[Federal Register Volume 61, Number 245 (Thursday, December 19, 1996)]
[Notices]
[Pages 67048-67052]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-32127]
[[Page 67048]]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
Statement of Mission, Organization, Functions and Delegations of
Authority
Part G Indian Health Service
Part G, of the Statement of Organization, Functions, and
Delegations of Authority of the Department of Health and Human
Services, as amended at 52 FR 47053-67, December 11, 1987, and most
recently amended at 60 FR 56606, November 9, 1995, is amended to
reflect a reorganization of the Indian Health Service (IHS)
Headquarters. This notice revises the organizational structure and
realigns the administrative and programmatic functions of the IHS
Headquarters. The streamlined IHS Headquarters organization is focused
on leadership, advocacy, and support of the American Indian and Alaska
Native (AI/AN) health care delivery programs operated by tribal
governments, Urban Indian organizations, and directly by the IHS and
follows recommendations contained in the Indian Health Design Team
Final Report, November 1995. This new IHS Headquarters organizational
structure is both flexible and prepared for further downsizing to meet
the transfer of health programs and management responsibilities to
tribal governments in support of Indian Self-Determination policies.
The changes are as follows:
Delete the functional statements for the IHS Headquarters in their
entirety and replace with the following:
Chapter GA Office of the Director
Section GA-00, Indian Health Service--Mission
The IHS provides a comprehensive health services delivery system
for American Indians and Alaska Natives (AI/AN) with opportunity for
maximum tribal involvement in developing and managing programs to meet
their health needs. The goal of the IHS is to raise the health level of
the AI/AN people to the highest possible level.
To carry out its mission and to attain its goal, the IHS:
(1) Assists Indian tribes in developing their health programs
through activities including health management training, technical
assistance, and human resource development; (2) facilitates and assists
Indian tribes in coordinating health planning, in obtaining and
utilizing health resources available through Federal, State, and local
programs, in operating comprehensive health programs, and in health
program evaluation; (3) provides comprehensive health care services,
including hospital and ambulatory medical care, preventive and
rehabilitative services, and development of community sanitation
facilities, and (4) serves as the principal Federal advocate for
Indians in the health field to assure comprehensive health services for
AI/AN.
Section GA-10, Indian Health Service--Organization
The IHS is an Operating Division within the Department of Health
and Human Services and is under the leadership and direction of a
Director who is directly responsible to the Secretary of Health and
Human Services. The IHS consists of the following major components:
Office of the Director (GA),
Office of Management Support (GAA),
Office of Public Health (GAB), and
IHS Area Offices (GF).
Section GA-20, Functions
Office of the Director (GA). Provides overall direction and
leadership for the IHS by:
(1) Establishing goals and objectives for the IHS consistent with
the mission of the IHS; (2) providing leadership during the development
of health care policy; (3) providing leadership to ensure the delivery
of quality comprehensive health services; (4) coordinating the IHS
activities and resources internally and externally with the activities
and available resources of other governmental and nongovernmental
programs, promoting optimum utilization of all available health
resources; (5) advocating for the health needs and concerns of AI/AN
and promoting the IHS programs at the local, State, national, and
international levels; (6) developing and demonstrating alternative
methods and techniques of health services management and delivery with
maximum participation by Indian tribes and Indian organizations; (7)
supporting the development of individual and tribal capacities to
participate in Indian health programs through means and modalities that
they deem appropriate to their needs and circumstances; (8) affording
Indian people an opportunity to enter a career in the IHS by applying
Indian preference; (9) disseminating information to IHS consumers and
the general public regarding the activities of the IHS and the health
status of AI/AN people and communities; and (10) ensuring full
application of the principles of Equal Employment Opportunity laws and
the Civil Rights Act in managing the human resources of the IHS.
Urban Indian Health Programs Staff. (1) Advises the Director, IHS,
on the activities and issues related to the IHS' implementation of
Title V of the Indian Health Care Improvement Act, as amended; (2)
develops and recommends policies, administrative procedures and
guidelines for IHS services and activities for urban Indian health
programs and organizations; (3) assures that urban Indian health
programs and organizations are informed of pertinent health policy and
that consultation with urban Indian health programs and organizations
occurs during the development of IHS policy; (4) supports urban Indian
health programs and organizations in managing health programs and
coordinates support available from other public and private agencies
and organizations; (5) advises the Director, IHS, on agency compliance
to urban Indian health program policies, administrative procedures and
guidelines; (6) maintains relevant information on urban Indian health
programs and organizations; and (7) coordinates meetings and other
communications with urban Indian health program representatives.
