[Federal Register Volume 70, Number 87 (Friday, May 6, 2005)]
[Notices]
[Pages 24087-24099]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-9012]


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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 47053-47067, 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)
Office of Tribal Self-Governance (GAA)
Office of Tribal Programs (GAB)
Office of Urban Indian Health Programs (GAC)
Policy Formulation and Communications Group (GAE)
Office of Clinical and Preventive Services (GAF)
Office of Information Technology (GAG)
Office of Public Health Support (GAH)
Office of Resource Access and Partnerships (GAJ)
Office of Finance and Accounting (GAK)
Office of Management Services (GAL)
Office of Environmental Health and Engineering (GAM)

Section GA-20, Indian Health Service--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 demonstrates 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, Public Law 
(Pub. L.) 93-638, 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.
Office of Tribal Self-Governance (OTSG) (GAA)
    (1) Develops and oversees the implementation of Tribal self-
governance legislation and authorities in the IHS, under Title V of the 
Indian Self-Determination and Education Assistance Act, Pub. L. 93-638, 
as amended; (2) develops and recommends policies, administrative 
procedures, and guidelines for IHS Tribal self-governance activities, 
with maximum input from IHS staff and workgroups, Tribes and Tribal 
organizations, and the Tribal Self-Governance Advisory Committee; (3) 
advises the IHS 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 the 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 IHS Director; (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, 
Tribal shares computations and resolution of audit findings as may be 
needed and appropriate.
Office of Tribal Programs (OTP) (GAB)
    (1) Assures that Indian Tribes and Tribal organizations are 
informed regarding pertinent health policy and program management 
issues; (2) assures that consultation and participation by Indian 
Tribes and organizations occurs during the development of IHS policy 
and decision making; (3) provides overall Agency leadership concerning 
functions and responsibilities associated with self-determination 
contracting (Title I of the Indian Self-Determination Act); (4) advises 
the IHS Director and senior management on activities and issues related 
to self-determination

[[Page 24088]]

contracting; (5) monitors Agency compliance with self-determination 
policies, administrative procedures, and guidelines; (6) administers a 
national grant program designed to assist Tribes and Tribal 
organizations in beginning and/or expanding self-determination 
activities; (7) provides Agency leadership in the development of 
policy; (8) discharges operational responsibilities, with respect to 
the contract support cost (CSC) program administered by the IHS; (9) 
provides advice to the IHS Director and senior management on Tribal 
issues and concerns by acting as liaison with Tribal leaders, national 
Tribal organizations, inter-Tribal consortiums and Area health boards; 
(10) 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; (11) provides overall Agency leadership with respect to 
policy development and issues concerning the Federal recognition of new 
Tribes; (12) supports Tribes in managing health programs; (13) 
coordinates available support from other public and private agencies 
and organizations; (14) maintains a central database on relevant 
information to contact Tribal leaders, health programs, etc.; and (15) 
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.
Office of Urban Indian Health Programs (OUIHP) (GAC)
    (1) Advises the IHS Director 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 policies; (4) ensures that consultation 
with Urban Indian health programs and organizations occurs during the 
development of IHS policy; (5) supports Urban Indian health programs 
and organizations in managing health programs; (6) coordinates support 
available from other public and private agencies and organizations; (7) 
advises the IHS Director on Agency compliance with Urban Indian health 
program policies, administrative procedures, and guidelines; (8) 
maintains relevant information on Urban Indian health programs and 
organizations; (9) coordinates meetings and other communications with 
Urban Indian health program representatives; and (10) 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 Formulation and Communications Group (PFCG) (GAE)
    (1) Coordinates the review and analysis of policy-related issues; 
(2) provides recommendations for resolving policy conflicts; (3) 
evaluates policy options and forecasts their costs, benefits, and long-
term results; (4) ensures consistency between and within public agency 
statements, external correspondence, legislative and regulatory 
positions and internal policy development; (5) disseminates information 
to IHS consumers, stakeholders, and the general public regarding the 
activities of the IHS and the health status of AI/AN people and 
communities; and (6) 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.
Public Affairs Staff (PAS) (GAE1)
    (1) Serves as the 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) serves as 
the central office for technical guidance and assistance to IHS staff 
for the development of internal and external communications; (5) 
coordinates public affairs activities with other public and private 
sector organizations; (6) coordinates the clearance of IHS public 
relations activities, campaigns, and communications materials; (7) 
represents the IHS in discussions regarding policy and public affairs 
initiatives/implementation; (8) provides technical assistance and 
advice relative to the effect public affairs initiatives/implementation 
would have on the IHS; (9) collaborates with the Division of Regulatory 
Affairs, Records Access and Policy Liaison for review and response to 
media requests received under the Freedom of Information Act (FOIA) or 
the Privacy Act, and ensures the security of IHS documents used in such 
responses that contain sensitive and/or confidential information; and 
(10) serves as the IHS liaison office for press and public affairs with 
HHS, IHS Area Offices, media and other external organizations and 
representatives.
Equal Employment Opportunity and Civil Rights Staff (EEO) (GAE2)
    (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.
Executive Secretariat Staff (ESS) (GAE3)
    (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 IHS Director; (7) manages the flow of executive correspondence 
and related information to Tribes, Tribal organizations, heads of 
Federal

