[Federal Register Volume 68, Number 4 (Tuesday, January 7, 2003)]
[Notices]
[Pages 787-793]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-294]


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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 
(HRSA) (60 FR 56605 as amended November 6, 1995; as last amended at 67 
FR 46519, July 15, 2002).
    This notice establishes a centralized Division of Grants Management 
Operations (DGMO) within the Office of Management and Program Support 
(OMPS), removes the grants management functions in the Bureau of 
Primary Health Care, the Bureau of Health Professions, the Maternal 
Child Health Bureau and the HIV/AIDS Bureaus and moves them to a newly 
established Division of Grants Management Operations within the OMPS; 
establishes a centralized Division of Independent Review within the 
OMPS; abolishes the Office of Peer Review in the Bureau of Health 
Professions; abolishes the Division of Grants and Procurement 
Management within the OMPS; establishes a Division of Procurement 
Management within OMPS; moves the HRSA Small and Disadvantaged Business 
function from the Office of Equal Opportunity and Civil Rights to the 
newly established Division of Procurement Management within OMPS; moves 
the Office of International Health Affairs to the Office of the 
Administrator; establishes a Division of Border Health within the 
Office of International Health Affairs; establishes the Office of 
Financial Policy and Oversight (OFPO); changes the name of and revises 
the functional statement of the Office of Field Operations which 
becomes the Office of Performance Review; revises the functional 
statement for the Office of Planning and Evaluation; and revises the 
functional statements for the Bureau of Primary Health Care, the Bureau 
of Health Professions, the Maternal Child Health Bureau, the HIV/AIDS 
Bureau, and the Office of Special Programs to reflect the above 
changes.

Section RA-00, Mission

    The Health Resources and Services Administration (HRSA) directs 
national health programs which improve the health of the Nation by 
assuring quality health care to underserved, vulnerable and special-
need populations and by promoting appropriate health professions 
workforce capacity and practice, particularly in primary care and 
public health.

Section RA-10, Organization

    The Office of the Administrator is headed by the Administrator, 
Health Resources and Services Administration (OA) who reports directly 
to the Secretary. The OA includes the following components:
    (1) Immediate Office of the Administrator (RA);
    (2) Office of Equal Opportunity and Civil Rights (RA2);
    (3) Office of Planning and Evaluation (RA5);
    (4) Office of Communications (RA6);
    (5) Office of Minority Health (RA9);
    (6) Office of Legislation (RAE);
    (7) Office of Financial Policy and Oversight (RAJ) and;
    (8) Office of International Health Affairs (RAH)
    1. In the Office of the Administrator establish the Office of 
Financial Policy and Oversight as follows:

Office of Financial Policy and Oversight (RAJ)

    Provides national leadership in the administration and assurance of 
the financial integrity of HRSA's programs. Provides oversight over all 
HRSA activities to ensure that HRSA's resources are being properly used 
and protected. Specifically, OFPO: (1) Serves as the Administrator's 
principal source for grants policy and financial integrity of HRSA 
programs; (2) exercises oversight over the Agency's business processes 
related to assistance programs; and (3) facilitates plans, directs and 
coordinates the administration of HRSA grant policies.
    2. Establish the Division of Financial Integrity in the Office of 
Financial Policy and Oversight as follows:

Division of Financial Integrity (RAJ1)

    (1) Serves as the Agency's focal point for coordinating financial 
audits of grantees; (2) coordinates the external financial assessment 
of HRSA grantees and the resolution of any audit findings; (3) conducts 
the pre- and post-award review of grant applicants' and grantees' 
accounting systems; (4) conducts ad hoc studies and reviews related to 
the financial integrity of the HRSA business processes related to 
assistance programs; (5) serves as the agency's liaison with the Office 
of Inspector General for issues related to grants; (6) manages and 
maintains the Agency's hot line for reporting fraudulent fiscal 
activities; and (7) establishes an assessment model for grantee 
oversight.
    3. Establish the Division of Grants Policy in the Office of 
Financial Policy and Oversight as follows:

Division of Grants Policy (RAJ2)

