82_FR_31739 82 FR 31610 - Notice of Single Source Award to the Genesee County Health Department for Addressing and Preventing Lead Exposure Through Healthy Start in Genesee County, Michigan

82 FR 31610 - Notice of Single Source Award to the Genesee County Health Department for Addressing and Preventing Lead Exposure Through Healthy Start in Genesee County, Michigan

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration

Federal Register Volume 82, Issue 129 (July 7, 2017)

Page Range31610-31611
FR Document2017-14274

HRSA announces its intent to award up to $14,975,000 for a cooperative agreement to the Genesee County Health Department, which operates the Genesee County Healthy Start program. The purpose of this cooperative agreement is to expedite and strengthen the ongoing response to address the health effects of lead exposure resulting from the Flint, MI, public water supply contamination.

Federal Register, Volume 82 Issue 129 (Friday, July 7, 2017) 
[Federal Register Volume 82, Number 129 (Friday, July 7, 2017)]
[Notices]
[Pages 31610-31611]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-14274]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Notice of Single Source Award to the Genesee County Health 
Department for Addressing and Preventing Lead Exposure Through Healthy 
Start in Genesee County, Michigan

AGENCY: Health Resources and Services Administration, HHS.

ACTION: Notice of single source award.

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SUMMARY: HRSA announces its intent to award up to $14,975,000 for a 
cooperative agreement to the Genesee County Health Department, which 
operates the Genesee County Healthy Start program. The purpose of this 
cooperative agreement is to expedite and strengthen the ongoing 
response to address the health effects of lead exposure resulting from 
the Flint, MI, public water supply contamination.

SUPPLEMENTARY INFORMATION: 
    Intended Recipient of the Award: Genesee County Health Department.
    Amount of Non-Competitive Awards: Up to $14,975,000.
    Period of Funding: July 1, 2017-June 30, 2022.
    CFDA Number: 93.926.
    Authority: Water Infrastructure Improvements for the Nation (WIIN) 
Act (Pub. L. 114-322); Section 330H of the Public Health Service Act 
(42 U.S.C. 254c-8), as amended by Public Law 110-339, Section 2; and 
Further Continuing and Security Assistance Appropriations Act, 2017 
(Pub. L. 114-254).
    Justification: Flint, MI, and the surrounding community continues 
to experience ongoing health needs, particularly among pregnant women 
and young children, associated with elevated levels of lead in the 
public water supply resulting from the city's switch from the Detroit 
Water Authority to the Flint Water Systems between April 2013 and 
October 2015.
    On January 5, 2016, the state of Michigan declared a state of 
emergency for Genesee County, which includes the city of Flint, 
authorizing the use of state resources to address the public health 
crisis created by the elevated levels of lead in the public water 
system. On January 16, 2016, a federal emergency was declared for the 
state of Michigan and authorized federal assistance to provide water, 
water filters, water filter cartridges, water test kits, and other 
necessary related items.
    Prenatal lead exposure can affect fertility, the likelihood of 
miscarriage, pre-term birth, low birth weight, infant neurodevelopment, 
and gestational hypertension. Of particular concern are the long-term 
effects in children such as developmental and cognitive delays, and 
behavioral disorders. The Healthy Start program aims to reduce 
disparities in infant mortality and improve perinatal and child health 
outcomes. To advance this mission, the goal of this program is to 
minimize developmental delays among lead-exposed children up to age 6 
in Flint and the surrounding Genesee County area by connecting them to 
appropriate screening, services, and supports.
    Thus, HRSA intends to award a one-time, single source cooperative 
agreement to the Genesee County Health Department to expedite and 
strengthen the ongoing response to address the health effects of lead 
exposure resulting from the Flint, MI, public water supply 
contamination. This award will enable the Genesee County Health 
Department to continue to play a vital role in assuring all pregnant 
women and children impacted by lead contamination in Genesee County 
have access to comprehensive health and social services. With these 
funds, the Genesee County Health Department will leverage its existing 
Healthy Start infrastructure and in-depth understanding of the maternal 
and child population in Genesee County to assess, mitigate, and provide 
consultation to pregnant women and children up to age 6 that may be 
impacted by lead exposure during the Flint water crisis. Activities 
under this award include identifying children in Flint and the

