[Federal Register Volume 62, Number 155 (Tuesday, August 12, 1997)]
[Notices]
[Pages 43173-43177]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-21290]
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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 62 FR 27613-16
dated May 20, 1997). This notice reflects the establishment of the HIV/
AIDS Bureau and the Office of Special Programs.
The changes are as follows:
I. Delete the Bureau of Health Resources Development, and the AIDS
Program Office (RAA), Office of the Administrator, in its entirety and
replace with the following:
Section RV-00 Mission
The mission of the HIV/AIDS Bureau is to administer national
policies and programs pertaining to HIV infection and acquired immune
deficiency syndrome (AIDS) activities.
Section RV-10 Organization. The HIV/AIDS Bureau (HAB) is headed by
an Associate Administrator who reports directly to the Administrator,
HRSA. The (HAB) includes the following components:
(A) Associate Administrator for HIV/AIDS (RV)
(B) Office of Communications (RV1)
(C) Office of Program Support (RV2)
(D) Office of Policy and Program Development (RV3)
(E) Office of Science & Epidemiology (RV4)
(F) Division of Service Systems (RV5)
(G) Division of Community Based Programs (RV6)
(H) Division of Training and Technical Assistance (RV7)
Section RV-20 Function
A. Associate Administrator, HIV/AIDS Bureau (RV)
Provides leadership and direction for the Agency's HIV/AIDS
programs and activities and oversees their relationship with other
national health programs. Specifically: (1) Coordinates the formulation
of an overall strategy and policy for HRSA AIDS programs; (2)
coordinates the internal functions of the Bureau and its relationships
with other national health programs; (3) establishes HIV/AIDS program
objectives, alternatives, and policy positions consistent with
legislation and broad Administration guidelines; (4) administers the
Agency's HIV/AIDS grants and contracts programs; (5) reviews HIV/AIDS-
related program activities to assure consistency with established
policies; (6) represents the Agency and the Department at HIV/AIDS
related meetings, conferences and task forces; (7) serves as principal
contact and advisor to the Agency, Department, and other parties
concerned with matters relating to planning and development of health
delivery systems relating to HIV/AIDS; (8) develops and administers
operating policies and procedures for the Bureau; (9) directs and
coordinates the Bureau activities in support of the Department/Agency/
Bureau's Affirmative Action and Equal Employment Opportunity programs
by ensuring that all internal employment practices provide an equal
opportunity to all qualified persons and its employment practices do
not discriminate on the basis of race, color, sex, age, handicapping
conditions, national origin, religious or political affiliation,
marital status, and that all external benefits and service oriented
activities relative to the recipients of Federal funds are likewise
addressed in accordance with applicable laws, Executive Orders, DHHS
regulations and policies; and (10) provides direction to the Bureau's
Civil Rights compliance activities.
B. Office of Communications (RV1)
The Office of Communications serves as the Bureau's clearinghouse
on all HIV/AIDS grant and program data and information, directing,
coordinating and managing the preparation and dissemination of
newsletters, program profiles, and reports on the uses of grant funds
and services provided. Specifically: (1) Collects, compiles, and
distributes various data and information on HIV/AIDS health care issues
and programs related to the activities of the Bureau; (2) develops and
provides information materials to HIV/AIDS health program planners,
providers, and consumers to assist in decisionmaking and in effective,
efficient operations; (3) develops and produces in-house communications
to help ensure the understanding of current AIDS issues and Bureau
program activities; (4) maintains information about primary sources of
data and information on the health industry, disease trends, and public
and private programs; (5) fosters and maintains relationships with and
provides a referral service to Federal agencies, State and local
governmental units, and private health and medical organizations with
which the Bureau has mutual interests; (6) provides technical
assistance to Bureau program managers and project officers in
identifying data and information needs and developing information
products; (7) provides technical assistance to Bureau program managers
in information and communications product packaging, desktop
publishing, and media relations; (8) provides Bureau liaison with
HRSA's Office of Communications with respect to information and
communications policy and management, product development, and media
relations; (9) produces reports, articles, briefings, speeches, and
exhibits on Bureau services and on programs directed at the Bureau
service and provider populations; and, (10) utilizes automated methods
and electronic media in carrying out its
[[Page 43174]]
responsibilities including managing and maintaining content of the
Bureau's electronic web site, and liaison with the HRSA webmaster for
technical support and design; and participation, coordination, and
content development in use of technologies such as satellite
transmission and distance learning.
C. Office of Program Support (RV2)
Plans, directs, coordinates, and evaluates Bureau-wide
administrative and management support activities. Specifically: (1)
Serves as the Associate Administrator's principal source for management
and administrative advice and assistance; (2) assists in the
development and administration of policies and procedures which govern
the review and final recommendation for funding to the Associate
Administrator; (3) in cooperation with the Division of Financial
Management, Office of Management and Program Support (OMPS), provides
guidance to the Bureau on financial management activities; (4) in
cooperation with the Office of Human Resources and Development, HRSA,
coordinates personnel activities for the Bureau and advises the
Associate Administrator on the allocation of the Bureau's personnel
resources; (5) in cooperation with the Division of Grants and
Procurement Management, OMPS, conducts all business management aspects
of the review, negotiation, award, and administration of Bureau grants
and cooperative agreements, and coordinates the Bureau's contracts
operations; (6) develops and maintains a system that tracks grant funds
by program, State and grantee and by purpose of grant award; (7)
provides support to field staff as appropriate by program; (8) provides
organization and management analysis for the Bureau, develops policies
and procedures for internal Bureau requirements, and interprets and
implements the Administration's management policies and procedures; (9)
coordinates the Bureau's delegations of authority activities; (10)
manages the Bureau's performance appraisal and employee performance
management systems; (11) provides or arranges for the provision of
support services such as supply management, space management, manual
issuances, forms, records, reports, and supports civil rights
compliance activities; (12) provides direction regarding technological
developments in office management activities; and (13) manages the
Bureau's executive secretariat functions.
D. Office of Policy and Program Development (RV3)
Serves as the Bureau's focal point for planning, legislation, and
related coordination activities including the development and
dissemination of program objectives, alternatives, policy statements
and the formulation and interpretation of program related policies.
Specifically: (1) Advises the Associate Administrator and Division
Directors in the development of plans and legislative proposals to
support Administration goals, and serves as the primary staff unit on
special projects for the Associate Administrator; (2) coordinates with
the Office of Planning, Evaluation, and Legislation (OPEL), HRSA, and
other appropriate offices in the preparation of HIV/AIDS-related
program and legislative proposals, including the preparation of
testimony and related information to be presented to the Congress; (3)
monitors and analyzes HIV/AIDS-related policy and legislative
developments, both within and outside the Department, for their
potential impact on HIV/AIDS activities, and advises the Associate
Administrator on alternative courses of action for responding to such
developments; (4) organizes, guides, and coordinates the Bureau's
program planning and development activities, and prepares the Bureau's
strategic planning agenda; (5) provides staff services and coordinates
activities pertaining to legislative policy and position papers,
including the development of legislative proposals and the analysis of
existing and pending Federal and State legislation to assure the
fullest possible consideration of programmatic requirements in meeting
established departmental, and HRSA goals; (6) maintains liaison with
the Agency, Department, and other agencies, and distributes legislative
materials; (7) participates in the development and coordination of
program policies and implementation plans, including the development,
clearance, and dissemination of regulations, criteria, guidelines, and
operating procedures; (8) serves as the point of contact for the
Agency, developing and coordinating working relationships and conducts
specific joint activities among programs to assure optimum interaction
on related HIV/AIDS activities and to minimize duplication and overlap;
(9) conducts special inquiries and studies with emphasis on
coordinating, managing and/or undertaking special projects which cut
across Office or Division lines and responsibilities; (10) coordinates
Bureau and HRSA comments on HIV/AIDS-related reports, position papers,
legislative proposals, and related issues; (11) coordinates responses
to requests for information received from other OPDIVs of the
Department and from outside the Department; (12) provides program
policy interpretation and technical assistance to other governmental
and private organizations and institutions; and (13) develops and
coordinates performance measures.
E. Office of Science and Epidemiology (RV4)
Serves as the Associate Administrator's principal source on HIV
epidemiologic surveillance, program data collection and evaluation,
medical and biometric research, and the development of new models of
HIV care. The Office coordinates with all HRSA HIV/AIDS programs on the
development and implementation of science and epidemiology activities,
specifically: (1) Develops and directs long and short range scientific
studies; (2) plans, directs, coordinates with OPEL, and administers the
Bureau's annual program evaluation strategy; (3) designs and implements
special scientific studies of the impact and outcomes of Bureau health
care programs; (4) carries out data collection and analysis activities
that document the clients and services of Bureau programs; (5) collects
and maintains information on the costs and quality associated with the
Bureau's health care programs; (6) directs and manages the
implementation and evaluation of priority models of care through the
Special Programs of National Significance (Title XXVI, Part F of the
PHS Act), including developing Program Application and Guidance
documents and site visit and evaluation program review protocols; (7)
formulates and interprets program-related policies; (8) coordinates the
documentation of all science, evaluation, and new models of care
products with HRSA HIV/AIDS programs; (9) coordinates technical
assistance plans and activities with the Division of Training and
Technical Assistance and manages program specific technical assistance;
(10) plans and develops collaborative efforts in the scientific aspects
of Bureau programs with other HHS components, Federal departments,
universities, and other scientific organizations; (11) organizes,
guides and coordinates the Bureau's scientific planning and development
activities in epidemiology, research, and demonstrations; (12) plans
and coordinates Bureau participation in scientific organizations,
including scientific clearance of presentations and articles for
publication; (13) studies and
[[Page 43175]]
analyzes trends in health care, including availability, access
distribution, organization, and financing to determine if the Bureau
activities address current and emerging issues and problems in an
effective, efficient manner; and (14) coordinates and consults with
State and local health departments, other components of the Department,
other Federal agencies and/or outside groups on the implementation of
Office programs.
F. Division of Service Systems (RV5)
Administers Bureau programs and activities and manages funds and
other resources related to the provision of coordinated comprehensive
HIV health care and support services, including reimbursement for
treatment with life-prolonging drugs, for persons with HIV/AIDS.
Specifically: (1) Directs and manages the implementation of Parts A and
B of Title XXVI of the PHS Act including Emergency Relief Grants (Title
I), HIV CARE Grants (Title II), and State AIDS Drug Assistance
programs; (2) provides program implementation proposals and plans, and
the interpretation of legislation and regulations; (3) monitors HIV
services planning and delivery programs in States and Cities and
provides administrative, strategic, and programmatic direction to
grantees to encourage efficient, coordinated treatment of persons with
HIV infection; (4) prepares site visit program review protocols; (5)
develops Program Application and Guidance documents; (6) develops
requirements, guidance and monitors State and territorial programs for
medical therapies established to ensure that these treatments are
integrated into the system of health care services; (7) promotes the
development of State treatment program formularies that include classes
of drugs necessary for the proper treatment of people with HIV
infection; (8) formulates and interprets program-related policies; (9)
coordinates technical assistance plans and activities with the Division
of Training and Technical Assistance and manages program specific
technical assistance; (10) develops and implements a monitoring plan,
including periodic on-site program reviews and assessments of grantee
compliance with the legislation, including their plans and activities
to assure subcontractor compliance; and (11) coordinates and consults
with State and local health departments, other components of the
Department, other Federal agencies and/or outside groups on the
implementation of Division programs.
G. Division of Community Based Programs (RV6)
Administers Bureau programs and activities related to: the
provision of comprehensive health services to persons infected with HIV
in medically underserved areas; demonstrating strategies and innovative
models for organizing and coordinating community based services linked
to research for children, youth and women; coordinating services for
children, youth and women of child-bearing age with HIV infection, HIV/
AIDS; and, assisting dental schools and other eligible institutions
with respect to oral health care to patients with HIV. Specifically:
(1) directs and manages the implementation of Parts C and D of Title
XXVI of the PHS Act including HIV Early Intervention Services Program
(Title III), Grants for Coordinated Services and Access to Research for
Women, Infants, Children, and Youth Program (Title IV), and Part F
Dental Reimbursement; (2) provides program implementation proposals and
plans, and the interpretation of legislation and regulations; (3)
prepares site visit program review protocols; (4) formulates and
interprets program-related policies; (5) develops Program Application
and Implementation Guidance including application kits; (6) coordinates
and consults with State and local health departments, other components
of the Department, other Federal agencies and/or outside groups on the
implementation of Division programs; (7) coordinates technical
assistance plans and activities with the Division of Training and
Technical Assistance and manages program specific technical assistance;
and (8) develops and implements a monitoring plan, including periodic
on-site program reviews and assessments of grantee compliance with the
legislation, including their plans and activities.
H. Division of Training and Technical Assistance (RV7)
Coordinates, designs, directs and administers HIV/AIDS-related
planning, training, technical assistance and extramural authorities and
activities within the Agency. Advises the Associate Administrator on
training and educational activities, pertaining to the administration
of HRSA's HIV/AIDS program. Specifically: (1) Directs and manages the
implementation of the AIDS Education and Training Centers (AETC)
program of the CARE Act, Title XXVI, Part F of the PHS Act; (2)
identifies technical assistance needs and develops technical assistance
packages, conducts programs, meetings and activities to meet such
needs; (3) convenes consultation meetings with grantees, providers,
representatives of professional and political organizations, and
advocacy groups; (4) develops Program Application and Guidance
documents for the AETC program; (5) develops and manages mechanisms and
resources to address technical assistance needs and support Division/
Bureau technical assistance plans and programs; (6) provides logistical
support to the objective review process; (7) prepares site visit
program review protocols; (8) formulates and interprets program-related
policies; (9) coordinates and manages the Bureau's HIV-related managed
care activities; (10) serves as the Bureau's focal point for advising
and coordinating with advisory committees and other external
organizations on policies regarding health care delivery and HIV/AIDS
prevention, treatment, education and technical assistance; (11)
develops outreach activities to assure that target populations are
aware of the benefits and availability of HRSA HIV/AIDS programs; (12)
provides program implementation proposals and plans, and the
interpretation of legislation and regulations; (13) coordinates and
consults with State and local health departments, other components of
the Department, other Federal agencies and/or outside groups on the
implementation of Division programs; and (14) develops and implements a
monitoring plan, including periodic on-site program reviews and
assessments of grantee compliance with the legislation, including their
plans and activities.
II. Establish the Office of Special Programs (RR) as follows:
Section RR-00 Mission
Section RR-10 Organization
Section RR-20 Function
Section RR-00 Mission
The Office of Special Programs (OSP) serves as the Agency's
principal focal point for administering Federal policy and programs
pertaining to health care facilities, and activities associated with
organ donations, procurements, and transplantation.
Section RR-10 Organization
The OSP is headed by the Director, who reports directly to the
Administrator, HRSA, and includes the following components:
(A) Director, Office of Special Programs (RR)
(B) Division of Transplantation (RR1)
(C) Division of Facilities Compliance and Recovery (RR2)
(D) Division of Facilities and Loans (RR3)
[[Page 43176]]
Section RR-20 Function
A. Director, Office of Special Programs (RR)
Provides the overall leadership and direction for programs related
to the procurement and transplantation of organs, facilities'
compliance with the reasonable volume of uncompensated care assurance
and the administration of loan, loan guarantee and interest subsidy
programs for health care facilities.
B. Division of Transplantation (RR1)
Plans, directs, coordinates, and monitors a broad range of
activities relating to the field of organ procurement and
transplantation. Specifically: (1) Develops, implements, and maintains
a program of grants to organ procurement organizations (OPO's); (2)
provides technical assistance to OPO's receiving Federal funds; (3)
establishes and maintains an Organ Procurement and Transplantation
Network; (4) establishes and maintains a scientific registry for organ
transplantation recipients; (5) administers and monitors the contracts
governing the National Marrow Donor Program; (6) conducts a program of
public information to inform the public of the need for organ
donations; (7) monitors trends and analyzes data on the efficiency and
effectiveness of organ procurement, bone marrow donation, the
allocation of organs among transplant centers and transplant patients,
and on other aspects of organ transplantation, and prepare reports as
needed; (8) coordinates collection of information with other units of
the Federal Government concerned with organ and bone marrow recovery
and transplantation (e.g., the National Center for Health Services
Research and Health Care Technology Assessment, the Health Care
Financing Administration, the National Institutes of Health, the
Department of the Navy, the Food and Drug Administration, and the
Centers for Disease Control and Prevention); (9) maintains working
relationships with State activities and professional organizations in
the field of organ transplantation; (10) maintains and fosters new
relationships with public and private organizations (e.g., the North
American Transplant Coordination Organization, the American Hospital
Association, the American Society of Transplant Surgeons, and the
American Society of Transplant Physicians) to promote the concepts of
organ and bone marrow donation, to follow trends in organ procurement,
and to maintain working knowledge of clinical status of organ and bone
marrow transplantation; (11) develops and provides information on organ
and bone marrow recovery and transplantation for professional
associations, health providers, consumers, health insurers, medical
societies, State health departments, and the general public; and, (12)
provides program policy interpretation and technical assistance to
other governmental and private organizations and institutions.
C. Division of Facilities Compliance and Recovery (RR2)
The Division substantiates health facilities' compliance with the
reasonable volume of uncompensated care assurance. Specifically: (1)
Establishes, develops, and monitors the implementation of regulations,
policies, procedures, and guidelines for use by regional staff and
health care facilities in ascertaining that assurances are met; (2)
plans and directs the development of regulations and program guidelines
for administering grant support for health care, health professions
education, and nurse training facilities; (3) provides technical
assistance and training, and conducts evaluations to ensure nationwide
consistency in program administration; (4) maintains a system for
receipt, analysis and disposition of audit appeals by obligated
facilities; (5) maintains a system for receiving and responding to
patient complaints and for their analysis, evaluation and disposition;
(6) develops and initiates monitoring activities necessary to ensure
enforcement of provisions regarding the reasonable volume assurance;
(7) coordinates its activities with other components of the Bureau,
HRSA, and other departmental components; and (8) provides program
policy interpretation and technical assistance to other governmental
and private organizations and institutions.
D. Division of Facilities and Loans (RR3)
The Division plans and directs the development of regulations and
program guidelines for administering loan, loan guarantee and interest
subsidy program for health care facilities. Specifically: (1) Develops
regulations, policy and procedures for administering loan and loan
guarantee with interest subsidy programs; (2) administers the HHS
responsibility for facility construction, renovation, and modification
as described in interagency memoranda of agreement; (3) provides
overall consultation and guidance on factors affecting future national
requirements in specific types of facilities, geographic distribution
and facilities utilization; (4) maintains an automated data system for
the issuance of periodic and special reports and for the manipulation
of institution specific data in performing tests for financial
feasibility; (5) assists in the evaluation and analysis of applications
for construction under assigned grant programs; (6) reviews and
recommends action on: (a) proposals for new health facilities or
additions to or modernization of existing facilities under loan
programs assigned to the Division, (b) requests for mortgage relief,
such as forbearance of principal and/or interest payment, suspension of
sinking fund deposits, modifications of loan terms, etc., and (c)
requests for recovery and/or waiver of repayment of Federal loan funds;
(7) provides advice and guidance to regional staff on statutory and
regulatory provisions and policy and procedures for administering
programs assigned to the Division; (8) maintains liaison with and
coordinates its activities and jointly develops pertinent programmatic
materials with other components of the Bureau, HRSA, HHS, other
concerned Federal agencies, and with private lending institutions and
associations; and (9) provides program policy interpretation and
technical assistance to other governmental and private organizations
and institutions.
III. Delete the following functions: A. In the Maternal and Child
Health Bureau, in item #7 of the mission statement, delete the words
``Pediatric AIDS''; this function has been placed in the HIV/AIDS
Bureau. In the functional statement for the Office of the Director, in
item #7, delete the statement ``a demonstration program in Pediatric
AIDS, and a national service demonstration program for the treatment
and prevention of AIDS in persons with hemophilia''; these functions
have been placed in the HIV/AIDS Bureau. Under the Division of Services
for Children with Special Needs, delete item #10, and renumber the
remaining items in sequence;
B. In the Bureau of Health Professions, Division of Medicine,
delete item #12 and place the word ``and'' before the number 11; this
function has been placed in the HIV/AIDS Bureau; and,
C. In the Bureau of Primary Health Care, Division of Programs for
Special Populations, in item #1 of the functional statement, delete the
word ``AIDS''; this function has been placed in the HIV/AIDS Bureau.
Section RV-30 Delegation 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
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them or their successors pending further redelegations.
This reorganization is effective upon date of signature.
Dated: August 7, 1997.
Claude Earl Fox,
Acting Administrator.
[FR Doc. 97-21290 Filed 8-11-97; 8:45 am]
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