[Federal Register Volume 69, Number 132 (Monday, July 12, 2004)]
[Notices]
[Pages 41825-41837]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-15716]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


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 
(HHS), as amended at 52 FR 47053-67, December 11, 1987, as amended at 
60 FR 56606, November 9, 1995, and most recently amended at 61 FR 
67048, December 19, 1996, is hereby amended to reflect a reorganization 
of the Indian Health Service (IHS) Headquarters (HQ). The goal of the 
reorganization is to demonstrate increased leadership and advocacy, 
while improving the Agency's responsibilities for oversight and 
accountability. We have considered the President's Management Agenda, 
the Secretary's Workforce Restructuring Plan and recommendations from 
the Indian Health Design Team and the IHS Restructuring Initiatives 
Workgroup. Delete the functional statements for the IHS Headquarters in 
their entirety and replace with the following:

Chapter GA--Office of the Director

    Section GA-10, Indian Health Service--Organization. The IHS is an 
Operating Division within the Department of Health and Human Services 
(HHS) and is under the leadership and direction of a Director who is 
directly responsible to the Secretary of Health and Human Services. The 
IHS Headquarters consists of the following major components:

Office of the Director (GA)
Policy Formulation and Communications Group (GA-1)
Office of Tribal Programs (GA-2)
Office of Tribal Self-Governance (GA-3)
Office of Urban Indian Health Programs (GA-4)
Office of Finance and Accounting (GAA)
Office of Information Technology (GAB)
Office of Management Services (GAC)
Office of Clinical and Preventive Services (GAD)
Office of Environmental Health and Engineering (GAE)
Office of Public Health Support (GAF)
Office of Resource Access and Partnerships (GAG)

    Section GA-20, Functions.

Office of the Director (OD) (GA)

    Provides overall direction and leadership for the IHS: (1) 
Establishes goals and objectives for the IHS consistent with the 
mission of the IHS; (2) provides for the full participation of Indian 
Tribes in the programs and services provided by the Federal Government; 
(3) develops health care policy; (4) ensures the delivery of quality 
comprehensive health services; (5) advocates for the health needs and 
concerns of American Indians/Alaska Natives (AI/AN); (6) promotes the 
IHS programs at the local, state, national, and international levels; 
(7) develops and demonstrating alternative methods and techniques of 
health services management and delivery with maximum participation by 
Indian Tribes and Indian organizations; (8) supports 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; (9) ensures 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; 
(10) affords Indian people an opportunity to enter a career in the IHS 
by applying Indian preference; and (11) ensures full application of the 
principles of Equal Employment Opportunity laws and the Civil Rights 
Act in managing the human resources of the IHS.

Policy Formulation and Communications Group (PFCG) (GA-1)

    (1) Coordinates the review and analysis of policy-related issues, 
and provides recommendations for resolving policy conflicts; (2) 
evaluates policy options and forecasts their costs, benefits, and long-
term results; (3) ensures consistency between and within public Agency 
statements, external correspondence, legislative and regulatory 
positions and internal policy development; (4) disseminates information 
to IHS consumers, stakeholders, and the general public

[[Page 41826]]

regarding the activities of the IHS and the health status of AI/AN 
people and communities; and (5) participates in cross-cutting issues 
and processes including but not limited to emergency preparedness/
security, budget formulation, Self-Determination issues, Tribal shares 
computations and resolution of audit findings as may be needed and 
appropriate.

Policy Support Staff (PSS)

    (1) Organizes, facilitates, and support stakeholder task teams to 
advise the Director on major policy issues; (2) represents the Director 
in meetings with IHS employees and high-level management officials 
within the IHS, the HHS, or other Federal agencies, Tribes, and other 
organizations; (3) provides staff support to the Director, including 
preparation of presentations and briefings; (4) provides staff support 
to senior managers, councils and groups; (5) completes special 
assignments for the Director that may require coordination with other 
IHS offices or other Federal agencies, Tribes, or Tribal organizations; 
and (6) serves as the IHS liaison for inter-governmental and private 
sector initiatives that impact health care services and management of 
the IHS, and participates on the inter-Governmental task forces.

Public Affairs Staff (PAS)

    (1) Principal advisor for strategic planning on communications, 
media relations, and public affairs policy formulation and 
implementation; (2) ensures IHS policy is consistent with directives 
from the Assistant Secretary for Public Affairs; (3) provides 
leadership and advocacy to establish and implement policy for internal 
and external dissemination of Agency information intended for public 
release or employee and stakeholder information; (4) is the central 
office for technical guidance and assistance to IHS staff for the 
development of internal and external communications and public affairs 
activities with other public and private sector organizations; (5) 
coordinates the clearance of IHS public relations activities, campaigns 
and communications materials; (6) represents the IHS in discussions 
regarding policy, public affairs initiatives/implementation and 
provides technical assistance and advice relative to the effect public 
affairs initiatives/implementation would have on the IHS; (7) 
collaborates with the Division of Regulatory and Legal Affairs for 
review and response to media request 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; and (8) serves as the IHS liaison office for 
press and public affairs with HHS, IHS Area Offices, and media and 
other external organizations and representatives.

Congressional and Legislative Affairs Staff (CLAS)

    (1) Principal advisor to the Director, IHS, on all legislative and 
Congressional relations matters; (2) advises the Director and other IHS 
officials on the need for changes in legislation and manages the 
development of IHS legislative initiatives; (3) serves as the IHS 
liaison office for Congressional and legislative affairs with 
Congressional offices, the HHS, the Office of Management and Budget 
(OMB), other Federal agencies, and the White House; (4) tracks all 
major legislative proposals in the Congress that would impact on Indian 
health and ensures that the Director and appropriate IHS and HHS 
officials are briefed on potential impact of proposed legislation; (5) 
represents the IHS in discussions regarding policy, legislative 
initiatives/implementation and provides technical assistance and advice 
relative to the effect initiatives/implementation would have on the 
IHS; (6) establishes collaborations with Headquarters Offices on 
programmatic and financial issues related to budget formulation; (7) 
conducts the legislative analysis, and provides support and liaison to 
the Director relative to IHS appropriations efforts; (8) directs the 
development of IHS briefing materials for Congressional hearings, 
testimony, and bill reports; (9) analyzes legislation for necessary 
action within the IHS, and develops appropriate Legislative 
Implementation Plans; and (10) coordinates with IHS offices as 
appropriate to provide leadership, advocacy, and technical support to 
respond to requests from the public, including Tribal governments, 
Tribal organizations, and Indian community organizations regarding IHS 
legislative issues.

Management Policy and Internal Control Staff (MPICS)

    (1) Formulates, administers, and supports IHS-wide policies, 
delegations of authority, and organizations and functions development; 
(2) provides leadership, on behalf of the IHS Director, to functional 
area managers at IHS Headquarters in developing or modifying and 
overseeing the implementation of IHS policies and procedures; (3) 
provides analysis, advisory, and assistance services to IHS managers 
and staff for the development, clearance, and filing of IHS directives 
and delegations of authority; (4) serves as principal advisor and 
source for technical assistance for establishment or modification of 
organizational infrastructures, functions, and Standard Administrative 
Code configurations; (5) administers the IHS Management Control Program 
for assuring IHS' compliance with management control requirements in 
the Federal Managers' Financial Integrity Act; (6) coordinates the 
development, clearance, and transmittal of IHS responses and follow-up 
to reports issued by the Office of Inspector General (OIG), the General 
Accounting Office (GAO), and other Federal internal and external 
authorities; (7) provides assistance and support to special assigned 
task groups, and conducts special program or management integrity 
reviews as required; and (8) oversees and coordinates the annual 
development and submission to the Department of the Agency's Federal 
Activities Inventory Reform Act inventory.

