83_FR_6068 83 FR 6039 - Low Income Levels Used for Various Health Professions and Nursing Programs Authorized in Titles III, VII, and VIII of the Public Health Service Act

83 FR 6039 - Low Income Levels Used for Various Health Professions and Nursing Programs Authorized in Titles III, VII, and VIII of the Public Health Service Act

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration

Federal Register Volume 83, Issue 29 (February 12, 2018)

Page Range6039-6040
FR Document2018-02707

HRSA is updating income levels used to identify a ``low income family'' for the purpose of determining eligibility for programs that provide health professions and nursing training to individuals from disadvantaged backgrounds. These various programs are authorized in Titles III, VII, and VIII of the Public Health Service Act.

Federal Register, Volume 83 Issue 29 (Monday, February 12, 2018)
[Federal Register Volume 83, Number 29 (Monday, February 12, 2018)]
[Notices]
[Pages 6039-6040]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-02707]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Low Income Levels Used for Various Health Professions and Nursing 
Programs Authorized in Titles III, VII, and VIII of the Public Health 
Service Act

AGENCY: Health Resources and Services Administration (HRSA), Department 
of Health and Human Services (HHS).

ACTION: Notice.

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

SUMMARY: HRSA is updating income levels used to identify a ``low income 
family'' for the purpose of determining eligibility for programs that 
provide health professions and nursing training to individuals from 
disadvantaged backgrounds. These various programs are authorized in 
Titles III, VII, and VIII of the Public Health Service Act.

SUPPLEMENTARY INFORMATION: HHS periodically publishes in the Federal 
Register low-income levels to be used by institutions receiving grants 
and cooperative agreements to determine eligibility for programs 
providing training for (1) disadvantaged individuals, (2) individuals 
from disadvantaged backgrounds, or (3) individuals from low-income 
families. Many health professions and nursing grant and cooperative 
agreement awardees use the low-income levels to determine whether 
potential program participants are from an economically disadvantaged 
background and would be eligible to participate in the program, as well 
as to determine the amount of funding the individual receives. Awards 
are generally made to accredited schools of medicine, osteopathic 
medicine, public health, dentistry, veterinary medicine, optometry, 
pharmacy, allied health, podiatric medicine, nursing, and chiropractic; 
public or private nonprofit schools which offer graduate programs in 
behavioral health and mental health practice; and other public or 
private nonprofit health or education entities to assist the 
disadvantaged to enter and graduate from health professions and nursing 
schools. Some programs provide for the repayment of health professions 
or nursing education loans for disadvantaged students.
    A ``low-income family/household'' for programs included in Titles 
III, VII, and VIII of the Public Health Service Act is defined as 
having an annual income that does not exceed 200 percent of the 
Department's poverty guidelines. A family is a group of two or more

[[Page 6040]]

individuals related by birth, marriage, or adoption who live together.
    Most HRSA programs use the income of a student's parent(s) to 
compute low income status. However, a ``household'' may potentially be 
only one person. Other HRSA programs, depending upon the legislative 
intent of the program, the programmatic purpose related to income 
level, as well as the age and circumstances of the participant, will 
apply these low income standards to the individual student to determine 
eligibility, as long as he or she is not listed as a dependent on the 
tax form of his or her parent(s). Each program announces the rationale 
and choice of methodology for determining low income levels in program 
guidance.
    Low-income levels are adjusted annually based on HHS's poverty 
guidelines. HHS's poverty guidelines are based on poverty thresholds 
published by the U.S. Census Bureau, adjusted annually for changes in 
the Consumer Price Index. The income figures below have been updated to 
reflect HHS's 2018 poverty guidelines as published in 83 FR 2642 
(January 18, 2018).

    Low Income Levels Based on the 2018 Poverty Guidelines for the 48
             Contiguous States and the District of Columbia
------------------------------------------------------------------------
                                                                Income
               Persons in family/household *                   level **
------------------------------------------------------------------------
1..........................................................      $24,280
2..........................................................       32,920
3..........................................................       41,560
4..........................................................       50,200
5..........................................................       58,840
6..........................................................       67,480
7..........................................................       76,120
8..........................................................       84,760
------------------------------------------------------------------------
For families with more than 8 persons, add $8,640 for each additional
  person.
* Includes only dependents listed on federal income tax forms.
** Adjusted gross income for calendar year 2017.


