[Federal Register Volume 75, Number 2 (Tuesday, January 5, 2010)]
[Notices]
[Pages 391-404]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-31201]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Statement of Organization, Functions and Delegations of Authority

    This notice amends Part R of the Statement of Organization, 
Functions and Delegations of Authority of the Department of Health and 
Human Services (HHS), Health Resources and Services Administration 
(HRSA) (60 FR 56605, as amended November 6, 1995; as last amended at 74 
FR 48089-48090 dated September 21, 2009).
    This notice reflects organizational changes in the Health Resources 
and Services Administration. Specifically, this notice establishes the 
Office of Special Health Affairs (RA1) and the Office of Planning, 
Analysis and Evaluation (RA5) within the Office of the Administrator; 
transfers the functions and renames the Office of Minority Health and 
Health Disparities (RA9) and the Office of International Health Affairs 
(RAH) to the Office of Special Health Affairs (RA1); establishes the 
Office of Strategic Priorities (RA13) within the Office of Special 
Health Affairs (RA1); renames the Office of Equal Opportunity and Civil 
Rights (RA2); abolishes the Office of Health Information Technology 
(RT) and moves the functions to the Office of Planning, Analysis and 
Evaluation (RA5), the Office of Rural Health Policy (RH) and the Bureau 
of Primary Health Care (RC); and updates the functional statement for 
the Healthcare Systems Bureau (RR), the Bureau of Health Professions 
(RP), and the Office of Operations (RB).

Chapter RA--Office of the Administrator

Section RA-10, Organization

    Delete in its entirety and replace with the following:
    The Office of the Administrator (RA) is headed by the 
Administrator, Health Resources and Services Administration, who 
reports directly to the Secretary. The OA includes the following 
components:
    (1) Immediate Office of the Administrator (RA);
    (2) Office of Equal Opportunity, Civil Rights, and Diversity 
Management (RA2);
    (3) Office of Planning, Analysis, and Evaluation (RA5);
    (4) Office of Communications (RA6);
    (5) Office of Special Health Affairs (RA1); and
    (6) Office of Legislation (RAE).

[[Page 392]]

 Section RA-20, Functions

    (1) Update the functional statement for the Immediate Office of the 
Administrator (RA); (2) rename the Office of Equal Opportunity and 
Civil rights (RA2); (3) establish the Office of Planning, Analysis and 
Evaluation (RA5); (4) establish the Office of Special Health Affairs 
(RA1); (5) delete the functional statement for the Office of 
International Health Affairs (RAH), rename and transfer the function to 
the Office of Special Health Affairs (RA1); (6) delete the functional 
statement for the Office of Minority Health and Health Disparities 
(RA9), rename and transfer the function to the Office of Special Health 
Affairs (RA1); and (7) delete the functional statement for the Office 
of Planning and Evaluation, and transfer the function to the Office of 
Planning, Analysis and Evaluation (RA5).

Immediate Office of the Administrator (RA)

    (1) Leads and directs programs and activities of the Agency and 
advises the Office of the Secretary of Health and Human Services on 
policy matters concerning them; (2) provides consultation and 
assistance to senior Agency officials and others on clinical and health 
professional issues; (3) serves as the Agency's focal point on efforts 
to strengthen the practice of public health as it pertains to the HRSA 
mission; (4) establishes and maintains verbal and written 
communications with health organizations in the public and private 
sectors to support the mission of HRSA; (5) coordinates the Agency's 
strategic, evaluation and research planning processes; (6) manages the 
legislative and communications programs for the Agency; (7) administers 
HRSA's equal opportunity and civil rights activities; and (8) provides 
overall leadership, direction, coordination, and planning in the 
support of the Agency's special health programs.

Office of Equal Opportunity, Civil Rights and Diversity Management 
(RA2)

    Directs, coordinates, develops, and administers HRSA's equal 
opportunity and civil rights activities. Specifically: (1) Provides 
advice, counsel, and recommendations to HRSA personnel, including 
regional divisions, on equal opportunity and civil rights and 
represents HRSA in all equal employment opportunity (EEO) areas; (2) 
administers affirmative action programs designed to ensure equality of 
opportunity in employment; (3) manages the Civil Service complaints 
system and prepares final HRSA decisions; (4) manages the complaints 
system for Public Health Service (PHS) Commissioned Corps personnel 
under the provisions of PHS Personnel Instruction 6 and issues proposed 
depositions; (5) develops and directs implementation of the 
requirements of Section 504 of the Rehabilitation Act of 1973, Title VI 
of the Civil Rights Act of 1964, the Age Discrimination Act of 1975 and 
the Americans With Disabilities Act, as they apply to recipients of 
HRSA funds; (6) provides technical assistance and guidance to HRSA on 
developing education and training programs regarding equal opportunity 
and civil rights; (7) approves and executes settlement agreements and 
attorney fees; (8) applies all applicable laws, guidelines, rules and 
regulations in accordance with those of the HHS Office of Equal 
Employment Opportunity and Civil Rights; and (9) provides leadership 
and guidance in HRSA's efforts to maintain and improve a diverse 
workforce.

Office of Planning, Analysis, and Evaluation (RA5)

Office of the Director (RA5)

    Serves as the Administrator's primary staff unit for coordinating 
the Agency's strategic planning process, and for conducting analysis, 
evaluation and research planning process, including: (1) Maintains 
liaison between the Administrator, other OPDIVs, higher levels of the 
Department and other Departments on all matters involving analysis of 
program policy undertaken in the Agency; (2) prepares policy analysis 
papers and planning documents as required in the Administration's 
strategic planning and other process; (3) analyzes budgetary data with 
regard to planning guidelines; (4) collaborates with the Office of 
Operations in the development of budgets, performance plans, and other 
administration reporting requirements; and (5) provides medical claims 
support.
    Intergovernmental Affairs: (1) Provides the Administrator with a 
single point of contact on all activities related to important State 
and local government, stakeholder association, and interest group 
activities; (2) coordinates Agency cross-Bureau cooperative agreements 
and activities with organizations such as the National Governors 
Association, National Conference of State Legislature, Association of 
State and Territorial Health Officials, National Association of 
Counties, and National Association of County and City Health Officials; 
(3) interacts with various commissions such as the Delta Regional 
Authority, Appalachian Regional Commission, Denali Commission and the 
United States and Mexico Border Health Commission; and (4) serves as 
the primary liaison to Department intergovernmental staff.

Office of Planning and Evaluation (RA51)

    (1) Serves as the Administrator's primary staff for coordinating 
the Agency's strategic, evaluation and research planning processes; (2) 
prepares policy analysis papers and other planning documents as 
required in the Administration's strategic planning process; (3) 
analyzes budgetary data with regard to planning guidelines; (4) 
collaborates in the development of budgets, performance plans, and 
performance reports required under the Government Performance and 
Accountability Report; (5) coordinates activity related to the 
prevention agenda, Healthy People activities and other departmental and 
Agency initiatives; (6) analyzes and coordinates the information needs 
of the Agency, including coordination of the public use reports 
clearance function; (7) analyzes policy issues surrounding the 
application and promotion of healthcare information technology in HRSA 
programs; and (8) serves as the focal point for health systems 
organization and financing issues, with particular emphasis on the 
Agency's relationship with the Centers for Medicare & Medicaid Services 
and safety net providers.

Division of Health Information Technology & Quality (RA52)

    Provides support and policy direction for HRSA's programs for 
quality improvement. Serves as the focal point for developing policy to 
promote the coordination and advancement of health information 
technology to HRSA's programs, including user networks, and the use of 
electronic health record systems. Specific responsibilities include: 
(1) Develops a nationwide health information technology and telehealth 
strategy for HRSA that focuses on the health care safety net and the 
needs of the uninsured, underserved, and special needs populations; (2) 
develops HRSA's Health Information Technology (HIT) and telehealth 
policy; (3) ensures successful dissemination of appropriate information 
technology advances, such as electronic health records systems or 
provider networks, to HRSA programs; (4) works collaboratively with 
States, foundations, national organizations,

[[Page 393]]

private sector providers, as well as departmental agencies and other 
Federal departments in order to promote the adoption of health 
information technology by HRSA's grantees; (5) ensures the health 
information technology policy and programs of HRSA are coordinated with 
those of other HHS components; (6) assesses the impact of health 
information technology initiatives in the community, especially for the 
uninsured, underserved, and special needs populations; (7) coordinates 
outreach and consultation with public and private parties of interest 
(within the extent of the law), including consumers, providers, payers, 
and administrators focusing on the needs of the uninsured, underserved, 
and special needs populations; and (8) develops and translates policy 
to promote the coordination and advancement of health information 
technology to HRSA's programs.

Office of Special Health Affairs (RA1)

Office of the Director (RA1)

    Provides overall leadership, direction, coordination, and planning 
in the support of the Agency's special health programs. Specifically, 
(1) plans and directs activities to advance health equity and improve 
minority health and eliminate health disparities; (2) develops 
strategies to maximize HRSA's participation in efforts to improve 
health care for vulnerable populations worldwide; and (3) provides 
leadership and direction to improve the delivery and quality of oral 
health care, mental health and other priority health concerns.