Executive Secretariat Staff (ESS)

    (1) Serves as the Agency's liaison with the Office of the 
Secretary's Executive Secretariat on IHS program, policy, and special 
matters; (2) reviews correspondence received by the IHS Director and 
assigns reply or follow-up action to appropriate IHS Headquarters 
program offices and IHS Area Offices; (3) ensures the quality 
(responsiveness, clarity, and substance) of IHS-generated 
correspondence prepared for the IHS Director's signature by 
coordinating the review of integrity and policy issues, and performing 
standard edits and revisions; (4) reviews and coordinates clearance of 
decision documents for the IHS Director's approval to ensure successful 
operations and policy making within the Agency; (5) assists IHS 
officials as they prepare documents for the HHS Secretary's review, 
decision, and/or signature; (6) performs special writing assignments 
for the Director; (7) manages the flow of executive correspondence and 
related information to Tribes, Tribal organizations, heads of Federal 
departments and agencies, Congressional Staff offices, and members of 
Congress; (8) maintains official records for the IHS Director's 
correspondence and conducts topic research of files, as needed; (9) 
maintains an automated document tracking and reporting (ATS) system to 
assist in managing the timely processing of internal and external 
executive correspondence; (10) conducts training to promote conformance 
by IHS Headquarters and Area staff to the IHS Executive Correspondence 
Guidelines

[[Page 41827]]

and the ATS system; and (11) tracks reports required by Congress.

Equal Employment Opportunity and Civil Rights Staff (EEO)

    (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 IHS employee personnel actions and 
advises IHS managers of possible discriminatory trends; (4) ensures 
immediate implementation of required actions on complaints of alleged 
sexual harassment or discrimination; (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 managers, supervisors, 
counselors, and employees.

Office of Tribal Programs (OTP) (GA-2)

    (1) Assures that Indian Tribes and Tribal organizations are 
informed regarding pertinent health policy and program management 
issues and assures that consultation and participation by Indian Tribes 
and organizations occurs during the development of IHS policy and 
decision making; (2) provides overall Agency leadership concerning 
functions and responsibilities associated with Self-Determination 
contracting (Title I of the Indian Self-Determination Act); (3) advises 
the Director, IHS, and senior Agency managers on activities and issues 
related to Self-Determination contracting and monitors Agency 
compliance with Self-Determination policies, administrative procedures 
and guidelines; (4) administers a national grant program designed to 
assist Tribes and Tribal organizations in beginning and/or expanding 
Self-Determination activities; (5) provides Agency leadership in the 
development of policy, and discharges operational responsibilities, 
with respect to the contract support cost (CSC) program administered by 
IHS; (6) provides advice to the Director and senior management on 
Tribal issues and concerns by maintaining liaison with Tribal leaders, 
national Tribal organizations, inter-Tribal consortiums and Area health 
boards; (7) provides leadership in the management process of receiving 
visiting delegations of Tribal leaders and representatives to IHS 
Headquarters and provides staff assistance to the Office of the 
Director with respect to Tribal meetings at locations outside of 
Headquarters; (8) provides overall Agency leadership with respect to 
policy development and issues concerning the Federal recognition of new 
Tribes; (9) supports Tribes in managing health programs, (10) 
coordinates available support from other public and private agencies 
and organizations; (11) maintains central data base on relevant 
information to contact Tribal leaders, health programs, etc.; and (12) 
participates in cross-cutting issues and processes including but not 
limited to emergency preparedness/security, budget formulation, Self-
Determination issues, and Tribal shares computations and resolution of 
audit findings as may be needed and appropriate.

Office of Tribal Self-Governance (OTSG) (GA-3)

    (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 resource and 
technical assistance to Tribes and Tribal Organizations for the 
implementation of Tribal Self-Governance Program (TSGP); (5) 
participates in the reviewing of proposals from Tribes for Self-
Governance planning and negotiation grants and recommends approvals to 
the Director, IHS; (6) determines eligibility for Tribes and Tribal 
Organizations desiring to participate in the TSGP; (7) oversees the 
negotiation of Self-Governance compacts and annual funding agreements 
with participating Tribal governments; (8) 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 in conjunction with IHS Area and Headquarters components; 
(9) coordinates semi-annual reconciliation of funding agreements with 
IHS Headquarters components, Area offices, and participating Tribes; 
(10) serves as the principal IHS office for developing, releasing, and 
presenting information on behalf of the IHS Director 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; (11) arranges national Self-Governance meetings to 
promote the participation by all AI/AN Tribes in IHS Self-Governance 
activities and program direction; (12) participates in meetings for 
Self-Governance Tribal delegations visiting IHS Headquarters; and (13) 
participates in cross-cutting issues and processes including but not 
limited to emergency preparedness/security, budget formulation, Self-
Determination issues, and Tribal shares computations and resolution of 
audit findings as may be needed and appropriate.

Office of Urban Indian Health Programs (OUIHP) (GA-4)

    (1) Advises the Director, IHS, on the activities and issues related 
to the IHS'' implementation of Title V, ``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; (5) coordinates support 
available from other public and private agencies and organizations; (6) 
advises the Director, IHS, on agency compliance to Urban Indian health 
program policies, administrative procedures and guidelines; (7) 
maintains relevant information on Urban Indian health programs and 
organizations; (8) coordinates meetings and other communications with 
Urban Indian health program representatives; and (9) participates in 
cross-cutting issues and processes including but not limited to 
emergency preparedness/security, budget formulation, Self-Determination 
issues, and Tribal shares computations and resolution of audit findings 
as may be needed and appropriate.

Office of Finance and Accounting (OFA) (GAA)

    (1) Develops and prepares the budget submission for the HHS, OMB, 
and the President's budget for the Indian Health Service and Facilities 
Appropriation; (2) participates with HHS officials in budget briefings 
for the OMB and the

[[Page 41828]]

Congress; (3) distributes, coordinates, and monitors resource 
allocations; (4) develops and implements budget, fiscal, and accounting 
procedures and conducts reviews and analyses to ensure compliance in 
budget activities in collaboration with the Headquarters officials and 
the Tribes; (5) provides cost advisory and audit resolution services in 
accordance with applicable statutes and regulations; and (6) 
participates in cross-cutting issues and processes including but not 
limited to emergency preparedness/security, budget formulation, Self-
Determination issues, and Tribal shares computations and resolution of 
audit findings as may be needed and appropriate.

Division of Audit (DA) (GAA1)

    (1) Develops and recommends policies and procedures for Chief 
Financial Officer (CFO) audits; (2) develops and recommends policies 
and procedures for Tribal/Tribal organization audit resolution within 
IHS; (3) provides advice, technical consultation, and training to IHS 
Headquarters, Area Offices, Tribal, and Urban organizations for Title 
I, Title V, and Agency CFO audits; (4) provides audit resolution 
services in accordance with applicable statutes and regulations; (5) 
advises the Director, OFA of proposed legislation, regulations, and 
directives, and timelines that will affect audits within IHS as well as 
how current legislation affects handling of audit-related issues; (6) 
manages the IHS Audit Information Management System and conducts 
analysis of data for reports and/or responses to internal and external 
inquiries; (7) IHS contact point to the HHS for the Audit Information 
Management System (AIMS) Report and the Accountability Report; (8) 
coordinates the collection of disallowed costs cited in Tribal/Tribal 
organization audits; (9) coordinates the correction of non-monetary 
findings coded by the HHS in Tribal/Tribal organization audits; (10) 
coordinates receipt of audits from all organizations funded by IHS; and 
(11) formulates Corrective Action Plans for CFO audit deficiencies; 
(12) coordinates resolutions of deficiencies with IHS Headquarters 
senior managers and Area Directors; and (13) reports status of 
corrective actions to the IHS Headquarters senior staff and to the 
Department.

Division of Budget Formulation (DBF) (GAA2)

    (1) Interprets policies, guidelines, manual issuances, OMB 
circulars, and instructions of Congress, OMB, HHS, and IHS on 
formulation of preliminary, Departmental, and Congressional budget 
requests for the IHS and Indian Health Facilities appropriation 
requests; (2) directs the collection, review, and analysis of program 
and financial data from Headquarters, Area Offices, Tribes, Tribal and 
Urban Indian organizations used in determining resource requirements; 
(3) coordinates the preparation of the IHS preliminary, Departmental 
and Congressional budget justifications for the Indian Health Services 
and Facilities appropriations; (4) prepares witness information for 
hearings before the House and Senate Appropriation Committees, House 
Resource Committee on Interior and Insular Affairs, the Senate 
Committee on Indian Affairs, and other Congressional committees as 
requested; (5) coordinates development of responses and inserts to be 
used for the record by and for Congressional appropriations hearings; 
(6) coordinates development of briefing materials in response to 
Congressional concerns and hearings; and (7) develops, implements, and 
maintains IHS policies and procedures for Congressional budget liaison 
activities.