[[Page 24089]]

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 system (ATS) 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 and the ATS system; and (11) tracks reports required by 
Congress.
Congressional and Legislative Affairs Staff (CLAS) (GAE4)
    (1) Serves as the principal advisor to the IHS Director on all 
legislative and Congressional relations matters; (2) advises the IHS 
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), the White House, and other Federal agencies; (4) tracks 
all major legislative proposals in the Congress that would impact 
Indian health; (5) ensures that the IHS Director and appropriate IHS 
and HHS officials are briefed on the potential impact of proposed 
legislation; (6) represents the IHS in discussions regarding policy and 
legislative initiatives/implementation; (7) provides technical 
assistance and advice relative to the effect that initiatives/
implementation would have on the IHS; (8) establishes collaborations 
with Headquarters Offices on programmatic and financial issues related 
to budget formulation; (9) conducts legislative analysis; (10) provides 
support and serves as liaison to the IHS Director relative to IHS 
appropriations efforts; (11) directs the development of IHS briefing 
materials for Congressional hearings, testimony, and bill reports; (12) 
analyzes legislation for necessary action within the IHS; (13) develops 
appropriate Legislative Implementation Plans; and (14) 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) (GAE5)
    (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, 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; (8) conducts special program or management integrity 
reviews as required; and (9) oversees and coordinates the annual 
development and submission of the Agency's Federal Activities Inventory 
Reform Act report to the HHS.
Policy Support Staff (PSS) (GAE6)
    (1) Organizes, facilitates, and supports stakeholder task teams to 
advise the IHS Director on major policy issues; (2) represents the IHS 
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 IHS 
Director, including preparation of presentations and briefings; (4) 
provides staff support to senior managers, councils and groups; (5) 
completes special assignments for the IHS Director that may require 
coordination with other IHS offices or other Federal agencies, Tribes, 
or Tribal organizations; (6) serves as the IHS liaison for inter-
governmental and private sector initiatives that impact health care 
services and management of the IHS; and (7) participates on inter-
governmental task forces.
Office of Clinical and Preventive Services (OCPS) (GAF)
    (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, 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 health, 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 the HHS; (6) coordinates 
development of staffing requirements for new or replacement health care 
facilities and approves Congressional budget requests for staffing, in 
collaboration with the Office of Environmental Health and Engineering; 
(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 IHS 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 the Office of 
Management Services in managing the clinical aspects of the IHS 
workman's compensation claims; (13) oversees IHS efforts in a variety 
of quality assurance and improvement activities, including patient 
safety; (14) monitors approximately one-half of the IHS' Government 
Performance and

[[Page 24090]]