    (1) Advises on grants policy issues and assists in the 
identification and resolution of grants policy issues and problems; (2) 
analyzes, develops and implements the Agency's grants policy; (3) 
coordinates the review of Departmental grants policies and ensures that 
Agency policies and procedures are revised to reflect appropriate 
changes; (4) conducts review of the limited competition process; (5) 
monitors and reviews the Agency's program application guidance; (6) 
serves as the grants liaison for the Agency's electronic systems and 
processes; (7) coordinates the development of standardized documents 
and processes for the Agency related to grants; (8) reviews Agency 
programs for proper interpretation and timely implementation and 
application of grants management policies; and (9) serves as the 
coordinator for General Accounting Office and OIG studies on HRSA 
Programs.
    4. Delete the functional statement for the Office of Planning and 
Evaluation (RA5) in its entirety and replace as follows:

Office of Planning and Evaluation (RA5)

    The OPE (1) Serves as the Administrator's primary staff unit for 
coordinating the agency's strategic, evaluation and research planning 
processes; (2) oversees communication and maintains liaison between the 
Administrator, other OPDIVs, higher levels of the Department and other 
Departments on all matters involving analysis of program policy 
undertaken in the Agency; (3) prepares policy analysis papers and other 
planning documents as required in the Administration's strategic 
planning process; (4) analyzes budgetary data with regard to planning 
guidelines; (5) collaborates in the development of budgets, performance 
plans, and performance reports required under the Government 
Performance and Results Act (GPRA); (6) coordinates activity related to 
the prevention agenda and

[[Page 788]]

Healthy People activities; (7) analyzes and coordinates the information 
needs of the Agency; and (8) serves as the focal point for the 
advancement of managed care systems for safety net providers serving 
at-risk populations.
    5. Delete in its entirety the functional statement for the Office 
of International Health Affairs in the OMPS and establish the Office of 
International Health Affairs (RAH) in the Office of the Administrator 
as follows:

Office of International Health Affairs (RAH)

    The Office of International Health Affairs serves as a focal point 
within the Health Resources and Services Administration (HRSA) for 
leadership, coordination, and advancement of international health 
activities relating to health care services for vulnerable and at-risk 
populations and for training programs for health professionals. The 
Office carries out the following functions in coordination with the 
Department and State Department to the extent authorized by laws within 
the authority of HRSA. Specifically, the OIHA: (1) Provides leadership 
within HRSA for the support for international health in coordinating 
policy development with other Departmental agencies; (2) provides 
technical and other support to HRSA components as they interface with 
Departmental international health activities; (3) develops working 
relationships with private sector providers and HRSA grantees to assure 
mutual areas of cooperation, maximization of expertise and coordination 
as it relates to international health; (4) advises the HRSA 
Administrator on strategies to maximize the participation of the Agency 
and its components in international health programs and activities; (5) 
works with foundations, private agencies and other Federal, State, and 
local agencies for the effective development of policies and resources 
relating to health care for vulnerable populations world-wide; and (6) 
coordinates international travel and visitor programs within the 
jurisdiction of HRSA.
    6. Establish the Division of Border Health within the Office of 
International Health Affairs as follows:

Division of Border Health (RAH1)

    Provides leadership and direction to coordinate the Agency's assets 
in border regions. Specifically, DBH: (1) Assures that the Agency's 
engagement with regions of the border is strategic, performance based, 
builds partnerships and alliances, and maximizes utilization of Agency 
assets; (2) assures agency-wide coordination by establishing border 
health program policies and procedures including tracking mechanisms; 
(3) conducts management and evaluation studies to improve the health 
delivery system on the border; (4) serves as the secretariat and chair 
for the Agency's Border Health Workgroup; (5) plans, directs, and 
coordinates the Agency's border health activities; and (6) plans, 
coordinates and facilitates the agency agreements activities with 
border health issues.
    7. Delete the functional statement for the Office of Equal 
Opportunity and Civil Rights (RA2) in its entirety and replace as 
follows:

Office of Equal Opportunity and Civil Rights (RA2)

    Directs, coordinates, develops, and administers HRSA's equal 
opportunity and civil rights activities. Specifically: (1) Provides 
advice, counsel, and recommendations to HRSA personnel, including 
regional divisions, on equal opportunity and civil rights and 
represents HRSA in all equal employment opportunity (EEO) areas; (2) 
administers affirmative action programs designed to ensure equality of 
opportunity in employment; (3) manages the Civil Service complaints 
system and prepares final HRSA decisions; (4) manages the complaints 
system for Public Health Service (PHS) Commissioned Corps personnel 
under the provisions of PHS Personnel Instruction 6 and issues proposed 
dispositions; (5) develops and directs implementation of the 
requirements of Section 504 of the Rehabilitation Act of 1973, Title VI 
of the Civil Rights Act of 1964, the Age Discrimination Act of 1975 and 
the Americans With Disabilities Act, as they apply to recipients of 
HRSA funds; (6) provides technical assistance and guidance to HRSA on 
developing education and training programs regarding equal opportunity 
and civil rights; (7) approves settlement agreements and attorney fees; 
and (8) applies all applicable laws, guidelines, rules and regulations 
in accordance with those of the DHHS Office of Equal Employment 
Opportunity and Civil Rights.
    8. Revise the functional statement of the Office of Management and 
Program Support as follows:

Office of Management and Program Support (RS)

    Provides agency-wide leadership, program direction, and 
coordination to all phases of management. Specifically, OMPS: (1) 
Provides management expertise and staff advice and support to the 
Administrator in program and policy formulation and execution; (2) 
plans, directs, and coordinates the Agency's activities in the areas of 
administrative management, financial management, human resources 
management, including labor relations, debt management, procurement 
management, real and personal property accountability and management, 
alternative dispute resolution and administrative services; (3) directs 
and coordinates the development of policy and regulations; (4) oversees 
the development of annual operating objectives and coordinates HRSA 
work planning and appraisals; (5) plans, directs and carries out the 
independent review of grant applications for all of HRSA's programs; 
(6) plans, directs and carries out the grants officer functions for all 
of HRSA's programs; (7) directs and coordinates the Agency's 
organization, functions and delegations of authority programs; and (8) 
administers the Agency's Executive Secretariat and committee management 
functions.
    9. In the Office of Management and Program Support delete the 
functional statement for the Division Grants and Procurement Management 
and establish the Division of Grants Management Operations as follows:

Division of Grants Management Operations (RSA)

    (1) Exercises the sole responsibility within HRSA for all aspects 
of Grant and Cooperative Agreement receipt and award processes; (2) 
participates in the planning, development, and implementation of 
policies and procedures for grants and other federal financial 
assistance mechanisms; (3) provides assistance and technical 
consultation to program offices in the development and interpretation 
of laws, regulations, policies, and guidelines relative to the Agency's 
grant and cooperative agreement programs; (4) develops standard 
operating procedures, methods and materials for the administration of 
the Agency's grants programs; (5) establishes standards and guides for 
grants management operations; (6) reviews grantee financial status 
reports and prepares reports and analyses on the grantee's use of 
funds; (7) provides technical assistance to applicants and grantees on 
financial and administrative aspects of grant projects; (8) provides 
data and analyses as necessary for budget planning, hearings, 
operational planning and management decisions; and (9) participates in 
the development of program guidance and instructions for grant 
competitions.
    10. Establish the Division of Procurement Management in the Office

[[Page 789]]

of Management and Program Support as follows:

Division of Procurement Management (RS4)

    Provides leadership in the planning, development, and 
implementation of policies and procedures for contracts. Specifically, 
DPM: (1) Exercises the sole responsibility within HRSA for the award 
and management of contracts; (2) provides advice and consultation of 
interpretation and application of the Department of Health and Human 
Services policies and procedures governing contracts management; (3) 
develops operating procedures and policies for the Agency's contracts 
programs; (4) establishes standards and guides for and evaluates 
contracts operations throughout the Agency; (5) coordinates the 
Agency's positions and actions with respect to the audit of contracts; 
(6) maintains liaison directly with or through Agency Bureaus or 
Offices with contractors, other organizations, and various components 
of the Department; and (7) provides leadership, guidance, and advice on 
the promotion of the activities in HRSA relating to procurement and 
material management governed by the Small Business Act of 1958, 
Executive Order 11625, and other statutes and national policy 
directives for augmenting the role of private industry, and small and 
minority businesses as sources of supply to the Government and 
Government contractors.
    11. Establish the Division of Independent Review within the Office 
of Management and Program Support as follows:

Division of Independent Review (RS9)

    (1) Plans, directs and carries out HRSA's independent review of 
applications for grants and cooperative agreement funding, and assures 
that the process is fair, open, and competitive; (2) develops, 
implements and maintains policies and procedures necessary to carry out 
the Agency's independent review/peer review processes; (3) provides 
technical assistance to Independent Reviewers ensuring that reviewers 
are aware of and comply with the appropriate administrative policies 
and regulations; (4) provides technical advice and guidance to the 
Agency regarding the independent review processes; (5) coordinates and 
assures the development of program policies and rules relating to the 
HRSA's extramural grant activities; and (6) provides HRSA Offices and 
Bureaus with the final disposition of all reviewed applications.
    12. Change the name of the Office of Field Operations and the names 
of its Field Offices and revise its functions as follows:

Office of Performance Review (RE)

Section RF-00, Mission

    The Mission of the Office of Performance Review (OPR) is to improve 
access to quality health care and reduce health disparities by 
effectively reviewing and enhancing the performance of HRSA-supported 
programs within communities and States.

