82 FR 1353 - Proposed Changes to the Black Lung Clinics Program for Consideration for the FY 2017 Funding Opportunity Announcement Development
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration Federal Register Volume 82, Issue 3 (January 5, 2017)
Health Resources and Services Administration
Federal Register Volume 82, Issue 3 (January 5, 2017)
| Page Range | 1353-1356 | |
| FR Document | 2016-32003 |
[Federal Register Volume 82, Number 3 (Thursday, January 5, 2017)] [Notices] [Pages 1353-1356] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-32003] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Proposed Changes to the Black Lung Clinics Program for Consideration for the FY 2017 Funding Opportunity Announcement Development AGENCY: Health Resources and Services Administration (HRSA), Department of Health and Human Services. ACTION: Response to comments. ----------------------------------------------------------------------- SUMMARY: The Federal Office of Rural Health Policy (FORHP) in HRSA published a 30-day public notice in the Federal Register on August 22, 2016 soliciting feedback on a range of issues pertaining to the Black Lung Clinics Program (BLCP). In particular, FORHP requested feedback on how to best determine the needs of coal miners and their families, given the available data, and how to better equip future BLCP grantees to meet those needs. This notice responds to the comments received during this 30-day public notice. ADDRESSES: Further information on the Black Lung clinics program is available at http://www.hrsa.gov/gethealthcare/conditions/blacklung/. FOR FURTHER INFORMATION CONTACT: Allison Hutchings, Program Coordinator, Black Lung Clinics Program, Federal Office of Rural Health Policy, Health Resources and Services Administration, [email protected]. SUPPLEMENTARY INFORMATION: The Federal Office of Rural Health Policy (FORHP) in HRSA published a 30-day public notice in the Federal Register on August 22, 2016 (Federal Register volume 81, number 162, pp. 56660-56662) soliciting feedback on a range of issues pertaining to the Black Lung Clinics Program (BLCP). In particular, FORHP requested feedback on how to best determine the needs of coal miners and their families, given the available [[Page 1354]] data, and how to better equip future BLCP grantees to meet those needs. Background The BLCP is authorized by Section 427(a) of the Federal Mine Safety and Health Act of 1977 (30 U.S.C. 937(a)), as amended, and accompanying regulations found at 42 CFR part 55a. Following the release of the Fiscal Year (FY) 2014 BLCP funding opportunity announcement (FOA), HRSA received feedback on the funding approach used and other elements of the program. On August 22, 2016, through a Federal Register Notice (FRN), HRSA announced a 30-day public comment period to solicit input on BLCP and better understand the needs of coal miners and the clinics that serve them. In particular, HRSA received feedback on the following program components in response to the FRN:Funding Approach; Determining Need; Data Collection; Black Lung Center of Excellence (BLCE); Timeliness and Quality of U.S. Department of Labor (DOL) Exams; Grantee Collaboration; Pulmonary Rehabilitation; and Geographic Boundaries. HRSA carefully reviewed and considered the comments it received and used them to both guide the development of the FY 2017 BLCP FOA and to inform the broader landscape in which the program operates. Comments on the Proposed Changes to the Black Lung Clinics Program HRSA received 17 comments to the FRN, representing 15 black lung clinics; the National Coalition of Black Lung and Respiratory Disease Clinics, Inc.; and attorneys from a law firm that represents claimants in black lung claims. HRSA has synthesized and summarized the comments below. Funding Approach Summary of Comments Commenters provided a variety of input on funding allocations. Some commenters suggested that funding should be prioritized based on the level and quality of services offered at the site. For example, some commenters recommended that funding should be weighted toward sites that can offer all required testing at one location or whose service offerings are more comprehensive, with one commenter stating that funding levels should be based on providing all the services recommended in HRSA's 2002-08 Policy Information Notice entitled ``Black Lung Clinics Program Expectations and Principles of Practice.'' Others indicated that funding should prioritize services that are non- reimbursable, like benefits counseling. Several commenters said the funding tier system instituted in FY 2014 should be eliminated because it limited the clinics' ability to tailor services to meet their patients' needs and imposed standards that were difficult for rural clinics to meet, given workforce shortages and other challenges. Another commenter expressed concerns about the funding cap HRSA instituted