Office of Health Equity (RA11)

    Serves as the principal advisor and coordinator to the Agency for 
the special needs of minority and disadvantaged populations, including: 
(1) Provides leadership and direction to address HHS and HRSA Strategic 
Plan goals and objectives related to improving minority health and 
eliminating health disparities; (2) establishes and manages an Agency-
wide data collection system for minority health activities and 
initiatives including the White House Initiatives for Historically 
Black Colleges and Universities, Educational Excellence for Hispanic 
Americans, Tribal Colleges and Universities, Asian Americans and 
Pacific Islanders, and Departmental Initiatives; (3) implements 
activities to increase the availability of data to monitor the impact 
of Agency programs in improving minority health and eliminating health 
disparities; (4) participates in the formulation of HRSA's goals, 
policies, legislative proposals, priorities, and strategies as they 
affect health professional organizations and institutions of higher 
education and others involved in or concerned with the delivery of 
culturally-appropriate, quality health services to minorities and 
disadvantaged populations; (5) consults with Federal agencies and other 
public and private sector agencies and organizations to collaborate in 
addressing health equity, including enhancing cultural competence in 
health service providers; (6) establishes short-term and long-range 
objectives; and (7) participates in the focus of activities and 
objectives in assuring equity in access to resources and health careers 
for minorities and the disadvantaged.

Office of Global Health Affairs (RA12)

    Serves as the principal advisor to the Administrator on global 
health issues. (1) Provides leadership, coordination, and advancement 
of international health activities relating to health care services for 
vulnerable and at-risk populations and for training programs for health 
professionals; and (2) provides leadership within HRSA for the support 
for international health and coordinates policy development with the 
Office of Global Health Affairs (OGHA) and other departmental agencies.

Office of Strategic Priorities (RA13)

    Serves as the principal advisor to the Administrator on major 
health priorities including, but not limited to oral and mental health. 
(1) Provides leadership and coordination to improve oral and mental 
health infrastructure, delivery, and systems of care; (2) establishes 
short-term and long-term goals and objectives to improve the quality of 
oral and mental health care; (3) collaborates with other departmental 
and Federal agencies to promote oral and mental health by building 
public-private partnerships; (4) coordinates oral and mental health 
activities across HRSA programs; and (5) establishes program goals, 
objectives and priorities to improve oral and mental health status and 
outcomes to eliminate disparities.

Section RA-30, Delegations of Authority

    All delegations of authority and re-delegations of authority made 
to HRSA officials that were in effect immediately prior to this 
reorganization, and that are consistent with this reorganization, shall 
continue in effect pending further re-delegation.

Chapter RB--Office of Operations

Section RB-20, Functions

    Delete the functional statement for the Office of Operations and 
replace in its entirety.

Office of Operations

Office of the Chief Operating Officer (RB)

    (1) Provides leadership for operational activities, interaction and 
execution of Agency initiatives across the Health Resources and 
Services Administration; (2) plans, organizes and manages annual and 
multi-year budgets and resources and assures that the conduct of Agency 
administrative and financial management activities effectively support 
program operations; (3) provides an array of Agency-wide services 
including information technology, procurement management, facilities, 
workforce management, and budget execution and formulation; (4) 
maintains overall responsibility for policies, procedures, monitoring 
of internal controls and systems related to payment and disbursement 
activities; (5) provides management expertise, staff advice, and 
support to the Administrator in program and policy formulation and 
execution; (6) provides leadership in the development, review and 
implementation of policies and procedures to promote improved 
information technology management capabilities and best practices 
throughout HRSA; (7) coordinates IT workforce issues and works closely 
with the Department on IT recruitment and training issues; and (8) 
administers functions of the Chief Financial Officer.

Office of Budget (RB1)

    (1) Reviews funds control measures to assure that no program, 
project or activity of HRSA obligates or disburses funds in excess of 
appropriations or obligates funds in violation of authorized purposes; 
(2) provides advice and assistance to senior HRSA management to verify 
the accuracy, validity, and technical treatment of budgetary data in 
forms, schedules, and reports, or the legality and propriety of using 
funds for specific purposes; (3) maintains primary liaison to expedite 
the flow of financial management work and materials within the Agency 
and/or between Agency components and HHS, Office of Management and 
Budget (OMB), and congressional staff; (4) provides overall financial-
based analyses and fiduciary review for senior HRSA management in order 
to assure appropriate workforce planning, funds control guidance, and 
analytical

[[Page 394]]

technical assistance in all phases of the budgetary process; and (5) 
develops the long-range program and financial plan for the Agency in 
collaboration with the Office of Planning, Analysis and Evaluation, and 
other administrative Agency components.

Division of Budget Formulation and Presentation (RB11)

    (1) Manages and coordinates development of the Administration's 
budget for HRSA from independent submissions prepared by Bureau/Office 
contacts; (2) formulates the total HRSA financial plan for the 
Administrator, and evaluates and assures total Agency budget requests 
conform to current Administration policy and economic assumptions; (3) 
coordinates performance measures pursuant to the Government Performance 
and Results Act with budget proposals; (4) represents, supports and 
defends the HRSA budget in meetings/hearings before the Office of the 
Secretary, OMB, and the Congress; (5) provides policy direction and 
guidance for the preparation and consolidation of the budget and its 
transmittal to OMB through information technology; (6) analyzes 
proposed legislation and subsequent congressional action for budgetary 
implications; (7) prepares periodic summary analysis and impact 
statements on budget allowances and applicable congressional actions; 
(8) develops all financial and personnel staffing aspects of HRSA's 
implementation plans for establishing new or phasing out existing 
programs; (9) develops analyses of proposed budget estimates and 
supporting narrative through the use of available financial data 
reporting systems for Agency senior management; (10) maintains liaison 
with the Office of the Secretary and the OMB, the General 
Accountability Office, other Government organizations, and the Congress 
on HRSA's financial management matters; (11) consults with the Office 
of Program Evaluation to provide guidance and advice in implementing 
performance systems, including the Performance Assessment and Rating 
Tool assessments, Key Performance Indicators, and HRSA's Government 
Performance Results Act program; (12) collaborates with other parts of 
HRSA in the development and implementation of long-range program and 
financing plans; (13) completes chain-of-command requirements in timing 
and reporting of cleared information to parties outside the Executive 
Branch (i.e., the Congress, media, public); and (14) appropriately 
safeguards all embargoed information and all draft materials to 
maintain integrity of data, and secure work information.

Division of Budget Execution and Management (RB12)

    (1) Provides budget policy interpretation, management guidance and 
direction for senior HRSA management; (2) conducts the HRSA budget 
control process in conformance with statutory requirements and OMB 
guidelines; (3) approves program spending plans and obtains 
apportionment of funds from the OMB; (4) establishes and maintains a 
system of budgetary fund and position control; (5) provides senior HRSA 
management status and activity reports on total funds control and 
position control activities throughout the fiscal year; (6) administers 
and reviews requests for apportionments and allotments; (7) reviews, 
controls, and reports obligations and expenditures through central 
monitoring and advice to Bureau/Office management officials; (8) 
verifies funds available to Central HRSA Offices, and the propriety of 
using appropriated and non-appropriated funds for the requested 
purposes for which the funds have been proposed for expenditure through 
commitment accounting; (9) develops and interprets budgetary policies 
and practices for operating units of the Agency including analysis and 
approval for all equipment, supplies, travel, transportation and 
services procured by HRSA, and ensures the validity, legality and 
proper accounting treatment of expenditures processed through the 
Unified Financial Management System (UFMS); (10) controls the Agency's 
processes of allotment, allocation, obligation, and expenditure of 
funds in approved annual operating plans for all HRSA accounts; (11) 
monitors Bureau obligations in current allocations, disbursements and 
outlays and notifies Bureaus of potential deficiencies in allotments 
and allowances for specific periods for corrective action by Bureau 
staff; (12) maintains primary liaison between HRSA and the Program 
Support Center's Financial Operations Center for accounting functions; 
(13) maintains tracking of inputs into HRSA account for the central HHS 
accounting system (UFMS), which includes the examination, verification, 
and maintenance of accounts and accounting data within the accounting 
system; (14) provides standardized accounting codes across the Agency, 
performs technical audit functions, develops and/or installs revised 
accounting procedures, and serves as primary administrator of systems 
accounting functions within HRSA; (15) provides appropriate tracking of 
all ``fee-for-service'' charges to HRSA from other HHS components and 
outside entities; and (16) manages the centralized HRSA Pay Management 
for allocation of staff and position management.

Division of Program Budget Services (RB13)

    (1) Provides direct budget execution services to assigned program 
components working with appropriate program management officials; (2) 
coordinates budget services through formalized and integrated 
communications with program management officials or their designees to 
ensure effective and efficient delivery of services to its customers; 
(3) supports the formulation of annual budgets, develops spending plans 
and manages budget activities ensuring funds are expended in accordance 
with congressional intent; (4) provides reports on program activities 
to Budget Execution and Management Staff for control of commitment 
accounting within allotments and allowances and for position control 
activities; (5) analyzes and maintains reports on disbursements and 
changing obligations within closed year accounts for assigned program 
components; and (6) assures all open documents are closed without 
outstanding balances.