To provide for the full participation of Indian tribes in the
programs and services provided by the Federal Government, and to ensure
that the responsibilities of the United States are not waived,
modified, or diminished in any way with respect to Indian tribes and
individual Indians, by any grant, contract, compact, or funding
agreement awarded by the IHS under the Indian Self-Determination and
Education Assistance Act, as amended, the:
Office of Tribal Self-Governance (GA-1). (1) Develops and
oversees the implementation of Tribal self-governance legislation and
authorities in the IHS, under Title III of the Indian Self-
Determination and Education Assistance Act, as amended; (2) develops
and recommends policies, administrative procedures, and guidelines for
self-governance tribal activities, with maximum input from IHS staff
and workgroups, tribes and tribal organizations, and the Tribal Self-
Governance Advisory Committee; (3) advises the Director on Agency
compliance with self-governance policies, administrative procedures and
guidelines and coordinates activities for resolution of problems with
appropriate IHS and HHS staff; (4) provides technical assistance and
support in the development of the Tribal Self-Governance Demonstration
Project; (5) participates in the reviews, and recommends approval, of
proposals
[[Page 67049]]
from tribes for self-governance planning and negotiation grants; (6)
oversees the negotiation of self-governance compacts and annual funding
agreements with participating tribal governments; (7) in conjunction
with IHS Area and Headquarters components, identifies the amount of
Area office and Headquarters managed funds necessary to implement the
annual funding agreements and prepares annual budgets for available
tribal shares; (8) coordinates semi-annual reconciliation of funding
agreements with IHS Headquarters components, Area offices, and
participating tribes; (9) is the principal IHS office for developing,
releasing, and presenting information on behalf of the Director, IHS,
related to the IHS tribal self-governance activities to tribes, tribal
organizations, HHS officials, IHS officials, and officials from other
Federal agencies, State and local governmental agencies, and other
agencies and organizations; (10) arranges national self-governance
meetings to promote the participation by all AI/AN tribes in IHS self-
governance activities and program direction; and (11) coordinates
meetings for self-governance tribal delegations visiting IHS
Headquqarters.
And, the
Office of Tribal Programs (GA-2). (1) Advises the Director, IHS, on
the activities and issues related to IHS' implementation of self-
determination under Title I of the Indian Self-Determination and
Education Assistance Act, as amended; (2) develops and recommends
policies, administrative procedures, and guidelines for a range of IHS
services and activities for Title I tribes and direct service tribes,
and advises the Director of the effect they have on health programs;
(3) assures that Indian tribes and Indian organizations are informed,
regarding pertinent health policy and program management issues, and
that consultation and participation by tribes and Indian organization
occurs during the development of IHS policy; (4) administers the Tribal
Management Grant Program to assist tribes in developing and
strengthening their capabilities in managing health programs; (5)
supports Title I tribes in managing health programs and coordinates
support available from other public and private agencies and
organizations; (6) advises the Director, IHS, on Agency compliance to
IHS self-determination program policies, administrative procedures, and
guidelines; (7) coordinates implementation of special Indian
legislation and authorities; (8) maintains relevant information on
Indian tribes and programs, and IHS tribal self-determination policies;
(9) coordinates meetings and other communications with non-self
governance tribal delegations; and (10) is the principal IHS office for
developing, releasing, and presenting information on behalf of the IHS
Director related to the IHS tribal self-determination activities to
tribes, tribal organizations, HHS officials, IHS officials, and
officials form other Federal agencies, State and local governmental
agencies, and other agencies and organizations.
Equal Employment Opportunity and Civil Rights Staff (GA-3). (1)
Administers the IHS equal employment opportunity, civil rights, and
affirmative action programs, in accordance with applicable laws,
regulations, and HHS policies; (2) plans and oversees the
implementation of IHS affirmative employment and special emphasis
programs; (3) reviews data on the IHS employee personnel actions and
advises IHS managers of discriminatory trends; (4) ensures immediate
action on complaints of alleged sexual harassment of discrimination on
the basis of sexual orientation; (5) decides on accepting, for
investigation, or dismissing discrimination complaints and evaluates
accepted complaints for procedural sufficiency and investigates,
adjudicates,and resolves such complaints; and (6) develops EEO
education and training programs for IHS programs, supervisors,
counselors, and employees.