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, 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 the HHS, 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; (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) (GAFA)
    (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 Federal, State, 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) provides 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 health for budgetary hearings and 
provides program evaluation results to the IHS Director, the Congress, 
and the Administration.
Division of Clinical and Community Services (DCCS) (GAFB)
    (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, health promotion, and disease prevention; (2) 
develops objectives, priorities, and methodologies for the conduct and 
evaluation of clinical, preventive, and public health for community 
health-based programs; (3) provides, develops, and implements IHS 
guidelines, standards, policies, and procedures on clinical, 
preventive, and public health for 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 Area Office, Service Unit, and Tribal health 
professional human resource needs; (7) coordinates and monitors 
contracts and grants with IHS programs and other entities, in 
collaboration with the Division of Acquisitions Policy and the Division 
of Grants Operations; (8) develops and disseminates information and 
materials to IHS facilities and to Tribes and Urban Indian health 
programs; (9) is 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 Veterans Affairs 
Pharmaceutical Prime Vendor Contract and IHS National Core Formulary.
Division of Nursing Services (DNS) (GAFC)
    (1) Plans, develops, coordinates, evaluates, manages and advocates 
for the Nursing Services, Women's Health, and Community Health 
Representative Programs; (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 Area Office, Service Unit, 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, as well as 
Congressional hearings.
Division of Oral Health (DOH) (GAFD)
    (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 serving as 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 as well as Congressional inquiries; (8) advocates 
for oral health needs of the 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) provides clinical and technical support to field staff 
by way

[[Page 24091]]

of oral health surveys, provision of clinical trials, consultation on 
treatment cases, publication of quarterly newsletters and serving as 
liaison with public and private institutions, as well as major 
universities to evaluate new and existing strategies for addressing 
oral health problems in AI/AN; (12) serves as the IHS liaison for oral 
health issues with 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) maintains and 
distributes 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 Treatment and Prevention (DDTP) (GAFE)
    (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, 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 Area Offices, 
Service Units, and Tribes; (8) develops and implements IHS standards of 
care, clinical guidelines, 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) is 
responsible for preparing budgetary data, analysis and program 
evaluations for budget presentations and Congressional hearings.
Office of Information Technology (OIT) (GAG)
    (1) Provides Chief Information Officer (CIO) services and advises 
the IHS Director 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 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) (GAGA)
    (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) (GAGB)
    (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 the 
cross-cutting issues and processes that involve information resources 
management.
Division of Enterprise Project Management (DEPM) (GAGC)
    (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, evaluations, 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

[[Page 24092]]

resources and technology project management.
Division of Information Security (DIS) (GAGD)
    (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; 
(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 Public Health Support (OPHS) (GAH)
    (1) Advises and supports the IHS Director on policy, budget 
formulation, and resource allocation regarding the operation and 
management of IHS, Tribal, and Urban Indian health programs; (2) 
provides IHS-wide leadership, guidance and support for public health 
program and activities including strategic planning, evaluation, 
Government Performance and Results Act (GPRA), research, epidemiology, 
statistics, and health professions; (3) provides Agency-wide leadership 
and consultation to IHS, Tribal, and Urban Indian 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 of public health 
medical services, research agendas, special pay, and public health 
initiatives for the Agency; (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; and (8) 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 Epidemiology (GAHA)
    (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 of Epidemiology 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 health, child health, and others; and 
(7) supports epidemiology, disease control, and prevention programs for 
communicable diseases, including tuberculosis, HIV/AIDS, sexually-
transmitted diseases, hepatitis, hantavirus, antibiotic-resistant 
infections, immunizations, bioterrorism preparedness and others.
Chronic Disease Branch (CDB)
    Supports epidemiology, disease control, and prevention programs for 
chronic diseases, including cancer, tobacco control, cardiovascular 
disease, diabetes, kidney disease, environmental health, maternal 
health, child health, and others.
Infectious Disease Branch (IDB)
    Supports epidemiology, disease control, and prevention programs for 
communicable diseases, including tuberculosis, HIV/AIDS, sexually-
transmitted diseases, hepatitis, hantavirus, antibiotic-resistant 
infections, immunizations, bioterrorism preparedness, and others.
Division of Program Statistics (DPS) (GAHB)
    (1) Plans, develops, directs, and coordinates an analytical 
statistical reporting program to provide data for measuring the health 
status and unmet health needs of the AI/AN population; (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 nation-wide statistical 
program for the collection, processing, analysis and dissemination of 
demographic characteristics of the 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 
the 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 nation-wide statistical 
program for the collection, processing, analysis and dissemination of 
demographic data and special studies with emphasis on health and 
demographic characteristics of the 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 inpatient 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) (GAHC)
    (1) Develops and coordinates Agency strategic planning and 
performance measurement efforts (including GPRA and Program Assessment 
Rating Tool) 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