Section RF-10, Organization

    The OPR is comprised of a Headquarters unit and ten regional 
operating divisions. The Associate Administrator, who reports directly 
to the HRSA Administrator, heads the OPR. A Division Director, who 
reports directly to the Associate Administrator, heads each of the ten 
OPR regional operating divisions. The OPR is organized as follows:

1. Headquarters (RE)
2. Regional Divisions (RF)
    a. Boston Regional Division (RF12) serves Connecticut, Maine, 
Massachusetts, New Hampshire, Rhode Island and Vermont.
    b. New York Regional Division (RF13) serves New Jersey, New York, 
Puerto Rico and the United States Virgin Islands.
    c. Philadelphia Regional Division (RF11) serves Delaware, Maryland, 
Pennsylvania, Virginia, West Virginia and the District of Columbia.
    d. Atlanta Regional Division (RF21) serves Alabama, Florida, 
Georgia, Kentucky, Mississippi, North Carolina, South Carolina and 
Tennessee.
    e. Chicago Regional Division (RF 31) serves Illinois, Indiana, 
Michigan, Minnesota, Ohio and Wisconsin.
    f. Dallas Regional Division (RF 41) serves Arkansas, Louisiana, New 
Mexico, Oklahoma and Texas.
    g. Kansas City Regional Division (RF32) serves Iowa, Kansas, 
Missouri and Nebraska.
    h. Denver Regional Division (RF42) serves Colorado, Montana, North 
Dakota, South Dakota, Utah and Wyoming.
    i. San Francisco Regional Division (RF51) serves Arizona, 
California, Hawaii, Nevada, American Samoa, Commonwealth of the 
Northern Mariana Islands, Federated States of Micronesia, Guam, 
Republic of the Marshall Islands and the Republic of Palau.
    j. Seattle Regional Division (RF52) serves Alaska, Idaho, Oregon 
and Washington.

Section RF-20, Function

    Serves as the Agency's focal point for reviewing and enhancing the 
performance of HRSA-supported programs within communities and States. 
Specifically, OPR: (1) Tracks regional and State trends in public 
health, health care and health policy, analyzing the impact on HRSA-
supported programs; (2) conducts grantee performance reviews, providing 
programmatic and business management assessments, recommendations, on-
site technical assistance and best practice identification; (3) 
performs State and community strategic partnership reviews, examining 
the collective effectiveness of HRSA-supported programs and 
facilitating collaboration in addressing priority health needs; (4) 
provides recommendations and input on HRSA and selected Departmental 
program designs, policies and initiatives; and (5) exercises line 
management authority related to the general administrative and 
management functions of OPR.
    13. Revise the functional statement for the Maternal and Child 
Health Bureau (RM) as follows:

Maternal and Child Health Bureau (RM)

    Provides national leadership and policy direction for the Maternal 
and Child Health Bureau programs. 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, MCHB: (1) Coordinates the 
planning, development, implementation and evaluation of the programs 
and activities of the Bureau; (2) facilitates effective, collaborative 
relationships with other health and related programs; (3) establishes a 
program mission, goals, objectives and policy with 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) arranges and 
provides technical assistance to assure that the grantees meet program 
expectations; (6) serves as principal contact 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; and (7) provides information and reports on the Bureau's 
programs to public, health, education

[[Page 790]]

and related professional associations, the Congress, other Federal 
agencies, OMB, and the White House.
    14. In the Maternal and Child Health Bureau Office of Operations 
and Management delete the grants function and revise the Office of 
Operations and Management (RM1) as follows:

Office of Operations and Management (RM1)

