[Federal Register Volume 64, Number 66 (Wednesday, April 7, 1999)]
[Notices]
[Pages 16977-16980]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-8591]
-----------------------------------------------------------------------
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 (DHHS), Health Resources and Services Administration (60
FR 56605 as amended November 6, 1995, as last amended at 64 FR 14000,
dated March 23, 1999). This notice reflects the reorganization of the
Maternal and Child Health Bureau.
I. Under Part R, HRSA, Maternal and Child Health Bureau (RM) make
the following changes.
Section RM-10 Organization and Functions
Office of The Director (RM)
Provides national leadership and policy direction for the planning,
development, implementation and evaluation of the programs and
activities of the Bureau. These programs are designed to improve the
health of women and childbearing age, infants, children, adolescents,
and their families, of children with special health needs, and of
persons with hemophilia. Specifically: (1) Oversees the day-to-day
management and operations of the Bureau's Offices and Divisions; (2)
coordinates all internal functions of the Bureau and facilities
effective, collaborative relationships with other health and related
programs; (3) establishes a program mission, goals,
[[Page 16978]]
objectives, and policy positions consistent with legislation and 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) works
with other Bureaus to further the Agency goals and mission; (6)
develops and administers internal operating policies and procedures and
provides guidance and direction to Field Office staff, to State Health
Officers, and to State Maternal and Child Health and Special Health
Needs Directors; (7) serves as principal contact point to the Agency,
the Department, Office of Management and Budget (OMB), and the White
House on matters concerning the health status of America's mothers and
children; (8) directs and coordinates the Bureau's program
responsibilities, including the Maternal and Child Health block grants
to States, contracts, and other funding arrangements in the areas of
research, training, genetics, hemophilia, and health service
improvement through regionally and nationally significant projects, a
national program to improve emergency medical services for children, a
Health Start program designed to strengthen and improve the delivery of
health services to improve the outcome of pregnancy, a national program
on traumatic brain injury and on injury prevention for children and
adolescents, and a national abstinence education program; (9) directs
and coordinates the planning, implementation and monitoring of a
national maternal and child health data and information system based on
State and local jurisdictions; (10) provides direction and serves as
the focal point for international matters of concern to the health of
mothers, children, and their families; (11) develops a policy statement
and an action plan to address the health needs of mothers and children
from culturally diverse groups; (12) directs and coordinates Bureau
activities in support of Equal Opportunity programs; (13) provides
direction for the Bureau's Civil Rights compliance activities; (14)
provides information and reports on the Bureau's programs to public,
health, education and related professional associations, the Congress,
other Federal agencies, OMB, and the White House; (15) coordinates
public communications and public affairs activities for the Bureau;
(16) administers the implementation of the Privacy Act and the Freedom
of Information Act in the Bureau; and (17) performs the executive
secretariat functions and coordinates responses to General Accounting
Office (GAO) audit reports and monitors the implementation of GAO
recommendations.
Office of Program Development (RM-1)
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: (1) advises and assists the Bureau Director and the
Bureau in the development, coordination and management of legislative
planning documents, responses to Departmental and HRSA initiatives, and
information papers to support Bureau and Administration goals; (2)
interprets evaluation requirements, 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) provides staff services, disseminates
information, and develops, coordinates, and manages Bureau activities
relating to legislation and regulations, and develops and coordinates
legislative proposals and regulations; (4) develops, coordinates, and
manages Bureau activities related to the development, clearance, and
dissemination of Federal Register notices, guidelines, final grant
reports, and periodic and annual reports to other Federal and non-
Federal agencies; (5) participates in the development of budget
submissions related to the office's functions; (6) coordinates
activities closely and continuously with the Office of Planning,
Evaluation and Legislation, HRSA, and other MCHB Divisions and Offices
in promoting program objectives and the mission of the Bureau; (7)
provides liaison with public, private, professional, and voluntary
organizations on programs related to MCHB planning and legislative
issues; and (8) participates in international health activities of the
Bureau.
