[Federal Register Volume 77, Number 45 (Wednesday, March 7, 2012)]
[Notices]
[Pages 13613-13616]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-5447]



[[Page 13613]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Statement of Organization, Functions and Delegations of Authority

    This notice amends Part R of the Statement of Organization, 
Functions and Delegations of Authority of the Department of Health and 
Human Services (HHS), Health Resources and Services Administration 
(HRSA) (60 FR 56605, as amended November 6, 1995; as last amended at 77 
FR 7594-7595 dated February 13, 2012).
    This notice reflects organizational changes in the Health Resources 
and Services Administration. Specifically, this notice updates the 
functional statement for the Maternal and Child Health Bureau (RM): (1) 
Establish the Office of Policy Coordination (RM10); (2) establish the 
Office of Epidemiology and Research (RM9); (3) within the Office of 
Epidemiology and Research, establish the Division of Research (RM91) 
and the Division of Epidemiology (RM92); (4) rename the Division of 
Research, Training and Education (RM4) to the Division of Maternal and 
Child Health Workforce Development (RM4); and (5) transfer the research 
function from the newly named Division of Maternal and Child Health 
Workforce Development (RM4) to the newly established Office of 
Epidemiology and Research (RM9).

Chapter RM--Maternal and Child Health Bureau

Section RM-10, Organization

    Delete in its entirety and replace with the following:
    The Maternal and Child Health Bureau (RM) is headed by the 
Associate Administrator, Maternal and Child Health Bureau (MCHB), who 
reports directly to the Administrator, Health Resources and Services 
Administration. MCHB includes the following components:
    (1) Office of the Associate Administrator (RM);
    (2) Office of Operations and Management (RM1);
    (3) Division of Services for Children with Special Health Needs 
(RM2);
    (4) Division of Child, Adolescent and Family Health (RM3);
    (5) Division of Maternal and Child Health Workforce Development 
(RM4);
    (6) Division of Healthy Start and Perinatal Services (RM5);
    (7) Division of State and Community Health (RM6);
    (8) Division of Home Visiting and Early Childhood Systems (RM8);
    (9) Office of Epidemiology and Research (RM9); and
    (10) Office of Policy Coordination (RM10).

Section RM-20, Functions

    (1) Delete the functional statement for the Maternal and Child 
Health Bureau (RM) and replace in its entirety.
Office of the Associate Administrator (RM)
    The Office of the Associate Administrator (OAA) provides national 
leadership and policy direction for Maternal and Child Health Bureau 
(MCHB) programs. These programs are designed to improve the health of 
women of childbearing age, infants, children, adolescents and their 
families, children with special health needs, and persons with 
hemophilia. Specifically, OAA: (1) Coordinates the planning, 
development, implementation, and evaluation of the programs and 
activities of the Bureau; (2) facilitates effective, collaborative 
relationships with other health and related programs; (3) establishes a 
program mission, goals, objectives, and policy with broad 
Administration guidelines; (4) serves as the focal point for managing 
the Bureau-wide strategic planning operation as it relates to long and 
short range programmatic goals and objectives for the Bureau; (5) 
arranges and provides technical assistance to assure that the grantees 
