[Federal Register Volume 72, Number 15 (Wednesday, January 24, 2007)]
[Rules and Regulations]
[Pages 3079-3080]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 07-287]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration

42 CFR Part 51a

RIN  0906-AA70


Healthy Tomorrows Partnership for Children Program (HTPC)

AGENCY: Health Resources and Services Administration (HRSA), HHS.

ACTION: Final rule.

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SUMMARY: This Final Rule sets forth the Secretary's proposal to require 
HTPC grant recipients to contribute non-Federal matching funds in years 
2 through 5 of the project period equal to two times the amount of the 
Federal Grant Award or such lesser amount

[[Page 3080]]

determined by the Secretary for good cause shown.

DATES: This Final Rule is effective January 24, 2007.

FOR FURTHER INFORMATION CONTACT: Jose Belardo, J.D., 301-443-0757.

SUPPLEMENTARY INFORMATION:

Background

    Authorized by 42 U.S.C. 701(a)(3), the HTPC is a grant program 
funded and administered by the Health Resources and Services 
Administration's (HRSA) Maternal and Child Health Bureau (MCHB). Its 
purpose is to stimulate innovative community-based programs that employ 
prevention strategies to promote access to health care for children and 
their families nationwide by providing grant funds to implement a new 
or enhance an existing child health initiative. Currently, there are 58 
HTPC funded projects. In fiscal year (FY) 2006, 49 projects are 
continuing grantees and 9 are newly funded.
    Since the inception of this grant program in 1989, the HTPC has 
issued a programmatic requirement in its guidance that grant applicants 
must demonstrate the capability to meet cost participation goals by 
securing non-Federal matching funds and/or in-kind resources for the 
second through fifth years of the project. One of the key goals of this 
initiative is that funded programs are to be sustainable beyond the 5-
year Federal funding period. In 1999, a formal evaluation of the HTPC 
The Health Tomorrows Partnership for Children Program in Review: 
Analysis and Findings of a Descriptive Survey was completed, and the 
authors concluded that the required match fosters long-term 
sustainability and leveraging of community resources. There was a 70 
percent sustainability rate for those projects with activities that 
were sustained after the Federal funding period.
    This Final Rule will formally introduce a cost participation 
component to the HTPC grant program, thus requiring its grantees to 
contribute non-Federal matching funds and/or in-kind resources in years 
2 through 5 of the 5-year project period equal to two times the amount 
of the Federal Grant Award or such lesser amount determined by the 
Secretary for good cause shown. The non-Federal matching funds and/or 
in-kind resources must come from non-Federal funds, including, but not 
limited to, individuals, corporations, foundations in-kind resources, 
or State and local agencies. Documentation of matching funds would be 
required (i.e., specific sources, funding level, in-kind 
contributions). Reimbursement for services provided to an individual 
under a State plan under Title XIX will not be deemed ``non-Federal 
matching funds'' for the purposes of this provision.

Public Participation

    The public was invited to respond to Notice of Proposed Rulemaking 
(NPRM), which was published in the Federal Register on December 27, 
2005 (70 FR 76435-76436). The NPRM provided for a 60-day comment 
period. We received no comments from the public.

Economic and Regulatory Impact

Executive Order 12866--Regulatory Planning and Review

    HRSA has examined the economic implications of this Final Rule as 
required by Executive Order 12866. Executive Order 12866 directs 
agencies to assess all costs and benefits of available regulatory 
alternatives and, when regulation is necessary, to select regulatory 
approaches that maximize net benefits (including potential economic, 
environmental, public health and safety and other advantages; 
distributive impacts; and equity). Executive Order 12866 classifies a 
rule as significant if it meets any one of a number of specified 
conditions, including: having an annual effect on the economy of $100 
million, adversely affecting a sector of the economy in a material way, 
adversely affecting competition, or adversely affecting jobs. A 
regulation is also considered a significant regulatory action if it 
raises novel legal or policy issues.
    HRSA concludes that this Final Rule is a significant regulatory 
action under the Executive Order since it raises novel legal and policy 
issues under Section 3(f)(4). HRSA concludes, however, that this Final 
Rule does not meet the significance threshold of $100 million effect on 
the economy in any one year under Section 3(f)(1).

Impact of the New Rule

    Inclusion of this rule will greatly enhance grant recipients' 
ability to achieve the HTPC goal/performance measure of program 
sustainability beyond the 5-year Federal funding period.

Paperwork Reduction Act of 1995

    The Final Rule does not impose any new data collection 
requirements.

List of Subjects in 42 CFR Part 51a

    Grant programs--Handicapped, Health, Health care, Health 
professions, Maternal and Child Health.

    Dated: July 5, 2006.
Elizabeth M. Duke,
Administrator, HRSA.
    Approved: October 23, 2006.
Michael O. Leavitt,
Secretary.

    Editor's Note: This document was received at the Office of the 
Federal Register on January 19, 2007.



0
For the reasons set forth in the preamble, HRSA amends 42 CFR part 51a 
as follows:

PART 51a--PROJECT GRANTS FOR MATERNAL AND CHILD HEALTH

0
1. The authority citation for part 51a continues to read as follows:

    Authority: 42 U.S.C. 1302; 42 U.S.C. 702(a), 702(b)(1)(A) and 
706(a)(3).


0
2. Amend Sec.  51a.8 to add paragraph (c) to read as follows:


Sec.  51a.8  What other conditions apply to these grants?

* * * * *
    (c) Grant recipients of Healthy Tomorrows Partnership for Children 
Program, a Community Integrated Service System-funded initiative, must 
contribute non-Federal matching funds in years 2 through 5 of the 
project period equal to two times the amount of the Federal Grant Award 
or such lesser amount determined by the Secretary for good cause shown. 
Reimbursement for services provided to an individual under a State plan 
under Title XIX will not be deemed ``non-Federal matching funds'' for 
the purposes of this provision.
[FR Doc. 07-287 Filed 1-23-07; 8:45 am]
BILLING CODE 4165-15-M