    Low Income Levels Based on the 2018 Poverty Guidelines for Alaska
------------------------------------------------------------------------
                                                                Income
               Persons in family/household *                   level **
------------------------------------------------------------------------
1..........................................................      $30,360
2..........................................................       41,160
3..........................................................       51,960
4..........................................................       62,760
5..........................................................       73,560
6..........................................................       84,360
7..........................................................       95,160
8..........................................................      105,960
------------------------------------------------------------------------
For families with more than 8 persons, add $10,800 for each additional
  person.
* Includes only dependents listed on federal income tax forms.
** Adjusted gross income for calendar year 2017.


         Low Income Levels Based on the 2018 Poverty Guidelines
                               for Hawaii
------------------------------------------------------------------------
                                                                Income
               Persons in family/household *                   level **
------------------------------------------------------------------------
1..........................................................      $27,920
2..........................................................       37,860
3..........................................................       47,800
4..........................................................       57,740
5..........................................................       67,680
6..........................................................       77,620
7..........................................................       87,560
8..........................................................      $97,500
------------------------------------------------------------------------
For families with more than 8 persons, add $9,940 for each additional
  person.
* Includes only dependents listed on federal income tax forms.
** Adjusted gross income for calendar year 2017.

    Separate poverty guidelines figures for Alaska and Hawaii reflect 
Office of Economic Opportunity administrative practice beginning in the 
1966-1970 period since the U.S. Census Bureau poverty thresholds do not 
have separate figures for Alaska and Hawaii. The poverty guidelines are 
not defined for Puerto Rico or other outlying jurisdictions. Puerto 
Rico and other outlying jurisdictions must use the low-income levels 
table for the 48 contiguous states and the District of Columbia.

    Dated: February 5, 2018.
George Sigounas,
Administrator.
[FR Doc. 2018-02707 Filed 2-9-18; 8:45 am]
BILLING CODE 4165-15-P



                                                                            Federal Register / Vol. 83, No. 29 / Monday, February 12, 2018 / Notices                                              6039