Office of Operations and Management (RM1)
Plans, directs, coordinates, and evaluates Bureau-wide
administrative and management activities; coordinates and monitors a
program and administrative policy implementation; and maintains close
liaison with officials of the Agency, and the Office of the Secretary
on matters relating to these activities. Specifically: (1) serves as
the Associate Administrator's and Bureau principal source for
management and administrative advice and assistance for Headquarters
and Field Office staff operations; (2) provides or serves as liaison
for program support services and resources, such as procurement of
equipment and supplies, space, property, etc.; (3) provides leadership
on intergovernmental activities of the Bureau which requires central
administrative direction or intergovernmental activities of the Bureau,
which require 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) serves as liaison with the
Office of Human Resources Development, HRSA, and coordinates personnel
activities for the Bureau; (6) directs, conducts, and coordinates
manpower management activities and advises on the allocation of
personnel resources including intra- and interagency agreements of
Federal assignees to MCH programs: (7) manages the performance
appraisal and employee performance management systems; (8) develops and
carries out a full range of financial management activities, including
the annual budget formulation, presentation, and execution functions;
(9) determines State allocation of MCH Block Grant funds based on
formula and current census data; (10) is responsible for planning,
directing, coordinating, and evaluating Bureau-wide grants management
activities, including cooperative agreement operations; (11)
coordinates the development and processing of Bureau contract
procurement activities and maintains liaison with the Division of
Grants and Procurement Management, HRSA; (12) plans, coordinates, and
facilities the Bureau's intra- and interagency agreement activities;
(13) provides organization and management analysis, develops policies
and procedures for internal operation, and interprets and implements
the Administration's management policies, procedures and systems; (14)
coordinates the Bureau's program and administrative delegations of
authority activities; (15) provides staff services in the operational
planning and program analysis; (16) is responsible for paperwork
management functions, including the development and maintenance of
manual issuances; (17) provides direction regarding new developments in
office management activities; (18) participates in international health
activities of the Bureau; and (19) responsible for the
[[Page 16979]]
coordination of Bureau funds and resources for grants, contracts and
cooperative agreements.
Division of Services for Children With Special Health Needs (RM2)
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
needs, and their families, with special emphasis on the development and
implementation of family-centered, comprehensive, care-coordinated,
community-based and culturally competed systems for care for such
populations. Specifically: (1) Administers a program which supports the
development of systems of care and services for children with special
health care needs and their families; (2) develops policies and
guidelines and promulgates standards for professional services and
effective organization and administration of health programs for
children with special health care needs 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 promoting program
objectives and the mission of the Bureau; (5) provides consultation and
technical assistance to State programs for children with special health
care needs 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 children with special health care needs 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 (SSI), Individuals
with Disabilities Education Act (IDEA), and others) to extend and
improve comprehensive, coordinated services and promote integrated
State-based systems of care for children with special health care
needs, 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 children with special health
care needs, 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 children with special
health care needs, including those with genetic disorders, and their
families; (11) provide a focus for international health activities of
the Bureau for services for children with special health care needs and
their families; (12) participates in the development of interagency
agreements concerning Federal assignees to State MCH programs; and (13)
responsible for the administration of funds and other resources for
grants, contracts, and cooperative agreements.
Division of Child, Adolescent,and Family Health (RM3)
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, 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: (1) administers a program which
supports the development of systems of care and services for children,
adolescents, 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, 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, and their families; (6) provides consultation and
technical assistance to state programs for children, adolescents, and
their families and to local communities, consistent with 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, and their families; (8) serves as the
national focus for improving the health and well-being of adolescents;
(9) carries out a national program on school staff development
activities; (10) carries out a national program designed to improve the
provision of emergency medical services for children; (11) carries out
a national program on traumatic brain injury and on injury prevention
for children and adolescents; (12) 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, and their families; (13) disseminates information on
preventive health services and advances in the care and treatment of
children, adolescents, and their families; (14) participates in the
development of strategic plans, regulatory activities, policy papers,
legislative proposals, and budget submissions relating to health
services for children, adolescents, and their families; (15) provides a
focus for international health activities for the Bureau for services
for children, adolescents, and their families; and (16) responsible for
the administration of funds and other resources for grants, contracts,
and cooperative agreements.
Division of Research, Training and Education (RM4)
Provides national leadership in planning, directing, coordinating,
monitoring, and evaluating national programs related to research,
professional and public education activities 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 population. Specifically: (1)
administers a program which supports the development of systems of care
and services for children, had their families; (2) develops policies
and guidelines and promulgates standards through research, professional
and public education and training activities for the Bureau; (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 promoting program
objectives and the mission of the Bureau; (5) provides liaison with
public, private, professional and voluntary organizations on programs
and activities; (6) disseminates information on research, professional
and public education and training activities to states and
[[Page 16980]]
localities; (7) participates in the development of strategic plans,
regulatory activities, policy papers, legislative proposals, and budget
submissions; (8) provides a focus for international health activities
of the Bureau relating to research, professional and public education
and training activities for the Bureau; and (9) responsible for the
administration of funds and other resources for grants, contracts and
cooperative agreements.