Office of Financial Policy and Controls (RB2)

    (1) Chief Financial Officer serves as liaison with all HRSA Bureau/
Office components and outside customers to provide financial 
information, resolve problems, and provide information on payment, and 
disbursement issues; (2) maintains overall responsibility for policies, 
procedures, monitoring of internal controls and systems related to 
payment and disbursement activities; (3) coordinates the development 
and improvement of HRSA's financial systems with the UFMS; (4) samples 
obligation documents and payment requests from a variety of private 
sector and Government sources to determine the validity and legality of 
the requests; (5) compiles and submits a variety of cash management and 
travel reports required by the Department of the Treasury and various 
other outside agencies; (6) provides leadership to define the control 
environment with Senior HRSA management to perform risk assessments 
identifying the most significant areas necessary for internal control 
placements; (7) analyzes internal reports to provide management 
information on special interest topics;

[[Page 395]]

(8) develops needs assessment for financial management training based 
on Government-wide and HHS standards; and (9) assures Treasury 
requirements and OMB suggestions for best practices are implemented in 
training plan for Agency-wide use.

Division of Internal Controls (RB21)

    (1) Coordinates risk assessments identifying the most significant 
areas necessary for internal control placements; (2) analyzes and 
reconciles disbursements made for HRSA by other Federal activities, and 
insures that disbursements are consistent with Federal Appropriations 
Law requirements, GAO policies, interagency elimination entry 
requirements, and other governing financial regulations; (3) analyzes 
year-end unliquidated obligations for compliance with Federal 
Appropriations Laws and the Economy Act, and recommends funding changes 
to senior HRSA management; (4) reviews and reconciles all U.S. Treasury 
Department reports and transmissions; (5) performs ongoing quality 
control reviews of various payment and disbursement processes and 
systems in the Office of Operations; (6) develops needs assessment for 
financial management training based on Government-wide and HHS 
standards; and (7) assures Treasury requirements and OMB suggestions 
for best practices are implemented in training plan for Agency-wide 
use.

Division of Financial Policy and Analysis (RB22)

    (1) Defines the control environment (e.g., programs, operations, or 
financial reporting) with Senior HRSA management; (2) maintains overall 
responsibility for policies, procedures, monitoring of internal 
controls and systems related to payment and disbursement activities; 
(3) conducts analyses to inform Office of Operations and Senior HRSA 
management of relevant financial information, potential problems/
solutions, and information on payment, travel, and disbursement issues; 
(4) reviews policy documents, Inter/Intra-Agency agreements and Agency 
materials for financial consistency with internal controls and 
disbursement requirements; (5) conducts analyses of management and 
operational problems in terms of financial management information; (6) 
analyzes the design, implementation, enhancement and documentation of 
automated financial systems within the Office of Operations to assist 
management in operating more efficiently; (7) provides consultative 
services to systems implementers within HRSA on a broad range of issues 
including policy, data integrity, systems integration and interfacing 
issues as they relate to financial management systems; (8) provides 
technical support and assistance to operating components and users in 
the integration of financial systems and the access and interpretation 
of financial system data; (9) analyzes and offers recommendations 
concerning the costs and benefits of alternative methods of financing 
Agency programs and administrative operations; (10) prepares long-range 
resource projections for the acquisition and use of funds to support 
specific Agency projects and programs; (11) facilitates the review of 
HRSA audit activities in compliance with the Chief Financial Officer's 
Act of 1990; and (12) provides support to the Annual Financial 
Statements by monitoring statement of net cost, preparing management 
representation correspondence, cycle memoranda and serves as audit 
liaison to the combined HHS Combined Financial Statement.

Office of Acquisitions Management and Policy (RB3)

    (1) Provides leadership in the planning, development, and 
implementation of policies and procedures for contracts; (2) exercises 
the sole responsibility within HRSA for the award and management of 
contracts; (3) provides advice and consultation of interpretation and 
application of the Department of Health and Human Services' policies 
and procedures governing contracts management; (4) develops operating 
procedures and policies for the Agency's contracts programs; (5) 
establishes standards and guides for and evaluates contracts operations 
throughout the Agency; (6) coordinates the Agency's positions and 
actions with respect to the audit of contracts; (7) maintains liaison 
directly with or through Agency Bureaus or Offices with contractors, 
other organizations, and various components of the Department; (8) 
provides leadership, guidance, and advice on the promotion of the 
activities in HRSA relating to procurement and material management 
governed by the Small Business Act of 1958, Executive Order 11625, and 
other statutes and national policy directives for augmenting the role 
of private industry, and small and minority businesses as sources of 
supply to the Government and Government contractors; and (9) plans, 
directs, and coordinates the Agency's sourcing program.

Division of Contracts Operations (RB31)

    (1) Responsible for soliciting, negotiating, awarding, and 
administering negotiated contracts in support of HRSA programs and 
activities; (2) provides professional, in-depth advice and consultation 
to HRSA staff regarding the various phases of the acquisition cycle 
relating to contracts awarded by the Agency; (3) conducts pre-award 
reviews of proposed contracts that exceed the requirements called for 
in the Federal and departmental acquisition regulations; (4) plans and 
coordinates acquisition reviews of contracting activities within HRSA 
headquarters and the field components; and (5) responds to 
congressional inquiries and requests for acquisition information from 
other Federal agencies and non-Federal sources.

Division of General Acquisitions (RB32)

    (1) Plans, negotiates and awards simplified acquisitions for 
headquarters and field components; (2) administers HRSA's acquisition 
data retrieval system; (3) oversees system and inputs data to the 
automated contracts reporting system, and reviews the PRISM reports and 
obtains specific information from various outside sources; (4) takes 
necessary actions regarding close out of both negotiated contracts and 
simplified acquisitions in support of HRSA programs; (5) provides a 
full range of in-depth advice and consultation regarding acquisition 
matters relating to the simplified acquisition to headquarters and 
field contracting activities; (6) conducts and monitors the performance 
of the HRSA purchase card IMPAC program for headquarters and field 
offices; (7) responds to congressional inquiries and requests for 
information from other departments and non-Federal sources on 
simplified acquisitions; (8) reviews and provides necessary 
recommendations on the disposition of awards which result in mistakes 
of bids, protests, and unauthorized obligations; (9) administers the 
training and certification program for acquisition officials; (10) 
manages close-out of completed contracts and purchase orders; and (11) 
manages the Inter/Intra-Agency agreement process.

Office of Management (RB4)

    Provides Agency-wide leadership, program direction, and 
coordination of all phases of administrative management. Specifically, 
the Office of Management: (1) Provides management expertise, staff 
advice, and support to the Administrator in program and policy 
formulation and execution; (2)

[[Page 396]]

provides administrative management services including human resources, 
procurement, property, space planning, safety, physical security, and 
general administrative services; (3) conducts Agency-wide workforce 
analysis studies and surveys; (4) plans, directs, and coordinates the 
Agency's activities in the areas of human resources management, 
including labor relations, personnel security, performance and 
alternative dispute resolution; (5) coordinates the development of 
policy and regulations; (6) oversees the development of annual 
operating objectives and coordinates HRSA work planning and appraisals; 
(7) directs and coordinates the Agency's organizations, functions and 
delegations of authority programs; (8) manages the Continuity of 
Operations (COOP) program for the Offices supported by the Office of 
Management; (9) administers the Agency's Executive Secretariat and 
committee management functions; (10) provides staff support to the 
Agency Chief Travel Official; and (11) provides staff support to the 
Deputy Ethics Counselor.

Division of Policy Review and Coordination (RB41)

    (1) Advises the Administrator and other key Agency officials on 
cross-cutting policy issues and assists in the identification and 
resolution of cross-cutting policy issues and problems; (2) establishes 
and maintains tracking systems that provide Agency-wide coordination 
and clearance of policies, regulations and guidelines; (3) plans, 
organizes and directs the Agency's Executive Secretariat with primary 
responsibility for preparation and management of written 
correspondence; (4) arranges briefings for Department officials on 
critical policy issues and oversees the development of necessary 
briefing documents; (5) administers administrative early alert system 
for the Agency to assure senior Agency officials are informed about 
administrative actions and opportunities; (6) coordinates the 
preparation of proposed rules and regulations relating to Agency 
programs and coordinates Agency review and comment on other Department 
regulations and policy directives that may affect the Agency's 
programs; (7) manages and maintains a records management program for 
the Agency; (8) oversees and coordinates the Agency's committee 
management activities; (9) coordinates the review and publication of 
Federal Register Notices; (10) provides advice and guidance for the 
establishment or modification of administrative delegations of 
authority; (11) provides advice and guidance for the establishment or 
modification of program delegations of authority; and (12) contributes 
to the analysis, development and implementation of Agency-wide 
administrative policies through coordination with relevant Agency 
program components and other related sources.

