80_FR_47423 80 FR 47272 - Implementation of Executive Order 13559 Updating Participation in Department of Health and Human Services Programs by Faith-Based or Religious Organizations and Providing for Equal Treatment of Department of Health and Human Services Program Participants

80 FR 47272 - Implementation of Executive Order 13559 Updating Participation in Department of Health and Human Services Programs by Faith-Based or Religious Organizations and Providing for Equal Treatment of Department of Health and Human Services Program Participants

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families

Federal Register Volume 80, Issue 151 (August 6, 2015)

Page Range47272-47282
FR Document2015-18256

The United States Department Health and Human Services (HHS) proposes to amend its general regulations regarding the equal treatment of religious organizations in HHS programs and the protection of religious liberty for HHS social service providers and beneficiaries. Specifically, this proposed rule would: Clarify the definition of direct and indirect financial assistance, replace the term ``inherently religious activities'' with the term ``explicitly religious activities,'' require faith-based organizations administering a program supported with direct HHS financial assistance to provide beneficiaries with a written notice informing them of their religious liberty protections, including the right to a referral to an alternative provider if the beneficiary objects to the religious character of the organization providing services, and add a provision stating that decisions about awards of Federal financial assistance must be free from political interference and based on merit.

Federal Register, Volume 80 Issue 151 (Thursday, August 6, 2015)
[Federal Register Volume 80, Number 151 (Thursday, August 6, 2015)]
[Proposed Rules]
[Pages 47272-47282]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-18256]



[[Page 47271]]

Vol. 80

Thursday,

No. 151

August 6, 2015

Part VIII





 Department of Health and Human Services





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 Administration for Children and Families





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45 CFR Parts 87 and 1050





Implementation of Executive Order 13559 Updating Participation in 
Department of Health and Human Services Programs by Faith-Based or 
Religious Organizations and Providing for Equal Treatment of Department 
of Health and Human Services Program Participants; Proposed Rule

Federal Register / Vol. 80 , No. 151 / Thursday, August 6, 2015 / 
Proposed Rules

[[Page 47272]]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

45 CFR Part 87

Administration for Children and Families

45 CFR Part 1050

RIN 0991-AB96


Implementation of Executive Order 13559 Updating Participation in 
Department of Health and Human Services Programs by Faith-Based or 
Religious Organizations and Providing for Equal Treatment of Department 
of Health and Human Services Program Participants

AGENCY: Office of the Secretary and Administration for Children and 
Families (HHS), Department of Health and Human Services.

ACTION: Proposed rule; request for comments.

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SUMMARY: The United States Department Health and Human Services (HHS) 
proposes to amend its general regulations regarding the equal treatment 
of religious organizations in HHS programs and the protection of 
religious liberty for HHS social service providers and beneficiaries. 
Specifically, this proposed rule would: Clarify the definition of 
direct and indirect financial assistance, replace the term ``inherently 
religious activities'' with the term ``explicitly religious 
activities,'' require faith-based organizations administering a program 
supported with direct HHS financial assistance to provide beneficiaries 
with a written notice informing them of their religious liberty 
protections, including the right to a referral to an alternative 
provider if the beneficiary objects to the religious character of the 
organization providing services, and add a provision stating that 
decisions about awards of Federal financial assistance must be free 
from political interference and based on merit.

DATES: Comments must be submitted by October 5, 2015.

ADDRESSES: You may submit comments via the Federal eRulemaking Portal 
at www.regulations.gov. In addition, please include the Docket ID at 
the top of your comments.

FOR FURTHER INFORMATION CONTACT: For general information, please 
contact Acacia Bamberg Salatti, Director, U.S. Department of Health and 
Human Services Center for Faith-Based and Neighborhood Partnerships, 
200 Independence Ave. SW., Room 747D, Washington, DC 20201 or via email 
at [email protected], telephone: 202-358-3595, fax: 202-205-2727 
with contact number for confirmation of receipt 202-690-6060.

SUPPLEMENTARY INFORMATION: 

I. Background

    This proposal concerns and implements two Executive Orders: 
Executive Order 13279, Equal Protection of the Laws for Faith-Based and 
Community Organizations, issued on December 12, 2002, 67 FR 77141 (Dec. 
16, 2002) and Executive Order 13559, Fundamental Principles and 
Policymaking Criteria for Partnerships with Faith-Based and Other 
Neighborhood Organizations, issued on November 17, 2010, 75 FR 71319 
(Nov. 22, 2010), which amends Executive Order 13279. Executive Order 
13279 set forth the principles and policymaking criteria to guide 
Federal agencies in formulating and developing policies with 
implications for faith-based organizations and other community 
organizations, to ensure equal protection of the laws for faith-based 
and other community organizations, and to expand opportunities for, and 
strengthen the capacity of, faith-based and other community 
organizations to meet social needs in America's communities. In 
addition, Executive Order 13279 asked specified agency heads to review 
and evaluate existing policies relating to Federal financial assistance 
for social service programs, as defined within Executive Order 13279, 
and, where appropriate, to implement new policies that were consistent 
with and necessary to further the fundamental principles and 
policymaking criteria that have implications for faith-based and 
community organizations.
    HHS implemented Executive Order 13279 in regulations at 45 CFR part 
87 entitled ``Equal Treatment for Faith-based Organizations.'' The 
regulatory language provided in this notice is extensive because 45 CFR 
part 87 is being fundamentally revised to remove separate sections for 
discretionary grants and formula and block grants. Those distinctions 
are now made within a single regulatory section. The changes to these 
regulations clarify that faith-based and community organizations may 
participate in the Department's social service programs without regard 
to the organizations' religious character or affiliation, and are able 
to apply for and compete on an equal footing with other eligible 
organizations to receive federal financial assistance from HHS. These 
regulations further ensure that the Department's social service 
programs are implemented in a manner consistent with the Establishing 
Clause and the Free Exercise Clause of the First Amendment to the U.S. 
Constitution.
    In the existing regulations located at 45 CFR part 87, HHS social 
service providers, including State and local governments and other 
pass-through entities administering federal financial assistance from 
HHS, have certain responsibilities as recipients of federal financial 
assistance from HHS. Sections 87.1(e) and 87.2(e) of the current Equal 
Treatment regulations sets forth one of these responsibilities, namely 
that directly funded HHS social service providers must not discriminate 
for or against any beneficiary on the basis of religion or religious 
belief. In addition, HHS service providers must ensure that no direct 
federal financial assistance from HHS is used to support inherently 
religious activities as explained in Sec.  87.1(c) and Sec.  87.2(c). 
Inherently religious activities are currently described in the existing 
rule as ``activities that involve overt religious content such as 
worship, religious instruction, or proselytization.'' If such a 
provider engages in inherently religious activities, such activities 
must be offered separately, in time or location, from the social 
service programs receiving direct HHS financial assistance, and 
participation must be voluntary for the beneficiaries of HHS social 
service programs. Both Sec.  87.1(j) and Sec.  87.2(j), clarify that 
these responsibilities do not apply to social service programs where 
federal financial assistance from HHS is provided to a religious 
organization indirectly.
    Also in the standing regulations located at 45 CFR part 87, both 
Sec.  87.1(g) and Sec.  87.2(g) clarify that receipt of HHS grant 
support does not cause religious organizations to forfeit their 
exemption from title VII of the Civil Rights Act of 1964's prohibitions 
on employment discrimination on the basis of religion. However, the 
Equal Treatment Regulations do not alter the effect of other statutes 
which may require recipients of certain types of federal financial 
assistance from HHS to refrain from religious discrimination.
    Lastly, in the existing regulations at 45 CFR part 87, Sec.  
87.1(h) and Sec.  87.2(h) of the rule establishes alternative 
mechanisms by which organizations can prove they are nonprofit, which 
is sometimes an eligibility requirement for receiving federal financial 
assistance from HHS. Such mechanisms, however, do not apply where a 
statute requires a specific method for establishing nonprofit status.

[[Page 47273]]

    Shortly after taking office, President Obama signed Executive Order 
13498, Amendments to Executive Order 13199 and Establishment of the 
President's Advisory Council for Faith-Based and Neighborhood 
Partnerships, 74 FR 6533 (Feb. 9, 2009). Executive Order 13498 changed 
the name of the White House Office of Faith-Based and Community 
Initiatives to the White House Office of Faith-Based and Neighborhood 
Partnerships and established the President's Advisory Council for 
Faith-Based and Neighborhood Partnerships (Advisory Council). The 
President created the Advisory Council to bring together experts to, 
among other things, make recommendations to the President for changes 
in policies, programs, and practices that affect the delivery of social 
services by faith-based and other neighborhood organizations.
    The Advisory Council issued its recommendations in a report 
entitled A New Era of Partnerships: Report of Recommendations to the 
President in March 2010 (available at http://www.whitehouse.gov/sites/default/files/microsites/ofbnp-council-final-report.pdf). The Advisory 
Council Report included recommendations to amend Executive Order 13279 
in order to clarify the legal foundation of partnerships and offered a 
revised set of fundamental principles to guide agency decision-making 
in administering Federal financial assistance and support to faith-
based and neighborhood organizations.
    President Obama signed Executive Order 13559, Fundamental 
Principles and Policymaking Criteria for Partnerships with Faith-Based 
and Other Neighborhood Organizations, on November 17, 2010. 75 FR 71319 
(available at http://www.thefederalregister.org/fdsys/pkg/FR-2010-11-22/pdf/2010-29579.pdf). Executive Order 13559 incorporated the Advisory Council's 
recommendations by amending Executive Order 13279 to:
     Emphasize that religious providers are welcome to compete 
for government social service funding and maintain a religious identity 
as described in the order;
     Clarify (i) the principle that organizations engaging in 
explicitly religious activity must separate these activities in time or 
location from programs supported with direct Federal financial 
assistance, (ii) that participation in any explicit religious activity 
cannot be subsidized with direct Federal financial assistance, and 
(iii) that participation in such activities must be voluntary for the 
beneficiaries of the social service program supported with such Federal 
financial assistance;
     Direct agencies to adopt regulations and guidance that 
distinguish between ``direct'' and ``indirect'' Federal financial 
assistance;
     Clarify that the standards in these proposed regulations 
apply to sub-awards as well as prime awards;
     Require agencies that provide Federal financial assistance 
for social service programs to post online regulations, guidance 
documents, and policies that have implications for faith-based and 
neighborhood organizations and to post online a list of entities 
receiving such assistance;
     State that the Federal government has an obligation to 
monitor and enforce all standards regarding the relationship between 
religion and government in ways that avoid excessive entanglement 
between religious bodies and governmental entities;
     Require agencies that administer or award Federal 
financial assistance for social service programs to implement 
protections for the beneficiaries or of those programs (these 
protections include providing referrals to alternative providers if the 
beneficiary objects to the religious character of the organization 
providing services, and ensuring that written notice of these and other 
protections is provided to beneficiaries before they enroll in or 
receive services from the program); and
     State that decisions about awards of Federal financial 
assistance must be free from political interference or even the 
appearance of such interference, and must be made on the basis of 
merit, not on the basis of the religious affiliation, or lack of 
affiliation, of the recipient organization.
    In addition, Executive Order 13559 created the Interagency Working 
Group on Faith-Based and Other Neighborhood Partnerships (Working 
Group) to review and evaluate existing regulations, guidance documents, 
and policies. Executive Order 13559, Sec.  1(c) (amending Sec.  3 of 
Executive Order 13279).
    The Executive Order also required OMB, in coordination with the 
Department of Justice, to issue guidance to agencies on the 
implementation of the Order following receipt of the Working Group's 
report. In August 2013, OMB issued such guidance. In this guidance, OMB 
instructed specified agency heads to adopt regulations and guidance 
that will fulfill the requirements of the Executive Order to the extent 
such regulations and guidance do not exist and, where appropriate and 
to the extent permitted by law, to amend any existing regulations and 
guidance to ensure that they are consistent with the requirements set 
forth in Executive Order 13559. Memorandum from Sylvia M. Burwell, 
Director, on Implementation of Executive Order 13559 to Heads of 
Executive Departments and Agencies (Aug. 2, 2013) (available at http://www.whitehouse.gov/sites/default/files/omb/memoranda/2013/m-13-19.pdf). 
Pursuant to the August 2, 2013 OMB Memo, the Department is hereby 
publishing this proposed rule amending its existing Equal Treatment 
regulations to ensure they are consistent with Executive Order 13279 as 
amended by Executive Order 13559.
    As explained below, the Department's existing Equal Treatment 
Regulations at 45 CFR part 87, already implements many of the 
provisions of Executive Order 13559. However, the regulation is being 
revised in order to meet the new requirements of Executive Order 13279 
that were added once it was amended by Executive Order 13559. The 
Department looks forward to comments on the fundamental changes within 
the proposed rule.

II. Overview of Proposed Rule

A. Purpose of the Proposed Rule

    Consistent with Executive Order 13559, this proposed rule would 
revise the Department's Equal Treatment Regulations to: (1) Clarify the 
distinction between direct and indirect Federal financial assistance as 
well as the rights and obligations of HHS social service providers; (2) 
replace the term ``inherently religious activities'' with the term 
``explicitly religious activities'' and designate the latter term as 
``including activities that involve overt religious content such as 
worship, religious instruction, or proselytization''; (3) require 
faith-based organizations administering a program supported with direct 
HHS financial assistance to provide beneficiaries with a written notice 
informing them of their religious liberty protections, including the 
right to a referral to an available alternative provider if the 
beneficiary objects to the religious character of the organization 
providing services, and (4) add a provision stating that decisions 
about awards of Federal financial assistance must be free from 
political interference and made based on merit. In order to accommodate 
the requisite changes, the proposed rule's format differs from the 
current rule. Unlike the current rule, the proposed rule is not 
sectioned based on grant type (i.e., discretionary grants or formula 
and block grants). In order to draw out distinctions based on the grant 
type, the rule includes an applicability section. These changes will 
ensure the

[[Page 47274]]

Department's regulations implement all of the requirements of Executive 
Order 13279 as amended.
    These proposed rules will apply to grants awarded in HHS social 
service programs after the effective date of the Final Rule. As 
indicated in the applicability section, these include grants awarded in 
social service programs governed by either ``Uniform Administrative 
Requirements, Cost Principles, and Audit Requirements'' at 45 CFR part 
75, or block grant regulations at 45 CFR part 96.
    Part 87 currently exempts grants governed by the Substance Abuse 
and Mental Health Services Administration (SAMHSA) Charitable Choice 
rule at 42 CFR part 54 and 45 CFR part 96, subpart L, as well as grants 
governed by the Temporary Assistance for Needy Families (TANF) 
Charitable Choice rule at 45 CFR part 260. Those grants will remain 
exempt from part 87. Those Charitable Choice rules currently provide 
their program beneficiaries who object to the religious character of an 
HHS supported social service provider with an option to request an 
alternative provider.
    Part 87 also currently exempts grants governed by the Community 
Services Block Grant (CSBG) Charitable Choice rule at 45 CFR part 1050. 
That Charitable Choice rule does not have an alternative provider 
provision. This proposed rule, which identifies new regulatory 
provisions and a conforming amendment, will apply to CSBG grants. In 
addition, this proposed rule identifies new regulatory provisions that 
will apply to the Childcare and Development Block Grant program, which 
is currently exempt from part 87 and does not have an alternative 
provider provision.