Division of Budget Execution (DBE) (GAA3)

    (1) Interprets policies, guidelines, and directives from the 
Congress, OMB, GAO, Treasury, the Department on Tribal shares and 
execution; (2) recommends and coordinates IHS Area Budget Execution; 
(3) prepares apportionment requests for the Indian Health Service and 
Indian Health Facilities appropriations; (4) consults with the 
Headquarters officials on Area funding allocations; (5) maintains fund 
control; (6) establishes and maintains IHS Headquarters memorandum-
accounts-of-obligations; (7) prepares reprogramming requests; (8) 
coordinates and maintains relevant information on IHS Area and 
Headquarters Tribal shares; (9) consults with the Area and Headquarters 
components on Tribal share allocations; (10) advises the Director, OFA 
on Agency compliance with Self-Determination policies, administrative 
procedures and guidelines; (11) and coordinates activities for 
resolution of problems with appropriate IHS and Area staff; (12) 
participates in the review and reconciliation of Tribal funding 
agreements and certifies IHS Headquarters funding of proposals from 
Tribal governments in conjunction with the Office of Tribal Self-
Governance and the Office of Tribal Programs; (13) manages the 
financial review of Tribal agreements to identify sources of funds 
necessary to implement the Tribal funding agreements; and (14) 
participates in meetings with Tribal delegations as requested.

Division of Systems Review and Procedures (DSRP) (GAA4)

    (1) Reviews, interprets and comments on policies, guidelines, and 
manual issuances of Congress, Treasury, GAO, the Department and IHS on 
systems of fiscal management including Unified Financial Management 
System (UFMS), Common Accounting Numbers/Budget and Accounting 
Classification Structure Crosswalk and Core; (2) plans, directs, and 
implements fiscal policies and procedures on Headquarters and field 
accounting; (3) coordinates the cost accounting system in IHS; (4) 
reviews and analyzes accounting and financial management systems and 
related system interfaces; (5) supports the conversion of financial 
information from Core to UFMS; (6) provides and assists Area accounting 
staff with accounting system transactions, errors and system related 
emergencies; (7) serves as the agency liaison between agency components 
concerning the interface of administrative and other feeder application 
with Oracle/UFMS; (8) serves as the liaison between IHS, the Program 
Support Center (PSC) and the Department for reporting the prompt 
payment, debt management, and cash reconciliation; (9) coordinates, 
regulates and manages the issuance of financial codes in IHS; and (10) 
coordinates year-end ``roll-over'' activities with PSC and IHS 
Headquarters and Area staffs.

Division of Financial Operations (DFO) (GAA5)

    (1) Manages the IHS travel program, provides training, interprets 
travel regulations, conducts reviews and reviews and updates travel 
policy and procedures; (2) processes Headquarters travel orders and 
vouchers, including PCS and international travel; (3) coordinates Area 
Directors' travel orders and vouchers; (4) responsible for the 
Conference Management function for the agency; (5) processes all 
Memoranda of Understanding (or Agreement) to verify accounting data and 
ensure proper payment/collection; (6) prepares reports and analyzes 
third-party collection data for management; (7) analyzes various 
operating costs and provides PSC with Area breakouts; (8) monitors PSC 
disbursements to assure proper accounting; (9) participates in the 
development of Medicare cost reports with contractor, Area Offices, 
Headquarters and Service Units; (10) and provides contractor with data 
from various data systems; (11) provides support and technical 
assistance to Headquarters operational components

[[Page 41829]]

in the development of Headquarters operations budgets; (12) provides 
fund certification and maintains commitment registers for Headquarters 
components; (13) performs fund reconciliations and assists in 
coordination of discrepancies with financial officials; (14) maintains 
Headquarters staffing status reports; and (15) serves as coordinator 
and conducts training for Headquarters administrative resources 
management systems.

Office of Information Technology (OIT) (GAB)

    (1) Provides Chief Information Officer services and advises the 
Director, IHS, on all aspects of information resource management and 
technology ensuring Agency compliance with related Federal laws, 
regulations and policies; (2) directs the development, implementation, 
and maintenance of policies, procedures, standards, and architecture 
for information resource management, technology activities, and 
services in the IHS; (3) directs strategic planning and budgeting 
processes for information resources and technology; (4) leads IHS 
efforts in the development and implementation of information resource 
and technology management initiatives in IHS; (5) directs the design, 
development, acquisition, implementation, and support of information 
systems and services used in the IHS; (6) directs the activities of the 
IHS Information Technology Investment Review Board in assessing, 
implementing, and reviewing the Agency's information systems; (7) 
contracts for information resource and technology-related software, 
equipment and support services in collaboration with appropriate 
acquisition authorities; (8) provides project management support for 
information resource and technology initiatives; (9) directs the 
development, implementation and management of the IHS Information 
Technology Security program to protect the information resources of the 
IHS; (10) provides information technology services and support to IHS, 
Tribal, and Urban Indian health programs; (11) ensures accessibility to 
information technology services; (12) represents the IHS to, and enters 
into information technology agreements with, Federal, Tribal, state, 
and other organizations; and (13) participates in cross-cutting issues 
and processes including, but not limited to, emergency preparedness/
security, budget formulation, Self-Determination issues, Tribal shares 
computations, and resolution of audit findings as may be needed and 
appropriate.

Division of Information Technology (DIT) (GAB1)

    (1) Provides Chief Technology Officer services and advises the CIO 
on all aspects of information technology; (2) develops, implements, and 
maintains policies, procedures and standards for information resource 
management and technology products and services in the IHS; (3) 
develops and maintains information technology strategic planning 
documents; (4) develops and maintains the IHS enterprise architecture; 
(5) develops and implements information technology management 
initiatives in IHS; (6) ensures IHS information technology 
infrastructure resource consolidation and standardization efforts 
support IHS healthcare delivery and program administration; (7) 
represents the IHS to Federal, Tribal, state, and other organizations; 
and (8) participates in cross-cutting issues and processes that involve 
information technology.

Division of Information Resources Management (DIRM) (GAB2)

    (1) Advises the CIO on all aspects of information resources 
management; (2) develops information resource policies and procedures; 
(3) develops the IHS information technology budget and related 
documents; (4) provides budget analyses and reports to the CIO; (5) 
develops strategies for presenting the IHS information technology 
budget to IHS, Tribal, and Urban Indian health programs; (6) provides 
technical analyses, guidance, and support for IHS capital planning and 
investment control activities; (7) manages the IHS portfolio management 
tool; (8) manages the activities of the IHS Information Technology 
Investment Review Board in assessing, implementing, and reviewing the 
Agency's information systems; (9) represents the IHS to Federal, 
Tribal, state, and other organizations; and (10) participates in cross-
cutting issues and processes that involve information resources 
management.

Division of Enterprise Project Management (DEPM) (GAB3)

    (1) Advises the CIO on all aspects of information technology 
project management; (2) develops project management policies and 
procedures; (3) identifies alternatives among internal and external 
sources and recommends the best sources to supply information resource 
and technology products and services to IHS; (4) develops information 
resource and technology project governance structures, management 
plans, evaluation protocols, documentation guides and related materials 
to support effective project management; (5) provides project 
management and related support for IHS developed and acquired 
information resource and technology products and services; (6) provides 
customer relationship management support to project stakeholders; (7) 
provides quality assurance and risk management support; (8) provides 
contract management support for information technology initiatives; (9) 
provides contract liaison services to appropriate acquisition 
authorities; (10) represents the IHS to Federal, Tribal, state, and 
other organizations; and (11) participates in cross-cutting issues and 
processes that involve information resources and technology project 
management.