[[Page 31611]]

surrounding Genesee County area who have been affected by lead exposure 
to assess their receipt of recommended services in order to minimize 
developmental delay, and coordinating access to appropriate medical, 
behavioral, and developmental screening, services, and supports for 
impacted women, children, and their families. As the only Healthy Start 
grantee in the only community that had a federal emergency declaration 
concerning lead contamination in the last year, Genesee County Healthy 
Start has both the program and response infrastructure in place to 
immediately implement these enhanced activities.
    This award will supplement, but not supplant, other federal 
resources currently dedicated to this effort, including activities 
previously funded under the current Healthy Start grant. Several 
federal agencies, such as the Centers for Medicare & Medicaid Services, 
have provided funds to organizations in Flint and Genesee County to 
support prevention, treatment, and remediation initiatives to address 
lead contamination in the community. This award should build upon, but 
not duplicate federal and local efforts. Activities under this award 
also align with existing lead response activities and involve close 
collaboration with broader community health system organizations, 
families, health professionals, local social support and health 
systems, community-based organizations, and early childhood systems, 
etc. This approach should ensure access to family-centered and 
comprehensive health and social services for all pregnant women and 
children up to age 6 years and their families impacted by lead 
contamination in Genesee County.

FOR FURTHER INFORMATION CONTACT: Robert Windom, Division of Healthy 
Start and Perinatal Services, Maternal and Child Health Bureau, Health 
Resources and Services Administration, 5600 Fishers Lane, Room 18N78, 
Rockville, Maryland 20852, (301) 443-8283, [email protected]. For media 
inquiries, please contact [email protected].

    Dated: June 26, 2017.
George Sigounas,
Administrator.
[FR Doc. 2017-14274 Filed 7-6-17; 8:45 am]
BILLING CODE 4165-15-P

