81 FR 43214 - Lists of Designated Primary Medical Care, Mental Health, and Dental Health Professional Shortage Areas
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration Federal Register Volume 81, Issue 127 (July 1, 2016)
Health Resources and Services Administration
Federal Register Volume 81, Issue 127 (July 1, 2016)
| Page Range | 43214-43215 | |
| FR Document | 2016-15678 |
[Federal Register Volume 81, Number 127 (Friday, July 1, 2016)] [Notices] [Pages 43214-43215] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-15678] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Lists of Designated Primary Medical Care, Mental Health, and Dental Health Professional Shortage Areas AGENCY: Health Resources and Services Administration, HHS. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: This notice advises the public of the published lists of all geographic areas, population groups, and facilities designated as primary medical care, mental health, and dental health professional shortage areas (HPSAs) as of May 13, 2016, available on the Health Resources and Services Administration (HRSA) Web site at http://www.hrsa.gov/shortage/. HPSAs are designated or withdrawn by the Secretary of Health and Human Services (HHS) under the authority of section 332 of the Public Health Service (PHS) Act and 42 CFR part 5. FOR FURTHER INFORMATION CONTACT: Requests for further information on the HPSA designations listed on the HRSA Web site below should be submitted to Kae Brickerd, Ph.D., Director, Shortage Designation Branch, Division of Policy and Shortage Designation, Bureau of Health Workforce (BHW), HRSA, Mail Stop 11SWH03, 5600 Fishers Lane, Rockville, Maryland 20857, (301) 594-5168 or [email protected]. SUPPLEMENTARY INFORMATION: Background Section 332 of the PHS Act, 42 U.S.C. 254e, provides that the Secretary of HHS shall designate HPSAs based on criteria established by regulation. HPSAs are defined in section 332 to include (1) urban and rural geographic areas with shortages of health professionals, (2) population groups with such shortages, and (3) facilities with such shortages. Section 332 further requires that the Secretary annually publish a list of the designated geographic areas, population groups, and facilities. HPSAs are to be reviewed at least annually and revised as necessary. HRSA's BHW has the responsibility for designating and updating HPSAs. Public or private nonprofit entities are eligible to apply for assignment of National Health Service Corps (NHSC) personnel to provide primary care, mental, or dental health services in or to these HPSAs. NHSC health professionals with a service obligation may enter into service agreements to serve only in federally designated HPSAs. Entities with clinical training sites located in HPSAs are eligible to receive priority for certain residency training program grants administered by BHW. Many other federal programs also utilize HPSA designations. For example, under authorities administered by the Centers for Medicare & Medicaid Services, certain qualified providers in geographic area HPSAs are eligible for increased levels of Medicare reimbursement. Development of the Designation and Withdrawal Lists Criteria for designating HPSAs were published as final regulations (42 CFR part 5) in 1980. Criteria then were defined for each of seven health professional types (primary medical care, dental, psychiatric, vision care, podiatric, pharmacy, and veterinary care). The criteria for correctional facility HPSAs were revised and published on March 2, 1989 (54 FR 8735). The criteria for psychiatric HPSAs were expanded to mental health HPSAs on January 22, 1992 (57 FR 2473). Currently funded PHS Act programs use only the primary medical care, mental health, or dental HPSA designations. Individual requests for designation or withdrawal of a particular geographic area, population group, or a facility as a HPSA are received and reviewed continuously by BHW. The majority of the requests come from the Primary Care Offices (PCO) in the State Health Departments, who have access to the on-line application and review system. Requests that come from other sources are referred to the PCOs for their review and concurrence. In addition, interested parties, including the Governor, the State Primary Care Association and state professional associations are notified of each request submitted for their comments and recommendations. Recommendations for possible additions, continuations, revisions, or withdrawals from a HPSA list are reviewed by BHW, and the review findings are provided by letter to the agency or individual requesting action or providing data, with copies to other interested organizations and individuals. These letters constitute the official notice of designation as a HPSA, rejection of recommendations for HPSA designation, revision of a HPSA designation, and/or advance notice of pending withdrawals from the HPSA list. Designations (or revisions of designations) are effective as of the date on the notification letter from BHW. Proposed withdrawals become effective only after interested parties in the area affected have been afforded the opportunity to submit additional information to BHW in support of its continued or revised designation. If no new data are submitted, or if BHW review confirms the proposed withdrawal, the withdrawal becomes effective upon publication of the lists of designated HPSAs in the Federal Register. In addition, lists of HPSAs are updated