Division of Information Security (DIS) (GAB4)

    (1) Advises the CIO on all aspects of information security; (2) 
develops, implements and monitors the IHS Information Technology 
Security program to protect the information resources of the IHS; (3) 
develops and maintains cyber security policies and guidance for 
hardware, software, and telecommunications within the IHS; (4) reviews 
IHS security plans for sensitive systems; (5) evaluates safeguards to 
protect major information systems and the information technology 
infrastructure; (6) monitors all IHS systems development and operations 
for security and privacy compliance; (7) establishes and leads IHS 
teams to conduct reviews of agency programs to protect IHS' cyber and 
personnel security programs; (8) conducts vulnerability assessments of 
IHS' information technology infrastructure; (9) coordinates activities 
with internal and external organizations reviewing the IHS' information 
resources for fraud, waste, and abuse; (10) develops, implements, and 
evaluates an employee cyber security awareness and training program; 
and (11) establishes and leads the IHS Computer Security Incident 
Response Capability team; (12) represents the IHS to Federal, Tribal, 
state, and other organizations; and (13) participates in cross-cutting 
issues and processes that involve information security.

Office of Management Services (OMS) (GAC)

    (1) Provides IHS-wide leadership, guidance, and support for the 
management of human resources, grants, acquisitions and records 
management, personal property and supply, and the regulations program; 
(2) advises the Director on statutory and

[[Page 41830]]

regulatory issues related to the IHS and coordinates resolution of IHS 
legal issues with the Office of the General Counsel (OGC), IHS staff, 
and other Federal Agencies; (3) assures that IHS appeal systems meet 
legal standards; (4) provides leadership and direction of activities 
for continuous improvement of management accountability and 
administrative systems for effective and efficient program support 
services IHS-wide; (5) ensures the accountability and integrity of 
grants and acquisition management, records management, personal 
property utilization and disposition of IHS resources; (6) assures that 
the IHS management services, policies, procedures, and practices 
support IHS Indian Self-Determination policies; (7) assists in the 
assurance of Indian access to state, local, and private health 
programs; (8) provides leadership and advocacy of the IHS mission and 
goals with the Department, Administration, Congress, and other external 
authorities; and (9) participates in cross-cutting issues and processes 
including but not limited to emergency preparedness/security, budget 
formulation, Self-Determination issues, and Tribal shares computations 
and resolution of audit findings as may be needed and appropriate.

Program Integrity and Ethics Staff (PIES) (GAC-1)

    (1) Directs the fact-finding and resolution of allegations of 
impropriety such as mismanagement of resources, fraud, waste, and 
abuse, violations of the Standard of Ethical Conduct, Hatch Act and 
political activity and other forms of waste and advises the Director 
and IHS management of appropriate corrective and remedial actions to 
correct improprieties; (2) directs and provides leadership in the 
formulation of plans, guidance and evaluation of the IHS Personnel 
Security and Drug Testing Programs; (3) administers the IHS-wide 
management of the agency hotline reports of allegations and serves as 
the agency coordinator for HHS Office of the Inspector General (OIG), 
Office of Investigations; (4) manages and directs the IHS ``Ethics 
Program'' including the implementation of all requirements, providing 
advice to the Director and IHS agency liaison with all outside 
investigative organizations such as the Office of Special Counsel, the 
General Accounting Office and the OIG; and (5) develops and implements 
IHS directives and training for Standards of Ethical Conduct, Hatch Act 
and political activity, allegations and investigations of 
administrative fraud, waste and abuse, drug testing, and personnel 
security.

Division of Commissioned Personnel Support (DCPS) (GAC1)

    (1) Acts as the liaison between IHS and the Program Support Center, 
Division of Commissioned Personnel, HHS; (2) advises the Director, IHS 
supervisors, administrators and managers, officers and dependents on 
commissioned personnel benefits, policies, procedures, regulations, as 
the IHS primary point of contact for commissioned personnel management; 
(3) develops policies, procedures, and recommendations to the Division 
of Commissioned Personnel; and (4) provides direct support to the 
Director, IHS and/or the Agency Representative to the Office of the 
Surgeon General; and (5) produces resource materials and conducts 
training sessions on commissioned personnel issues for officers, 
supervisors, and commissioned personnel specialists in IHS Area 
Offices.

Division of Administrative Services (DAS) (GAC2)

    (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 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, layout, inventories, and print order tracking for 
IHS publications; and (7) manages a variety of special projects.
    Office Services Branch (OSB) (1) Administers physical security, 
supply, and space management services for Headquarters; (2) develops 
and disseminates policy and procedural guidelines for uniform office 
service programs; (3) provides leadership and coordination in planning, 
development, operation, and evaluation of special office support 
programs in small purchase acquisitions, facilities management, office 
relocations, lease acquisition, GSA supplies, equipment, furniture, 
telecommunications, transportation, mail management, forms management, 
photocopying, and printing; (4) manages Headquarters facilities 
program, physical security, motor vehicles, personal property, special 
projects and interagency activities; (5) develops and recommends 
policies and procedures for the protection and disposition of IHS 
records and oversees the evaluation of Records Management activities in 
the IHS; (6) provides leadership for special projects and interagency 
activities; (7) develops and recommends policies and procedures for the 
protection and disposition of IHS records; (8) oversees the evaluation 
of Records Management activities in the IHS; (9) provides leadership 
and guidance for the Agency Records Management Program; and (10) 
develops and implements a management control system for evaluation of 
records management functions agency wide.
    Property and Supply Management Branch (PSMB) (1) Plans, develops, 
and administers the IHS policies on personal property management in 
conformance with Federal personal property management laws, 
regulations, policies, procedures, practices, and standards; (2) 
interprets regulations and provides advice on execution and 
coordination of personal property management policies and programs; (3) 
administers management systems and methods for planning, utilizing, and 
reporting on administrative personal property management programs, 
including the IHS personal property accountability and controls 
systems; (4) provides guidance and serves as principal administrative 
authority on Federal personal property management laws, regulations, 
policies, procedures, practices, and standards; (5) conducts surveys 
and studies involving evaluation and analysis of the personal property 
management activities IHS-wide; (6) maintains liaison with the 
Department and the GSA on personal property management issues and 
programs affecting the IHS; (7) prepares reports on IHS personal 
property; and (8) develops statements for annual budget formulation and 
presentation.

Division of Acquisitions Policy (DAP) (GAC3)

    (1) Develops, recommends, and oversees the implementation of 
policies and procedures and delegations of authority for the 
acquisition management activities in the IHS, consistent with 
applicable regulations, directives, and guidance from higher echelons 
in the Department and Federal oversight agencies; (2) advises the 
Director, Office of Management Services, of proposed legislation, 
regulations, and directives that affect contracts in the IHS; (3) 
provides leadership for compliance reviews of all IHS procurement 
operations and oversees completion of necessary corrective actions; (4) 
manages the Department acquisition training and certification and the 
project officer

[[Page 41831]]

training programs in the IHS; (5) supports and maintains the IHS 
Contract Information System and controls entry of data into the HHS 
Contract Information System; (6) is the IHS contact point for contract 
protests, and the Department contact for contract-related issues; (7) 
reviews and makes recommendations for approval/disapproval of contract-
related documents such as: pre- and post-award documents, unauthorized 
commitments, procurement planning documents, Justification for Other 
Than Full and Open Competition, waivers, deviations, and determinations 
and findings that require action by the Agency Principal Official 
Responsible for Acquisition, the Agency Head of Contracting, or the 
Office of the Secretary; (8) processes unsolicited proposals for the 
IHS; (9) coordinates the IHS Small, Disadvantaged, and Women-Owned 
Business programs; (10) oversees compliance with the Buy Indian Act; 
and (11) provides advice to the Agency officials negotiating inter and 
intra-agency agreements, in accordance with the IHS agreements program.