meet program expectations; (6) serves as principal contact point to 
HRSA, the Department, Office of Management and Budget (OMB), and the 
White House on matters concerning the health status of America's 
mothers and children; and (7) provides information and reports on the 
Bureau's programs to public, health, education and related professional 
associations, Congress, other Federal agencies, OMB, and the White 
House.
Office of Operations and Management (RM1)
    The Office of Operations and Management (OOM) plans, directs, 
coordinates, and evaluates Bureau-wide administrative and management 
activities; coordinates and monitors program and administrative policy 
implementation, and maintains close liaison with officials of HRSA and 
the Office of the Secretary on matters relating to these activities. 
Specifically, OOM: (1) Serves as the Associate Administrator's and 
Bureau's principal source for management and administrative advice and 
assistance; (2) provides or serves as liaison for program support 
services; (3) provides leadership on intergovernmental activities of 
the Bureau which requires administrative direction or intergovernmental 
activities of the Bureau, requiring central direction of cross-cutting 
administrative issues affecting program activities; (4) participates in 
the development of strategic plans, regulatory activities, policy 
papers, and legislative proposals relating to MCH programs; (5) plans, 
coordinates and facilitates the Bureau's Agency agreement activities; 
(6) coordinates human resource activities for the Bureau; (7) provides 
guidance to the Bureau on financial management activities; (8) 
determines State allocations of MCH Block Grant funds based on formula 
and current census data; (9) provides organization and management 
analysis, develops policies and procedures for internal operation, and 
interprets and implements the Administration's management policies, 
procedures and systems; (10) coordinates the Bureau's program and 
administrative delegations of authority activities; (11) provides staff 
services in operation planning and program analysis; (12) is 
responsible for paperwork management functions, including the 
development and maintenance of Bureau manual issuances; (13) provides 
direction regarding new developments in office management activities; 
and (14) coordinates Bureau funds and resources for grants, contracts 
and cooperative agreements.
Division of Services for Children with Special Health Needs (RM2)
    The Division of Services for Children with Special Health Needs 
(DSCSHN) provides national leadership in planning, directing, 
coordinating, monitoring, and evaluating national programs focusing on 
the promotion of health and prevention of disease among children with 
special health care needs (CSHCN) and their families, with special 
emphasis on the development and implementation of family-centered, 
comprehensive, care-coordinated, community-based and culturally 
competent systems of care for such populations. Specifically, DSCSHN 
carries out the following activities: (1) Administers a program that 
supports the development of systems of care and services for CSHCN and 
their families; (2) develops policies and guidelines and promulgates 
standards for professional services and effective organization and 
administration of health programs for CSHCN and their families; (3) 
accounts for the administration of funds and other resources for 
grants, contracts and programmatic consultation and assistance; (4) 
coordinates with other MCHB Divisions and Offices in