Division of Workforce Management (RB42)

    (1) Conducts Agency-wide workforce analysis studies and surveys; 
(2) develops comprehensive workforce strategies that meet the 
requirements of the President's Management Agenda, programmatic needs 
of HRSA, and the governance and management needs of HRSA leadership; 
(3) evaluates employee development practices to develop and enhance 
strategies to ensure HRSA retains a cadre of public health 
professionals and reduces risks associated with turnover in mission 
critical positions; (4) provides advice and guidance for the 
establishment or modification of organization structures, functions, 
and delegations of authority; (5) manages ethics and personnel security 
programs; (6) administers the Agency's performance management programs, 
including the SES Performance Review Board; (7) manages quality of work 
life, flexi place, and incentive and honor awards programs; (8) 
coordinates with the service provider the provision of human resources 
management, working with the service provider to communicate human 
resources requirements and monitoring the provider's performance; (9) 
directs and serves as a focal point for the Agency's intern and 
mentoring programs; (10) manages the Alternative Dispute Resolution 
Program; (11) provides support and guidance on human resources issues 
for the Offices supported by the Office of Management; and (12) 
oversees the commissioned corps liaison activities including the day-
to-day operations of workforce management.

Division of Management Services (RB43)

    (1) Provides administrative management services including 
procurement, property, space planning, safety, physical security, and 
general administrative services; (2) ensures implementation of 
statutes, Executive Orders, and regulations related to official travel, 
transportation, and relocation; (3) provides oversight for the HRSA 
travel management program involving use of travel management services/
systems, passenger transportation, and travel charge cards; (4) 
provides planning, management and oversight of all interior design 
projects, move services and furniture requirements; (5) develops space 
and furniture standards and related policies; (6) provides analysis of 
office space requirements required in supporting decisions relating to 
the acquisition of commercial leases and manages the furniture 
inventory; (7) provides advice, counsel, direction, and support to 
employees to fulfill the Agency's primary safety responsibility of 
providing a workplace free from recognizable safety and health 
concerns; (8) manages, controls, and/or coordinates all matters 
relating to mail management within HRSA, including developing and 
implementing procedures for the receipt, delivery, collection, and 
dispatch of mail; (9) maintains overall responsibility for the HRSA 
Forms Management Program which includes establishing internal controls 
to assure conformity with departmental policies and standards, 
including adequate systems for reviewing, clearing, costing, storing 
and controlling forms; and (10) manages the Continuity of Operations 
(COOP) program for the Offices supported by the Office of Management.

Office of Information Technology (RB5)

    The Chief Information Officer (CIO) is responsible for the 
organization, management, and administrative functions necessary to 
carry out the responsibilities of the office including: (1) 
Organizational development, investment control, budget formulation and 
execution, policy development, strategic and tactical planning, and 
performance monitoring; (2) provides leadership in the development, 
review and implementation of policies and procedures to promote 
improved information technology management capabilities and best 
practices throughout HRSA; and (3) coordinates IT workforce issues and 
works closely with the Department on IT recruitment and training 
issues.
    The Chief Technology Officer (CTO) is responsible for HRSA's 
emerging and advanced technology integration program consistent with 
HRSA's missions and program objectives including: (1) Managing 
technology planning and coordinating the Agency's Enterprise 
Architecture (EA) efforts with the capital planning process, ensuring 
the suitability and consistency of technology investments with HRSA's 
EA and strategic objectives; (2) incorporating security standards as a 
component of the EA process; (3) providing leadership for strategic 
planning that leverages information systems security, program 
strategies,

[[Page 397]]

and advanced technology integration to achieve program objectives 
through innovative technology use; and (4) providing leadership and 
establishing policy to address legislative or regulatory requirements, 
such as Section 508 of the Rehabilitation Act, and providing oversight 
for Agency IT configuration management and control.
    The Chief Information Security Officer (CISO) is responsible for: 
(1) Leadership and collaboration with Agency staff to oversee the 
implementation of security and privacy policy in the management of 
their IT systems, and plans all activities associated with the Federal 
Information Security Management Act (FISMA) or other agency security 
and privacy initiatives; (2) implementing, coordinating, and 
administering security and privacy programs to protect the information 
resources of HRSA in compliance with legislation, Executive Orders, 
directives of the Office of Management and Budget (OMB), or other 
mandated requirements; (e.g., Presidential Decision Directive 63, OMB 
Circular A-130, the National Security Agency, the Privacy Act, and 
other Federal agencies); (3) executing the Agency's Risk Management 
Program, and evaluates and assists with the implementation of 
safeguards to protect major information systems, and IT infrastructure; 
(4) coordinating with the Division of IT Operations and Customer 
Service to develop and implement HRSA level policies, procedures, 
guidelines, and standards for the incorporation of intrusion detection 
systems, vulnerability scanning, forensic and other security tools used 
to monitor automated systems and subsystems to safeguard HRSA's 
electronic information and data assets; and (5) managing the 
development, implementation, and evaluation of the HRSA information 
technology security and privacy training program to meet the 
requirements as mandated by OMB Circular A-130, the Computer Security 
Act, and Privacy Act.

Division of Business Information Management (RB51)

    (1) Provides consultation, assistance, and services to HRSA to 
promote and manage information dissemination and collaboration 
practices using appropriate electronic media; (2) evaluates and 
integrates emerging technology to facilitate the translation of data 
and information from data repositories into electronic formats for 
internal and external dissemination; (3) collaborates with the Office 
of Communications on the design, deployment, and maintenance of HRSA's 
Internet and Intranet Web sites including development and 
implementation of related policies and procedures; (4) develops and 
maintains an overall data and information management strategy for HRSA 
that is integrated with HHS and Government-wide strategies; (5) 
identifies information needs across HRSA and develops approaches for 
meeting those needs using appropriate technologies including 
development and maintenance of an enterprise reporting platform; (6) 
provides for data quality and ensures that data required for enterprise 
information requirements are captured in appropriate enterprise 
applications and that necessary data repositories are built and 
maintained; (7) enhances and expands use and utility of HRSA's data by 
providing basic analytic and user support, develops and maintains a 
range of information products for internal and external users and 
demonstrates potential uses of information in supporting management 
decisions; and (8) provides leadership and establishes policy to 
address legislative or regulatory requirements in its areas of 
responsibility.

Division of Capital Planning and Project Management (RB52)

    (1) Coordinates the development and review of policies and 
procedures for IT Capital Planning and Investment Control, Earned Value 
Management, IT portfolio management, IT project management, and the 
enterprise performance lifecycle methodology; (2) administers the 
Department's multi-year strategic information resources planning 
process, including developing and administering the Department's 
Strategic IT Plan; (3) supports the Budget Office in its evaluation of 
IT initiatives, and preparation of Agency, departmental, and OMB Budget 
Exhibits and documents; (4) works to obtain required information and 
analyzes it as appropriate; (5) coordinates control and evaluation 
review of ongoing IT projects, including support to the HRSA ITIRB in 
conducting such review; (6) promotes and follows a consistent 
methodology for project management and improves Agency-wide project 
management; and (7) operates a Project Management Office to improve 
management, communications, and functional user involvement, assists 
with project prioritization, and monitors progress and budget.

Division of Enterprise Solutions Development and Management (RB53)

    (1) Provides leadership, consultation, and IT project management 
services in the definition of Agency business applications 
architectures, the engineering of business processes, the building and 
deployment of applications, and the development, maintenance and 
management of enterprise systems and data collections efforts; (2) 
responsible for technology evaluation, application and data 
architecture definition, controlling software configuration management, 
data modeling, database design, development and management and 
stewardship services for business process owners; (3) manages the 
systems development lifecycle by facilitating business process 
engineering efforts, systems requirements definition, and provides 
oversight for application change management control; and (4) provides 
enterprise application user training, Tier-3 assistance, and is 
responsible for end-to-end application building, deployment, 
maintenance and data security assurance.

Division of IT Operations and Customer Services (RB54)

    (1) Provides leadership, consultation, training, and management 
services for HRSA's enterprise computing environment; (2) directs and 
manages the support and acquisition of HRSA network and desktop 
hardware, servers, wireless communication devices, and software 
licenses; (3) is responsible for the HRSA Data Center and the operation 
and maintenance of a complex, high-availability network infrastructure 
on which mission-critical applications are made available 24 hours per 
day, 7 days per week; (4) provides oversight for outsourced electronic 
mail, Internet and connectivity, web and video conferencing, and co-
managed firewall and security monitoring services; (5) controls 
infrastructure configuration management, installations and upgrades, 
security perimeter protection, and system resource access; (6) 
coordinates IT activities for Continuity of Operations Planning (COOP) 
Agency-wide, including provisioning and maintaining IT infrastructure 
and hardware at designated COOP locations to support emergency and COOP 
requirements; (7) accounts for property life cycle management and 
tracking of Agency-wide IT capital equipment; and (8) provides 
oversight for outsourced Tier-1 and Tier-2 Help Desk Call Center 
technical assistance, maintains workstation hardware and software 
configuration management controls, and provides oversight of outsourced 
network and desktop services to staff in HRSA Regional Offices.

[[Page 398]]

Section RB-30, Delegations of Authority

    All delegations of authority and re-delegations of authority made 
to HRSA officials that were in effect immediately prior to this 
reorganization, and that are consistent with this reorganization, shall 
continue in effect pending further re-delegation.