Division of Grants Policy (DGP) (GAC4)

    (1) Directs Grants management and operations for the IHS; (2) 
develops, recommends, and oversees the implementation of policies, 
procedures and delegations of authority for IHS grants management 
activities, including grants added to Self-Governance compacts; (3) 
ensures that Agency policies and practices are consistent with 
applicable regulations, directives, and guidance from higher echelon in 
the Department and Federal oversight agencies; (4) awards and 
administers grants and cooperative agreements for IHS financial 
assistance programs; (5) provides leadership for the resolution of 
audit findings for grant programs; (6) manages the Department Grants 
Training and Certification programs for IHS; (7) conducts oversight 
compliance reviews of IHS grants operations, and recommends and 
oversees completion of necessary corrective actions; (8) reviews and 
makes recommendations for improvements in grantee and potential grantee 
management systems; (9) is the IHS liaison with Congress, the 
Department, and the public for grants and other financial assistance 
programs within the IHS; (10) maintains the Catalog of Federal Domestic 
Assistance for IHS financial assistance programs; (11) conducts grants-
related training for IHS staff, grantees, and potential grantees; (12) 
coordinates payment to grantees including scholarship recipients; and 
(13) establishes and maintains the IHS automated Grants Information 
System and controls data entry into the HHS Grants Management 
Information System.

Division of Regulatory and Legal Affairs (DRLA) (GAC5)

    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 and administrative support 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 that IHS' appeals processes meet legal 
standards; (10) advises on and 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 aspects and state Medicaid 
waiver applications; (12) advises on the administration of the contract 
health services (CHS) appeals system and is a participant in the 
Director's CHS appeal decisions; (13) in collaboration with the Public 
Affairs Staff, manages the retrieval and transmittal of information in 
response to requests received under the FOIA or the Privacy Act; (14) 
ensures the security of sensitive and/or confidential information when 
responding to FOIA or Privacy Act ; and (15) advises the Director, IHS 
regarding requests for IHS employees to serve as expert witnesses when 
IHS is not a party to the suit.
    Regulations and Records Access Branch (RRAB) (1) Manages the 
Agency's regulation program and responsibilities; (2) provides liaison 
with the Office of the Federal Register; (3) advises on the need for or 
changes in current regulations; (4) develops or assures the development 
of IHS regulations; (5) keeps IHS officials informed on relevant 
regulatory activities of other agencies of the Government; (6) 
coordinates regulations activities with agencies within the Department 
that impact on the delivery of health services to Indians; (7) 
maintains and updates the various regulatory agendas; (8) assures that 
all IHS materials for publication in the Federal Register are properly 
cleared, processed, and in proper format; (9) manages the retrieval, 
review, and appropriate transmittal of information in response to FOIA 
requests including ensuring the appropriate security of such documents; 
(10) manages, administers, implements and monitors the agency's 
Paperwork Reduction Act (PRA) and OMB information collection/
activities; (11) provides guidance and technical assistance to IHS 
regarding information collection requirements and procedures and in 
obtaining OMB approvals and extensions for IHS information collections; 
and (12) coordinates the implementation and the application of Privacy 
Act requirements, including but not limited to Health Insurance 
Portability and Accountability Act implementation, and compliance.
    Legal Affairs Branch (LAB) (1) Coordinates the resolution of and 
the development of legal advice to the Director on IHS legal issues 
with the OGC, IHS senior staff, and other Federal agencies; (2) 
provides liaison with the OGC in such matters as litigation, 
regulations, legislation, policy review, civil rights, and 
administrative appeals; (3) provides advice on the development and 
implementation of non-personnel appeals processes to assure they meet 
legal standards; (4) maintains and distributes the Compendium of Legal 
Opinions; (5) reviews IHS directives and other issuances for needed 
legal clearances; (6) advises on the impact on IHS and the Indian 
community of state and Federal health reforms; and (7) provides policy 
review and advice on the need for or application of legal opinions.

Division of Human Resources (DHR) (GAC6)

    (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,

[[Page 41832]]

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; and (7) represents IHS in all personnel management matters.
    Human Resources Advisory Branch (HRAB) (1) Plans, conducts, and 
evaluates personnel functional programs; (2) develops IHS personnel 
policies, programs, and reports; (3) provides personnel program and 
policy advice and assistance throughout IHS; (4) provides advice and 
assistance to IHS management and Tribal officials on Tribal health 
program personnel policies; and (5) develops and implements Indian 
Preference policies and procedures.
    Human Resources Operations Branch (HROB) (1) Plans and implements 
personnel servicing responsibilities for IHS programs covered by the 
headquarters appointing authority, including staffing, recruitment, 
classification, pay administration, and employee relations; (2) 
provides staff support for the establishment and recruitment of Senior 
Executive Service positions including performance management, 
compensation and award nominations; (3) processes personnel actions and 
appoints all civil service employees; and (4) provides advice and 
training on timekeeping and pay administration.

Office of Clinical and Preventive Services (OCPS) (GAD)

    (1) Serves as the primary source of national advocacy, policy 
development, budget development and allocation for clinical, 
preventive, and public health programs for the IHS, Area Offices, and 
Service Units; (2) provides leadership in articulating the clinical, 
preventive, and public health needs of AI/AN including consultation and 
technical support to clinical and public health programs; (3) develops, 
manages, and administers program functions that include, but are not 
limited to, alcohol and substance abuse, behavioral health, chronic 
diseases such as diabetes, asthma, etc., dental services, medical 
services, domestic violence, pharmacy and pharmaceutical acquisition, 
community health representatives, emergency medical services, health 
records, disabilities, Human Immunodeficiency Virus (HIV)/Acquired 
Immune Deficiency Syndrome (AIDS), maternal and child health, clinical 
nursing, professional credentialing, public health nursing, women's 
health, nutrition and dietetics, and elder care; (4) investigates 
service delivery and community prevention evidence-based and best 
practice models for dissemination to community service locations; (5) 
expands the availability of resources available for AI/AN health by 
working with public and private entities as well as Federal agencies 
within and outside DHHS; (6) in collaboration with the Office of 
Environmental Health and Engineering, coordinates development of 
staffing requirements for new or replacement health care facilities and 
approves Congressional budget requests for staffing; (7) provides 
program oversight and direction for the facilities planning and 
construction process; (8) develops and coordinates various Health 
Initiative and Nursing grant programs; (9) provides the national focus 
for recruitment and retention of health professionals and coordinates 
with the scholarship and loan repayment programs; (10) works with the 
Contract Health Services (CHS) program on CHS denial appeals to the 
Director and in determining CHS medical priorities; (11) manages the 
clinical (medical, nursing, pharmacy, dental) features of medical tort 
claims against the IHS; (12) works with OMS in managing the clinical 
aspects of IHS workman's compensation claims; (13) oversees IHS efforts 
in a variety of quality assurance and improvement activities including 
patient safety; (14) responsible for approximately one half of the IHS' 
Government Performance and Results Act (GPRA) indicators, overseeing 
indicator development, data collection, and reporting results; and (15) 
participates in cross-cutting issues and processes including but not 
limited to emergency preparedness/security, budget formulation, Self-
Determination issues, border health initiatives, Tribal delegation 
meetings, and Tribal shares computations and resolution of audit 
findings as may be needed and appropriate.
    Emergency Preparedness and Emergency Medical Services Staff 
(EPEMSS) (1) Provides overall direction and leadership for the IHS in 
regard to establishing IHS goals and objectives consistent with those 
of the Department of Homeland Security and DHHS, addressing the mission 
critical elements of emergency preparedness; (2) provides leadership 
for the development of emergency preparedness plans, policies and 
services, including the continuity of operations plans, deployment, 
public health infrastructure, and emergency medical services; (3) 
coordinates IHS activities and resources with the activities and 
available resources of other government and non-government programs for 
essential services related to homeland security and emergency 
preparedness; and (4) advocates for the emergency preparedness needs 
and concerns of AI/AN and promotes these program activities at the 
local, state, national, and international levels; and (5) advocates and 
coordinates support for tribal emergency medical services programs, 
including training and equipment.

Division of Behavioral Health (DBH) (GAD1)

    (1) Applies identified profession and program standards, monitors 
and evaluates community and Area-wide services provided through grants 
or contracts with AI/AN Tribes, Villages, organizations, and direct IHS 
operations for mental health, social services, and alcohol/substance 
abuse; (2) coordinates AI/AN community behavioral health programs 
including alcohol/substance abuse prevention and treatment, mental 
health, and social work with program directors, division staff, Area 
staff, and other agencies and institutions; (3) coordinates contracts 
and grants for behavioral health services and monitors services 
provided; (4) makes program and policy changes using data analysis, 
recommendations from operational levels, research results, and 
coordinates resource allocation from program policies; (5) provides 
behavioral health program consultation to AI/AN groups and IHS staff; 
(6) provides leadership in the identification of behavioral change 
interventions and supports implementation at the community level; (7) 
coordinates with state, Federal, professional, private, and community 
organizations on alternate health care resources; (8) works with other 
Federal agencies and departments to provide additional Federal 
resources for AI/AN behavioral health programs; (9) provide financial 
resources and programmatic oversight for complying with the Americans 
With Disabilities Act through programs such as the Indian Children's 
Program and for elders through partnerships with the Administration on 
Aging and the National Indian Council on Aging; (10) measures and 
evaluates the quality of behavioral health care services; and (11) 
prepares information on behavioral

[[Page 41833]]

health and budgetary hearings, and program evaluation results for the 
IHS Director, the Congress, and the Administration.

Division of Clinical and Community Services (DCCS) (GAD2)

    (1) Manages, develops, and coordinates a comprehensive clinical, 
preventive and public health approach to clinical and community 
programs focusing on maternal and child health, Indian children 
services including Head Start and Early Head Start Health Programs, 
medicine, nutrition, HIV/AIDS, pharmacy, laboratory, health records, 
health education, and health promotion and disease prevention; (2) 
develops objectives, priorities and methodologies for the conduct and 
evaluation of clinical, preventive and public health and community 
health-based programs; (3) provides, develops, and implements IHS 
guidelines, standards, policies, and procedures on clinical, preventive 
and public health and community based programs and initiatives; (4) 
monitors, evaluates, and provides consultation to clinical and 
community programs; (5) plans jointly with other programs and divisions 
of the IHS and other agencies on research and coordination of services; 
(6) coordinates professional staff recruitment and training needs, and 
scholarship recipient assignments and development to meet Service Unit, 
Area, and Tribal health professional human resource needs; (7) in 
collaboration with the Division of Acquisitions Policy and the Division 
of Grants Policy, coordinates and monitors contracts and grants with 
IHS programs and other entities; (8) develops and disseminates 
information and materials to IHS facilities and to Tribes and Urban 
Indian health programs; (9) responsible for resource management, 
program data collection, administrative system integrity and 
accountability by developing program budget materials and responding to 
Congressional and Departmental inquiries; and (10) manages the 
Veteran's Administration Pharmaceutical Prime Vendor Contract and IHS 
National Core Formulary.

Division of Nursing Services (DNS) (GAD3)

    (1) Plans, develops, coordinates, evaluates, manages and advocates 
for the IHS Nursing Services, Women's Health, and Community Health 
Representative Program; (2) identifies and establishes standards for 
these programs; (3) provides leadership, professional guidance, and 
staff development; (4) plans, develops, coordinates, manages, and 
evaluates nursing education; (5) coordinates professional staff, 
including nursing recruitment, scholarship recipients, assignment and 
development to meet Service Unit, Area, and Tribal needs in accordance 
with IHS policies and procedures; (6) provides guidance in planning, 
developing, and maintaining management information systems; and (7) 
prepares budgetary data, analysis and program evaluations and prepares 
information for program and budget presentations and Congressional 
hearings.

Division of Oral Health (DOH) (GAD4)

    (1) Plans, develops, coordinates, and evaluates dental health 
programs; (2) establishes staffing, procedural, facility, and dental 
contract standards; (3) coordinates professional recruitment, 
assignment, and staff development; (4) represents dental staff and Area 
Dental Programs in personnel matters, including the monitoring of 
personnel orders for both appointments and transfers, establishing 
promotion priority lists, processing special pay and retention bonus 
contracts, and being the HQ representative on adverse action cases; (5) 
improves effectiveness and efficiency of dental programs; (6) develops 
resource opportunities and monitors utilization of resources for dental 
health programs; (7) formulates, allocates and analyzes dental program 
budget and prepares information for program and budget presentations 
and Congressional inquiries; (8) advocates for oral health needs of AI/
AN population; (9) coordinates health promotion and disease prevention 
activities for the dental program; (10) monitors oral health status and 
treatment needs of the AI/AN population; (11) provide clinical and 
technical support to field staff by way of oral health surveys, 
provision of clinical trials, consultation on treatment cases, 
publication of quarterly newsletter and serving as liaison with public 
and private institutions and major universities to evaluate new and 
existing strategies to address oral health problems in AI/AN; (12) 
serves as the liaison for the IHS Division of Oral Health with other 
agencies in the USPHS and other Federal agencies; (13) serves as main 
source of information transfer to field staff via mediums including, 
but not limited to, teleconference hookups, electronics (email/
listservs), conventional mail and meeting attendance; and (14) maintain 
and distribute information from the IHS centralized dental database, 
including workload, program resource directories and exploring the 
applicability of new health informatics technologies and systems.

Division of Diabetes Prevention and Control (DDPC) (GAD5)

    (1) Plans, manages, develops, coordinates, and evaluates a 
comprehensive clinical and community program focusing on type 2 
diabetes in AI/AN communities; (2) plans, manages, develops, 
coordinates, and evaluates the Congressionally-mandated Special 
Diabetes Program for Indians, a large grant program focused on the 
prevention and treatment of diabetes; (3) coordinates and monitors 
contracts and grants with IHS, Tribal, and Urban Indian health programs 
and other entities; (4) develops objectives, priorities and 
methodologies for the conduct of clinical and community diabetes 
programs; (5) monitors, evaluates, and provides consultation to 
clinical and community diabetes grant programs and other new 
initiatives; (6) provides leadership, professional guidance, and staff 
development to Area Diabetes Consultants, Model Diabetes Programs and 
Diabetes Field Coordinators; (7) coordinates diabetes training needs 
for Service Units, Areas, and Tribes; (8) develops and implements IHS 
standards of care, clinical guidelines and policies and procedures for 
diabetes and diabetes-related conditions; (9) coordinates model 
diabetes program sites; (10) develops and disseminates diabetes-related 
information and materials to IHS, Tribes and Urban Indian health 
programs; and (11) responsible for preparing budgetary data, analysis 
and program evaluations for budget presentations and Congressional 
hearings.

Office of Environmental Health and Engineering (OEHE) (GAE)

    (1) Advises and supports the Director, IHS on policy, budget 
formulation, and resource allocation regarding environmental health and 
engineering activities of IHS and Tribal facilities programs; (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) serves as the 
primary source of technical advice for the IHS Director, Headquarters, 
Area offices, Tribal, and Urban public health programs on the full 
scope of health care facilities construction and operations, sanitation 
facilities construction (SFC) and

[[Page 41834]]

management, environmental health services, environmental engineering, 
clinical engineering, and realty services management; (5) develops and 
recommends policies, administrative procedures and guidelines for Pub. 
L. 93-638 construction activities; (6) develops objectives, priorities, 
standards, and methodologies to conduct and evaluate environmental 
health, environmental engineering, and facilities engineering and 
management activities; (7) coordinates the formulation of the IHS 
Facilities Appropriation budget request and responds to all inquiries 
about the budget request and programs funded by the IHS Facilities 
Appropriation; (8) maintains needs-based and workload-based 
methodologies for equitable resource distribution for all funds 
appropriated under the IHS Facilities Appropriation; (9) provides 
leadership, consultation, and staff development to assure functional, 
safe, and well-maintained health care facilities, a comprehensive 
environmental health program, and the availability of water, sewer, and 
solid waste facilities for Indian homes and communities; (10) in 
collaboration with the Office of Clinical and Preventive Services, 
coordinates the IHS OEHE responsibilities in responding to disasters 
and other emergency situations; and (11) participates in cross-cutting 
issues and processes including but not limited to emergency 
preparedness/security, budget formulation, Self-Determination issues, 
and Tribal shares computations and resolution of audit findings as may 
be needed and appropriate.

Division of Sanitation Facilities Construction (DSFC) (GAE1)

    (1) Develops, implements, and manages the environmental engineering 
programs, including the Sanitation Facilities Construction (SFC) 
program, and compliance activities associated with environmental 
protection and historic preservation legislation; (2) provides agency-
wide management assistance and special support/consultation to address 
special environmental public health problems for environmental 
engineering/construction activities, and for compliance with 
environmental legislation; (3) works closely with other Federal 
agencies to resolve environmental issues and maximize benefits to 
Tribes by coordinating program efforts; (4) develops, implements, and 
evaluates agency program activities, objectives, policies, plans, 
guidelines, and standardized data systems for SFC activities; (5) 
consults with Tribal groups/organizations in the development and 
implementation of SFC policies and initiatives, and in the 
identification of sanitation needs; (6) maintains a national inventory 
of current Tribal sanitation facilities needs, and past and present 
projects to address those needs; and (7) in collaboration with the OFA, 
allocates financial resources nationwide based on need and workload 
using the national data inventories.

Division of Facilities Operations (DFO) (GAE2)

    (1) Develops, implements, and manages the programs affecting health 
care facilities operations, including the routine maintenance and 
improvement, real property asset management, quarters, and clinical 
engineering programs; (2) develops, implements, monitors and evaluates 
agency program activities, objectives, policies, plans, guidelines, and 
standardized data systems for health care facilities operations; (3) 
serves as principal resource for coordination of facilities operations 
and provides consultation to IHS and the Tribes on health care 
facilities operations; (4) maintains real property asset and quarters 
management systems; (5) maintains clinical engineering management 
systems; (6) formulates financial resources allocation methodologies 
nation-wide based on need and workload data; (7) maintains nation-wide 
data on Federal and Tribal facilities for program budget justification; 
(8) develops and evaluates technical standards and guidelines for 
health care facilities operations; and (9) monitors construction 
activities and the improvement, alteration, and repair of health care 
facilities.

Division of Facilities Planning and Construction (DFPC) (GAE3)

    (1) Develops, implements, and manages IHS Health Care Facilities 
Planning and Construction program, including the facilities planning 
process, facilities design process, facilities acquisition, and 
construction project management; (2) develops, implements, monitors, 
and evaluates agency program activities, objectives, policies, plans, 
guidelines, and standardized data systems for health care facilities 
planning and construction; (3) develops and maintains construction 
priority systems and with the Division of Engineering Services develops 
project budget documents for the health care facilities construction 
program; (4) serves as the principal resource in providing leadership, 
guidance, and coordination of health care facilities engineering 
activities for the IHS Headquarters and Area offices, and Tribal and 
Urban health programs; (5) evaluates justifications for major 
improvement and alteration projects and other large scale construction 
activities; and (6) develops and evaluates technical standards and 
guidelines for health care facilities construction.

Division of Environmental Health Services (DEHS) (GAE4)

    (1) Develops, implements, and manages IHS Environmental Health 
Services programs including the Injury Prevention and Institutional 
Environmental Health programs, and serves as the primary source of 
technical and policy advice for IHS Headquarters and Area offices on 
the full scope of environmental health issues and activities; (2) 
maintains interagency relationships with other Federal agencies and 
Tribes to maximize interagency and inter-Tribal responses to 
environmental health issues and maximize benefits to Tribes by 
coordinating program efforts; (3) provides leadership in identifying 
and articulating environmental health needs of AI/AN populations and 
support efforts to build Tribal capacity; (4) provides personnel 
support services and advocates for environmental health providers; (5) 
maintains, analyzes, makes accessible, and publishes results from 
national data bases; (6) manages resource allocation activities in 
accordance with established criteria based on workload; (7) develops 
and evaluates standards and guidelines for environmental health 
programs and activities; and (8) performs functions related to 
environmental health programs such as injury prevention, emergency 
response, water quality, food sanitation, occupational health and 
safety, solid and hazardous waste management, environmental health 
issues in health care and non-health care institutions, and vector 
control.

Division of Engineering Services (Dallas/Seattle) (DES) (GAE5)

    (1) Administers health care facilities engineering and construction 
projects for specified Area offices and administers the engineering and 
construction of certain projects for other Federal agencies through 
interagency agreements; (2) carries out management activities relating 
to IHS-owned and utilized health care facilities, including 
construction, contracting, realty, and leasing services; (3) serves as 
the source of engineering and contracting expertise for assigned 
programs/projects and other technical programmatic areas affecting the 
planning, design, alteration, leasing, and construction of

[[Page 41835]]

IHS health care and sanitation facilities for Indian homes and 
communities; and (4) assists in the development of Area office annual 
work plans, studies, investigations, surveys, audits, facilities 
planning, and technical standards development, for IHS owned and Tribal 
health care facilities.

Office of Public Health Support (OPHS) (GAF)

    (1) Advises and supports the Director, IHS on policy, budget 
formulation, and resource allocation regarding the operation and 
management of IHS direct, Tribal, and Urban public health programs; (2) 
provides IHS-wide leadership, guidance and support for public health 
program and activities including strategic planning, evaluation, GPRA, 
research, epidemiology, statistics, and health professions; (3) 
provides agency-wide leadership and consultation to IHS direct, Tribal, 
and Urban public health programs on IHS goals, objectives, policies, 
standards, and priorities; (4) advocates for the public health needs 
and concerns of AI/AN and promotes quality health care; (5) manages and 
provides national leadership and consultation for IHS on assessments, 
public health and medical services, research agendas, special pay and 
public health initiatives for the agency; and (6) provides national 
leadership for the IHS scholarship and loan repayment programs, 
including physician recruitment; (7) supports and advocates for AI/AN 
to access state and local public health programs; (8) participates in 
cross-cutting issues and processes including but not limited to 
emergency preparedness/security, budget formulation, Self-Determination 
issues, and Tribal shares computations and resolution of audit findings 
as may be needed and appropriate.

Division of Epidemiology (GAF1)

    (1) Prevents and controls chronic and communicable disease through 
epidemiology and applied public health practice; (2) builds capacity in 
Tribal communities through a network of Tribal Epidemiology Centers; 
(3) collaborates with the Centers for Disease Control and Prevention 
(CDC) staff detailed to the Division from the CDC; (4) describes 
causes, patterns, and risk factors for disease and death, and develops 
public health policy; (5) serves IHS and Tribal communities through: 
Disease surveillance, health data management, analysis and reporting, 
community surveys, emergency response, training in public health 
practice and epidemiology, consultation to clinicians and technical 
support for public health activities and assessment of public health 
system performance; (6) supports epidemiology, disease control, and 
prevention programs for chronic diseases, including cancer, tobacco 
control, cardiovascular disease, diabetes, kidney disease, 
environmental health, maternal and child health, and others; and (7) 
supports epidemiology, disease control, and prevention programs for 
communicable diseases, including tuberculosis, HIV/AIDS, other 
sexually-transmitted diseases, hepatitis, hantavirus, antibiotic-
resistant infections, immunizations, bioterrorism preparedness and 
others.
    Chronic Disease Branch (CDB) (1) Supports epidemiology, disease 
control, and prevention programs for chronic diseases, including 
cancer, tobacco control, cardiovascular disease, diabetes, kidney 
disease, environmental health, maternal and child health, and others.
    Infectious Disease Branch (IDB) (1) Supports epidemiology, disease 
control, and prevention programs for communicable diseases, including 
tuberculosis, HIV/AIDS, other sexually-transmitted diseases, hepatitis, 
Hantavirus, antibiotic-resistant infections, immunizations, 
bioterrorism preparedness, and others.

Division of Program Statistics (DPS) (GAF2)

    (1) Plans, develops, directs, and coordinates an analytical 
statistical reporting program to provide data for measuring the health 
status and unmet health needs of AI/AN; (2) develops and coordinates 
the collection, processing, and analysis of demographic, patient care, 
and clinical data for the agency; (3) maintains, analyzes, makes 
accessible, and publishes results from national demographic and 
clinical analyses; and (4) provides statistical and analytical 
consultation to other divisions and agencies.
    Demographics Staff (DS) (1) Plans, develops and executes a major 
nationwide statistical program for the collection, processing, analysis 
and dissemination of demographic characteristics of AI/AN population 
located throughout the United States; (2) coordinates with the National 
Center for Health Statistics the analysis and reporting of vital event 
information for AI/AN population; and (3) provides statistical and 
analytical consultation to other divisions and agencies.
    Patient Care Statistics Staff (PCSS) (1) Plans, develops and 
executes a major nationwide statistical program for the collection, 
processing, analysis and dissemination of demographic data and special 
studies with emphasis on health and demographic characteristics of AI/
AN population located throughout the United States; (2) evaluates 
facility workload trends and participates in the development of 
methodologies for constructing long-range estimates of impatient and 
ambulatory care workloads for use in facility construction and 
planning; and (3) coordinates with the IHS National Data Repositories 
the analysis and reporting of program, patient care and clinical data 
for the agency.

Division of Planning, Evaluation and Research (DPER) (GAF3)

    (1) Develops and coordinates agency strategic planning and 
performance measurement efforts (including GPRA and PART) with 
budgeting requirements in consultation with IHS program staff; (2) 
provides consultation and coordination on the IHS budget formulation 
activity for planning and data purposes; (3) conducts, facilitates, 
solicits, coordinates, and evaluates community-oriented practice-based 
research related to health problems and the delivery of care to AI/AN 
people and communities with a major focus on improving the health 
status and systems of care; and (4) provides guidance and support for 
IHS-wide program evaluation projects.

Division of Health Professions Support (DHPS) (GAF4)

    (1) Develops and implements IHS programs to recruit, select, 
assign, and retain health care professionals and coordinates these 
activities with the respective disciplines; (2) assesses professionals 
staffing needs and coordinates the development of strategies and 
systems to satisfy these needs; (3) coordinates the planning and 
development of IHS strategies and systems to improve the morale and 
retention of all professionals; (4) coordinates Headquarters activities 
for physician residency and training programs; (5) coordinates the IHS 
National Health Service Corps (NHSC) program, including liaison and 
assignment of NHSC scholarship recipients to IHS; (6) develops priority 
sites for the loan repayment program; (7) responsible for coordinating 
placement of professionals with loan repayment; (8) serves as IHS 
coordinator for pre-medical and medical school IHS scholarship 
recipients; (9) retrieves, establishes, and manages information and 
data on the IHS work force; and (10) conducts work force data analyses, 
including trends and projections, identifying work force needs by major 
personnel systems, categories, and disciplines.

[[Page 41836]]

    Health Professions Support Branch (HPSB) (1) Develops the IHS 
program to recruit, select, assign, and retain health care 
professionals, in accordance with policies and guidance provided the 
Division of Human Resources; (2) assesses IHS professional staffing 
needs; (3) provides research and analysis functions 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.
    Loan Repayment Branch (LRB) (1) Awards, monitors, places (in IHS, 
Tribal, and Urban sites), and processes waivers and defaults of 
participants in the Loan Repayment Program (LRP) as mandated by Section 
108 of the IHCIA; (2) coordinates the LRP payment and debt management 
function with the Program Support Center; and (3) coordinates program 
administration with the IHS Area office and Service Unit personnel, 
particularly placement activities, including Clinical Directors, Chief 
Medical Officers, and professional recruiters.
    Scholarships Branch (SB) (1) Develops, administers, and evaluates 
programs in the IHS Scholarship Program authorized under the IHCIA: 
Section 102 (Health Professions Recruitment Program for Indians), 
Section 103 (Health Professions Preparatory Scholarship Program for 
Indians), Section 104 (Indian Health Professions Scholarship Program), 
Section 105 (IHS Externs Program), Section 120 (Matching Grants to 
Tribes for Scholarship Programs), Section 217 (Indians Into Psychology 
Program), and other funded programs authorized under the IHCIA.

Office of Resource Access and Partnerships (ORAP) (GAG)

    (1) Provides agency-wide leadership and consultation to the IHS 
direct operations and Tribal programs on IHS goals, objectives, 
policies, standards and priorities regarding the operations and 
management of the Business Office Services (BOS) and the Contract 
Health Services (CHS) programs; (2) develops and implements objectives, 
priorities, standards, measures and methodologies for BOS and CHS 
services; (3) manages and provides leadership, advocacy, consultation 
and technical support to Headquarters, IHS Areas and local levels on 
the full scope of BOS and CHS activities; (4) represents the IHS at 
meetings and in discussions regarding policy, legislation and other 
national issues; (5) provides oversight and monitors the BOS and CHS 
programs regarding compliance requirements, utilization reviews and 
revenue measures and reports; (6) formulates and analyzes BOS and CHS 
budgets and prepares information for program budget presentations; (7) 
collaborates and coordinates with IHS information technology staff and 
external organizations on new technologies, applications and business 
practices; (8) develops resource opportunities and coordinates the BOS 
and CHS activities with other governmental and non-governmental 
programs, promoting optimum utilization of all available health 
resources; (9) maintains a database of all Agency memoranda of 
agreement and memoranda of understanding with external organizations; 
and (10) participates in cross-cutting issues and processes including 
but not limited to emergency preparedness/security, budget formulation, 
Self-Determination issues, and resolution of audit findings as may be 
needed and appropriate.

Division of Business Office Enhancement (DBOE) (GAG1)

    (1) Serves as the primary focal point for Business Office Services 
(BOS) program operations and policy issues and represents BOS in 
national forums; (2) provides consultation to Headquarters and Area 
offices and is liaison to Tribal organizations, HHS and OMB regarding 
BOS issues; (3) reviews and improves the efficiency of access to 
resources and provides support for local capacity building through 
technical assistance, training, consultation and information systems 
support; (4) develops, disseminates, and maintains BOS policy and 
procedures manual; (5) provides national leadership for Medicare, 
Medicaid, and private insurance reimbursement policy and procedures; 
(6) serves as the primary liaison with the Center for Medicaid/Medicare 
Services for rate setting; (7) serves as the focal point regarding 
Medicare and Medicaid 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; 
(8) provides programmatic management, review and analysis of 
information systems for patient registration and billing and 
collections systems; (9) assures training on operations, various 
regulatory issues and negotiated managed care provider agreements; and 
(10) responsible for developing third-party budget materials and 
responding to Tribal, Congressional and Departmental inquiries relating 
to third-party issues.

Division of Contract Care (DCC) (GAG2)

    (1) Plans, develops, and coordinates the Contract Health Service 
(CHS) program and required business practices; (2) develops, 
disseminates, and maintains CHS policy and procedures manual; (3) 
formulates and monitors the CHS budget and distribution methodologies; 
(4) administers the Catastrophic Health Emergency Fund; (5) administers 
the CHS Quality Assurance Fund; (6) administers the CHS claims 
adjudication activity for the IHS Headquarters; (7) monitors the 
implementation of the IHS payment policy and reports the status to the 
Director, ORAP; (8) administers the IHS Fiscal Intermediary contract; 
(9) conducts data analysis and national utilization review and 
utilization management of CHS services rendered by private sector 
providers; and (10) provides consultation to Headquarters and Area 
offices, and responds to inquiries from the Congress, Tribes, and other 
Federal agencies.
    Section GA-30, Indian Health Service--Order of Succession. During 
my 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) Deputy Director for Indian Health Policy
(3) Deputy Director for Management Operations
(4) Chief Medical Officer

    Section GA-40, Indian Health Service--Delegations of Authority. All 
delegations of authority and re-delegations 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 re-delegation.

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. The

[[Page 41837]]

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 (GHJ)
 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. Examples include:
    Administration and Management--Financial management, administrative 
and office services, contract/grant administration, procurement, 
personnel management, facilities management, management information 
systems, contract health 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 representatives services, urban Indian 
health, alcoholism and substance abuse, and health education;
    Health Programs--Primary care, clinical activities, mental health, 
nursing services, health promotion and disease prevention, professional 
recruitment and community services, and the Joint Commission on 
Accreditation of Healthcare Organizations;
    Environmental Health/Sanitation Facilities 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 is determined by 
each Area Director and continues in effect until changed.
    Section GF-40, IHS Area Offices--Delegations of Authority. All 
delegations and re-delegations 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 re-delegation.
    This reorganization shall be effective on August 23, 2004.

    Dated: July 2, 2004.
Charles W. Grim,
Director, Indian Health Service, Assistant Surgeon General.
[FR Doc. 04-15716 Filed 7-9-04; 8:45 am]
BILLING CODE 4160-16-P