daily on the HRSA Web site, http://www.hrsa.gov/shortage/, so that interested parties can access the most accurate and timely information. Publication and Format of Lists Due to the large volume of designations, a printed version of the list is no longer distributed. This notice serves to inform the public of the availability of the complete listings of designated HPSAs on the HRSA Web site. The three lists (primary medical care, mental health, and dental) of designated HPSAs are available at a link on the HRSA Web site at http://www.hrsa.gov/shortage/ and include a snapshot of all geographic areas, population groups, and facilities that were designated HPSAs as of May 13, 2016. This notice incorporates the most recent annual reviews of designated HPSAs and supersedes the HPSA lists published in the Federal Register on July 1, 2015 (Federal Register/ Vol. 80, [[Page 43215]] No. 126/Wednesday, July 1, 2015/Notices 37637). The lists also include automatic facility HPSAs, designated as a result of the Health Care Safety Net Amendments of 2002 (Pub. L. 107-251), not subject to update requirements. Each list of designated HPSAs (primary medical care, mental health, and dental) is arranged by state. Within each state, the list is presented by county. If only a portion (or portions) of a county is (are) designated, or if the county is part of a larger designated service area, or if a population group residing in the county or a facility located in the county has been designated, the name of the service area, population group, or facility involved is listed under the county name. Counties that have a whole county geographic HPSA are indicated by the ``Entire county HPSA'' notation following the county name. Further details on the snapshot of HPSAs listed can be found on the HRSA Web site: http://www.hrsa.gov/shortage/ shortage/. In addition to the specific listings included in this notice, all Indian Tribes that meet the definition of such Tribes in the Indian Health Care Improvement Act of 1976, 25 U.S.C. 1603(d), are automatically designated as population groups with primary medical care and dental health professional shortages. The Health Care Safety Net Amendments of 2002 also made the following entities eligible for automatic facility HPSA designations: All federally qualified health centers (FQHCs) and rural health clinics that offer services regardless of ability to pay. These entities include: FQHCs funded under section 330 of the PHS Act, FQHC Look-Alikes, and Tribal and urban Indian clinics operating under the Indian Self-Determination and Education Act of 1975 (25 U.S.C. 450) or the Indian Health Care Improvement Act. Many, but not all, of these entities are included on this listing. Exclusion from this list does not exclude them from HPSA designation; any facilities eligible for automatic designation will be included in the HRSA Data Warehouse list of HPSAs as they are identified. Future Updates of Lists of Designated HPSAs The lists of HPSAs at http://www.hrsa.gov/shortage/ consist of all those that were designated as of May 13, 2016. It should be noted that HPSAs are currently updated on an ongoing basis based on the identification of new areas, population groups, facilities, and sites that meet the eligibility criteria or that no longer meet eligibility criteria and/or are being replaced by another type of designation. As such, additional HPSAs may have been designated by letter since that date. The appropriate agencies and individuals have been or will be notified of these actions by letter. These newly designated HPSAs will be included in the next publication of the HPSA list and are currently included in the daily updates posted on the HRSA Web site at http://www.hrsa.gov/shortage/find.html. Any designated HPSA listed on the HRSA Web site is subject to withdrawal from designation if new information received and confirmed by HRSA indicates that the relevant data for the area involved have significantly changed since its designation. The effective date of such a withdrawal will be the next publication of a notice regarding this list in the Federal Register. All requests for new designations, updates, or withdrawals should be based on the relevant criteria in regulations published at 42 CFR part 5. Electronic Access Address The complete list of HPSAs designated as of May 13, 2016, are available on the HRSA Web site at http://www.hrsa.gov/shortage/. Frequently updated information on HPSAs is also available at http://datawarehouse.hrsa.gov. Dated: June 24, 2016. James Macrae, Acting Administrator. [FR Doc. 2016-15678 Filed 6-30-16; 8:45 am] BILLING CODE 4165-15-P
![43214 Federal Register / Vol. 81, No. 127 / Friday, July 1, 2016 / Notices
The draft guidance, when finalized, will Designation Branch, Division of Policy area, population group, or a facility as
represent the current thinking of FDA and Shortage Designation, Bureau of a HPSA are received and reviewed
on this topic. It does not establish any Health Workforce (BHW), HRSA, Mail continuously by BHW. The majority of
rights for any person and is not binding Stop 11SWH03, 5600 Fishers Lane, the requests come from the Primary Care
on FDA or the public. You can use an Rockville, Maryland 20857, (301) 594– Offices (PCO) in the State Health
alternative approach if it satisfies the 5168 or KBrickerd@hrsa.gov. Departments, who have access to the on-
requirements of the applicable statutes SUPPLEMENTARY INFORMATION: line application and review system.
