[Federal Register Volume 60, Number 108 (Tuesday, June 6, 1995)]
[Notices]
[Pages 29859-29862]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-13753]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service


Health Resources and Services Administration; Statement of 
Organization, Functions and Delegations of Authority

    Part H, Chapter HB (Health Resources and Services Administration) 
of the Statement of Organizations, Functions and Delegations of 
Authority of the Department of Health and Human Services (47 FR 38409-
24, August 31, 1982, as amended most recently at 60 FR 10396-37, 
February 24, 1995) is amended to reflect the current functions assigned 
to the Maternal and Child Health Bureau (HBM).
    Under Section HB-20, Functions, delete in its entirety the 
functional statements under the Maternal and Child Health Bureau (HBM) 
and substitute the following:

Maternal and Child Health Bureau (HBM)

Office of the Director (HBM1)

    Provides national leadership and policy direction for the planning, 
development, implementation and evaluation of the programs and 
activities of the Bureau. These programs are designed to improve the 
health of women of childbearing age, infants, children, adolescents, 
and their families, of children with special health needs, and of 
persons with hemophilia. Specifically: (1) Oversees the day-to-day 
management and operations of the Bureau's Offices and Divisions; (2) 
coordinates all internal functions of the Bureau and facilitates 
effective, collaborative relationships with other health and related 
programs; (3) establishes a program mission, goals, objectives, and 
policy positions consistent with legislation and broad Administration 
guidelines; (4) serves as the focal point for managing the Bureau-wide 
strategic planning operation as it relates to long and short range 
programmatic goals and objectives for the Bureau; (5) develops and 
administers internal operating policies and procedures and provides 
guidance and direction to regional staff, to State Health Officers, and 
to State Maternal and Child Health and Special Health Needs 
Coordinators; (6) serves as principal contact point to the agency, the 
Public Health Service, the Department, OMB, and the White House on 
matters concerning the health status of America's mothers and children; 
(7) directs and coordinates the Bureau's program responsibilities, 
including the Maternal and Child Health block grants to States, 
contracts, and other funding arrangements in the areas of research, 
training, genetics, hemophilia, and health service improvement through 
regionally and nationally significant projects, a program of 
consultation, technical assistance and training designed to improve 
health, nutrition, mental and dental health services for children in 
Head Start programs, a [[Page 29860]] national program to improve 
emergency medical services for children, a Healthy Start program 
designed to strengthen and improve the delivery of health services, a 
demonstration program in Pediatric AIDS, and a national service 
demonstration program for the treatment and prevention of AIDS in 
persons with hemophilia; (8) directs and coordinates the planning, 
implementation and monitoring of a national maternal and child health 
data and information system based in State and local jurisdictions; (9) 
provides direction and serves as the focal point for international 
matters of concern to the health of mothers, children, and their 
families; (10) develops a policy statement and an action plan to 
address the health needs of mothers and children from culturally 
diverse groups; (11) directs and coordinates Bureau activities in 
support of Equal Opportunity programs; (12) provides direction for the 
Bureau's Civil Rights compliance activities; (13) provides information 
and reports on the Bureau's programs to public, health, education and 
related professional associations, the Congress, other Federal and PHS 
agencies, OMB, and the White House; (14) coordinates public 
communications and public affairs activities for the Bureau; (15) 
administers the implementation of the Privacy Act and the Freedom of 
Information Act in the Bureau; and (16) performs the executive 
secretariat functions and coordinates responses to General Accounting 
Office audit reports and monitors the implementation of GAO 
recommendations.
Office of Operations and Management (HBM15)

    Plans, directs, coordinates, and evaluates Bureau-wide 
administrative and management activities; coordinates and monitors 
program and administrative policy implementation; and maintains close 
liaison with officials of the Agency, the Office of the Assistant 
Secretary for Health, and the Office of the Secretary on matters 
relating to these activities. Specifically: (1) Serves as the Bureau 
Director's and Bureau's principal source for management and 
administrative advice and assistance for Headquarters and Regional 
Office staff operations; (2) provides or serves as liaison for program 
support services and resources, such as procurement of equipment and 
supplies, space, property, etc.; (3) provides leadership on 
intergovernmental activities of the Bureau which requires central 
administrative direction or intergovernmental activities of the Bureau 
which require central direction of cross cutting administrative issues 
affecting program activities; (4) participates in the development of 
strategic plans, regulatory activities, policy papers, and legislative 
proposals relating to MCH programs; (5) serves as liaison with the 
Division of Personnel, HRSA, and coordinates personnel activities for 
the Bureau; (6) directs, conducts, and coordinates manpower management 
activities and advises on the allocation of personnel resources 
including interagency agreements of Federal assignees to MCH programs; 
(7) manages the performance appraisal and employee performance 
management systems; (8) develops and carries out a full range of 
financial management activities, including the annual budget 
formulation, presentation, and execution functions; (9) determines 
State allocations of MCH Block Grant funds based on formula and current 
census data; (10) is responsible for planning, directing, coordinating, 
and evaluating Bureau-wide grants management activities, including 
cooperative agreement operations; (11) coordinates the development and 
processing of Bureau contract procurement activities and maintains 
liaison with the Division of Grants and Procurement Management, HRSA, 
and with the Office of the Assistant Secretary for Health; (12) plans, 
coordinates, and facilitates the Bureau's intra- and interagency 
agreement activities; (13) provides organization and management 
analysis, develops policies and procedures for internal operations, and 
interprets and implements the Administration's management policies, 
procedures and systems; (14) coordinates the Bureau's program and 
administrative delegations of authority activities; (15) provides staff 
services in the operational planning and program analysis; (16) is 
responsible for paperwork management functions, including the 
development and maintenance of manual issuances; (17) provides 
direction regarding new developments in office management activities; 
and (18) participates in international health activities of the Bureau.

