[Federal Register Volume 64, Number 66 (Wednesday, April 7, 1999)]
[Notices]
[Pages 16977-16980]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-8591]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Statement of Organization, Functions and Delegations of Authority

    This notice amends Part R of the Statement of Organization, 
Functions and Delegations of Authority of the Department of Health and 
Human Services (DHHS), Health Resources and Services Administration (60 
FR 56605 as amended November 6, 1995, as last amended at 64 FR 14000, 
dated March 23, 1999). This notice reflects the reorganization of the 
Maternal and Child Health Bureau.
    I. Under Part R, HRSA, Maternal and Child Health Bureau (RM) make 
the following changes.

Section RM-10 Organization and Functions

Office of The Director (RM)

    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 and 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 facilities 
effective, collaborative relationships with other health and related 
programs; (3) establishes a program mission, goals,

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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) works 
with other Bureaus to further the Agency goals and mission; (6) 
develops and administers internal operating policies and procedures and 
provides guidance and direction to Field Office staff, to State Health 
Officers, and to State Maternal and Child Health and Special Health 
Needs Directors; (7) serves as principal contact point to the Agency, 
the Department, Office of Management and Budget (OMB), and the White 
House on matters concerning the health status of America's mothers and 
children; (8) 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 
national program to improve emergency medical services for children, a 
Health Start program designed to strengthen and improve the delivery of 
health services to improve the outcome of pregnancy, a national program 
on traumatic brain injury and on injury prevention for children and 
adolescents, and a national abstinence education program; (9) directs 
and coordinates the planning, implementation and monitoring of a 
national maternal and child health data and information system based on 
State and local jurisdictions; (10) provides direction and serves as 
the focal point for international matters of concern to the health of 
mothers, children, and their families; (11) develops a policy statement 
and an action plan to address the health needs of mothers and children 
from culturally diverse groups; (12) directs and coordinates Bureau 
activities in support of Equal Opportunity programs; (13) provides 
direction for the Bureau's Civil Rights compliance activities; (14) 
provides information and reports on the Bureau's programs to public, 
health, education and related professional associations, the Congress, 
other Federal agencies, OMB, and the White House; (15) coordinates 
public communications and public affairs activities for the Bureau; 
(16) administers the implementation of the Privacy Act and the Freedom 
of Information Act in the Bureau; and (17) performs the executive 
secretariat functions and coordinates responses to General Accounting 
Office (GAO) audit reports and monitors the implementation of GAO 
recommendations.

Office of Program Development (RM-1)

    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 
the 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 Operations and Management (RM1)

    Plans, directs, coordinates, and evaluates Bureau-wide 
administrative and management activities; coordinates and monitors a 
program and administrative policy implementation; and maintains close 
liaison with officials of the Agency, and the Office of the Secretary 
on matters relating to these activities. Specifically: (1) serves as 
the Associate Administrator's and Bureau principal source for 
management and administrative advice and assistance for Headquarters 
and Field 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 
Office of Human Resources Development, 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 intra- and 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 allocation 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; (12) plans, coordinates, and 
facilities the Bureau's intra- and interagency agreement activities; 
(13) provides organization and management analysis, develops policies 
and procedures for internal operation, 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; (18) participates in international health 
activities of the Bureau; and (19) responsible for the

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coordination of Bureau funds and resources for grants, contracts and 
cooperative agreements.

Division of Services for Children With Special Health Needs (RM2)

    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 competed systems for 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) 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; (6) 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; (7) develops and implements a national program for those at 
risk or living with genetic diseases, including a national program for 
persons with hemophilia, implementing a system of demonstration 
projects related to early identification, referral, treatment, 
education, and counseling information; (8) coordinates within this 
Agency and with other Federal programs (particularly Title XIX of the 
Social Security Act, Supplemental Security Income (SSI), Individuals 
with Disabilities Education Act (IDEA), and others) to extend and 
improve comprehensive, coordinated services and promote integrated 
State-based systems of care for children with special health care 
needs, including those with genetic disorders, and their families; (9) 
promotes the dissemination of information on preventive health services 
and advances in the care and treatment of children with special health 
care needs, including those with genetic disorders, and their families; 
(10) 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, including those with genetic disorders, and their 
families; (11) provide a focus for international health activities of 
the Bureau for services for children with special health care needs and 
their families; (12) participates in the development of interagency 
agreements concerning Federal assignees to State MCH programs; and (13) 
responsible for the administration of funds and other resources for 
grants, contracts, and cooperative agreements.

Division of Child, Adolescent,and Family Health (RM3)

    Provides national leadership in planning, directing, coordinating, 
monitoring, and evaluating national programs focusing on the promotion 
of health and prevention of disease and injury among children, 
adolescents, and their families with special emphasis on the 
development and implementation of family-centered, comprehensive, 
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, 
adolescents, and their families; (2) develops policies and guidelines 
and promulgates standards for professional services and effective 
organization and administration of health programs for 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 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, 
adolescents, and their families; (6) provides consultation and 
technical assistance to state programs for children, adolescents, and 
their families and to local communities, consistent with 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 children, adolescents, and their families; (8) serves as the 
national focus for improving the health and well-being of adolescents; 
(9) carries out a national program on school staff development 
activities; (10) carries out a national program designed to improve the 
provision of emergency medical services for children; (11) carries out 
a national program on traumatic brain injury and on injury prevention 
for children and adolescents; (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, 
adolescents, and their families; (13) disseminates information on 
preventive health services and advances in the care and treatment of 
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 children, adolescents, and their families; (15) provides a 
focus for international health activities for the Bureau for services 
for children, adolescents, and their families; and (16) responsible for 
the administration of funds and other resources for grants, contracts, 
and cooperative agreements.