B. Proposed Amendments to HHS Equal Treatment Regulations

    HHS proposes to amend its Equal Treatment Regulations at 45 CFR 
part 87, to address the areas identified below.
1. Direct and Indirect Federal Financial Assistance
    Executive Order 13559 noted that new regulations should distinguish 
between ``direct'' and ``indirect'' Federal financial assistance 
because the limitation on explicitly religious activities applies to 
programs that are supported with ``direct'' Federal financial 
assistance but does not apply to programs supported with ``indirect'' 
Federal financial assistance. Executive Order 13559, Sec.  1(c) 
(amending Sec.  3(b) of Executive Order 13279).
    Programs are supported with direct Federal financial assistance 
when either the government or an pass-through entity, as identified in 
these proposed rules, selects a service provider and either purchases 
services from that provider (e.g., through a contract) or awards funds 
to that provider to carry out a social service (e.g., through a grant 
or cooperative agreement). Under these circumstances, there are no 
intervening steps in which the beneficiary's choice determines the 
provider's identity.
    ``Indirect'' Federal financial assistance is distinguishable 
because it places the choice of service provider in the hands of a 
beneficiary before the Federal government pays for the cost of that 
service through a voucher, certificate, or other similar means. For 
example, the Federal government could choose to allow the beneficiary 
to secure the needed service on his or her own. Alternatively, a 
Federal agency, operating under a neutral program of aid, could present 
each beneficiary with a list of all qualified providers from which the 
beneficiary could obtain services using a Federal government-provided 
certificate, e.g. through the use of Individual Training Accounts. 
Either way, the Federal government empowers the beneficiary to choose 
for himself or herself whether to receive the needed services, 
including those that contain explicitly religious activities, through a 
faith-based or other neighborhood organization. The Federal government 
could then pay for the beneficiary's choice of provider by giving the 
beneficiary a voucher or similar document. Alternatively, the Federal 
government could choose to pay the provider directly after asking the 
beneficiary to indicate his or her choice. See Freedom From Religion 
Found. v. McCallum, 324 F.3d 880, 882 (7th Cir. 2003).
    The Supreme Court has held that if a program meets certain 
criteria, the government may fund the program if, among other things, 
it places the benefit in the hands of individuals, who in turn have the 
freedom to choose the provider to which they take their benefit and 
``spend'' it, whether that provider is public or private, non-religious 
or religious. See Zelman v. Simmons-Harris, 536 U.S. 639, 652-53 
(2002). In these instances, the government does not encourage or 
promote any explicitly religious programs that may be among the options 
available to beneficiaries. Notably, the voucher scheme at issue in the 
Zelman decision, which was described by the Court as one of ``true 
private choice'' was also neutral toward religion and offered 
beneficiaries adequate secular options.
    The Department's current Equal Treatment Regulations do not provide 
explicit definitions for the terms ``direct Federal financial 
assistance'' and ``indirect Federal financial assistance.'' To help to 
clarify the distinction, the Department proposes to add definitions of 
these terms to Sec.  87.1, the section containing the definition of 
certain terms used in the Equal Treatment Regulations. Section 87.1(b) 
defines the term ``Direct Federal financial assistance.'' Consistent 
with Executive Order 13559's mandate to adopt regulations on ``the 
distinction between `direct' and `indirect' Federal financial 
assistance.'' Proposed paragraph (b) provides a definition for the 
terms ``direct Federal financial assistance,'' ``Federal financial 
assistance provided directly,'' ``direct funding'' and ``directly 
funded'' and defines them to mean that the Government or pass-through 
entity selects the provider and either purchases services from that 
provider (e.g., via a contract) or awards funds to that provider to 
carry out a service (e.g., via a grant or cooperative agreement). In 
general, Federal financial assistance will be treated as direct, unless 
it meets the definition of indirect Federal financial assistance or 
Federal financial assistance provided indirectly.
    Proposed paragraph (c) provides a definition for the term 
``indirect Federal financial assistance'' or ``Federal financial 
assistance provided indirectly'' and defines it to mean that the choice 
of the service provider is placed in the hands of the beneficiary, and 
the cost of that service is paid through a voucher, certificate, or 
other similar means of government-funded payment. Federal financial 
assistance provided to an organization is considered ``indirect'' when 
(1) the government funded program through which the beneficiary 
receives the voucher, certificate, or other similar means of 
government-funded payment is neutral toward religion; (2) the 
organization receives the assistance as a result of a decision of the 
beneficiary, not a decision of the government; and (3) the beneficiary 
has at least one adequate secular option for the use of the voucher, 
certificate, or other similar means of government-funded payment. 
Proposed Sec.  87.1(c)(1) notes that recipients of sub-awards that 
receive Federal financial assistance through programs administered by 
states or other pass-through entities are not considered recipients of 
indirect Federal financial assistance.
    The Department also proposes to add definitions for two additional 
terms used in 45 CFR part 87. Proposed paragraph (d) provides a 
definition for the term ``Pass-through entity'' as defined in 2 CFR 
200.74. Proposed

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paragraph (e) provides a definition for the term ``Recipient'' as 
defined in 2 CFR 200.86.
2. Inherently Religious Activities
    Existing agency regulations and Executive Order 13279 prohibits 
non-governmental organizations from using direct Federal financial 
assistance (e.g., government grants, contracts, sub-grants, and 
subcontracts) for ``inherently religious activities, such as worship, 
religious instruction, and proselytization.'' The term ``inherently 
religious'' has proven confusing. In 2006, for example, the Government 
Accountability Office (GAO) found that, while all 26 of the religious 
social service providers it interviewed said they understood the 
prohibition on using direct Federal financial assistance for 
``inherently religious activities,'' four of the providers described 
acting in ways that appeared to violate that rule. GAO, Faith-Based and 
Community Initiative: Improvements in Monitoring Grantees and Measuring 
Performance Could Enhance Accountability, GAO-06-616, at 34-35 (June 
2006) (available at http://www.gao.gov/new.items/d06616.pdf).
    Further, while the Supreme Court has sometimes used the term 
``inherently religious,'' it has not used it to indicate the boundary 
of what the Government may subsidize with direct Federal financial 
assistance. If the term is interpreted narrowly, it could permit 
actions that the Constitution prohibits. On the other hand, one could 
also argue that the term ``inherently religious'' is too broad rather 
than too narrow.
    The Supreme Court has determined that the Government cannot 
subsidize ``a specifically religious activity in an otherwise 
substantially secular setting.'' Hunt v. McNair, 413 U.S. 734, 743 
(1973). It has also said a direct aid program impermissibly advances 
religion when the aid results in governmental indoctrination of 
religion. See Mitchell v. Helms, 530 U.S. 793, 808 (2000) (Thomas, J., 
joined by Rehnquist, C.J., Scalia, and Kennedy, JJ. plurality); id. at 
845 (O'Connor, J., joined by Breyer, J., concurring in the judgment); 
Agostini v. Felton, 521 U.S. 203, 223 (1997). This terminology is 
fairly interpreted to prohibit the Government from directly subsidizing 
any ``explicitly religious activity,'' including activities that 
involve overt religious content. Thus, direct Federal financial 
assistance should not be used to pay for activities such as religious 
instruction, devotional exercises, worship, proselytizing or 
evangelism; production or dissemination of devotional guides or other 
religious materials; or counseling in which counselors introduce 
religious content. Similarly, direct Federal financial assistance may 
not be used to pay for equipment or supplies to the extent they are 
allocated to such activities. Activities that are secular in content, 
such as serving meals to the needy or using a nonreligious text to 
teach someone to read, are not considered ``explicitly religious 
activities'' merely because the provider is religiously motivated to 
provide those services. Secular activity also includes the study or 
acknowledgement of religion as a historical or cultural reality.
    The Department, therefore, proposes to replace the term 
``inherently religious activities'' with the term ``explicitly 
religious activities'' throughout the Equal Treatment Regulations and 
to define the latter term as ``including activities that involve overt 
religious content such as worship, religious instruction, or 
proselytization.'' These changes in language are consistent with the 
use of the term ``explicitly religious activities'' in Executive Order 
13559 and will provide greater clarity and more closely match 
constitutional standards as they have been developed in case law.
3. Pass-Through Entities
    The Department also proposes to add regulatory language at proposed 
Sec.  87.3(m) that will clarify the rights and responsibilities of 
pass-through entities. A pass-through entity is an entity, including a 
non-governmental organization, acting under a contract, grant, or other 
agreement with the Federal Government or with a State or local 
government, that accepts Federal financial assistance and distributes 
that assistance to other organizations that, in turn, provide 
government-funded social services. Each pass-through entity must abide 
by all statutory and regulatory requirements by, for example, providing 
any services supported with direct Federal financial assistance in a 
religiously neutral manner that does not include explicitly religious 
activities. The pass-through entity also has the same duties as the 
government to comply with these rules by, for example, selecting any 
providers to receive Federal financial assistance in a manner that does 
not favor or disfavor organizations on the basis of religion or 
religious belief. While pass-through entities may be used to distribute 
Federal financial assistance to other organizations in some programs, 
pass-through entities remain accountable for the Federal financial 
assistance they disburse. Accordingly, pass-through entities must 
ensure that any providers to which they disburse Federal financial 
assistance also comply with these rules. If the pass-through entity is 
a non-governmental organization, it retains all other rights of a non-
governmental organization under the statutory and regulatory provisions 
governing the program.
    A State's use of pass-through entities does not relieve the State 
of its traditional responsibility to effectively monitor the actions of 
such organizations. States are obligated to manage the day-to-day 
operations of grant and sub-grant supported activities to ensure 
compliance with applicable Federal requirements and performance goals. 
Moreover, a State's use of pass-through entities does not relieve the 
State of its responsibility to ensure that providers are selected, and 
deliver services, in a manner consistent with the First Amendment's 
Establishment Clause.
4. Protections for Beneficiaries
    Executive Order 13559 indicates a variety of valuable protections 
for the religious liberty rights of social service beneficiaries. These 
protections are aimed at ensuring that Federal financial assistance is 
not used to coerce or pressure beneficiaries along religious lines, and 
to make beneficiaries aware of their rights, through appropriate 
notice, when potentially obtaining services from providers with a 
religious affiliation.
    Executive Order 13559, Sec.  1(b) (amending Sec.  2(d) of Executive 
Order 13279) makes clear that all organizations that receive Federal 
financial assistance for the purpose of delivering social services are 
prohibited from discriminating against beneficiaries or potential 
beneficiaries of those programs on the basis of religion, a religious 
belief, refusal to hold a religious belief, or a refusal to attend or 
participate in a religious practice, and this proposed rule implements 
confirming changes for greater consistency with that principle. Both 
also state that organizations offering explicitly religious activities 
(including activities that involve overt religious content such as 
worship, religious instruction or proselytization) must not use direct 
Federal financial assistance to subsidize or support those activities, 
and that any explicitly religious activities must be offered outside of 
programs that are supported with direct Federal financial assistance 
(including through prime awards or sub-awards). In other words, to the 
extent that a directly funded organization provides explicitly 
religious activities, those activities must be offered

[[Page 47276]]

separately in time or location from programs or services supported with 
direct Federal financial assistance. As noted above, participation in 
those religious activities must be completely voluntary for 
beneficiaries of programs supported by direct Federal financial 
assistance.
    To strengthen the protections provided to beneficiaries, Executive 
Order 13559 requires that organizations administering a program that is 
supported by direct Federal financial assistance must give written 
notice in a manner prescribed by the Department to beneficiaries of 
their religious liberty protections, including the right to be referred 
to an alternative provider when available. If a beneficiary or of a 
social service program supported by Federal financial assistance 
objects to the religious character of an organization that provides 
services under the program, the social service program must refer the 
beneficiary to an alternative provider. Accordingly, the proposed rule 
supplements existing beneficiary protections in the Equal Treatment 
Regulations by adding two new sections to the regulations--one 
addressing the written notice requirement at proposed Sec.  87.3(i) and 
the other addressing the referral requirement at proposed Sec.  
87.3(j).
a. Written Notice
    Executive Order 13279, as amended by Executive Order 13559, 
requires that the Secretary of Health and Human Services, among other 
agency heads, establish policies and procedures designed to ensure that 
each beneficiary of a social service program receives written notice of 
their religious liberty protections. Executive Order 13279, Sec.  
2(h)(ii) as amended by Executive Order 13559, Sec.  1, 75 FR at 71320-
21. Consistent with this mandate, proposed Sec.  87.3(i) requires HHS 
social service providers with a religious affiliation to give 
beneficiaries written notice of their religious liberty protections 
when seeking or obtaining services supported by direct HHS financial 
assistance. The notice is set forth in proposed paragraph Sec.  87.3(i) 
and informs beneficiaries that:
    (1) The organization may not discriminate against beneficiaries on 
the basis of religion or religious belief;
    (2) the organization may not require beneficiaries to attend or 
participate in any explicitly religious activities, and any 
participation by beneficiaries in such activities must be purely 
voluntary;
    (3) the organization must separate out in time or location any 
explicitly religious activities from activities supported with direct 
federal financial assistance from HHS;
    (4) if a beneficiary objects to the religious character of the 
organization, the organization will undertake reasonable efforts to 
identify and refer the beneficiary to an alternative provider to which 
there is no objection; and
    (5) beneficiaries may report violations of these enumerated 
religious liberty protections to the awarding entity.
    The purpose of the notice is to make beneficiaries aware of their 
religious liberty protections and helps to ensure that beneficiaries 
are not coerced or pressured along religious lines in order to obtain 
HHS-supported social service programs. An example of the notice is 
provided as Appendix A to the preamble.
    As indicated in proposed Sec.  87.3(i), when the nature of the 
service provided or exigent circumstances make it impracticable to 
provide such written notice in advance of the actual service, service 
providers must advise beneficiaries of their protections at the 
earliest available opportunity. In cases where service providers only 
have brief interaction with beneficiaries, or when beneficiaries 
receive what may be a one-time service from a provider, providers may 
clearly post the written notice in a service area.
b. Referral Requirements
    Proposed Sec.  87.3(j) implements Executive Order 13559's 
requirement that a beneficiary be referred to an alternative provider 
when he or she objects to the religious character of an organization 
that provides services under the federally-financed program. Executive 
Order 11246, Sec.  2(h)(i) as amended by Executive Order 13559, Sec.  
1; 75 FR 71320. Accordingly, paragraph (j) of proposed Sec.  87.3 
provides that, if a beneficiary of a social service program supported 
by direct Federal financial assistance objects to the religious 
character of an organization that provides services under the program, 
that organization must promptly undertake reasonable efforts to 
identify and refer the beneficiary to an alternative provider to which 
the beneficiary has no objection. Paragraph (j) of proposed Sec.  87.3 
states that a referral may be made to another religiously affiliated 
provider, if the beneficiary has no objection to that provider. But if 
the beneficiary requests a secular provider, and a secular provider 
that offers the needed services is available, then a referral must be 
made to that provider.
    Paragraph Sec.  87.3(j) specifies that, except for services 
provided by telephone, internet, or similar means, the referral must be 
to an alternative provider that is in geographic proximity to the 
organization making the referral and that offers services that are 
similar in substance and quality to those offered by the organization. 
The alternative provider also must have the capacity to accept 
additional clients. If a Federally-supported alternative provider meets 
these requirements and is acceptable to the beneficiary, a referral 
must be made to that provider. If, however, there is no Federally-
supported alternative provider that meets these requirements and is 
acceptable to the beneficiary, a referral should be made to an 
alternative provider that does not receive Federal financial assistance 
but does meet these requirements and is acceptable to the beneficiary.
    If an organization is unable to identify an alternative provider, 
the organization is required under paragraph (k) of proposed Sec.  87.3 
to notify the awarding entity and that entity is to determine whether 
there is any other suitable alternative provider to which the 
beneficiary may be referred. This means that a religious social service 
provider that is the prime recipient of Federal financial assistance 
must notify the HHS awarding agency; whereas, a religious social 
service provider that has been funded through a sub-award from a prime 
recipient of Federal financial assistance must notify the prime 
recipient entity from which it has received funds. The prime recipient 
of Federal financial assistance must notify the HHS awarding agency 
when a sub-recipient makes a referral to an alternative provider or is 
unable to identify an alternative provider. An HHS social service prime 
recipient may request assistance from the HHS awarding entity in 
identifying an alternative service provider. Further, the executive 
order and the proposed rule require the relevant government agency to 
ensure that appropriate and timely referrals are made to an appropriate 
provider. Referrals must be made in a manner consistent with applicable 
laws and regulations. It must be noted, however, that in some 
instances, the awarding entity may also be unable to identify a 
suitable alternative provider.
5. Political or Religious Affiliation
    Consistent with Sec.  2(j) of Executive Order 11246 as amended by 
Sec.  1 of Executive Order 13559, the proposed rule adds a new 
provision at proposed Sec.  87.3(l) to require that decisions about 
awards of Federal financial assistance must be free from political 
interference or even the appearance of such interference and must be 
made based on

[[Page 47277]]

merit, not on the basis of religion or religious belief. This 
requirement will increase confidence that the rules applicable to 
Federal financial assistance are being observed and that decisions 
about government grants are made on the merits of proposals, not on 
political or religious considerations. The awarding entity must 
instruct participants in the awarding process to refrain from taking 
religious affiliations or non-religious affiliations into account in 
this process; i.e., an organization should not receive favorable or 
unfavorable marks merely because it is affiliated or unaffiliated with 
a religious body, or related or unrelated to a specific religion. When 
selecting grant reviewers, the awarding entity should never ask about 
religious affiliation or take such matters into account. But it should 
encourage diversity among reviewers by advertising for these positions 
in a wide variety of venues.