Office of Program Development (HBM13)

    Serves as the Bureau focal point for the management of the 
planning, evaluation, legislation, and legislative implementation 
activities, including the development, coordination, and dissemination 
of program objectives, policy positions, reports and strategic plans. 
Specifically: (1) Advises and assists the Bureau Director and the 
Bureau in the development, coordination and management of legislative 
planning documents, responses to Departmental and HRSA initiatives, and 
information papers to support Bureau and Administration goals; (2) 
interprets evaluation requirements, develops, coordinates, and manages 
preparation of the annual evaluation plans and activities, and conducts 
or contracts for specific evaluation projects related to the 
performance of MCHB programs; (3) provides staff services, disseminates 
information, and develops, coordinates, and manages Bureau activities 
relating to legislation and regulations, and develops and coordinates 
legislative proposals and regulations; (4) develops, coordinates, and 
manages Bureau activities related to the development, clearance, and 
dissemination of Federal Register notices, guidelines, final grant 
reports, and periodic and annual reports to other Federal and non-
Federal agencies; (5) participates in the development of budget 
submissions related to the office's functions; (6) coordinates 
activities closely and continuously with the Office of Planning, 
Evaluation and Legislation, HRSA, and other MCHB Divisions and Offices 
in promoting program objectives and the mission of the Bureau; (7) 
provides liaison with public, private, professional, and voluntary 
organizations on programs related to MCHB planning and legislative 
issues; and (8) participates in international health activities of the 
Bureau.

Office of State and Community Health (HBM14)

    In collaboration with MCHB Divisions and Offices, serves as the 
organizational focus for the administration of responsibilities related 
to the MCH Block Grant to States Program, including guidance to States 
on community health activities, reporting requirements and assurances, 
coordination of the provision of technical assistance and consultation, 
oversight of the Regional staff workplan, and development of national 
information and data systems for management of the Block Grant Program. 
Specifically: (1) Provides national leadership, direction, 
coordination, and administrative oversight related to the development 
and management of the State MCH Block Grant applications and the annual 
reports; (2) develops, plans, manages, and monitors a Bureau-wide 
program of technical assistance and consultation in collaboration with 
other MCHB Divisions and agencies and organizations and based on review 
of [[Page 29861]] State Block applications and annual reports, and 
provides assistance related to the State Block Grant and community 
health activities; (3) coordinates, facilitates, supports, and monitors 
the development of national information and data systems for management 
of the Block Grant; (4) coordinates the analysis of data related to the 
State Block Grant activities; (5) directly or through grants, 
contracts, or cooperative agreements, and in concert with the MCHB 
Divisions, provides for the collection of State MCH health data and 
assures the utilization of the data in preparation of the Annual Report 
to the Congress; (6) provides leadership and direction to the ten 
Regional Office staffs in concert with the MCHB Divisions through the 
development, implementation, monitoring, and management of the Regional 
staff/Headquarters workplan guidance; (7) participates in activities 
related to the Special Projects of Regional and National Significance 
(SPRANS) program to facilitate the dissemination of effective knowledge 
related to State MCH functions; (8) manages and monitors interagency 
agreements of Federal assignees to State MCH programs; (9) maintains 
liaison with other public, private, professional and voluntary 
organizations, institutions, and associations dealing with the State 
MCH Block Grant program; (10) promotes program objectives and the 
mission of the Bureau; (11) participates in the development of 
strategic plans, regulatory activities, policy papers, legislative 
proposals, and budget submissions relating to health services for women 
of childbearing age, infants, children, adolescents, children with 
special health care needs and their families; (12) participates in 
international health activities of the Bureau and coordinates the 
Pacific Basin activities; and (13) accounts for the administration of 
funds and other resources for grants, contracts, and cooperative 
agreements.
Division of Services for Children With Special Health Needs (HBM2)