and regulations. Requests that come from other sources
Background are referred to the PCOs for their review
II. The Paperwork Reduction Act of Section 332 of the PHS Act, 42 U.S.C. and concurrence. In addition, interested
1995 254e, provides that the Secretary of HHS parties, including the Governor, the
This guidance refers to previously shall designate HPSAs based on criteria State Primary Care Association and state
approved collections of information that established by regulation. HPSAs are professional associations are notified of
are subject to review by the Office of defined in section 332 to include (1) each request submitted for their
Management and Budget (OMB) under urban and rural geographic areas with comments and recommendations.
the Paperwork Reduction Act of 1995 shortages of health professionals, (2) Recommendations for possible
(44 U.S.C. 3501–3520). The collections population groups with such shortages, additions, continuations, revisions, or
of information in 21 CFR part 312 have and (3) facilities with such shortages. withdrawals from a HPSA list are
been approved under OMB control Section 332 further requires that the reviewed by BHW, and the review
number 0910–0014. Secretary annually publish a list of the findings are provided by letter to the
designated geographic areas, population agency or individual requesting action
III. Electronic Access groups, and facilities. HPSAs are to be or providing data, with copies to other
Persons with access to the Internet reviewed at least annually and revised interested organizations and
may obtain the document at either as necessary. HRSA’s BHW has the individuals. These letters constitute the
http://www.fda.gov/Drugs/Guidance responsibility for designating and official notice of designation as a HPSA,
ComplianceRegulatoryInformation/ updating HPSAs. rejection of recommendations for HPSA
Guidances/default.htm or http:// Public or private nonprofit entities are designation, revision of a HPSA
www.regulations.gov. eligible to apply for assignment of designation, and/or advance notice of
Dated: June 27, 2016. National Health Service Corps (NHSC) pending withdrawals from the HPSA
Leslie Kux,
personnel to provide primary care, list. Designations (or revisions of
mental, or dental health services in or designations) are effective as of the date
Associate Commissioner for Policy.
to these HPSAs. NHSC health on the notification letter from BHW.
[FR Doc. 2016–15661 Filed 6–30–16; 8:45 am] professionals with a service obligation Proposed withdrawals become effective
BILLING CODE 4164–01–P may enter into service agreements to only after interested parties in the area
serve only in federally designated affected have been afforded the
HPSAs. Entities with clinical training opportunity to submit additional
DEPARTMENT OF HEALTH AND sites located in HPSAs are eligible to information to BHW in support of its
HUMAN SERVICES receive priority for certain residency continued or revised designation. If no
training program grants administered by new data are submitted, or if BHW
Health Resources and Services
BHW. Many other federal programs also review confirms the proposed
Administration
utilize HPSA designations. For example, withdrawal, the withdrawal becomes
Lists of Designated Primary Medical under authorities administered by the effective upon publication of the lists of
Care, Mental Health, and Dental Health Centers for Medicare & Medicaid designated HPSAs in the Federal
Professional Shortage Areas Services, certain qualified providers in Register. In addition, lists of HPSAs are
geographic area HPSAs are eligible for updated daily on the HRSA Web site,
AGENCY: Health Resources and Services increased levels of Medicare http://www.hrsa.gov/shortage/, so that
Administration, HHS. reimbursement. interested parties can access the most
ACTION: Notice. accurate and timely information.
