[Federal Register Volume 77, Number 152 (Tuesday, August 7, 2012)]
[Notices]
[Pages 47079-47080]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-19159]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Notice of Availability of Draft Policy Document for Comment

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

ACTION: This is a Notice of Availability and request for comments on a 
draft Agency Guidance (``Policy Information Notice'' (PIN)). The draft 
PIN provides clarification on the sliding fee discount program and 
related requirements for federally-funded health centers and Federally 
Qualified Health Center (FQHC) Look-Alikes. The draft PIN, 
``Clarification of Sliding Fee Discount Program Requirements,'' is 
available on the Internet at http://www.bphc.hrsa.gov/policiesregulations/policies/draftsforcomment.html.

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DATES: Comments must be received by the close of business on September 
28, 2012.

ADDRESSES: Comments should be submitted to [email protected] by the 
close of business on September 28, 2012.
SUMMARY: HRSA believes that community input is valuable to the 
development of policies and policy documents related to the 
implementation of HRSA programs, including the Health Center Program. 
Therefore, we are requesting comments on the PIN referenced above. 
Comments will be reviewed and analyzed, and a final PIN, along with a 
summary and general response to the comments, will be published as soon 
as possible after the deadline for receipt of comments.
    Background: HRSA provides grants to eligible health centers under 
Section 330 of the Public Health Service Act (PHS Act) to support the 
delivery of preventive and primary care services to medically-
underserved communities and vulnerable populations. In 2011, grants 
helped fund approximately 1,200 health center grantees, which provided 
services at more than 8,500 health care delivery sites and served more 
than 20.2 million people. There are also approximately 100 FQHC Look-
Alikes. As described in section 1861(aa)(4) and section 1905(l)(2)(B) 
of the Social Security Act, FQHC Look-Alikes do not receive Federal 
funding under Section 330 of the PHS Act. However, in order to receive 
the FQHC Look-Alike designation and benefits, FQHC Look-Alikes must 
meet the statutory, regulatory, and policy requirements for Health 
Centers Programs under Section 330.
    A key requirement of the Health Center Program is for a health 
center to establish a ``sliding fee discount

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program'' that includes a schedule of discounts for services, or 
``sliding fee discount schedule,'' that ensures financial barriers to 
care are minimized for patients who meet certain eligibility criteria. 
All Section 330-funded health centers and FQHC Look-Alikes must utilize 
a sliding fee discount schedule that provides discounts to eligible 
patients based on their family size and income.
    The purpose of this PIN is to provide clarification on Health 
Center Program sliding fee discount program requirements including: (1) 
A schedule of fees for services; (2) a corresponding schedule of 
discounts for eligible patients that is adjusted on the basis of the 
patient's ability to pay (referred to as the sliding fee discount 
schedule, or SFDS for the purposes of this PIN); and (3) governing 
board-approved policies and procedures, including those around billing, 
collections, and waivers or reductions of any fees or payments required 
by the center for services that support the fee and discount schedules 
based on an individual's ability to pay. When finalized, this PIN will 
supersede all other previous Health Center Program guidance and policy 
issued on this program requirement. However, please note that this 
policy does not supersede patient billing requirements resulting from a 
health center's FQHC status under Titles XVIII and XIX of the Social 
Security Act (the Medicare and Medicaid programs), its implementing 
regulations, or policies.
    HRSA's Bureau of Primary Health Care is making this draft PIN 
available for comment. When providing comments, please be as specific 
as possible, and reference the section of the PIN and/or page 
number(s). Comments will be reviewed and analyzed, and a final PIN, 
along with a summary and general response to comments, will be 
published as soon as possible after the comment submission deadline. 
Comments should be submitted to [email protected] by the close of 
business on September 28, 2012.

FOR FURTHER INFORMATION CONTACT: For questions regarding this notice, 
please contact the Office of Policy and Program Development, Bureau of 
Primary Health Care, HRSA, at [email protected].

    Dated: July 31, 2012.
Mary K. Wakefield,
Administrator.
[FR Doc. 2012-19159 Filed 8-6-12; 8:45 am]
BILLING CODE 4165-15-P