[[Page 24093]]

health status and systems of care; and (4) provides guidance and 
support for IHS-wide program evaluation projects.
Division of Health Professions Support (DHPS) (GAHD)
    (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 professional 
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) coordinates placement of 
professionals with loan repayment obligations; (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.
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 by 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)
    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) (GAJ)
    (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 the BOS and CHS 
programs; (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, 
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 inter-agency agreements, 
intra-agency agreements, 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) (GAJA)
    (1) Serves as the primary focal point for 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 Office of Management and Budget (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 manuals; (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) develops third-party budget materials and responds to Tribal, 
Congressional and HHS inquiries relating to third-party issues.
Division of Contract Care (DCC) (GAJB)
    (1) Plans, develops, and coordinates the CHS program and required 
business practices; (2) develops, disseminates, and maintains CHS 
policy and procedures manuals; (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

[[Page 24094]]

inquiries from the Congress, Tribes, and other Federal agencies.
Office of Finance and Accounting (OFA) (GAK)
    (1) Develops and prepares the budget submission for the Indian 
Health Service and Facilities appropriation to the HHS, OMB and the 
Presidents budget; (2) participates with HHS officials in budget 
briefings for the OMB and the 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 
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, Tribal shares computations and 
resolution of audit findings as may be needed and appropriate.
Division of Audit (DA) (GAKA)
    (1) Develops and recommends policies and procedures for Chief 
Financial Officer (CFO) audits; (2) develops and recommends policies 
and procedures for Tribes and Tribal organizations audit resolution 
within IHS; (3) provides advice, technical consultation, and training 
to IHS Headquarters, Area Offices, Tribal, and Urban Indian Health 
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, 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 
(AIMS) and conducts analysis of data for reports and/or responses to 
internal and external inquiries; (7) serves as the IHS contact point to 
the HHS for the AIMS Report and the Accountability Report; (8) 
coordinates the collection of disallowed costs cited in Tribes and 
Tribal organizations audits; (9) coordinates the correction of non-
monetary findings coded by the HHS in Tribes and Tribal organizations 
audits; (10) coordinates receipt of audits from all organizations 
funded by IHS; (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 managers 
and to the HHS.
Division of Budget Formulation (DBF) (GAKB)
    (1) Interprets policies, guidelines, manual issuances, OMB 
circulars, and instructions from 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 Health organizations used in determining resource 
requirements; (3) coordinates the preparation of the IHS preliminary, 
Departmental and Congressional budget justifications for the Indian 
Health Service and Facilities appropriations; (4) prepares witness 
information for hearings before the House and Senate Appropriations 
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) (GAKC)
    (1) Interprets policies, guidelines, and directives from Congress, 
OMB, Government Accounting Office (GAO), Treasury, and the HHS 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 Headquarters and Area Tribal shares; (9) consults 
with Headquarters and Area components on Tribal share allocations; (10) 
advises the Director, OFA on Agency compliance with self-determination 
policies, administrative procedures and guidelines; (11) coordinates 
activities for resolution of problems with appropriate IHS Headquarters 
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) (GAKD)
    (1) Reviews, interprets and comments on policies, guidelines, and 
manual issuances of Congress, Treasury, GAO, the HHS and IHS on systems 
of fiscal management, including the Unified Financial Management System 
(UFMS), Common Accounting Numbers/Budget and Accounting Classification 
Structure Crosswalk and the CORE Accounting System (CORE); (2) plans, 
directs, and implements fiscal policies and procedures on Headquarters 
and field accounting; (3) coordinates the cost accounting system for 
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, correcting errors 
and system related emergencies; (7) serves as the Agency liaison 
between Agency components concerning the interface of administrative 
and other feeder applications with Oracle/UFMS; (8) serves as the 
liaison between IHS, the Program Support Center (PSC) and the HHS for 
reporting of prompt payment, debt management, and cash reconciliation 
processes; (9) coordinates, regulates, and manages the issuance of 
financial codes for IHS; and (10) coordinates year-end ``roll-over'' 
activities with PSC and IHS Headquarters and Area staffs.
Division of Financial Operations (DFO) (GAKE)
    (1) Manages the IHS travel program, provides training, interprets 
travel regulations, conducts reviews and updates travel policy and 
procedures; (2) processes Headquarters travel orders and vouchers, 
including permanent change of station and international travel; (3) 
coordinates Area Directors' travel orders and vouchers; (4) coordinates 
the conference management functions for the Agency; (5) processes all 
Memoranda of Understanding (or Agreement) to verify accounting data