Development of the Designation and
SUMMARY: This notice advises the public Withdrawal Lists Publication and Format of Lists
of the published lists of all geographic Criteria for designating HPSAs were Due to the large volume of
areas, population groups, and facilities published as final regulations (42 CFR designations, a printed version of the
designated as primary medical care, part 5) in 1980. Criteria then were list is no longer distributed. This notice
mental health, and dental health defined for each of seven health serves to inform the public of the
professional shortage areas (HPSAs) as professional types (primary medical availability of the complete listings of
of May 13, 2016, available on the Health care, dental, psychiatric, vision care, designated HPSAs on the HRSA Web
Resources and Services Administration podiatric, pharmacy, and veterinary site. The three lists (primary medical
(HRSA) Web site at http:// care). The criteria for correctional care, mental health, and dental) of
www.hrsa.gov/shortage/. HPSAs are facility HPSAs were revised and designated HPSAs are available at a link
designated or withdrawn by the published on March 2, 1989 (54 FR on the HRSA Web site at http://
Secretary of Health and Human Services 8735). The criteria for psychiatric www.hrsa.gov/shortage/ and include a
asabaliauskas on DSK3SPTVN1PROD with NOTICES
(HHS) under the authority of section HPSAs were expanded to mental health snapshot of all geographic areas,
332 of the Public Health Service (PHS) HPSAs on January 22, 1992 (57 FR population groups, and facilities that
Act and 42 CFR part 5. 2473). Currently funded PHS Act were designated HPSAs as of May 13,
FOR FURTHER INFORMATION CONTACT: programs use only the primary medical 2016. This notice incorporates the most
Requests for further information on the care, mental health, or dental HPSA recent annual reviews of designated
HPSA designations listed on the HRSA designations. HPSAs and supersedes the HPSA lists
Web site below should be submitted to Individual requests for designation or published in the Federal Register on
Kae Brickerd, Ph.D., Director, Shortage withdrawal of a particular geographic July 1, 2015 (Federal Register/Vol. 80,
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![Federal Register / Vol. 81, No. 127 / Friday, July 1, 2016 / Notices 43215
No. 126/Wednesday, July 1, 2015/ may have been designated by letter to obtain a copy of the data collection
Notices 37637). The lists also include since that date. The appropriate plans and draft instruments, email
automatic facility HPSAs, designated as agencies and individuals have been or paperwork@hrsa.gov or call the HRSA
a result of the Health Care Safety Net will be notified of these actions by Information Collection Clearance Officer
Amendments of 2002 (Pub. L. 107–251), letter. These newly designated HPSAs at (301) 443–1984.
not subject to update requirements. will be included in the next publication DATES: Comments on this ICR should be
Each list of designated HPSAs (primary of the HPSA list and are currently received no later than August 30, 2016.
medical care, mental health, and dental) included in the daily updates posted on ADDRESSES: Submit your comments to
is arranged by state. Within each state, the HRSA Web site at http:// paperwork@hrsa.gov or by mail to the
the list is presented by county. If only www.hrsa.gov/shortage/find.html. HRSA Reports Clearance Officer, 14N39,
a portion (or portions) of a county is Any designated HPSA listed on the 5600 Fishers Lane, Rockville, MD
(are) designated, or if the county is part HRSA Web site is subject to withdrawal 20857.
of a larger designated service area, or if from designation if new information
FOR FURTHER INFORMATION CONTACT: To
a population group residing in the received and confirmed by HRSA
county or a facility located in the county request more information on the
indicates that the relevant data for the
has been designated, the name of the proposed project or to obtain a copy of
area involved have significantly
service area, population group, or the data collection plans and draft
changed since its designation. The
facility involved is listed under the instruments, email paperwork@hrsa.gov
effective date of such a withdrawal will
county name. Counties that have a or call the HRSA Information Collection
be the next publication of a notice
whole county geographic HPSA are Clearance Officer at (301) 443–1984.
regarding this list in the Federal
indicated by the ‘‘Entire county HPSA’’ SUPPLEMENTARY INFORMATION: When
Register.
notation following the county name. All requests for new designations, submitting comments or requesting
Further details on the snapshot of updates, or withdrawals should be information, please include the
HPSAs listed can be found on the HRSA based on the relevant criteria in information request collection title for
Web site: http://www.hrsa.gov/ regulations published at 42 CFR part 5. reference.
shortage/. Information Collection Request Title:
In addition to the specific listings Electronic Access Address Countermeasures Injury Compensation
included in this notice, all Indian Tribes The complete list of HPSAs Program.
