[Federal Register Volume 86, Number 166 (Tuesday, August 31, 2021)]
[Notices]
[Pages 48737-48743]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-18075]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Statement of Organization, Functions, and Delegations of 
Authority

    Part R (Health Resources and Services Administration) of the 
Statement of Organization, Functions and Delegations of Authority of 
the Department of Health and Human Services (60 FR 56605, as amended 
November 6, 1995; as last amended at 86 FR 6344-6349 dated January 21, 
2021) is amended to reorganize sections of the Office of the 
Administrator, the Healthcare Systems Bureau, and the Bureau of Primary 
Health Care.
    Key functional changes include re-establishing, retaining and 
renaming the Healthcare Systems Bureau to the Health Systems Bureau; 
changing the name of the Office of Provider Support to the Provider 
Relief Bureau; changing the name of the Office of Regional

[[Page 48738]]

Operations to the Office of Intergovernmental and External Affairs; 
updating the division structure within the Office of Planning, Analysis 
and Evaluation; updating the organization and functional statement for 
the Office of Federal Assistance Management; and realigning the 
external engagement function from the Office of Planning, Analysis and 
Evaluation and the Tribal Affairs activities from the Office of Health 
Equity to the renamed Office of Intergovernmental and External Affairs.
    This reorganization establishes, updates, realigns, and/or deletes 
the organization, functions, and delegation of authority for the (1) 
Health Resources and Services Administration (R); (2) Office of the 
Administrator (RA); (3) Office for the Advancement of Telehealth (RA3); 
(4) Office of Special Health Initiatives (RA4); (5) Office of Planning, 
Analysis and Evaluation (RA5); (6) Office of Provider Support (RD); (6) 
Bureau of Primary Health Care (RC); (7) Office of Federal Assistance 
Management (RJ); (8) Office of Regional Operations; and (9) Healthcare 
Systems Bureau (RR).

Chapter R--Health Resources and Services Administration

Section R.10 Organization

    Delete the organization for the Health Resources and Services 
Administration (R) in its entirety and replace with the following:
    The Health Resources and Services Administration (R) is headed by 
the Administrator, who reports directly to the Secretary, HHS. The 
Health Resources and Services Administration includes the following 
components:
     Office of the Administrator (RA);
     Office of Operations (RB);
     Office of Federal Assistance Management (RJ);
     Office of Intergovernmental and External Affairs (RE);
     Bureau of Health Workforce (RQ);
     Bureau of Primary Health Care (RC);
     HIV/AIDS Bureau (RV);
     Federal Office of Rural Health Policy (RH);
     Health Systems Bureau (RR);
     Maternal and Child Health Bureau (RM); and
     Provider Relief Bureau (RD).

Chapter RA--Office of the Administrator

Section RA.10 Organization

    Delete the organization for the Office of the Administrator (RA) in 
its entirety and replace with the following:
     Immediate Office of the Administrator (RA);
     Office of Civil Rights, Diversity and Inclusion (RA2);
     Office for the Advancement of Telehealth (RA3);
    [cir] Telehealth Innovation and Services Division (RA31);
     Office of Special Health Initiatives (RA4);
    [cir] Office of Pharmacy Affairs (RA41);
    [cir] Office of Global Health (RA42);
    [cir] Division of Global Programs (RA421);
     Office of Planning, Analysis and Evaluation (RA5);
    [cir] Division of Performance and Quality Management (RA5A);
    [cir] Division of Oversight, Reporting and Regulatory Compliance 
(RA5B);
    [cir] Division of Data Governance and Strategic Analysis (RA5C);
    [cir] Division of Strategic Initiatives (RA5D);
     Office of Communications (RA6);
     Office of Legislation (RAE);
     Office of Health Equity (RAB); and
     Office of Women's Health (RAW).

Section RA.20 Function

    (1) Delete the functional statement for the Immediate Office of the 
Administrator (RA) in its entirety and replace; (2) delete the 
functional statement for the Office for the Advancement of Telehealth 
(RA3) in its entirety and replace; (3) delete the functional statement 
for the Office of Special Health Initiatives, Office of the Director 
(RA4) and replace; (4) delete the functional statement for Division of 
Injury Compensation Programs and move to the Health Systems Bureau 
(RR); and (5) delete the functional statement for the Office of 
Planning Analysis, and Evaluation (RA5) in its entirety and replace.