    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, and the Office of the Secretary 
on matters relating to these activities. Specifically, OOM: (1) Serves 
as the Associate Administrator's and Bureau's principal source for 
management and administrative advice and assistance; (2) provides or 
serves as liaison for program support services and; (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) plans, 
coordinates and facilitates the Bureau's agency agreements activities; 
(6) coordinates human resource activities for the Bureau; (7) provides 
guidance to the Bureau on financial management activities; (8) 
determines State allocations of MCH Block Grant funds based on formula 
and current census data; (9) provides organization and management 
analysis, develops policies and procedures for internal operation, and 
interprets and implements the Administration's management policies, 
procedures and systems; (10) coordinates the Bureau's program and 
administrative delegations of authority activities; (11) provides staff 
services in the operational planning and program analysis; (12) is 
responsible for paperwork management functions, including the 
development and maintenance of bureau manual issuances; (13) provides 
direction regarding new developments in office management activities; 
and (14) coordinates Bureau funds and resources for grants, contracts 
and cooperative agreements.
    15. In the Maternal and Child Health Bureau revise the functions of 
the Division of State and Community Health (RM6) as follows:

Division of State and Community Health (RM6)

    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. Specifically, DSCH: (1) 
Provides national leadership, direction, coordination, and 
administrative oversight related to the development and management of 
the State MCH Block Grant annual reports; (2) based on reviews of State 
Block 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) 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) monitors interagency agreements of 
Federal assignees to State MCH programs; (9) 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; (10) 
responsible for the administration of funds and other resources for 
grants, contracts, and cooperative agreements; and (11) develops 
Program Application and Guidance documents.
    16. Delete the functional statement for the HIV/AIDS Bureau (RV) in 
its entirety and replace as follows:

HIV/AIDS Bureau (RV)

    Provides leadership and direction for the HIV/AIDS programs and 
activities of the Bureau and oversees its relationship with other 
national health programs. Specifically: (1) Coordinates the formulation 
of an overall strategy and policy for HRSA AIDS programs; (2) 
coordinates the internal functions of the Bureau and its relationships 
with other national health programs; (3) establishes AIDS program 
objectives, alternatives, and policy positions consistent with broad 
Administration guidelines; (4) provides direction and leadership for 
the Agency's AIDS grants and contracts programs; (5) reviews AIDS 
related program activities to determine their consistency with 
established policies; (6) represents the Agency and the Department at 
AIDS related meetings, conferences and task forces; (7) serves as 
principal contact and advisor to the Department and other parties 
concerned with matters relating to planning and development of health 
delivery systems related to HIV/AIDS; (8) develops and administers 
operating policies and procedures for the Bureau; (9) directs and 
coordinates Bureau Executive Secretariat activities; (10) directs the 
Center for Quality; (11) serves in developing and coordinating 
Telehealth programs and in facilitating electronic dissemination of 
best practices in health care to health care professionals; (12) 
provides grantees/States with accurate and timely interpretations of 
the Bureau's program expectations, requirements, guidances, and Federal 
legislation; and (13) arranges and provides technical assistance to 
assure that the grantees meet program expectations.
    17. In the HIV/AIDS Bureau delete the functional statement for the 
Office of Program Support (RV2) in its entirety and replace as follows:

Office of Program Support (RV2)

    Plans, directs, coordinates and evaluates Bureau-wide 
administrative and management support activities. Specifically, OPS: 
(1) Serves as the Bureau's principal source for management and 
administrative advices and assistance; (2) assists in the development 
and administration of policies and procedures which govern the review 
and final recommendation for funding to the Associate Administrator; 
(3) provides guidance to the Bureau on financial management activities; 
(4) coordinates personnel activities for the Bureau and advises on the 
allocation of the Bureau's personnel resources; (5) provides 
organization and management analysis for the Bureau, develops policies 
and procedures for internal Bureau requirements, and interprets and 
implements, the Administration's management policies and procedures; 
(6) coordinates the

[[Page 791]]

Bureau's delegations of authority activities; (7) manages the Bureau's 
performance management systems; (8) provides or arranges for the 
provision of support services such as supply management, space 
management, manual issuances, forms, records, reports, and supports 
civil rights compliance activities; (9) provides direction regarding 
technological developments in office management activities; and (10) 
manages the Bureau's executive secretariat functions.
    18. In the HIV/AIDS Bureau delete the functional statement for the 
Office of Science and Epidemiology (RV4) in its entirety and replace as 
follows:

Office of Science and Epidemiology (RV4)

