Federal Register / Vol. 77, No. 45 / Wednesday, March 7, 2012 / Notices 13613 

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 (HHS), Health Resources and 

Services Administration (HRSA) (60 FR 

56605, as amended November 6, 1995; 

as last amended at 77 FR 7594–7595 

dated February 13, 2012). 

This notice reflects organizational 

changes in the Health Resources and 

Services Administration. Specifically, 

this notice updates the functional 

statement for the Maternal and Child 

Health Bureau (RM): (1) Establish the 

Office of Policy Coordination (RM10); 

(2) establish the Office of Epidemiology 

and Research (RM9); (3) within the 

Office of Epidemiology and Research, 

establish the Division of Research 

(RM91) and the Division of 

Epidemiology (RM92); (4) rename the 

Division of Research, Training and 

Education (RM4) to the Division of 

Maternal and Child Health Workforce 

Development (RM4); and (5) transfer the 

research function from the newly named 

Division of Maternal and Child Health 

Workforce Development (RM4) to the 

newly established Office of 

Epidemiology and Research (RM9). 

Chapter RM—Maternal and Child 

Health Bureau 

Section RM–10, Organization 

Delete in its entirety and replace with 

the following: 

The Maternal and Child Health 

Bureau (RM) is headed by the Associate 

Administrator, Maternal and Child 

Health Bureau (MCHB), who reports 

directly to the Administrator, Health 

Resources and Services Administration. 

MCHB includes the following 

components: 

(1) Office of the Associate 

Administrator (RM); 

(2) Office of Operations and 

Management (RM1); 

(3) Division of Services for Children 

with Special Health Needs (RM2); 

(4) Division of Child, Adolescent and 

Family Health (RM3); 

(5) Division of Maternal and Child 

Health Workforce Development (RM4); 

(6) Division of Healthy Start and 

Perinatal Services (RM5); 

(7) Division of State and Community 

Health (RM6); 

(8) Division of Home Visiting and 

Early Childhood Systems (RM8); 

(9) Office of Epidemiology and 

Research (RM9); and 

(10) Office of Policy Coordination 

(RM10). 

Section RM–20, Functions 

(1) Delete the functional statement for 

the Maternal and Child Health Bureau 

(RM) and replace in its entirety. 

Office of the Associate Administrator 

(RM) 

The Office of the Associate 

Administrator (OAA) provides national 

leadership and policy direction for 

Maternal and Child Health Bureau 

(MCHB) programs. These programs are 

designed to improve the health of 

women of childbearing age, infants, 

children, adolescents and their families, 

children with special health needs, and 

persons with hemophilia. Specifically, 

OAA: (1) Coordinates the planning, 

development, implementation, and 

evaluation of the programs and 

activities of the Bureau; (2) facilitates 

effective, collaborative relationships 

with other health and related programs; 

(3) establishes a program mission, goals, 

objectives, and policy with broad 

Administration guidelines; (4) serves as 

the focal point for managing the Bureauwide strategic planning operation as it 

relates to long and short range 

programmatic goals and objectives for 

the Bureau; (5) arranges and provides 

technical assistance to assure that the 

grantees meet program expectations; (6) 

serves as principal contact point to 

HRSA, the Department, Office of 

Management and Budget (OMB), and 

the White House on matters concerning 

the health status of America’s mothers 

and children; and (7) provides 

information and reports on the Bureau’s 

programs to public, health, education 

and related professional associations, 

Congress, other Federal agencies, OMB, 

and the White House. 

Office of Operations and Management 

(RM1) 

The Office of Operations and 

Management (OOM) plans, directs, 

coordinates, and evaluates Bureau-wide 

administrative and management 

activities; coordinates and monitors 

program and administrative policy 

implementation, and maintains close 

liaison with officials of HRSA and the 

Office of the Secretary on matters 

relating to these activities. Specifically, 

OOM: (1) Serves as the Associate 

Administrator’s and Bureau’s principal 

source for management and 

administrative advice and assistance; (2) 

provides or serves as liaison for program 

support services; (3) provides leadership 

on intergovernmental activities of the 

Bureau which requires administrative 

direction or intergovernmental activities 

of the Bureau, requiring central 

direction of cross-cutting administrative 

issues affecting program activities; (4) 

participates in the development of 

strategic plans, regulatory activities, 

policy papers, and legislative proposals 

relating to MCH programs; (5) plans, 

coordinates and facilitates the Bureau’s 

Agency agreement activities; (6) 