III. Regulatory Procedures

Executive Orders 12866 and 13563

    Executive Orders (E.O.) 12866 and 13563 direct agencies to assess 
all costs and benefits of available regulatory alternatives and, if 
regulation is necessary, to select regulatory approaches that maximize 
net benefits (including potential economic, environmental, public 
health and safety effects; distributive impacts; and equity). E.O. 
13563 emphasizes the importance of quantifying both costs and benefits, 
reducing costs, harmonizing rules, and promoting flexibility. Section 
3(f) of E.O. 12866 defines a ``significant regulatory action'' as an 
action that is likely to result in a rule that: (1) Has an annual 
effect on the economy of $100 million or more or adversely and 
materially affects a sector of the economy, productivity, competition, 
jobs, the environment, public health or safety, or State, local or 
Tribal governments or communities (also referred to as ``economically 
significant''); (2) creates serious inconsistency or otherwise 
interferes with an action taken or planned by another agency; (3) 
materially alters the budgetary impacts of entitlement grants, user 
fees, or loan programs or the rights and obligations of recipients 
thereof; or (4) raises novel legal or policy issues arising out of 
legal mandates, the President's priorities, or the principles set forth 
in E.O. 12866.
    The Department believes that the only provisions of this proposed 
rule likely to impose costs on the regulated community are the 
requirements that HHS social service providers with a religious 
affiliation: (1) Give beneficiaries a written notice informing them of 
their religious liberty protections when seeking or obtaining services 
supported by direct HHS financial assistance, (2) at the beneficiary's 
request, make reasonable efforts to identify and refer the beneficiary 
to an alternative provider to which the beneficiary has no objection, 
and (3) document such action. To minimize compliance costs and allow 
maximum flexibility in implementation, the proposed rule provides the 
language of the notice directly within the proposed rule. Additionally, 
the preamble incudes an example of the notice in Appendix A to the 
preamble. An estimate of the burden, in term of the number of hours 
involved in referring beneficiaries, is discussed in the Paperwork 
Reduction Act section of this proposed rule.
    At this time, there is no known source of information to quantify 
precisely the numbers or proportions of program beneficiaries who will 
request referral to alternative providers. We are not aware of any 
instances in which a beneficiary of a program of the Department has 
objected to receiving services from a faith-based organization. There 
is however a possibility that we will begin to see objections when, as 
a result of the implementation of this rule, beneficiaries begin to 
receive notices of their option to request referral to an alternative 
service provider. We therefore estimate that the number of requests for 
referrals will be one per year for each faith-based or religious 
organization that receives HHS funding through prime or sub-awards. 
While a precise estimate is not available, we believe that this 
estimate is reasonable, though it likely errs on the higher end in view 
of our experience at the Department of Health and Human Services. The 
Substance Abuse and Mental Health Services Administration (SAMHSA), 
which administers beneficiary substance abuse service programs under 
titles V and XIX of the Public Health Service Act, 42 U.S.C. 290aa, et 
seq. and 42 U.S.C. 300x-21 et seq. Specifically, 42 U.S.C. 290kk-1 and 
300x-65, requires faith-based organizations that receive assistance 
under the Act to provide notice to beneficiaries of their ability under 
statute to request an alternative service provider. Recipients of 
assistance must also report all referrals to the appropriate federal, 
state, or local government agency that administers the SAMHSA program. 
To date, SAMHSA has not received any reports of referral by recipients 
or subrecipients. The Department invites interested parties to provide 
data on which to base estimates of the number of beneficiaries who will 
request referral to an alternative service provider and the attendant 
compliance cost service providers may face.
    Notwithstanding the absence of concrete data, the Department 
believes that this proposed rule is not significant within the meaning 
of the Executive Order because the annual costs associated with 
complying with the written notice and referral requirements will not 
approach $100 million.

Initial Regulatory Flexibility Analysis

    The Regulatory Flexibility Act (RFA) at 5 U.S.C. 603(a) requires 
agencies to prepare and make available for public comment an initial 
regulatory flexibility analysis which will describe the impact of the 
proposed rule on small entities. Section 605 of the RFA allows an 
agency to certify a rule, in lieu of preparing an analysis, if the 
proposed rulemaking is not expected to have a significant economic 
impact on a substantial number of small entities. Furthermore, under 
the Small Business Regulatory Enforcement Fairness Act of 1996, 5 
U.S.C. 801 (SBREFA), an agency is required to produce compliance 
guidance for small entities if the rule has a significant economic 
impact on a substantial number of small entities. The RFA defines small 
entities as small business concerns, small not-for-profit enterprises, 
or small governmental jurisdictions.
    As described above, the Department has made every effort to ensure 
that the disclosure and referral requirements of the proposed rule 
impose minimum burden and allow maximum flexibility in implementation 
by providing in the rule the notice for providers to give beneficiaries 
informing them of their protections and by not proscribing a specific 
format for making referrals. The Department estimates it will take no 
more than two minutes for providers to print, duplicate, and distribute 
an adequate number of disclosure notices for potential beneficiaries. 
In addition, the Department estimates an upper limit of $100 for the 
annual cost of materials (paper, ink, toner) to print multiple copies 
of the notices. Because these costs will be borne by every small 
service provider with a religious affiliation, the Department believes 
that a substantial number of these small entities may be affected by 
this provision. However, the Department does not believe that a 
compliance cost of less than $100 per provider per year is a 
significant percentage of a provider's total revenue. In addition, we 
note that after the first year, the labor cost associated with 
compliance will

[[Page 47278]]

likely decrease because small service providers will be familiar with 
the requirements.
    The rule will also require religious social service providers, at 
the beneficiary's request, to make reasonable efforts to identify and 
refer the beneficiary to an alternative provider to which the 
beneficiary has no objection. If an organization is unable to identify 
an alternative provider, the organization is required to notify the 
awarding entity and that entity is to determine whether there is any 
other suitable alternative provider to which the beneficiary may be 
referred. An HHS social service pass-through entity may request 
assistance from the HHS awarding agency in identifying an alternative 
service provider. The Department estimates that an estimated one 
request for referral per year will require no more than two hours of a 
social service provider's time each year. This estimate includes the 
time required to identify service providers that provide similar 
services, preferably under the same or similar programs to the one 
under which the beneficiary is being served by the faith-based 
organization. The estimate also includes the time required to determine 
whether one of the alternative providers has the capacity to serve the 
beneficiary and whether that provider is acceptable to the beneficiary. 
Also, depending on whether the beneficiary asked the faith-based 
organization to follow up either with the beneficiary or the 
alternative service provider to determine whether the referral is 
successful, this estimate includes the time required to do the follow-
up. The Department does not believe that referral costs will be 
appreciable for small service providers. The Department invites 
interested parties to provide data on which we can formulate better 
estimates of the compliance costs associated with the disclosure and 
referral requirements of this proposed rule.

Paperwork Reduction Act

    The purposes of the Paperwork Reduction Act of 1995 (PRA), 44 
U.S.C. 3501 et seq., include minimizing the paperwork burden on 
affected entities. The PRA requires certain actions before an agency 
can adopt or revise a collection of information, including publishing a 
summary of the collection of information and a brief description of the 
need for and proposed use of the information.
    A Federal agency may not conduct or sponsor a collection of 
information unless it is approved by OMB under the PRA, and displays a 
currently valid OMB control number, and the public is not required to 
respond to a collection of information unless it displays a currently 
valid OMB control number. Also, notwithstanding any other provisions of 
law, no person shall be subject to penalty for failing to comply with a 
collection of information if the collection of information does not 
display a currently valid OMB control number (44 U.S.C. 3512). This 
rule may require the collection of additional information from 
beneficiaries should a request for referral to an alternative service 
provider be received.
    Section Sec.  87.3(i) would impose requirements on religious social 
service providers to give beneficiaries a standardized notice 
instructing beneficiaries of their protections. The Department has 
determined this notice is not a collection of information subject to 
OMB clearance under the PRA because the Federal Government has provided 
the exact text that a provider must use. See 5 CFR 1320.3(c)(2). The 
beneficiary's response, however, is subject to OMB clearance under the 
PRA. In the sample notice provided as an appendix to this Notice of 
Proposed Rulemaking (NPRM), care has been taken to limit the 
information to simply obtaining minimal identifying information and 
providing check boxes for material response. The new reporting 
requirement in proposed section 87.3(k), and the record keeping that is 
necessary to comply with that requirement, would be subject to the 
Paperwork Reduction Act.
    To quantify this potential collection, and recognizing the need for 
OMB clearance as a possibility, the Department has estimated the burden 
that the beneficiary response would impose on faith-based or religious 
recipients by reviewing data from the most recent assessment of the 
number of faith-based or religious organizations in 65 HHS grant 
programs. During the assessment, which was conducted in 2007, the 
Center for Faith-based and Neighborhood Partnerships reviewed the names 
of our nonprofit and private recipients to determine whether they use 
religious terms in their names. This approach was necessary as HHS does 
not currently collect information that directly identifies a recipient 
as a faith-based or religious organization. The data from this review 
was used to estimate the number of faith-based organizations that 
receive discretionary grants from the Department. According to the 2007 
data, an estimated 10% of HHS awards were made to faith-based or 
religious organizations. While we recognize that Section Sec.  87.3(i) 
of this NPRM does not impose the same methodology as the 2007 survey to 
identify social service providers with a religious character, our 2007 
survey provides best estimates of the proportion of HHS supported 
social service providers to the extent practicable.
    Using the most recently completed fiscal year of 2014, the 
Department (excluding the National Institutes of Health) awarded 13,720 
discretionary grants. Using the previously justified estimate of 10%, 
the Department estimates that 1,372 discretionary grants will be 
awarded to faith-based or religious organizations. Furthermore, using 
our estimate of one request for referral per a year per a faith-based 
or religious organization, we estimate that there will be 1,372 
requests for referral per year. Multiplying that number times the two 
hours of a social service provider's time, we estimates the Total 
Estimated Annual Burden Hours will be 2,744 hours per a year.
    We have not estimated the burden on State and local entities or on 
pass-through entities because today we have no data on which to base 
such an estimate. As the Department does not have a direct relationship 
with sub-recipients, asking States to estimate the number of its sub-
recipients that are faith-based or religious organizations would impose 
significant burden and require approval of an information collection 
request of its own.
    Religious social service providers that would be subject to these 
requirements would have to keep records to show that they have met the 
referral requirements in the proposed regulations. We do not include an 
estimate of the burden of maintaining the records needed to demonstrate 
compliance with the requirements imposed on religious social service 
providers. The record-keeping and reporting burden that these proposed 
regulations would add is so small that, under most programs, it would 
not measurably increase the burden that already exists under current 
program and administrative requirements. If, due to the unique nature 
of a particular program, the record-keeping burden associated with 
these proposed regulations is large enough to be measurable, that 
burden will be calculated under the record-keeping and reporting 
requirements of the affected program and identified in information 
collection requests that are submitted to OMB for PRA approval. 
Therefore, we have not included any estimate of record-keeping burden 
in this PRA analysis.
    The Department will submit an information-collection request (ICR) 
to OMB to obtain PRA approval for the information-collection formatting

[[Page 47279]]

requirements contained in this notice of proposed rulemaking (NPRM).

Executive Order 13132

    Section 6 of Executive Order 13132 requires Federal agencies to 
consult with State entities when a regulation or policy may have a 
substantial direct effect on the States or the relationship between the 
National Government and the States, or the distribution of power and 
responsibilities among the various levels of government, within the 
meaning of the Executive Order. Section 3(b) of the Executive Order 
further provides that Federal agencies must implement regulations that 
have a substantial direct effect only if statutory authority permits 
the regulation and it is of national significance.
    This proposed rule does not have a substantial direct effect on the 
States or the relationship between the National Government and the 
States, or the distribution of power and responsibilities among the 
various levels of Government, within the meaning of the Executive Order 
13132. Any action taken by a State as a result of the proposed rule 
would be at its own discretion as the rule imposes no requirements.

Unfunded Mandates Reform Act of 1995

    This regulatory action has been reviewed in accordance with the 
Unfunded Mandates Reform Act of 1995 (Reform Act). Under the Reform 
Act, a Federal agency must determine whether a regulation proposes a 
Federal mandate that would result in increased expenditures by State, 
local, or tribal governments, in the aggregate, or by the private 
sector, of $100 million or more in any single year. The Department has 
determined this proposed rule does not include any Federal mandate that 
may result in increased expenditure by State, local, and Tribal 
governments in the aggregate of more than $100 million, or increased 
expenditures by the private sector of more than $100 million.

Effect on Family Life

    The Department certifies that this proposed rule has been assessed 
according to section 654 of the Treasury and General Government 
Appropriations Act, enacted as part of the Omnibus Consolidated and 
Emergency Supplemental Appropriations Act of 1999 (Pub. L. 105-277, 112 
Stat. 2681), for its effect on family well-being. It will not adversely 
affect the well-being of the nation's families. Therefore, the 
Department certifies that this proposed rule does not adversely impact 
family well-being.

Appendix A to the Preamble--Example Notice

Written Notice of Beneficiary Protections

Name of Organization:

Name of Program:

Contact Information for Program Staff (name, phone number, and email 
address, if appropriate):

Because this program is supported in whole or in part by financial 
assistance from the Federal Government, we are required to let you 
know that--

 We may not discriminate against you on the basis of 
religion or religious belief;

 We may not require you to attend or participate in any 
explicitly religious activities that are offered by us, and any 
participation by you in these activities must be purely voluntary;

 We must separate in time or location any privately funded 
explicitly religious activities from activities supported with 
direct Federal financial assistance;

 If you object to the religious character of our 
organization, we must make reasonable efforts to identify and refer 
you to an alternative provider to which you have no objection; and

 You may report violations of these protections to the 
awarding agency/entity.

We must give you this notice before you enroll in our program or 
receive services from the program.

Beneficary Referral Request

If you object to receiving services from us based on the religious 
character of our organization, please complete this form and return 
it to the program contact identified above. If you object, we will 
make reasonable efforts to refer you to another service provider. 
With your consent, we will follow up with you or the organization to 
which you were referred to determine whether you contacted that 
organization.

Please check if applicable:

( ) I want to be referred to another service provider

.If you checked above that you wish to be referred to another 
service provider, please check one of the following:

( ) Please follow up with me.
 Name:

 Best way to reach me (phone/address/email):

( ) Please do not follow up.

List of Subjects

45 CFR Part 87

    Administrative practice and procedure; Claims; Courts; Government 
employees; Religious Discrimination.

45 CFR Part 1050

    Grant programs-social programs.
    For the reasons stated in the preamble, under the Authority of 5 
U.S.C. 301, the Department of Health and Human Services and the 
Administration for Children and Families, respectively, propose to 
amend 45 CFR parts 87 and 1050 as set forth below:

0
1. Revise part 87 to read as follows:

PART 87--EQUAL TREATMENT FOR FAITH-BASED ORGANIZATIONS

Sec.
87.1 Definitions.
87.2 Applicability.
87.3 Grants.

    Authority:  5 U.S.C. 301.


Sec.  87.1  Definitions.

    (a) These are the definitions for terms used in this part. 
Different definitions may be found in Federal statutes or regulations 
that apply more specifically to particular program or activities.
    (b) The terms direct Federal financial assistance, Federal 
financial assistance provided directly, direct funding, and directly 
funded mean that the government or a pass-through entity [under this 
part] selects the provider and either purchases services from that 
provider (e.g., via a contract) or awards funds to that provider to 
carry out a service (e.g., via grant or cooperative agreement). In 
general, Federal financial assistance shall be treated as direct, 
unless it meets the definition of ``indirect Federal financial 
assistance'' or ``Federal financial assistance provided indirectly.''
    (c) The term indirect Federal financial assistance or Federal 
financial assistance provided indirectly means that the choice of the 
service provider is placed in the hands of the beneficiary, and the 
cost of that service is paid through a voucher, certificate, or other 
similar means of government-funded payment.
    (1) Federal financial assistance provided to an organization is 
considered indirect when:
    (i) The Government program through which the beneficiary receives 
the voucher, certificate, or other similar means of Government-funded 
payment is neutral toward religion;
    (ii) The organization receives the assistance as a result of a 
decision of the beneficiary, not a decision of the government; and
    (iii) The beneficiary has at least one adequate secular option for 
the use of the voucher, certificate, or other similar means of 
Government-funded payment.
    (2) The recipients of sub-grants that receive Federal financial 
assistance through State-administered programs are not considered 
recipients of ``indirect Federal financial assistance'' [or recipients 
of ``Federal funds provided indirectly''] as those terms are used in 
this part.

[[Page 47280]]

    (d) Pass-through entity means a non-Federal entity that provides a 
subaward to a subrecipient to carry out part of a Federal program.
    (e) Recipient means a non-Federal entity that receives a Federal 
award directly from a Federal awarding agency to carry out an activity 
under a Federal program. The term recipient does not include 
subrecipients.


Sec.  87.2  Applicability.