[[Page 24095]]

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 Headquarters, Area Offices, 
Service Units and contractors; (10) provides contractor with data from 
various data systems; (11) provides support and technical assistance to 
Headquarters operational components 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 the 
Headquarters Administrative Resource and Management System.
Office of Management Services (OMS) (GAL)
    (1) Provides IHS-wide leadership, guidance and support for the 
management of human resources, grants, acquisition, records management, 
personal property and supply, and the regulations program; (2) develops 
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 for the administrative functions identified above are 
consistent with applicable regulations, directives and guidance from 
higher echelons in the HHS and other Federal oversight agencies; (4) 
advises the IHS Director, in conjunction with the Office of the General 
Counsel (OGC), on the resolution of statutory and regulatory issues 
related to the IHS and coordinates resolution of IHS legal issues with 
the OGC, IHS staff, and other Federal agencies; (5) assures that IHS 
appeal systems meet legal standards, in conjunction with the Office of 
the General Counsel; (6) provides leadership and direction of 
activities for continuous improvement of management accountability and 
administrative systems for effective and efficient program support 
services IHS-wide; (7) ensures the accountability and integrity of 
grants and acquisition management, records management, personal 
property utilization and disposition of IHS resources; (8) assures that 
the IHS management services, policies, procedures, and practices 
support IHS Indian Self-Determination Act policies; (9) assists in the 
assurance of Indian access to State, local, and private health 
programs; (10) provides leadership and advocacy of the IHS mission and 
goals with the HHS, Administration, Congress, and other external 
authorities; and (11) 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.
Program Integrity and Ethics Staff (PIES) (GAL1)
    (1) Directs the fact-finding and resolution of allegations of 
impropriety such as mismanagement of resources, fraud, waste, and abuse 
violations of the Standards of Ethical Conduct, Hatch Act and political 
activity and other forms of waste; (2) advises the IHS Director and IHS 
management of appropriate corrective and remedial actions to correct 
improprieties; (3) directs and provides leadership in the formulation 
of plans, guidance and evaluation of the IHS Personnel Security and 
Drug Testing Programs; (4) administers the IHS-wide management of the 
Agency hotline reports of allegations; (5) serves as the Agency 
coordinator for the HHS Office of the Inspector General (OIG), Office 
of Investigations; (6) manages and directs the IHS ``Ethics Program'', 
including the implementation of all requirements, providing advice to 
the IHS Director and serving as the Agency liaison with all outside 
investigative organizations such as the Office of Special Counsel, the 
General Accounting Office and the OIG; and (7) 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) (GALA)
    (1) Acts as the liaison between IHS and the Program Support Center, 
Division of Commissioned Personnel, HHS; (2) advises the IHS Director, 
supervisors, administrators, managers, officers and dependents 
regarding 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, HHS; (4) 
provides direct support to the IHS Director 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) (GALB)
    (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) serves as liaison with 
the HHS and the 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 the 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 the Headquarters facilities program, physical 
security, motor vehicles, personal property, special projects and 
inter-agency 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 inter-agency 
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.