coordinates human resource activities 

for the Bureau; (7) provides guidance to 

the Bureau on financial management 

activities; (8) determines State 

allocations of MCH Block Grant funds 

based on formula and current census 

data; (9) provides organization and 

management analysis, develops policies 

and procedures for internal operation, 

and interprets and implements the 

Administration’s management policies, 

procedures and systems; (10) 

coordinates the Bureau’s program and 

administrative delegations of authority 

activities; (11) provides staff services in 

operation planning and program 

analysis; (12) is responsible for 

paperwork management functions, 

including the development and 

maintenance of Bureau manual 

issuances; (13) provides direction 

regarding new developments in office 

management activities; and (14) 

coordinates Bureau funds and resources 

for grants, contracts and cooperative 

agreements. 

Division of Services for Children with 

Special Health Needs (RM2) 

The Division of Services for Children 

with Special Health Needs (DSCSHN) 

provides national leadership in 

planning, directing, coordinating, 

monitoring, and evaluating national 

programs focusing on the promotion of 

health and prevention of disease among 

children with special health care needs 

(CSHCN) and their families, with 

special emphasis on the development 

and implementation of family-centered, 

comprehensive, care-coordinated, 

community-based and culturally 

competent systems of care for such 

populations. Specifically, DSCSHN 

carries out the following activities: (1) 

Administers a program that supports the 

development of systems of care and 

services for CSHCN and their families; 

(2) develops policies and guidelines and 

promulgates standards for professional 

services and effective organization and 

administration of health programs for 

CSHCN and their families; (3) accounts 

for the administration of funds and 

other resources for grants, contracts and 

programmatic consultation and 

assistance; (4) coordinates with other 

MCHB Divisions and Offices in 


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promoting program objectives and the 

mission of the Bureau; (5) provides 

consultation and technical assistance to 

State programs for CSHCN and to local 

communities, consistent with a Bureauwide technical assistance consultation 

plan and in concert with other agencies 

and organizations; (6) provides liaison 

with public, private, professional and 

voluntary organizations on programs 

designed to improve services for CSHCN 

and their families; (7) develops and 

implements a national program for those 

at risk or living with genetic diseases, 

including a national program for 

persons with hemophilia, implementing 

a system of demonstration projects 

related to early identification, referral, 

treatment, education, and counseling 

information; (8) coordinates within this 

Agency and with other Federal 

programs (particularly Title XIX of the 

Social Security Act, Supplemental 

Security Income, Individuals with 

Disabilities Education Act, and others) 

to extend and improve comprehensive, 

coordinated services and promote 

integrated State-based systems of care 

for CSHCN, including those with 

genetic disorders, and their families; (9) 

promotes the dissemination of 

information on preventive health 

services and advances in the care and 

treatment of CSHCN, including those 

with genetic disorders, and their 

families; (10) participates in the 

development of strategic plans, 

regulatory activities, policy papers, 

legislative proposals, and budget 

submissions relating to health services 

for CSHCN, including those with 

genetic disorders, and their families; 

(11) participates in the development of 

interagency agreements concerning 

Federal assignees to State MCHB 

programs; (12) carries out a national 

program on traumatic brain injury; and 

(13) administers funds and other 

resources for grants, contracts, and 

cooperative agreements. 

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 MCHB 

Divisions and Offices in promoting 

program objectives and the mission of 

the Bureau; (5) serves as the focal point 

within the Bureau in implementing 

programmatic statutory requirements for 

State programs for children, 

adolescents, 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 Bureauwide 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) 

carries out a national program designed 

to improve the provision of oral health 

services for children; (12) carries out a 

national program on injury prevention 

for children and adolescents; (13) 

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; (14) disseminates information 

on preventive health services and 

advances in the care and treatment of 

children, adolescents, young adults and 

their families; (15) 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 (16) administers 

funds and other resources for grants, 

contracts, and cooperative agreements. 