    Serves as the Bureau's principal source on HIV epidemiologic 
surveillance, program data collection and evaluation, medical and 
biometric research, and the development of new models of HIV care. The 
Office coordinates with all HRSA HIV/AIDS programs on the development 
and implementation of science and epidemiology activities. 
Specifically: (1) Develops and directs long and short range scientific 
activities; (2) plans, directs, coordinates and administers the 
Bureau's annual program evaluation strategy; (3) designs and implements 
special scientific studies of the impact and outcomes of Bureau health 
care programs; (4) carries out data collection and analysis activities 
that document the clients and services of Bureau programs; (5) collects 
and maintains information on the costs and quality associated with the 
Bureau's health care programs; (6) directs and manages the 
implementation and evaluation of priority models of care through the 
Special Programs of National Significance (Title XXVI, Part F of the 
PHS Act), including developing Program Application and Guidance 
documents; (7) formulates and interprets program-related policies; (8) 
coordinates the documentation of all science, evaluation, and new 
models of care products with HRSA HIV/AIDS programs; (9) coordinates 
technical assistance plans and activities with the Division of Training 
and Technical Assistance and manages program specific technical 
assistance; (10) plans and develops collaborative efforts in the 
scientific aspects of Bureau programs with other HHS components, 
Federal departments, universities, and other scientific organizations; 
(11) organizes, guides and coordinates the Bureau's scientific planning 
and development activities in epidemiology, research, and 
demonstrations; (12) plans and coordinates Bureau participation in 
scientific organizations, including scientific clearance of 
presentations and articles for publications; (13) studies and analyzes 
trends in health care, including availability, access distribution, 
organization, and financing to determine if the Bureau activities 
address HIV/AIDS issues in an effective, efficient manner; and (14) 
coordinates and consults with State and local health departments, other 
components of the Department, other Federal agencies and/or outside 
groups on the implementation of Office programs.
    19. In the HIV/AIDS Bureau delete the functional statement for the 
Division of Service Systems (RV5) in its entirety and replace as 
follows:

Division of Service Systems (RV5)

    Administers Bureau programs and activities and manages funds and 
other resources related to the provision of coordinated comprehensive 
HIV health care and support services, including reimbursement for 
treatment with life-prolonging drugs, for persons with HIV/AIDS. 
Specifically: (1) Directs and manages the implementation of Parts A and 
B of Title XXVI of the PHS Act including Emergency Relief Grants (Title 
I), HIV CARE Grants (Title II), and State AIDS Drug Assistance 
programs; (2) provides program implementation proposals and plans, and 
the interpretation of legislation and regulations; (3) monitors HIV 
services planning and delivery program in States and Cities and 
provides administrative, strategic, and programmatic direction to 
grantees to encourage efficient, coordinated treatment of persons with 
HIV infection; (4) develops Program Application and Guidance documents; 
(5) develops requirements, guidance and monitors State and territorial 
programs for medical therapies established to ensure that these 
treatments are integrated into the system of health care services; (6) 
promotes the development of State treatment program formularies that 
include classes of drugs necessary for the proper treatment of people 
with HIV infection; (7) formulates and interprets program related 
policies; (8) coordinates technical assistance plans and activities 
with the Division of Training and Technical Assistance; and (9) 
coordinates and consults with State and local health departments, other 
components of the Department, other Federal agencies and/or outside 
groups on the implementation of Division programs.
    20. In the HIV/AIDS Bureau delete the functional statement for the 
Division of Training and Technical Assistance (RV7) in its entirety and 
replace as follows:

Division of Training and Technical Assistance (RV7)

    Coordinates, designs, directs and administers HIV/AIDS-related 
planning, training, technical assistance and extramural authorities and 
activities within the Agency. Advises on training and education 
activities pertaining to the administration of the Bureau's programs. 
Specifically: (1) Directs and manages the implementation of the AIDS 
Education and Training Centers (AETC) program of the CARE Act, Title 
XXVI, Part F of the PHS Act; (2) identifies technical assistance needs 
and develops technical assistance packages, conducts programs, 
meetings, and activities to meet such needs; (3) convenes consultation 
meetings with grantees, providers, representatives of professional and 
political organizations, and advocacy groups; (4) develops Program 
Application and Guidance documents for the AETC program; (5) develops 
and manages mechanisms and resources to address technical assistance 
needs and support Division/Bureau technical assistance plans and 
programs; (6) formulates and interprets program-related policies; (7) 
coordinates and manages the Bureau's HIV-related managed care 
activities; (8) serves as the Bureau's focal points for advising and 
coordinating with advisory committees and other external organizations 
on policies regarding health care delivery and HIV/AIDS prevention, 
treatment, education and technical assistance; (9) develops outreach 
activities to assure that target populations are aware of the benefits 
and availability of HRSA HIV/AIDS programs; (10) provides program 
implementation proposals and plans, and the interpretation of 
legislation and regulations; and (11) coordinates and consults with 
State and local health departments, other components of the Department, 
other Federal agencies and/or outside groups on the implementation of 
Division programs.
    21. Revise the functional statement for the Bureau of Health 
Professions (RP) as follows:

Bureau of Health Professions (RP)

    Provides national leadership in coordinating, evaluating, and 
supporting the development and utilization of the Nation's health 
personnel. Specifically: (1) Assesses the Nation's health personnel 
supply and requirements and forecasts supply and requirements for 
future time periods under a variety of health resources utilization 
assumptions; (2) collects and analyzes data and disseminates

[[Page 792]]

information on the characteristics and capacities of the Nation's 
health personnel production systems; (3) proposes new or modifications 
to existing Departmental policies and programs related to health 
personnel development and utilization; (4) develops, tests and 
demonstrates new and improved approaches to the development and 
utilization of health personnel within various patterns of health care 
delivery and financing systems; (5) provides financial support to 
institutions and individuals for health professions education programs; 
(6) administers Federal programs for targeted health personnel 
development and utilization; (7) provides leadership for promoting 
equity and diversity in access to health services and health careers 
for under-represented minority groups; (8) provides technical 
assistance, consultation and special financial assistance to national, 
State, and local agencies, organizations, and institutions for the 
development, production, utilization, and evaluation of health 
personnel; (9) provides grantees/States with accurate and timely 
interpretations of the Bureau's program expectations, requirements, 
guidances, and Federal legislation; (10) coordinates with the programs 
of other agencies within the Department, and in other Federal 
Departments and agencies concerned with health personnel development 
and health care services; (11) provides liaison and coordinates with 
non-Federal organizations and agencies concerned with health personnel 
development and utilization; (12) serves as a focus for technical 
assistance activities in the internal aspects of health personnel 
development; (13) administers the National Practitioner Data Bank 
Program; (14) administers the Healthcare Integrity and Protection Data 
Bank Program; (15) administers the Ricky Ray Hemophilia Relief Fund 
Program; (16) provides direction and leadership to the Children's 
Hospitals Graduate Medical Education (CHGME) Payment Program; (17) 
administers the National Health Service Corps Program which assures 
accessibility of health care in underserved areas; (18) plans the 
activities of the National Health Services Corps Advisory Council; (19) 
administers the Public Health Service Scholarship Training Program and 
the National Health Service Corps Scholarship Loan Repayment Program; 
(20) administers the designation of health professional shortage areas 
and medically-underserved populations; (21) administers the Community 
Scholarship Program; (22) administers the State Loan Repayment Program; 
(23) administers the Nursing Education Loan Repayment program; and (24) 
provides direction and leadership for the Federal Credentialing 
Program.
    22. In the Bureau of Health Professions abolish the Office of Peer 
Review (RPG).
    23. In the Bureau of Health Professions revise the functions of the 
Office of Program Support (RP1) as follows:

Office of Program Support (RP1)

    Plans, directs, coordinates and evaluates Bureau-wide 
administrative management activities. Maintains close liaison with 
officials of the Bureau, Agency, the Office of Public Health and 
Science, and the Office of the Secretary on management and support 
activities. Specifically: (1) Serves as the Bureau's principal source 
for management and administrative advice and assistance; (2) provides 
advice, guidance and coordinates personnel activities for the Bureau; 
(3) directs and coordinates the allocation of personnel resources; (4) 
provides organization and management analysis, develops policies and 
procedures for internal operation and interprets and implements the 
Bureau's management policies, procedures and systems; (5) develops and 
coordinates Bureau program and administrative delegations of authority 
activities; (6) provides guidance to the Bureau on financial management 
activities; (7) provides Bureau-wide support services such as supply 
management, equipment utilization, printing, property management, space 
management, records management and management reports; (8) manages the 
Bureau's performance management systems; and (9) develops general 
guidance and criteria related to the Bureau's grant programs.
    24. In the Bureau of Health Professions revise the functions of the 
Division of National Health Service Corps (RPH) as follows:

Division of National Health Service Corps (RPH)