31610 Federal Register / Vol. 82, No. 129 / Friday, July 7, 2017 / Notices Information Collection: Collection of employer and a non-government Appropriations Act, 2017 (Pub. L. 114– Prescription Drug Event Data from employer. The CMS–R–285 form is an 254). Contracted Part D Providers for essential part of the process of Justification: Flint, MI, and the Payment; Use: The collected determining whether an individual surrounding community continues to information is used primarily for qualifies for the premium reduction. experience ongoing health needs, payment, but is also used for claim The Social Security Administration will particularly among pregnant women validation as well as for other legislated use this information to help determine and young children, associated with functions such as quality monitoring, whether a beneficiary meets the elevated levels of lead in the public program integrity, and oversight. Form requirements for reduction of the Part A water supply resulting from the city’s Number: CMS–10174 (OMB control premium. Form Number: CMS–R–285 switch from the Detroit Water Authority number: 0938–0982); Frequency: (OMB control number: 0938–0769); to the Flint Water Systems between Monthly; Affected Public: Business or Frequency: Once; Affected Public: State, April 2013 and October 2015. other for-profits and Not-for-profit Local, or Tribal Governments; Number On January 5, 2016, the state of institutions; Number of Respondents: of Respondents: 500; Total Annual Michigan declared a state of emergency 779; Total Annual Responses: Responses: 500; Total Annual Hours: for Genesee County, which includes the 1,409,828,464; Total Annual Hours: 125. (For policy questions regarding this city of Flint, authorizing the use of state 2,820. (For policy questions regarding collection contact Carla Patterson at resources to address the public health this collection contact Ivan Iveljic at 410–786–8911.) crisis created by the elevated levels of 410–786–3312.) lead in the public water system. On Dated: June 30, 2017. January 16, 2016, a federal emergency 5. Type of Information Collection Request: Reinstatement without change William N. Parham, III, was declared for the state of Michigan of a previously approved collection; Director, Paperwork Reduction Staff, Office and authorized federal assistance to Title of Information Collection: of Strategic Operations and Regulatory provide water, water filters, water filter Medicaid Payment for Prescription Affairs. cartridges, water test kits, and other Drugs—Physicians and Hospital [FR Doc. 2017–14230 Filed 7–6–17; 8:45 am] necessary related items. Outpatient Departments Collecting and BILLING CODE 4120–01–P Prenatal lead exposure can affect Submitting Drug Identifying Information fertility, the likelihood of miscarriage, to State Medicaid Programs; Use: States pre-term birth, low birth weight, infant are required to provide for the collection DEPARTMENT OF HEALTH AND neurodevelopment, and gestational and submission of utilization data for HUMAN SERVICES hypertension. Of particular concern are certain physician-administered drugs in the long-term effects in children such as Health Resources and Services developmental and cognitive delays, order to receive federal financial Administration and behavioral disorders. The Healthy participation for these drugs. Physicians, serving as respondents to Start program aims to reduce disparities Notice of Single Source Award to the states, submit National Drug Code in infant mortality and improve Genesee County Health Department for numbers and utilization information for perinatal and child health outcomes. To Addressing and Preventing Lead ‘‘J’’ code physician-administered drugs advance this mission, the goal of this Exposure Through Healthy Start in so that the states will have sufficient program is to minimize developmental Genesee County, Michigan information to collect drug rebate delays among lead-exposed children up dollars. Form Number: CMS–10215 AGENCY: Health Resources and Services to age 6 in Flint and the surrounding (OMB control number: 0938–1026); Administration, HHS. Genesee County area by connecting Frequency: Weekly; Affected Public: ACTION: Notice of single source award. them to appropriate screening, services, Business or other for-profits and Not- and supports. for-profit institutions); Number of SUMMARY: HRSA announces its intent to Thus, HRSA intends to award a one- Respondents: 20,000; Total Annual award up to $14,975,000 for a time, single source cooperative Responses: 3,910,000; Total Annual cooperative agreement to the Genesee agreement to the Genesee County Health Hours: 16,227. (For policy questions County Health Department, which Department to expedite and strengthen regarding this collection contact Lisa operates the Genesee County Healthy the ongoing response to address the Ferrandi at 410–786–5445.) Start program. The purpose of this health effects of lead exposure resulting 6. Type of Information Collection cooperative agreement is to expedite from the Flint, MI, public water supply Request: Reinstatement without change and strengthen the ongoing response to contamination. This award will enable of a previously approved collection; address the health effects of lead the Genesee County Health Department Title of Information Collection: Request exposure resulting from the Flint, MI, to continue to play a vital role in for Retirement Benefit Information; Use: public water supply contamination. assuring all pregnant women and Section 1818(d)(5) of the Social Security SUPPLEMENTARY INFORMATION: children impacted by lead Act provides that former state and local Intended Recipient of the Award: contamination in Genesee County have government employees (who are age 65 Genesee County Health Department. access to comprehensive health and or older, have been entitled to Premium Amount of Non-Competitive Awards: social services. With these funds, the Part A for at least 7 years, and did not Up to $14,975,000. Genesee County Health Department will have the premium paid for by a state, a Period of Funding: July 1, 2017–June leverage its existing Healthy Start asabaliauskas on DSKBBXCHB2PROD with NOTICES political subdivision of a state, or an 30, 2022. infrastructure and in-depth agency or instrumentality of one or CFDA Number: 93.926. understanding of the maternal and child more states or political subdivisions) Authority: Water Infrastructure population in Genesee County to assess, may have the Part A premium reduced Improvements for the Nation (WIIN) Act mitigate, and provide consultation to to zero. These individuals must also (Pub. L. 114–322); Section 330H of the pregnant women and children up to age have 10 years of employment with the Public Health Service Act (42 U.S.C. 6 that may be impacted by lead state or local government employer or a 254c–8), as amended by Public Law exposure during the Flint water crisis. combination of 10 years of employment 110–339, Section 2; and Further Activities under this award include with a state or local government Continuing and Security Assistance identifying children in Flint and the VerDate Sep<11>2014 20:56 Jul 06, 2017 Jkt 241001 PO 00000 Frm 00063 Fmt 4703 Sfmt 4703 E:\FR\FM\07JYN1.SGM 07JYN1