    This part applies to grants awarded in HHS social service programs 
governed by either Uniform Administrative Requirements, Cost 
Principles, and Audit Requirements at 45 CFR part 75 or Block Grant 
regulations at grants governed by 45 CFR part 96, except as provided in 
paragraphs (a) and (b) of this section.
    (a) Discretionary grants. This part is not applicable to the 
discretionary grant programs that are governed Substance Abuse and 
Mental Health Services Administration (SAMHSA) Charitable Choice 
regulations found at 42 CFR part 54a. This part is also not applicable 
to discretionary grant programs that are governed by the Community 
Services Block Grant Charitable Choice regulations at 45 CFR part 1050, 
with the exception of Sec.  87.1 and Sec.  87.3(i) through (l) which do 
apply to such discretionary grants.
    (b) Formula and block grants. This part is not applicable to non-
discretionary and block grant programs governed by the SAMHSA 
Charitable Choice regulations found at 42 CFR part 54 and 45 CFR part 
96, subpart L, or the Temporary Assistance for Needy Families (TANF) 
Charitable Choice regulations at 45 CFR part 260. Block grants governed 
by the Community Service Block Grant (CSBG) Charitable Choice 
regulations at 45 CFR part 1050 do not apply to this part, with the 
exception that Sec.  87.1 and Sec.  87.3(i) through (l) do apply to 
such block grants. This part is not applicable to Child Care and 
Development Block Grants governed by 45 CFR part 98, with the exception 
that Sec.  87.1 and Sec.  87.3(b), (c) and (i) through (m) do apply to 
such block grants.


Sec.  87.3  Grants.

    (a) Faith-based or religious organizations are eligible, on the 
same basis as any other organization, to participate in any HHS 
awarding agency program for which they are otherwise eligible. Neither 
the HHS awarding agency, nor any State or local government and other 
pass-through entity receiving funds under any HHS awarding agency 
program shall, in the selection of service providers, discriminate for 
or against an organization on the basis of the organization's religious 
character or affiliation. As used in this section, ``program'' refers 
to activities supported by discretionary, formula or block grants.
    (b) Organizations that apply for or receive direct financial 
assistance from an HHS awarding agency may not support or engage in any 
explicitly religious activities (including activities that involve 
overt religious content such as worship, religious instruction, or 
proselytization), as part of the programs or services funded with 
direct financial assistance from the HHS awarding agency, or in any 
other manner prohibited by law. If an organization conducts such 
activities, the activities must be offered separately, in time or 
location, from the programs or services funded with direct financial 
assistance from the HHS awarding agency, and participation must be 
voluntary for beneficiaries of the programs or services funded with 
such assistance. The use of indirect Federal financial assistance is 
not subject to this restriction. Religious activities that can be 
publicly funded under the Establishment Clause, such as chaplaincy 
services, likewise would not be considered ``explicitly religious 
activities'' that is subject to direct Federal financial assistance 
restrictions.
    (c) A faith-based or religious organization that participates in 
HHS awarding agency-funded programs or services will retain its 
independence from Federal, State, and local governments, and may 
continue to carry out its mission, including the definition, practice, 
and expression of its religious beliefs, provided that it does not use 
direct financial assistance from the HHS awarding agency (including 
through a prime or sub-award) to support or engage in any explicitly 
religious activities (including activities that involve overt religious 
content such as worship, religious instruction, or proselytization). A 
faith-based or religious organization may use space in its facilities 
to provide programs or services funded with financial assistance from 
the HHS awarding agency without removing religious art, icons, 
scriptures, or other religious symbols. In addition, a faith-based or 
religious organization that receives financial assistance from the HHS 
awarding agency retains its authority over its internal governance, and 
it may retain religious terms in its organization's name, select its 
board members on a religious basis, and include religious references in 
its organization's mission statements and other governing documents in 
accordance with all program requirements, statutes, and other 
applicable requirements governing the conduct of HHS Awarding Agency-
funded activities.
    (d) An organization that participates in programs funded by 
financial assistance from an HHS awarding agency shall not, in 
providing services, discriminate against a program beneficiary or 
prospective program beneficiary on the basis of religion, a religious 
belief, a refusal to hold a religious belief, or a refusal to attend or 
participate in a religious practice.
    (e) No grant document, agreement, covenant, memorandum of 
understanding, policy, or regulation that is used by an HHS awarding 
agency or a State or local government in administering financial 
assistance from the HHS awarding agency shall require only faith-based 
or religious organizations to provide assurances that they will not use 
monies or property for explicitly religious activities. Any 
restrictions on the use of grant funds shall apply equally to religious 
and non-religious organizations. All organizations that participate in 
HHS awarding agency programs, including organizations with religious 
character or affiliations, must carry out eligible activities in 
accordance with all program requirements and other applicable 
requirements governing the conduct of HHS awarding agency-funded 
activities, including those prohibiting the use of direct financial 
assistance to engage in explicitly religious activities. No grant 
document, agreement, covenant, memorandum of understanding, policy, or 
regulation that is used by the HHS awarding agency or a State or local 
government in administering financial assistance from the HHS awarding 
agency shall disqualify faith-based or religious organizations from 
participating in the HHS awarding agency's programs because such 
organizations are motivated or influenced by religious faith to provide 
social services, or because of their religious character or 
affiliation.
    (f) A faith-based or religious organization's exemption from the 
Federal prohibition on employment discrimination on the basis of 
religion, set forth in section 702(a) of the Civil Rights Act of 1964, 
42 U.S.C. 2000e-1, is not forfeited when the faith-based or religious 
organization receives direct or indirect financial assistance from an 
HHS awarding agency. Some HHS awarding agency programs, however, 
contain independent statutory provisions requiring that all recipients 
agree not to discriminate in employment

[[Page 47281]]

on the basis of religion. Accordingly, recipients should consult with 
the appropriate HHS awarding agency program office if they have 
questions about the scope of any applicable requirement.
    (g) In general, the HHS awarding agency does not require that a 
recipient, including a faith-based or religious organization, obtain 
tax-exempt status under section 501(c)(3) of the Internal Revenue Code 
to be eligible for funding under HHS awarding agency programs. Many 
grant programs, however, do require an organization to be a ``nonprofit 
organization'' in order to be eligible for funding. Funding 
announcements and other grant application solicitations that require 
organizations to have nonprofit status will specifically so indicate in 
the eligibility section of the solicitation. In addition, any 
solicitation that requires an organization to maintain tax-exempt 
status will expressly state the statutory authority for requiring such 
status. Recipients should consult with the appropriate HHS awarding 
agency program office to determine the scope of any applicable 
requirements. In HHS awarding agency programs in which an applicant 
must show that it is a nonprofit organization, the applicant may do so 
by any of the following means:
    (1) Proof that the Internal Revenue Service currently recognizes 
the applicant as an organization to which contributions are tax 
deductible under section 501(c)(3) of the Internal Revenue Code;
    (2) A statement from a State or other governmental taxing body or 
the State secretary of State certifying that:
    (i) The organization is a nonprofit organization operating within 
the State; and
    (ii) No part of its net earnings may benefit any private 
shareholder or individual;
    (3) A certified copy of the applicant's certificate of 
incorporation or similar document that clearly establishes the 
nonprofit status of the applicant; or
    (4) Any item described in paragraphs (g)(1) through (3) of this 
section, if that item applies to a State or national parent 
organization, together with a statement by the State or parent 
organization that the applicant is a local nonprofit affiliate.
    (h) If a recipient contributes its own funds in excess of those 
funds required by a matching or grant agreement to supplement HHS 
awarding agency-supported activities, the recipient has the option to 
segregate those additional funds or commingle them with the Federal 
award funds. If the funds are commingled, the provisions of this 
section shall apply to all of the commingled funds in the same manner, 
and to the same extent, as the provisions apply to the Federal funds. 
With respect to the matching funds, the provisions of this section 
apply irrespective of whether such funds are commingled with Federal 
funds or segregated.
    (i) Faith-based or religious organizations providing social 
services to beneficiaries under an HHS program that is supported by 
direct Federal financial assistance must give written notice to 
beneficiaries of certain protections. This written notice must be given 
to beneficiaries prior to the time they enroll in the program or 
receive services from such programs. When the nature of the service 
provided or exigent circumstances make it impracticable to provide such 
written notice in advance of the actual service, service providers must 
advise beneficiaries of their protections at the earliest available 
opportunity. Notice must be given in a manner prescribed by the HHS 
awarding agency. This notice must state that:
    (1) The organization may not discriminate against beneficiaries on 
the basis of religion or religious belief;
    (2) The organization may not require beneficiaries to attend or 
participate in any explicitly religious activities that are offered by 
the organization, and any participation by beneficiaries in such 
activities must be purely voluntary;
    (3) The organization must separate in time or location any 
privately funded explicitly religious activities from activities 
supported by direct Federal financial assistance;
    (4) If a beneficiary objects to the religious character of the 
organization, the organization will undertake reasonable efforts to 
identify and refer the beneficiary to an alternative provider to which 
the beneficiary has no objection; and
    (5) Beneficiaries may report violations of these protections to the 
awarding entity.
    (j) If a beneficiary of a social service program supported by the 
HHS awarding agency objects to the religious character of an 
organization that provides services under the program, that 
organization must promptly undertake reasonable efforts to identify and 
refer the beneficiary to an alternative provider to which the 
beneficiary has no objection. A referral may be made to another faith-
based or religious organization, if the beneficiary has no objection to 
that provider. But if the beneficiary requests a secular provider, and 
a secular provider is available, then a referral must be made to that 
provider. Except for services provided by telephone, internet, or 
similar means, the referral must be to an alternative provider that is 
in reasonable geographic proximity to the organization making the 
referral and that offers services that are similar in substance and 
quality to those offered by the organization. The alternative provider 
also must have the capacity to accept additional clients.
    (k) When the organization makes a referral to an alternative 
provider, or when the organization determines that it is unable to 
identify an alternative provider, the organization must notify the 
prime recipient entity from which it has received funds. The prime 
recipient of Federal financial assistance must notify the HHS awarding 
agency when a sub-recipient makes a referral to an alternative provider 
or is unable to identify an alternative provider.
    (l) Decisions about awards of Federal financial assistance must be 
free from political interference or even the appearance of such 
interference and must be made on the basis of merit, not on the basis 
of religion or religious belief.
    (m) If a pass-through entity, acting under a contract, grant, or 
other agreement with the Federal government or with a State or local 
government that is administering a program supported by Federal 
financial assistance, is given the authority under the contract, grant, 
or agreement to select non-governmental organizations to provide 
services funded by the Federal government, the pass-through entity must 
ensure compliance with the provisions of this part and any implementing 
rules or guidance by the sub-recipient. If the pass-through entity is a 
non-governmental organization, it retains all other rights of a non-
governmental organization under the program's statutory and regulatory 
provisions.

PART 1050--CHARITABLE CHOICE UNDER THE COMMUNITY SERVICES BLOCK 
GRANT ACT PROGRAMS

0
2. The authority citation for part 1050 continues to read as follows:

    Authority:  42 U.S.C. 9901 et seq.

0
3. Amend Sec.  1050.3 by revising paragraph (h) to read as follows:


Sec.  1050.3  What conditions apply to the Charitable Choice provisions 
of the CSBG Act?

* * * * *
    (h) If a nongovernmental pass-through entity, acting under a grant, 
contract, or other agreement with the Federal, State or local 
government, is given the authority to select nongovernmental

[[Page 47282]]

organizations to provide services under an applicable program, then the 
intermediate organization must ensure that there is compliance with 
these Charitable Choice provisions and 45 CFR 87.1 and 87.3(i) through 
(l). The pass-through entity retains all other rights of a 
nongovernmental organization under the Charitable Choice provisions.

    Dated: July 20, 2015.
Sylvia M. Burwell,
Secretary.
[FR Doc. 2015-18256 Filed 8-5-15; 8:45 am]
 BILLING CODE 4150-24-P



                                                     47272                  Federal Register / Vol. 80, No. 151 / Thursday, August 6, 2015 / Proposed Rules

                                                     DEPARTMENT OF HEALTH AND                                Washington, DC 20201 or via email at                  Department’s social service programs
                                                     HUMAN SERVICES                                          Partnerships@hhs.gov, telephone: 202–                 are implemented in a manner consistent
                                                                                                             358–3595, fax: 202–205–2727 with                      with the Establishing Clause and the
                                                     45 CFR Part 87                                          contact number for confirmation of                    Free Exercise Clause of the First
                                                                                                             receipt 202–690–6060.                                 Amendment to the U.S. Constitution.
                                                     Administration for Children and                         SUPPLEMENTARY INFORMATION:                               In the existing regulations located at
                                                     Families                                                                                                      45 CFR part 87, HHS social service
                                                                                                             I. Background                                         providers, including State and local
                                                     45 CFR Part 1050                                           This proposal concerns and                         governments and other pass-through
                                                     RIN 0991–AB96                                           implements two Executive Orders:                      entities administering federal financial
                                                                                                             Executive Order 13279, Equal                          assistance from HHS, have certain
                                                     Implementation of Executive Order                       Protection of the Laws for Faith-Based                responsibilities as recipients of federal
                                                     13559 Updating Participation in                         and Community Organizations, issued                   financial assistance from HHS. Sections
                                                     Department of Health and Human                          on December 12, 2002, 67 FR 77141                     87.1(e) and 87.2(e) of the current Equal
                                                     Services Programs by Faith-Based or                     (Dec. 16, 2002) and Executive Order                   Treatment regulations sets forth one of
                                                     Religious Organizations and Providing                   13559, Fundamental Principles and                     these responsibilities, namely that
                                                     for Equal Treatment of Department of                    Policymaking Criteria for Partnerships                directly funded HHS social service
                                                     Health and Human Services Program                       with Faith-Based and Other                            providers must not discriminate for or
                                                     Participants                                            Neighborhood Organizations, issued on                 against any beneficiary on the basis of
                                                                                                             November 17, 2010, 75 FR 71319 (Nov.                  religion or religious belief. In addition,
                                                     AGENCY:  Office of the Secretary and                    22, 2010), which amends Executive                     HHS service providers must ensure that
                                                     Administration for Children and                         Order 13279. Executive Order 13279 set                no direct federal financial assistance
                                                     Families (HHS), Department of Health                    forth the principles and policymaking                 from HHS is used to support inherently
                                                     and Human Services.                                     criteria to guide Federal agencies in                 religious activities as explained in
                                                     ACTION: Proposed rule; request for                      formulating and developing policies                   § 87.1(c) and § 87.2(c). Inherently
                                                     comments.                                               with implications for faith-based                     religious activities are currently
                                                                                                             organizations and other community                     described in the existing rule as
                                                     SUMMARY:    The United States Department                                                                      ‘‘activities that involve overt religious
                                                                                                             organizations, to ensure equal
                                                     Health and Human Services (HHS)                                                                               content such as worship, religious
                                                                                                             protection of the laws for faith-based
                                                     proposes to amend its general                                                                                 instruction, or proselytization.’’ If such
                                                                                                             and other community organizations, and
                                                     regulations regarding the equal                                                                               a provider engages in inherently
                                                                                                             to expand opportunities for, and
                                                     treatment of religious organizations in                                                                       religious activities, such activities must
                                                                                                             strengthen the capacity of, faith-based
                                                     HHS programs and the protection of                                                                            be offered separately, in time or
                                                                                                             and other community organizations to
                                                     religious liberty for HHS social service                                                                      location, from the social service
                                                                                                             meet social needs in America’s
                                                     providers and beneficiaries.                                                                                  programs receiving direct HHS financial
                                                                                                             communities. In addition, Executive
                                                     Specifically, this proposed rule would:                                                                       assistance, and participation must be
                                                                                                             Order 13279 asked specified agency
                                                     Clarify the definition of direct and                                                                          voluntary for the beneficiaries of HHS
                                                                                                             heads to review and evaluate existing
                                                     indirect financial assistance, replace the                                                                    social service programs. Both § 87.1(j)
                                                                                                             policies relating to Federal financial
                                                     term ‘‘inherently religious activities’’                                                                      and § 87.2(j), clarify that these
                                                                                                             assistance for social service programs, as
                                                     with the term ‘‘explicitly religious                                                                          responsibilities do not apply to social
                                                                                                             defined within Executive Order 13279,
                                                     activities,’’ require faith-based                                                                             service programs where federal financial
                                                                                                             and, where appropriate, to implement
                                                     organizations administering a program                                                                         assistance from HHS is provided to a
                                                                                                             new policies that were consistent with
                                                     supported with direct HHS financial                                                                           religious organization indirectly.
                                                                                                             and necessary to further the
                                                     assistance to provide beneficiaries with
                                                                                                             fundamental principles and                               Also in the standing regulations
                                                     a written notice informing them of their
                                                                                                             policymaking criteria that have                       located at 45 CFR part 87, both § 87.1(g)
                                                     religious liberty protections, including
                                                                                                             implications for faith-based and                      and § 87.2(g) clarify that receipt of HHS
                                                     the right to a referral to an alternative
                                                                                                             community organizations.                              grant support does not cause religious
                                                     provider if the beneficiary objects to the
                                                                                                                HHS implemented Executive Order                    organizations to forfeit their exemption
                                                     religious character of the organization
                                                                                                             13279 in regulations at 45 CFR part 87                from title VII of the Civil Rights Act of
                                                     providing services, and add a provision
                                                                                                             entitled ‘‘Equal Treatment for Faith-                 1964’s prohibitions on employment
                                                     stating that decisions about awards of
                                                                                                             based Organizations.’’ The regulatory                 discrimination on the basis of religion.
                                                     Federal financial assistance must be free
                                                                                                             language provided in this notice is                   However, the Equal Treatment
                                                     from political interference and based on
                                                                                                             extensive because 45 CFR part 87 is                   Regulations do not alter the effect of
                                                     merit.
                                                                                                             being fundamentally revised to remove                 other statutes which may require
                                                     DATES: Comments must be submitted by                                                                          recipients of certain types of federal
                                                                                                             separate sections for discretionary
                                                     October 5, 2015.                                        grants and formula and block grants.                  financial assistance from HHS to refrain
                                                     ADDRESSES: You may submit comments                      Those distinctions are now made within                from religious discrimination.
                                                     via the Federal eRulemaking Portal at                   a single regulatory section. The changes                 Lastly, in the existing regulations at
                                                     www.regulations.gov. In addition, please                to these regulations clarify that faith-              45 CFR part 87, § 87.1(h) and § 87.2(h)
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                                                     include the Docket ID at the top of your                based and community organizations                     of the rule establishes alternative
                                                     comments.                                               may participate in the Department’s                   mechanisms by which organizations can
                                                     FOR FURTHER INFORMATION CONTACT: For                    social service programs without regard                prove they are nonprofit, which is
                                                     general information, please contact                     to the organizations’ religious character             sometimes an eligibility requirement for
                                                     Acacia Bamberg Salatti, Director, U.S.                  or affiliation, and are able to apply for             receiving federal financial assistance
                                                     Department of Health and Human                          and compete on an equal footing with                  from HHS. Such mechanisms, however,
                                                     Services Center for Faith-Based and                     other eligible organizations to receive               do not apply where a statute requires a
                                                     Neighborhood Partnerships, 200                          federal financial assistance from HHS.                specific method for establishing
                                                     Independence Ave. SW., Room 747D,                       These regulations further ensure that the             nonprofit status.


