation for the Sac and Fox
Nation of Missouri in Kansas and
Nebraska
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 Sac
and Fox Nation of Missouri in Kansas
and Nebraska (Sac and Fox Nation of
Missouri, or Tribe) to include the
counties of Doniphan and Jackson in the
SUMMARY:
E:\FR\FM\11DEN1.SGM
11DEN1
lotter on DSK11XQN23PROD with NOTICES1
99886
Federal Register / Vol. 89, No. 238 / Wednesday, December 11, 2024 / Notices
State of Kansas, and Holt in the State of
Missouri. The current PRCDA for the
Sac and Fox Nation of Missouri
includes Brown County, Kansas, and
Richardson County, Nebraska. The Sac
and Fox Nation of Missouri Tribal
members who reside 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 Sac and Fox Nation of
Missouri members and beneficiaries to
receive PRC services.
DATES: Comments must be submitted by
January 10, 2025.
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
VerDate Sep<11>2014
18:17 Dec 10, 2024
Jkt 265001
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 services 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 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
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 is publishing this Notice and
requesting public comments.
The Sac and Fox Nation of Missouri
is located in Reserve, Kansas. The Sac
and Fox Nation of Missouri’s PRC
program is operated, as authorized by
Tribal resolution, by the Iowa Tribe of
Kansas and Nebraska as a Tribal Health
Program out of the White Cloud Health
Center. The IHS and the Sac and Fox
Nation of Missouri estimate that
PO 00000
Frm 00060
Fmt 4703
Sfmt 4703
approximately seven Tribal members
reside in Doniphan and Jackson
Counties, Kansas, and Holt County,
Missouri, and would become PRC
eligible through the proposed
redesignation and expansion of the
Tribe’s PRCDA.
If the Sac and Fox Nation of
Missouri’s PRCDA redesignation and
expansion is finalized as proposed, the
Tribe’s expanded PRCDA would overlap
the PRCDAs of three other Tribes: the
Iowa Tribe of Kansas and Nebraska, the
Kickapoo Tribe of Indians of the
Kickapoo Reservation (Jackson County,
Kansas), and the Prairie Band of
Potawatomi Nation (Jackson County,
Kansas). The Sac and Fox Nation of
Missouri and the Iowa Tribe of Kansas
and Nebraska share a PRC program, but
currently have different PRCDAs; the
Iowa Tribe of Kansas and Nebraska has
submitted a concurrent request for
redesignation and expansion of their
own PRCDA. Both redesignation
requests were submitted to the IHS
through the same correspondence from
the White Cloud Health Center. If the
Sac and Fox Nation of Missouri’s and
the Iowa Tribe’s PRCDAs are each
redesignated and expanded as
requested, the Tribes would have
identical, overlapping PRCDAs,
simplifying the administration and
operation of their local PRC program.
The IHS has consulted with the
Kickapoo Tribe of Indians of the
Kickapoo Reservation and the Prairie
Band of Potawatomi Nation regarding
the potential for overlapping PRCDAs in
Jackson County, Kansas. Neither the
Kickapoo Tribe of Indians of the
Kickapoo Reservation nor the Prairie
Band of Potawatomi Nation expressed
concerns regarding the proposed
redesignation and expansion.
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 Doniphan and Jackson Counties
in Kansas, and Holt County, Missouri,
the Sac and Fox Nation of Missouri’s
PRC eligible population will increase by
an estimated seven Tribal members.
2. Through communication with the
Tribe and information relayed by the
White Cloud Health Center, the IHS
understands that the Tribe’s governing
body has determined that its members
E:\FR\FM\11DEN1.SGM
11DEN1
Federal Register / Vol. 89, No. 238 / Wednesday, December 11, 2024 / Notices
residing in the proposed expansion
counties are socially and economically
affiliated with the Tribe. The IHS
therefore finds that the Tribal members
within the proposed, expanded PRCDA
are socially and economically affiliated
with the Sac and Fox Nation of
Missouri.
3. The expanded PRCDA counties
form a contiguous area with the existing
PRCDA, and members of the Sac and
Fox Nation of Missouri reside in each of
the counties proposed for inclusion in
the expanded PRCDA. Jackson County,
Kansas and Doniphan County, Kansas
both share a common boundary with
Brown County, Kansas, where the Sac
and Fox Nation of Missouri has
reservation lands. Holt County,
Missouri, shares a common boundary
with Richardson County, Nebraska,
where the Sac and Fox Nation of
Missouri has reservation lands. For
these reasons, the IHS has determined
the additional counties proposed for
inclusion herein to be geographically
proximate, meaning ‘‘on or near,’’ to the
Tribe’s reservation.