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promoting program objectives and the mission of the Bureau; (5) 
provides consultation and technical assistance to State programs for 
CSHCN and to local communities, consistent with a Bureau-wide technical 
assistance consultation plan and in concert with other agencies and 
organizations; (6) provides liaison with public, private, professional 
and voluntary organizations on programs designed to improve services 
for CSHCN and their families; (7) develops and implements a national 
program for those at risk or living with genetic diseases, including a 
national program for persons with hemophilia, implementing a system of 
demonstration projects related to early identification, referral, 
treatment, education, and counseling information; (8) coordinates 
within this Agency and with other Federal programs (particularly Title 
XIX of the Social Security Act, Supplemental Security Income, 
Individuals with Disabilities Education Act, and others) to extend and 
improve comprehensive, coordinated services and promote integrated 
State-based systems of care for CSHCN, including those with genetic 
disorders, and their families; (9) promotes the dissemination of 
information on preventive health services and advances in the care and 
treatment of CSHCN, including those with genetic disorders, and their 
families; (10) participates in the development of strategic plans, 
regulatory activities, policy papers, legislative proposals, and budget 
submissions relating to health services for CSHCN, including those with 
genetic disorders, and their families; (11) participates in the 
development of interagency agreements concerning Federal assignees to 
State MCHB programs; (12) carries out a national program on traumatic 
brain injury; and (13) administers funds and other resources for 
grants, contracts, and cooperative agreements.
Division of Child, Adolescent and Family Health (RM3)
    The Division of Child, Adolescent and Family Health provides 
national leadership in planning, directing, coordinating, monitoring, 
and evaluating national programs focusing on the promotion of health 
and prevention of disease and injury among children, adolescents, young 
adults and their families with special emphasis on the development and 
implementation of family-centered, comprehensive, coordinated, 
community-based and culturally competent systems of care for such 
populations. Specifically, the Division: (1) Administers a program 
which supports the development of systems of care and services for 
children, adolescents, young adults and their families; (2) develops 
policies and guidelines and promulgates standards for professional 
services and effective organization and administration of health 
programs for children, adolescents, young adults and their families; 
(3) accounts for the administration of funds and other resources for 
grants, contracts, and programmatic consultation and assistance; (4) 
coordinates with MCHB Divisions and Offices in promoting program 
objectives and the mission of the Bureau; (5) serves as the focal point 
within the Bureau in implementing programmatic statutory requirements 
for State programs for children, adolescents, young adults and their 
families; (6) provides consultation and technical assistance to State 
programs for children, adolescents, young adults and their families and 
to local communities, consistent with a Bureau-wide technical 
assistance consultation plan, working with other agencies and 
organizations; (7) provides liaison with public, private, professional 
and voluntary organizations on programs designed to improve services 
for children, adolescents, young adults and their families; (8) carries 
out a national program supporting Child Death Review systems; (9) 
carries out a national program on school health activities; (10) 
carries out a national program designed to improve the provision of 
emergency medical services for children; (11) carries out a national 
program designed to improve the provision of oral health services for 
children; (12) carries out a national program on injury prevention for 
children and adolescents; (13) coordinates within this Agency and with 
other Federal programs (particularly Title XIX of the Social Security 
Act) to extend and improve comprehensive, coordinated services and 
promote integrated State-based systems of care for children, 
adolescents, young adults and their families; (14) disseminates 
information on preventive health services and advances in the care and 
treatment of children, adolescents, young adults and their families; 
(15) participates in the development of strategic plans, regulatory 
activities, policy papers, legislative proposals, and budget 
submissions relating to health services for children, adolescents, 
young adults and their families; and (16) administers funds and other 
resources for grants, contracts, and cooperative agreements.
Division of Maternal and Child Health Workforce Development (RM4)
    The Division of Maternal and Child Health Workforce Development 
provides national leadership in planning, directing, coordinating, 
monitoring, and evaluating national programs related to professional 
and public education activities and training, focusing on the promotion 
of health and prevention of disease among women of reproductive age, 
infants, children, adolescents and their families, with special 
emphasis on the development and implementation of family-centered, 
comprehensive, care-coordinated, community-based and culturally 
competent systems of care for such populations. Specifically, the 
Division carries out the following activities: (1) Administers a 
program which supports the development of systems of care and services 
for children and their families; (2) develops policies and guidelines 
and promulgates standards through professional and public education and 
training activities for the Bureau; (3) plans, implements, and 
administers a program of professional education and training designed 
to improve the promotion of health and prevention of disease among 
infants, children, adolescents, and children with special health needs; 
(4) provides grants to institutions of higher learning, provides 
support for the education and training of health professionals designed 
to promote health and prevent disease among infants, children, 
adolescents, and children with special health care needs; (5) develops, 
coordinates and implements systematic technical assistance and 
consultation on professional training strategies to State and local 
agencies and organizations or groups concerned with the promotion of 
health and prevention of disease among infants, children, adolescents, 
and children with special health care needs; (6) provides support, 
through grants and contracts, for community demonstration projects 
(e.g. Healthy Tomorrows Partnership for Children Projects) that support 
the development of family-centered, community-based initiatives that 
foster collaboration among community organizations, individuals, 
agencies, businesses, health professionals and families; (7) accounts 
for the administration of funds and other resources for grants, 
contracts, cooperative agreements and programmatic consultation and 
assistance; (8) coordinates with other MCHB Divisions and Offices in 
promoting program objectives and the mission of the Bureau; (9) 
provides liaison with public, private, professional