                                               with the initial submission of an                       However, FDA records indicate that                    DEPARTMENT OF HEALTH AND
                                               application to market the human drug                    NDA 205718 was submitted on                           HUMAN SERVICES
                                               product and continues until FDA grants                  September 27, 2013.
                                               permission to market the drug product.                                                                        Health Resources and Services
                                                                                                         3. The date the application was
                                               Although only a portion of a regulatory                                                                       Administration
                                                                                                       approved: October 10, 2014. FDA has
                                               review period may count toward the
                                                                                                       verified the applicant’s claim that NDA               Low Income Levels Used for Various
                                               actual amount of extension that the
                                               Director of USPTO may award (for                        205718 was approved on October 10,                    Health Professions and Nursing
                                               example, half the testing phase must be                 2014.                                                 Programs Authorized in Titles III, VII,
                                               subtracted as well as any time that may                   This determination of the regulatory                and VIII of the Public Health Service
                                               have occurred before the patent was                     review period establishes the maximum                 Act
                                               issued), FDA’s determination of the                     potential length of a patent extension.
                                               length of a regulatory review period for                                                                      AGENCY: Health Resources and Services
                                                                                                       However, the USPTO applies several
                                               a human drug product will include all                                                                         Administration (HRSA), Department of
                                                                                                       statutory limitations in its calculations             Health and Human Services (HHS).
                                               of the testing phase and approval phase                 of the actual period for patent extension.
                                               as specified in 35 U.S.C. 156(g)(1)(B).                 In its application for patent extension,              ACTION:   Notice.
                                                  FDA has approved for marketing the                   this applicant seeks 1,118 days of patent
                                               human drug product AKYNZEO                                                                                    SUMMARY:    HRSA is updating income
                                                                                                       term extension.
                                               (netupitant/palonosetron                                                                                      levels used to identify a ‘‘low income
                                               hydrochloride). AKYNZEO is indicated                    III. Petitions                                        family’’ for the purpose of determining
                                               for the prevention of acute and delayed                                                                       eligibility for programs that provide
                                               nausea and vomiting associated with                        Anyone with knowledge that any of                  health professions and nursing training
                                               initial and repeat courses of cancer                    the dates as published are incorrect may              to individuals from disadvantaged
                                               chemotherapy including, but not                         submit either electronic or written                   backgrounds. These various programs
                                               limited to, highly emetogenic                           comments and, under 21 CFR 60.24, ask                 are authorized in Titles III, VII, and VIII
                                               chemotherapy. Subsequent to this                        for a redetermination (see DATES).                    of the Public Health Service Act.
                                               approval, the USPTO received a patent                   Furthermore, as specified in § 60.30 (21              SUPPLEMENTARY INFORMATION:      HHS
                                               term restoration application for                        CFR 60.30), any interested person may                 periodically publishes in the Federal
                                               AKYNZEO (U.S. Patent No. 6,297,375)                     petition FDA for a determination                      Register low-income levels to be used
                                               from Hoffmann-La Roche Inc., and the                    regarding whether the applicant for                   by institutions receiving grants and
                                               USPTO requested FDA’s assistance in                     extension acted with due diligence                    cooperative agreements to determine
                                               determining this patent’s eligibility for               during the regulatory review period. To               eligibility for programs providing
                                               patent term restoration. In a letter dated              meet its burden, the petition must                    training for (1) disadvantaged
                                               October 30, 2015, FDA advised the                       comply with all the requirements of                   individuals, (2) individuals from
                                               USPTO that this human drug product                      § 60.30, including but not limited to:                disadvantaged backgrounds, or (3)
                                               had undergone a regulatory review
                                                                                                       Must be timely (see DATES), must be                   individuals from low-income families.
                                               period and that the approval of
                                                                                                       filed in accordance with § 10.20, must                Many health professions and nursing
                                               AKYNZEO represented the first
                                                                                                       contain sufficient facts to merit an FDA              grant and cooperative agreement
                                               permitted commercial marketing or use
                                                                                                       investigation, and must certify that a                awardees use the low-income levels to
                                               of the product. Thereafter, the USPTO
                                                                                                       true and complete copy of the petition                determine whether potential program
                                               requested that FDA determine the
                                                                                                       has been served upon the patent                       participants are from an economically
                                               product’s regulatory review period.
                                                                                                       applicant. (See H. Rept. 857, part 1, 98th            disadvantaged background and would
                                               II. Determination of Regulatory Review                  Cong., 2d sess., pp. 41–42, 1984.)                    be eligible to participate in the program,
                                               Period                                                  Petitions should be in the format                     as well as to determine the amount of
                                                  FDA has determined that the                          specified in 21 CFR 10.30.                            funding the individual receives. Awards
                                               applicable regulatory review period for                                                                       are generally made to accredited schools
                                                                                                          Submit petitions electronically to                 of medicine, osteopathic medicine,
                                               AKYNZEO is 1,858 days. Of this time,                    https://www.regulations.gov at Docket
                                               1,479 days occurred during the testing                                                                        public health, dentistry, veterinary
                                                                                                       No. FDA–2013–S–0610. Submit written                   medicine, optometry, pharmacy, allied
                                               phase of the regulatory review period,
                                                                                                       petitions (two copies are required) to the            health, podiatric medicine, nursing, and
                                               while 379 days occurred during the
                                                                                                       Dockets Management Staff (HFA–305),                   chiropractic; public or private nonprofit
                                               approval phase. These periods of time
                                               were derived from the following dates:                  Food and Drug Administration, 5630                    schools which offer graduate programs
                                                  1. The date an exemption under                       Fishers Lane, Rm. 1061, Rockville, MD                 in behavioral health and mental health
                                               section 505(i) of the Federal Food, Drug,               20852.                                                practice; and other public or private
                                               and Cosmetic Act (FD&C Act) (21 U.S.C.                    Dated: February 7, 2018.                            nonprofit health or education entities to
                                               355(i)) became effective: September 10,                                                                       assist the disadvantaged to enter and
                                                                                                       Leslie Kux,
                                               2009. FDA has verified the applicant’s                                                                        graduate from health professions and
                                                                                                       Associate Commissioner for Policy.                    nursing schools. Some programs
                                               claim that September 10, 2009, is the
                                                                                                       [FR Doc. 2018–02756 Filed 2–9–18; 8:45 am]            provide for the repayment of health
                                               date the investigational new drug
                                               application (IND) became effective.                     BILLING CODE 4164–01–P                                professions or nursing education loans
                                                  2. The date the application was                                                                            for disadvantaged students.
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                                               initially submitted with respect to the                                                                          A ‘‘low-income family/household’’ for
                                               human drug product under section                                                                              programs included in Titles III, VII, and
                                               505(b) of the FD&C Act: September 27,                                                                         VIII of the Public Health Service Act is
                                               2013. The applicant claims September                                                                          defined as having an annual income that
                                               25, 2013, as the date the new drug                                                                            does not exceed 200 percent of the
                                               application (NDA) for AKYNZEO (NDA                                                                            Department’s poverty guidelines. A
                                               205718) was initially submitted.                                                                              family is a group of two or more