Chapter RH--Office of Rural Health Policy

Section RH-10, Organization

    Delete in its entirety and replace with the following:
    The Office of Rural Health Policy (RH) is headed by the Associate 
Administrator for Rural Health Policy, who reports directly to the 
Administrator. The Office of Rural Health Policy (RH) includes the 
following components:
    (1) Office of the Associate Administrator (RH);
    (2) Hospital State Division (RH1);
    (3) Community Based Division (RH2);
    (4) Border Health Division (RH3); and
    (5) Office for the Advancement of Telehealth (RH4).

Section RH-20, Functions

    Delete the functional statement for the Office of the Associate 
Administrator and replace in its entirety.

Office of the Associate Administrator (RH)

    The Office of the Associate Administrator is headed by the 
Associate Administrator who, in conjunction with other management 
officials within HRSA, is responsible for the overall leadership and 
management of the Office of Rural Health Policy. The Office of Rural 
Health Policy serves as a focal point within the Department and as a 
principal source of advice to the Administrator and Secretary for 
coordinating efforts to strengthen and improve the delivery of health 
services to populations in the Nation's rural areas and border areas, 
providing leadership and interacting with stakeholders in the delivery 
of health care to underserved and at risk populations. Specifically, 
the Office of Rural Health Policy is organized around the following 
primary issue areas:
    Delivery of Health Services: (1) Collects and analyzes information 
regarding the special problems of rural health care providers and 
populations; (2) works with States, State hospital associations, 
private associations, foundations, and other organizations to focus 
attention on, and promote solutions to, problems related to the 
delivery of health services in rural communities; (3) provides staff 
support to the National Advisory Committee on Rural Health and Human 
Services; (4) stimulates and coordinates interaction on rural health 
activities and programs in the Agency, Department and with other 
Federal agencies; (5) supports rural health center research and keeps 
informed of research and demonstration projects funded by States and 
foundations in the field of rural health care delivery; (6) establishes 
and maintains a resource center for the collection and dissemination of 
the latest information and research findings related to the delivery of 
health services in rural areas; (7) coordinates congressional and 
private sector inquiries related to rural health; (8) advises the 
Agency, Administrator and Department on the effects of current policies 
and proposed statutory, regulatory, administrative, and budgetary 
changes in the programs established under titles XVIII and XIX of the 
Social Security Act on the financial viability of small rural 
hospitals, the ability of rural areas to attract and retain physicians 
and other health professionals; (9) oversees compliance by CMS with the 
requirement that rural hospital impact analyses are developed whenever 
proposed regulations might have a significant impact on a substantial 
number of small rural hospitals; (10) supports specialized rural 
programs on minority health, mental health, preventive health 
education, oral health, and occupational health and safety; (11) 
directs the management of a nationwide rural health grants program; 
(12) directs the management of a program of State grants which support 
collaboration within State offices of rural health; and (13) funds 
radiation exposure screening and education programs that screen 
eligible individuals adversely affected by the mining, transport and 
processing of uranium and the testing of nuclear weapons for cancer and 
other diseases.

Hospital State Division (RH1)

    The Hospital State Division serves as the focal point within the 
Office of Rural Health Policy to support rural hospital and State grant 
programs focused on rural populations. Specifically, the Hospital State 
Division is organized around the following primary issue areas: (1) 
Plans and manages a program of State grants which support collaboration 
within State offices of rural health; (2) works with States, State 
hospital associations, private associations, foundations, and other 
organizations to focus attention on, and promote solutions to, problems 
related to the delivery of health services in rural communities; and 
(3) provides coordinated technical assistance to grantees and rural 
communities.

Community Based Division (RH2)

    The Community Based Division serves as the focal point within the 
Office of Rural Health Policy to support rural community grant 
programs. Specifically, the Community Based Division is organized 
around the following primary issue areas: (1) Plans and manages several 
nationwide rural health grants programs; (2) supports programs on rural 
health, public health, and health status improvement; (3) funds public 
and private non-profit entities for the operation of clinics that 
provide diagnosis, treatment and rehabilitation of active and retired 
coal miners and others with respiratory ailments (black lung) and other 
occupational related respiratory disease impairments; (4) funds 
radiation exposure screening and education programs that screen 
eligible individuals adversely affected by the mining, transport and 
processing of uranium and the testing of nuclear weapons for cancer and 
other diseases; and (5) provides technical assistance to grantees and 
rural communities.

Border Health Division (RH3)

    The Border Health Division provides leadership and direction to 
coordinate the Agency's assets in border regions. Specifically, the 
Border Health Division: (1) Assures that the Agency's engagement with 
regions of the border is strategic, performance based, builds 
partnerships and alliances, and maximizes utilization of Agency assets; 
(2) assures Agency-wide coordination by establishing border health 
program policies and procedures including tracking mechanisms; (3) 
conducts management and evaluation studies to improve the health 
delivery system on the border; (4) serves as the secretariat and chair 
for the Agency's Border Health Workgroup; (5) plans, directs, and 
coordinates the Agency's border health activities; and (6) plans, 
coordinates and facilitates the Agency agreements activities with 
border health issues.

Office for the Advancement of Telehealth (RH4)

    Serves as the operational focal point for coordinating and 
advancing the use of telehealth technologies across all of HRSA's 
programs including, but not limited to, the provision of healthcare at 
a distance (telemedicine); distance-based learning to improve the 
knowledge of Agency grantees, and others; and improved information 
dissemination to both consumers and

[[Page 399]]

providers about the latest developments in telemedicine. The Office for 
the Advancement of Telehealth carries out the following functions, 
specifically: (1) Develops and coordinates telehealth network and 
telehealth resource centers grant programs; (2) provides professional 
assistance and support in developing telehealth initiatives; (3) 
administers grant programs to promulgate and evaluate the use of 
appropriate telehealth technologies among HRSA grantees and others; and 
(4) disseminates the latest information and research findings related 
to the use of telehealth technologies in Agency programs and 
underserved areas, including findings on ``best practices.''

Section RH-30, Delegations of Authority

    All delegations of authority and re-delegations of authority made 
to HRSA officials that were in effect immediately prior to this 
reorganization, and that are consistent with this reorganization, shall 
continue in effect pending further re-delegation.

Chapter RC--Bureau of Primary Health Care

Section RC-10, Organization

    Delete in its entirety and replace with the following:
    The Bureau of Primary Health Care (RC) is headed by the Associate 
Administrator for Primary Health Care, who reports directly to the 
Administrator. The Bureau of Primary Health Care (RC) includes the 
following components:
    (1) Office of the Associate Administrator (RC);
    (2) Office of Minority and Special Populations (RCG);
    (3) Office of Policy and Program Development (RCH);
    (4) Office of Quality and Data (RCK);
    (5) Eastern Division (RCN);
    (6) Central Mid-Atlantic Division (RCP);
    (7) Western Division (RCQ); and
    (8) Health Information Technology State and Community Assistance 
Division (RCR).

 Section RC-20, Functions

    Delete the functional statement for the Bureau of Primary Health 
Care and replace in its entirety.

Office of the Associate Administrator (RC)

    Provides overall leadership, direction, coordination, and planning 
in support of Bureau of Primary Health Care (BPHC) programs that are 
designed to improve the health of the Nation's underserved communities 
and vulnerable populations by assuring access to comprehensive, 
culturally competent, quality primary health care services. 
Specifically, (1) establishes program goals, objectives and priorities, 
and provides oversight as to their execution; (2) plans, directs, 
coordinates and evaluates Bureau-wide management activities; (3) 
maintains effective relationships within HRSA and with other Department 
of Health and Human Services (HHS) organizations, other Federal 
agencies, State and local governments, and other public and private 
organizations concerned with primary health care, eliminating health 
disparities, and improving the health status of the Nation's 
underserved and vulnerable populations; and (4) plans, directs, and 
coordinates Bureau-wide administrative management activities, (i.e., 
budget, finance, personnel, procurements, delegations of authority, 
emergency planning, training, executive secretariat), and has 
responsibilities related to the awarding of BPHC grant and contract 
funds.

Office of Minority and Special Populations (RCG)

    Serves as the organizational focus for the coordination of Bureau 
activities relating to the delivery of health services to minority and 
special populations, including migrant and seasonal farmworkers, 
homeless persons, and residents of public housing. Specifically, (1) 
ensures that the needs and special circumstances of minority and 
special populations and the provider organizations that serve them are 
addressed in BPHC programs and policies; (2) advises BPHC about the 
needs of minority and special populations; (3) identifies, provides and 
coordinates assistance to communities, community-based organizations 
and BPHC programs related to the development, delivery and expansion of 
services targeted to minority and special populations; (4) coordinates 
Bureau activities for minority and special populations within HRSA and 
HHS, and with other Federal agencies, State and local governments, and 
other public and private organizations concerned with primary health 
care, eliminating health disparities, and improving the health status 
of the Nation's underserved and vulnerable populations; and (5) 
provides support to the National Advisory Council on Migrant Health.