Division of Perinatal Systems and Women's Health (RM5)
Provides national leadership in planning, directing, coordinating,
monitoring, and evaluating national programs focusing on perinatal,
infant and women's health to improve and strengthen the access,
delivery, quality, coordination and information of services for the
targeted populations, especially for the vulnerable and high-risk.
Specifically: (1) administers national programs on perinatal and
women's health with an emphasis on infant mortality reduction and
prevention; (2) provides policy direction, technical assistance, and
professional consultation on Division programs; (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 promoting Division programs' objectives
and mission of the Bureau; (5) serves as the focal point within the
Bureau in implementing programmatic requirements for Division's
program; (6) coordinates Division programs within the Agency and with
other Federal programs; (7) provides liaison with public, private,
professional and voluntary organizations for Division program; (8)
disseminates information on Division programs; (9) participates in the
development of strategic plans, regulatory activities, policy papers,
legislative proposals, and budget submissions relating to Division
programs; (10) provides a focus for international health activities of
the Bureau for Division programs; and (11) responsible for the
administration of funds and other resources for grants, contracts, and
cooperative agreements.
Division of State And Community Health (RM6)
In collaboration with MCHB Division and Offices, serves as the
organizational focus for the administration of responsibilities related
to the MCH Block Grant to States Program. Specifically: (1) Provides
national leadership, direction, coordination, and administrative
oversight related to the development and management of the State MCH
Block Grant applications and the annual report; (2) based on review of
State Book grant applications and annual reports submitted by States,
develops, plans, manages, and monitors a Bureau-wide program of
technical assistance and consultation in collaboration with other
Bureau Divisions and related health programs; (3) develops and manages
a program for the collection, analysis and dissemination of National
and State information and data to various constituencies including the
public, States, and Congress about the Block Grant to States Program;
(4) 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; (5) develops, plans, manages, and monitors the
abstinence only education grant program to the States; (6) develops,
plans;, manages, and monitors the State Systems Development Initiative
(SSDI) grant to the States program; (7) provides leadership and
direction to the ten Field Office staffs in concert with the MCHB
Division and HRSA; (8) participates in activities related to the
Special Projects of Regional and National Significance (SPRANS) program
to facilitate the dissemination of effective knowledge related to State
MCH functions; (9) manages and monitors interagency agreements of
Federal assignees to State MCH program; (10) 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; (11)
participates in international health activities of the Bureau and
coordinates the Pacific Basin activities; and (12) responsible for the
administration of funds and other resources for grants, contracts, and
cooperative agreements.
Office of Data and Information Management (RM7)
Provides national leadership in the identification and analysis of
data needs and the utilization and implementation of 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, care-coordinated;
community-based and culturally competent systems of care for such
population. Specifically: (1) develops, coordinates, and maintains a
data and information system designed to improve implementation of Title
V and other Bureau programs; (2) 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 children special health care needs; (3) through grants
and contracts, provides support for a broad range of data collection,
analyses and projects designed to improve the health status of infants,
children, adolescents, and children with special health care needs; (4)
coordinates and provides for a program of professional consultation and
technical assistance through central and field office staff to State
and local agencies and organizations; (5) develops, coordinates and
disseminates data information; (6) plans, implements and monitors a
system of placement of Federal employees assigned to the State health
agencies; (7) coordinates and monitors the placement of CDC sponsored
epidemiologist in State Agencies; and (8) 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 children with special
health care needs.
Section RM-30 Delegations of Authority
All delegations and redelegations of authority which were in effect
immediately prior to the effective date hereof have been continued in
effect in them or their successors pending further redelegation. I
hereby ratify and affirm all actions taken by any DHHS official which
involved the exercise of these authorities prior to the effective date
of this delegation.
This reorganization is effective upon date of signature.
Dated: March 25, 1999.
Claude Earl Fox,
Administrator.
[FR Doc. 99-8591 Filed 4-6-99; 8:45 am]
BILLING CODE 4160-15-M