    Provides national leadership in planning, directing, coordinating, 
monitoring, and evaluating national programs focusing on the promotion 
of health and prevention of disease among children with special health 
needs, and their families with special emphasis on the development and 
implementation of family-centered, comprehensive, care-coordinated, 
community-based and culturally competent systems of care for such 
populations. Specifically: (1) Administers a program which supports the 
development of systems of care and services for children with special 
health care needs and their families; (2) develops policies and 
guidelines and promulgates standards for professional services and 
effective organization and administration of health programs for 
children with special health care needs, and their families; (3) 
accounts for the administration of funds and other resources for 
grants, contracts and programmatic consultation and assistance; (4) 
coordinates with other MCHB Divisions and Offices in promoting program 
objectives and the mission of the Bureau; (5) serves as the focal point 
within the Bureau in implementing programmatic statutory requirements 
for State programs for children with special health care needs, and 
their families; (6) provides consultation and technical assistance to 
State programs for children with special health care needs and to local 
communities, consistent with a Bureau-wide technical assistance 
consultation plan, and in concert with other agencies and 
organizations; (7) provides liaison with public, private, professional 
and voluntary organizations on programs designed to improve services 
for children with special health care needs, and their families; (8) 
develops and implements a national program for those at-risk-for or 
suffering from genetic diseases, implementing a system of projects 
related to genetic services, counseling information and referral; (9) 
develops and implements a national program for persons with hemophilia; 
(10) develops and implements a national program relating to women, 
children, and adolescents with HIV infection; (11) develops and 
implements community-based service and systems of care for children 
with disabling conditions and chronic illnesses; (12) coordinates 
within this Agency and with other Federal programs (particularly Title 
XIX of the Social Security Act) to extend and improve comprehensive, 
coordinated services and promote integrated State-based systems of care 
for children with special health care needs, and their families; (13) 
disseminates information on preventive health services and advances in 
the care and treatment of children with special health care needs, and 
their families; (14) participates in the development of strategic 
plans, regulatory activities, policy papers, legislative proposals, and 
budget submissions relating to health services for children with 
special health care needs and their families; (15) provides a focus for 
international health activities of the Bureau for services for children 
with special health care needs and their families, and (16) 
participates in the development of interagency agreements of Federal 
assignees to State MCH programs.
Division of Maternal, Infant, Child, and Adolescent Health (HBM3)

    Provides national leadership in planning, directing, coordinating, 
monitoring, and evaluating national programs focusing on the promotion 
of health and prevention of disease among women of childbearing age, 
infants, children, adolescents, and their families with special 
emphasis on the development and implementation of family-centered, 
comprehensive, care coordinated, community based and culturally 
competent systems of care for such populations. Specifically: (1) 
Administers a program which supports the development of systems of care 
and services for women of childbearing age, infants, children, 
adolescents, and their families; (2) develops policies and guidelines 
and promulgates standards for professional services and effective 
organization and administration of health programs for women of 
childbearing age, infants, children, adolescents, and their families; 
(3) accounts for the administration of funds and other resources for 
grants, contracts and programmatic consultation and assistance; (4) 
coordinates with other MCHB Divisions and Offices in promoting program 
objectives and the mission of the Bureau; (5) serves as the focal point 
within the Bureau in implementing programmatic statutory requirements 
for State programs for women of childbearing age, infants, children, 
adolescents, and their families; (6) provides consultation and 
technical assistance to State programs for women of childbearing age, 
infants, children, adolescents, and their families and to local 
communities, consistent with a Bureau-wide technical assistance 
consultation plan, working with other agencies and organizations; (7) 
provides liaison with public, private, professional and voluntary 
organizations on programs designed to improve services for women of 
childbearing age, infants, children, adolescents, and their families; 
(8) serves as the national focus for reducing unacceptably high rates 
of infant and maternal mortality and morbidity and associated problems 
of low birthweight infants; (9) serves as the national focus for 
improving the health and well-being of adolescents; (10) carries out a 
national program on school staff development activities; (11) carries 
out a national program designed to improve the provision of emergency 
medical services for children; (12) coordinates within this Agency and 
[[Page 29862]] with other Federal programs (particularly Title XIX of 
the Social Security Act) to extend and improve comprehensive, 
coordinated services and promote integrated State-based systems of care 
for women of childbearing age, infants, children, adolescents, and 
their families; (13) disseminates information on preventive health 
services and advances in the care and treatment of women of 
childbearing age, infants, children, adolescents, and their families; 
(14) participates in the development of strategic plans, regulatory 
activities, policy papers, legislative proposals, and budget 
submissions relating to health services for women of childbearing age, 
infants, children, adolescents, and their families; (15) provides a 
focus for international health activities of the Bureau for services 
for women of childbearing age, infants, children, adolescents, and 
their families; and (16) participates in the development of interagency 
agreement of Federal assignees to State MCH programs.