Federal Register / Vol. 82, No. 129 / Friday, July 7, 2017 / Notices 31611 surrounding Genesee County area who DEPARTMENT OF HEALTH AND providing ready and direct access to have been affected by lead exposure to HUMAN SERVICES vital public health emergency assess their receipt of recommended information and response. In 2001, the services in order to minimize Health Resources and Services Poison Help line, a single, national toll- developmental delay, and coordinating Administration free phone number (800–222–1222) was access to appropriate medical, established to ensure universal access to Agency Information Collection behavioral, and developmental PCC services, 24 hours a day, 7 days a Activities: Proposed Collection: Public screening, services, and supports for Comment Request; Information week. The Poison Help campaign is the impacted women, children, and their Collection Request Title: Poison Help only national media effort to promote families. As the only Healthy Start General Population Survey, OMB awareness and use of the national toll- grantee in the only community that had Number 0915–0343, Reinstatement. free phone number. The Poison Help a federal emergency declaration campaign aims to reach a wide concerning lead contamination in the AGENCY: Health Resources and Services audience, as individuals of all ages are last year, Genesee County Healthy Start Administration (HRSA), Department of at risk for poisoning and may need to has both the program and response Health and Human Services. access PCC services. The ‘‘Poison Help infrastructure in place to immediately ACTION: Notice. General Population Survey’’ is a 10- implement these enhanced activities. minute telephone survey designed to SUMMARY: In compliance with the assess the Poison Help campaign’s This award will supplement, but not requirement for opportunity for public supplant, other federal resources impact among 2,000 households in the comment on proposed data collection United States. The survey is conducted currently dedicated to this effort, projects of the Paperwork Reduction Act including activities previously funded with an adult household member and of 1995, HRSA announces plans to under the current Healthy Start grant. addresses topics related to the types of submit an Information Collection Several federal agencies, such as the individuals or organizations to contact Request (ICR), described below, to the Centers for Medicare & Medicaid Office of Management and Budget for information, advice, and treatment Services, have provided funds to (OMB). The ICR is for reinstatement of related to a poisoning. organizations in Flint and Genesee a previously approved information Need and Proposed Use of the County to support prevention, collection assigned OMB control Information: Survey results will be used treatment, and remediation initiatives to number 0915–0343 that expired on May to guide future communication, address lead contamination in the 31, 2014. Prior to submitting the ICR to education, and outreach efforts and will community. This award should build OMB, HRSA seeks comments from the allow the tracking of longitudinal data upon, but not duplicate federal and public regarding the burden estimate, from near-identical prior surveys local efforts. Activities under this award below, or any other aspect of the ICR. conducted in 2008 and 2011. The also align with existing lead response DATES: Comments on this ICR must be survey has been updated to include activities and involve close received no later than September 5, questions regarding one of the Secretary collaboration with broader community 2017. of Health and Human Service’s priority health system organizations, families, ADDRESSES: Submit your request to areas, addressing the opioid crisis, and health professionals, local social paperwork@hrsa.gov or mail the HRSA definitively ascertain respondents’ support and health systems, Information Collection Clearance knowledge of the Poison Help Line and community-based organizations, and Officer, Room 14N39, 5600 Fishers phone usage. early childhood systems, etc. This Lane, Rockville, MD 20857. Likely Respondents: This study approach should ensure access to FOR FURTHER INFORMATION CONTACT: To includes two respondent groups, family-centered and comprehensive request more information on the individuals and households with an health and social services for all proposed project or to obtain a copy of adult member 18 years and older. pregnant women and children up to age the data collection plans and draft 6 years and their families impacted by Burden Statement: Burden in this instruments, email paperwor@hrsa.gov lead contamination in Genesee County. or call the HRSA Information Collection context means the time expended by Clearance Officer at (301) 443–1984. persons to generate, maintain, retain, FOR FURTHER INFORMATION CONTACT: disclose, or provide the information Robert Windom, Division of Healthy SUPPLEMENTARY INFORMATION: When requested. This includes the time Start and Perinatal Services, Maternal submitting comments or requesting needed to review instructions; to and Child Health Bureau, Health information, please include the develop, acquire, install, and utilize Resources and Services Administration, information request collection title for reference, in compliance with Section technology and systems for the purpose 5600 Fishers Lane, Room 18N78, of collecting, validating and verifying 3506(c)(2)(A) of the Paperwork Rockville, Maryland 20852, (301) 443– information, processing and Reduction Act of 1995. 8283, RWindom@hrsa.gov. For media maintaining information, and disclosing Information Collection Request Title: inquiries, please contact press@ and providing information; to train Poison Help General Population Survey, hrsa.gov. OMB Number 0915–0343, personnel and to be able to respond to asabaliauskas on DSKBBXCHB2PROD with NOTICES Dated: June 26, 2017. Reinstatement. a collection of information; to search George Sigounas, Abstract: HRSA is requesting data sources; to complete and review approval by OMB for reinstatement of a the collection of information; and to Administrator. previously approved collection of transmit or otherwise disclose the [FR Doc. 2017–14274 Filed 7–6–17; 8:45 am] information (OMB control number information. The total annual burden BILLING CODE 4165–15–P 0915–0343). Annually, poison control hours estimated for this Information centers (PCCs) in the U.S. manage Collection Request are summarized in approximately 2.8 million calls, the table below. VerDate Sep<11>2014 22:45 Jul 06, 2017 Jkt 241001 PO 00000 Frm 00064 Fmt 4703 Sfmt 4703 E:\FR\FM\07JYN1.SGM 07JYN1


Document Created: 2017-07-07 02:20:08
Document Modified: 2017-07-07 02:20:08
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of single source award.
ContactRobert Windom, Division of Healthy Start and Perinatal Services, Maternal and Child Health Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Room 18N78, Rockville, Maryland 20852, (301) 443-8283, [email protected] For media inquiries, please contact [email protected]
FR Citation82 FR 31610 
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