Office of Program and Policy Development (RCH)

    Serves as the organizational focus for the development of BPHC 
programs and policies. Specifically, (1) leads and monitors the 
development and expansion of health centers and health systems 
infrastructure; (2) identifies, provides and coordinates assistance to 
communities, community-based organizations and BPHC programs related to 
the development and expansion of health centers and health systems 
infrastructure; (3) manages the Bureau's loan guarantee program; (4) 
oversees and coordinates the Federally Qualified Health Center (FQHC) 
Look-Alike program; (5) leads and coordinates the analysis, development 
and drafting of policy impacting BPHC's programs; (6) consults and 
coordinates with other components within HRSA and HHS, and with other 
Federal agencies, State and local governments, and other public and 
private organizations on issues affecting BPHC's programs and policies; 
(7) performs environmental scanning on issues that affect BPHC's 
programs; (8) monitors BPHC's activities in relation to HRSA's 
Strategic Plan; and (9) serves as the Bureau's focal point for 
communication and program information.

Office of Quality and Data (RCK)

    Serves as the organizational focus for quality and program 
performance reporting. Specifically, (1) provides leadership for 
implementing BPHC clinical and quality strategies; (2) oversees BPHC 
Federal Tort Claims Act (FTCA) malpractice programs, reviewing 
clinical, quality improvement, risk management, and patient safety 
activities to improve policies and programs for primary health care 
services, including clinical information systems; (3) serves as the 
Bureau's focal point for the design and implementation of data systems 
to assess and improve program performance; (4) coordinates BPHC 
clinical, quality and performance reporting activities within HRSA and 
HHS, and with other Federal agencies, State and local governments, and 
other public and private organizations concerned with primary health 
care, eliminating health disparities, and improving the health status 
of the Nation's underserved and vulnerable populations; and (5) 
identifies, provides and coordinates assistance to BPHC programs around 
clinical, quality and performance reporting activities.

Eastern Division (RCN)

    Manages BPHC primary health care grant programs and activities 
within HHS Regions 1, 2 and 4. Specifically, for Regions 1, 2 and 4: 
(1) Manages the post-award administration of the Bureau's primary 
health care grant programs; (2) serves as the BPHC representative to 
organizations receiving Bureau grants; (3) promotes a continued

[[Page 400]]

focus on efficient and effective care for underserved and vulnerable 
populations; (4) communicates and interprets program statutory/
regulatory requirements, policy, expectations and reporting 
requirements, providing technical guidance to grantees on the 
management and integration of community-based systems of care, the 
adaptation of successful strategies/models, and the resolution of 
difficult issues; (5) monitors the performance of BPHC primary health 
care grantees, making programmatic recommendations and providing 
assistance to improve performance, where appropriate; (6) reviews 
findings and recommendations of periodic and episodic grantee 
assessments, developing actions needed to assure continuity of services 
to underserved and vulnerable populations and appropriate use of 
Federal resources; (7) identifies, provides and coordinates training 
and technical assistance activities for BPHC primary health care grant 
programs, including State-based training and technical assistance; (8) 
conducts State and regional surveillance on issues that affect BPHC 
grant programs; and (9) provides consultation to and coordinates 
activities within HRSA and HHS, and with other Federal agencies, State 
and local governments, and other public and private organizations 
involved in the implementation of program activities.

Central Mid-Atlantic Division (RCP)

    Manages BPHC primary health care grant programs and activities 
within HHS Regions 3, 5 and 6. Specifically, for Regions 3, 5 and 6: 
(1) Manages the post-award administration of the Bureau's primary 
health care grant programs; (2) serves as the BPHC representative to 
organizations receiving Bureau grants; (3) promotes a continued focus 
on efficient and effective care for underserved and vulnerable 
populations; (4) communicates and interprets program statutory/
regulatory requirements, policy, expectations and reporting 
requirements, providing technical guidance to grantees on the 
management and integration of community-based systems of care, the 
adaptation of successful strategies/models, and the resolution of 
difficult issues; (5) monitors the performance of BPHC primary health 
care grantees, making programmatic recommendations and providing 
assistance to improve performance, where appropriate; (6) reviews 
findings and recommendations of periodic and episodic grantee 
assessments, developing actions needed to assure continuity of services 
to underserved and vulnerable populations and appropriate use of 
Federal resources; (7) identifies, provides and coordinates training 
and technical assistance activities for BPHC primary health care grant 
programs, including State-based training and technical assistance; (8) 
conducts State and regional surveillance on issues that affect BPHC 
grant programs; and (9) provides consultation to and coordinates 
activities within HRSA and HHS, and with other Federal agencies, State 
and local governments, and other public and private organizations 
involved in the implementation of program activities.

Western Division (RCQ)

    Manages BPHC primary health care grant programs and activities 
within HHS Regions 7, 8, 9 and 10. Specifically, for Regions 7, 8, 9 
and 10: (1) Manages the post-award administration of the Bureau's 
primary health care grant programs; (2) serves as the BPHC 
representative to organizations receiving Bureau grants; (3) promotes a 
continued focus on efficient and effective care for underserved and 
vulnerable populations; (4) communicates and interprets program 
statutory/regulatory requirements, policy, expectations and reporting 
requirements, providing technical guidance to grantees on the 
management and integration of community-based systems of care, the 
adaptation of successful strategies/models, and the resolution of 
difficult issues; (5) monitors the performance of BPHC primary health 
care grantees, making programmatic recommendations and providing 
assistance to improve performance, where appropriate; (6) reviews 
findings and recommendations of periodic and episodic grantee 
assessments, developing actions needed to assure continuity of services 
to underserved and vulnerable populations and appropriate use of 
Federal resources; (7) identifies, provides and coordinates training 
and technical assistance activities for BPHC primary health care grant 
programs, including State-based training and technical assistance; (8) 
conducts State and regional surveillance on issues that affect BPHC 
grant programs; and (9) provides consultation to and coordinates 
activities within HRSA and HHS, and with other Federal agencies, State 
and local governments, and other public and private organizations 
involved in the implementation of program activities.

Division of National Hansen's Disease Program (RC7)

    Manages the National Hansen's Disease Program in accordance with 
regulations of the Public Health Service; establishes policies and 
procedures, maintains standards and represents the program to other 
agencies and the public; provides leadership necessary to ascertain and 
maintain equal employment opportunities; develops, executes, and 
maintains effective public relations which are required because of the 
nature of the institution. Directs, supervises, and evaluates the 
functions of Ambulatory Care.

Division of Health Information Technology State and Community 
Assistance (RCR)

    Serves as the operational focal point for coordinating and 
advancing the adoption of health information technology across all of 
HRSA's programs, including, but not limited to, user networks, clinical 
management systems, and the use of electronic medical record systems. 
Ensures information dissemination to HRSA grantees and other consumers 
and providers about the latest developments in health care information 
technology, and the impact of health information technology on other 
activities designed to improve the health status of the Nation. The 
Division of Health Information Technology State and Community 
Assistance carries out the following functions: (1) Develops and 
coordinates health information technology (HIT) programs and policies; 
(2) provides professional assistance and support in developing HIT 
initiatives among HRSA grantees; (3) administers grant programs to 
promote and evaluate the use of appropriate HIT among grantees and 
others; (4) advises HRSA grantees on strategies to maximize the 
potential of new and existing HIT technologies for meeting quality and 
technical assistance objectives; (5) disseminates the latest 
information and research findings related to the use of HIT 
technologies in the Agency programs and underserved areas, including 
findings on ``best practices;'' and (6) provides guidance on HIT policy 
for safety net providers through the Associate Administrator to the 
Office of the National Health Information Technology Coordinator and 
the other components of the Department, with other Federal and State 
agencies and with the private sector to promote and overcome barriers 
to effective HIT programs.

[[Page 401]]

Section RC-30, Delegations of Authority

    All delegations of authority and re-delegations of authority made 
to HRSA officials that were in effect immediately prior to this 
reorganization, and that are consistent with this reorganization, shall 
continue in effect pending further re-delegation.

Chapter RR--Healthcare Systems Bureau

Section RR-20, Functions

    Delete the functional statement for the Health Care Systems Bureau 
and replace in its entirety.
    (1) Administers the Organ Procurement and Transplantation Network 
(OPTN) to facilitate the allocation of donor organs to patients waiting 
for an organ transplant and the Scientific Registry of Transplant 
Recipients that provides analytic support to the OPTN in the 
development and assessment of organ allocation and other OPTN policies; 
(2) administers the C.W. Bill Young Cell Transplantation Program to 
increase the number of unrelated blood stem cell transplants and 
improve the outcomes of blood stem cell transplants; (3) administers 
the National Cord Blood Inventory (NCBI) to increase the number of high 
quality cord blood units available for transplantation; (4) develops 
and maintains a national program of grants and contracts to organ 
procurement organization and other entities to increase the number of 
organs made available for transplantation; (5) manages the national 
program for compliance with the Hill-Burton uncompensated care 
requirement and other assurances; (6) directs and administers an 
earmarked grant program for the construction/renovation/equipping of 
health care and other facilities; (7) directs and administers the 
National Vaccine Injury Compensation Program; (8) directs and 
administers the Smallpox Emergency Personnel Protection Act Program; 
(9) serves as the focal point for providing leadership and direction to 
States to develop plans for providing access to affordable health 
insurance coverage for all citizens; (10) directs and administers the 
Poison Control Center Enhancement and Awareness Act; (11) manages and 
promotes the 340B Drug Pricing Program; (12) implements and administers 
the Countermeasures Injury Compensation Program (CICP) under Public 
Readiness and Emergency Preparedness (PREP) Act authorities; (13) 
coordinates HRSA activities related to emergency preparedness planning, 
policy, and continuity of operations, including the operation of the 
HRSA Emergency Operations Center, and serves as HRSA's liaison to HHS 
and interagency partners on emergency preparedness matters; (14) 
ensures HRSA's commissioned corps is ready to respond to public health 
challenges and emergencies identified by the Secretary; (15) in 
conjunction with the Office of Force Readiness and Deployment, ensures 
the readiness and deployment capability of officers assigned to HRSA; 
and (16) directs and administers the State Health Access Program that 
awards grants to States to expand access to affordable healthcare 
coverage for people who are uninsured.

