[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

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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

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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]
BILLING CODE 4160-15-P