Notice of Proposed Purchased/Referred Care Delivery Area Redesignation for the Chippewa Cree Tribe of the Rocky Boy's Reservation, 102150-102151 [2024-29689]

Download as PDF 102150 Federal Register / Vol. 89, No. 242 / Tuesday, December 17, 2024 / Notices 0378)’’, is corrected to read as ‘‘(OMB control number: 0938–0037)’’. DEPARTMENT OF HEALTH AND HUMAN SERVICES William N. Parham, III, Director, Division of Information Collections and Regulatory Impacts, Office of Strategic Operations and Regulatory Affairs. Centers for Medicare & Medicaid Services [Document Identifier: CMS–2088–17] [FR Doc. 2024–29754 Filed 12–16–24; 8:45 am] Agency Information Collection Activities: Submission for OMB Review; Comment Request; Correction Centers for Medicare & Medicaid Services (CMS), HHS. AGENCY: ACTION: On December 9, 2024, CMS published a notice in the Federal Register that sought comment on a collection of information concerning CMS–2088–17 (OMB control number 0938–0037) entitled ‘‘Community Mental Health Center Cost Report.’’ The OMB control number identifying the aforementioned information collection request is incorrectly listed in the SUPPLEMENTARY INFORMATION section of the notice. This document corrects the error. SUMMARY: FOR FURTHER INFORMATION CONTACT: William N. Parham, III, (410) 786–4669. SUPPLEMENTARY INFORMATION: I. Background In the December 9, 2024, issue of the Federal Register (89 FR 97619), we published a Paperwork Reduction Act notice requesting a 30-day public comment period for the information collection request identified under CMS–2088–17, OMB control number 0938–0037, and titled ‘‘Community Mental Health Center Cost Report.’’ ddrumheller on DSK120RN23PROD with NOTICES1 II. Explanation of Error In the December 9, 2024 (89 FR 97619) notice, the OMB control number is incorrect. The incorrect language is located on the 15th and 16th lines at the top of the middle column on page 97620, ‘‘(OMB control number: 0938– 0378)’’ All of the other information contained in the December 9, 2024, notice is correct and remains unchanged. The related public comment period remains in effect and ends January 8, 2024. III. Correction of Error In FR Doc. 2024–28857 of December 9, 2024 (89 FR 97619), page 97620, in the 15th and 16th lines of the second column, ‘‘(OMB control number: 0938– 19:45 Dec 16, 2024 Jkt 265001 DEPARTMENT OF HEALTH AND HUMAN SERVICES Indian Health Service Notice; correction. VerDate Sep<11>2014 BILLING CODE 4120–01–P Notice of Proposed Purchased/ Referred Care Delivery Area Redesignation for the Chippewa Cree Tribe of the Rocky Boy’s Reservation AGENCY: ACTION: Indian Health Service, HHS. Notice. 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 Chippewa Cree Tribe of the Rocky Boy’s Reservation (‘‘Chippewa Cree Tribe’’ or ‘‘Tribe’’) to include the Montana county of Cascade. The current PRCDA for the Chippewa Cree Tribe includes the Montana counties of Choteau, Hill and Liberty. Chippewa Cree 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 Chippewa Cree Tribal members and beneficiaries to receive PRC services. SUMMARY: Comments must be submitted by January 16, 2025. DATES: In commenting, please refer to file code [Federal Register insert file code number]. 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. ADDRESSES: PO 00000 Frm 00047 Fmt 4703 Sfmt 4703 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. 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. 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: 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 E:\FR\FM\17DEN1.SGM 17DEN1 ddrumheller on DSK120RN23PROD with NOTICES1 Federal Register / Vol. 89, No. 242 / Tuesday, December 17, 2024 / Notices 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 Chippewa Cree Tribe of the Rocky Boy’s Reservation is located Hill and Choteau Counties of Montana. The Chippewa Cree Tribe operates their PRC program under an Indian SelfDetermination and Education Assistance Act agreement with the IHS. The Chippewa Cree Tribe has requested that the IHS expand its PRCDA to include Cascade County, Montana. The requested PRCDA redesignation would share Cascade County with the PRCDA of the Little Shell Tribe of Chippewa Indians of Montana (‘‘Little Shell Tribe’’). The Billings Area held discussions with the Little Shell Tribe, during which the Little Shell Tribe did not raise any objections to the expansion of the Chippewa Cree Tribe’s PRCDA to include Cascade County. 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 Cascade County, Montana, the IHS and the Chippewa Cree Tribe estimate that the Tribe’s PRC eligible population would increase by an estimated 251 Tribal members. 2. As part of their expansion request, the Chippewa Cree Tribe submitted a resolution from the Tribe’s governing body. The resolution explains that the expansion is intended to serve their members living in Cascade County, Montana and it describes those members as being socially and VerDate Sep<11>2014 19:45 Dec 16, 2024 Jkt 265001 economically tied to the Tribe’s reservation. The IHS therefore finds that the Tribal members within the proposed, expanded PRCDA are socially and economically affiliated with the Chippewa Cree Tribe. 3. The expanded PRCDA county forms a contiguous area with the existing PRCDA. Members of the Chippewa Cree Tribe reside in the county proposed for inclusion in the expanded PRCDA. Through their expansion request, the Tribe described how close Cascade County, Montana is to their reservation and explained that it is close enough for their members residing there to return frequently to the Tribe’s reservation for ceremony and participation in Tribal elections. For these reasons, the IHS has determined the additional county proposed for inclusion herein to be geographically proximate, meaning ‘‘on or near,’’ to the Tribe’s reservation. 4. Through the Chippewa Cree Tribe’s request to expand its PRCDA, the Tribe 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 from the IHS or reduction of the current medical priority level. Accordingly, the IHS proposes to expand the PRCDA of the Chippewa Cree Tribe to include the county of Cascade in the state of Montana. 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. 2024–29689 Filed 12–16–24; 8:45 am] BILLING CODE 4166–14–P 102151 Contact Person listed below in advance of the meeting. The meeting can be accessed from the NIH Videocast at the following link: https://videocast.nih.gov/. Name of Committee: Scientific Management Review Board. Date: January 10, 2025. Time: 11:00 a.m. to 1:00 p.m. Agenda: Establish priorities and review prior recommendations and report. Place: National Institutes of Health, One Center Drive, Building 1, Bethesda, MD 20892. Meeting Format: Virtual Meeting. Contact Person: Tyrone Spady, Ph.D., Acting Senior Advisor to the NIH Deputy Director, Office of the Director, One Center Drive, Building 1, Room 108, Bethesda, MD 20892, (301) 496–2433, smrb@nih.gov. Any interested person may file written comments with the committee by forwarding the statement to the Contact Person listed on this notice. The statement should include the name, address, telephone number and when applicable, the business or professional affiliation of the interested person. The draft meeting agenda and other information about the SMRB, including information about access to the webcast, will be available prior to the meeting at https:// smrb.od.nih.gov. (Catalogue of Federal Domestic Assistance Program Numbers: 93.14, Intramural Research Training Award; 93.22, Clinical Research Loan Repayment Program for Individuals from Disadvantaged Backgrounds; 93.232, Loan Repayment Program for Research Generally; 93.39, Academic Research Enhancement Award; 93.936, NIH Acquired Immunodeficiency Syndrome Research Loan Repayment Program; 93.187, Undergraduate Scholarship Program for Individuals from Disadvantaged Backgrounds, National Institutes of Health, HHS.) Dated: December 12, 2024. Lauren A. Fleck, Program Analyst, Office of Federal Advisory Committee Policy. [FR Doc. 2024–29701 Filed 12–16–24; 8:45 am] BILLING CODE 4140–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Director; Notice of Meeting National Institutes of Health Pursuant to section 1009 of the Federal Advisory Committee Act, as amended, notice is hereby given of the following meeting. The meeting will be held as a virtual meeting and will be open to the public as indicated below. Interested individuals should pre-register at https://cvent.me/N0moVx to attend this meeting. Individuals who need special assistance, such as sign language interpretation or other reasonable accommodations, should notify the PO 00000 Frm 00048 Fmt 4703 Sfmt 4703 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 E:\FR\FM\17DEN1.SGM 17DEN1