Office of Management Support (GAA.) (1) Provides advice and support
to the Director and IHS managers on administrative and management
regulations, policies, and procedures; (2) provides IHS-wide
leadership, guidance, and support in the management of financial,
human, personal property, supply, and information resources; (3)
formulates, administers, and supports IHS-wide policies, delegations of
authority, and organizations and functions development; (4) provides
leadership, direction, and coordination of activities for continuous
improvement of management accountability and administrative systems and
for effective and efficient program support services IHS-wide; (5)
administers a program for assuring the integrity of IHS employees in
performance of their official duties and responsibilities that conforms
with applicable laws, regulations, and guidance from within the
Department and from other Federal oversight agencies, and directs the
process for personnel security and suitability in the IHS; (6) ensures
the accountability and integrity of acquisition and grants management,
personal property utilization, and disposition of IHS resources; (7)
assures that the IHS management services, policies, procedures, and
practices support IHS Indian Self-Determination policies; (8)
administers the control and quality of IHS reports, correspondence, and
publications charged to Headquarters' officials for internal or
external dissemination, including regular and special reports required
by the Department and the Congress; (9) advises the Director on
statutory and regulatory issues related to the IHS and coordination
resolution of IHS legal issues with the Office of the General Counsel
(OGC), IHS staff, and other Federal agencies; (10) provides leadership
and advocacy of the IHS mission and goals with the Department,
Administration, Congress, and other external authorities; (11) assures
that IHS appeal systems meet legal standards; (12) assists in the
assurance of Indian access to State, local, and private health
programs; (13) manages IHS compliance with ethics requirements
including the Federal Managers Financial Integrity Act; and (14)
assures that access to IHS records meet statutory requirements.
Executive Secretariat (GAA-1). (1) Reviews, analyzes, and
coordinates correspondence received by the IHS Office of the Director
(OD); (2) assigns and controls required correspondence follow-up action
by appropriate functional areas at IHS Headquarters and Areas; (3)
assigns, control, and tracks reports required by the Congress; (4)
ensures the quality of correspondence, reports, and publications from
IHS Headquarters and Area offices that require signature by IHS OD for
internal and external distribution; (5) conducts training to promote
conformance by IHS Headquarters and Area staff on the IHS Executive
Correspondence Guidelines, other good correspondence practices, and/or
the requirements of higher echelon organizations; (6) maintains an
automated document tracking system to assist in timely processing of
internal and external correspondence; (7) maintains official records
for OD correspondence and conducts topic research of files, as needed;
(8) writes, develops, prepares, and coordinates documents for IHS OD
signature; (9) coordinates the review of policy issues that surface in
prepared responses or initiatives and resolves differences; and (10)
ensures accurate flow of correspondence and related information to
tribes, tribal organizations, heads of Federal Government departments
and
[[Page 67050]]
agencies, congressional staff offices, and members of Congress.
Management Policy Support Staff (GAA-2). (1) Provides analysis,
advisory, and assistance services to IHS managers and staff for the
development, clearance, and filing of IHS directives and delegations of
authority; (2) serves as principal advisor and source for technical
assistance for establishment or modification of organizational
infrastructures, functions, and Standard Administrative code
configurations; (3) administers a program for assuring IHS' compliance
with management control requirements in the Federal Managers' Financial
Integrity Act; (4) coordinates the development, clearance, and
transmittal of IHS responses and followup to reports issued by the
Office of Inspector General (OIG), the General Accounting Office (GAO),
and other Federal internal and external authorities; and (5) provides
assistance and support to special assigned task groups, and conducts
special program or management integrity reviews as required.
Division of Administrative Support (GAA1). (1) Plans, develops and
directs program support and general services programs; (2) develops and
disseminates policy and procedural guidelines for uniform
administrative services and practices; (3) provides guidance and
support to IHS Headquarters and field in the development, planning, and
implementation of administrative functions; (4) maintains liaison with
Department and General Services Administration (GSA) on logistics
issues affecting the IHS; (5) monitors, evaluates, and reports on
administrative programs and services; (6) provides advice and technical
assistance on design and layout, inventories, and print order tracking
for IHS publications; and (7) manages a variety of special projects.
Division of Financial Management (GAA2). (1) Develops and prepares
the budget for the Office of Management and Budget (OMB) submission and
the President's budget for the Indian Health Service and Facilities
Appropriation; (2) participates with Department officials in budget
briefings for the OMB and Congress; (3) distributes, coordinates, and
monitors resource allocations; and (4) in collaboration with the
Headquarters officials and the tribes, develops and implements budget,
fiscal, and accounting procedures and conducts reviews and analyses to
ensure compliance in budget activities.
