[Federal Register Volume 80, Number 199 (Thursday, October 15, 2015)]
[Rules and Regulations]
[Page 61993]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-26249]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Public Health Service

42 CFR Part 5


Designation of Health Professional(s) Shortage Areas

CFR Correction

    In Title 42 of the Code of Federal Regulations, Parts 1 to 399, 
revised as of October 1, 2014:
    1 On page 70, in Appendix A to Part 5, Part III, paragraph A is 
removed and Part I, paragraph A is redesignated as Part III, paragraph 
A; and on page 67, Part I, paragraph A is reinstated to read as 
follows:

APPENDIX A TO PART 5--CRITERIA FOR DESIGNATION OF AREAS HAVING 
SHORTAGES OF PRIMARY MEDICAL CARE PROFESSIONAL(S)

PART I--Geographic Areas

A. Criteria

    A geographic area will be designated as having a shortage of 
primary medical care manpower if the following three criteria are 
met:
    1. The area is a rational area for the delivery of primary 
medical care services.
    2. One of the following conditions prevails within the area:
    (a) The area has population to full-time-equivalent primary care 
physician ratio of at least 3,500:1.
    (b) The area has a population to full-time-equivalent primary 
care physician ratio of less than 3,500:1 but greater than 3,000:1 
and has usually high needs for primary care services or insufficient 
capacity of existing primary care providers.
    3. Primary medical care manpower in contiguous areas are 
overutilized, excessively distant, or inaccessible to the population 
of the area under consideration.
* * * * *

    2. On page 74, in Appendix B to Part 5, Part III, paragraph A is 
removed and Part I, paragraph A is redesignated as Part III, paragraph 
A; and on page 71, Part I, paragraph A is reinstated to read as 
follows:

APPENDIX B TO PART 5--CRITERIA FOR DESIGNATION OF AREAS HAVING 
SHORTAGES OD DENTAL PROFESSIONAL(S)

Part I--Geographic Areas

A. Criteria

    A geographic area will be designated as having a dental manpower 
shortage if the following three criteria are met:
    1. The area is a rational area for the delivery of dental 
services.
    2. One of the following conditions prevails in the area:
    (a) The area has a population to full-time-equivalent dentist 
ratio of less than 5,000:1 or
    (b) The area has a population to full-time-equivalent dentist 
ratio of less than 5,000:1 but greater than 4,000:1 and has 
unusually high needs for dental services or insufficient capacity of 
existing dental providers.
    3. Dental manpower in contiguous areas are over utilized, 
excessively distant, or inaccessible to the population of the area 
under consideration.
* * * * *

    3. On page 77, in Appendix C to Part 5, Part III, paragraph A is 
revised to read as follows:

APPENDIX C TO PART 5--CRITERIA FOR DESIGNATION OF AREAS HAVING 
SHORTAGES OF MENTAL HEALTH PROFESSIONALS

Part III--Facilities

A. Federal and State Correctional Institutions

1. Criteria.

    Medium to maximum security Federal and State correctional 
institutions and youth detention facilities will be designated as 
having a shortage of psychiatric manpower if both of the following 
criteria are met:
    (a) The institution has more than 250 inmates, and
    (b) The ratio of the number of internees per year to the number 
of FTE psychiatrists serving the institution is at least 1,000:1.
    Here the number of internees is defined as follows:
    (i) If the number of new inmates per year and the average 
length-of-stay are not specified, or if the information provided 
does not indicate that intake psychiatric examinations are routinely 
performed upon entry, then--
    Number of internees=average number of inmates
    (ii) If the average length-of-stay is specified as one year or 
more, and the intake psychiatric examinations are routinely 
performed upon entry, then--
    Number internees=average number of inmates+number of new inmates 
per year
    (iii) If the average length-of-stay is specified as less than 
one year, and intake psychiatric examinations are routinely 
performed upon entry, then--
    Number of internees=average number of inmates+\1/
3\x[1+(2xALOS)]xnumber of new inmates per year
    where ALOS=average length-of-stay (in fraction of year) (The 
number of FTE psychiatrists is computed as in Part I, Section B, 
paragraph 3 above.)

2. Determination of Degree of Shortage.

    Designated correctional institutions will be assigned to degree-
of-shortage groups, based on the number of inmates and/or the ration 
(R) of internees to FTE psychiatrists, as follows:
    Group 1--Institutions with 500 or more inmates and no 
psychiatrist.
    Group 2--Other institutions with no psychiatrists and 
institutions with R greater than (or equal to) 3,000:1.
    Group 3--Institutions with R greater than (or equal to) 2,000:1 
but less than 3,000:1.

[FR Doc. 2015-26249 Filed 10-14-15; 8:45 am]
 BILLING CODE 1505-01-D