Division of Transplantation (RR1)

    On behalf of the Secretary of Health and Human Services (HHS), 
administers all statutory authorities related to the operation of the 
Nation's organ procurement and transplantation system, the C.W. Bill 
Young Cell Transplantation Program and the National Cord Blood 
Inventory Program. The Organ Transplantation program supports: (1) The 
operation of the Organ Procurement and Transplantation Network (OPTN), 
which facilitates the matching of donor organs to patients in need of 
organ transplants; (2) the operation of the Scientific Registry of 
Transplant Recipients (SRTR), which facilitates the ongoing evaluation 
of the scientific and clinical status of organ transplantation; (3) 
public education programs to increase awareness about the need for 
organ donation; (4) peer-reviewed grants and contracts with public and 
private nonprofit entities to conduct studies and demonstration 
projects designed to increase organ donation and recovery rates; (5) 
grants to States to support organ donation awareness programs; (6) 
public education, outreach programs, and studies designed to increase 
the number of organ donors, including living donors; (7) the 
development and dissemination of educational materials to inform health 
care professionals and other appropriate professionals on issues 
surrounding organ, tissue and eye donation; (8) grants to qualified 
organ procurement organizations and hospitals to establish programs to 
increase the rate of organ donation; (9) financial assistance to living 
donors to help defray travel, subsistence and other incidental non-
medical expenses; (10) supports mechanisms to evaluate the long-term 
effects of living organ donation; and (11) manages the Secretary's 
Advisory Committee on Organ Transplantation as it advises the Secretary 
of the HHS on the activities of the OPTN.
    The Division administers two closely related national blood stem 
cell programs, the C. W. Bill Young Cell Transplantation Program and 
the National Cord Blood Inventory (NCBI) to facilitate blood stem cell 
transplants (using adult volunteer donors or umbilical cord blood 
units) to treat individuals with leukemia and other life-threatening 
blood and genetic diseases, who lack a related donor. In administering 
these two programs, the Division: (1) Provides a national system for 
recruiting and tissue-typing potential bone marrow donors, particularly 
in racial and ethnic minority populations; (2) funds and oversees 
collection of high quality cord blood units from diverse population; 
(3) supports the Advisory Council on Blood Stem Cell Transplantation as 
it advises the Secretary of the HHS and the Administrator of the Health 
Resources and Services Administration (HRSA) on the activities of the 
C.W. Bill Young Cell Transplantation Program and the NCBI Program; (4) 
stays informed of the medical, scientific, research, and financial 
environment for blood stem cell transplantation; (5) develops policy in 
the area of blood stem cell transplantation, in coordination with the 
C.W. Bill Young Cell Transplantation Program and NCBI contractors, 
other DHHS agencies, and the U.S. Navy; (6) administers and oversees 
the contracts for the operation of the C.W. Bill Young Cell 
Transplantation Program and NCBI, advising on contractor projects and 
participating in contractor committees; (7) consults with the 
Department of State (through HRSA's Office of International Health) 
regarding the possible foreign policy implications of proposed 
international agreements between the C.W. Bill Young Cell 
Transplantation Program and NCBI contractors and transplant centers and 
other organizations outside the U.S.; and (8) initiates, and conducts 
directly or contracts for, studies to advance the knowledge of blood 
and marrow transplantation, to address patient needs, to increase donor 
recruitment in targeted populations, and to address financial issues in 
transplantation.

Division of Facilities Compliance and Recovery (RR2)

    This Division substantiates health facilities' compliance with 
Hill-Burton uncompensated services and care assurance and administers 
the Health Care and Other Facilities (HCOF) program. Specifically, the 
Division: (1) Establishes, develops, monitors, and enforces the 
implementation of Hill-Burton regulations, policies, procedures,

[[Page 402]]

and guidelines for use by staff and health care facilities; (2) 
maintains a system for receipt, analysis and disposition of audit 
appeals by Hill-Burton obligated facilities and for receiving and 
responding to patient complaints; (3) processes and determines or 
recommends to the Director, approval or disapproval of recovery claims, 
waiver actions, and management contracts of Title VI and XVI grant 
recipient facilities subject to review; (4) manages the recovery of 
Federal grant funds process for Titles VI and XVI; (5) manages the 
national Hill-Burton Hotline to ensure that consumers receive timely 
and accurate information on the program; (6) administers the process 
for awarding new HCOF grants, including ensuring compliance with 
historic preservation and other laws and regulations related to 
construction projects, maintaining a computerized database of key 
project information, and providing technical assistance in application 
preparation to potential grantees under Section 1610(b) and the 
``Health Care and Other Facilities'' grant programs; (7) monitors grant 
projects during construction to assure compliance with the terms of the 
award, reviews requests for changes in scope to grant projects, and 
obtains information needed to close out completed grant projects; and 
(8) provides architectural and engineering services in accordance with 
the Intra-agency Agreement between HRSA and the Administration for 
Children and Families.

Division of Vaccine Injury Compensation (RR4)

    This Division administers all statutory authorities related to the 
operation of the National Vaccine Injury Compensation Program (VICP) by 
the: (1) Evaluation of petitions for compensation filed under the VICP 
through medical review and assessment of compensability for all 
complete claims; (2) processing of awards for compensation made under 
the VICP; (3) promulgation of regulations to revise the Vaccine Injury 
Table; (4) provision of professional and administrative support to the 
Advisory Commission on Childhood Vaccines (ACCV); (5) development and 
maintenance of all automated information systems necessary for program 
implementation; (6) provision and dissemination of program information; 
and (7) promotion of safer childhood vaccines. VICP maintains a working 
relationship with other relevant Federal and private sector partners in 
its administration and operation.

Office of Pharmacy Affairs (RR7)

    The Office promotes access to clinically and cost effective 
pharmacy services by maximizing the value of the 340B Drug Pricing 
Program for entities eligible to participate by: (1) Managing the PHS 
Pharmaceutical Pricing Agreements with pharmaceutical manufacturers who 
participate in the Medicaid program; (2) maintaining a database of 
covered entities and organizations eligible to become covered entities, 
including status of certifications, where required, and identification 
of contracted pharmacies, when used by covered entities; (3) publishing 
guidelines and/or regulations to assist covered entities, drug 
manufacturers, and wholesalers to use the Drug Pricing Program and 
comply with the requirements of Section 340B of the Public Health 
Service Act; (4) implementing and overseeing the 340B Prime Vendor 
Program that provides drug distribution and price negotiation services 
for participating covered entities; (5) coordinating the 340B 
implementation activities of programs in the Health Resources and 
Services Administration, the Centers for Disease Control and 
Prevention, the Indian Health Service, and the Office of Public Health 
and Science that provide support to entities eligible to access the 
Drug Pricing Program; (6) providing a full range of technical 
assistance to eligible and participating entities; (7) working with the 
Centers for Medicare and Medicaid Services and the Department of 
Veterans Affairs, which operate related drug rebate and discount 
programs, to coordinate policies and operations; and (8) maintaining 
liaison with grantee associations, professional organizations, the 
pharmaceutical industry, and trade associations concerning drug pricing 
and pharmacy issues.
    The Office also supports HRSA health centers, States, and other 
delivery systems as they develop quality programs for affordable drug 
benefits through: (1) Managing clinical pharmacy demonstration 
projects; (2) assisting health centers and other grantees to make 
optimum use of resources available for pharmacy services; (3) 
demonstrating innovative methods of delivering pharmacy services; (4) 
providing technical assistance to grantees, States, local governments, 
and other health care delivery systems to plan and implement pharmacy 
benefits; (5) serving as a Federal Government resource for pharmacy 
practice through the development and maintenance of cooperative 
relationships with national pharmacy and governmental organizations; 
(6) the provision of technical assistance for pharmacy practice; and 
(7) the provision of model pharmacy products (such as sample contracts 
and business plans) for safety-net health care providers.

Section RR-30, Delegations of Authority

    All delegations of authority and re-delegations of authority made 
to HRSA officials that were in effect immediately prior to this 
reorganization, and that are consistent with this reorganization, shall 
continue in effect pending further re-delegation.

Chapter RP--Bureau of Health Professions

Section RP-20, Functions

    Delete the functional statement for the Bureau of Health 
Professions and replace in its entirety.