[[Page 24096]]

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, in conjunction with the 
Office of the General Counsel; (5) conducts surveys and studies 
involving evaluation and analysis of the personal property management 
activities Agency-wide; (6) maintains liaison with the HHS 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) (GALC)
    (1) Develops, recommends, and oversees the implementation of 
policies, 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 HHS 
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; (4) oversees 
completion of necessary corrective actions; (5) manages for the Agency, 
the HHS acquisition training and certification program and the project 
officer training program; (6) supports and maintains the IHS Contract 
Information System and controls entry of data into the HHS Contract 
Information System; (7) serves as the IHS contact point for contract 
protests and the HHS contact for contract-related issues; (8) 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 documents, 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; (9) processes unsolicited proposals for 
the IHS; (10) coordinates the IHS Small, Disadvantaged, and Women-Owned 
Business programs; (11) oversees compliance with the Buy Indian Act; 
and (12) provides advice to Agency officials negotiating inter- and 
intra-agency agreements, in accordance with the IHS agreements program.
Division of Grants Operations (DGO) (GALD)
    (1) Directs grants management and operations for the IHS; (2) 
awards and administers grants and cooperative agreements for IHS 
financial assistance programs; (3) provides leadership for the 
resolution of audit findings for grant programs; (4) manages for the 
Agency, the HHS grants training and certification program; (5) 
continuously assesses grants operations; (6) oversees completion of 
necessary corrective action plans; (7) reviews and makes 
recommendations for improvements in grantee and potential grantee 
management systems; (8) serves as the IHS liaison with the HHS and the 
public for grants and other financial assistance programs within the 
IHS; (9) maintains the Catalog of Federal Domestic Assistance for IHS 
financial assistance programs; (10) conducts grants-related training 
for IHS staff, grantees, and potential grantees; (11) coordinates 
payment to grantees, including scholarship recipients; and (12) 
establishes and maintains the IHS automated Grants Information System 
and controls data entry into the HHS automated Grants Information 
System.
Division of Regulatory Affairs, Records Access and Policy Liaison 
(GALE)
    (1) Manages the IHS' overall regulations program and 
responsibilities, including determining the need for and developing 
plans for changes in regulations, developing or assuring the 
development of needed regulations, and maintaining the various 
regulatory planning processes; (2) serves as 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 IHS Director and serves as liaison 
with the Office of the General Counsel (OGC) on such matters as 
litigation, regulations, related policy issues, and administrative 
support issues; (7) determines the 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 IHS Director's CHS appeal decisions; (13) 
manages the retrieval and transmittal of information in response to 
requests received under the FOIA or the Privacy Act, in collaboration 
with the Public Affairs Staff; (14) ensures the security of sensitive 
and/or confidential information when responding to FOIA or Privacy Act 
issues; and (15) advises the IHS Director 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) serves as 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 HHS that impact on the delivery of health services to Indians; (7) 
maintains and updates 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

[[Page 24097]]