Agencies

[Federal Register Volume 89, Number 242 (Tuesday, December 17, 2024)]
[Notices]
[Pages 102150-102151]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-29689]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Notice of Proposed Purchased/Referred Care Delivery Area 
Redesignation for the Chippewa Cree Tribe of the Rocky Boy's 
Reservation

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 Chippewa Cree Tribe of the 
Rocky Boy's Reservation (``Chippewa Cree Tribe'' or ``Tribe'') to 
include the Montana county of Cascade. The current PRCDA for the 
Chippewa Cree Tribe includes the Montana counties of Choteau, Hill and 
Liberty. Chippewa Cree 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 Chippewa Cree Tribal members 
and beneficiaries to receive PRC services.

DATES: Comments must be submitted by January 16, 2025.

ADDRESSES: In commenting, please refer to file code [Federal Register 
insert file code number]. 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.
    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.

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: 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

[[Page 102151]]

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 Chippewa Cree Tribe of the Rocky Boy's Reservation is located 
Hill and Choteau Counties of Montana. The Chippewa Cree Tribe operates 
their PRC program under an Indian Self-Determination and Education 
Assistance Act agreement with the IHS. The Chippewa Cree Tribe has 
requested that the IHS expand its PRCDA to include Cascade County, 
Montana. The requested PRCDA redesignation would share Cascade County 
with the PRCDA of the Little Shell Tribe of Chippewa Indians of Montana 
(``Little Shell Tribe''). The Billings Area held discussions with the 
Little Shell Tribe, during which the Little Shell Tribe did not raise 
any objections to the expansion of the Chippewa Cree Tribe's PRCDA to 
include Cascade County. 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 Cascade County, Montana, the 
IHS and the Chippewa Cree Tribe estimate that the Tribe's PRC eligible 
population would increase by an estimated 251 Tribal members.
    2. As part of their expansion request, the Chippewa Cree Tribe 
submitted a resolution from the Tribe's governing body. The resolution 
explains that the expansion is intended to serve their members living 
in Cascade County, Montana and it describes those members as being 
socially and economically tied to the Tribe's reservation. The IHS 
therefore finds that the Tribal members within the proposed, expanded 
PRCDA are socially and economically affiliated with the Chippewa Cree 
Tribe.
    3. The expanded PRCDA county forms a contiguous area with the 
existing PRCDA. Members of the Chippewa Cree Tribe reside in the county 
proposed for inclusion in the expanded PRCDA. Through their expansion 
request, the Tribe described how close Cascade County, Montana is to 
their reservation and explained that it is close enough for their 
members residing there to return frequently to the Tribe's reservation 
for ceremony and participation in Tribal elections. For these reasons, 
the IHS has determined the additional county proposed for inclusion 
herein to be geographically proximate, meaning ``on or near,'' to the 
Tribe's reservation.
    4. Through the Chippewa Cree Tribe's request to expand its PRCDA, 
the Tribe 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 from the IHS 
or reduction of the current medical priority level.
    Accordingly, the IHS proposes to expand the PRCDA of the Chippewa 
Cree Tribe to include the county of Cascade in the state of Montana.
    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. 2024-29689 Filed 12-16-24; 8:45 am]
BILLING CODE 4166-14-P
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.