on individual applicants. Most of the commenters agreed that funding should be allocated based on several factors, including the number of miners (active and inactive) served, the geographic service area, and/or historical funding amounts. Some commenters thought taking BLCP awardees' historical funding amounts into account was reasonable, while others thought historical funding amounts were irrelevant in a competitive cycle. Still another commenter suggested that HRSA give all BLCP awardees an equal base award amount and then add incremental award amounts based on the number of active and retired coal miners in a service area and the breadth and quality of services that require grant funding. Response In developing the new funding approach outlined in the FY 2017 BLCP FOA, HRSA sought to address respondents' concerns regarding the previous three-tiered funding structure and per-applicant cap, while also minimizing service disruption and adhering to statutory requirements. The FY 2017 BLCP FOA does not include the previous per-applicant cap. Funding amounts are allocated to service areas based on the amount each area received in FY 2016, assuming the same level of appropriation as in the previous year. Each service area represents an area currently covered by a BLCP awardee. Any individual applicant can apply for the full amount awarded to an area, but they can only apply to serve one service area. HRSA also removed the three-tiered funding structure. Instead, a set of minimum service and staffing requirements for all applicants was instituted. In addition, applicants applying to serve areas in which BLCP awardees are currently providing more advanced levels of service are encouraged to maintain those levels (referred to in the FY 2017 BLCP FOA as ``recommended guidelines'') in order to minimize service disruptions. However, recognizing that BLCP awardees have developed different approaches to delivering care to coal miners in response to their patients' needs and organizational capacity, applicants may request to be excepted from up to two of the recommended guidelines. The exceptions give BLCP awardees flexibility to tailor their programs according to their patients' needs and organizational capacity. The FY 2017 BLCP FOA assumes no increases in funding for the BLCP, so each service area is expected to receive the same ratio of funding it received in FY 2016 in order to minimize service disruptions. However, commenters' suggestions for how to allocate funding across applicants will be considered in future grant cycles. Determining Need Summary of Comments Nearly all of the commenters agreed that there are limitations in the data for determining miners' needs for services and some said that the availability of patient-level data would strengthen their ability to determine need. One commenter stated that relying on data from areas with only active mines does not present an accurate picture of need since these data overlook miners with needs in service areas with non- active mines. Another commenter noted that they lack data on the number of disabled or retired miners in their service areas and that a possible solution to this would be to rely on claims data filed with DOL to determine the needs of that specific miner population. Still others recommended that HRSA take into account information available through data sources, research publications, academic medical centers and other government entities; the location of black lung clinics in relation to the populations they serve; miners' employment status; and the existence of coal-fired power plant workers to determine need. Finally, one commenter suggested using a weighted disability index system using age and level of impairment to determine need. Response HRSA recognizes that there are many different factors that should to be taken into account when assessing coal miners' needs, as well as challenges given the limited and fragmented data available on U.S. coal miners. As in previous FOAs, HRSA included ``Need'' as a review criterion in the FY 2017 BLCP FOA and applicants are encouraged to utilize a range of local, state, and national resources to describe [[Page 1355]] the number of coal miners in their service area as well as their health status and unmet health needs. While HRSA cannot implement all of the commenters' suggestions for how to determine need in this grant cycle, it will consider them in future cycles. Grantee Collaboration Summary of Comments Nearly all of the commenters agreed that networking and peer-to- peer training and sharing of best practices are important components of successful program implementation. Most commenters supported a yearly peer-to-peer workshop and also stated that collaboration should continue through existing forums, such as the annual HRSA, Pipestem, and National Coalition of Black Lung and Respiratory Disease Clinics meetings. Commenters noted