4. The White Cloud Health Center has
indicated that the PRC program can
continue providing the same level of
care to the PRC eligible population if the
PRCDA is expanded as proposed,
without requiring additional funding or
reduction of the current medical priority
level.
Accordingly, the IHS proposes to
expand the PRCDA of the Sac and Fox
Nation of Missouri in Kansas and
Nebraska to include the counties of
Doniphan and Jackson in the State of
Kansas, and Holt in the State of
Missouri.
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 1980.
Roselyn Tso,
Director, Indian Health Service.
[FR Doc. 2024–29102 Filed 12–10–24; 8:45 am]
Name of Committee: National Advisory
Council on Aging.
Date: May 13–14, 2025.
Closed: May 13, 2025, 2:00 p.m. to 5:00
p.m.
Agenda: To review and evaluate of
applications.
Address: National Institutes of Health,
Natcher Building, 45 Center Drive, Bethesda,
MD 20892, (In Person Meeting).
Closed: May 14, 2025, 8:00 a.m. to 9:00
a.m.
Agenda: NIA IRP Review.
Address: National Institutes of Health,
Natcher Building, 45 Center Drive, Bethesda,
MD 20892, (In Person Meeting).
Open: May 14, 2025, 9:00 a.m. to 12:30
p.m.
Agenda: Call to Order and Director’s Status
Report; Council Business; Meeting
Adjourned.
Address: National Institutes of Health,
Natcher Building, 45 Center Drive, Bethesda,
MD 20892, (In Person Meeting).
Contact Person: Kenneth Santora, Director,
Office of Extramural Activities, National
Institute on Aging, National Institutes of
Health, Gateway Building, 7201 Wisconsin
Avenue, Bethesda, MD 20814, (301) 496–
9322, ksantora@nih.gov.
National Institutes of Health
Information is also available on the
Institute’s/Center’s home page:
www.nia.nih.gov/about/naca, where an
agenda and any additional information
for the meeting will be posted when
available.
National Institute on Aging; Notice of
Meeting
(Catalogue of Federal Domestic Assistance
Program Nos. 93.866, Aging Research,
National Institutes of Health, HHS)
BILLING CODE 4166–14–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
lotter on DSK11XQN23PROD with NOTICES1
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.
Pursuant to section 1009 of the
Federal Advisory Committee Act, as
amended, notice is hereby given of a
meeting of the National Advisory
Council on Aging.
The meeting will be open to the
public as indicated below, with
VerDate Sep<11>2014
18:17 Dec 10, 2024
Jkt 265001
Dated: December 5, 2024.
Miguelina Perez,
Program Analyst, Office of Federal Advisory
Committee Policy.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Institute of Allergy and
Infectious Diseases; 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 contract proposals and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the contract
proposals, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: National Institute of
Allergy and Infectious Diseases Special
Emphasis Panel; HHS–NIH–CDC–SBIR PHS
2025–1 Diagnostics to Detect Host Immunity
to Coccidioidomycosis (Valley fever) or
Histoplasmosis (Topic 145).
Date: January 9, 2025.
Time: 10:00 a.m. to 1:00 p.m.
Agenda: To review and evaluate contract
proposals.
Place: National Institute of Allergy and
Infectious Diseases, National Institutes of
Health, 5601 Fishers Lane, Room 3F52A,
Rockville, MD 20892 (Video Assisted
Meeting).
Contact Person: Shilpakala Ketha, Ph.D.,
Scientific Review Officer, Scientific Review
Program, Division of Extramural Activities,
National Institute of Allergy and Infectious
Diseases, National Institutes of Health, 5601
Fishers Lane, Room 3F52A, Rockville, MD
20892, (301) 761–6821, shilpa.ketha@
nih.gov.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.855, Allergy, Immunology,
and Transplantation Research; 93.856,
Microbiology and Infectious Diseases
Research, National Institutes of Health, HHS)
Dated: December 5, 2024.
Lauren A. Fleck,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2024–29078 Filed 12–10–24; 8:45 am]
BILLING CODE 4140–01–P
[FR Doc. 2024–29077 Filed 12–10–24; 8:45 am]
BILLING CODE 4140–01–P
PO 00000
Frm 00061
Fmt 4703
Sfmt 9990
99887
E:\FR\FM\11DEN1.SGM
11DEN1
]]>Agencies
[Federal Register Volume 89, Number 238 (Wednesday, December 11, 2024)]
[Notices]
[Pages 99885-99887]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-29102]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Notice of Proposed Purchased/Referred Care Delivery Area
Redesignation for the Sac and Fox Nation of Missouri in Kansas and
Nebraska
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 Sac and Fox Nation of
Missouri in Kansas and Nebraska (Sac and Fox Nation of Missouri, or
Tribe) to include the counties of Doniphan and Jackson in the
[[Page 99886]]
State of Kansas, and Holt in the State of Missouri. The current PRCDA
for the Sac and Fox Nation of Missouri includes Brown County, Kansas,
and Richardson County, Nebraska. The Sac and Fox Nation of Missouri
Tribal members who reside 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 Sac and Fox Nation of Missouri members and
beneficiaries to receive PRC services.