Immediate Office of the Administrator (RA)

    The Immediate Office of the Administrator for the Health Resources 
and Services Administration (HRSA) 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. 
Specifically, the Immediate Office of the Administrator: (1) Provides 
consultation and assistance to senior agency officials and others on 
clinical, health care delivery, and health workforce issues; (2) serves 
as the agency's focal point on efforts to strengthen the practice of 
public health as it pertains to the HRSA mission; (3) establishes and 
maintains communication with health organizations in the public and 
private sectors; (4) coordinates the agency's policy development, data 
strategy, evaluation and research planning processes; (5) manages the 
legislative analysis and engagement for the agency; (6) administers 
HRSA's equal opportunity and civil rights activities; (7) provides 
overall leadership, direction, coordination and planning in support of 
the agency's special health initiatives; (8) manages programs to 
advance the use of telehealth and coordination of health information 
technology; (9) manages HRSA's global health issues, including the 
President's Emergency Plan For AIDS Relief (PEPFAR); (10) administers 
PEPFAR grants and oversees HRSA's implementation of PEPFAR funding and 
activities; (11) leads HRSA's efforts to improve the health, wellness, 
and safety of women and girls through policy, programming and outreach/
education; (12) provides leadership and policy development in the 
administration of the 340B Drug Pricing Program; (13) implements 
efforts to advance health equity in HRSA programs; and (14) provides 
cross-cutting leadership on HRSA's behavioral health and oral health 
programs.

Office for the Advancement of Telehealth (RA3)

Office of the Director (RA3)

    The Office for the Advancement of Telehealth (1) promotes the use 
of telehealth technologies for health care delivery, education, and 
health information services; (2) serves as the central focal point for 
the Department of Health and Human Services (HHS) efforts in leveraging 
telehealth programs and policies to improve access, enhance outcomes, 
and support clinicians and patients; (3) administers grant programs 
focused on telehealth for direct services, research, and technical 
assistance; (4) advances the provision of telehealth services to rural 
and underserved communities; (5) builds the evidence-base for 
telehealth research; (6) manages Telehealth.HHS.gov as the HHS hub for 
telehealth resources for both patients and health care providers; (7) 
collaborates with HHS components and other federal agencies to improve 
access to telehealth and broadband services; (8) provides overall 
direction and leadership over the management of programs to advance the 
use of telehealth; (9) provides professional assistance and support in 
developing telehealth initiatives; (10) 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 to leverage telehealth to improve access to care, enhance 
outcomes, and support clinicians and patients; (11) promotes

[[Page 48739]]

the use of telehealth technologies for health care delivery, education 
and health information services; and (12) 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 health care at a distance (telemedicine), distance 
based learning to improve the knowledge of agency grantees and others, 
and improved information dissemination to both consumers and providers 
about the latest developments in telemedicine.

Telehealth Innovation and Services Division (RA31)

    The Telehealth Innovation and Services Division serves as the focal 
point in the Office for the Advancement of Telehealth to support 
innovative grant programs for direct services and technical assistance 
in the field of telehealth. Specifically, the Telehealth Services 
Division carries out the following functions: (1) Develops and 
coordinates telehealth network grant programs, telehealth resource 
center grant programs, the telehealth centers of excellence, the 
licensure portability grant program, and the telehealth broadband pilot 
program; (2) administers grant programs to promulgate and evaluate the 
use of appropriate telehealth technologies among HRSA grantees and 
others; (3) monitors the performance of telehealth grant programs, 
making programmatic recommendations and providing assistance to improve 
performance, where appropriate; (4) coordinates and provides technical 
assistance and expertise to grantees of funded programs; and (5) 
develops funding opportunity announcements and program guidance 
documents.