Division of Acquisition and Grants Management (GAA3). (1) Develops,
recommends, and oversees the implementation of policies and procedures
and delegations of authority for the acquisition and grants management
activities in the IHS, including self-governance compacts, consistent
with applicable regulations, directives, and guidance from higher
echelon in the Department and Federal government oversight agencies;
(2) executes and administers contracts for IHS Headquarters, grant
awards IHS-wide, and assists in acquisition and grants operations at
field components as required; (3) evaluates compliance with acquisition
and grants management related directives at IHS Headquarters and Area
offices and oversees actions required to correct identified weaknesses;
(4) provides cost advisory and audit resolution services in accordance
with applicable statutes and regulations; (5) advises the Director,
Office of Management Support, of proposed legislation, regulations and
directives that affect contracts and financial assistance programs in
the IHS; (6) manages the IHS acquisition and grant information systems
and conducts analysis of data for reports and/or responses to inquiries
from internal and external authorities; (7) conducts training and
provides advice and technical consultation for contracts and grants
policies and procedures to IHS Headquarters and field components; (8)
coordinates the IHS Small, Disadvantaged, and Women-Owned Business
programs and oversees compliance with the Buy Indian Act; (9) is the
IHS contact point for contract protests, and to the Department and the
GAO regarding contract-related issues; (10) administers the agency
agreements program in the IHS; and (11) coordinates the collection of
disallowed costs cited in reports of contractor and grantee audits.
Division of Human Resources (GAA4). (1) Advises the Director, IHS,
on personnel management issues, programs and policies for Civil Service
and Commissioned Corps personnel programs; (2) assures implementation
of the Indian Preference policy in all personnel practices; (3)
develops personnel management policies, programs, and reports in
accordance with applicable laws, regulations, and policies; (4)
provides personnel management and services throughout IHS, to include,
but not limited to, manpower planning and utilization, staffing,
recruitment, compensation and classification, human resource
development, pay administration, labor, and employee relations; (5)
provides advice, consultation, and assistance to IHS management and
tribal officials on tribal health program personnel policy issues; (6)
provides technical support, guidance, and assistance on all personnel
programs to IHS Headquarters operations and other organizations as
necessary; (7) provides liaison for IHS commissioned corps activities
with the Department Division of Commissioned Personnel; and (8)
represents IHS in all personnel management matters.
Division of Information Technology Support (GAA5). (1) Advises the
Director, IHS, on all aspects of information management; (2) directs
the development and implementation of policies, procedures, and
standards for information management activities and services in the
IHS; (3) directs the design, development/purchase, implementation, and
support of information systems and services used in the IHS; (4)
provides information technology services and support to IHS, tribal,
and urban Indian health programs; and (5) represents the IHS to, and
enters into information technology agreements with, Federal, tribal,
State, and other organizations.
Division of Regulatory and Legal Affairs (GAA6). (1) Manages the
IHS' overall regulations program and responsibilities, including
determining the need for and developing plans for changes in
regulations, developing or assuring the development of needed
regulations, and maintaining the various regulatory planning processes;
(2) provides all IHS liaison with the Office of the Federal Register on
matters relating to the submission and clearance of documents for
publication in the Federal Register; (3) assures proper agency
clearance and processing of Federal Register documents; (4) informs
management and program officials of regulatory activities of other
Federal agencies; (5) manages the IHS review of non-IHS regulatory
documents that impact the delivery of health services to Indians; (6)
advises the Director and serves as liaison with the Office of the
General Counsel (OGC) on such matters as litigation, regulations, and
related policy issues; (7) determines need for and obtains legal
clearance of IHS directives and other issuances; (8) coordinates legal
issues with the OGC, IHS, HHS components, and other Federal agencies,
including the identification and formulation of legal questions, and
advising on the implementation of OGC opinions; (9) assures the IHS'
appeals processes meet legal standards; (10) advises on the
participates in Indian Self-Determination and Education Assistance Act
appeals and hearings; (11) provides guidance and assistance on State
and Federal health reform efforts, including access and civil rights
[[Page 67051]]
aspects and State Medicaid waiver applications; (12) advises on the
administration of the contract health services (CHS) appeals system and
is a participant with the Office of Public Health in the Director's CHS
appeal decisions; and (13) manages the retrieval and transmittal of
information in response to requests received under the Freedom of
Information Act (FOIA) or the Privacy Act, and ensures the security of
IHS documents used in such responses that contain sensitive and/or
confidential information.