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                                                                            Federal Register / Vol. 80, No. 151 / Thursday, August 6, 2015 / Proposed Rules                                            47273

                                                        Shortly after taking office, President                  • Direct agencies to adopt regulations             Order 13559. Memorandum from Sylvia
                                                     Obama signed Executive Order 13498,                     and guidance that distinguish between                 M. Burwell, Director, on
                                                     Amendments to Executive Order 13199                     ‘‘direct’’ and ‘‘indirect’’ Federal                   Implementation of Executive Order
                                                     and Establishment of the President’s                    financial assistance;                                 13559 to Heads of Executive
                                                     Advisory Council for Faith-Based and                       • Clarify that the standards in these              Departments and Agencies (Aug. 2,
                                                     Neighborhood Partnerships, 74 FR 6533                   proposed regulations apply to sub-                    2013) (available at http://
                                                     (Feb. 9, 2009). Executive Order 13498                   awards as well as prime awards;                       www.whitehouse.gov/sites/default/files/
                                                     changed the name of the White House                        • Require agencies that provide                    omb/memoranda/2013/m-13–19.pdf).
                                                     Office of Faith-Based and Community                     Federal financial assistance for social               Pursuant to the August 2, 2013 OMB
                                                     Initiatives to the White House Office of                service programs to post online                       Memo, the Department is hereby
                                                     Faith-Based and Neighborhood                            regulations, guidance documents, and                  publishing this proposed rule amending
                                                     Partnerships and established the                        policies that have implications for faith-            its existing Equal Treatment regulations
                                                     President’s Advisory Council for Faith-                 based and neighborhood organizations                  to ensure they are consistent with
                                                     Based and Neighborhood Partnerships                     and to post online a list of entities                 Executive Order 13279 as amended by
                                                     (Advisory Council). The President                       receiving such assistance;                            Executive Order 13559.
                                                     created the Advisory Council to bring                      • State that the Federal government                   As explained below, the Department’s
                                                     together experts to, among other things,                has an obligation to monitor and enforce              existing Equal Treatment Regulations at
                                                     make recommendations to the President                   all standards regarding the relationship              45 CFR part 87, already implements
                                                     for changes in policies, programs, and                  between religion and government in                    many of the provisions of Executive
                                                     practices that affect the delivery of                   ways that avoid excessive entanglement                Order 13559. However, the regulation is
                                                     social services by faith-based and other                between religious bodies and                          being revised in order to meet the new
                                                     neighborhood organizations.                             governmental entities;                                requirements of Executive Order 13279
                                                        The Advisory Council issued its                         • Require agencies that administer or              that were added once it was amended
                                                     recommendations in a report entitled A                  award Federal financial assistance for                by Executive Order 13559. The
                                                     New Era of Partnerships: Report of                      social service programs to implement                  Department looks forward to comments
                                                     Recommendations to the President in                     protections for the beneficiaries or of               on the fundamental changes within the
                                                     March 2010 (available at http://                        those programs (these protections
                                                                                                                                                                   proposed rule.
                                                     www.whitehouse.gov/sites/default/files/                 include providing referrals to alternative
                                                     microsites/ofbnp-council-final-                         providers if the beneficiary objects to               II. Overview of Proposed Rule
                                                     report.pdf). The Advisory Council                       the religious character of the                        A. Purpose of the Proposed Rule
                                                     Report included recommendations to                      organization providing services, and
                                                     amend Executive Order 13279 in order                    ensuring that written notice of these and                Consistent with Executive Order
                                                     to clarify the legal foundation of                      other protections is provided to                      13559, this proposed rule would revise
                                                     partnerships and offered a revised set of               beneficiaries before they enroll in or                the Department’s Equal Treatment
                                                     fundamental principles to guide agency                  receive services from the program); and               Regulations to: (1) Clarify the
                                                     decision-making in administering                           • State that decisions about awards of             distinction between direct and indirect
                                                     Federal financial assistance and support                Federal financial assistance must be free             Federal financial assistance as well as
                                                     to faith-based and neighborhood                         from political interference or even the               the rights and obligations of HHS social
                                                     organizations.                                          appearance of such interference, and                  service providers; (2) replace the term
                                                        President Obama signed Executive                     must be made on the basis of merit, not               ‘‘inherently religious activities’’ with
                                                     Order 13559, Fundamental Principles                     on the basis of the religious affiliation,            the term ‘‘explicitly religious activities’’
                                                     and Policymaking Criteria for                           or lack of affiliation, of the recipient              and designate the latter term as
                                                     Partnerships with Faith-Based and                       organization.                                         ‘‘including activities that involve overt
                                                     Other Neighborhood Organizations, on                       In addition, Executive Order 13559                 religious content such as worship,
                                                     November 17, 2010. 75 FR 71319                          created the Interagency Working Group                 religious instruction, or
                                                     (available at http://www.gpo.gov/fdsys/                 on Faith-Based and Other Neighborhood                 proselytization’’; (3) require faith-based
                                                     pkg/FR-2010-11-22/pdf/2010-                             Partnerships (Working Group) to review                organizations administering a program
                                                     29579.pdf). Executive Order 13559                       and evaluate existing regulations,                    supported with direct HHS financial
                                                     incorporated the Advisory Council’s                     guidance documents, and policies.                     assistance to provide beneficiaries with
                                                     recommendations by amending                             Executive Order 13559, § 1(c) (amending               a written notice informing them of their
                                                     Executive Order 13279 to:                               § 3 of Executive Order 13279).                        religious liberty protections, including
                                                        • Emphasize that religious providers                    The Executive Order also required                  the right to a referral to an available
                                                     are welcome to compete for government                   OMB, in coordination with the                         alternative provider if the beneficiary
                                                     social service funding and maintain a                   Department of Justice, to issue guidance              objects to the religious character of the
                                                     religious identity as described in the                  to agencies on the implementation of                  organization providing services, and (4)
                                                     order;                                                  the Order following receipt of the                    add a provision stating that decisions
                                                        • Clarify (i) the principle that                     Working Group’s report. In August                     about awards of Federal financial
                                                     organizations engaging in explicitly                    2013, OMB issued such guidance. In                    assistance must be free from political
                                                     religious activity must separate these                  this guidance, OMB instructed specified               interference and made based on merit.
                                                     activities in time or location from                     agency heads to adopt regulations and                 In order to accommodate the requisite
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                                                     programs supported with direct Federal                  guidance that will fulfill the                        changes, the proposed rule’s format
                                                     financial assistance, (ii) that                         requirements of the Executive Order to                differs from the current rule. Unlike the
                                                     participation in any explicit religious                 the extent such regulations and                       current rule, the proposed rule is not
                                                     activity cannot be subsidized with                      guidance do not exist and, where                      sectioned based on grant type (i.e.,
                                                     direct Federal financial assistance, and                appropriate and to the extent permitted               discretionary grants or formula and
                                                     (iii) that participation in such activities             by law, to amend any existing                         block grants). In order to draw out
                                                     must be voluntary for the beneficiaries                 regulations and guidance to ensure that               distinctions based on the grant type, the
                                                     of the social service program supported                 they are consistent with the                          rule includes an applicability section.
                                                     with such Federal financial assistance;                 requirements set forth in Executive                   These changes will ensure the


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                                                     47274                  Federal Register / Vol. 80, No. 151 / Thursday, August 6, 2015 / Proposed Rules

                                                     Department’s regulations implement all                  the government or an pass-through                     explicit definitions for the terms ‘‘direct
                                                     of the requirements of Executive Order                  entity, as identified in these proposed               Federal financial assistance’’ and
                                                     13279 as amended.                                       rules, selects a service provider and                 ‘‘indirect Federal financial assistance.’’
                                                        These proposed rules will apply to                   either purchases services from that                   To help to clarify the distinction, the
                                                     grants awarded in HHS social service                    provider (e.g., through a contract) or                Department proposes to add definitions
                                                     programs after the effective date of the                awards funds to that provider to carry                of these terms to § 87.1, the section
                                                     Final Rule. As indicated in the                         out a social service (e.g., through a grant           containing the definition of certain
                                                     applicability section, these include                    or cooperative agreement). Under these                terms used in the Equal Treatment
                                                     grants awarded in social service                        circumstances, there are no intervening               Regulations. Section 87.1(b) defines the
                                                     programs governed by either ‘‘Uniform                   steps in which the beneficiary’s choice               term ‘‘Direct Federal financial
                                                     Administrative Requirements, Cost                       determines the provider’s identity.                   assistance.’’ Consistent with Executive
                                                     Principles, and Audit Requirements’’ at                    ‘‘Indirect’’ Federal financial assistance          Order 13559’s mandate to adopt
                                                     45 CFR part 75, or block grant                          is distinguishable because it places the              regulations on ‘‘the distinction between
                                                     regulations at 45 CFR part 96.                          choice of service provider in the hands               ‘direct’ and ‘indirect’ Federal financial
                                                        Part 87 currently exempts grants                     of a beneficiary before the Federal                   assistance.’’ Proposed paragraph (b)
                                                     governed by the Substance Abuse and                     government pays for the cost of that                  provides a definition for the terms
                                                     Mental Health Services Administration                   service through a voucher, certificate, or            ‘‘direct Federal financial assistance,’’
                                                     (SAMHSA) Charitable Choice rule at 42                   other similar means. For example, the                 ‘‘Federal financial assistance provided
                                                     CFR part 54 and 45 CFR part 96, subpart                 Federal government could choose to                    directly,’’ ‘‘direct funding’’ and ‘‘directly
                                                     L, as well as grants governed by the                    allow the beneficiary to secure the                   funded’’ and defines them to mean that
                                                     Temporary Assistance for Needy                          needed service on his or her own.                     the Government or pass-through entity
                                                     Families (TANF) Charitable Choice rule                  Alternatively, a Federal agency,                      selects the provider and either
                                                     at 45 CFR part 260. Those grants will                   operating under a neutral program of                  purchases services from that provider
                                                     remain exempt from part 87. Those                       aid, could present each beneficiary with              (e.g., via a contract) or awards funds to
                                                     Charitable Choice rules currently                       a list of all qualified providers from                that provider to carry out a service (e.g.,
                                                     provide their program beneficiaries who                 which the beneficiary could obtain                    via a grant or cooperative agreement). In
                                                     object to the religious character of an                 services using a Federal government-                  general, Federal financial assistance will
                                                     HHS supported social service provider                   provided certificate, e.g. through the use            be treated as direct, unless it meets the
                                                     with an option to request an alternative                of Individual Training Accounts. Either               definition of indirect Federal financial
                                                     provider.                                               way, the Federal government empowers                  assistance or Federal financial
                                                        Part 87 also currently exempts grants                the beneficiary to choose for himself or              assistance provided indirectly.
                                                     governed by the Community Services                      herself whether to receive the needed                    Proposed paragraph (c) provides a
                                                     Block Grant (CSBG) Charitable Choice                    services, including those that contain                definition for the term ‘‘indirect Federal
                                                     rule at 45 CFR part 1050. That                          explicitly religious activities, through a            financial assistance’’ or ‘‘Federal
                                                     Charitable Choice rule does not have an                 faith-based or other neighborhood                     financial assistance provided
                                                     alternative provider provision. This                    organization. The Federal government                  indirectly’’ and defines it to mean that
                                                     proposed rule, which identifies new                     could then pay for the beneficiary’s                  the choice of the service provider is
                                                     regulatory provisions and a conforming                  choice of provider by giving the                      placed in the hands of the beneficiary,
                                                     amendment, will apply to CSBG grants.                   beneficiary a voucher or similar                      and the cost of that service is paid
                                                     In addition, this proposed rule identifies              document. Alternatively, the Federal                  through a voucher, certificate, or other
                                                     new regulatory provisions that will                     government could choose to pay the                    similar means of government-funded
                                                     apply to the Childcare and Development                  provider directly after asking the                    payment. Federal financial assistance
                                                     Block Grant program, which is currently                 beneficiary to indicate his or her choice.            provided to an organization is
                                                     exempt from part 87 and does not have                   See Freedom From Religion Found. v.                   considered ‘‘indirect’’ when (1) the
                                                     an alternative provider provision.                      McCallum, 324 F.3d 880, 882 (7th Cir.                 government funded program through
                                                                                                             2003).                                                which the beneficiary receives the
                                                     B. Proposed Amendments to HHS Equal                        The Supreme Court has held that if a               voucher, certificate, or other similar
                                                     Treatment Regulations                                   program meets certain criteria, the                   means of government-funded payment
                                                       HHS proposes to amend its Equal                       government may fund the program if,                   is neutral toward religion; (2) the
                                                     Treatment Regulations at 45 CFR part                    among other things, it places the benefit             organization receives the assistance as a
                                                     87, to address the areas identified                     in the hands of individuals, who in turn              result of a decision of the beneficiary,
                                                     below.                                                  have the freedom to choose the provider               not a decision of the government; and
                                                                                                             to which they take their benefit and                  (3) the beneficiary has at least one
                                                     1. Direct and Indirect Federal Financial                ‘‘spend’’ it, whether that provider is                adequate secular option for the use of
                                                     Assistance                                              public or private, non-religious or                   the voucher, certificate, or other similar
                                                        Executive Order 13559 noted that new                 religious. See Zelman v. Simmons-                     means of government-funded payment.
                                                     regulations should distinguish between                  Harris, 536 U.S. 639, 652–53 (2002). In               Proposed § 87.1(c)(1) notes that
                                                     ‘‘direct’’ and ‘‘indirect’’ Federal                     these instances, the government does                  recipients of sub-awards that receive
                                                     financial assistance because the                        not encourage or promote any explicitly               Federal financial assistance through
                                                     limitation on explicitly religious                      religious programs that may be among                  programs administered by states or
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                                                     activities applies to programs that are                 the options available to beneficiaries.               other pass-through entities are not
                                                     supported with ‘‘direct’’ Federal                       Notably, the voucher scheme at issue in               considered recipients of indirect Federal
                                                     financial assistance but does not apply                 the Zelman decision, which was                        financial assistance.
                                                     to programs supported with ‘‘indirect’’                 described by the Court as one of ‘‘true                  The Department also proposes to add
                                                     Federal financial assistance. Executive                 private choice’’ was also neutral toward              definitions for two additional terms
                                                     Order 13559, § 1(c) (amending § 3(b) of                 religion and offered beneficiaries                    used in 45 CFR part 87. Proposed
                                                     Executive Order 13279).                                 adequate secular options.                             paragraph (d) provides a definition for
                                                        Programs are supported with direct                      The Department’s current Equal                     the term ‘‘Pass-through entity’’ as
                                                     Federal financial assistance when either                Treatment Regulations do not provide                  defined in 2 CFR 200.74. Proposed