Reduction Act (PRA) and OMB information collection/activities; (11) 
provides guidance and technical assistance to IHS regarding information 
collection requirements and procedures for 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.
Policy Liaison Branch (PLB)
    (1) Coordinates the resolution and development of legal advice to 
the IHS 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) (GALG)
    (1) Advises the IHS Director on personnel management issues, 
programs and policies for civil service and commissioned corps 
personnel programs; (2) assures implementation of the Indian preference 
policy in all personnel practices; (3) develops personnel management 
policies, programs, and reports in accordance with applicable laws, 
regulations, and policies; (4) provides personnel management and 
services throughout IHS, to include, but not limited to, manpower 
planning and utilization, staffing, recruitment, compensation, 
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 Environmental Health and Engineering (OEHE) (GAM)
    (1) Advises and supports the IHS Director 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, Tribal, and 
Urban Indian 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 Indian health programs on the full 
scope of health care facilities construction and operations, sanitation 
facilities construction and 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) coordinates the IHS OEHE responsibilities in 
responding to disasters and other emergency situations, in 
collaboration with the Office of Clinical and Preventive Services; and 
(11) 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 Sanitation Facilities Construction (DSFC) (GAMA)
    (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) allocates financial resources 
Agency-wide based on need and workload using the national data 
inventories, in collaboration with the OFA.

[[Page 24098]]

Division of Facilities Operations (DFO) (GAMB)
    (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 the 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 Agency-wide based on need and workload data; (7) 
maintains Agency-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) (GAMC)
    (1) Develops, implements, and manages the 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, Area 
Offices, Tribal and Urban Indian 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) (GAMD)
    (1) Develops, implements, and manages the IHS Environmental Health 
Services programs, including the Injury Prevention and Institutional 
Environmental Health programs; (2) 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; (3) 
maintains relationships with other Federal agencies and Tribes to 
maximize responses to environmental health issues and maximize benefits 
to Tribes by coordinating program efforts; (4) provides leadership in 
identifying and articulating environmental health needs of AI/AN 
populations and support efforts to build Tribal capacity; (5) provides 
personnel support services and advocates for environmental health 
providers; (6) maintains, analyzes, makes accessible, and publishes 
results from national databases; (7) manages resource allocation 
activities in accordance with established criteria based on workload; 
(8) develops and evaluates standards and guidelines for environmental 
health programs and activities; and (9) 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) (GAME)
    (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 
inter-agency 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 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.

Section GA-30, Indian Health Service--Order of Succession

    During my absence or disability of the IHS Director or in the event 
of a vacancy in that office, the following IHS Headquarters officials, 
in the order listed below, shall act as the IHS Director. 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, Indian Health Service 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, Indian Health Service Area Offices--Organization

    An Area Office is a bureau-level organization under the direction 
of an Area Director, who reports to the IHS Director.
    The following are the Area Offices of the IHS:

 Aberdeen Area Office (GFA)
 Alaska Area Office (GFB)
 Albuquerque Area Office (GFC)
 Bemidji Area Office (GFE)
 Billings Area Office (GFF)
 California Area Office (GFG)
 Nashville Area Office (GFH)
 Navajo Area Office (GFJ)
 Oklahoma City Area Office (GFK)
 Phoenix Area Office (GFL)
 Portland Area Office (GFM)
 Tucson Area Office (GFN).

Section GF-20, Indian Health Service 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

[[Page 24099]]

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 Pub. L. 93-638, Indian Self-
Determination and Education Assistance Act, health services delivery, 
community health representative services, Urban Indian health, 
alcoholism and substance abuse, and health education;
    Health Programs--Primary care, clinical activities, mental health, 
nursing services, health promotion, disease prevention, professional 
recruitment, community services, and the Joint Commission on 
Accreditation of Healthcare Organizations;
    Environmental Health/Sanitation Facilities Programs--Environmental 
health and engineering/sanitation facilities construction programs; and
    Information Resources Management Programs--Automated data 
processing (ADP), ADP planning and operations, management information 
systems, office automation systems, and voice/data telecommunications 
management.

Section GF-30, Indian Health Service Area Offices--Order of Succession

    The order of succession for Area Directors at the IHS Area Offices 
are determined by each Area Director and continue in effect until 
changed.

Section GF-40, Indian Health Service 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: April 28, 2005.
Phyllis Eddy,
Acting Deputy Director, Indian Health Service.
[FR Doc. 05-9012 Filed 5-5-05; 8:45 am]
BILLING CODE 4165-16-P