Division of Health Professions Support (GAA7). (1) Develops the IHS
program to recruit, select, assign, and retain health care
professionals, in accordance with policies and guidance provided by the
Division of Human Resources; (2) assesses IHS professional staffing
needs; (3) provides research and analysis functioned for Chief Medical
Officers, Clinical Directors, and senior clinicians; (4) manages and
supports health professions education programs and activities; and (5)
develops and administers Indian Health Professions programs authorized
by the Indian Health Care Improvement Act (IHCIA), as amended.
Office of Public Health (GAB). (1) Advises and supports the
Director, IHS, on policy, budget formulation, and resources allocation
regarding the operation and management of IHS direct, tribal and urban
public health programs, quality assurance, and self-determination; (2)
provides agency-wide leadership and consultation to IHS direct, tribal,
and urban public health programs on IHS goals, objectives, policies,
standards, and priorities; (3) represents the IHS within the HHS and
external organizations for purposes of liaison, professional
collaboration, cooperative ventures, and advocacy; (4) manages and
provides national leadership and consultation for IHS and Area Offices
on strategic and tactical planning, program evaluation and assessment,
public health and medical services, research agendas, and special
public health initiatives for the agency; (5) manages the design,
development, and assessment, for facilities implementation of resource
requirements and resources allocation methodology models for the
agency; (6) carries out IHS responsibilities as required by the United
States Federal Response Plan under Emergency Support Function No. 8;
(7) assures agency compliance with the Code of Federal Regulations 45,
Part 46, Protection of Human Subjects; and (8) administers the
functions related to clinical services, managed care, hospitals and
ambulatory care centers, community and environmental health, and
facilities and environmental engineering.
Division of Clinical and Preventive Services (GAB1). (1) Serves as
the primary source of technical and policy advice for IHS, and Area
Offices and IHS direct, tribal, and urban public health programs on the
full scope of clinical health care programs, including their quality
assurance and preventive aspects, and tort claims; (2) provides
leadership in articulating the clinical needs of the AI/AN population
and competing health care needs; (3) advocates the resource needs of
specialized health care delivery providers of clinical services
disciplines; (4) provides consultation and technical support to IHS
direct, tribal, and urban health programs including, but not limited
to, alcohol and substance abuse, dental services, diabetes and other
chronic disease prevention, emergency medical services training and
material support, mental health, nutrition services training and
education, services for children with special needs, and sensory
disabilities services; and (5) administers the program functions that
include, but are not limited to, alcohol and substance abuse, chronic
disease such as diabetes and cancer, clinical engineering, dental
services, emergency medical services, health records, maternal and
child health, mental health and social services, pharmacy services,
nursing services, and nutrition and dietetics.
Division of Managed Care (GAB2). (1) Serves as the primary source
of technical and policy advice for IHS, and Area Offices and IHS
direct, tribal, and urban public health programs on the full scope of
clinical health programs, including their quality assurance and
preventive aspects, managed care services, third party collections and
reimbursements, health care facility accreditation, risk management and
quality assurance; (2) administers and implements guidelines for the
IHS contract health services (CHS) program including funds management,
alternate resources, the Catastrophic Health Emergency Fund (CHEF),
claims adjudication, and manages the national IHS payment policy with a
fiscal intermediary; (3) provides leadership at a national and State
level for Medicare and Medicaid and the private insurance sector; (4)
serves as liaison with the Health Care Financing Administration for
rate setting; (5) performs analytical studies to address managed care
issues; (6) serves as the focal point regarding Medicaid and Medicare
managed care activities, including the review, evaluation, and
monitoring of sections 1115 and 1915(b) Medicaid waiver proposals and
other state and federal health care reform activities; and (7) assures
training on negotiation of provider agreements for Medicaid and private
insurance network provider participation.
Division of Community and Environmental Health (GAB3). (1) Serves
as the primary source of technical and policy advice for IHS
Headquarters and Area Offices on the full scope of preventive,
community, and environmental health programs and health data issues;
(2) provides leadership in identifying and articulating preventive,
community, and environmental health needs of AI/AN populations and
supports efforts to build tribal capacity; (3) advocates for
preventive, community, and environmental health care providers; (4)
provides and directs public health surveillance, intervention and
evaluation programs and the information systems to support them; (5)
maintains, analyzes, makes accessible, and publishes results from
national program databases; (6) performs statistical and
epidemiological consultation for the IHS in response to special
conditions and communicable disease outbreaks of public health
significance; and (7) performs functions related to public health
programs such as environmental health, injury prevention, institutional
environmental health, chronic disease prevention, infectious disease
control, public health nursing, public health education, HeadStart,
dental public health, community health representatives, and nutrition.