that meet the definition of such Tribes designated as of May 13, 2016, are OMB No. 0915–0334—Extension.
in the Indian Health Care Improvement available on the HRSA Web site at Abstract: This is an extension request
Act of 1976, 25 U.S.C. 1603(d), are http://www.hrsa.gov/shortage/. for OMB approval of the information
automatically designated as population Frequently updated information on collection requirements for the
groups with primary medical care and HPSAs is also available at http:// Countermeasures Injury Compensation
dental health professional shortages. datawarehouse.hrsa.gov. Program (CICP or Program). CICP,
The Health Care Safety Net within the Division of Injury
Dated: June 24, 2016. Compensation Programs (DICP),
Amendments of 2002 also made the
James Macrae, Healthcare Systems Bureau, HRSA,
following entities eligible for automatic
facility HPSA designations: All federally Acting Administrator. administers the compensation program
qualified health centers (FQHCs) and [FR Doc. 2016–15678 Filed 6–30–16; 8:45 am] specified by the Public Readiness and
rural health clinics that offer services BILLING CODE 4165–15–P Emergency Preparedness Act of 2005
regardless of ability to pay. These (PREP Act). CICP provides
entities include: FQHCs funded under compensation to eligible individuals
section 330 of the PHS Act, FQHC Look- DEPARTMENT OF HEALTH AND who suffer serious injuries directly
Alikes, and Tribal and urban Indian HUMAN SERVICES caused by a covered countermeasure
clinics operating under the Indian Self- administered or used pursuant to a
Determination and Education Act of Health Resources and Services PREP Act Declaration, or to their estates
1975 (25 U.S.C. 450) or the Indian Administration and/or to certain survivors. A
Health Care Improvement Act. Many, declaration is issued by the Secretary of
Agency Information Collection the Department of Health and Humans
but not all, of these entities are included Activities: Proposed Collection:
on this listing. Exclusion from this list Services (Secretary). The purpose of a
Comment Request declaration is to identify a disease,
does not exclude them from HPSA
designation; any facilities eligible for AGENCY: Health Resources and Services health condition, or a threat to health
automatic designation will be included Administration, HHS. that is currently, or may in the future
in the HRSA Data Warehouse list of ACTION: Notice. constitute, a public health emergency.
HPSAs as they are identified. In addition, the Secretary, through a
SUMMARY: In compliance with the declaration, may recommend and
Future Updates of Lists of Designated requirement for opportunity for public encourage the development,
HPSAs comment on proposed data collection manufacturing, distribution, dispensing,
The lists of HPSAs at http:// projects (Section 3506(c)(2)(A) of Title and administration or use of one or
www.hrsa.gov/shortage/ consist of all 44, United States Code, as amended by more covered countermeasures to treat,
those that were designated as of May 13, the Paperwork Reduction Act of 1995, prevent, or diagnose the disease,
asabaliauskas on DSK3SPTVN1PROD with NOTICES
2016. It should be noted that HPSAs are Pub. L. 104–13), the Health Resources condition, or threat specified in the
currently updated on an ongoing basis and Services Administration (HRSA) declaration.
based on the identification of new areas, publishes periodic summaries of To determine whether a requester is
population groups, facilities, and sites proposed projects being developed for eligible for Program benefits
that meet the eligibility criteria or that submission to the Office of Management (compensation) for the injury, CICP
no longer meet eligibility criteria and/or and Budget (OMB) under the Paperwork must review the Request for Benefits
are being replaced by another type of Reduction Act of 1995. To request more Package, which includes the Request for
designation. As such, additional HPSAs information on the proposed project or Benefits Form and Authorization for
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Document Created: 2016-07-14 11:38:03
Document Modified: 2016-07-14 11:38:03
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Contact | Requests for further information on the HPSA designations listed on the HRSA Web site below should be submitted to Kae Brickerd, Ph.D., Director, Shortage Designation Branch, Division of Policy and Shortage Designation, Bureau of Health Workforce (BHW), HRSA, Mail Stop 11SWH03, 5600 Fishers Lane, Rockville, Maryland 20857, (301) 594-5168 or [email protected] | |
| FR Citation | 81 FR 43214 |
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