Office of the Associate Administrator (RP)

    Provides national leadership in coordinating, evaluating, and 
supporting the development and utilization of the Nation's health 
personnel. Specifically: (1) Directs the national health professions 
education, student assistance, and development programs and activities; 
(2) provides policy guidance and staff direction to the Bureau; (3) 
maintains liaison with other Federal and non-Federal organizations and 
agencies with health personnel development interest and 
responsibilities; (4) provides guidance and direction for technical 
assistance activities in the international aspects of health personnel 
development; (5) provides guidance and assistance to the Regional 
Health Administrators or regional staff as appropriate; (6) directs and 
coordinates Bureau programs in support of Equal Employment Opportunity; 
(7) coordinates and provides guidance on the Freedom of Information Act 
and Privacy Act activities; (8) plans, directs, coordinates, and 
evaluates Bureau-wide administrative management activities; and (9) 
serves as the Bureau's focal point for correspondence control.

Office of Shortage Designation (RP2)

    Provides national leadership and management of the designation of 
health professional shortage areas and medically-underserved 
populations. Specifically: (1) Maintains and enhances the Agency's 
critical role in the Nation's efforts to address equitable distribution 
of health professionals and access to health care for underserved 
populations; (2) encourages and fosters an ongoing, positive working 
relationship with other

[[Page 403]]

Federal, State and private sector partners regarding health 
professional shortage areas and medically-underserved populations; (3) 
approves designation requests and finalizes designation policies and 
procedures for both current and proposed designation criteria; (4) 
negotiates and approves State designation agreements (e.g., use of 
databases, population estimates, Statewide Rational Service Areas); and 
(5) oversees grants to State primary care offices.

Office of Workforce Policy and Performance Management (RP3)

    Serves as the Bureau focal point for program planning, evaluation, 
coordination, and analysis, including analysis and operations review of 
Information Management systems; health professions data analysis and 
research; and for health professions quality assurance efforts. 
Maintains liaison with governmental, professional, voluntary, and other 
public and private organizations, institutions, and groups for the 
purpose of providing information exchange. Specifically the office is 
responsible for the following activities: (1) Stimulates, guides, and 
coordinates program planning, reporting, and evaluation activities of 
the Divisions and staff offices; (2) provides staff services to the 
Associate Administrator for program and strategic planning and its 
relation to the budgetary and regulatory processes; (3) develops issue 
papers and congressional reports relating to Bureau programs; (4) 
coordinates the development and implementation of the Bureau's 
evaluation program; (5) coordinates Bureau performance measurement and 
reporting; (6) sponsors and conducts research, special studies, and 
forecasting models on important issues that affect the national, State 
and local health workforce including studies relevant to current and 
future policies of the Bureau and their impact on the supply and demand 
for health professionals and the health industry at large; (7) provides 
technical assistance to States, educational institutions, professional 
associations and other Federal agencies relative to health personnel 
analytical information and analysis; and (8) develops and coordinates 
the Bureau data collection and modeling in conjunction with other 
entities involved in data collection and analysis, such as the Agency 
for Healthcare Research and Quality (AHRQ), the National Center for 
Health Statistics (NCHS), the Centers for Medicare and Medicaid 
Services (CMS), and the Administration on Aging (AOA).

Division of Nursing (RPB)

    Serves as the principal focus for nursing education and practice. 
Specifically: (1) Provides national leadership and professional nursing 
expertise in the areas of policy development, budget, planning, 
coordination, evaluation and utilization of nursing personnel 
resources; (2) serves, on behalf of the Secretary, as the Chair of the 
National Advisory Council on Nurse Education and Practice; (3) supports 
and conducts programs which address the development, supply, 
utilization, and quality of nursing personnel; (4) promotes the 
involvement of States and communities in developing and administering 
nursing programs and assists States and communities in improving 
nursing services and educational programs; (5) encourages coordination 
of nursing-related issues within and across departmental entities; (6) 
facilitates coordination of nursing-related issues with other 
governmental agencies and consults with them on national or 
international nursing workforce planning and development issues; (7) 
maintains liaison with external health professional groups, the 
academic community, consumers, and State and community groups with a 
common interest in the Nation's capacity to deliver nursing services; 
(8) advances and promotes the development of effective models of 
nursing practice and education; (9) stimulates initiatives in the area 
of international nursing information exchange and nursing workforce 
planning and development; and (10) provides overall direction and 
management of Division human and financial resources.

Division of Medicine and Dentistry (RPC)

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

[[Page 404]]

other governmental and private organizations on the operation of these 
educational programs; (16) promotes the dissemination and application 
of findings arising from programs supported; (17) develops 
congressional and other mandated or special program-specific reports 
and publications on dental educational processes, programs and 
approaches; and (18) promotes, plans, and develops collaborative 
educational activities in clinical psychology.

Division of Student Loans and Scholarships (RPD)

    Serves as the focal point for overseeing loan and scholarship 
programs supporting health professionals. Specifically: (1) Directs and 
administers the Health Professions and Nursing Student Loan and 
Scholarship Programs, the Federal Assistance to Disadvantaged Health 
Professions Scholarship Program, the Health Educational Assistance Loan 
Program, and the Primary Care Loan Program; (2) monitors and assesses 
educational and financial institutions with respect to capabilities and 
management of Federal support for students and of tracking of 
obligatory service requirements; (3) develops and conducts training 
activities for staff of educational and financial institutions; (4) 
maintains liaison with and provides assistance to program-related 
public and private professional organizations and institutions; (5) 
maintains liaison with the Office of the General Counsel, and the 
Office of the Inspector General, DHHS, components of the Department of 
Education and the Department of Defense, and State agencies concerning 
student assistance; (6) coordinates financial aspects of programs with 
educational institutions; and (7) develops program data needs, formats, 
and reporting requirements, including collection, collation, analysis 
and dissemination of data.

Division of Diversity and Interdisciplinary Education (RPF)

    Serves as the principal focal point for interdisciplinary health 
professions issues and programs, including geriatric training, and for 
activities to increase the diversity of the health professional 
workforce. Specifically: (1) Provides leadership and direction for the 
development and implementation of Bureau objectives as they relate to 
diverse and disadvantaged populations; (2) develops and recommends 
health resources and health career opportunities for diverse and 
disadvantaged populations; (3) initiates, stimulates, supports, 
coordinates, and evaluates Bureau programs for improving the 
availability and accessibility of health careers for diverse and 
disadvantaged populations; (4) conducts special studies and collects 
baseline data to identify specific factors contributing to the health 
and health-related problems of diverse and disadvantaged populations, 
and to develop strategies for improving health services and career 
opportunities for diverse and disadvantaged populations; (5) conducts 
extramural programs, including the use of grants and contracts, 
specifically designed to promote equity in access to health careers; 
(6) promotes, designs, supports and administers activities relating to 
the planning and development of nationally integrated health 
professions education programs; (7) promotes, plans and develops 
collaborative, interdisciplinary activities in the specialty areas of 
behavioral/mental health, rural health, geriatrics and the associated 
health professions, and other new and developing health disciplines; 
(8) promotes quality improvement in health professions education 
through collaboration and partnerships with national and international 
institutes and centers for quality improvement; (9) promotes and 
supports academic-community partnerships whose goal is the development 
of interdisciplinary, community-based programs designed to improve 
access to health care through improving the quality of health 
professions education and training; (10) serves as the Federal focus 
for the development and improvement of education for professional 
public health, preventive medicine, environmental health, and health 
administration practice, including undergraduate, graduate, and 
continuing professional development; and (11) provides administrative 
and staff support for the Advisory Committee on Interdisciplinary, 
Community-Based Linkages.

Division of Practitioner Data Banks (RPG)

    Coordinates with the Department and other Federal entities, State 
licensing boards, and national, State and local professional 
organizations to promote quality assurance efforts and deter fraud and 
abuse by administering the National Practitioner Data Bank (NPDB) as 
authorized under Title IV of the Health Care Quality Improvement Act of 
1986 and Section 5 of the Medicare and Medicaid Patient and Program 
Protection Act of 1987, and administering the Healthcare Integrity and 
Protection Data Bank (HIPDB) for the Office of Inspector General. 
Specifically: (1) Maintains active consultative relations with 
professional organizations, societies, and Federal agencies involved in 
the NPDB and HIPDB; (2) develops, proposes and monitors efforts for (a) 
credentials assessment, granting of privileges, and monitoring and 
evaluating programs for physicians, dentists, and other health care 
professionals including quality assurance, (b) professional review of 
specified medical events in the health care system including quality 
assurance, and (c) risk management and utilization reviews; (3) 
encourages and supports evaluation and demonstration projects and 
research concerning quality assurance, medical liability and 
malpractice; (4) conducts and supports research based on NPDB and HIPDB 
information; (5) works with the Secretary's office to provide technical 
assistance to States undertaking malpractice reform; and (6) maintains 
liaison with the Office of the General Counsel and the Office of the 
Inspector General, HHS, concerning practitioner licensing and data bank 
issues.

Section RP-30, Delegations of Authority

    All delegations of authority and re-delegations of authority made 
to HRSA officials that were in effect immediately prior to this 
reorganization, and that are consistent with this reorganization, shall 
continue in effect pending further re-delegation.
    This reorganization is effective January 4, 2010.

    Dated: December 28, 2009.
Mary K. Wakefield,
Administrator.
[FR Doc. E9-31201 Filed 1-4-10; 8:45 am]
BILLING CODE 4165-15-P