[Federal Register Volume 86, Number 12 (Thursday, January 21, 2021)]
[Notices]
[Pages 6344-6349]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-01227]


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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 85 FR 34210-34212 dated June 3, 
2020) is amended to reorganize sections of the Office of the 
Administrator, the Federal Office of Rural Health Policy, the 
Healthcare Systems Bureau, the Maternal and Child Health Bureau, and 
the Bureau of Primary Health Care.
    Key functional changes include establishing the Office of Special 
Health Initiatives, the Office of Provider Support, and the Office for 
the Advancement of Telehealth within the Office of the Administrator; 
abolishing the Healthcare Systems Bureau; and renaming two Offices 
within the Bureau of Primary Health Care to increase attention and 
focus on Health Center Program compliance and funding oversight.
    This reorganization establishes, updates, realigns, and/or deletes 
the organization, functions, and delegation of authority for the (1) 
Office of the Administrator (RA); (2) Office of Special Health 
Initiatives (RA4); (3) Office for the Advancement of Telehealth (RA3); 
(4) Federal Office of Rural Health Policy (RH); (5) Office of Provider 
Support (RD); (6) Healthcare Systems Bureau (RR); (7) Bureau of Primary 
Health Care (RC); and (8) Maternal and Child Health Bureau (RM).

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:
    (1) Immediate Office of the Administrator (RA);
    (2) Office of Communications (RA6);
    (3) Office of Legislation (RAE);
    (4) Office of Planning, Analysis and Evaluation (RA5);
    <bullet> Office of Policy Analysis (RA53);
    <bullet> Office of Research and Evaluation (RA56);
    <bullet> Office of External Engagement (RA57);
    <bullet> Office of Performance and Quality Measurement (RA58);
    <bullet> Office of Strategic Initiatives (RA59);
    (5) Office of Civil Rights, Diversity and Inclusion (RA2);
    (6) Office for the Advancement of Telehealth (RA3);
    (7) Office of Special Health Initiatives (RA4);
    <bullet> Office of Pharmacy Affairs (RA41);
    <bullet> Office of Global Health (RA42);
    [cir] Division of Global Health (RA421); and
    <bullet> Division of Injury Compensation Programs (RA43).
    (8) Office of Health Equity (RAB); and
    (9) Office of Women's Health (RAW).

Section RA.20 Function

    Delete the functional statement for Immediate Office of the 
Administrator (RA) and replace; delete the functional statements for 
the Office of Global Health (RAI), and replace with the Office of 
Special Health Initiatives (RA4); and add the functional statement for 
the Office for the Advancement of Telehealth (RA3).

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; (10) leads HRSA's 
efforts to improve the health, wellness, and safety of women and girls 
through policy, programming and outreach/education; (11) provides 
leadership and policy development in the administration of the 340B 
Drug Pricing Program; (12) oversees efforts to address the special 
needs of minority and disadvantaged populations, including coordination 
of tribal activities for HRSA; (13) provides cross-cutting leadership 
on HRSA's behavioral health and oral health programs; and (14) 
administers the National Vaccine Injury Compensation Program.

Office for the Advancement of Telehealth (RA3)

    The Office for the Advancement of Telehealth (1) ensures successful 
dissemination of appropriate information technology advances, such as 
telehealth or electronic health records systems; (2) monitors the 
health information technology policy and activities of other HHS 
components for useful application in rural areas; (3) provides overall 
direction and leadership over the management of programs to advance the 
use of telehealth and coordination of health information technology; 
and (4) 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.
    The Office for the Advancement of Telehealth carries out the 
following functions: (1) Develops and coordinates telehealth network 
and telehealth resource centers grant programs; (2) provides 
professional assistance and support in developing telehealth 
initiatives; and (3) administers grant programs to promulgate and 
evaluate the use of appropriate telehealth

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technologies among HRSA grantees and others.

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 the Department of Health and Human Services (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; (5) 
provides cross-cutting leadership on HRSA oral health programs; and (6) 
directs and administers the National Vaccine Injury Compensation 
Program.

Office of Pharmacy Affairs (RA41)

    The Office of Pharmacy Affairs promotes access to clinical and cost 
effective pharmacy services to enable participating entities to stretch 
scarce federal resources in order to serve more patients, expand their 
services, or offer additional services. Specifically, the Office of 
Pharmacy Affairs: (1) Manages the 340B Drug Pricing Program involvement 
of pharmaceutical manufacturers that participate in the Medicaid 
program, through Pharmaceutical Pricing Agreements; (2) maintains a 
publicly accessible database of participating covered entities, sites, 
and contract pharmacies; (3) publishes guidelines/regulations to assist 
in the understanding and participation in the 340B Program; (4) 
maintains a Prime Vendor Program to increase the value of the 340B 
Program; (5) provides technical assistance to Program stakeholders to 
support their appropriate and best use of the 340B Program; (6) fosters 
mutually productive relationships with federal and private sector 
partners; (7) provides a national platform for the coordination and 
development of leading practices for pharmacy services; (8) promotes 
comprehensive and efficient pharmacy management application and systems 
use to ensure safe and effective medication use; (9) manages quality 
improvement activities; and (10) promotes program integrity compliance 
and improvement activities.

Office of Global Health (RA42)

    The Office of Global Health provides expertise and advises HRSA on 
global health issues. Specifically, the Office of Global Health: (1) 
Provides leadership, coordination, and advancement of global health 
programs relating to sustainable health systems for vulnerable and at-
risk populations; (2) provides leadership within HRSA for the support 
of global health and coordinates policy development with the HHS Office 
of Global Affairs, other departmental agencies, bilateral/multilateral 
organizations, and other international organizations and partners; (3) 
monitors HRSA's border health activities and investments, in 
partnership with HRSA's Office of Regional Operations, to promote 
collaboration and improve health care access to those living along the 
U.S. borders, such as the U.S.-Mexico border and the U.S. Affiliated 
Pacific Islands; (4) provides management and oversight of international 
programs aimed at improving quality and innovation in human resources 
for health, health workforce recruitment, education, retention, and 
applied research systems; (5) supports and conducts programs associated 
with the international migration and recruitment of health personnel, 
foreign, and immigrant health workers; (6) provides support for the 
agency's international travel and the Department of State's 
International Visitors Leadership Program; and (7) provides national 
leadership, including serving as the Deputy Principal representative 
and providing support to the HRSA Administrator, implements training, 
and systems strengthening functions of the Global HIV/AIDS Program as 
part of the President's Emergency Plan for AIDS Relief (PEPFAR).
Division of Global Programs (RA421)
    The Division of Global HIV/AIDS Program provides national 
leadership, implements training, and systems strengthening functions of 
the Global HIV/AIDS Program as part of PEPFAR. This includes 
strengthening health systems for delivery of prevention, care and 
treatment services for people with HIV/AIDS in PEPFAR-funded countries 
and providing management and oversight of international programs aimed 
at improving quality and innovation in health professions education and 
training. The Division shares lessons learned from both the domestic 
and Global HIV/AIDS Programs grant recipient community.
    The Division of Global HIV/AIDS Program provides leadership in 
improving care, treatment, and support services for people with HIV/
AIDS outside of the United States and its territories. Specifically, 
the Division: (1) In coordination with the Department of State's Office 
of the Global AIDS Coordinator, plans, develops, implements, evaluates, 
and coordinates the activities of the clinical assessment system 
strengthening; (2) provides guidance and expertise to funded programs; 
(3) develops funding opportunity announcements and program guidance 
documents; (4) conducts on-site program reviews and reviews of 
pertinent and required reports, and activities to assess compliance 
with program policies and country priorities; (5) in conjunction with 
other division, bureau, and agency entities, assists in the planning 
and implementation of priority HIV activities such as workgroups, 
meetings, and evaluation projects; (6) collaborates with other federal 
agencies and in-country partners in the implementation of the PEPFAR 
program, and (7) provides management and oversight of international 
programs aimed at improving quality and innovation in health 
professions education, retention, training, faculty development, and 
applied research systems.
Division of Injury Compensation Programs (RA43)
    The Division of Injury Compensation Programs, on behalf of the 
Secretary of HHS, administers and 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 including 
the development of policy, regulations, budget formulation, and 
legislation; the development and

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renewal of its charter and action memoranda to the Secretary; and the 
analysis of its findings and proposals; (6) developing and maintaining 
all automated information systems necessary for program implementation; 
(7) developing and disseminating program information; (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 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, in 
coordination with the Office of the General Counsel; (11) providing 
programmatic outreach efforts to maximize public exposure to private 
and public constituencies; (12) providing submission of special reports 
to the Secretary of HHS, the Office of Management and Budget, Congress, 
and other governmental bodies; and (13) 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.
Chapter RH--Federal Office of Rural Health Policy
Section RH.10 Organization
    Delete the organization for the Federal Office of Rural Health 
Policy (RH) in its entirety and replace with the following:
    The Federal Office of Rural Health Policy (RH) is headed by the 
Associate Administrator, who reports directly to the Administrator, 
HRSA. The Federal Office of Rural Health Policy includes the following 
components:
    (1) Office of the Associate Administrator (RH);
    (2) Hospital State Division (RH1);
    (3) Community-Based Division (RH2);
    (4) Policy Research Division (RH5);
    (5) Administrative Operations Division (RH6); and
    (6) Rural Strategic Initiatives Division (RH7).
Section RH.20 Function
    Delete the functional statement for the Office of the Associate 
Administrator and replace with the following:

Federal Office of Rural Health Policy

Office of the Associate Administrator (RH)

    The Federal Office of Rural Health Policy (FORHP) is responsible 
for the overall leadership and management of the Office. FORHP serves 
as a focal point within HHS for rural health-related issues and as a 
principal source of advice to the Secretary for coordinating efforts to 
strengthen and improve the delivery of health services to populations 
in the nation's rural areas. FORHP provides leadership within HHS and 
with stakeholders in providing information and counsel related to 
access to, and financing and quality of, health care to rural 
populations. Specifically, the Office of the Associate Administrator 
(1) Provides staff support to the National Advisory Committee on Rural 
Health and Human Services; (2) stimulates and coordinates interaction 
on rural health activities and programs in the agency, Department and 
with other federal agencies; (3) directs and oversees the development 
and implementation of a research agenda that supports delivery of 
health services in rural areas; (4) provides overall direction and 
leadership over the management of nationwide community-based rural 
health grants programs; (5) provides overall direction and leadership 
over the management of a program of state grants which supports 
collaboration within state offices of rural health; (6) provides 
overall direction and leadership over the Office's administrative and 
management functions; and (7) provides overall direction and leadership 
over the Office's new rural health program initiatives created as a 
result of agency, Department and/or administrative priorities.
Chapter RD--Office of Provider Support
Chapter RD.00 Mission
    The Office of Provider Support ensures resiliency of the nation's 
health care systems and infrastructure by supporting health care 
entities in the U.S. to prevent, prepare for and respond to coronavirus 
disease 2019 (COVID-19).
Section RD.10 Organization
    Establish the Office of Provider Support organization as follows:
    The Office of Provider Support (RD) is headed by the Associate 
Administrator, who reports directly to the Administrator, HRSA. The 
Office of Provider Support includes the following components:
    (1) Office of the Associate Administrator (RD);
    (2) Division of Provider Support (RD1);
    (3) Division of Customer Support (RD2); and
    (4) Division of Data Analytics and Program Integrity (RD3).
Section RD. Function
    Establish the function of the Office of Provider Support (RD) as 
follows:

Office of Provider Support (RD)

    The Office of Provider Support ensures resiliency of the nation's 
health care systems and infrastructure by supporting health care 
entities in the U.S. to prevent, prepare for and respond to 
coronavirus. The Office reimburses health care providers for health 
care related expenses or lost revenues attributable to coronavirus and 
to provides claims reimbursement for health care entities for COVID-19 
testing and treatment for uninsured individuals.

Office of the Associate Administrator (RD)

    The Office of the Associate Administrator provides overall 
leadership, direction, coordination, and planning in support of the 
programs designed to make payments to health care providers for 
expenses and lost revenue related to COVID-19 and to reimburse health 
care entities' claims for COVID-19 testing and/or treatment of 
uninsured individuals, helping to ensure a sustained, robust health 
care system. The Office guides and directs the development of policy 
priorities for the allocation of payments and claims reimbursements and 
ensures the proper management of programs. Specifically, the Office of 
the Associate Administrator: (1) Provides overall direction and 
leadership over the management of funds to reimburse health care 
providers for expenses and lost revenue related to COVID-19; (2) 
provides overall direction and leadership over the management of funds 
dedicated specifically for the testing and treatment of the uninsured 
individuals with possible or actual cases of COVID-19; (3) directs data 
collection and analysis in support of program execution; (4) provides 
oversight of an audit protocol and plan that monitors proper execution 
of funds; (5) ensures compliance with regulations and limits risk 
through establishment and maintenance of a system of internal controls; 
(6) maintains effective relationships within HRSA and with other 
federal and nonfederal agencies, state, and local governments, and 
other public and private organizations associated with the response to 
COVID-

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19; (7) plans, directs, coordinates, and evaluates the Office's 
administrative and management functions, e.g., budget, personnel, 
procurements, delegations of authority, and responsibilities related to 
the awarding of program funds; (8) represents the Office, agency, and 
federal government, as designated, with other federal and non-federal 
agencies, state and local governments, and other public and private 
organizations concerned with the response to COVID-19 and the 
resiliency of the national healthcare systems; and (9) coordinates, 
reviews, and provides clearance of correspondence and official 
documents entering and leaving the Office.

Division of Policy and Program Operations (RD1)

    The Division of Policy and Program Operations is the focal point 
for the policy development, program operations, and communications 
operations for Office programs. Specifically, the Division of Policy 
and Program Operations: (1) Works with the contractor to ensure 
effective and efficient program operations; (2) leads and coordinates 
the analysis, development, and drafting of policies impacting Office 
programs; (3) analyzes issues arising from legislation, budget 
proposals, regulatory actions and other program or policy actions; (4) 
works collaboratively with other components within HRSA and HHS, and 
with other federal agencies, state and local governments, and public 
and private organizations on issues affecting Office programs and 
policies; (5) keeps Congress apprised of programs and activities as 
necessary; (6) links Office programs to HRSA-wide policy development, 
analyses, and evaluation as applicable; (7) serves as a key point of 
contact to coordinate, review and clear congressional, Executive Branch 
and other stakeholder group inquiries in conjunction with the agency 
and the Department; (8) serves as a key point of contact to coordinate 
activities related to congressional inquiries, and other stakeholder 
groups in conjunction with the agency and Department; and (9) assumes 
special projects or takes the lead on certain issues as tasked by the 
Office's leadership.

Division of Customer Support (RD2)

    The Division of Customer Support serves as the organizational focal 
point for the Office's centralized, comprehensive customer service 
function to support recipients or potential recipients of program 
funds. The Division provides responses to provider inquiries that 
arrive at the Office through a variety of channels including providers, 
health delivery entities, stakeholders, Congress, and others.

Division of Data Analytics and Program Integrity (RD3)

    The Division of Data Analytics and Program Integrity is responsible 
for the collection, management, and analysis of the data needed for the 
Provider Relief Fund and COVID-19 Claims Reimbursement to Health Care 
Providers and Facilities for Testing, Treatment, and Vaccine 
Administration of the Uninsured Program, and for ensuring the overall 
integrity of the programs and payments made. Specifically, the Division 
of Data Analytics and Program Integrity: (1) Maintains data and 
analytic capabilities to inform policy decisions and to support Office 
functions; (2) develops and manages Office data strategy; and (3) 
develops and manages Office program and payment integrity strategy.
Chapter RC--Bureau of Primary Health Care
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:
    (1) Office of the Associate Administrator (RC);
    (2) Division of Workforce Management (RC2);
    (3) Division of National Hansen's Disease Program (RC4);
    (4) Office of Strategic Business Operations (RCA);
    (5) Office of Health Center Investment Oversight (RCC);
    (6) Office of Health Center Program Monitoring (RCF);
    (7) Office of Policy and Program Development (RCH); and
    (8) Office of Quality Improvement (RCK).
Section RC.20 Function
    Delete the functional statement for the Bureau of Primary Health 
Care (RC) in its entirety and replace with the following:

Bureau of Primary Health Care

Office of the Associate Administrator (RC)

    Provides overall leadership, direction, coordination, and planning 
in support of BPHC 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; (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; 
and (4) manages the National Hansen's Disease Program in accordance 
with regulations of the Public Health Service (PHS) Act.
Division of Workforce Management (RC2)
    The Division of Workforce Management plans, directs, and 
coordinates bureau-wide administrative management activities and serves 
as the organizational focus for bureau workforce staff development and 
evaluation efforts in support of organizational goals and objectives. 
Specifically, the Division of Workforce Management: (1) Serves as the 
Bureau of Primary Health Care's principal source for administrative and 
management advice, analysis, and assistance; (2) provides strategic 
guidance and coordinates personnel activities for the bureau, including 
the allocation of personnel resources; (3) develops policies and 
procedures for internal operations, interpreting and implementing 
management policies, procedures and systems; (4) develops and 
coordinates bureau program and administrative delegations of authority 
activities; (5) provides guidance to the bureau on financial management 
activities; (6) provides bureau-wide support services such as 
continuity of operations and emergency planning, procurement planning 
and coordination, supply management, equipment utilization, workforce 
planning, printing, property management, space management, and 
management reports; (7) plans and implements strategies for development 
of staff and succession planning; and (8) coordinates bureau 
administrative management and workforce activities with other 
components within HRSA and HHS, and with other federal agencies, state 
and local governments, and other public and private organizations, as 
appropriate.
Division of National Hansen's Disease Program (RC4)
    The National Hansen's Disease Program, in accordance with 
regulations

[[Page 6348]]

and the 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; (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.

Office of Strategic Business Operations (RCA)

    The Office of Strategic Business Operations serves as the 
organizational focus for the development of the Bureau of Primary 
Health Care external affairs, organizational data development and 
analysis, and management information systems to meet the goals and 
objectives of the bureau. Specifically, the Office of Strategic 
Business Operations: (1) Serves as the bureau's focal point for 
communication and program information dissemination; (2) serves as the 
bureau's Executive Secretariat and focal point for records management 
policies and guidance; (3) leads strategic data analytics for bureau 
operations; (4) monitors bureau activities in relation to HRSA and HHS 
Strategic Plans; (5) serves as the bureau focal point for the design 
and implementation of management information systems to assist and 
improve program performance and internal operations; and (6) consults 
and coordinates bureau external affairs, business analytics, and 
information systems with other components within HRSA and HHS, and with 
other federal agencies, state and local governments, and other public 
and private organizations.

Office of Health Center Investment Oversight (RCC)

    The Office of Health Center Investment Oversight oversees the 
Bureau of Primary Health Care's primary health care service delivery 
programs, including initiatives focused on special populations and 
associated activities within all HHS Regions. Specifically, the Office 
of Health Center Investment Oversight: (1) Oversees bureau primary 
health care service delivery programs for compliance with funding 
requirements; (2) monitors the performance of bureau primary health 
care service delivery programs, making programmatic recommendations and 
providing assistance to improve performance, where appropriate; (3) 
reviews findings, analyzes data, and provides recommendations through 
periodic and episodic grantee funding progress assessments; and (4) 
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 involved in the implementation 
of bureau primary health care service delivery programs.

Office of Health Center Program Monitoring (RCF)

    The Office of Health Center Program Monitoring oversees the Bureau 
of Primary Health Care's primary health care service delivery programs, 
including those focused on special populations, and associated 
activities within all HHS Regions. Specifically, the Office of Health 
Center Program Monitoring: (1) Oversees bureau primary health care 
service delivery programs for compliance with program requirements; (2) 
provides assistance on program-related statutory/regulatory policy and 
program requirements; (3) reviews findings, analyzes data, and provides 
recommendations through periodic and episodic grantee compliance 
assessments; and (4) 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 
involved in the implementation of bureau primary health care service 
delivery programs.

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, including 
the awarding of new grants under section 1610(b) of the PHS Act, under 
the Health Care and Other Facilities grant program, and under the 
Patient Protection and Affordable Care Act, Public Law 111-148; (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.

Office of Quality Improvement (RCK)

    The Office of Quality Improvement serves as the organizational 
focus for program quality including clinical and operational quality 
improvement, patient safety and risk management, data reporting, and 
program evaluation. Specifically, the Office of Quality Improvement: 
(1) Provides leadership for implementing bureau clinical quality 
improvement strategies/initiatives, including health information 
technology; (2) oversees the bureau's Federal Tort Claims Act medical 
malpractice liability programs, reviewing risk management and patient 
safety activities to improve policies and programs for primary health 
care services, including clinical information systems; (3) leads and 
coordinates the bureau's national and state technical assistance/
programs and activities, including those focused on special 
populations; (4) identifies, provides assistance, and supports bureau 
programs around quality improvement and performance reporting 
activities; (5) oversees bureau programs related to health information 
technology and quality improvement; (6) serves as the bureau's focal 
point for the design and implementation of program evaluations and 
research; (7) coordinates and supports emergency preparedness and

[[Page 6349]]

response for bureau programs; and (8) coordinates bureau/quality 
improvement and performance reporting activities within HRSA and HHS, 
and with 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.
Chapter RM--Maternal and Child Health Bureau
Section RM.20 Function
    Delete the functional statement for the Division of Child, 
Adolescent and Family Health (RM3) and replace with the following:

Division of Child, Adolescent and Family Health (RM3)

    The Division of Child, Adolescent and Family Health 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, young 
adults 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, the Division: (1) Administers a program 
which supports the development of systems of care and services for 
children, adolescents, young adults, 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, young adults, and their families; 
(3) accounts for the administration of funds and other resources for 
grants, contracts, and programmatic consultation and assistance; (4) 
coordinates with the Maternal and Child Health Bureau 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, young adults, and their families; (6) provides 
consultation and technical assistance to state programs for children, 
adolescents, young adults, and their families and to local communities, 
consistent with a 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, young 
adults, and their families; (8) carries out a national program 
supporting Child Death Review systems; (9) carries out a national 
program on school health activities; (10) carries out a national 
program designed to improve the provision of emergency medical services 
for children; (11) administers the Poison Control Program; (12) carries 
out a national program designed to improve the provision of oral health 
services for children; (13) carries out a national program on injury 
prevention for children and adolescents; (14) 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, young adults, and their families; (15) 
disseminates information on preventive health services and advances in 
the care and treatment of children, adolescents, young adults, and 
their families; (16) participates in the development of strategic 
plans, regulatory activities, policy papers, legislative proposals, and 
budget submissions relating to health services for children, 
adolescents, young adults, and their families; and (17) administers 
funds and other resources for grants, contracts, and cooperative 
agreements.
Chapter RR--Healthcare Systems Bureau
Section RR.10 Organization
    Delete the organization for the Healthcare Systems Bureau (RR) in 
its entirety.
Section R.30, Delegation of Authority
    All delegations of authority and re-delegations of authority made 
to officials and employees of affected organizational components will 
continue in them or their successors pending further redelegation, if 
allowed, provided they are consistent with this reorganization.
    This reorganization is effective upon date of signature.

    Authority: 44 U.S.C. 3101

    Dated: January 14, 2021.
Alex M Azar II,
Secretary, Department of Health and Human Services.
[FR Doc. 2021-01227 Filed 1-15-21; 4:15 pm]
BILLING CODE 4165-15-P