Division of Maternal and Child Health 

Workforce Development (RM4) 

The Division of Maternal and Child 

Health Workforce Development 

provides national leadership in 

planning, directing, coordinating, 

monitoring, and evaluating national 

programs related to professional and 

public education activities and training, 

focusing on the promotion of health and 

prevention of disease among women of 

reproductive age, infants, children, 

adolescents and their families, with 

special emphasis on the development 

and implementation of family-centered, 

comprehensive, care-coordinated, 

community-based and culturally 

competent systems of care for such 

populations. Specifically, the Division 

carries out the following activities: (1) 

Administers a program which supports 

the development of systems of care and 

services for children and their families; 

(2) develops policies and guidelines and 

promulgates standards through 

professional and public education and 

training activities for the Bureau; (3) 

plans, implements, and administers a 

program of professional education and 

training designed to improve the 

promotion of health and prevention of 

disease among infants, children, 

adolescents, and children with special 

health needs; (4) provides grants to 

institutions of higher learning, provides 

support for the education and training 

of health professionals designed to 

promote health and prevent disease 

among infants, children, adolescents, 

and children with special health care 

needs; (5) develops, coordinates and 

implements systematic technical 

assistance and consultation on 

professional training strategies to State 

and local agencies and organizations or 

groups concerned with the promotion of 

health and prevention of disease among 

infants, children, adolescents, and 

children with special health care needs; 

(6) provides support, through grants and 

contracts, for community demonstration 

projects (e.g. Healthy Tomorrows 

Partnership for Children Projects) that 

support the development of familycentered, community-based initiatives 

that foster collaboration among 

community organizations, individuals, 

agencies, businesses, health 

professionals and families; (7) accounts 

for the administration of funds and 

other resources for grants, contracts, 

cooperative agreements and 

programmatic consultation and 

assistance; (8) coordinates with other 

MCHB Divisions and Offices in 

promoting program objectives and the 

mission of the Bureau; (9) provides 

liaison with public, private, professional 


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Federal Register / Vol. 77, No. 45 / Wednesday, March 7, 2012 / Notices 13615 

and voluntary organizations on 

programs and activities; and (10) 

disseminates information on 

professional and public education and 

training activities to States and 

localities. 

Division of Healthy Start and Perinatal 

Services (RM5) 

The Division of Healthy Start and 

Perinatal Services provides national 

leadership in planning, directing, 

coordinating, monitoring, and 

evaluating national programs focusing 

on maternal, infant, family, and 

women’s health to improve and 

strengthen the awareness of, access, 

delivery, quality, coordination and 

evidence-based services for targeted 

populations, especially for the 

vulnerable and those at high-risk for 

poor health and health outcomes. The 

Division strives to eliminate health 

disparities and provide high quality 

continuous health care, including health 

promotion and disease prevention, 

throughout the lifespan of women and 

their families from infancy to 

preconception, prenatal, postpartum, 

and inter-conception through support of 

local, State, and national innovative, 

evidenced-based projects of health 

promotion and risk reduction. 

Specifically, the Division is responsible 

for the following activities: (1) 

Administers local, State, and national 

programs on perinatal and women’s 

health with an emphasis on infant 

mortality reduction and eliminating 

disparities in perinatal infant, maternal 

and women’s health outcomes; (2) 

provides policy direction, technical 

assistance, national resource 

development and dissemination; 

professional consultation and 

development to address national trends 

in maternal, infant, family, and 

women’s health status and gaps in the 

evidence-based healthcare services for 

these populations as well as Division 

programs; (3) accounts for the 

administration of funds and other 

resources for grants, contracts and 

programmatic consultation and 

assistance; (4) coordinates with Bureau, 

Agency, departmental, and intradepartmental initiatives in promoting 

Division’s programs objectives and the 

mission of the Bureau; (5) serves as the 

focal point within the Agency, and 

frequently the Department on 

programmatic infant, maternal, and 

women’s health initiatives; (6) 

coordinates the Advisory Committee on 

Infant Mortality; (7) provides liaison 

with public, private, professional and 

non-governmental organizations for 

Division programs; (8) disseminates 

information on Division programs to the 

local, State, and national audiences; (9) 

participates in the development of 

strategic plans, health services research 

and evaluation, regulatory activities, 

policy papers, legislative proposals, and 

fiscal strategic planning, administration, 

and analysis relating to Division 

programs; (10) provides leadership, 

technical assistance and professional 

consultation to Central and Regional 

Office staff of the Bureau, Agency, 

Department, other Federal agencies, 

students and allied groups to improve 

services; and (11) administers funds and 

other resources for grants, contracts, and 

cooperative agreements. 

Division of State and Community Health 

(RM6) 

In collaboration with MCHB Divisions 

and Offices, the Division of State and 

Community Health (DSCH) serves as the 

organizational focus for the 

administration of responsibilities 

related to the Maternal and Child Health 

(MCH) Block Grant to States Program. 