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and voluntary organizations on programs and activities; and (10) 
disseminates information on professional and public education and 
training activities to States and localities.
Division of Healthy Start and Perinatal Services (RM5)
    The Division of Healthy Start and Perinatal Services provides 
national leadership in planning, directing, coordinating, monitoring, 
and evaluating national programs focusing on maternal, infant, family, 
and women's health to improve and strengthen the awareness of, access, 
delivery, quality, coordination and evidence-based services for 
targeted populations, especially for the vulnerable and those at high-
risk for poor health and health outcomes. The Division strives to 
eliminate health disparities and provide high quality continuous health 
care, including health promotion and disease prevention, throughout the 
lifespan of women and their families from infancy to preconception, 
prenatal, postpartum, and inter-conception through support of local, 
State, and national innovative, evidenced-based projects of health 
promotion and risk reduction. Specifically, the Division is responsible 
for the following activities: (1) Administers local, State, and 
national programs on perinatal and women's health with an emphasis on 
infant mortality reduction and eliminating disparities in perinatal 
infant, maternal and women's health outcomes; (2) provides policy 
direction, technical assistance, national resource development and 
dissemination; professional consultation and development to address 
national trends in maternal, infant, family, and women's health status 
and gaps in the evidence-based healthcare services for these 
populations as well as Division programs; (3) accounts for the 
administration of funds and other resources for grants, contracts and 
programmatic consultation and assistance; (4) coordinates with Bureau, 
Agency, departmental, and intra-departmental initiatives in promoting 
Division's programs objectives and the mission of the Bureau; (5) 
serves as the focal point within the Agency, and frequently the 
Department on programmatic infant, maternal, and women's health 
initiatives; (6) coordinates the Advisory Committee on Infant 
Mortality; (7) provides liaison with public, private, professional and 
non-governmental organizations for Division programs; (8) disseminates 
information on Division programs to the local, State, and national 
audiences; (9) participates in the development of strategic plans, 
health services research and evaluation, regulatory activities, policy 
papers, legislative proposals, and fiscal strategic planning, 
administration, and analysis relating to Division programs; (10) 
provides leadership, technical assistance and professional consultation 
to Central and Regional Office staff of the Bureau, Agency, Department, 
other Federal agencies, students and allied groups to improve services; 
and (11) administers funds and other resources for grants, contracts, 
and cooperative agreements.
Division of State and Community Health (RM6)
    In collaboration with MCHB Divisions and Offices, the Division of 
State and Community Health (DSCH) serves as the organizational focus 
for the administration of responsibilities related to the Maternal and 
Child Health (MCH) Block Grant to States Program. Specifically, DSCH: 
(1) Works in partnership with States, primarily through the Title V 
Block Grant, communities, and grantees to assure continued improvement 
in the health, safety and well-being of the MCH population; (2) 
provides national leadership, direction, coordination, and 
administrative oversight related to the development and management of 
the State MCH Block Grant applications and the annual reports; (3) 
based on independent and high quality evaluations and reviews, which 
includes the tracking of State progress in meeting performance 
objectives, develops, plans, manages, and monitors a Bureau-wide 
program of technical assistance and consultation in collaboration with 
other Bureau Divisions and related health programs; (4) develops and 
manages an online information system to facilitate in the collection, 
analysis and dissemination of national and State performance, program 
and financial State Title V information and data to various 
constituencies including the public, States, and Congress about the 
Block Grant to States Program; (5) coordinates within this Agency and 
with other Federal programs (particularly Title XIX of the Social 
Security Act) to extend and improve comprehensive, coordinated services 
in the Block Grant to States Program; (6) develops, plans, manages, and 
monitors the State Systems Development Initiative (SSDI) grant to the 
States' program; (7) develops, plans, manages and monitors contracts, 
grants, and cooperative agreements, including the Partnership for State 
Title V MCH Leadership Community, Partnership for Urban MCH Leadership 
Community, and State Public Health Coordinating Center for Autism 
Cooperative Agreements; (8) participates in the development of 
strategic plans, regulatory activities, policy papers, legislative 
proposals and budget submissions relating to health services for women 
of childbearing age, infants, children, adolescents, children with 
special health care needs and their families; and (9) develops guidance 
and reporting forms for the State Title V MCH Block Grant Applications/
Annual Reports and Five-Year Needs Assessments and other discretionary 
grants and cooperative agreements.
Division of Home Visiting and Early Childhood Systems (RM8)
    The Division of Home Visiting and Early Childhood Systems plans, 
develops, implements, directs, monitors, and evaluates national 
programs to promote, improve, and maintain the health and development 
of young children (through 8 years of life) and their families. 
Specifically, the Division conducts the following activities: (1) 
Serves as a national focus for leadership in and coordination of 
Federal, regional, State, local, and non-governmental efforts to define 
the health and development issues of young children and their 
relationship to the family to identify problems and opportunities and 
assist in the development of programs that address such problems and 
promote opportunities to enhance wellness; (2) develops, interprets, 
and/or disseminates policies, regulations, standards, guidelines, new 
knowledge and program information for the various programs and relevant 
services; (3) establishes and maintains cooperative relationships 
within this Agency, with other Federal agencies, and with other 
relevant public and private organizations to extend and improve health, 
safety, research, educational and training programs focused on young 
children and their families; (4) carries out, in collaboration with the 
Administration for Children and Families, a national maternal, infant 
and early childhood home visiting program; (5) administers and manages 
a program of grants and contracts that will enhance services to improve 
and promote the health and safety of young children and their families; 
(6) coordinates within this Agency and with other Federal programs to 
extend and improve comprehensive coordinated services and promote 
integrated state-based systems of care for this population; and (7) 
provides technical assistance and professional consultation to field 
and