Division of Science, Education, and Analysis (HBM6)

    Provides national leadership in planning, directing, coordinating, 
monitoring, and evaluating national programs related to research, 
professional and public education, analysis, and computer science and 
Information Resources Management (IRM) application activities focusing 
on the promotion of health and prevention of disease among women of 
childbearing age, infants, children, adolescents and their families, 
with special emphasis on the development and implementation of family-
centered, comprehensive, care-coordinated, community-based and 
culturally competent systems of care for such populations. 
Specifically: (1) Administers a program which supports the development 
of systems of care and services for mothers, children, and their 
families; (2) develops policies and guidelines and promulgates 
standards through research, professional and public education, 
analysis, and computer science and IRM application activities for the 
Bureau; (3) accounts for the administration of funds and other 
resources for grants, contracts and programmatic consultation and 
assistance; (4) coordinates with other MCHB Divisions and Offices in 
promoting program objectives and the mission of the Bureau; (5) serves 
as the focal point within the Bureau, in collaboration with other MCHB 
Offices and Divisions, in implementing research, professional and 
public education, quantitative and qualitative analytic activities, and 
computer science and IRM application requirements for State programs 
for women of childbearing age, infants, children, adolescents, children 
with special health care needs, and their families; (6) provides 
consultation and technical assistance to State programs and local 
communities, consistent with a Bureau-wide technical assistance 
consultation plan, working with other agencies and organizations; (7) 
serves as the focal point in the Bureau for IRM functions and 
activities, including the planning, directing, and coordination of IRM 
acquisitions, and development and support of Bureau-wide and Regional 
Office staff information systems; (8) provides liaison with public, 
private, professional and voluntary organizations on programs and 
activities; (9) coordinates within this Agency and with other Federal 
programs (particularly Title XIX of the Social Security Act) to extend 
and improve comprehensive, coordinated services and promote integrated 
State-based systems of care; (10) disseminates information on research, 
professional and public education, analysis, and computer science and 
IRM activities to States and localities related to preventive health 
services, health promotion efforts, and advances in the care and 
treatment of women of childbearing age, infants, children, adolescents, 
children with special health care needs, and their families; (11) 
participates in the development of strategic plans, regulatory 
activities, policy papers, legislative proposals, and budget 
submissions; (12) provides a focus for international health activities 
of the Bureau relating to research, professional and public education, 
analysis, and computer science and IRM activities for the Bureau; and 
(13) participates in the development of interagency agreements of 
Federal assignees to State MCH programs.
Division of Healthy Start (HBM5)

    Provides national leadership in planning, directing, coordinating, 
monitoring and evaluating the implementation of the Presidential 
Healthy Start Initiative to strengthen and improve the delivery of 
health services in the 15 Healthy Start communities. Specifically: (1) 
Administers a national Healthy Start program which collects and 
analyzes information regarding the Healthy Start projects; (2) provides 
program policy direction, technical assistance, and professional 
consultation on Healthy Start activities; (3) accounts for the 
administration of funds and other resources for grants, contracts and 
programmatic consultation and assistance; (4) coordinates with other 
MCHB Divisions and Offices in promoting program objectives and the 
mission of the Bureau; (5) services as the focal point within the 
Bureau in implementing programmatic requirements for a national Healthy 
Start program; (6) coordinates Healthy Start activities within this 
Agency, particularly with the PHS Interagency Committee on Infant 
Mortality and with the Office of Communications pertaining to its 
national public information and public education campaign, and with 
other Federal programs, such as the Health Care Financing 
Administration, and the Administration for Children and Families; (7) 
provides liaison with public, private, professional and voluntary 
organizations on programs designed to improve delivery of health care 
and social services for Healthy Start projects; (8) disseminates 
information on Healthy Start activities; (9) participates in the 
development of strategic plans, regulatory activities, policy papers, 
legislative proposals, and budget submissions relating to Healthy Start 
activities; and (10) provides a focus for international health 
activities of the Bureau of Healthy Start activities.

Section HB-49, Delegations of Authority

    All delegations and redelegations of authorities to officers and 
employees of the Maternal and Child Health Bureau which were in effect 
immediately prior to the effective date of this reorganization will be 
continued in effect in them or their successors, pending further 
redelegation provided they are consistent with reorganization.
    This reorganization is effective February 28, 1995.

    Dated: May 24, 1995.
Ciro V. Sumaya,
Administrator.
[FR Doc. 95-13753 Filed 6-5-95; 8:45 am]
BILLING CODE 4165-15-M