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                                                                            Federal Register / Vol. 80, No. 151 / Thursday, August 6, 2015 / Proposed Rules                                          47275

                                                     paragraph (e) provides a definition for                 in which counselors introduce religious               to which they disburse Federal financial
                                                     the term ‘‘Recipient’’ as defined in 2                  content. Similarly, direct Federal                    assistance also comply with these rules.
                                                     CFR 200.86.                                             financial assistance may not be used to               If the pass-through entity is a non-
                                                                                                             pay for equipment or supplies to the                  governmental organization, it retains all
                                                     2. Inherently Religious Activities
                                                                                                             extent they are allocated to such                     other rights of a non-governmental
                                                        Existing agency regulations and                      activities. Activities that are secular in            organization under the statutory and
                                                     Executive Order 13279 prohibits non-                    content, such as serving meals to the                 regulatory provisions governing the
                                                     governmental organizations from using                   needy or using a nonreligious text to                 program.
                                                     direct Federal financial assistance (e.g.,              teach someone to read, are not                           A State’s use of pass-through entities
                                                     government grants, contracts, sub-                      considered ‘‘explicitly religious                     does not relieve the State of its
                                                     grants, and subcontracts) for ‘‘inherently              activities’’ merely because the provider              traditional responsibility to effectively
                                                     religious activities, such as worship,                  is religiously motivated to provide those             monitor the actions of such
                                                     religious instruction, and                              services. Secular activity also includes              organizations. States are obligated to
                                                     proselytization.’’ The term ‘‘inherently                the study or acknowledgement of                       manage the day-to-day operations of
                                                     religious’’ has proven confusing. In                    religion as a historical or cultural                  grant and sub-grant supported activities
                                                     2006, for example, the Government                       reality.                                              to ensure compliance with applicable
                                                     Accountability Office (GAO) found that,                    The Department, therefore, proposes                Federal requirements and performance
                                                     while all 26 of the religious social                    to replace the term ‘‘inherently religious            goals. Moreover, a State’s use of pass-
                                                     service providers it interviewed said                   activities’’ with the term ‘‘explicitly               through entities does not relieve the
                                                     they understood the prohibition on                      religious activities’’ throughout the                 State of its responsibility to ensure that
                                                     using direct Federal financial assistance               Equal Treatment Regulations and to                    providers are selected, and deliver
                                                     for ‘‘inherently religious activities,’’ four           define the latter term as ‘‘including                 services, in a manner consistent with
                                                     of the providers described acting in                    activities that involve overt religious               the First Amendment’s Establishment
                                                     ways that appeared to violate that rule.                content such as worship, religious                    Clause.
                                                     GAO, Faith-Based and Community                          instruction, or proselytization.’’ These
                                                     Initiative: Improvements in Monitoring                                                                        4. Protections for Beneficiaries
                                                                                                             changes in language are consistent with
                                                     Grantees and Measuring Performance                      the use of the term ‘‘explicitly religious               Executive Order 13559 indicates a
                                                     Could Enhance Accountability, GAO–                      activities’’ in Executive Order 13559                 variety of valuable protections for the
                                                     06–616, at 34–35 (June 2006) (available                 and will provide greater clarity and                  religious liberty rights of social service
                                                     at http://www.gao.gov/new.items/                        more closely match constitutional                     beneficiaries. These protections are
                                                     d06616.pdf).                                            standards as they have been developed                 aimed at ensuring that Federal financial
                                                        Further, while the Supreme Court has                 in case law.                                          assistance is not used to coerce or
                                                     sometimes used the term ‘‘inherently                                                                          pressure beneficiaries along religious
                                                     religious,’’ it has not used it to indicate             3. Pass-Through Entities                              lines, and to make beneficiaries aware of
                                                     the boundary of what the Government                        The Department also proposes to add                their rights, through appropriate notice,
                                                     may subsidize with direct Federal                       regulatory language at proposed                       when potentially obtaining services
                                                     financial assistance. If the term is                    § 87.3(m) that will clarify the rights and            from providers with a religious
                                                     interpreted narrowly, it could permit                   responsibilities of pass-through entities.            affiliation.
                                                     actions that the Constitution prohibits.                A pass-through entity is an entity,                      Executive Order 13559, § 1(b)
                                                     On the other hand, one could also argue                 including a non-governmental                          (amending § 2(d) of Executive Order
                                                     that the term ‘‘inherently religious’’ is               organization, acting under a contract,                13279) makes clear that all
                                                     too broad rather than too narrow.                       grant, or other agreement with the                    organizations that receive Federal
                                                        The Supreme Court has determined                     Federal Government or with a State or                 financial assistance for the purpose of
                                                     that the Government cannot subsidize                    local government, that accepts Federal                delivering social services are prohibited
                                                     ‘‘a specifically religious activity in an               financial assistance and distributes that             from discriminating against
                                                     otherwise substantially secular setting.’’              assistance to other organizations that, in            beneficiaries or potential beneficiaries
                                                     Hunt v. McNair, 413 U.S. 734, 743                       turn, provide government-funded social                of those programs on the basis of
                                                     (1973). It has also said a direct aid                   services. Each pass-through entity must               religion, a religious belief, refusal to
                                                     program impermissibly advances                          abide by all statutory and regulatory                 hold a religious belief, or a refusal to
                                                     religion when the aid results in                        requirements by, for example, providing               attend or participate in a religious
                                                     governmental indoctrination of religion.                any services supported with direct                    practice, and this proposed rule
                                                     See Mitchell v. Helms, 530 U.S. 793, 808                Federal financial assistance in a                     implements confirming changes for
                                                     (2000) (Thomas, J., joined by Rehnquist,                religiously neutral manner that does not              greater consistency with that principle.
                                                     C.J., Scalia, and Kennedy, JJ. plurality);              include explicitly religious activities.              Both also state that organizations
                                                     id. at 845 (O’Connor, J., joined by                     The pass-through entity also has the                  offering explicitly religious activities
                                                     Breyer, J., concurring in the judgment);                same duties as the government to                      (including activities that involve overt
                                                     Agostini v. Felton, 521 U.S. 203, 223                   comply with these rules by, for                       religious content such as worship,
                                                     (1997). This terminology is fairly                      example, selecting any providers to                   religious instruction or proselytization)
                                                     interpreted to prohibit the Government                  receive Federal financial assistance in a             must not use direct Federal financial
                                                     from directly subsidizing any                           manner that does not favor or disfavor                assistance to subsidize or support those
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                                                     ‘‘explicitly religious activity,’’ including            organizations on the basis of religion or             activities, and that any explicitly
                                                     activities that involve overt religious                 religious belief. While pass-through                  religious activities must be offered
                                                     content. Thus, direct Federal financial                 entities may be used to distribute                    outside of programs that are supported
                                                     assistance should not be used to pay for                Federal financial assistance to other                 with direct Federal financial assistance
                                                     activities such as religious instruction,               organizations in some programs, pass-                 (including through prime awards or sub-
                                                     devotional exercises, worship,                          through entities remain accountable for               awards). In other words, to the extent
                                                     proselytizing or evangelism; production                 the Federal financial assistance they                 that a directly funded organization
                                                     or dissemination of devotional guides or                disburse. Accordingly, pass-through                   provides explicitly religious activities,
                                                     other religious materials; or counseling                entities must ensure that any providers               those activities must be offered


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                                                     47276                  Federal Register / Vol. 80, No. 151 / Thursday, August 6, 2015 / Proposed Rules

                                                     separately in time or location from                     supported with direct federal financial               telephone, internet, or similar means,
                                                     programs or services supported with                     assistance from HHS;                                  the referral must be to an alternative
                                                     direct Federal financial assistance. As                    (4) if a beneficiary objects to the                provider that is in geographic proximity
                                                     noted above, participation in those                     religious character of the organization,              to the organization making the referral
                                                     religious activities must be completely                 the organization will undertake                       and that offers services that are similar
                                                     voluntary for beneficiaries of programs                 reasonable efforts to identify and refer              in substance and quality to those offered
                                                     supported by direct Federal financial                   the beneficiary to an alternative                     by the organization. The alternative
                                                     assistance.                                             provider to which there is no objection;              provider also must have the capacity to
                                                        To strengthen the protections                        and                                                   accept additional clients. If a Federally-
                                                     provided to beneficiaries, Executive                       (5) beneficiaries may report violations            supported alternative provider meets
                                                     Order 13559 requires that organizations                 of these enumerated religious liberty                 these requirements and is acceptable to
                                                     administering a program that is                         protections to the awarding entity.                   the beneficiary, a referral must be made
                                                     supported by direct Federal financial                      The purpose of the notice is to make               to that provider. If, however, there is no
                                                     assistance must give written notice in a                beneficiaries aware of their religious                Federally-supported alternative
                                                     manner prescribed by the Department to                  liberty protections and helps to ensure               provider that meets these requirements
                                                     beneficiaries of their religious liberty                that beneficiaries are not coerced or                 and is acceptable to the beneficiary, a
                                                     protections, including the right to be                  pressured along religious lines in order              referral should be made to an alternative
                                                     referred to an alternative provider when                to obtain HHS-supported social service                provider that does not receive Federal
                                                                                                             programs. An example of the notice is                 financial assistance but does meet these
                                                     available. If a beneficiary or of a social
                                                                                                             provided as Appendix A to the                         requirements and is acceptable to the
                                                     service program supported by Federal
                                                                                                             preamble.                                             beneficiary.
                                                     financial assistance objects to the                        As indicated in proposed § 87.3(i),
                                                     religious character of an organization                                                                           If an organization is unable to identify
                                                                                                             when the nature of the service provided               an alternative provider, the organization
                                                     that provides services under the                        or exigent circumstances make it
                                                     program, the social service program                                                                           is required under paragraph (k) of
                                                                                                             impracticable to provide such written                 proposed § 87.3 to notify the awarding
                                                     must refer the beneficiary to an                        notice in advance of the actual service,
                                                     alternative provider. Accordingly, the                                                                        entity and that entity is to determine
                                                                                                             service providers must advise                         whether there is any other suitable
                                                     proposed rule supplements existing                      beneficiaries of their protections at the
                                                     beneficiary protections in the Equal                                                                          alternative provider to which the
                                                                                                             earliest available opportunity. In cases              beneficiary may be referred. This means
                                                     Treatment Regulations by adding two                     where service providers only have brief
                                                     new sections to the regulations—one                                                                           that a religious social service provider
                                                                                                             interaction with beneficiaries, or when               that is the prime recipient of Federal
                                                     addressing the written notice                           beneficiaries receive what may be a one-
                                                     requirement at proposed § 87.3(i) and                                                                         financial assistance must notify the HHS
                                                                                                             time service from a provider, providers               awarding agency; whereas, a religious
                                                     the other addressing the referral                       may clearly post the written notice in a              social service provider that has been
                                                     requirement at proposed § 87.3(j).                      service area.                                         funded through a sub-award from a
                                                     a. Written Notice                                       b. Referral Requirements                              prime recipient of Federal financial
                                                                                                                                                                   assistance must notify the prime
                                                       Executive Order 13279, as amended                        Proposed § 87.3(j) implements                      recipient entity from which it has
                                                     by Executive Order 13559, requires that                 Executive Order 13559’s requirement                   received funds. The prime recipient of
                                                     the Secretary of Health and Human                       that a beneficiary be referred to an                  Federal financial assistance must notify
                                                     Services, among other agency heads,                     alternative provider when he or she                   the HHS awarding agency when a sub-
                                                     establish policies and procedures                       objects to the religious character of an              recipient makes a referral to an
                                                     designed to ensure that each beneficiary                organization that provides services                   alternative provider or is unable to
                                                     of a social service program receives                    under the federally-financed program.                 identify an alternative provider. An
                                                     written notice of their religious liberty               Executive Order 11246, § 2(h)(i) as                   HHS social service prime recipient may
                                                     protections. Executive Order 13279,                     amended by Executive Order 13559, § 1;                request assistance from the HHS
                                                     § 2(h)(ii) as amended by Executive                      75 FR 71320. Accordingly, paragraph (j)               awarding entity in identifying an
                                                     Order 13559, § 1, 75 FR at 71320–21.                    of proposed § 87.3 provides that, if a                alternative service provider. Further, the
                                                     Consistent with this mandate, proposed                  beneficiary of a social service program               executive order and the proposed rule
                                                     § 87.3(i) requires HHS social service                   supported by direct Federal financial                 require the relevant government agency
                                                     providers with a religious affiliation to               assistance objects to the religious                   to ensure that appropriate and timely
                                                     give beneficiaries written notice of their              character of an organization that                     referrals are made to an appropriate
                                                     religious liberty protections when                      provides services under the program,                  provider. Referrals must be made in a
                                                     seeking or obtaining services supported                 that organization must promptly                       manner consistent with applicable laws
                                                     by direct HHS financial assistance. The                 undertake reasonable efforts to identify              and regulations. It must be noted,
                                                     notice is set forth in proposed paragraph               and refer the beneficiary to an                       however, that in some instances, the
                                                     § 87.3(i) and informs beneficiaries that:               alternative provider to which the                     awarding entity may also be unable to
                                                       (1) The organization may not                          beneficiary has no objection. Paragraph               identify a suitable alternative provider.
                                                     discriminate against beneficiaries on the               (j) of proposed § 87.3 states that a
                                                     basis of religion or religious belief;                  referral may be made to another                       5. Political or Religious Affiliation
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                                                       (2) the organization may not require                  religiously affiliated provider, if the                  Consistent with § 2(j) of Executive
                                                     beneficiaries to attend or participate in               beneficiary has no objection to that                  Order 11246 as amended by § 1 of
                                                     any explicitly religious activities, and                provider. But if the beneficiary requests             Executive Order 13559, the proposed
                                                     any participation by beneficiaries in                   a secular provider, and a secular                     rule adds a new provision at proposed
                                                     such activities must be purely                          provider that offers the needed services              § 87.3(l) to require that decisions about
                                                     voluntary;                                              is available, then a referral must be                 awards of Federal financial assistance
                                                       (3) the organization must separate out                made to that provider.                                must be free from political interference
                                                     in time or location any explicitly                         Paragraph § 87.3(j) specifies that,                or even the appearance of such
                                                     religious activities from activities                    except for services provided by                       interference and must be made based on


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                                                                            Federal Register / Vol. 80, No. 151 / Thursday, August 6, 2015 / Proposed Rules                                          47277

