[Federal Register Volume 81, Number 186 (Monday, September 26, 2016)]
[Notices]
[Pages 66040-66041]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-23096]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Supplement for Zika Response, a Single-Award Deviation From 
Competition Requirements for the National Center for Medical Home 
Implementation Cooperative Agreement

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

ACTION: Notice.

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SUMMARY: HRSA announces the award of a supplement in the amount of 
$350,000 for the National Center for Medical Home Implementation 
(NCMHI) cooperative agreement. The purpose of the NCMHI cooperative 
agreement is to support a national resource and assistance effort to 
implement and spread the medical home model to all children and youth, 
particularly children with special health care needs (CSHCN), children 
who are vulnerable and/or medically underserved, and pediatric 
populations served by state public health programs, the Maternal and 
Child Health Bureau (MCHB), and HRSA. The supplement will permit the 
American Academy of Pediatrics (AAP), the cooperative agreement 
awardee, during the budget period of July 1, 2016-June 30, 2017, to 
enhance their capacity to provide technical assistance and health 
professional education to increase the clinical expertise of pediatric 
health care professionals, including safety net providers, to more 
effectively serve as the medical home and provide family-centered, 
comprehensive, coordinated, and culturally-effective care for Zika-
affected children and their families.

FOR FURTHER INFORMATION CONTACT: Marie Y. Mann, MD, MPH, FAAP, Division 
of Services for Children with Special Health Needs, Maternal and Child 
Health Bureau, Health Resources and Services Administration, 5600 
Fishers Lane, Room 18W61, Rockville, Maryland 20857; [email protected].

SUPPLEMENTARY INFORMATION: 
    Intended Recipient of the Award: The American Academy of 
Pediatrics.
    Amount of Non-Competitive Awards: $350,000.
    Period of Supplemental Funding: 7/1/2016-6/30/2017.
    CFDA Number: 93.110.

    Authority:  Social Security Act, Title V, sections 501(a)(1)(D) 
and 501(a)(2), (42 U.S.C. 701(a)(1)(D) and 701(a)(2))

    Justification: Zika virus infection during pregnancy dramatically 
increases the risk of birth defects. Microcephaly has been linked to 
Zika virus infection during pregnancy, and the extent of other possible 
birth defects is unclear. As of August 25, 2016, there are 624 pregnant 
women in the 50 states and the District of Columbia reported to have 
the Zika virus infection. In Puerto Rico, over 600 pregnant women have 
been reported to have the Zika virus infection as a result of exposure 
to the Zika virus during pregnancy. However, pediatric specialty 
expertise to care for their babies is limited. Currently, no network 
exists to link providers caring for these patients with those who have 
relevant expertise or experience in managing infants and children of 
women exposed to Zika virus during pregnancy. Discussions of 
developmental screening, clinical management, and family support 
approaches will help clinicians serving this population, thereby 
increasing access to well-coordinated, family-centered care and 
management in a medical home for children and families impacted by 
Zika-related complications.
    The purpose of the NCMHI cooperative agreement is to support a 
national resource and assistance effort to implement and spread the 
medical home model to all children and youth, particularly CSHCN, 
children who are vulnerable and/or medically underserved, and pediatric 
populations served by state public health programs, MCHB, and HRSA. In 
2013, following objective review of its competitive application, HRSA 
awarded the NCMHI cooperative agreement to AAP, a nonprofit, tax-exempt 
organization under Internal Revenue Code 501(c)(3).
    This supplement to the NCMHI cooperative agreement provides 
technical assistance and education, including tele-mentoring, to 
clinicians providing care for children who are or may be impacted by 
Zika at HRSA-supported health centers and elsewhere within the United 
States (including U.S. territories and jurisdictions). Using the tele-
mentoring technology, clinicians will team with specialists elsewhere 
to provide clinicians with the tools and resources to improve care 
delivery within the medical home, thereby increasing the sustainability 
of the medical home model for children affected by Zika. Though 
available to all clinicians, technical assistance and education will be 
directed primarily toward pediatric primary care physicians in areas at 
high-risk for Zika and toward clinicians operating in health centers 
supported by HRSA's Bureau of Primary Health Care. These activities 
will provide critical knowledge to health care professionals, including 
safety net providers, to more effectively serve as the medical home for 
children affected by Zika and their families.

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                                                                                                     FY 2016
                                                                                    FY 2016         estimated
          Grantee/organization name              Grant No.          State          authorized      funding for
                                                                                 funding level   this supplement
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The American Academy of Pediatrics..........            U43MC09134         IL       $1,300,031         $350,000
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[[Page 66041]]

    Dated: September 19, 2016.
James Macrae,
Acting Administrator.
[FR Doc. 2016-23096 Filed 9-23-16; 8:45 am]
 BILLING CODE 4165-15-P