that it was ``essential'' that HRSA continue to support these trainings and collaboration forums and one stated that BLCP grant funds should be allowed for travel to the National Coalition of Black Lung and Respiratory Disease Clinic's annual educational conference. Response HRSA recognizes the important role that educational conferences play in strengthening the quality and breadth of services provided to coal miners. In the FY 2014 BLCP FOA, HRSA placed a restriction on using BLCP grant funds to subsidize attendance to the annual National Coalition of Black Lung and Respiratory Disease Clinics' annual educational conference. The FY 2017 BLCP FOA lifts this restriction, although applicants must justify the reasonableness of their proposed conference attendance and travel budgets and assure compliance with grant guidance related to advocacy activities. However, HRSA retained the restriction on using BLCP grant funds to subsidize membership dues and fees associated with the National Coalition of Black Lung and Respiratory Disease Clinics. Subject to the availability of travel funds and other factors, HRSA will continue to attend and participate in the existing education and collaboration forums. Data Collection Summary of Comments Commenters were in near-universal agreement about the benefits of patient-level data collection and the inadequacies of the current performance measurement system, but some expressed concerns about the burden patient-level data collection would impose on clinics. Commenters noted that data collection methods and databases vary across the grantees, and that some grantees may need more IT support and funding than others to carry out new data collection activities. Others noted the administrative burden of reporting data into more than one database. Some commenters stated that the REDCap database, a patient- level database that has been piloted with a few grantees by the BLCE, was a promising start, and at least one commenter recommended that it be expanded to all grantees as one possible common platform. Other commenters said a patient-level database should be housed in and maintained by HRSA and not by the BLCE. Response Patient-level data collection and reporting will benefit the coal miners, clinics, and the broader medical and public health communities by enabling HRSA and BLCP awardees to better assess miners' needs and program impact. Therefore, for the purposes of the FY 2017-2020 grant cycle, HRSA will explore the development of a patient-level database and will work with its federal partners, the BLCE, and BLCP awardees to develop a new set of data measures for the program. By the third year of the grant (July 1, 2019-June 30, 2020), it is anticipated that all BLCP awardees will be expected to collect and report patient-level data to HRSA. In developing these requirements, efforts will be made to minimize administrative and financial burden on BLCP awardees. BLCE Summary of Comments Commenters expressed mixed support for BLCE in its current form. In general, the training modules developed by the BLCE were well received and one commenter stated that they appreciated having training come from the BLCE as opposed to other grantees who may be in direct competition with them for patients. One commenter stated BLCE has not achieved its stated goals and that BLCE funding would be more effective if allocated to the clinics, while others questioned whether BLCE's services were being used or if they were relevant to non-hospital-based clinics. Still others suggested that the BLCE be restructured to encourage contributions from other grantees and that technical assistance around benefits counseling would be beneficial. Response HRSA established the BLCE in FY 2014 to provide technical assistance and training to BLCP awardees and to identify and disseminate best practices. HRSA agrees that the role and expectations of the BLCE should be better defined in order to maximize its impact. For the FY 2017-2020 grant cycle, HRSA refined the scope of the BLCE to focus on strengthening the operation of BLCP awardees and their ability to examine and treat respiratory and pulmonary impairments in active and inactive coal miners through improved data collection and analysis and contributing to the body of knowledge on the health status and needs of U.S. coal miners nationally. At the same time, the FY 2017 BLCE FOA allowed applicants to propose additional technical assistance and/or training activities in recognition of the ongoing and evolving need for these initiatives. Timeliness and Quality of DOL Exams Summary of Comments Two commenters agreed with HRSA's proposal to hold 413(b) providers affiliated with FORHP-funded black lung clinics accountable to DOL's standards for medical exam timeliness. Another suggested that DOL issue ``report cards'' to 413(b) providers on timeliness so they can correct course if necessary before HRSA