Specifically, DSCH: (1) Works in 

partnership with States, primarily 

through the Title V Block Grant, 

communities, and grantees to assure 

continued improvement in the health, 

safety and well-being of the MCH 

population; (2) provides national 

leadership, direction, coordination, and 

administrative oversight related to the 

development and management of the 

State MCH Block Grant applications and 

the annual reports; (3) based on 

independent and high quality 

evaluations and reviews, which 

includes the tracking of State progress 

in meeting performance objectives, 

develops, plans, manages, and monitors 

a Bureau-wide program of technical 

assistance and consultation in 

collaboration with other Bureau 

Divisions and related health programs; 

(4) develops and manages an online 

information system to facilitate in the 

collection, analysis and dissemination 

of national and State performance, 

program and financial State Title V 

information and data to various 

constituencies including the public, 

States, and Congress about the Block 

Grant to States Program; (5) coordinates 

within this Agency and with other 

Federal programs (particularly Title XIX 

of the Social Security Act) to extend and 

improve comprehensive, coordinated 

services in the Block Grant to States 

Program; (6) develops, plans, manages, 

and monitors the State Systems 

Development Initiative (SSDI) grant to 

the States’ program; (7) develops, plans, 

manages and monitors contracts, grants, 

and cooperative agreements, including 

the Partnership for State Title V MCH 

Leadership Community, Partnership for 

Urban MCH Leadership Community, 

and State Public Health Coordinating 

Center for Autism Cooperative 

Agreements; (8) participates in the 

development of strategic plans, 

regulatory activities, policy papers, 

legislative proposals and budget 

submissions relating to health services 

for women of childbearing age, infants, 

children, adolescents, children with 

special health care needs and their 

families; and (9) develops guidance and 

reporting forms for the State Title V 

MCH Block Grant Applications/Annual 

Reports and Five-Year Needs 

Assessments and other discretionary 

grants and cooperative agreements. 

Division of Home Visiting and Early 

Childhood Systems (RM8) 

The Division of Home Visiting and 

Early Childhood Systems plans, 

develops, implements, directs, 

monitors, and evaluates national 

programs to promote, improve, and 

maintain the health and development of 

young children (through 8 years of life) 

and their families. Specifically, the 

Division conducts the following 

activities: (1) Serves as a national focus 

for leadership in and coordination of 

Federal, regional, State, local, and nongovernmental efforts to define the health 

and development issues of young 

children and their relationship to the 

family to identify problems and 

opportunities and assist in the 

development of programs that address 

such problems and promote 

opportunities to enhance wellness; (2) 

develops, interprets, and/or 

disseminates policies, regulations, 

standards, guidelines, new knowledge 

and program information for the various 

programs and relevant services; (3) 

establishes and maintains cooperative 

relationships within this Agency, with 

other Federal agencies, and with other 

relevant public and private 

organizations to extend and improve 

health, safety, research, educational and 

training programs focused on young 

children and their families; (4) carries 

out, in collaboration with the 

Administration for Children and 

Families, a national maternal, infant and 

early childhood home visiting program; 

(5) administers and manages a program 

of grants and contracts that will enhance 

services to improve and promote the 

health and safety of young children and 

their families; (6) coordinates within 

this Agency and with other Federal 

programs to extend and improve 

comprehensive coordinated services 

and promote integrated state-based 

systems of care for this population; and 

(7) provides technical assistance and 

professional consultation to field and 


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13616 Federal Register / Vol. 77, No. 45 / Wednesday, March 7, 2012 / Notices 

headquarters staff, to State and local 

health personnel, to other Federal 

agencies, and to voluntary and 

professional organizations on all aspects 

of health and safety and provision of 

appropriate care for this population. 

Office of Epidemiology and Research 

(RM9) 

The Office of Epidemiology and 

Research provides leadership in the 

following two areas: (1) Identifies and 

analyzes data needs and utilizes and 

implements a data strategy and program 

focusing on the promotion of health and 

prevention of disease among women of 

reproductive age, infants, children, 

adolescents and their families with 

special emphasis on the development 

and implementation of family centered, 

comprehensive, coordinated care, 

community-based and culturally 

competent systems of care for such 

populations, and (2) plans, directs, 

coordinates, and monitors national 

maternal and child health research 

programs. 