Office of Special Health Initiatives (RA4)

Office of the Director (RA4)

    The Office of Special Health Initiatives (OSHI) provides a 
crosscutting focal point for HRSA to deliver on population health and 
Secretarial priorities, especially those that may be more clinical in 
nature. Specifically, OSHI (1) coordinates and collaborates with 
components in HHS that align with the work of OSHI; (2) serves as the 
principal advisor within HRSA on global health issues; (3) provides 
agency-wide leadership and policy development in the administration of 
the 340B Drug Pricing Program to promote access to clinically and cost 
effective pharmacy services to the country's most vulnerable patient 
populations; (4) serves as the lead on behavioral health issues that 
span HRSA; and (5) provides cross-cutting leadership on HRSA oral 
health programs.

Office of Planning, Analysis and Evaluation (RA5)

Office of the Director (RA5)

    The Office of Planning, Analysis and Evaluation provides (1) 
agency-wide leadership for performance management and data governance; 
(2) directs the agency's long term strategic planning process; (3) 
conducts and/or guides analyses, research, and program evaluation; (4) 
facilitates policy development by serving as the analytic liaison 
between the Administrator, other Operating/Staff Divisions, Office of 
the Secretary staff components, and other Departments on critical 
matters involving agency program policies; (5) provides oversight and 
coordination of program performance reports and plans, including to the 
Department and OMB; (6) provides support, agency direction, and 
leadership for HRSA's data-driven, health quality efforts; (7) 
coordinates the agency's participation in Department and federal 
strategic initiatives related to organizational performance and 
implementation of executive directives; (8) coordinates HRSA innovation 
activities across the agency and with HHS Operating/Staff Divisions to 
support HRSA programs and operations; (9) provides data-driven 
technical assistance to agency programs in order to help them respond 
to emerging issues affecting the health care safety net; (10) conducts 
special studies and analyses and/or provides analytic support and 
information to support the agency's goals and directions; (11) oversees 
and coordinates HRSA innovation activities, including the 
identification of agency capability gaps and potential solutions to 
fill the gaps; (12) directs life cycle management of innovation pilot 
programs and challenge competitions; (13) provides technical assistance 
to HRSA divisions in the identification of areas for innovation, 
including funding and solution development; (14) collaborates with 
other HHS agencies to promote innovation and resource sharing; and (15) 
leads external innovation partnership development to enhance HRSA staff 
awareness of non-governmental innovations that could benefit the 
agency.

Division of Performance and Quality Management (RA5A)

    The Division of Performance and Quality Management (1) serves as 
the principal agency resource for performance and quality measurement 
(2) leads HRSA implementation of program performance-related 
legislation; (3) produces regular HRSA-wide program performance reports 
and plans in compliance legislative, OMB, and departmental directives; 
(4) assists HRSA divisions in the selection, development, maintenance, 
and alignment of performance measures; (5) leads HRSA strategic 
planning processes and serves as primary liaison to HHS in the 
development of the Department's strategic plan and associated 
requirements; (6) provides support, policy direction, and leadership 
for HRSA's health quality measurement efforts; (7) collaborates with 
other HHS agencies to promote improvements in the availability of 
performance- and quality-related information; (8) serves as HRSA 
liaison to the Department in the development of HHS research and 
evaluation initiatives; (9) coordinates HRSA's survey activities; (10) 
conducts, guides, and/or participates in major program evaluation 
efforts and prepares reports on HRSA program efficiencies; (11) 
coordinates the HRSA-wide evaluation resource investments; (12) 
performs technical assistance to support HRSA program staff develop and 
implement program evaluations, and (13) coordinates HRSA input for the 
Healthy People initiative.

Division of Oversight, Reporting and Regulatory Compliance (RA5B)

    The Division of Oversight, Reporting and Regulatory Compliance (1) 
serves as the agency liaison to manage and coordinate study engagements 
with the Government Accountability Office and the HHS Office of the 
Inspector General, Office of Evaluation and Inspections; (2) manages 
coordination with the Department and OMB for oversight, reporting, and 
compliance policies, engagements, and requirements; (3) provides 
technical assistance to support HRSA program staff development to meet 
compliance-related reporting requirements; (4) coordinates HRSA 
participation in institutional review boards, the protection of human 
subjects, and serves as the agency's Privacy Act Officer; (5) manages 
HRSA activity related to the Paperwork Reduction Act, and other OMB 
policies; (6) leads the Data Disclosure Review Board; and (7) serves as 
the agency lead to oversee development and management of Agency Data 
Use Agreements.