    Provides (1) strategic planning and overall program policy guidance 
and oversight to the National Health Service Corps (NHSC); (2) 
initiates national program and policy changes, including regulatory and 
statutory amendments to ensure NHSC consistency with evolving national 
health care policy; (3) supports the NHSC National Advisory Council 
(NAC); (4) provides national NHSC leadership, integration and 
coordination with HRSA and other Departmental programs serving or 
impacting the Nation's underserved communities and populations; (5) 
coordinates NHSC policy on primary and other health care manpower 
issues, and works with a wide variety of national, regional, State and 
local constituencies in ensuring their effective implementation; (6) 
directs and administers the Public Health Service Scholarship Training 
Program, the NHSC Loan Repayment Program and the NHSC Scholarship 
Program; (7) develops and implements program plans and policies and 
operating and evaluation plans and procedures; (8) monitors obligatory 
service requirements and conditions of deferment for compliance; (9) 
provides guidance and technical assistance for educational institutions 
on the NHSC scholarship program; (10) maintains liaison with, and 
provides assistance to, program-related public and private professional 
organizations and institutions; (11) coordinates financial aspects of 
programs with educational institutions; (12) develops program data 
needs, formats and reporting requirements including collection, 
collation, analysis and dissemination of data; (13) participates in the 
development of forward plans, and budgets including recruitment, 
deferment and service monitoring systems; and (14) develops Program 
Application and Guidance documents.
    25. Revise the functional statement for the Bureau of Primary 
Health Care (RC) as follows:

Bureau of Primary Health Care (RC)

    Provides national leadership in developing, coordinating, 
evaluating, and assuring access to comprehensive preventive and primary 
health care services and improving the health status of the Nations' 
underserved and vulnerable populations. Specifically, the Bureau: (1) 
Assesses the Nation's health care needs of underserved populations; (2) 
assists communities in providing quality health care services, 
demonstrating new and improved approaches for providing access to 
healthcare; (3) administers the Consolidated Health Center Program; (4) 
develops comprehensive integrated systems of care for underserved 
communities and populations; (5) decreases health disparities through 
the targeting of resources to those populations at increased risk of 
negative health outcomes; (6) promotes the integration of primary care 
services with mental health and dental health services; (7) develops 
innovative strategies for serving special populations and difficult to 
serve sub-populations; (8) provides leadership for promoting equity, 
diversity, and cultural competency in access to health

[[Page 793]]

care services for underserved populations; (9) coordinates with various 
other organizations involved in health care access and utilization, 
integrated systems of care, and improvement of health status for 
underserved populations; (10) supports the efforts of other 
organizations in their efforts to meet the needs of vulnerable, under-
served, and special populations; (11) provides policy leadership, 
programmatic direction and consultation on activities related to 
community-based primary health care; (12) administers the Black Lung 
Clinics Program and the Native Hawaiian Health Systems Program; (13) 
provides leadership and direction for the National Hansen's Disease 
Program; (14) administers a national health-care program in support of 
the Immigration and Naturalization Service; and (15) administers the 
Section 340B Drug Pricing Program.
    26. In the Office of Special Programs (RR), delete the functional 
statement in its entirety and replace as follows:

Office of Special Programs (RR)

    Provides the overall leadership and direction for the procurement 
allocation, and transplantation of human organs and bone marrow; 
programmatic, financial and architectural/engineering support for 
construction/renovation programs; operation of the Vaccine Injury 
Compensation Program and the State Planning Grants Program. 
Specifically: (1) Administers the Organ Procurement and Transplantation 
Network and the Scientific Registry of Transplant Recipients to assure 
compliance with Federal regulations and policies; (2) administers the 
National Marrow Donor Program in matching volunteer unrelated marrow 
donors for transplants and studying the effectiveness of unrelated 
marrow donors for transplants and related treatment; (3) develops and 
maintains a national program of grants and contracts to organ 
procurement organizations and other entities to increase the 
availability of various organs to transplant candidates; (4) manages 
national programs for compliance with uncompensated care and other 
assurances; (5) directs and administers Section 242 hospital mortgage 
insurance program (via inter-agency agreement with HUD) and HHS direct 
and guaranteed construction loan repayment; (6) directs and administers 
the construction/renovation/equipping of health care and other 
facilities; (7) directs and administers the National Vaccine Injury 
Compensation Program; and (8) directs and administers the State 
Planning Grants Program.

Delegation of Authority

    All delegations 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 December 23, 2002.

    Dated: December 23, 2002.
Elizabeth M. Duke,
Administrator.
[FR Doc. 03-294 Filed 1-6-03; 8:45 am]
BILLING CODE 4165-15-P