DATES: Comments must be submitted by January 10, 2025.
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 services 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 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 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 is publishing this Notice and requesting public
comments.
The Sac and Fox Nation of Missouri is located in Reserve, Kansas.
The Sac and Fox Nation of Missouri's PRC program is operated, as
authorized by Tribal resolution, by the Iowa Tribe of Kansas and
Nebraska as a Tribal Health Program out of the White Cloud Health
Center. The IHS and the Sac and Fox Nation of Missouri estimate that
approximately seven Tribal members reside in Doniphan and Jackson
Counties, Kansas, and Holt County, Missouri, and would become PRC
eligible through the proposed redesignation and expansion of the
Tribe's PRCDA.
If the Sac and Fox Nation of Missouri's PRCDA redesignation and
expansion is finalized as proposed, the Tribe's expanded PRCDA would
overlap the PRCDAs of three other Tribes: the Iowa Tribe of Kansas and
Nebraska, the Kickapoo Tribe of Indians of the Kickapoo Reservation
(Jackson County, Kansas), and the Prairie Band of Potawatomi Nation
(Jackson County, Kansas). The Sac and Fox Nation of Missouri and the
Iowa Tribe of Kansas and Nebraska share a PRC program, but currently
have different PRCDAs; the Iowa Tribe of Kansas and Nebraska has
submitted a concurrent request for redesignation and expansion of their
own PRCDA. Both redesignation requests were submitted to the IHS
through the same correspondence from the White Cloud Health Center. If
the Sac and Fox Nation of Missouri's and the Iowa Tribe's PRCDAs are
each redesignated and expanded as requested, the Tribes would have
identical, overlapping PRCDAs, simplifying the administration and
operation of their local PRC program. The IHS has consulted with the
Kickapoo Tribe of Indians of the Kickapoo Reservation and the Prairie
Band of Potawatomi Nation regarding the potential for overlapping
PRCDAs in Jackson County, Kansas. Neither the Kickapoo Tribe of Indians
of the Kickapoo Reservation nor the Prairie Band of Potawatomi Nation
expressed concerns regarding the proposed redesignation and expansion.
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 Doniphan and Jackson Counties
in Kansas, and Holt County, Missouri, the Sac and Fox Nation of
Missouri's PRC eligible population will increase by an estimated seven
Tribal members.
2. Through communication with the Tribe and information relayed by
the White Cloud Health Center, the IHS understands that the Tribe's
governing body has determined that its members
[[Page 99887]]
residing in the proposed expansion counties are socially and
economically affiliated with the Tribe. The IHS therefore finds that
the Tribal members within the proposed, expanded PRCDA are socially and
economically affiliated with the Sac and Fox Nation of Missouri.
3. The expanded PRCDA counties form a contiguous area with the
existing PRCDA, and members of the Sac and Fox Nation of Missouri
reside in each of the counties proposed for inclusion in the expanded
PRCDA. Jackson County, Kansas and Doniphan County, Kansas both share a
common boundary with Brown County, Kansas, where the Sac and Fox Nation
of Missouri has reservation lands. Holt County, Missouri, shares a
common boundary with Richardson County, Nebraska, where the Sac and Fox
Nation of Missouri has reservation lands. For these reasons, the IHS
has determined the additional counties proposed for inclusion herein to
be geographically proximate, meaning ``on or near,'' to the Tribe's
reservation.
4. The White Cloud Health Center has indicated that the PRC program
can continue providing the same level of care to the PRC eligible
population if the PRCDA is expanded as proposed, without requiring
additional funding or reduction of the current medical priority level.
Accordingly, the IHS proposes to expand the PRCDA of the Sac and
Fox Nation of Missouri in Kansas and Nebraska to include the counties
of Doniphan and Jackson in the State of Kansas, and Holt in the State
of Missouri.
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 1980.
Roselyn Tso,
Director, Indian Health Service.
[FR Doc. 2024-29102 Filed 12-10-24; 8:45 am]
BILLING CODE 4166-14-P