Division of Data Governance and Strategic Analysis (RA5C)

    The Division of Data Governance and Strategic Analysis (1) leads

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development and implementation of the HRSA Data Strategic Plan; (2) 
serves as the agency lead in the coordination of all data governance 
and analytics; (3) analyzes and coordinates HRSA's need for information 
and data for use in the management and direction of agency programs; 
(4) catalyzes new capabilities in data-related activities by providing 
agency leadership and coordination; (5) maintains an inventory of HRSA 
databases; (6) promotes the availability of HRSA data through websites 
and other on-line applications; (7) serves as the principal agency 
resource for policy analysis; (8) analyzes issues arising from 
legislation, budget proposals, regulatory actions, and other program or 
policy actions; (9) serves as focal point within HRSA for analysis of 
health care payment systems and financing issues; (10) conducts HRSA-
wide trainings on health care policy and financing issues; and (11) 
collaborates with HHS Operating/Staff Divisions to examine the impact 
of Medicare, Medicaid, and Children's Health Insurance Program on HRSA 
grantees and safety net providers.

Division of Strategic Initiatives (RA5D)

    The Division of Strategic Initiatives (1) provides HRSA-wide 
leadership on cross-agency initiatives and departmental priorities; (2) 
serves as agency lead and liaison between the Administrator, other 
Operating/Staff Divisions, Office of the Secretary staff components, 
and other Departments on priority initiatives; (3) provides technical 
assistance to agency programs in order to help them respond to emerging 
issues affecting the health care safety net; and (4) provides agency 
leadership and guidance on policy development.

Chapter RC--Bureau of Primary Health Care (RC)

Section RC.10 Organization

    Delete the organization for the Bureau of Primary Health Care (RC) 
in its entirety and replace with the following:
    The Bureau of Primary Health Care (RC) is headed by the Associate 
Administrator, who reports directly to the Administrator, HRSA. The 
Bureau of Primary Health Care (RC) includes the following components:
     Office of the Associate Administrator (RC);
     Division of Workforce Management (RC2);
     Office of Strategic Business Operations (RCA);
     Office of Health Center Investment Oversight (RCC);
     Office of Health Center Program Monitoring (RCF);
     Office of Policy and Program Development (RCH); and
     Office of Quality Improvement (RCK).

Section RC.20 Function

    (1) Delete the functional statement for the Office of the Associate 
Administrator and replace in its entirety; (2) delete the functional 
statement for the Office of Policy and Program Development (RCH); and 
(3) delete the functional statement for the Division of National 
Hansen's Disease Program (RC4) and move to the Health Systems Bureau 
(RR).

Office of the Associate Administrator (RC)

    Provides overall leadership, direction, coordination, and planning 
in support of the Bureau of Primary Health Care's programs. 
Specifically, the Office of the Associate Administrator: (1) 
Establishes program goals, objectives, and priorities, and provides 
oversight to their execution; (2) plans, directs, coordinates, 
supports, and evaluates bureau wide management activities; and (3) 
maintains effective relationships within HRSA and with other 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.

Office of Policy and Program Development (RCH)

    The Office of Policy and Program Development serves as the 
organizational focus for the development of the Bureau of Primary 
Health Care programs and policies. Specifically, the Office of Policy 
and Program Development: (1) Leads and monitors the strategic 
development of primary care programs, including health centers, special 
population programs, and other health systems; (2) provides assistance 
to communities, community-based organizations, and bureau programs 
related to the development and expansion of primary care; (3) develops 
bureau capital programs and oversees loan guarantee programs; (4) leads 
and coordinates the analysis, development, and drafting of budget and 
policy impacting bureau programs; (5) provides support to the National 
Advisory Council on Migrant Health; (6) performs environmental scanning 
on issues that affect bureau programs; and (7) 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 bureau programs and policies.