                                                     merit, not on the basis of religion or                  beneficiaries a written notice informing              provide data on which to base estimates
                                                     religious belief. This requirement will                 them of their religious liberty                       of the number of beneficiaries who will
                                                     increase confidence that the rules                      protections when seeking or obtaining                 request referral to an alternative service
                                                     applicable to Federal financial                         services supported by direct HHS                      provider and the attendant compliance
                                                     assistance are being observed and that                  financial assistance, (2) at the                      cost service providers may face.
                                                     decisions about government grants are                   beneficiary’s request, make reasonable                  Notwithstanding the absence of
                                                     made on the merits of proposals, not on                 efforts to identify and refer the                     concrete data, the Department believes
                                                     political or religious considerations. The              beneficiary to an alternative provider to             that this proposed rule is not significant
                                                     awarding entity must instruct                           which the beneficiary has no objection,               within the meaning of the Executive
                                                     participants in the awarding process to                 and (3) document such action. To                      Order because the annual costs
                                                     refrain from taking religious affiliations              minimize compliance costs and allow                   associated with complying with the
                                                     or non-religious affiliations into account              maximum flexibility in implementation,                written notice and referral requirements
                                                     in this process; i.e., an organization                  the proposed rule provides the language               will not approach $100 million.
                                                     should not receive favorable or                         of the notice directly within the                     Initial Regulatory Flexibility Analysis
                                                     unfavorable marks merely because it is                  proposed rule. Additionally, the
                                                     affiliated or unaffiliated with a religious             preamble incudes an example of the                       The Regulatory Flexibility Act (RFA)
                                                     body, or related or unrelated to a                      notice in Appendix A to the preamble.                 at 5 U.S.C. 603(a) requires agencies to
                                                     specific religion. When selecting grant                 An estimate of the burden, in term of                 prepare and make available for public
                                                     reviewers, the awarding entity should                   the number of hours involved in                       comment an initial regulatory flexibility
                                                     never ask about religious affiliation or                referring beneficiaries, is discussed in              analysis which will describe the impact
                                                                                                             the Paperwork Reduction Act section of                of the proposed rule on small entities.
                                                     take such matters into account. But it
                                                                                                                                                                   Section 605 of the RFA allows an
                                                     should encourage diversity among                        this proposed rule.
                                                                                                                                                                   agency to certify a rule, in lieu of
                                                     reviewers by advertising for these                         At this time, there is no known source             preparing an analysis, if the proposed
                                                     positions in a wide variety of venues.                  of information to quantify precisely the              rulemaking is not expected to have a
                                                     III. Regulatory Procedures                              numbers or proportions of program                     significant economic impact on a
                                                                                                             beneficiaries who will request referral to            substantial number of small entities.
                                                     Executive Orders 12866 and 13563                        alternative providers. We are not aware               Furthermore, under the Small Business
                                                        Executive Orders (E.O.) 12866 and                    of any instances in which a beneficiary               Regulatory Enforcement Fairness Act of
                                                     13563 direct agencies to assess all costs               of a program of the Department has                    1996, 5 U.S.C. 801 (SBREFA), an agency
                                                     and benefits of available regulatory                    objected to receiving services from a                 is required to produce compliance
                                                     alternatives and, if regulation is                      faith-based organization. There is                    guidance for small entities if the rule
                                                     necessary, to select regulatory                         however a possibility that we will begin              has a significant economic impact on a
                                                     approaches that maximize net benefits                   to see objections when, as a result of the            substantial number of small entities.
                                                     (including potential economic,                          implementation of this rule,                          The RFA defines small entities as small
                                                     environmental, public health and safety                 beneficiaries begin to receive notices of             business concerns, small not-for-profit
                                                     effects; distributive impacts; and                      their option to request referral to an                enterprises, or small governmental
                                                     equity). E.O. 13563 emphasizes the                      alternative service provider. We                      jurisdictions.
                                                     importance of quantifying both costs                    therefore estimate that the number of                    As described above, the Department
                                                     and benefits, reducing costs,                           requests for referrals will be one per                has made every effort to ensure that the
                                                     harmonizing rules, and promoting                        year for each faith-based or religious                disclosure and referral requirements of
                                                     flexibility. Section 3(f) of E.O. 12866                 organization that receives HHS funding                the proposed rule impose minimum
                                                     defines a ‘‘significant regulatory action’’             through prime or sub-awards. While a                  burden and allow maximum flexibility
                                                     as an action that is likely to result in a              precise estimate is not available, we                 in implementation by providing in the
                                                     rule that: (1) Has an annual effect on the              believe that this estimate is reasonable,             rule the notice for providers to give
                                                     economy of $100 million or more or                      though it likely errs on the higher end               beneficiaries informing them of their
                                                     adversely and materially affects a sector               in view of our experience at the                      protections and by not proscribing a
                                                     of the economy, productivity,                           Department of Health and Human                        specific format for making referrals. The
                                                     competition, jobs, the environment,                     Services. The Substance Abuse and                     Department estimates it will take no
                                                     public health or safety, or State, local or             Mental Health Services Administration                 more than two minutes for providers to
                                                     Tribal governments or communities                       (SAMHSA), which administers                           print, duplicate, and distribute an
                                                     (also referred to as ‘‘economically                     beneficiary substance abuse service                   adequate number of disclosure notices
                                                     significant’’); (2) creates serious                     programs under titles V and XIX of the                for potential beneficiaries. In addition,
                                                     inconsistency or otherwise interferes                   Public Health Service Act, 42 U.S.C.                  the Department estimates an upper limit
                                                     with an action taken or planned by                      290aa, et seq. and 42 U.S.C. 300x–21 et               of $100 for the annual cost of materials
                                                     another agency; (3) materially alters the               seq. Specifically, 42 U.S.C. 290kk–1 and              (paper, ink, toner) to print multiple
                                                     budgetary impacts of entitlement grants,                300x–65, requires faith-based                         copies of the notices. Because these
                                                     user fees, or loan programs or the rights               organizations that receive assistance                 costs will be borne by every small
                                                     and obligations of recipients thereof; or               under the Act to provide notice to                    service provider with a religious
                                                     (4) raises novel legal or policy issues                 beneficiaries of their ability under                  affiliation, the Department believes that
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                                                     arising out of legal mandates, the                      statute to request an alternative service             a substantial number of these small
                                                     President’s priorities, or the principles               provider. Recipients of assistance must               entities may be affected by this
                                                     set forth in E.O. 12866.                                also report all referrals to the                      provision. However, the Department
                                                        The Department believes that the only                appropriate federal, state, or local                  does not believe that a compliance cost
                                                     provisions of this proposed rule likely                 government agency that administers the                of less than $100 per provider per year
                                                     to impose costs on the regulated                        SAMHSA program. To date, SAMHSA                       is a significant percentage of a
                                                     community are the requirements that                     has not received any reports of referral              provider’s total revenue. In addition, we
                                                     HHS social service providers with a                     by recipients or subrecipients. The                   note that after the first year, the labor
                                                     religious affiliation: (1) Give                         Department invites interested parties to              cost associated with compliance will


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                                                     47278                  Federal Register / Vol. 80, No. 151 / Thursday, August 6, 2015 / Proposed Rules

                                                     likely decrease because small service                   not required to respond to a collection               providers with a religious character, our
                                                     providers will be familiar with the                     of information unless it displays a                   2007 survey provides best estimates of
                                                     requirements.                                           currently valid OMB control number.                   the proportion of HHS supported social
                                                        The rule will also require religious                 Also, notwithstanding any other                       service providers to the extent
                                                     social service providers, at the                        provisions of law, no person shall be                 practicable.
                                                     beneficiary’s request, to make                          subject to penalty for failing to comply                 Using the most recently completed
                                                     reasonable efforts to identify and refer                with a collection of information if the               fiscal year of 2014, the Department
                                                     the beneficiary to an alternative                       collection of information does not                    (excluding the National Institutes of
                                                     provider to which the beneficiary has no                display a currently valid OMB control                 Health) awarded 13,720 discretionary
                                                     objection. If an organization is unable to              number (44 U.S.C. 3512). This rule may                grants. Using the previously justified
                                                     identify an alternative provider, the                   require the collection of additional                  estimate of 10%, the Department
                                                     organization is required to notify the                  information from beneficiaries should a               estimates that 1,372 discretionary grants
                                                     awarding entity and that entity is to                   request for referral to an alternative                will be awarded to faith-based or
                                                     determine whether there is any other                    service provider be received.                         religious organizations. Furthermore,
                                                     suitable alternative provider to which                     Section § 87.3(i) would impose                     using our estimate of one request for
                                                     the beneficiary may be referred. An HHS                 requirements on religious social service              referral per a year per a faith-based or
                                                     social service pass-through entity may                  providers to give beneficiaries a                     religious organization, we estimate that
                                                     request assistance from the HHS                         standardized notice instructing                       there will be 1,372 requests for referral
                                                     awarding agency in identifying an                       beneficiaries of their protections. The               per year. Multiplying that number times
                                                     alternative service provider. The                       Department has determined this notice                 the two hours of a social service
                                                     Department estimates that an estimated                  is not a collection of information subject            provider’s time, we estimates the Total
                                                     one request for referral per year will                  to OMB clearance under the PRA                        Estimated Annual Burden Hours will be
                                                     require no more than two hours of a                     because the Federal Government has                    2,744 hours per a year.
                                                     social service provider’s time each year.               provided the exact text that a provider                  We have not estimated the burden on
                                                     This estimate includes the time required                must use. See 5 CFR 1320.3(c)(2). The                 State and local entities or on pass-
                                                     to identify service providers that                      beneficiary’s response, however, is                   through entities because today we have
                                                     provide similar services, preferably                    subject to OMB clearance under the                    no data on which to base such an
                                                     under the same or similar programs to                   PRA. In the sample notice provided as                 estimate. As the Department does not
                                                     the one under which the beneficiary is                  an appendix to this Notice of Proposed                have a direct relationship with sub-
                                                     being served by the faith-based                         Rulemaking (NPRM), care has been
                                                                                                                                                                   recipients, asking States to estimate the
                                                     organization. The estimate also includes                taken to limit the information to simply
                                                                                                                                                                   number of its sub-recipients that are
                                                     the time required to determine whether                  obtaining minimal identifying
                                                                                                                                                                   faith-based or religious organizations
                                                     one of the alternative providers has the                information and providing check boxes
                                                                                                                                                                   would impose significant burden and
                                                     capacity to serve the beneficiary and                   for material response. The new
                                                                                                                                                                   require approval of an information
                                                     whether that provider is acceptable to                  reporting requirement in proposed
                                                                                                                                                                   collection request of its own.
                                                     the beneficiary. Also, depending on                     section 87.3(k), and the record keeping
                                                     whether the beneficiary asked the faith-                that is necessary to comply with that                    Religious social service providers that
                                                     based organization to follow up either                  requirement, would be subject to the                  would be subject to these requirements
                                                     with the beneficiary or the alternative                 Paperwork Reduction Act.                              would have to keep records to show that
                                                     service provider to determine whether                      To quantify this potential collection,             they have met the referral requirements
                                                     the referral is successful, this estimate               and recognizing the need for OMB                      in the proposed regulations. We do not
                                                     includes the time required to do the                    clearance as a possibility, the                       include an estimate of the burden of
                                                     follow-up. The Department does not                      Department has estimated the burden                   maintaining the records needed to
                                                     believe that referral costs will be                     that the beneficiary response would                   demonstrate compliance with the
                                                     appreciable for small service providers.                impose on faith-based or religious                    requirements imposed on religious
                                                     The Department invites interested                       recipients by reviewing data from the                 social service providers. The record-
                                                     parties to provide data on which we can                 most recent assessment of the number of               keeping and reporting burden that these
                                                     formulate better estimates of the                       faith-based or religious organizations in             proposed regulations would add is so
                                                     compliance costs associated with the                    65 HHS grant programs. During the                     small that, under most programs, it
                                                     disclosure and referral requirements of                 assessment, which was conducted in                    would not measurably increase the
                                                     this proposed rule.                                     2007, the Center for Faith-based and                  burden that already exists under current
                                                                                                             Neighborhood Partnerships reviewed                    program and administrative
                                                     Paperwork Reduction Act                                 the names of our nonprofit and private                requirements. If, due to the unique
                                                       The purposes of the Paperwork                         recipients to determine whether they                  nature of a particular program, the
                                                     Reduction Act of 1995 (PRA), 44 U.S.C.                  use religious terms in their names. This              record-keeping burden associated with
                                                     3501 et seq., include minimizing the                    approach was necessary as HHS does                    these proposed regulations is large
                                                     paperwork burden on affected entities.                  not currently collect information that                enough to be measurable, that burden
                                                     The PRA requires certain actions before                 directly identifies a recipient as a faith-           will be calculated under the record-
                                                     an agency can adopt or revise a                         based or religious organization. The data             keeping and reporting requirements of
                                                     collection of information, including                    from this review was used to estimate                 the affected program and identified in
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                                                     publishing a summary of the collection                  the number of faith-based organizations               information collection requests that are
                                                     of information and a brief description of               that receive discretionary grants from                submitted to OMB for PRA approval.
                                                     the need for and proposed use of the                    the Department. According to the 2007                 Therefore, we have not included any
                                                     information.                                            data, an estimated 10% of HHS awards                  estimate of record-keeping burden in
                                                       A Federal agency may not conduct or                   were made to faith-based or religious                 this PRA analysis.
                                                     sponsor a collection of information                     organizations. While we recognize that                   The Department will submit an
                                                     unless it is approved by OMB under the                  Section § 87.3(i) of this NPRM does not               information-collection request (ICR) to
                                                     PRA, and displays a currently valid                     impose the same methodology as the                    OMB to obtain PRA approval for the
                                                     OMB control number, and the public is                   2007 survey to identify social service                information-collection formatting


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                                                                            Federal Register / Vol. 80, No. 151 / Thursday, August 6, 2015 / Proposed Rules                                           47279

                                                     requirements contained in this notice of                Appendix A to the Preamble—Example                    Families, respectively, propose to
                                                     proposed rulemaking (NPRM).                             Notice                                                amend 45 CFR parts 87 and 1050 as set
                                                                                                             Written Notice of Beneficiary Protections             forth below:
                                                     Executive Order 13132
                                                                                                                                                                   ■ 1. Revise part 87 to read as follows:
                                                        Section 6 of Executive Order 13132                   Name of Organization:
                                                     requires Federal agencies to consult                    Name of Program:                                      PART 87—EQUAL TREATMENT FOR
                                                     with State entities when a regulation or                Contact Information for Program Staff (name,          FAITH-BASED ORGANIZATIONS
                                                     policy may have a substantial direct                       phone number, and email address, if
                                                     effect on the States or the relationship                   appropriate):                                      Sec.
                                                     between the National Government and                     Because this program is supported in whole            87.1     Definitions.
                                                     the States, or the distribution of power                   or in part by financial assistance from the        87.2     Applicability.
                                                                                                                Federal Government, we are required to let         87.3     Grants.
                                                     and responsibilities among the various
                                                                                                                you know that—                                       Authority: 5 U.S.C. 301.
                                                     levels of government, within the
                                                     meaning of the Executive Order. Section                 • We may not discriminate against you on
                                                                                                                the basis of religion or religious belief;         § 87.1    Definitions.
                                                     3(b) of the Executive Order further
                                                     provides that Federal agencies must                     • We may not require you to attend or                    (a) These are the definitions for terms
                                                                                                                participate in any explicitly religious            used in this part. Different definitions
                                                     implement regulations that have a
                                                                                                                activities that are offered by us, and any         may be found in Federal statutes or
                                                     substantial direct effect only if statutory                participation by you in these activities
                                                     authority permits the regulation and it                                                                       regulations that apply more specifically
                                                                                                                must be purely voluntary;
                                                     is of national significance.                                                                                  to particular program or activities.
                                                                                                             • We must separate in time or location any               (b) The terms direct Federal financial
                                                        This proposed rule does not have a                      privately funded explicitly religious
                                                     substantial direct effect on the States or                                                                    assistance, Federal financial assistance
                                                                                                                activities from activities supported with
                                                     the relationship between the National                      direct Federal financial assistance;
                                                                                                                                                                   provided directly, direct funding, and
                                                     Government and the States, or the                                                                             directly funded mean that the
                                                                                                             • If you object to the religious character of
                                                     distribution of power and                                  our organization, we must make reasonable
                                                                                                                                                                   government or a pass-through entity
                                                     responsibilities among the various                         efforts to identify and refer you to an            [under this part] selects the provider
                                                     levels of Government, within the                           alternative provider to which you have no          and either purchases services from that
                                                     meaning of the Executive Order 13132.                      objection; and                                     provider (e.g., via a contract) or awards
                                                     Any action taken by a State as a result                 • You may report violations of these                  funds to that provider to carry out a
                                                     of the proposed rule would be at its own                   protections to the awarding agency/entity.         service (e.g., via grant or cooperative
                                                     discretion as the rule imposes no                       We must give you this notice before you               agreement). In general, Federal financial
                                                     requirements.                                           enroll in our program or receive services             assistance shall be treated as direct,
                                                                                                             from the program.                                     unless it meets the definition of
                                                     Unfunded Mandates Reform Act of 1995                                                                          ‘‘indirect Federal financial assistance’’
                                                                                                             Beneficary Referral Request
                                                        This regulatory action has been                                                                            or ‘‘Federal financial assistance
                                                                                                             If you object to receiving services from us           provided indirectly.’’
                                                     reviewed in accordance with the                         based on the religious character of our
                                                     Unfunded Mandates Reform Act of 1995                    organization, please complete this form and
                                                                                                                                                                      (c) The term indirect Federal financial
                                                     (Reform Act). Under the Reform Act, a                   return it to the program contact identified           assistance or Federal financial
                                                     Federal agency must determine whether                   above. If you object, we will make reasonable         assistance provided indirectly means
                                                     a regulation proposes a Federal mandate                 efforts to refer you to another service               that the choice of the service provider
                                                     that would result in increased                          provider. With your consent, we will follow           is placed in the hands of the beneficiary,
                                                     expenditures by State, local, or tribal                 up with you or the organization to which you          and the cost of that service is paid
                                                     governments, in the aggregate, or by the                were referred to determine whether you                through a voucher, certificate, or other
                                                     private sector, of $100 million or more                 contacted that organization.                          similar means of government-funded
                                                     in any single year. The Department has                  Please check if applicable:                           payment.
                                                     determined this proposed rule does not                  ( ) I want to be referred to another service             (1) Federal financial assistance
                                                     include any Federal mandate that may                         provider                                         provided to an organization is
                                                     result in increased expenditure by State,               If you checked above that you wish to be              considered indirect when:
                                                     local, and Tribal governments in the                    referred to another service provider, please             (i) The Government program through
                                                     aggregate of more than $100 million, or                 check one of the following:                           which the beneficiary receives the
                                                     increased expenditures by the private                   ( ) Please follow up with me.                         voucher, certificate, or other similar
                                                     sector of more than $100 million.                            Name:                                            means of Government-funded payment
                                                                                                                  Best way to reach me (phone/address/             is neutral toward religion;
                                                     Effect on Family Life                                   email):                                                  (ii) The organization receives the
                                                       The Department certifies that this                    ( ) Please do not follow up.                          assistance as a result of a decision of the
                                                     proposed rule has been assessed                         List of Subjects                                      beneficiary, not a decision of the
                                                     according to section 654 of the Treasury                                                                      government; and
                                                     and General Government                                  45 CFR Part 87                                           (iii) The beneficiary has at least one
                                                     Appropriations Act, enacted as part of                    Administrative practice and                         adequate secular option for the use of
                                                     the Omnibus Consolidated and                            procedure; Claims; Courts; Government                 the voucher, certificate, or other similar
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                                                     Emergency Supplemental                                  employees; Religious Discrimination.                  means of Government-funded payment.
                                                     Appropriations Act of 1999 (Pub. L.                                                                              (2) The recipients of sub-grants that
                                                     105–277, 112 Stat. 2681), for its effect                45 CFR Part 1050                                      receive Federal financial assistance
                                                     on family well-being. It will not                         Grant programs-social programs.                     through State-administered programs
                                                     adversely affect the well-being of the                    For the reasons stated in the                       are not considered recipients of
                                                     nation’s families. Therefore, the                       preamble, under the Authority of 5                    ‘‘indirect Federal financial assistance’’
                                                     Department certifies that this proposed                 U.S.C. 301, the Department of Health                  [or recipients of ‘‘Federal funds
                                                     rule does not adversely impact family                   and Human Services and the                            provided indirectly’’] as those terms are
                                                     well-being.                                             Administration for Children and                       used in this part.