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headquarters staff, to State and local health personnel, to other 
Federal agencies, and to voluntary and professional organizations on 
all aspects of health and safety and provision of appropriate care for 
this population.
Office of Epidemiology and Research (RM9)
    The Office of Epidemiology and Research provides leadership in the 
following two areas: (1) Identifies and analyzes data needs and 
utilizes and implements a data strategy and program focusing on the 
promotion of health and prevention of disease among women of 
reproductive age, infants, children, adolescents and their families 
with special emphasis on the development and implementation of family 
centered, comprehensive, coordinated care, community-based and 
culturally competent systems of care for such populations, and (2) 
plans, directs, coordinates, and monitors national maternal and child 
health research programs.
    The Office has oversight responsibility and coordinates the work of 
the Division of Research, and the Division of Epidemiology. 
Specifically the Office: (1) Provides a central location for all MCH 
Data and Research; (2) administers funds and other resources for 
grants, contracts, and cooperative agreements; (3) provides MCHB 
leadership in assisting in the development of the National Survey on 
Child Health and the National Survey on Children with Special Health 
Needs; (4) coordinates the Health Information Technology efforts of the 
Bureau; and (5) disseminates information on data collection and 
analysis on women of childbearing age, infants, children and children 
with special health care needs.
Division of Research (RM91)
    The Division of Research provides national leadership in 
identifying, analyzing, and responding to the need for the development 
of new knowledge through research projects of regional and national 
significance relating to the promotion of health and prevention of 
disease among infants, children, adolescents, women, children with 
special health care needs, and their families. Specifically, the 
Division conducts the following activities: (1) Plans, implements, and 
administers a program of research activities designed to improve the 
promotion of health and prevention of disease among the MCH population; 
(2) develops, coordinates and implements systematic technical 
assistance and consultation on research to State and local agencies and 
organizations or groups concerned with the promotion of health and 
prevention of disease among the MCH population; (3) supports research 
studies related to the promotion of health and prevention of disease 
among the MCH population; and (4) provides through grants and 
contracts, support for applied research projects and research networks 
designed to advance the knowledge for the promotion of health and 
prevention of disease among the MCH population.
Division of Epidemiology (RM92)
    The Division of Epidemiology provides national leadership in 
identifying and analyzing data need and develops and implements a data 
strategy and program focusing on the promotion of health and prevention 
of disease among women of reproductive age, infants, children, 
adolescents and their families with special emphasis on the development 
and implementation of family centered, comprehensive, coordinated care, 
community-based and culturally competent systems of care for such 
populations. Specifically, the Division carries out the following 
functions: (1) Builds data capacity at the national, state, and local 
levels through grants, cooperative agreements and contracts, and 
supports a broad range of data collection, analyses and projects 
designed to improve the health status of infants, children, 
adolescents, and CSHCN; (2) develops and coordinates a series of 
programs to strengthen the present and future capacity in MCH 
epidemiology; (3) plans, implements and monitors a system of placement 
of Federal employees assigned to State health agencies; (4) coordinates 
and monitors the placement of Centers for Disease Control and 
Prevention sponsored epidemiologists in State agencies; and (5) 
provides for data program coordination at all levels of Bureau program 
operations through analyses of program data, trends and other issues 
concerning scientific and policy matters, the provision of health 
services and data and information related to the promotion of health 
and prevention of disease among infants, children, adolescents, and 
CSHCN.
Office of Policy Coordination (RM10)
    The Office of Policy Coordination serves as the Bureau focal point 
for the management of the planning, evaluation, legislation, and 
legislative implementation activities, including the development, 
coordination, and dissemination of program objectives, policy 
positions, reports and strategic plans. Specifically, the Office 
develops, coordinates, and maintains a data and information system 
designed to improve implementation of Title V and other Bureau programs 
and develops, coordinates, and implements systematic technical 
assistance and consultation on data and information systems and 
evaluation approaches to State and local agencies and organizations or 
groups concerned with infants, children, adolescents, and CSHCN. In 
addition, the Office carries out the following program development 
functions: (1) Advises and assists the Associate Administrator for 
Maternal and Child Health and other Bureau staff in the development, 
coordination and management of strategic planning and policy documents, 
responses to departmental and HRSA initiatives, and information papers 
to support Bureau and Administration goals; (2) interprets evaluation 
requirements and develops, coordinates, and manages the preparation of 
the annual evaluation plans and activities, and conducts or contracts 
for specific evaluation projects related to the performance of MCHB 
programs; (3) develops, coordinates, and manages Bureau activities 
related to the development, clearance, and dissemination of Federal 
Register notices, guidelines, Federal Opportunity Notices, final grant 
reports, and periodic and annual reports to other Federal and non-
Federal agencies; (4) participates in the development of the Annual 
Online Performance Appendix and assures the Bureau fulfills the 
Department of Health and Human Services' performance planning and 
reporting requirements; (5) coordinates activities closely and 
continuously with the HRSA Office of Planning, Analysis and Evaluation 
and the MCHB Divisions and Offices in promoting program objectives and 
the mission of the Bureau; (6) provides liaison with public, private, 
professional, and voluntary organizations on programs related to MCHB 
planning and legislative issues; and (7) performs the Executive 
Secretariat function for the Bureau, controlling correspondence and 
clearing policy documents as appropriate.

Section RM-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 upon date of signature.

    Dated: February 24, 2012.
Mary K. Wakefield,
Administrator.
[FR Doc. 2012-5447 Filed 3-6-12; 8:45 am]
BILLING CODE 4165-15-P