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                                               6040                                      Federal Register / Vol. 83, No. 29 / Monday, February 12, 2018 / Notices

                                               individuals related by birth, marriage, or                                 * Includes only dependents listed on federal                      the disclosure of which would
                                               adoption who live together.                                              income tax forms.                                                   constitute a clearly unwarranted
                                                                                                                          ** Adjusted gross income for calendar year
                                                  Most HRSA programs use the income                                     2017.                                                               invasion of personal privacy.
                                               of a student’s parent(s) to compute low
                                                                                                                                                                                              Name of Committee: National Heart, Lung,
                                               income status. However, a ‘‘household’’                                      LOW INCOME LEVELS BASED ON THE                                  and Blood Institute Special Emphasis Panel
                                               may potentially be only one person.                                             2018 POVERTY GUIDELINES                                      for Development of Transcatheter
                                               Other HRSA programs, depending upon
                                                                                                                                      FOR HAWAII                                            Electrosurgical Devices.
                                               the legislative intent of the program, the
                                                                                                                                                                                              Date: March 2, 2018.
                                               programmatic purpose related to income                                                                                                         Time: 1:30 p.m. to 3:00 p.m.
                                                                                                                                                                                Income
                                               level, as well as the age and                                             Persons in family/household *                          level **      Agenda: To review and evaluate contract
                                               circumstances of the participant, will                                                                                                       proposals.
                                               apply these low income standards to the                                  1   ................................................      $27,920     Place: National Institutes of Health, 6701
                                               individual student to determine                                          2   ................................................       37,860
                                                                                                                        3   ................................................       47,800   Rockledge Drive, Room 7196, Bethesda, MD
                                               eligibility, as long as he or she is not                                                                                                     20892 (Telephone Conference Call).
                                               listed as a dependent on the tax form of                                 4   ................................................       57,740
                                                                                                                        5   ................................................       67,680     Contact Person: Stephanie J. Webb, Ph.D.,
                                               his or her parent(s). Each program                                       6   ................................................       77,620   Scientific Review Officer, Office of Scientific
                                               announces the rationale and choice of                                    7   ................................................       87,560   Review/DERA, National Heart, Lung, and
                                               methodology for determining low                                          8   ................................................      $97,500   Blood Institute, 6701 Rockledge Drive, Suite
                                               income levels in program guidance.                                                                                                           7196, Bethesda, MD 20892, 301–827–7992,
                                                  Low-income levels are adjusted                                          For families with more than 8 persons, add
                                                                                                                        $9,940 for each additional person.                                  stephanie.webb@nih.gov.
                                               annually based on HHS’s poverty                                            * Includes only dependents listed on federal                        Name of Committee: National Heart, Lung,
                                               guidelines. HHS’s poverty guidelines                                     income tax forms.
                                                                                                                          ** Adjusted gross income for calendar year                        and Blood Institute Special Emphasis Panel
                                               are based on poverty thresholds                                                                                                              for Non-Surgical Interventional
                                               published by the U.S. Census Bureau,                                     2017.
                                                                                                                                                                                            Cardiovascular Medical Devices.
                                               adjusted annually for changes in the                                        Separate poverty guidelines figures                                Date: March 2, 2018.
                                               Consumer Price Index. The income                                         for Alaska and Hawaii reflect Office of                               Time: 12:00 p.m. to 1:30 p.m.
                                               figures below have been updated to                                       Economic Opportunity administrative                                   Agenda: To review and evaluate contract
                                               reflect HHS’s 2018 poverty guidelines as                                 practice beginning in the 1966–1970                                 proposals.
                                               published in 83 FR 2642 (January 18,                                     period since the U.S. Census Bureau                                   Place: National Institutes of Health, 6701
                                               2018).                                                                   poverty thresholds do not have separate                             Rockledge Drive, Suite 7196, Bethesda, MD
                                                                                                                        figures for Alaska and Hawaii. The                                  20892 (Telephone Conference Call).
                                                   LOW INCOME LEVELS BASED ON THE                                       poverty guidelines are not defined for                                Contact Person: Stephanie J. Webb, Ph.D.,
                                                    2018 POVERTY GUIDELINES FOR THE                                     Puerto Rico or other outlying                                       Scientific Review Officer, Office of Scientific