Chapter RD--Provider Relief Bureau (RD)

Section RD.10 Organization

    Rename the Office of Provider Support to the Provider Relief 
Bureau.
    The Provider Relief Bureau (RD) is headed by the Associate 
Administrator, who reports directly to the Administrator, HRSA. The 
Provider Relief Bureau includes the following components:
     Office of the Associate Administrator (RD);
     Division of Policy and Program Operations (RD1);
     Division of Customer Support (RD2); and
     Division of Data Analytics and Program Integrity (RD3).

Chapter RE--Office of Intergovernmental and External Affairs (RE)

Section RE.10 Organization

    Rename the Office of Regional Operations to the Office of 
Intergovernmental and External Affairs (RE).
    The Office of Intergovernmental and External Affairs (RE) is headed 
by the Associate Administrator, who reports directly to the 
Administrator, HRSA, and includes the following components:
     Office of the Associate Administrator (RE);
     Boston Regional Office (RE1);
     New York Regional Office (RE2);
     Philadelphia Regional Office (RE3);
     Atlanta Regional Office (RE4);
     Chicago Regional Office (RE5);
     Dallas Regional Office (RE6);
     Kansas City Regional Office (RE7);
     Denver Regional Office (RE8);
     San Francisco Regional Office (RE9); and
     Seattle Regional Office (RE10).

Section RE.20 Function

    Delete the functional statement for the Office of Regional 
Operations and replace with the following:

Office of Intergovernmental and External Affairs (RE)

    The Office of Intergovernmental and External Affairs serves as the 
principal Agency lead on intergovernmental and external affairs, 
regional operations, and tribal partnerships. The Office serves as the 
Agency liaison to the HHS Office of Intergovernmental and External 
Affairs. Specifically, the Office: (1) Provides the HRSA Administrator 
and agency leadership with a single point of contact

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on all intergovernmental, stakeholder associations, and interest groups 
activities; (2) serves as the primary liaison to Department and other 
federal intergovernmental staff; (3) manages agency cross-Bureau 
cooperative agreements and activities with national organizations of 
state and local health leaders and elected officials; (4) coordinates 
tribal activities across the agency and strengthens HRSA's unique 
relationships with tribes; (5) coordinates HRSA activities with 
regional commissions, such as the Delta, Appalachian, Denali and Border 
Health commissions; (6) functions as the regional component of HRSA by 
providing leadership on HRSA's mission and priorities across 
headquarters, regions, states, tribes, territories, and local 
communities; (7) conducts outreach to expand knowledge of HRSA's 
programs to advance agency and Department priorities; (8) generates and 
sustains collaborative efforts with state and jurisdictional health 
care leaders to align HRSA and other resources; (9) presents regional 
surveillance and analysis of health care trends and makes 
recommendations to HRSA leadership, government officials and 
stakeholders to improve policies and programs; (10) exercises 
management authority for general administration of HRSA's regional 
offices; and (11) manages HRSA's Tribal Advisory Council, participates 
in HHS Tribal Consultations and collaborates with IHS and other federal 
and community stakeholders to address tribal issues.

Chapter RJ--Office of Federal Assistance Management (RJ)

Section RJ.10 Organization

    Delete the organization for the Office of Federal Assistance 
Management (RJ) in its entirety and replace with the following:
    The Office of Federal Assistance Management (RJ) is headed by the 
Associate Administrator, who reports directly to the Administrator, 
HRSA. The Office of Federal Assistance Management includes the 
following components:
     Office of the Associate Administrator (RJ);
     Office of Operations Management (RJA);
     Office of Systems and Data (RJB);
     Division of Financial Integrity (RJ1);
     Division of Grants Policy and Planning (RJ2);
     Division of Grants Management Operations (RJ3); and
     Division of Independent Review (RJ4).