holds them accountable. A few commenters expressed concern that the timeliness requirement could affect the quality of the exam or have other unintended consequences. Regarding the proposal to require clinical personnel to take the DOL- sponsored training modules, some commenters agreed that the proposal was reasonable, while others expressed concern that the few providers performing DOL exams would shy away from participating if they were required to take the modules. One commenter stated that the requirement for BLCP staff to complete the DOL training modules should come from DOL and not HRSA, and another commenter disagreed entirely with the training requirement proposal. Response HRSA recognizes the importance of working closely with DOL's Office of Workers' Compensation Programs to ensure that providers performing DOL medical exams adhere to DOL's timeliness and quality standards and goals, while also understanding some of the limitations these providers face. Therefore, the FY 2017 BLCP FOA strongly encourages BLCP awardees performing DOL medical exams onsite to (1) adhere to the performance measures as outlined in DOL-Office of [[Page 1356]] Workers' Compensation Programs Performance Measures as it relates to the Black Lung Program, (2) to submit documents relevant to active Black Lung benefits claims electronically into Claimant Online Access Link (C.O.A.L.) and (3) to follow other procedures and training related to diagnostic and medical providers. This last point encompasses the learning modules entitled ``Black Lung Disability Evaluation and Claims Training for Medical Examiners'' and available at https://www.publichealthlearning.com/course/category.php?id=35. HRSA will continue to work with DOL and BLCP awardees to strengthen this component of the BLCP. Pulmonary Rehabilitation Summary of Comments All of the commenters agreed that onsite pulmonary rehabilitation is a vital service. However, most commenters expressed concerns that this service is not widely available to miners who need it because it is costly to operate, there are low rates of reimbursement, and miners often aren't able to travel to clinics that do offer treatment. Some commenters said that consideration should be given for non-traditional pulmonary treatment programs, such as in-home treatments, and that HRSA should further research the effectiveness of these programs. A few commenters argued that BLCP clinics should collaborate more with hospital-based pulmonary rehabilitation programs in multiple communities to make it more feasible for miners to receive treatment. Nearly all of the commenters expressed concerns that American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) certification is difficult to obtain and financially burdensome to the clinics, and that it is not cost-effective for the clinic to try to meet this standard for additional grant funding. Response In the FY 2014 BLCP FOA, BLCP awardees receiving the highest level of funding were required to provide AACVPR-certified pulmonary rehabilitation programs onsite. The FY 2017 BLCP FOA removes this requirement and instead requires all applicants to propose, at a minimum, onsite, contracted, or referral to accredited Phase II or Phase III pulmonary rehab services. BLCP awardees providing AACVPR- certified programs to coal miners may maintain their certification if they choose, but this is no longer a requirement. Geographic Boundaries Summary of Comments A few commenters expressed concern over how HRSA defines the service areas of each clinic. At least two noted that in some cases, coal miners work or reside in closer proximity to clinics in neighboring states than to those within the same state, but that HRSA limits clinics' ability to conduct outreach in other states. Another commenter stated that some clinics provide complementary services in close proximity to one another. Response In certain cases, the FY 2017 BLCP FOA allows more than one BLCP awardee to provide services to coal miners in a given county, provided those awardees detail how they will avoid duplicating efforts of other black lung clinics. Applicants may also propose to provide services (including outreach) to coal miners in counties other than the ones listed in the FY 2017 BLCP FOA, including counties in neighboring states, provided that they demonstrate how their services will complement--rather than duplicate--existing efforts in those counties. A coal miner may receive services at a black lung clinic of his or her choosing, regardless of that clinic's location or service area designation. Conclusion HRSA considers many of the comments received to be useful and informative to future discussions on how to strengthen the BLCP in future years and appreciates the interest and dedication of the commenters who are committed to serving U.S. coal miners. Any questions or concerns should be directed to [email protected] Diana Espinosa, Deputy Administrator. [FR Doc. 2016-32003 Filed 1-4-17; 8:45 am] BILLING CODE 4165-15-P
