6672 Federal Register / Vol. 75, No. 27 / Wednesday, February 10, 2010 / Notices 

Older Adults—Extension (OMB no. 

0920–0818, exp. 7/31/10)—National 

Center for Injury Prevention and Control 

(NCIPC), Centers for Disease Control 

and Prevention (CDC). 

Background and Brief Description 

CDC received OMB approval (0920– 

0818) to collect data for the Cost and 

Follow-up Assessment of Fall 

Prevention Programs. This approval 

expires on 7/31/10. In June 2009, all 

Matter of Balance programs 

implemented a new consent form. This 

form asked participants for permission 

for CDC to contact them six months after 

they finished the program to complete a 

survey. For this reason, we will not 

begin administering the follow-up 

survey to Matter of Balance participants 

until January 2010. At this time we are 

requesting a three-year extension to 

collect data. 

NCIPC seeks to examine cost of 

implementing each of the three AoA 

funded fall prevention programs for 

older adults (Stepping On, Moving for 

Better Balance and Matter of Balance) 

and to assess the maintenance of fall 

prevention behaviors among 

participants six months after completing 

the Matter of Balance program. To 

assess the maintenance of fall 

prevention behaviors, CDC will conduct 

telephone interviews of 425 Matter of 

Balance program participants six 

months after they have completed the 

program. The interview will assess their 

knowledge and self-efficacy related to 

falls as taught in the course, their 

activity and exercise levels, and their 

reported falls both before and after the 

program. The results of the follow-up 

assessment will determine the extent to 

which preventive behaviors learned 

during the Matter of Balance program 

are maintained and can continue to 

reduce fall risk. The cost assessment 

will calculate the lifecycle cost of the 

Stepping On, Moving for Better Balance, 

and Matter of Balance programs. It will 

also include calculating the investment 

costs required to implement each 

program, as well as the ongoing 

operational costs associated with each 

program. These costs will be allocated 

over a defined period of time, 

depending on the average or standard 

amount of time these programs continue 

to operate (standard lifecycle analysis 

ranges from five to 10 years). As part of 

the lifecycle cost calculation, these data 

will allow us to compare program costs 

and to identify specific cost drivers, cost 

risks, and unique financial attributes of 

each program. Local program 

coordinators for the 200 sites in each of 

the AoA-funded states will collect the 

cost data using lifecycle cost 

spreadsheets that will be returned to 

CDC for analysis. The results of these 

studies will support the replication and 

dissemination of these fall prevention 

programs and enable them to reach 

more older adults. The Survey Screen 

takes 3 minutes, the survey instrument 

takes forty-five minutes, and the cost 

tool takes two hours to complete. 

There are no costs to respondents 

other than their time. The total 

estimated annual burden is 248 hours. 

ESTIMATED ANNUALIZED BURDEN HOURS

Form name Number of 

respondents 

Number of 

responses 

per 

respondent 

Average 

burden per 

response 

(in hours) 

Follow-up Survey Screen for Matter of Balance—Introduction Script ........................................ 167 1 3/60 

Follow-up Survey for Matter of Balance ...................................................................................... 142 1 45/60 

Cost assessment of AoA-funded fall prevention programs ......................................................... 66 1 2 

Dated: February 4, 2010. 

Maryam I. Daneshvar, 

Acting Reports Clearance Officer, Centers for 

Disease Control and Prevention. 

[FR Doc. 2010–2908 Filed 2–9–10; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

HIV/AIDS Bureau; Policy Notice 99–02 

Amendment #1 

AGENCY: Health Resources and Services 

Administration (HRSA). 

ACTION: Notice of rescinded Policy 

Notice 99–02, Amendment #1. 

SUMMARY: The HRSA HIV/AIDS Bureau 

(HAB) Policy Notice 99–02 established 

general policies regarding the use of 

Title XXVI of the Public Health Service 

(PHS) Act, Ryan White HIV/AIDS 

Program funds for housing referral 

services and short-term or emergency 

housing needs. Amendment #1 to Policy 

Notice 99–02, effective March 27, 2008, 

modified Policy Notice 99–02 by 

imposing a 24-month cumulative cap on 

short-term and emergency housing 

assistance. HRSA’s Administrator is 

undertaking a comprehensive review of 

the Housing Policy, and is therefore 

directing that Amendment #1 to Policy 

Notice 99–02 be rescinded, effective 

immediately. 

SUPPLEMENTARY INFORMATION: Following 

the rescission of Amendment #1 to 

Policy Notice 99–02, Ryan White HIV/ 

AIDS Program, grantees will not be 

required to enforce the amendment for 

beneficiaries that might be at or near the 

24-month cumulative cap on short-term 

and emergency housing assistance. At 

the same time, grantees will benefit 

from general policy guidance with 

regard to the use of Ryan White HIV/ 

AIDS Program funds for housing referral 

services and short-term or emergency 

housing needs. A comprehensive review 

of the Housing Policy will permit 

HRSA’s Administrator time to evaluate 

completely all aspects of it. The Policy 

Notice is amended to address updated 

nomenclature, and is reprinted below 

for ease of reference. 

DATES: Amendment #1 to Policy Notice 

99–02 is rescinded effective February 

10, 2010. 

HRSA and HIV/AIDS Bureau (HAB) 

Policy Notice 99–02 

Document Title: The Use of Ryan White 

HIV/AIDS Program Funds for Housing 

Referral Services and Short-Term or 

Emergency Housing Needs 

The following Policy establishes 

guidelines for allowable housing-related 

expenditures under the Ryan White 

HIV/AIDS Program. The purpose of all 

Ryan White HIV/AIDS Program funds is 

to ensure that eligible HIV-infected 

persons and families gain or maintain 

access to medical care. 

A. Funds received under the Ryan 

White HIV/AIDS Program (Title XXVI of 

the PHS Act) may be used for the 

following housing expenditures: 

i. Housing referral services defined as 

assessment, search, placement, and 

advocacy services must be provided by 

case managers or other professionals 

who possess a comprehensive 


sroberts on DSKD5P82C1PROD with NOTICES
Federal Register / Vol. 75, No. 27 / Wednesday, February 10, 2010 / Notices 6673 

knowledge of local, State, and Federal 

housing programs and how they can be 

accessed; or 

ii. Short-term or emergency housing 

defined as necessary to gain or maintain 

access to medical care and must be 

related to either: 

a. Housing services that include some 

type of medical or supportive service: 

including, but not limited to, residential 

substance abuse or mental health 

services (not including facilities 

classified as an Institute of Mental 

Diseases under Medicaid), residential 

foster care, and assisted living 

residential services; or 

b. Housing services that do not 

provide direct medical or supportive 

services, but are essential for an 

individual or family to gain or maintain 

access and compliance with HIV-related 

medical care and treatment. Necessity of 

housing services for purposes of 

medical care must be certified or 

documented. 

B. Short-term or emergency assistance 

is understood as transitional in nature 

and for purposes of moving or 

maintaining an individual or family in 

a long-term, stable living situation. 

Thus, such assistance cannot be 

permanent and must be accompanied by 

a strategy to identify, relocate, and/or 

ensure the individual or family is 

moved to, or capable of maintaining, a 

long-term, stable living situation. 

C. Housing funds cannot be in the 

form of direct cash payments to 

recipients for services and cannot be 

used for mortgage payments. 

D. The Ryan White HIV/AIDS 

Program must be the payer of last resort. 

In addition, funds received under the 

Ryan White HIV/AIDS Program must be 

used to supplement, but not supplant 

funds currently being used from local, 

State, and Federal Agency programs. 

Grantees must be capable of providing 

HAB with documentation related to the 

use of funds as the payer of last resort 

and the coordination of such funds with 

other local, State, and Federal funds. 

E. Housing-related expenses are 

limited to Parts A, B, and D of the Ryan 

White HIV/AIDS Program, and are not 

allowable expenses under Part C. 

Dated: February 5, 2010. 

Mary K. Wakefield, 

Administrator. 

[FR Doc. 2010–2926 Filed 2–9–10; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Agency for Healthcare Research and 

Quality 

Expert Meeting on Measurement 

Criteria for Children’s Health Insurance 

Program; Reauthorization Act Pediatric 

Quality Measures 

AGENCY: Agency for Healthcare Research 

and Quality (AHRQ). 

ACTION: Notice of public meeting. 

SUMMARY: This notice announces a 

meeting to identify measurement 

criteria for use in carrying out the 

Pediatric Quality Measures Program 

(PQMP) under Section 1139A(b) of the 

Social Security Act as enacted in the 

Children’s Health Insurance Program 

Reauthorization Act (CHIPRA). 

DATES: The meeting will be held on 

Wednesday, February 24, 2010, from 10 

a.m. to 5 p.m. and Thursday, February 

25, 2010, from 8 a.m. to 4 p.m. 

ADDRESSES: Agency for Healthcare 

Research and Quality Eisenberg 

Building, 540 Gaither Rd., Rockville, 

MD 20850 and by public webcast. 

FOR FURTHER INFORMATION CONTACT: 

Maushami DeSoto, Agency for 

Healthcare Research and Quality, 540 

Gaither Road, Rockville, Maryland 

20850, (301) 427–1546. For press-related 

information, please contact Karen 

Migdail at (301) 427–1855. 

If sign language interpretation or other 

reasonable accommodation for a 

disability is needed, please contact Mr. 

Michael Chew, Director, Office of Equal 

Employment Opportunity Program, 

Program Support Center, on (301) 443– 

1144, no later than February 20, 2010. 

SUPPLEMENTARY INFORMATION: 

I. Purpose 

In early 2009, CHIPRA (Pub. L. 111– 

3) reauthorized the Child Health 

Insurance Program (CHIP) originally 

established in 1997, and in Title IV of 

the law, added a number of new 

provisions designed to improve health 

care quality and outcomes for children. 

AHRQ is working closely with the 

Centers for Medicare and Medicaid 

Services (CMS) and the CHIPRA Federal 

Quality Workgroup in implementing 

these provisions. For more information 

about AHRQ’s role in carrying out the 

quality provisions of CHIPRA, and for a 

list of an initial core set of children’s 

healthcare quality measures voluntary 

use by Medicaid programs and 

Children’s Health Insurance Programs 

and the health plans and providers of 

care that the programs engage with, 

mandated by the Act, that has been 

identified and posted for public 

comment, see http://www.ahrg.gov/ 

chip/chipraact.htm. 

CHIPRA further directed the Secretary 

to establish a Pediatric Quality 

Measures Program (PQMP) to strengthen 

and expand the initial core measure set 

required under its section 401(a). The 

statutory goal of the PQMP is to produce 

an improved core set of children’s 

healthcare quality measures for use by 

public and private programs, health 

insurers, providers and patients, by 

January 1, 2013. In order to achieve this 

goal, measurement criteria to develop 

and enhance pediatric health care 

measures need to be identified and 

framed for use by those who will be 

developing and enhancing the measures 

under the PQMP. The PQMP objectives 

are to: Expand, improve and strengthen 

the initial core measure set and existing 

pediatric measures used by public and 

private health care purchasers and 

advance the development of new and 

emerging quality measures; and thereby, 

increase the portfolio of evidence-based 

and consensus-based, pediatric quality 

measures available to public and private 

purchasers of children’s health care 

services, providers, and consumers as 

well as for use by policymakers at all 

political levels, including use in 

mandated reports to Congress on 

voluntary State reporting and on any 

need for further legislation. 

In accordance with statutory 

requirements, the measures to be 

developed or enhanced under this 

program will cover a range of pediatric 

preventive services, treatments and 

services for both acute and chronic 

conditions, including health services to 

correct or ameliorate the effects of 

physical and mental conditions; and 

health services to aid in the growth and 

development of children with special 

health care needs; and measure and 

duration of health care coverage. Said 

measures are to be designed to ensure 

that data collected are comparable at the 

State, health plan and provider levels, 

risk-adjusted if appropriate, and 

periodically updated. In addition, 

pursuant to section 401(s) of CHIPRA, 

measures are to be able to identify 

disparities by race and ethnicity, 

socioeconomic status, and special 

healthcare needs. 

II. Agenda 

On Wednesday, February 24, 2010, 

the meeting will convene at 10 a.m. The 

meeting will focus on engaging invited 

experts and public participants in 

identifying criteria for pediatric quality 

measures to be used by PQMP grant and 

contract program awardees beginning in 

September 2010. The agenda will cover 


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