Division of Research, Training and Education (RM4)

    Provides national leadership in planning, directing, coordinating, 
monitoring, and evaluating national programs related to research, 
professional and public education activities focusing on the promotion 
of health and prevention of disease among women of reproductive 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 population. Specifically: (1) 
administers a program which supports the development of systems of care 
and services for children, had their families; (2) develops policies 
and guidelines and promulgates standards through research, professional 
and public education and training 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) provides liaison with 
public, private, professional and voluntary organizations on programs 
and activities; (6) disseminates information on research, professional 
and public education and training activities to states and

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localities; (7) participates in the development of strategic plans, 
regulatory activities, policy papers, legislative proposals, and budget 
submissions; (8) provides a focus for international health activities 
of the Bureau relating to research, professional and public education 
and training activities for the Bureau; and (9) responsible for the 
administration of funds and other resources for grants, contracts and 
cooperative agreements.

Division of Perinatal Systems and Women's Health (RM5)

    Provides national leadership in planning, directing, coordinating, 
monitoring, and evaluating national programs focusing on perinatal, 
infant and women's health to improve and strengthen the access, 
delivery, quality, coordination and information of services for the 
targeted populations, especially for the vulnerable and high-risk. 
Specifically: (1) administers national programs on perinatal and 
women's health with an emphasis on infant mortality reduction and 
prevention; (2) provides policy direction, technical assistance, and 
professional consultation on Division programs; (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 Division programs' objectives 
and mission of the Bureau; (5) serves as the focal point within the 
Bureau in implementing programmatic requirements for Division's 
program; (6) coordinates Division programs within the Agency and with 
other Federal programs; (7) provides liaison with public, private, 
professional and voluntary organizations for Division program; (8) 
disseminates information on Division programs; (9) participates in the 
development of strategic plans, regulatory activities, policy papers, 
legislative proposals, and budget submissions relating to Division 
programs; (10) provides a focus for international health activities of 
the Bureau for Division programs; and (11) responsible for the 
administration of funds and other resources for grants, contracts, and 
cooperative agreements.

Division of State And Community Health (RM6)

    In collaboration with MCHB Division and Offices, serves as the 
organizational focus for the administration of responsibilities related 
to the MCH Block Grant to States 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 report; (2) based on review of 
State Book grant applications and annual reports submitted by States, 
develops, plans, manages, and monitors a Bureau-wide program of 
technical assistance and consultation in collaboration with other 
Bureau Divisions and related health programs; (3) develops and manages 
a program for the collection, analysis and dissemination of National 
and State information and data to various constituencies including the 
public, States, and Congress about the Block Grant to States Program; 
(4) coordinates within this Agency and with other Federal programs 
(particularly Title XIX of the Social Security Act) to extend and 
improve comprehensive, coordinated services in the Block Grant to 
States Program; (5) develops, plans, manages, and monitors the 
abstinence only education grant program to the States; (6) develops, 
plans;, manages, and monitors the State Systems Development Initiative 
(SSDI) grant to the States program; (7) provides leadership and 
direction to the ten Field Office staffs in concert with the MCHB 
Division and HRSA; (8) 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; (9) manages and monitors interagency agreements of 
Federal assignees to State MCH program; (10) 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; (11) 
participates in international health activities of the Bureau and 
coordinates the Pacific Basin activities; and (12) responsible for the 
administration of funds and other resources for grants, contracts, and 
cooperative agreements.

Office of Data and Information Management (RM7)

    Provides national leadership in the identification and analysis of 
data needs and the utilization and implementation of a data strategy 
and program focusing on the promotion of health and prevention of 
disease among women of reproductive 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 
population. Specifically: (1) develops, coordinates, and maintains a 
data and information system designed to improve implementation of Title 
V and other Bureau programs; (2) develops, coordinates, and implements 
systematic technical assistance and consultation on data and 
information systems, and evaluation approaches to State and local 
agencies and organizations or groups concerned with infants, children, 
adolescents, and children special health care needs; (3) through grants 
and contracts, provides support for a broad range of data collection, 
analyses and projects designed to improve the health status of infants, 
children, adolescents, and children with special health care needs; (4) 
coordinates and provides for a program of professional consultation and 
technical assistance through central and field office staff to State 
and local agencies and organizations; (5) develops, coordinates and 
disseminates data information; (6) plans, implements and monitors a 
system of placement of Federal employees assigned to the State health 
agencies; (7) coordinates and monitors the placement of CDC sponsored 
epidemiologist in State Agencies; and (8) provides for data program 
coordination at all levels of Bureau program operations through 
analyses of program data, trends and other issues concerning scientific 
and policy matters, the provision of health services and data and 
information related to the promotion of health and prevention of 
disease among infants, children, adolescents, and children with special 
health care needs.

Section RM-30 Delegations of Authority

    All delegations and redelegations of authority which were in effect 
immediately prior to the effective date hereof have been continued in 
effect in them or their successors pending further redelegation. I 
hereby ratify and affirm all actions taken by any DHHS official which 
involved the exercise of these authorities prior to the effective date 
of this delegation.
    This reorganization is effective upon date of signature.

    Dated: March 25, 1999.
Claude Earl Fox,
Administrator.
[FR Doc. 99-8591 Filed 4-6-99; 8:45 am]
BILLING CODE 4160-15-M