![Federal Register / Vol. 82, No. 3 / Thursday, January 5, 2017 / Notices 1353
located in HPSAs must submit an NHSC used. NHSC sites that do not directly Burden Statement: Burden in this
Site Application and Site Recertification offer all required behavioral health context means the time expended by
Application to determine the eligibility services must demonstrate a formal persons to generate, maintain, retain,
of sites to participate in the NHSC as an affiliation with a comprehensive, disclose, or provide the information
approved service site. The NHSC LRP community-based primary behavioral requested. This includes the time
participant application asks for health setting or facility to provide these needed to review instructions; to
personal, professional, and financial services. develop, acquire, install, and utilize
information needed to determine the Likely Respondents: Likely technology and systems for the purpose
respondents include: Licensed primary
applicant’s eligibility to participate in of collecting, validating and verifying
care medical, dental, and behavioral
the NHSC LRP. In addition, applicants information, processing and
health providers who are employed or
must provide information regarding the seeking employment, and are interested maintaining information, and disclosing
loans for which repayment is being in serving underserved populations; and providing information; to train
requested. NHSC policy requires health care facilities interested in personnel and be able to respond to a
behavioral health providers to practice participating in the NHSC and becoming collection of information; to search data
in community-based settings that an NHSC-approved service site; and sources; to complete and review the
provide access to comprehensive NHSC sites providing behavioral health collection of information; and to
behavioral health services. Accordingly, care services directly or through a transmit or otherwise disclose the
for those sites seeking to be assigned formal affiliation with a comprehensive information. The total annual burden
behavioral health NHSC participants, community-based primary behavioral hours estimated for this Information
additional site information collected health setting or facility providing Collection Request are summarized in
from an NHSC Comprehensive comprehensive behavioral health the table below.
Behavioral Health Services Checklist is services.
TOTAL ESTIMATED ANNUALIZED BURDEN HOURS
Average
Number of
Number of Total burden per Total burden
Form name responses per
respondents responses response hours
respondent (in hours)
NHSC LRP Application ........................................................ 8,200 1 8,200 1 8,200
Authorization for Disclosure of Loan Information Form ....... 6,500 1 6,500 .10 650
Privacy Act Release Authorization Form ............................. 275 1 275 .10 27.5
Verification of Disadvantaged Background Form ................ 600 1 600 .50 300
Private Practice Option Form .............................................. 300 1 300 .10 30
NHSC Comprehensive Behavioral Health Services Check-
list ..................................................................................... * 4,000 1 4,000 .13 520
NHSC Site Application (including recertification) ................ * 3,700 1 3,700 .5 1,850
Total .............................................................................. 19,875 ........................ 19,875 ........................ 11,577.50
* The same respondents are completing the NHSC Comprehensive Behavioral Services Checklist and the NHSC Site Application.
HRSA specifically requests comments DEPARTMENT OF HEALTH AND grantees to meet those needs. This
on (1) the necessity and utility of the HUMAN SERVICES notice responds to the comments
proposed information collection for the received during this 30-day public
proper performance of the agency’s Health Resources and Services notice.
functions, (2) the accuracy of the Administration ADDRESSES: Further information on the
estimated burden, (3) ways to enhance Black Lung clinics program is available
Proposed Changes to the Black Lung
the quality, utility, and clarity of the at http://www.hrsa.gov/gethealthcare/
Clinics Program for Consideration for
information to be collected, and (4) the the FY 2017 Funding Opportunity conditions/blacklung/.
use of automated collection techniques Announcement Development FOR FURTHER INFORMATION CONTACT:
or other forms of information Allison Hutchings, Program
technology to minimize the information AGENCY: Health Resources and Services Coordinator, Black Lung Clinics
collection burden. Administration (HRSA), Department of Program, Federal Office of Rural Health
Health and Human Services. Policy, Health Resources and Services
Amy McNulty, Administration, blacklung@hrsa.gov.
ACTION: Response to comments.