Division of Facilities and Environmental Engineering (GAB4). (1)
Serves as the primary source of technical and policy advice for IHS
Headquarters and Area Offices, and IHS direct, tribal, and urban public
health programs on the full scope of health care and sanitation
facilities construction and management, environmental engineering, and
realty services management; (2) develops objectives, priorities,
standards, and methodologies for the conduct and evaluation of
environmental and facilities engineering activities; (3) maintains
needs based workload methodology for equitable resource distribution;
and (4) provides leadership, consultation, and staff development to
assure functional and well maintained health care facilities, and the
availability of water, sewer, and solid waste facilities.
[[Page 67052]]
Section GA-30, Indian Health Service--Order of Succession
During the absence or disability of the Director, IHS, or in the
event of a vacancy in that office, the following IHS Headquarters
officials, in the order listed below, shall act as Director, IHS. In
the event of a planned extended period of absence the IHS Director may
specify a different order of succession. The order of succession will
be:
(1) Deputy Director
(2) Director of Headquarters Operations
(3) Director of Field Operations
(4) Director, Office of Management Support
(5) Director, Office of Public Health
(6) Chief Medical Officer
Section GA-40, Indian Health Service--Delegations of Authority
All delegations of authority and redelegations of authority made to
IHS officials that were in effect immediately prior to this
reorganization, and that are consistent with this reorganization shall
continue in effect pending further redelegation.
Chapter GF IHS Area Offices
Section GF.00, IHS Area Offices--Mission
The IHS Area Offices carry out the mission of the IHS by providing
a system of health care unique to the Area population.
Section GF.10, IHS Area Offices--Organization
An Area Office is a bureau-level organization under the direction
of an Area Director, who reports to the Director, IHS. Area Office
Directors supervise clinical directors, who administer programs of
direct care to the Area population. The following are the Area Offices
of the IHS:
Aberdeen Area Office (GFA)
Alaska Area Office (GFB)
Albuquerque Area Office (GFC)
Bemidji Area Office (GFE)
Billings Area Office (GFF)
California Area Office (GFG)
Nashville Area Office (GFH)
Navajo Area Office (GFJ)
Oklahoma City Area Office (GFK)
Phoenix Area Office (GFL)
Portland Area Office (GFM)
Tucson Area Office (GFN)
Section GF.20, IHS Area Offices--Functions
The specific functions of the IHS Area Offices vary, however, each
Area Office includes functions organized to support major categories of
administrative management and clinical activities, such as:
Administration and Management--Financial management, administrative
and office services, contract/grant administration, procurement,
personnel management, facilities management, management information
systems, contract health care services, and equal employment
opportunity;
Program Planning, Analysis and Evaluation Programs--Program
planning, statistical analysis, legislative initiatives, research and
evaluation, health records, management information systems, and patient
registration/third party collection;
Tribal Activity Programs--Provision of Public Law 93-638, Indian
Self-Determination and Educational Assistance Act, health services
delivery, community health representative services, urban health,
alcoholism and substance abuse, and health education;
Health Programs--Primary care, clinical activities, mental health,
nursing services, dental services, health promotion and disease
prevention, professional recruitment and community services, and the
Joint Commission on Accreditation of Healthcare Organizations;
Environmental Health/Sanitation Facilities Construction Programs--
Environmental health and engineering/sanitation facilities construction
programs for IHS Area Office, and
Information Resources Management Programs--Automated data
processing (ADP), ADP planning and operations, management information
systems, office automation systems, voice and data telecommunications
management.
Section GF.30, IHS Area Offices--Order of Succession
The order of succession for Area Directors at the IHS Area Offices
are determined by Area and continue in effect until changed.
Section GF.40, IHS Area Offices--Delegations of Authority
All delegations and redelegations of authority made to officials in
the IHS Area Offices that were in effect immediately prior to this
reorganization, and that are consistent with this reorganization, shall
continue in effect pending further redelegation.
This reorganization shall be effective on March 1, 1997.
Dated: December 2, 1996.
Michael H. Trujillo,
Assistant Surgeon General, Director, Indian Health Service.
[FR Doc. 96-32127 Filed 12-18-96; 8:45 am]
BILLING CODE 4160-16-M