Section RJ.20 Function

    Delete the functional statement for the Office of the Federal 
Assistance Management (RJ) in its entirety and replace:

Office of Federal Assistance Management (RJ)

    The Office of Federal Assistance Management (OFAM) provides 
national leadership in the administration and assurance of the 
financial integrity of HRSA's programs. Provides leadership, direction, 
and coordination to all phases of grants policy, administration, and 
independent review of Competitive grant applications. Specifically, 
OFAM: (1) Serves as the Administrator's principal source for grants 
policy and financial integrity of HRSA programs; (2) exercises 
oversight over the agency's business processes related to assistance 
programs; (3) facilitates, plans, directs, and coordinates the 
administration of HRSA grant policies and operations; (4) directs and 
carries out the independent review of grant applications for all of 
HRSA's programs; (5) exercises the responsibility within HRSA for grant 
and cooperative agreement receipt, award, and post-award processes; and 
(6) plans, directs plus manages the electronic systems and business 
operations that enable staff to perform their day-to-day work.

Office of Operations Management (RJA)

    The Office of Operations Management provides OFAM-wide strategic 
organizational management and direction. Plans, directs and coordinates 
OFAM-wide business operations and administrative management activities. 
Specifically, the Office of Operations Management: (1) Serves as the 
principal source for administrative operations advice and assistance; 
(2) provides guidance and coordinates personnel activities for OFAM; 
(3) provides organization and management analysis, coordinating the 
allocation of personnel resources, developing policies and procedures 
for internal operations, interpreting and implementing OFAM management 
policies and procedures and systems; (4) develops and coordinates OFAM 
administrative delegations of authority activities (5) lead, plan, and 
coordinate all OFAM budgetary activities, such as contacts, 
procurements and inter-agency agreements, as well as, provides guidance 
and support to OFAM leadership in these areas; (6) provides OFAM-wide 
support services such as acquisition support, travel coordination, 
supply management, equipment utilization, printing, property 
management, space management, records management, and management 
reports; (7) coordinates OFAM administrative management activities with 
other components within HRSA and HHS, and with other federal agencies, 
as appropriate; and (8) provides overall support for OFAM's continuity 
of operations and emergency support.

Office of Systems and Data (RJB)

    The Office of Systems and Data provides strategic management and 
direction for OFAM-wide efforts addressing data analysis, evaluation 
and systems. Specifically, the Office of Systems and Data: (1) 
Coordinates and analyzes the agency's need for federal assistance data 
for all programs; (2) collects federal assistance data to quantify and 
measure financial assistance data for evaluation at the national level 
(3) provides coordination and strategic guidance for OFAM's Management 
of the Electronic Handbook, Grants.gov, and other Information 
Technology systems; (4) coordinates OFAM's Electronic Handbook data 
requests, dashboard and report development; and provides guidance on 
data management laws, regulations, governances and policy; (5) develops 
and manages OFAM performance measures; and (6) manages and maintains 
current data on all electronic sites.

Division of Financial Integrity (RJ1)

    The Division of Financial Integrity: (1) Coordinates agency-wide 
efforts addressing HHS's Program Integrity Initiative/Enterprise Risk 
Management; (2) serves as the agency's focal point for resolving audit 
findings on HRSA programs resulting from the Single Audits and special 
reviews; (3) conducts financial and compliance reviews of non-federal 
entities use of HRSA funds; (4) conducts the pre-award financial 
assessment of HRSA non-federal entities; (5) conducts the pre-award and 
post-award review of grant applicant's and non-federal entities 
financial soundness and management including accounting systems for 
managing federal grants; (6) conducts ad hoc studies and reviews 
related to the financial integrity of the HRSA business processes 
related to assistance programs; (7) serves as the agency's liaison with 
the Office of Inspector General for issues related to HRSA programs; 
(8) coordinates non-federal entities appeal actions for the Department 
on HRSA decisions related to HRSA programs; (9) coordinates the 
preparation of informational reports on high risk non-federal entities; 
(10) coordinates contractor audit/financial

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assessment assignments; (11) responds to data requests; (12) serves as 
the HRSA liaison with the Department on the Single Audit Compliance 
Supplement update; (13) conducts internal audits; and (14) serves as 
the outreach to HRSA staff and non-federal entities to increase 
monitoring efforts for non-federal entities.