Deputy Director, Division of the Executive SUPPLEMENTARY INFORMATION: The
Secretariat. SUMMARY: The Federal Office of Rural Federal Office of Rural Health Policy
[FR Doc. 2016–31723 Filed 1–4–17; 8:45 am] Health Policy (FORHP) in HRSA (FORHP) in HRSA published a 30-day
BILLING CODE 4165–15–P published a 30-day public notice in the public notice in the Federal Register on
Federal Register on August 22, 2016 August 22, 2016 (Federal Register
mstockstill on DSK3G9T082PROD with NOTICES
soliciting feedback on a range of issues volume 81, number 162, pp. 56660–
pertaining to the Black Lung Clinics 56662) soliciting feedback on a range of
Program (BLCP). In particular, FORHP issues pertaining to the Black Lung
requested feedback on how to best Clinics Program (BLCP). In particular,
determine the needs of coal miners and FORHP requested feedback on how to
their families, given the available data, best determine the needs of coal miners
and how to better equip future BLCP and their families, given the available
VerDate Sep<11>2014 21:06 Jan 04, 2017 Jkt 241001 PO 00000 Frm 00044 Fmt 4703 Sfmt 4703 E:\FR\FM\05JAN1.SGM 05JAN1](https://thefederalregister.org/doc/82_FR_1356/page/1.svg)
![1356 Federal Register / Vol. 82, No. 3 / Thursday, January 5, 2017 / Notices
Workers’ Compensation Programs Geographic Boundaries as amended, to impose sanctions in the
Performance Measures as it relates to form of civil monetary penalties against
Summary of Comments
the Black Lung Program, (2) to submit manufacturers that knowingly and
documents relevant to active Black Lung A few commenters expressed concern intentionally charge a 340B covered
benefits claims electronically into over how HRSA defines the service entity a price for purchase of a drug that
Claimant Online Access Link (C.O.A.L.) areas of each clinic. At least two noted exceeds the maximum applicable
and (3) to follow other procedures and that in some cases, coal miners work or ceiling price as defined by section
training related to diagnostic and reside in closer proximity to clinics in 340B(a)(1) of the PHSA. In accordance
medical providers. This last point neighboring states than to those within with section 340B(d)(1)(B)(vi)(II) of the
encompasses the learning modules the same state, but that HRSA limits PHSA, such sanctions shall not exceed
entitled ‘‘Black Lung Disability clinics’ ability to conduct outreach in $5,000 for each instance of overcharging
Evaluation and Claims Training for other states. Another commenter stated a 340B covered entity that may have
Medical Examiners’’ and available at that some clinics provide occurred. This authority may be
https://www.publichealthlearning.com/ complementary services in close redelegated. This delegation excludes
course/category.php?id=35. HRSA will proximity to one another. the authority to issue regulations.
continue to work with DOL and BLCP I have affirmed and ratified any
Response
awardees to strengthen this component actions taken by the Inspector General,
of the BLCP. In certain cases, the FY 2017 BLCP or subordinates, that involved the
FOA allows more than one BLCP exercise of the authority delegated
Pulmonary Rehabilitation awardee to provide services to coal herein prior to the effective date of the
miners in a given county, provided delegation.
Summary of Comments those awardees detail how they will This delegation became effective upon
All of the commenters agreed that avoid duplicating efforts of other black date of signature.
onsite pulmonary rehabilitation is a lung clinics. Applicants may also Authority: 42 U.S.C. 256b(d)(1)(B)(vi)
vital service. However, most propose to provide services (including
commenters expressed concerns that outreach) to coal miners in counties Sylvia M. Burwell,
this service is not widely available to other than the ones listed in the FY Secretary, Department of Health and Human