                                                    48 CONTIGUOUS STATES AND THE                                        jurisdictions. Puerto Rico and other                                Review/DERA, National Heart, Lung, and
                                                    DISTRICT OF COLUMBIA                                                outlying jurisdictions must use the low-                            Blood Institute, 6701 Rockledge Drive, Room
                                                                                                                        income levels table for the 48                                      7196, Bethesda, MD 20892, 301–827–7992,
                                                                                                          Income        contiguous states and the District of                               stephanie.webb@nih.gov.
                                                 Persons in family/household *                                          Columbia.
                                                                                                          level **
                                                                                                                                                                                              Name of Committee: National Heart, Lung,
                                                                                                                         Dated: February 5, 2018.                                           and Blood Institute Special Emphasis Panel;
                                               1   ................................................         $24,280
                                               2   ................................................          32,920     George Sigounas,                                                    NHLBI Single-Site CLTR Review.
                                               3   ................................................          41,560     Administrator.                                                        Date: March 13, 2018.
                                               4   ................................................          50,200     [FR Doc. 2018–02707 Filed 2–9–18; 8:45 am]                            Time: 8:00 a.m. to 3:00 p.m.
                                               5   ................................................          58,840     BILLING CODE 4165–15–P                                                Agenda: To review and evaluate grant
                                               6   ................................................          67,480                                                                         applications.
                                               7   ................................................          76,120                                                                           Place: Residence Inn—Bethesda, 7335
                                               8   ................................................          84,760                                                                         Wisconsin Avenue, Bethesda, MD 20814.
                                                                                                                        DEPARTMENT OF HEALTH AND
                                                 For families with more than 8 persons, add                             HUMAN SERVICES                                                        Contact Person: Chang Sook Kim, Ph.D.,
                                               $8,640 for each additional person.                                                                                                           Scientific Review Officer, Office of Scientific
                                                 * Includes only dependents listed on federal                           National Institutes of Health                                       Review/DERA, National Heart, Lung, and
                                               income tax forms.
                                                 ** Adjusted gross income for calendar year                                                                                                 Blood Institute, 6701 Rockledge Drive, Room
                                               2017.                                                                    National Heart, Lung, and Blood                                     7188, Bethesda, MD 20892–7924, 301–827–
                                                                                                                        Institute; Notice of Closed Meetings                                7940, carolko@mail.nih.gov.
                                                   LOW INCOME LEVELS BASED ON THE   Pursuant to section 10(d) of the                                                                        (Catalogue of Federal Domestic Assistance
                                                    2018 POVERTY GUIDELINES FOR Federal Advisory Committee Act, as                                                                          Program Nos. 93.233, National Center for
                                                    ALASKA                        amended, notice is hereby given of the                                                                    Sleep Disorders Research; 93.837, Heart and
                                                                                                                        following meetings of the NHLBI                                     Vascular Diseases Research; 93.838, Lung
                                                                                                          Income        Special Emphasis Panel.                                             Diseases Research; 93.839, Blood Diseases
                                                 Persons in family/household *                            level **        The meetings will be closed to the                                and Resources Research, National Institutes
                                                                                                                        public in accordance with the                                       of Health, HHS)
                                               1   ................................................         $30,360
                                               2   ................................................          41,160     provisions set forth in sections                                      Dated: February 6, 2018.
                                               3   ................................................          51,960     552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,                          Michelle Trout,
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                                               4   ................................................          62,760     as amended. The grant applications and
                                                                                                                                                                                            Program Analyst, Office of Federal Advisory
                                               5   ................................................          73,560     contract proposals and the discussions
                                                                                                                                                                                            Committee Policy.
                                               6   ................................................          84,360     could disclose confidential trade secrets
                                               7   ................................................          95,160                                                                         [FR Doc. 2018–02717 Filed 2–9–18; 8:45 am]
                                                                                                                        or commercial property such as
                                               8   ................................................         105,960     patentable material, and personal                                   BILLING CODE 4140–01–P

                                                 For families with more than 8 persons, add                             information concerning individuals
                                               $10,800 for each additional person.                                      associated with the grant applications,


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Document Created: 2018-11-01 08:43:09
Document Modified: 2018-11-01 08:43:09
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.
FR Citation83 FR 6039 

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