Division of Grants Policy and Planning (RJ2)

    The Division of Grants Policy and Planning analyzes, develops and 
implements HRSA's federal assistance award policy in compliance with 
statutes, regulations, Government-wide administrative requirements and 
Departmental policy. The Division recommends internal procedures to 
ensure consistent and effective stewardship of taxpayer dollars.

Division of Grants Management Operations (RJ3)

    The Division of Grants Management Operations exercises 
responsibility within HRSA for all business aspects of grant and 
cooperative agreement award and post-award processes, and participates 
in the planning, development, and implementation of policies and 
procedures for grants and other federal financial assistance 
mechanisms. Specifically, the Division of Grants Management Operations: 
(1) Plans, directs and carries out the grants officer functions for all 
of HRSA's grant programs as well as awarding official functions for 
various scholarship, loan, and loan repayment assistance programs; (2) 
participates in the planning, development, and implementation of 
policies and procedures for grants and cooperative agreements; (3) 
provides assistance and technical consultation to program offices and 
grantees in the application of laws, regulations, policies, and 
guidelines relative to the agency's grant and cooperative agreement 
programs; (4) develops standard operating procedures, methods, and 
materials for the administration of the agency's grants programs; (5) 
establishes standards and guides for grants management operations; (6) 
reviews grantee financial status reports and prepares reports and 
analyses on the grantee's use of funds; (7) provides technical 
assistance to applicants and grantees on financial and administrative 
aspects of grant projects; (8) provides data and analyses as necessary 
for budget planning, hearings, operational planning, and management 
decisions; (9) participates in the development of program guidance and 
instructions for grant competitions; (10) oversees contracts in support 
of receipt of applications, records management, and grant closeout 
operations; and (11) supports post-award monitoring and closeout by 
analyzing payment management system data and working with grants and 
program office staff.

Division of Independent Review (RJ4)

    The Division of Independent Review is responsible for the 
management and oversight of HRSA's independent review of grant and 
cooperative agreement applications for funding. Specifically, the 
Division of Independent Review: (1) Plans, directs, and carries out 
HRSA's independent review of applications for grants and cooperative 
agreement funding, and assures that the process is fair, open, and 
competitive; (2) develops, implements, and maintains policies and 
procedures necessary to carry out the agency's independent review/peer 
review processes; (3) provides technical assistance to independent 
reviewers ensuring that reviewers are aware of and comply with 
appropriate administrative policies and regulations; (4) provides 
technical advice and guidance to the agency regarding the independent 
review processes; (5) coordinates and assures the development of 
program policies and rules relating to HRSA's extramural grant 
activities; and (6) provides HRSA's Offices and Bureaus with the final 
disposition of all reviewed applications.

Chapter RR--Health Systems Bureau

Section RR.10 Organization

    Re-establish, retain and rename the Health Systems Bureau (RR). The 
Health Systems Bureau (RR) is headed by the Associate Administrator, 
who reports directly to the Administrator, HRSA. The Health Systems 
Bureau (RR) includes the following components:
     Office of the Associate Administrator (RR);
     Division of Transplantation (RR1);
     Division of Injury Compensation Programs (RR4); and
     Division of National Hansen's Disease Program (RRH).

Section RR.20 Function

    Establish the following functional statement for the Health Systems 
Bureau (RR):

Office of the Associate Administrator (RR)

    The Health Systems Bureau leads the agency in providing health care 
programs to eligible organizations around the country. Specifically, 
the Health Systems Bureau (1) oversees the implementation of blood stem 
cell and organ transplantation programs; (2) manages the national 
program for compliance with the Hill-Burton uncompensated care 
requirement and other assurances; (3) administers community based and 
other grant awards; (4) directs and administers the National Vaccine 
Injury Compensation Program; (5) implements and administers the 
Countermeasures Injury Compensation Program; (6) provides professional 
and administrative support for the HHS Medical Review Claims Panel; and 
(7) manages the National Hansen's Disease Program in accordance with 
regulations of the Public Health Service.