2017 BLCP FOA, including counties in Services.
miners who need it because it is costly
to operate, there are low rates of neighboring states, provided that they [FR Doc. 2016–31944 Filed 1–4–17; 8:45 am]
reimbursement, and miners often aren’t demonstrate how their services will BILLING CODE 4165–15–P
able to travel to clinics that do offer complement—rather than duplicate—
treatment. Some commenters said that existing efforts in those counties. A coal
consideration should be given for non- miner may receive services at a black DEPARTMENT OF HEALTH AND
traditional pulmonary treatment lung clinic of his or her choosing, HUMAN SERVICES
programs, such as in-home treatments, regardless of that clinic’s location or
service area designation. National Institutes of Health
and that HRSA should further research
the effectiveness of these programs. A Conclusion Center for Scientific Review; Notice of
few commenters argued that BLCP Closed Meetings
HRSA considers many of the
clinics should collaborate more with
comments received to be useful and Pursuant to section 10(d) of the
hospital-based pulmonary rehabilitation
informative to future discussions on Federal Advisory Committee Act, as
programs in multiple communities to
how to strengthen the BLCP in future amended (5 U.S.C. App.), notice is
make it more feasible for miners to
years and appreciates the interest and hereby given of the following meetings.
receive treatment. Nearly all of the
dedication of the commenters who are The meetings will be closed to the
commenters expressed concerns that
committed to serving U.S. coal miners. public in accordance with the
American Association of Cardiovascular
Any questions or concerns should be provisions set forth in sections
and Pulmonary Rehabilitation
directed to Blacklung@hrsa.gov. 552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
(AACVPR) certification is difficult to
obtain and financially burdensome to as amended. The grant applications and
Diana Espinosa,
the clinics, and that it is not cost- the discussions could disclose
Deputy Administrator.
effective for the clinic to try to meet this confidential trade secrets or commercial
[FR Doc. 2016–32003 Filed 1–4–17; 8:45 am] property such as patentable material,
standard for additional grant funding. BILLING CODE 4165–15–P and personal information concerning
Response individuals associated with the grant
applications, the disclosure of which
In the FY 2014 BLCP FOA, BLCP DEPARTMENT OF HEALTH AND would constitute a clearly unwarranted
awardees receiving the highest level of HUMAN SERVICES invasion of personal privacy.
funding were required to provide
Office of the Secretary Name of Committee: Risk, Prevention and
AACVPR-certified pulmonary Health Behavior Integrated Review Group;
rehabilitation programs onsite. The FY Psychosocial Risk and Disease Prevention
Delegation of Authority Under Title III,
2017 BLCP FOA removes this Study Section.
Part D, Section 340B(d)(1)(B)(vi) of the
requirement and instead requires all Date: January 23–24, 2017.
Public Health Service Act (PHSA)
applicants to propose, at a minimum, Time: 8:00 a.m. to 5:00 p.m.
mstockstill on DSK3G9T082PROD with NOTICES
onsite, contracted, or referral to Notice is hereby given that I have Agenda: To review and evaluate grant
accredited Phase II or Phase III delegated to the Inspector General, applications.
pulmonary rehab services. BLCP Office of Inspector General, the Place: The Westgate Hotel, 1055 Second
Avenue, San Diego, CA 92101.
awardees providing AACVPR-certified authority vested in the Secretary of Contact Person: Stacey FitzSimmons,
programs to coal miners may maintain Health and Human Services under Title Ph.D., MPH, Scientific Review Officer, Center
their certification if they choose, but III, Part D, Section 340B(d)(1)(B)(vi) of for Scientific Review, National Institutes of
this is no longer a requirement. the Public Health Service Act (PHSA), Health, 6701 Rockledge Drive, Room 3114,
VerDate Sep<11>2014 21:06 Jan 04, 2017 Jkt 241001 PO 00000 Frm 00047 Fmt 4703 Sfmt 4703 E:\FR\FM\05JAN1.SGM 05JAN1](https://thefederalregister.org/doc/82_FR_1356/page/4.svg)
Document Created: 2018-02-01 14:51:29
Document Modified: 2018-02-01 14:51:29
| 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 | Response to comments. | |
| Contact | Allison Hutchings, Program Coordinator, Black Lung Clinics Program, Federal Office of Rural Health Policy, Health Resources and Services Administration, [email protected] | |
| FR Citation | 82 FR 1353 |
2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR