[Federal Register Volume 69, Number 182 (Tuesday, September 21, 2004)]
[Notices]
[Pages 56433-56445]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-21131]


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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; 67 FR 46519, July 15, 
2002; and 68 FR 787-793, January 7, 2003; as last amended at 68 FR 
64357-64357, November 13, 2003; 68 FR 64357-64357-64358.)
    This notice reflects several organizational changes in the Health 
Resources and Services Administration. Specifically, this notice 
updates the functional statement of the Office of Planning and 
Evaluation (RA5); Office of Information Technology (RAG); Bureau of 
Primary Health Care (RC); Maternal and Child Health Bureau (RM); Bureau 
of Health Professions (RP); and the HIV/AIDS Bureau (RV). This notice 
also changes the organizational titles of the Special Programs Bureau 
(RR) to the Healthcare Systems Bureau and the Office of Management and 
Program Support (RS) to the Office of Administration and Financial 
Management. The major components of the reorganization, in addition to 
streamlining and delayering the organization, includes: (1) The 
transfer of the Ricky Ray Hemophilia/ Relief Fund Act of 1998 
administration from the Bureau of Health Professions (RP) to the 
Healthcare Systems Bureau (RR); (2) the transfer of the 340B Drug 
Pricing Program from the Bureau of Primary Health Care (RC) to the 
Healthcare Systems Bureau (RR); (3) the transfer of the Poison Control 
Center Enhancement and Awareness Act administration from the Maternal 
and Child Health Bureau (RM) to the Healthcare Systems Bureau (RR); (4) 
the consolidation of all grants and Federal assistance activities to 
the newly established Office of Federal Assistance Management (RJ); and 
(5) the transfer of the Border Health function from the Office of 
International Health Affairs (RAH) to the Office of Rural Health Policy 
(RH).

Chapter RA--Office of the Administrator

Section RA-10, Organization

    Delete in its entirety and replace with the following:
    The Office of the Administrator (OA) is headed by the 
Administrator, Health Resources and Services Administration, 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 International Health Affairs (RAH); and
    (8) Office of Information Technology (RAG)

Section RA-20, Functions

    (1) Delete the functional statements for the Office of Financial 
Policy and Oversight (RAJ); the Division of Financial Integrity (RAJ1); 
and the Division of Grants Policy (RAJ2) and move the functions to the 
newly established Office of Federal Assistance Management (RJ);
    (2) Delete the Division of Border Health (RAH1) and move the 
functions to the Office of Rural Health Policy (RH); and (3) Delete the 
functional

[[Page 56434]]

statements for the Office of Planning and Evaluation (RA5) and the 
Office of Information Technology (RAG) in their entirety and replace it 
with the following:

Office of Planning and Evaluation (RA5)

    (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 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, Healthy People activities and other Departmental 
and Agency initiatives; (7) analyzes and coordinates the information 
needs of the Agency, including coordination of the public use reports 
clearance function; (8) analyzes policy issues surrounding the 
application and promotion of healthcare information technology in HRSA 
programs; and (9) serves as the focal point for health systems 
organization and financing issues, with particular emphasis on the 
Agency's relationship with the Centers for Medicare and Medicaid 
Services and safety net providers.

Office of the Director and Chief Information Officer (RAG)

    Responsible for the organization, management, and administrative 
functions necessary to carry out the responsibilities of the CIO 
including: organization development, investment control, budget 
formulation and execution, policy development, strategic and tactical 
planning, and performance monitoring. The CIO provides leadership in 
the development, review and implementation of policies and procedures 
to promote improved information technology management capabilities and 
best practices throughout HRSA. The CIO coordinates IT workforce issues 
and works closely with the Departmental Office of Human Resources 
Management on IT recruitment and training. The Chief Technology Officer 
(CTO) is responsible for the HRSA emerging and advanced technology 
integration program consistent with HRSA missions and program 
objectives. The CTO manages technology planning and AV/multimedia 
technology support. The CTO provides leadership for strategic planning 
that leverages information systems security, program strategies, and 
advanced technology integration to achieve program objectives through 
innovative technology use.

Division of Electronic Information and Data Management (RAG1)

    Provides consultation, assistance, and services to HRSA to promote 
and manage communication and collaboration practices using Web 
technology. EIDM evaluates and integrates emerging technology to 
facilitate the translation of data and information into electronic or 
Web-enabled format for internal and external Web dissemination. EIDM is 
responsible for the collective design, deployment, and maintenance of 
HRSA's Web presence including development and implementation of World 
Wide Web-related policies and procedures. EIDM develops and maintains 
an overall knowledge management strategy for HRSA that is integrated 
with HHS and Government-wide strategies. EIDM identifies information 
needs across HRSA and develops approaches for meeting those needs using 
Web-based technologies. EIDM ensures that data required for enterprise 
information requirements are captured in appropriate enterprise 
applications; enhances and expands use and utility of HRSA's data by 
providing basic analytic and user support; develops and maintains a 
range of information products; and demonstrates potential uses of 
information in supporting management decisions.

Division of Capital Planning, Architecture and Security (RAG2)

    Performs long-range strategic planning, develops and implements an 
integrated HRSA Enterprise Architecture, prepares and submits HRSA IT 
Budget Exhibits to OMB, and manages the Agency's IT Security Program. 
CPAS develops and implements the Agency's Capital Planning and 
Investment Control (CPIC) policies and procedures in accordance with 
HHS standards, ensures the integration of CPIC business processes with 
budgeting, enterprise architecture, strategic planning, and maintains/
operates HRSA's IT Portfolio Management Tool (PMT). CPAS manages and 
implements the Agency-wide IT security program, which includes 
development and dissemination of HRSA IT security policy and guidance, 
monitoring of HRSA organizational components, and direction of the 
Agency's Incident Response Team. CPAS collaborates with Agency staff to 
oversee the implementation of security policy in the management of 
their IT systems, and directs all planning and auditing activities 
associated with FISMA or other departmental security initiatives. CPAS 
is responsible for coordinating the Agency's Enterprise Architecture 
(EA) efforts with the capital planning process, ensuring the 
suitability and consistency of technology investments with HRSA's EA 
and strategic objectives, and incorporating security standards as a 
component of the EA process. CPAS also provides leadership and 
establishes policy to address legislative or regulatory requirements, 
such as Government Paperwork Elimination Act, Section 508 of the 
Rehabilitation Act, or other information collection activities.

Division of Enterprise Solutions Development and Management (RAG3)

    Provides leadership, consultation, and IT project management 
services in the definition of Agency business applications 
architectures, the engineering of business processes, the building and 
deployment of applications, and the development, maintenance and 
management of enterprise systems and data collections efforts. ESDM is 
responsible for technology evaluation, application and data 
architecture definition, and data modeling and stewardship services for 
business process owners. ESDM facilitates business process engineering 
efforts, systems requirements definition, and provides oversight for 
application change management control. ESDM provides enterprise 
application user training, Tier-3 assistance, and is responsible for 
end-to-end application building, deployment, maintenance and data 
security assurance.

Division of IT Operations Management (RAG4)

    Provides leadership, consultation, and management services for 
HRSA's enterprise computing environment. ITOM directs and manages the 
support of HRSA network hardware, application servers, 
telecommunication network, communication devices, software licenses, 
workstation tools for navigation, backup, printing, mail/messaging, and 
Web server operation and management. ITOM controls infrastructure 
configuration management, installations and upgrades, security 
perimeter protection, and system resource access. ITOM

[[Page 56435]]

coordinates IT for Continuity of Operations Planning (COOP) Agency-wide 
and ensures adequate support for HRSA's COOP, including 
telecommunications to support emergency and COOP requirements. ITOM 
supports the telephone system requirements of the Agency and represents 
HRSA at working groups and committees addressing secure 
telecommunications issues.

Division of Business Services Management (RAG5)

    Provides consultation, assistance, and services to assist and 
empower Agency staff and external business partners in the application 
of information technology to support program objectives of HRSA. In 
support of HRSA's programs, BSM maintains and supports an Agency IT 
training center and is also responsible for a variety of career 
development and workforce IT training. BSM is accountable for IT life 
cycle management and tracking of Agency-wide IT capital equipment. BSM 
provides oversight for outsourced Tier-1 Help Desk Call Center 
activities and Tier-2 and Tier-3 technical assistance; maintains 
workstation hardware and software configuration management controls; 
and provides oversight of outsourced network and desktop services to 
staff in HRSA Regional Offices.

Chapter RC--Bureau of Primary Health Care

Section RC-10, Organization

    Delete in its entirety and replace with the following:
    The Bureau of Primary Health Care (BPHC) is headed by the Associate 
Administrator for Primary Health Care who reports directly to the 
Administrator, Health Resources and Services Administration. The BPHC 
includes the following components:
    (1) Office of the Associate Administrator (RC)
    (2) Office of Minority and Special Populations (RCE)
    (3) Division of Health Center Development (RCH)
    (4) Division of Health Center Management (RCJ)
    (5) Division of Clinical Quality (RCK)
    (6) Division of State and Community Assistance (RCL)
    (7) Division of National Hansen's Disease Program (RC7)
    (8) Division of Immigration Health Services (RC9)

Section RC-20, Functions

    (1) Delete the functional statement for the Office of Policy, 
Evaluation and Data (RCI); and (2) delete the functional statements for 
the Division of Health Center Development (RCH); the Division of 
Clinical Quality (RCK); and Division of Immigration Health 
Services(RC9) in their entireties and replace with the following:

Office of the Associate Administrator (RC)

    Provides overall leadership, direction, coordination, and strategic 
planning in support of Bureau programs. Specifically: (1) Has lead 
responsibility to bring primary health care services to the nation's 
neediest communities; (2) serves as a central point of contact for 
Bureau communication and information; (3) establishes program policies, 
goals, and objectives and provides oversight as to their execution; (4) 
interprets program policies, guidelines, and priorities; (5) 
stimulates, coordinates and evaluates program development and progress; 
(6) maintains effective relationships with HRSA, other Department and 
Health and Human Services (HHS) organizations, other Federal agencies, 
State and local governments, and other public and private organizations 
concerned with primary health and improving the health status of the 
Nation's underserved and vulnerable populations; and (7) plans, 
directs, coordinates and evaluates Bureau-wide administrative 
management activities; (8) assures the BPHC's funding recommendations 
are consistent with authorizing legislation, program expectations and 
HHS and HRSA policies; (9) provides leadership, direction and overall 
coordination of the analysis and clearance of policy across the bureau; 
(10) provides leadership, direction, and overall coordination of the 
analysis and clearance of policy across Bureau programs; (11) serves as 
the focal point for the development and monitoring of the Bureau's 
Strategic Plan and annual spending plans; (12) serves as focal point 
for external communication, publication, and dissemination; (13) 
provides consultation to and coordinates activities with other 
components within HRSA, other Federal agencies, consumer and 
constituency groups, national and state organizations involved in 
policy; and (14) manages the Bureau's executive secretariat functions; 
(15) serves as focal point to design, establish and implement an 
evaluation for assessing and improving program performance; (16) 
directs and coordinates performance review and monitoring activities 
related to: GPRA, OMB, PART, GAO, OIG, and IOM reports; (17) 
coordinates and serves as the external liaison with governmental and 
private-sector advisory groups that have a policy and/or performance 
impact on the Bureau; (18) serves as the Bureau's principal source for 
management and administrative advice and assistance; (19) provides 
advice, guidance and coordinates personnel activities for the Bureau 
including EEO, timekeeping, labor relations, ethics; (20) directs and 
coordinates the allocation of personnel resources; (21) provides 
organization and management analysis, develops policies and procedures 
for internal operation and interprets and implements Bureau's 
management policies, procedures and systems; (22) develops and 
coordinates Bureau program and administrative delegations of authority 
activities; (23) provides guidance to the Bureau on financial 
management activities; (24) provides Bureau-wide support services such 
as COOP Plans, employee training, contracts, procurement, supply 
management, equipment utilization, printing, property management, space 
management, records management, and management reports; and (25) 
performs a range of functions relating to the awarding of appropriated 
funds, including Preview development, working with program staff on 
recommended grant actions, and maintaining commitment levels for Bureau 
grantees and programs.

Division of Health Center Development (RCH)

    Serves as the organizational focus of the competitive grant process 
for BPHC. Specifically, DHCD: (1) Provides leadership and direction, 
including tactical planning for the development and expansion of new 
health centers, health systems infrastructure; (2) provides pre-
application assistance to communities and community-based organizations 
related to health center development, health systems infrastructure 
development; and (4) provides consultation to and coordinates 
activities with other components within HRSA, other Federal agencies, 
consumer and constituency groups, national and state organizations 
involved in implementation of BPHC's competitive process.

Division of Clinical Quality (RCK)

    (1) Provides clinical and quality leadership for BPHC to meet the 
President's Initiative to expand health centers; (2) supports BPHC 
functions to assess the Nation's health care needs of underserved 
populations and to assist communities in providing primary health care 
services to the underserved in moving toward eliminating health

[[Page 56436]]

disparities; (3) provides leadership for implementing BPHC clinical and 
quality agenda; (4) serves as the focal point of leadership, 
coordination, and communication for BPHC clinical and quality 
activities; (5) provides leadership, direction and coordination for 
health workforce planning as it supports health center development; (6) 
supports BPHC through assessments of clinical, quality improvement, 
risk management, and patient safety activities to improve policies, and 
programs for primary health care services including clinical 
information systems; (7) coordinates BPHC clinical and quality liaison 
with other DHHS organizations, other Federal, State, and private 
agencies, and organizations for clinical and quality issues for 
community based primary health care for underserved populations; and 
(8) coordinates clinical technical assistance program for BPHC health 
professional and non-health professional staff; (9) carries out data 
collection and analysis activities that document the clients served and 
services funded by the Bureau programs; and (10) gathers and evaluates 
data on costs of publicly financed care and quality of the Bureau's 
health care programs.

Division of Immigration Health Services (RC9)

    Serves as the primary focal point for planning, management, policy 
formulation, program coordination, direction and liaison for all health 
matters pertaining to aliens detained by the U.S. Immigrations and 
Customs Enforcement (ICE), Department of Homeland Security (DHS) and 
for juvenile aliens through the Office of Refugee Resettlement (ORR). 
Additionally, DIHS is responsible for provision of direct primary 
health care at all ICE Service Processing Centers and selected contract 
detention facilities throughout the Nation. Specifically: (1) Works 
with ICE to plan, manage, formulate policy, coordinate programs, and 
provide direction and liaison for health matters pertaining to aliens 
detained by ICE, (2) manage ICE direct primary care facilities, conduct 
telehealth services, and assist in oversight of care provided in 
contract facilities; (3) ensures the efficient operation of a 
comprehensive health care delivery system by providing direction to a 
nationwide integrated health care system that includes direct delivery 
of care as well as managed care services; (4) develops and implements 
policy and guidelines relating to detained alien health, dental, and 
mental health screening and care; (5) provides liaison between ICE, 
DHS, ORR, other Department of Justice activities and other DHHS 
components; communicates with members of Congress and their staffs on 
behalf of ICE, Office of Management and Budget (OMB) staff, and 
national/international leaders at universities and in the private 
health care sector for all issues involving health care of detained 
aliens and as well as for emergency and certain preventive health care 
for ICE employees; (6) provides medical support including aviation 
medicine during removal and repatriation of aliens by ICE; (7) provides 
health care and public health services during deployment for designated 
special operations; (8) reviews and evaluates all ICE alien health 
activities in terms of unmet needs, operational improvement, and health 
and safety of both the health care facilities and detention 
environments; (9) coordinates payment for all off-site services 
arranged and authorized by DIHS; and (10) compiles statistical data of 
the health status of detained alien population and the cost of care 
within the DIHS and the care purchased outside of the ICE.

Chapter RH--Office of Rural Health Policy

Section RH-30, Functions

    Delete the functional statement for the Office of Rural Health 
Policy (RH) in its entirety and replace with the following:

Office of Rural Health Policy (RH)

    Serves as a focal point within the Department and as a principal 
source of advice to the Administrator and Secretary for coordinating 
efforts to strengthen and improve the delivery of health services to 
populations in the Nation's rural areas and border areas. Specifically, 
the Office of Rural Health Policy is responsible for the following 
activities: (1) Collects and analyzes information regarding the special 
problems of rural health care providers and populations; (2) works with 
States, State hospital associations, private associations, foundations, 
and other organizations to focus attention on, and promote solutions 
to, problems related to the delivery of health services in rural 
communities; (3) provides staff support to the National Advisory 
Committee on Rural Health and Human Services; (4) stimulates and 
coordinates interaction on rural health activities and programs in the 
Agency, Department and with other Federal agencies; (5) supports rural 
health center research and keeps informed of research and demonstration 
projects funded by States and foundations in the field of rural health 
care delivery; (6) establishes and maintains a resource center for the 
collection and dissemination of the latest information and research 
findings related to the delivery of health services in rural areas; (7) 
coordinates congressional and private sector inquiries related to rural 
health; (8) advises the Agency, Administrator and Department on the 
effects of current policies and proposed statutory, regulatory, 
administrative, and budgetary changes in the programs established under 
titles XVIII and XIX of the Social Security Act on the financial 
viability of small rural hospitals, the ability of rural areas to 
attract and retain physicians and other health professionals; (9) 
oversees compliance by Center for Medicare and Medicaid Services (CMS) 
with the requirement that rural hospital impact analyses are developed 
whenever proposed regulations might have a significant impact on a 
substantial number of small rural hospitals; (10) oversees compliance 
by CMS with the requirement that 10 percent of its research and 
demonstration budget is used for rural projects; (11) supports 
specialized rural programs on minority health, mental health, and 
agricultural health and safety; (12) plans and manages a nationwide 
rural health grants program; (13) plans and manages a program of grants 
to States to initiate and expand offices of rural health; (14) provides 
leadership and direction to coordinate the Agency's assets in border 
regions; (15) 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; (16) assures 
Agency-wide coordination by establishing border health program policies 
and procedures including tracking mechanisms; (17) conducts management 
and evaluation studies to improve the health delivery system on the 
border; (18) serves as the secretariat and chair for the Agency's 
Border Health Workgroup; (19) plans, directs, and coordinates the 
Agency's border health activities; and (20) plans, coordinates and 
facilitates the Agency agreements activities with border health issues.
    Establish the Office of Federal Assistance Management as follows:

Chapter RJ--Office of Federal Assistance Management

Section RJ-00, Mission

    To provide national leadership, oversight, and financial integrity 
assurances for the administration of HRSA's Federal assistance 
programs.

[[Page 56437]]

Section RJ-10, Organization

    The Office of Federal Assistance Management (OFAM) is headed by the 
Associate Administrator for Financial Assistance Management who reports 
directly to the Administrator, Health Resources and Services 
Administration. The OFAM includes the following components:
    (1) Office of the Associate Administrator (RJ)
    (2) Division of Financial Integrity (RJ1)
    (3) Division of Grants Policy (RJ2)
    (4) Division of Grants Management (RJ3)
    (5) Division of Independent Review (RJ4)

Section RJ-20, Functions

Office of Federal Assistance Management (RJ)

    Provides national leadership in the administration and assurance of 
the financial integrity of HRSA's programs and provides oversight over 
all HRSA activities to ensure that HRSA's resources are being properly 
used and protected. Provides leadership, direction and coordination to 
all phases of grants policy, administration and independent review. 
Specifically, (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; (3) facilitates, plans, directs and coordinates the 
administration of HRSA grant policies and operations; (4) plans, 
directs and carries out the grants officer functions for all of HRSA's 
programs; and (5) directs and carries out the independent review of 
grant applications for all of HRSA's programs.

Division of Financial Integrity (RJ1)

    (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.

Division of Grants Policy (RJ2)

    (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.

Division of Grants Management Operations (RJ3)

    (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 grants 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.

Division of Independent Review (RJ4)

    (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 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 HRSA's 
extramural grant activities; and (6) provides HRSA's Offices and 
Bureaus with the final disposition of all reviewed applications.

Chapter RM--Maternal and Child Health Bureau

Section RM-10, Organization

    Delete in its entirety and replace with the following:
    The Maternal and Child Health Bureau (MCHB) is headed by the 
Associate Administrator for Maternal and Child Health who reports 
directly to the Administrator, Health Resources and Services 
Administration. The MCHB includes the following components:
    (1) Office of the Associate Administrator (RM)
    (2) Office of Operations and Management (RM1)
    (3) Division of Services for Children with Special Health Needs 
(RM2)
    (4) Division of Child, Adolescent and Family Health (RM3)
    (5) Division of Research, Training and Education (RM4)
    (6) Division of Healthy Start and Perinatal Services (RM5)
    (7) Division of State and Community Health (RM6)
    (8) Office of Data and Program Development (RM7)

Section RM-20, Functions

    Delete the functional statements for the Division of Services for 
Children with Special Health Needs (RM2); the Division of Child, 
Adolescent and Family Health (RM3); the Division of Perinatal Systems 
and Women's Health (RM5); and the Office of Data and Information 
Management (RM7); in their entireties and replace with the following:

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

    Provides national leadership in planning, directing, coordinating, 
monitoring, and evaluating national programs focusing on the promotion 
of health and prevention of disease among children with special health 
care needs (CSHCN) and their families, with

[[Page 56438]]

special emphasis on the development and implementation of family-
centered, comprehensive, care-coordinated, community-based and 
culturally competent systems of care for such populations. 
Specifically, the Division carries out the following activities: (1) 
Administers a program that supports the development of systems of care 
and services for CSHCN and their families; (2) develops policies and 
guidelines and promulgates standards for professional services and 
effective organization and administration of health programs for CSHCN 
and their families; (3) accounts for the administration of funds and 
other resources for grants, contracts and programmatic consultation and 
assistance; (4) coordinates with other MCHB Divisions and Offices in 
promoting program objectives and the mission of the Bureau; (5) 
provides consultation and technical assistance to State programs for 
CSHCN and to local communities, consistent with a Bureau wide technical 
assistance consultation plan and in concert with other agencies and 
organizations; (6) provides liaison with public, private, professional 
and voluntary organizations on programs designed to improve services 
for CSHCN and their families; (7) develops and implements a national 
program for those at risk or living with genetic diseases, including a 
national program for persons with hemophilia, implementing a system of 
demonstration projects related to early identification, referral, 
treatment, education, and counseling information; (8) coordinates 
within this Agency and with other Federal programs (particularly Title 
XIX of the Social Security Act, Supplemental Security Income, 
Individuals with Disabilities Education Act, and others) to extend and 
improve comprehensive, coordinated services and promote integrated 
State-based systems of care for CSHCN, including those with genetic 
disorders, and their families; (9) promotes the dissemination of 
information on preventive health services and advances in the care and 
treatment of CSHCN, including those with genetic disorders, and their 
families; (10) participates in the development of strategic plans, 
regulatory activities, policy papers, legislative proposals, and budget 
submissions relating to health services for CSHCN, including those with 
genetic disorders, and their families; (11) provides a focus for 
international health activities of the Bureau for services for CSHCN 
and their families; (12) participates in the development of interagency 
agreements concerning Federal assignees to State MCH programs; (13) 
carries out a national program on traumatic brain injury, and (14) 
administers funds and other resources for grants, contracts, and 
cooperative agreements.

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

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

Division of Healthy Start and Perinatal Services (RM5)

    Provides national leadership in planning, directing, coordinating, 
monitoring, and evaluating national programs focusing on perinatal, 
infant and women's health to improve and strengthen the access, 
delivery, quality, coordination and information for services for the 
targeted populations, especially for the vulnerable and high-risk. 
Specifically, the Division is responsible for the following activities: 
(1) Administers national programs on perinatal and women's health with 
an emphasis on infant mortality reduction and prevention; (2) provides 
policy direction, technical assistance, and professional consultation 
on Division programs; (3) accounts for the administration of funds and 
other resources for grants, contracts and programmatic consultation and 
assistance; (4) coordinates with other Maternal and Child Health Bureau 
Divisions and Offices in promoting Division programs' objectives and 
the mission of the Bureau; (5) serves as the focal point within the 
Bureau in implementing programmatic requirements for the Division's 
programs; (6) coordinates Division programs within the Agency and with 
other Federal programs; (7) provides liaison with public, private, 
professional and voluntary organizations for Division programs; (8) 
disseminates information on Division programs; (9) participates in the 
development of strategic plans, regulatory activities, policy papers, 
legislative proposals, and budget submissions relating to Division 
programs; (10) provides a focus for international health activities of 
the Bureau for Division programs; and (11) administers funds and other 
resources for grants, contracts, and cooperative agreements.

Office of Data and Program Development (RM7)

    Provides leadership by carrying out the following two activities: 
(1) Identifies and analyzes data needs and

[[Page 56439]]

utilizes and implements a data strategy and program focusing on the 
promotion of health and prevention of disease among women of 
reproductive age, infants, children, adolescents and their families 
with special emphasis on the development and implementation of family-
centered, comprehensive, care-coordinated, community-based and 
culturally competent systems of care for such populations; and (2) 
serves as the Bureau focal point for the management of the planning, 
evaluation, legislation, and legislative implementation activities, 
including the development, coordination, and dissemination of program 
objectives, policy positions, reports and strategic plans. 
Specifically, the Office carries out the following data functions: (1) 
Develops, coordinates, and maintains a data and information system 
designed to improve implementation of Title V and other Bureau 
programs; (2) develops, coordinates, and implements systematic 
technical assistance and consultation on data and information systems 
and evaluation approaches to State and local agencies and organizations 
or groups concerned with infants, children, adolescents, and children 
with special health care needs (CSHCN); (3) through grants and 
contracts, provides support for a broad range of data collection, 
analyses and projects designed to improve the health status of infants, 
children, adolescents, and CSHCN; (4) coordinates and provides 
professional consultation and technical assistance to State and local 
agencies and organizations; (5) develops, coordinates and disseminates 
data; (6) plans, implements and monitors a system of placement of 
Federal employees assigned to State health agencies; (7) coordinates 
and monitors the placement of Centers for Disease Control and 
Prevention sponsored epidemiologists in State agencies; and (8) 
provides for data program coordination at all levels of Bureau program 
operations through analyses of program data, trends and other issues 
concerning scientific and policy matters, the provision of health 
services and data and information related to the promotion of health 
and prevention of disease among infants, children, adolescents, and 
CSHCN. In addition, the Office carries out the following program 
development functions: (1) Advises and assists the Associate 
Administrator for Maternal and Child Health and other Bureau staff in 
the development, coordination and management of strategic planning and 
policy documents, responses to departmental and HRSA initiatives, and 
information papers to support Bureau and Administration goals; (2) 
interprets evaluation requirements and develops, coordinates, and 
manages the preparation of the annual evaluation plans and activities, 
and conducts or contracts for specific evaluation projects related to 
the performance of MCHB programs; (3) develops, coordinates, and 
manages Bureau activities related to the development, clearance, and 
dissemination of Federal Register notices, guidelines, final grant 
reports, and periodic and annual reports to other Federal and non-
Federal agencies; (4) participates in the development of budget 
submissions including the Government Performance Review Act annual 
performance plan and the Office of Management and Budget Program 
Assessment Review Tool; (5) coordinates activities closely and 
continuously with the Office of Planning and Evaluation, and the MCHB 
Divisions and Offices in promoting program objectives and the mission 
of the Bureau; (6) provides liaison with public, private, professional, 
and voluntary organizations on programs related to MCHB planning and 
legislative issues; and (7) participates in international health 
activities of the Bureau.

Chapter RP--Bureau of Health Professions

Section RP-10, Organization

    Delete in its entirety and replace with the following:
    The Bureau of Health Professions (BHPr) is headed by the Associate 
Administrator for Health Professions who reports directly to the 
Administrator, Health Resources and Services Administration. The BHPr 
includes the following components:
    (1) Office of the Associate Administrator (RP)
    (2) Office of Workforce Evaluation and Quality Assurance (RPM)
    (3) Division of Medicine and Dentistry (RPC)
    (4) Division of State, Community and Public Health (RPE)
    (5) Division of Nursing (RP5)
    (6) Division of Health Careers Diversity and Development (RPD)
    (7) Division of National Health Services Corps (RPH)

Section RP-20, Functions

    Delete the functional statements for the Bureau of Health 
Professions (RP); the Office of Program Support (RP1); the Office of 
Planning and Policy (RPA); the Division of Practitioner Databanks 
(RPB); Division of Medicine and Dentistry (RPC); and the National 
Center for Health Workforce Analysis (RPL) in their entirety and 
replace with the following:

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) Directs the national health professions 
education, student assistance and development programs and activities; 
(2) provides policy guidance and staff direction to the Bureau; (3) 
maintains liaison with other Federal and non-Federal organizations and 
agencies with health personnel development interest and 
responsibilities; (4) provides guidance and direction for technical 
assistance activities in the international aspects of health personnel 
development; (5) provides guidance and assistance to the Regional 
Health Administrators or regional staff as appropriate; (6) directs and 
coordinates Bureau programs in support of Equal Employment Opportunity; 
(7) coordinates and provides guidance on the Freedom of Information Act 
and Privacy Act activities; (8) plans, directs, coordinates, and 
evaluates Bureau-wide administrative management activities; and (9) 
serves as the Bureau's focal point for correspondence control.

Office of Workforce Evaluation and Quality Assurance (RPM)

    Serves as the Bureau focal point for program planning, evaluation, 
coordination, and analysis, including analysis and operations review of 
Information Management systems; health professions data analysis and 
research; and for health professions quality assurance efforts. 
Maintains liaison with governmental, professional, voluntary, and other 
public and private organizations, institutions, and groups for the 
purpose of providing information exchange. Specifically the office is 
responsible for the following activities: (1) Stimulates, guides, and 
coordinates program planning, reporting, and evaluation activities of 
the Divisions and staff offices; (2) provides staff services to the 
Associate Administrator for program and strategic planning and its 
relation to the budgetary and regulatory processes, (3) develops issue 
papers and congressional reports relating to Bureau programs; (4) 
coordinates the development and implementation of the Bureau's 
evaluation program; (5) monitors obligatory service requirements and 
conditions of deferment for compliance; (6) coordinates with other 
Divisions within the Bureau to develop policy and program guidance to 
monitor obligatory

[[Page 56440]]

service requirements and conditions of deferment; (7) develops and 
provides program data and reports regarding service requirements and 
conditions of deferment; (8) provides departmental, Agency and Bureau 
leadership for a National Health Workforce and Analysis Program; (9) 
sponsors and conducts research, special studies, and forecasting models 
on important issues that affect the national, State and local health 
workforce including studies relevant to current and future policies of 
the Bureau and their impact on the supply and demand for health 
professionals and the health industry at large; (10) provides technical 
assistance to States, educational institutions, professional 
associations and other Federal agencies relative to health personnel 
analytical information and analysis; (11) develops and coordinates the 
Bureau data collection and modeling in conjunction with other entities 
involved in data collection and analysis, such as the Agency for 
Healthcare Research and Quality (AHRQ), the National Center for Health 
Statistics (NCHS), the Centers for Medicare and Medicaid Services 
(CMS), and the Administration on Aging (AOA); (12) provides national 
leadership and management of the designation of health professional 
shortage areas and medically-underserved populations; (13) maintains 
and enhances the Agency's critical role in the Nation's efforts to 
address equitable distribution of health professionals and access to 
health care for underserved populations; (14) encourages and fosters an 
ongoing, positive working relationship with other Federal, State and 
private sector partners regarding health professional shortage areas 
and medically-underserved populations; (15) approves designation 
requests and finalizes designation policies and procedures for both 
current and proposed designation criteria; (16) negotiates and approves 
State designation agreements (e.g., use of databases, population 
estimates, Statewide Rational Service Areas); (17) coordinates with the 
Department and other Federal entities, State licensing boards, and 
national, State and local professional organizations to promote quality 
assurance efforts and deter fraud and abuse by administering the 
National Practitioner Data Bank (NPDB) as authorized under Title IV of 
the Health Care Quality Improvement Act of 1986 and Section 5 of the 
Medicare and Medicaid Patient and Program Protection Act of 1987, and 
administering the Healthcare Integrity and Protection Data Bank (HIPDB) 
for the Office of Inspector General; (18) maintains active consultative 
relations with professional organizations, societies, and Federal 
agencies involved in the NPDB and HIPDB; (19) develops, proposes and 
monitors efforts for (a) credentials assessment, granting of 
privileges, and monitoring and evaluating programs for physicians, 
dentists, and other health care professionals including quality 
assurance, (b) professional review of specified medical events in the 
health care system including quality assurance, and (c) risk management 
and utilization reviews; (20) encourages and supports evaluation and 
demonstration projects and research concerning quality assurance, 
medical liability and malpractice; (21) conducts and supports research 
based on NPDB and HIPDB information; (22) works with the Secretary's 
office to provide technical assistance to States undertaking 
malpractice reform; and (23) maintains liaison with the Office of the 
General Counsel and the Office of the Inspector General, HHS for Bureau 
programs.

Division of Medicine and Dentistry (RPC)

    Serves as the principal focus with regard to education, practice, 
and research of medical personnel; with special emphasis on allopathic 
and osteopathic physicians, podiatrists, dentists, physician assistants 
and clinical psychologists. Specifically: (1) Provides professional 
expertise in the direction and leadership required by the Bureau for 
planning, coordinating, evaluating, and supporting development and 
utilization of the Nation's health personnel for these professions; (2) 
supports and conducts programs with respect to the need for and the 
development, use, credentialing, and distribution of such personnel; 
(3) engages with other Bureau programs in cooperative efforts of 
research, development, and demonstration on the interrelationships 
between the members of the health care team, their tasks, education 
requirements, training modalities, credentialing and practice; (4) 
conducts and supports studies and evaluations of physician, dentist, 
physician assistant, podiatrist and clinical psychologist personnel 
requirements, distribution and availability, and cooperates with other 
components of the Bureau and Agency in such studies; (5) analyzes and 
interprets physician, dental, physician assistant, podiatrists and 
clinical psychologists programmatic data collected from a variety of 
sources; (6) conducts, supports, or obtains analytical studies to 
determine the present and future supply and requirements of physicians, 
dentists, physician assistants, podiatrists and clinical psychologists 
by specialty and geographic location, including the linkages between 
their training and practice characteristics; (7) conducts and supports 
studies to determine potential national goals for the training and 
distribution of physicians in graduate medical education programs and 
develops alternative strategies to accomplish these goals; (8) supports 
and conducts programs with respect to activities associated with the 
international migration, domestic training, and utilization of foreign 
medical graduates and U.S. citizens studying abroad; (9) maintains 
liaison with relevant health professional groups and others, including 
consumers, having common interest in the Nation's capacity to deliver 
health services; (10) provides consultation and technical assistance to 
public and private organizations, agencies, and institutions, including 
Regional Offices, other agencies of the Federal Government, and 
international agencies and foreign governments on all aspects of the 
Division's functions; (11) provides administrative and staff support 
for the Advisory Committee on Training and Primary Care Medicine and 
Dentistry and for the Council on Graduate Medical Education; (12) 
represents the Bureau, Agency and Federal Government, as designated, on 
national committees and/or the Accreditation Council for Graduate 
Medical Education (ACGME) and the Accreditation Council for Continuing 
Medical Education (ACCME); (13) administers support programs for the 
development, improvement, and the operation of general, pediatric, and 
public health dental educational programs; (14) designs, administers 
and supports activities relating to dentists; (15) provides technical 
assistance and consultation to grantee institutions and other 
governmental and private organizations on the operation of these 
educational programs; (16) promotes the dissemination and application 
of findings arising from programs supported; (17) develops 
congressional and other mandated or special program-specific reports 
and publications on dental educational processes, programs and 
approaches; and (18) promotes, plans, and develops collaborative 
educational activities in clinical psychology.

Chapter RR--Healthcare Systems Bureau

    Rename the Special Programs Bureau (RR) as the Healthcare Systems 
Bureau and amend the organization and

[[Page 56441]]

functional statements to include functions related to the Ricky Ray 
Program, the 340B Drug Pricing Program, and Poison Control Centers 
Program.

Section RR-10, Organization

    Delete in its entirety and replace with the following:
    The Healthcare Systems Bureau (HSB) is headed by the Associate 
Administrator for Healthcare Systems who reports directly to the 
Administrator, Health Resources and Services Administration. The HSB 
includes the following components:
    (1) Office of the Associate Administrator (RR)
    (2) Division of Transplantation (RR1)
    (3) Division of Facilities Compliance and Recovery (RR2)
    (4) Division of Facilities and Loans (RR3)
    (5) Division of Vaccine Injury Compensation (RR4)
    (6) Division of Healthcare Emergency Preparedness (RR5)
    (7) Smallpox Vaccine Injury Compensation and Ricky Ray Hemophilia 
Relief Program Office (RR6)
    (8) Office of Pharmacy Affairs (RR7)
    (9) Division of Engineering Services (RR8)

Section RR-20, Functions

    Delete the functional statements for the former Special Programs 
Bureau in their entities and replace with the following:

Healthcare Systems Bureau (RR)

    (1) Administers the Organ Procurement and Transplantation Network 
and the Scientific Registry of Transplant Recipients; (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) 
administers the National Cord Blood Stem Cell Bank (NCBSCB); (4) 
develops and maintains a national program of grants and contracts to 
organ procurement organization and other entities to increase the 
availability of various organs to transplant candidates; (5) manages 
the national program for compliance with the Hill-Burton uncompensated 
care requirement and other assurances; (6) directs and administers the 
Section 242 hospital mortgage insurance program (through inter-agency 
agreement with HUD) and HHS direct and guaranteed construction loan 
repayment program; (7) directs and administers an earmarked grant 
program for the construction/renovation/equipping of health care and 
other facilities; (8) directs and administers the National Vaccine 
Injury Compensation Program; (9) directs and administers the Smallpox 
Emergency Personnel Protection Act Program; (10) serves as the focal 
point for providing leadership and direction to States to develop plans 
for providing access to affordable health insurance coverage for all 
citizens; (11) directs and administers the National Hospital 
Bioterrorism Preparedness Program; (12) directs and administers the 
Trauma-Emergency Medical Services Program; (13) directs and administers 
the Poison Control Center Enhancement and Awareness Act; (14) directs 
and administers the Ricky Ray Hemophilia Relief Fund Act of 1998; (15) 
manages and promotes the 340B Drug Pricing Program; and (16) provides 
policy input and operational direction for the facilities engineering 
and construction management system.

Division of Transplantation (RR1)

    On behalf of the Secretary of Health and Human Services (HHS), 
administers all statutory authorities related to the operation of the 
Nation's organ procurement and transplantation system, the National 
Bone Marrow Donor Registry and the Cord Blood Bank programs. The Organ 
Transplantation program supports: (1) The operation of the Organ 
Procurement and Transplantation Network (OPTN), which facilitates the 
matching of donor organs to patients in need of organ transplants; (2) 
the operation of the Scientific Registry of Transplant Recipients 
(SRTR), which facilitates the ongoing evaluation of the scientific and 
clinical status of organ transplantation; (3) public education programs 
to increase awareness about the need for organ donation; (4) peer-
reviewed grants and contracts with public and private nonprofit 
entities to conduct studies and demonstration projects designed to 
increase organ donation and recovery rates; (5) grants to States to 
support organ donation awareness programs; (6) public education, 
outreach programs, and studies designed to increase the number of organ 
donors, including living donors; (7) the development and dissemination 
of educational materials to inform health care professionals and other 
appropriate professionals in issues surrounding organ, tissue and eye 
donation; (8) grants to qualified organ procurement organizations and 
hospitals to establish programs to increase the rate of organ donation; 
(9) financial assistance to living donors to help defray travel, 
subsistence and other incidental non-medical expenses; and (10) 
mechanisms to evaluate the long-term effects of living organ donation. 
The Division: (1) Administers the two national programs to facilitate 
blood and marrow transplantation with donors unrelated to the patients: 
the National Bone Marrow Donor Registry (NBMDR) and the National Cord 
Blood Stem Cell Bank (NCBSCB); (2) stays informed of the medical, 
scientific, research, and financial environment for blood and marrow 
transplantation; (3) Develops policy in the area of blood and marrow 
transplantation, in coordination with the NBMDR and NCBSCB contractors, 
other DHHS agencies, and the U.S. Navy; (4) administers and oversees 
the contracts for the operation of the NBMDR and NCBSCB, advising on 
contractor projects and participating in contractor committees; (5) 
consults with the Department of State (through HRSA's Office of 
International Health) regarding the possible foreign policy 
implications of proposed international agreements between the NBMDR and 
NCBSCB contractors and transplant centers and other organizations 
outside the U.S.; and (6) initiates, and conducts directly or contracts 
for, studies to advance the knowledge of blood and marrow 
transplantation, to address patient needs, to increase donor 
recruitment in targeted populations, and to address financial issues in 
transplantation.

Division of Facilities Compliance and Recovery (RR2)

    Substantiates health facilities compliance with the reasonable 
volume of uncompensated services assurance and administers the Health 
Care and Other Facilities program. Specifically, (1) establishes, 
develops, monitors, and enforces the implementation of regulations, 
policies, procedures, and guidelines for use by staff and health care 
facilities; (2) maintains a system for receipt, analysis and 
disposition of audit appeals by Hill-Burton obligated facilities and 
for receiving and responding to patient complaints; and (3) coordinates 
its activities with other components of the Bureau, HRSA, other HHS 
agencies, and other department components.

Division of Facilities and Loans (RR3)

    On behalf of the Secretary of Health and Human Services (HHS) and 
in coordination with the U.S. Department of Housing and Urban 
Development (HUD), with which there is a Memorandum of Agreement, the 
Division of Facilities and Loans (DFL) administers the Section 242 
Hospital Mortgage Insurance Program, monitors the financial condition 
of Hill-Burton and other HHS loan recipients, and generally assists 
other agencies both

[[Page 56442]]

within and outside HHS in both loan and construction activities. DFL 
accomplishes these tasks by the (1) review and evaluation of the 
financial and programmatic portions of new applications; (2) monitoring 
of the financial and physical condition of loans in the portfolio; (3) 
assistance to those clients in the accomplishment of loan modifications 
and during times of financial difficulty; (4) site and/or program 
assessment on behalf of clients contemplating the purchase, 
rehabilitation, or new construction of Head Start facilities, post-
secondary educational facilities, general healthcare facilities and 
other facilities related to the local infrastructure such as hospitals 
and public health buildings, and other government buildings for nations 
in the Pacific Rim; (5) maintenance of automated information systems 
necessary for program implementation; (6) provision and dissemination 
of program information; and (7) development of legislative amendments, 
regulations, and policies related to both HUD and HHS programs. DFL 
maintains a working relationship with other Federal and private sector 
partners in the administration and operation of the loan and 
construction activities. The organizational structure of DFL shall be 
comprised of two Branches under the Office of the Director.

Division of Vaccine Injury Compensation (RR4)

    On behalf of the Secretary of Health and Human Services (HHS), 
administers all statutory authorities related to the operation of the 
National Vaccine Injury Compensation Program (VICP) by the (1) 
evaluation of petitions for compensation filed under the VICP through 
medical review and assessment of compensability for all complete 
claims; (2) processing of awards for compensation made under the VICP; 
(3) promulgation of regulations to revise the Vaccine Injury Table; (4) 
provision of professional and administrative support to the Advisory 
Commission on Childhood Vaccines (ACCV); (5) development and 
maintenance of all automated information systems necessary for program 
implementation; (6) provision and dissemination of program information; 
and (7) promotion of safer childhood vaccines. Maintains a working 
relationship with other Federal and private sector partners in the 
administration and operation of the VICP. The organizational structure 
of DVIC shall be compromised of two Branches under the Office of the 
Director.

Division of Healthcare Preparedness (RR5)

    Facilitates the development of State, territorial, and municipal 
preparedness programs, via grants, cooperative agreements, and 
contracts, to enhance the capacity of the Nation's hospitals and other 
healthcare entities to respond to mass casualty incidents caused by 
terrorism and other public health emergencies. Specifically, the 
Division, together with other components of the Agency: (1) Serves as 
the national focus for leadership in and coordination of Federal, 
State, local and non-governmental efforts to define the readiness needs 
for hospitals and other healthcare entities to respond to terrorism or 
other public health emergencies and to assist in the development of 
programs that address identified problems; (2) analyzes regional or 
national issues and problems and recommends responses to those problems 
through research, training, or other actions, as indicated; (3) 
develops, interprets, and disseminates policies, regulations, 
standards, guidelines, new knowledge, and program information for the 
various programs and services relevant to healthcare terrorism and 
public health emergency preparedness; (4) provides technical assistance 
and professional consultation to field and headquarters staffs, State 
and local health personnel, other Federal agencies, hospitals, hospital 
associations, and professional organizations on all aspects of 
healthcare terrorism and public health emergency preparedness planning 
efforts; (5) establishes and maintains cooperative working 
relationships with professional organizations and other relevant 
entities and serves as a focal point for communications to improve 
healthcare terrorism and public health emergency preparedness; (6) 
works collaboratively with the Centers for Disease Control and 
Prevention and the Department's Office of the Assistant Secretary for 
Public Health Emergency Preparedness in administering the National 
Bioterrorism Hospital Preparedness Program; (7) promotes coordination 
of healthcare terrorism and public health emergency preparedness under 
Public Law 107-188, the Public Health Security and Bioterrorism 
Preparedness Act of 2002 (Section 319 of the Public Health Service Act, 
42 U.S.C. 201 et seq.), while supporting activities related to 
countering potential terrorist threats to civilian populations; (8) 
administers the Poison Control Program within the authority of Public 
Law 108-194, the Poison Control Center Enhancement and Awareness Act 
Amendments of 2003, to ensure the availability of the Nation's poison 
control centers as a source of public information and public education 
regarding potential biological, chemical, and nuclear domestic 
terrorism; (9) administers the Emergency System for Advance 
Registration of Volunteer Healthcare Personnel Program within the 
authority of Section 107 of the Public Health Security and Bioterrorism 
Preparedness Act of 2002, to identify qualified healthcare personnel to 
respond to emergency and mass casualty events and ensure the 
qualifications of these identified individuals; and (10) administers 
the Trauma--Emergency Medical Services Systems Program, within the 
authority of Title XII of the Public Health Service Act, to facilitate 
the development of effective, comprehensive, and inclusive Statewide 
trauma systems that are prepared and responsive to emergency and mass 
casualty events.

Smallpox Vaccine Injury Compensation and Ricky Ray Hemophilia Relief 
Fund Program Office (RR6)

    Responsible for implementing and administering, on behalf of the 
Secretary of Health and Human Services (HHS), the Smallpox Emergency 
Personnel Protection Act of 2003 and the Ricky Ray Hemophilia Relief 
Fund Act of 1998. Specifically, the Smallpox Vaccine Injury 
Compensation Program: (1) Develops regulations which describe program 
administrative operational policies and procedures; (2) evaluates 
petitions for compensation filed under the Act through medical review 
and assessment of compensability for all completed request for 
benefits; (3) processes benefits for payments made under the Act; (4) 
promulgates regulations to revise the Smallpox Vaccine Injury Table; 
(5) develops and maintains all automated information systems necessary 
for program implementation; (6) provides and disseminates program 
information; (7) establishes Memorandums of Understanding and Inter-
Agency Agreements with other Federal Agencies and Departments which 
contribute to program operations; and (8) maintains a working 
relationship with other Federal and private sector partners in the 
administration and operation of the Smallpox Emergency Personnel 
Protection Act of 2003. Specifically, the Ricky Ray Hemophilia Relief 
Program (RRHRFP): (1) Develops and maintains information systems 
necessary for the program implementation; (2) develops and implements 
program operation plans, policies and procedures; (3) develops 
regulations which describe the

[[Page 56443]]

program's criteria, guidelines, and operating procedures; (4) develops 
program data needs, formats, and reporting requirements, including 
collection, collation, analysis, and dissemination of data; (5) 
evaluates petitions for a compassionate payment under the RRHRFP 
through a medical review and an assessment of all complete petition 
files; (6) tracks compassionate payments made by the program; (7) 
reports to the Secretary and the Congress when warranted; (8) proposes 
revisions to the Act when warranted; (9) provides information to the 
general public and others on the program; (10) maintains liaison with 
the Office of General Counsel and other agencies concerning the 
program; (11) serves as the principle point of contact for inquiries 
and information from individuals on matters relating to the program 
operations, the petition process, payment and reconsideration process; 
(12) receives, reviews and makes recommendations concerning litigation 
requests; and (13) provides program budget estimates and 
justifications, and long-range and annual program plans.

Office of Pharmacy Affairs (RR7)

    Promotes access to clinically and cost effective pharmacy services 
by: (1) Maximizing the value of 340B Drug Pricing Program for entities 
eligible to participate by (a) managing the PHS Pharmaceutical Pricing 
Agreements with pharmaceutical manufacturers who participate in the 
Medicaid program, (b) maintaining a database of covered entities and 
organizations eligible to become covered entities, including status of 
certifications, where required, and identification of contracted 
pharmacies, when used by covered entities, (c) publishing guidelines 
and/or regulations to assist covered entities, drug manufacturers, and 
wholesalers to use the Drug Pricing Program and comply with the 
requirements of Section 340B of the Public Health Service Act, (d) 
implementing and overseeing the 340B Prime Vendor Program that provides 
drug distribution and price negotiation services for participating 
covered entities, (e) coordinating the 340B implementation activities 
of programs in the Health Resources and Services Administration, the 
Centers for Disease Control and Prevention, the Indian Health Service, 
and the Office of Public Health and Science that provide support to 
entities eligible to access the Drug Pricing Program, (f) providing a 
full range of technical assistance to eligible and participating 
entities, (g) working with the Centers for Medicare and Medicaid 
Services and the Department of Veterans Affairs, which operate related 
drug rebate and discount programs, to coordinate policies and 
operations, and (h) maintaining liaison with grantee associations, 
professional organizations, the pharmaceutical industry, and trade 
associations concerning drug pricing and pharmacy issues; (2) 
supporting HRSA health centers, States, and other delivery systems as 
they develop quality programs for affordable drug benefits through (a) 
managing clinical pharmacy demonstration projects, (b) assisting health 
centers and other grantees to make optimum use of resources available 
for pharmacy services, (c) demonstrating innovative methods of 
delivering pharmacy services, and (d) providing technical assistance to 
grantees, States, local governments, and other health care delivery 
systems to plan and implement pharmacy benefits; (3) serving as a 
Federal Government resource for pharmacy practice through (a) 
developing and maintaining cooperative relationships with national 
pharmacy and governmental organizations to share information and build 
infrastructure for safety-net providers, (b) providing technical 
assistance for pharmacy practice, and (c) providing model pharmacy 
products (such as sample contracts and business plans) for safety-net 
health care providers; and (4) carrying out special projects as 
assigned by the Administrator.

Division of Engineering Services (RR8)

    (1) Provides policy input and operational direction for the 
Agency's facilities engineering and construction management system; (2) 
provides input into the intra and the interagency reimbursement 
agreements for the DES services with the Administration on Children and 
Families, the Office of Minority Health, the Office of Rural Health, 
the Department of Housing and Urban Development (Section 242 Hospital 
Mortgage Insurance), and the National Cancer Institute (NCI); (3) 
assures the delivery of comprehensive architectural and engineering 
services in support of federally assisted and direct Federal 
construction services; (4) administers property management activities 
related to PHS owned or utilized facilities; (5) serves as a source of 
expertise and provides technical assistance on architecture and 
engineering activities to field offices; (6) develops, implements, and 
monitors the annual work plan related to assigned program areas in 
response to national and regional priorities; (7) coordinates the 
development of regional objectives which cross program and 
organizational lines; advises the Bureau Director's office and others 
on Agency architectural engineering activities, representing the Agency 
on committees and work groups; (9) performs assigned work tasks when 
called upon; (10) develops guidance materials and technical 
publications to enhance efficiency and economy in the design, 
construction, modernization, and conversion activities, and (11) 
jointly develops pertinent programmatic materials with components of 
the Bureau, HRSA, DHHS, and other concerned Federal agencies.

Chapter RS--Office of Administration and Financial Management

    Rename the Office of Management and Program Support (RS) as the 
Office of Administration and Financial Management and amend the 
organization and functional statements to reflect: (1) the realignment 
of the Office of Human Resources and Development (RS7) to the Office of 
the Assistant Secretary for Administration and Management; and (2) the 
realignment of the Division of Grants Management Operations' (RSA) 
functions to the newly established Office of Federal Assistance 
Management (RJ).

Section RS-20, Organization

    Delete in its entirety and replace with the following:
    The Office of Administration and Financial Management (OAFM) is 
headed by the Associate Administrator for Administration and Financial 
Management who reports directly to the Administrator, Health Resources 
and Services Administration. The OAFM includes the following 
components:
    (1) Office of the Associate Administrator (RS)
    (2) Division of Management Services (RS1)
    (3) Division of Financial Management (RS2)
    (4) Division of Procurement Management (RS4)
    (5) Division of Policy Review and Coordination (RS7)

Section RS-30, Functions

    (1) Delete the functional statements for the Division of Grants 
Management Operations (RSA) and the Division of Independent Review 
(RS9) and move the functions to the newly established Office of Federal 
Assistance Management (RJ); and(2) Delete the functional statements for 
the Office of Management and Program Support (RS); the Division of 
Management Services (RS1); and the Division of Policy Review and 
Coordination (RS7) in their

[[Page 56444]]

entireties and replace with the following:

Office of Administration and Financial Management (RS)

    Provides Agency-wide leadership, program direction, and 
coordination to all phases of management. Specifically, the Office of 
Administration and Financial Management: (1) Provides management 
expertise and staff advice and support to the Administrator in program 
and policy formulation and execution; (2) manages the Agency-wide 
Contingency of Operations (COOP) program; (3) 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; (4) directs and coordinates the 
development of policy and regulations; (5) oversees the development of 
annual operating objectives and coordinates HRSA work planning and 
appraisals; (6) directs and coordinates the Agency's organization, 
functions and delegations of authority programs; and (7) administers 
the Agency's Executive Secretariat and committee management functions.

Division of Management Services (RS1)

    Provides Agency-wide leadership and direction in the areas of 
management policies and procedures and property management, and serves 
as the Executive Officer for the Office of the Administrator (OA), 
Office of Administration and Financial Management (OAFM), and the 
Office of Federal Assistance Management (OFAM). Specifically: (1) 
Provides advice and guidance for the establishment or modification of 
organization structures, functions, and delegations of authority; (2) 
conducts and coordinates the Agency's issuances, reports and mail 
management programs; (3) conducts Agency-wide management, improvement 
and information studies and survey; (4) oversees and coordinates the 
implementation of directives and policies relating to the Privacy Act; 
(5) plans, directs, and coordinates administrative management 
activities and services including human resources, financial, material 
management, and general administrative services for OA, OAFM, and OFAM; 
(6) acts for the Associate Administrator for Administration and 
Financial Management concerning space planning, parking and 
communications management for headquarters and represents him/her in 
matters relating to the management of the Parklawn Building Complex; 
(7) advises on and coordinates Agency-wide policies and procedures 
required to implement General Services Administration and departmental 
regulations government material management, including travel 
transportation, motor vehicle and utilization and disposal of property; 
(8) coordinates the Agency's Alternative Dispute Resolution (ADR) 
Program; (9) manages the Agency's ethics and security programs; (10) 
administers the Agency's performance management, quality of work life, 
customer service and awards programs; (11) ensures that management 
practices and polices related to the Commissioned Corps are coordinated 
throughout the Agency; (12) coordinates with the service provider the 
provision of human resources management, working with the service 
provider to monitor their performance; and (13) coordinates and serves 
as a focal point for the Agency's intern programs;

Division of Policy Review and Coordination (RS7)

    (1) Advises the Administrator and other key Agency officials on 
cross-cutting policy issues and assists in the identification and 
resolution of cross-cutting policy issues and problems; (2) establishes 
and maintains tracking systems that provide Agency-wide coordination 
and clearance of policies, regulations and guidelines; (3) contributes 
to the analysis, development and implementation of Agency-wide policies 
through coordination with relevant Agency program components and other 
related sources; (4) plans, organizes and directs the Agency's 
Executive Secretariat with primary responsibility for preparation and 
management of written correspondence; (5) arranges briefings for 
Department officials on critical policy issues and oversees the 
development of necessary briefing documents; (6) administers 
administrative early alert system for the Agency to assure senior 
Agency officials are informed about administrative actions and 
opportunities; (7) coordinates the preparation of proposed rules and 
regulations relating to Agency programs and coordinates Agency review 
and comment on other Department regulations and policy directives that 
may affect the Agency's programs; (8) manages and maintains a records 
management program for the Agency; (9) manages the intra- and 
interagency agreements process; (11) oversees and coordinates the 
Agency's committee management activities; and (12) coordinates the 
review and publication of Federal Register Notices.

Chapter RV--HIV/AIDS Bureau

Section RV-10, Organization

    Delete in its entirety and replace with the following:
    The HIV/AIDS Bureau (HAB) is headed by the Associate Administrator 
for HIV/AIDS who reports directly to the Administrator, Health 
Resources and Services Administration. The HAB includes the following 
components:
    (1) Office of the Associate Administrator (RV)
    (2) Office of Program Support (RV2)
    (3) Division of Science and Policy (RVA)
    (4) Division of Service Systems (RV5)
    (5) Division of Community Based Programs (RV6)
    (6) Division of Training and Technical Assistance (RV7)
    (7) Office for the Advancement of Telehealth (RV9)

Section RV-20, Functions

    Delete the functional statements for the Office of Program Support 
(RV2); the Office of Policy and Program Development (RV3); and the 
Office of Science and Epidemiology (RV4) in their entireties and 
replace with the following:

Office of Program Support (RV2)

    Plans, directs, coordinates and evaluates Bureau-wide 
administrative management support activities. Specifically, OPS: (1) 
Serves as the Bureau's principal source for management and 
administrative advice and assistance; (2) assists in the development 
and administration of policies and procedures which govern funding 
recommendations 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 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 procurement, safety and 
security, property management, supply management, space management, 
manual issuances, forms, records, reports, and supports civil rights 
compliance activities; (9) provides

[[Page 56445]]

direction regarding technological developments in office management 
activities; and (10) manages the Bureau's executive secretariat 
function.

Division of Science and Policy (RVA)

    Serves as the Bureau's principal source of program data collection 
and evaluation, the development of innovative models of HIV care, and 
the focal point for coordination of program performance activities and 
development of policy guidance. The Division will advise the Associate 
Administrator and collaborate with Division Directors in plans for and 
the development of both science and policy proposals to support the 
mission of the Bureau. The Division coordinates and develops 
collaborative efforts with other HHS components and all HRSA Bureaus, 
including the Office of Planning and Evaluation, in the preparation of 
HIV/AIDS-related program policies. Specifically; Science: (1) 
Coordinates the documentation of all HIV/AIDS science, evaluation, and 
innovative models of care within HRSA programs; (2) organizes, guides, 
and coordinates the Bureau's scientific planning and development 
activities in epidemiology, health services research, and demonstration 
projects; (3) studies and analyzes trends in health care, including 
availability, access distribution, organization, and financing, to 
determine if the Bureau's activities address HIV/AIDS issues in an 
effective, efficient manner; (4) designs and implements special 
scientific studies on the impact and outcomes of Bureau health care 
programs; (5) carries out data collection and analysis activities that 
document the clients served and services funded by the Bureau programs; 
(6) gathers and evaluates data on costs of publicly financed care and 
quality of the Bureau's health care programs; (7) plans, directs, 
coordinates, and administers the Bureau's annual program evaluation 
strategy; and (8) 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. Specifically, Policy: (1) 
Participates in the development and coordination of program policies 
and implementation plans, including the development, clearance, and 
dissemination of regulations, criteria, guidelines, and operating 
procedures; (2) provides program policy interpretation and guidance to 
the Bureau, Agency, Department, grantees, and other governmental and 
private organizations and institutions; (3) coordinates activities 
pertaining to policy and position papers to assure the fullest possible 
consideration of programmatic requirements that meet departmental and 
Agency goals, policies, and procedures and Federal statute; (4) 
monitors and analyzes HIV/AIDS-related policy developments, both within 
and outside the Department, for their potential impact on HIV/AIDS 
activities, and develops recommendations for the Bureau's response; (5) 
serves as the liaison to HRSA's Office of Planning and Evaluation and 
other appropriate offices to respond to and prepare HIV/AIDS related 
program policies, including testimony and related information; (6) 
serves as the liaison for all legislatively-related matters and 
activities; (7) directs and coordinates performance review and 
monitoring activities related to: a) GPRA, OMB, PART and Healthy People 
2010 activities; b) GAO, OIG, and IOM reports; c) Agency, Department, 
Administration or other congressionally mandated initiatives; and d) 
other issues requiring performance review by the Bureau; (8) develops 
the Bureau's strategic planning agenda, providing guidance and 
coordination for the Bureau's program planning and development 
activities; (9) coordinates Bureau and HRSA responses and comments on 
HIV/AIDS-related reports, position papers, guidance documents, 
correspondence, and related issues, including Freedom of Information 
Act requests; (10) coordinates and serves as the external liaison with 
governmental and private-sector advisory groups that have a policy and/
or performance impact on the Bureau; and (11) maintains a current 
Resource Library containing significant and relevant Bureau and HIV/
AIDS-related materials, documents, and publications.

Section RA-30, Health Resources and Services Administration, 
Delegations of Authority

    All delegations of authority and re-delegations of authority made 
to HRSA 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.
    This reorganization is effective upon the date of signature.

    Dated: September 13, 2004.
Elizabeth M. Duke,
Administrator.
[FR Doc. 04-21131 Filed 9-20-04; 8:45 am]
BILLING CODE 4165-15-P