Division of Transplantation (RR1)

    The Division of Transplantation, on behalf of the Secretary of 
Health and Human Services, administers national systems to facilitate 
solid organ and blood stem cell transplantation including: The Organ 
Transplantation Program, the C.W. Bill Young Cell Transplantation 
Program, the National Cord Blood Inventory, cross-cutting medical 
activities, and the breakthrough collaborative to increase the number 
of deceased donor organs made available for transplantation.

Division of Injury Compensation Programs (RR4)

    The Division of Injury Compensation Programs, on behalf of the 
Secretary of HHS, implements all statutory and charter authorities 
related to the operations of the National Vaccine Injury Compensation 
Program, the Countermeasures Injury Compensation Program, and the HHS 
Medical Review Claims Panel by: (1) Evaluating claims for compensation 
filed under the National Vaccine Injury Compensation Program and the 
Countermeasures Injury Compensation Program through medical review and 
assessment of compensability for all complete claims; (2) processing 
awards for compensation made under the National Vaccine Injury 
Compensation Program and the Countermeasures Injury Compensation 
Program; (3) promulgating regulations to develop and revise Vaccine and 
Countermeasures Injury Tables; (4) providing professional and 
administrative support to the Advisory Commission on Childhood Vaccines 
(ACCV) and the Medical Claims Review Panel; (5) maintaining 
responsibility for activities related to the ACCV; (8) maintaining a 
working relationship with the Department of Justice (DOJ) and the U.S. 
Court of Federal Claims through the DOJ, in the administration and 
operation of the National Vaccine Injury Compensation Program; (9) 
providing management, direction, budgetary

[[Page 48743]]

oversight, coordination, and logistical support for the Medical Expert 
Panel, as well as Clinical Reviewer contracts; (10) developing, 
reviewing, and analyzing pending and new legislation relating to 
program changes, new initiatives, the ACCV, and changes to the Vaccine 
and Countermeasures Injury Tables; (11) providing programmatic outreach 
efforts to maximize public exposure to private and public 
constituencies; and (12) providing guidance in using the results and 
decisions of the Medical Claims Review Panel to HHS Operating Divisions 
to improve the quality of health care in its facilities and by its 
practitioners.

Division of National Hansen's Disease Program (RRH)

    The National Hansen's Disease Program, in accordance with 
regulations and the Public Health Service (PHS) Act, Sec. 320 as 
amended by Public Law 105-78, Sec. 211, (1) provides care and treatment 
for persons with Hansen's Disease (leprosy), including managing a 
national short-term and outpatient health care delivery program 
providing specialized services to persons with Hansen's Disease; (2) 
conducts and promotes the coordination of research (including clinical 
research), investigations, demonstrations, and studies relating to the 
causes, diagnosis, treatment, control, and prevention of Hansen's 
disease and other mycobacterial diseases and complications related to 
such diseases; (3) conducts training in the diagnosis and management of 
Hansen's disease and related complications; (4) provides education and 
training to staff from the outpatient Hansen's Disease Clinics and to 
private physicians; (5) operates and oversees the National Hansen's 
Disease Museum and Cemetery; (6) consults on the coordination of 
activities within HRSA and HHS, and with other federal agencies, state 
and local governments, and other public and private organizations 
involved in Hansen's Disease activities; and (7) manages a network of 
contracted outpatient clinics providing care to persons with Hansen's 
Disease; and (8) manages and coordinates the National Hansen's Disease 
Program's administrative and operational activities with HRSA and HHS; 
other federal agencies, state and local governments; and other public 
and private organizations involved in Hansen's Disease activities.

Section R.30 Delegation of Authority

    All prior delegations of authority and re-delegations of authority 
consistent with this reorganization are in effect. I affirm and ratify 
any actions taken by HHS officials that involved the exercise of those 
authorities prior to the effective date of this reorganization.

(Authority: 44 U.S.C. 3101)

    Dated: August 6, 2021.
Xavier Becerra,
Secretary.
[FR Doc. 2021-18075 Filed 8-27-21; 4:15 pm]
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