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                                                     47280                  Federal Register / Vol. 80, No. 151 / Thursday, August 6, 2015 / Proposed Rules

                                                       (d) Pass-through entity means a non-                  discriminate for or against an                        accordance with all program
                                                     Federal entity that provides a subaward                 organization on the basis of the                      requirements, statutes, and other
                                                     to a subrecipient to carry out part of a                organization’s religious character or                 applicable requirements governing the
                                                     Federal program.                                        affiliation. As used in this section,                 conduct of HHS Awarding Agency-
                                                       (e) Recipient means a non-Federal                     ‘‘program’’ refers to activities supported            funded activities.
                                                     entity that receives a Federal award                    by discretionary, formula or block                       (d) An organization that participates
                                                     directly from a Federal awarding agency                 grants.                                               in programs funded by financial
                                                     to carry out an activity under a Federal                   (b) Organizations that apply for or                assistance from an HHS awarding
                                                     program. The term recipient does not                    receive direct financial assistance from              agency shall not, in providing services,
                                                     include subrecipients.                                  an HHS awarding agency may not                        discriminate against a program
                                                                                                             support or engage in any explicitly                   beneficiary or prospective program
                                                     § 87.2   Applicability.                                 religious activities (including activities            beneficiary on the basis of religion, a
                                                        This part applies to grants awarded in               that involve overt religious content such             religious belief, a refusal to hold a
                                                     HHS social service programs governed                    as worship, religious instruction, or                 religious belief, or a refusal to attend or
                                                     by either Uniform Administrative                        proselytization), as part of the programs             participate in a religious practice.
                                                     Requirements, Cost Principles, and                      or services funded with direct financial                 (e) No grant document, agreement,
                                                     Audit Requirements at 45 CFR part 75                    assistance from the HHS awarding                      covenant, memorandum of
                                                     or Block Grant regulations at grants                    agency, or in any other manner                        understanding, policy, or regulation that
                                                     governed by 45 CFR part 96, except as                   prohibited by law. If an organization                 is used by an HHS awarding agency or
                                                     provided in paragraphs (a) and (b) of                   conducts such activities, the activities              a State or local government in
                                                     this section.                                           must be offered separately, in time or                administering financial assistance from
                                                        (a) Discretionary grants. This part is               location, from the programs or services               the HHS awarding agency shall require
                                                     not applicable to the discretionary grant               funded with direct financial assistance               only faith-based or religious
                                                     programs that are governed Substance                    from the HHS awarding agency, and                     organizations to provide assurances that
                                                     Abuse and Mental Health Services                        participation must be voluntary for                   they will not use monies or property for
                                                     Administration (SAMHSA) Charitable                      beneficiaries of the programs or services             explicitly religious activities. Any
                                                     Choice regulations found at 42 CFR part                 funded with such assistance. The use of               restrictions on the use of grant funds
                                                     54a. This part is also not applicable to                indirect Federal financial assistance is              shall apply equally to religious and non-
                                                     discretionary grant programs that are                   not subject to this restriction. Religious            religious organizations. All
                                                     governed by the Community Services                      activities that can be publicly funded                organizations that participate in HHS
                                                     Block Grant Charitable Choice                           under the Establishment Clause, such as               awarding agency programs, including
                                                     regulations at 45 CFR part 1050, with                   chaplaincy services, likewise would not               organizations with religious character or
                                                     the exception of § 87.1 and § 87.3(i)                   be considered ‘‘explicitly religious                  affiliations, must carry out eligible
                                                     through (l) which do apply to such                      activities’’ that is subject to direct                activities in accordance with all
                                                     discretionary grants.                                   Federal financial assistance restrictions.            program requirements and other
                                                        (b) Formula and block grants. This                      (c) A faith-based or religious                     applicable requirements governing the
                                                     part is not applicable to non-                          organization that participates in HHS                 conduct of HHS awarding agency-
                                                     discretionary and block grant programs                  awarding agency-funded programs or                    funded activities, including those
                                                     governed by the SAMHSA Charitable                       services will retain its independence                 prohibiting the use of direct financial
                                                     Choice regulations found at 42 CFR part                 from Federal, State, and local                        assistance to engage in explicitly
                                                     54 and 45 CFR part 96, subpart L, or the                governments, and may continue to carry                religious activities. No grant document,
                                                     Temporary Assistance for Needy                          out its mission, including the definition,            agreement, covenant, memorandum of
                                                     Families (TANF) Charitable Choice                       practice, and expression of its religious             understanding, policy, or regulation that
                                                     regulations at 45 CFR part 260. Block                   beliefs, provided that it does not use                is used by the HHS awarding agency or
                                                     grants governed by the Community                        direct financial assistance from the HHS              a State or local government in
                                                     Service Block Grant (CSBG) Charitable                   awarding agency (including through a                  administering financial assistance from
                                                     Choice regulations at 45 CFR part 1050                  prime or sub-award) to support or                     the HHS awarding agency shall
                                                     do not apply to this part, with the                     engage in any explicitly religious                    disqualify faith-based or religious
                                                     exception that § 87.1 and § 87.3(i)                     activities (including activities that                 organizations from participating in the
                                                     through (l) do apply to such block                      involve overt religious content such as               HHS awarding agency’s programs
                                                     grants. This part is not applicable to                  worship, religious instruction, or                    because such organizations are
                                                     Child Care and Development Block                        proselytization). A faith-based or                    motivated or influenced by religious
                                                     Grants governed by 45 CFR part 98, with                 religious organization may use space in               faith to provide social services, or
                                                     the exception that § 87.1 and § 87.3(b),                its facilities to provide programs or                 because of their religious character or
                                                     (c) and (i) through (m) do apply to such                services funded with financial                        affiliation.
                                                     block grants.                                           assistance from the HHS awarding                         (f) A faith-based or religious
                                                                                                             agency without removing religious art,                organization’s exemption from the
                                                     § 87.3   Grants.                                        icons, scriptures, or other religious                 Federal prohibition on employment
                                                        (a) Faith-based or religious                         symbols. In addition, a faith-based or                discrimination on the basis of religion,
                                                     organizations are eligible, on the same                 religious organization that receives                  set forth in section 702(a) of the Civil
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                                                     basis as any other organization, to                     financial assistance from the HHS                     Rights Act of 1964, 42 U.S.C. 2000e–1,
                                                     participate in any HHS awarding agency                  awarding agency retains its authority                 is not forfeited when the faith-based or
                                                     program for which they are otherwise                    over its internal governance, and it may              religious organization receives direct or
                                                     eligible. Neither the HHS awarding                      retain religious terms in its                         indirect financial assistance from an
                                                     agency, nor any State or local                          organization’s name, select its board                 HHS awarding agency. Some HHS
                                                     government and other pass-through                       members on a religious basis, and                     awarding agency programs, however,
                                                     entity receiving funds under any HHS                    include religious references in its                   contain independent statutory
                                                     awarding agency program shall, in the                   organization’s mission statements and                 provisions requiring that all recipients
                                                     selection of service providers,                         other governing documents in                          agree not to discriminate in employment


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                                                                            Federal Register / Vol. 80, No. 151 / Thursday, August 6, 2015 / Proposed Rules                                                47281

                                                     on the basis of religion. Accordingly,                  commingled, the provisions of this                    to that provider. Except for services
                                                     recipients should consult with the                      section shall apply to all of the                     provided by telephone, internet, or
                                                     appropriate HHS awarding agency                         commingled funds in the same manner,                  similar means, the referral must be to an
                                                     program office if they have questions                   and to the same extent, as the provisions             alternative provider that is in reasonable
                                                     about the scope of any applicable                       apply to the Federal funds. With respect              geographic proximity to the
                                                     requirement.                                            to the matching funds, the provisions of              organization making the referral and
                                                        (g) In general, the HHS awarding                     this section apply irrespective of                    that offers services that are similar in
                                                     agency does not require that a recipient,               whether such funds are commingled                     substance and quality to those offered
                                                     including a faith-based or religious                    with Federal funds or segregated.                     by the organization. The alternative
                                                     organization, obtain tax-exempt status                     (i) Faith-based or religious                       provider also must have the capacity to
                                                     under section 501(c)(3) of the Internal                 organizations providing social services               accept additional clients.
                                                     Revenue Code to be eligible for funding                 to beneficiaries under an HHS program                    (k) When the organization makes a
                                                     under HHS awarding agency programs.                     that is supported by direct Federal                   referral to an alternative provider, or
                                                     Many grant programs, however, do                        financial assistance must give written                when the organization determines that it
                                                     require an organization to be a                         notice to beneficiaries of certain                    is unable to identify an alternative
                                                     ‘‘nonprofit organization’’ in order to be               protections. This written notice must be              provider, the organization must notify
                                                     eligible for funding. Funding                           given to beneficiaries prior to the time              the prime recipient entity from which it
                                                     announcements and other grant                           they enroll in the program or receive                 has received funds. The prime recipient
                                                     application solicitations that require                  services from such programs. When the                 of Federal financial assistance must
                                                     organizations to have nonprofit status                  nature of the service provided or exigent             notify the HHS awarding agency when
                                                     will specifically so indicate in the                    circumstances make it impracticable to                a sub-recipient makes a referral to an
                                                     eligibility section of the solicitation. In             provide such written notice in advance                alternative provider or is unable to
                                                     addition, any solicitation that requires                of the actual service, service providers              identify an alternative provider.
                                                     an organization to maintain tax-exempt                  must advise beneficiaries of their                       (l) Decisions about awards of Federal
                                                     status will expressly state the statutory               protections at the earliest available                 financial assistance must be free from
                                                     authority for requiring such status.                    opportunity. Notice must be given in a                political interference or even the
                                                     Recipients should consult with the                      manner prescribed by the HHS                          appearance of such interference and
                                                     appropriate HHS awarding agency                         awarding agency. This notice must state               must be made on the basis of merit, not
                                                     program office to determine the scope of                that:                                                 on the basis of religion or religious
                                                     any applicable requirements. In HHS                        (1) The organization may not                       belief.
                                                     awarding agency programs in which an                    discriminate against beneficiaries on the                (m) If a pass-through entity, acting
                                                     applicant must show that it is a                        basis of religion or religious belief;                under a contract, grant, or other
                                                     nonprofit organization, the applicant                      (2) The organization may not require               agreement with the Federal government
                                                     may do so by any of the following                       beneficiaries to attend or participate in             or with a State or local government that
                                                     means:                                                  any explicitly religious activities that              is administering a program supported by
                                                        (1) Proof that the Internal Revenue                  are offered by the organization, and any              Federal financial assistance, is given the
                                                     Service currently recognizes the                        participation by beneficiaries in such                authority under the contract, grant, or
                                                     applicant as an organization to which                   activities must be purely voluntary;                  agreement to select non-governmental
                                                     contributions are tax deductible under                     (3) The organization must separate in              organizations to provide services funded
                                                     section 501(c)(3) of the Internal Revenue               time or location any privately funded                 by the Federal government, the pass-
                                                     Code;                                                   explicitly religious activities from                  through entity must ensure compliance
                                                        (2) A statement from a State or other                activities supported by direct Federal                with the provisions of this part and any
                                                     governmental taxing body or the State                   financial assistance;                                 implementing rules or guidance by the
                                                     secretary of State certifying that:                        (4) If a beneficiary objects to the                sub-recipient. If the pass-through entity
                                                        (i) The organization is a nonprofit                  religious character of the organization,              is a non-governmental organization, it
                                                     organization operating within the State;                the organization will undertake                       retains all other rights of a non-
                                                     and                                                     reasonable efforts to identify and refer              governmental organization under the
                                                        (ii) No part of its net earnings may                 the beneficiary to an alternative                     program’s statutory and regulatory
                                                     benefit any private shareholder or                      provider to which the beneficiary has no              provisions.
                                                     individual;                                             objection; and
                                                        (3) A certified copy of the applicant’s                 (5) Beneficiaries may report violations            PART 1050—CHARITABLE CHOICE
                                                     certificate of incorporation or similar                 of these protections to the awarding                  UNDER THE COMMUNITY SERVICES
                                                     document that clearly establishes the                   entity.                                               BLOCK GRANT ACT PROGRAMS
                                                     nonprofit status of the applicant; or                      (j) If a beneficiary of a social service
                                                        (4) Any item described in paragraphs                 program supported by the HHS                          ■ 2. The authority citation for part 1050
                                                     (g)(1) through (3) of this section, if that             awarding agency objects to the religious              continues to read as follows:
                                                     item applies to a State or national parent              character of an organization that                         Authority: 42 U.S.C. 9901 et seq.
                                                     organization, together with a statement                 provides services under the program,
                                                                                                                                                                   ■ 3. Amend § 1050.3 by revising
                                                     by the State or parent organization that                that organization must promptly
                                                                                                                                                                   paragraph (h) to read as follows:
                                                     the applicant is a local nonprofit                      undertake reasonable efforts to identify
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                                                     affiliate.                                              and refer the beneficiary to an                       § 1050.3 What conditions apply to the
                                                        (h) If a recipient contributes its own               alternative provider to which the                     Charitable Choice provisions of the CSBG
                                                     funds in excess of those funds required                 beneficiary has no objection. A referral              Act?
                                                     by a matching or grant agreement to                     may be made to another faith-based or                 *     *     *    *     *
                                                     supplement HHS awarding agency-                         religious organization, if the beneficiary              (h) If a nongovernmental pass-through
                                                     supported activities, the recipient has                 has no objection to that provider. But if             entity, acting under a grant, contract, or
                                                     the option to segregate those additional                the beneficiary requests a secular                    other agreement with the Federal, State
                                                     funds or commingle them with the                        provider, and a secular provider is                   or local government, is given the
                                                     Federal award funds. If the funds are                   available, then a referral must be made               authority to select nongovernmental


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                                                     47282                  Federal Register / Vol. 80, No. 151 / Thursday, August 6, 2015 / Proposed Rules

                                                     organizations to provide services under                 CFR 87.1 and 87.3(i) through (l). The                   Dated: July 20, 2015.
                                                     an applicable program, then the                         pass-through entity retains all other                 Sylvia M. Burwell,
                                                     intermediate organization must ensure                   rights of a nongovernmental                           Secretary.
                                                     that there is compliance with these                     organization under the Charitable                     [FR Doc. 2015–18256 Filed 8–5–15; 8:45 am]
                                                     Charitable Choice provisions and 45                     Choice provisions.                                    BILLING CODE 4150–24–P
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Document Created: 2018-02-23 10:55:41
Document Modified: 2018-02-23 10:55:41
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionProposed Rules
ActionProposed rule; request for comments.
DatesComments must be submitted by October 5, 2015.
ContactFor general information, please contact Acacia Bamberg Salatti, Director, U.S. Department of Health and Human Services Center for Faith-Based and Neighborhood Partnerships, 200 Independence Ave. SW., Room 747D, Washington, DC 20201 or via email at [email protected], telephone: 202-358-3595, fax: 202-205-2727 with contact number for confirmation of receipt 202-690-6060.
FR Citation80 FR 47272 
RIN Number0991-AB96
CFR Citation45 CFR 1050
45 CFR 87
CFR AssociatedGrant Programs-Social Programs and Administrative Practice and Procedure; Claims; Courts; Government Employees; Religious Discrimination

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