The Office has oversight 

responsibility and coordinates the work 

of the Division of Research, and the 

Division of Epidemiology. Specifically 

the Office: (1) Provides a central 

location for all MCH Data and Research; 

(2) administers funds and other 

resources for grants, contracts, and 

cooperative agreements; (3) provides 

MCHB leadership in assisting in the 

development of the National Survey on 

Child Health and the National Survey 

on Children with Special Health Needs; 

(4) coordinates the Health Information 

Technology efforts of the Bureau; and 

(5) disseminates information on data 

collection and analysis on women of 

childbearing age, infants, children and 

children with special health care needs. 

Division of Research (RM91) 

The Division of Research provides 

national leadership in identifying, 

analyzing, and responding to the need 

for the development of new knowledge 

through research projects of regional 

and national significance relating to the 

promotion of health and prevention of 

disease among infants, children, 

adolescents, women, children with 

special health care needs, and their 

families. Specifically, the Division 

conducts the following activities: (1) 

Plans, implements, and administers a 

program of research activities designed 

to improve the promotion of health and 

prevention of disease among the MCH 

population; (2) develops, coordinates 

and implements systematic technical 

assistance and consultation on research 

to State and local agencies and 

organizations or groups concerned with 

the promotion of health and prevention 

of disease among the MCH population; 

(3) supports research studies related to 

the promotion of health and prevention 

of disease among the MCH population; 

and (4) provides through grants and 

contracts, support for applied research 

projects and research networks designed 

to advance the knowledge for the 

promotion of health and prevention of 

disease among the MCH population. 

Division of Epidemiology (RM92) 

The Division of Epidemiology 

provides national leadership in 

identifying and analyzing data need and 

develops and implements a data strategy 

and program focusing on the promotion 

of health and prevention of disease 

among women of reproductive age, 

infants, children, adolescents and their 

families with special emphasis on the 

development and implementation of 

family centered, comprehensive, 

coordinated care, community-based and 

culturally competent systems of care for 

such populations. Specifically, the 

Division carries out the following 

functions: (1) Builds data capacity at the 

national, state, and local levels through 

grants, cooperative agreements and 

contracts, and supports a broad range of 

data collection, analyses and projects 

designed to improve the health status of 

infants, children, adolescents, and 

CSHCN; (2) develops and coordinates a 

series of programs to strengthen the 

present and future capacity in MCH 

epidemiology; (3) plans, implements 

and monitors a system of placement of 

Federal employees assigned to State 

health agencies; (4) coordinates and 

monitors the placement of Centers for 

Disease Control and Prevention 

sponsored epidemiologists in State 

agencies; and (5) provides for data 

program coordination at all levels of 

Bureau program operations through 

analyses of program data, trends and 

other issues concerning scientific and 

policy matters, the provision of health 

services and data and information 

related to the promotion of health and 

prevention of disease among infants, 

children, adolescents, and CSHCN. 

Office of Policy Coordination (RM10) 

The Office of Policy Coordination 

serves as the Bureau focal point for the 

management of the planning, 

evaluation, legislation, and legislative 

implementation activities, including the 

development, coordination, and 

dissemination of program objectives, 

policy positions, reports and strategic 

plans. Specifically, the Office develops, 

coordinates, and maintains a data and 

information system designed to improve 

implementation of Title V and other 

Bureau programs and develops, 

coordinates, and implements systematic 

technical assistance and consultation on 

data and information systems and 

evaluation approaches to State and local 

agencies and organizations or groups 

concerned with infants, children, 

adolescents, and CSHCN. In addition, 

the Office carries out the following 

program development functions: (1) 

Advises and assists the Associate 

Administrator for Maternal and Child 

Health and other Bureau staff in the 

development, coordination and 

management of strategic planning and 

policy documents, responses to 

departmental and HRSA initiatives, and 

information papers to support Bureau 

and Administration goals; (2) interprets 

evaluation requirements and develops, 

coordinates, and manages the 

preparation of the annual evaluation 

plans and activities, and conducts or 

contracts for specific evaluation projects 

related to the performance of MCHB 

programs; (3) develops, coordinates, and 

manages Bureau activities related to the 

development, clearance, and 

dissemination of Federal Register 

notices, guidelines, Federal Opportunity 

Notices, final grant reports, and periodic 

and annual reports to other Federal and 

non-Federal agencies; (4) participates in 

the development of the Annual Online 

Performance Appendix and assures the 

Bureau fulfills the Department of Health 

and Human Services’ performance 

planning and reporting requirements; 

(5) coordinates activities closely and 

continuously with the HRSA Office of 

Planning, Analysis and Evaluation and 

the MCHB Divisions and Offices in 

promoting program objectives and the 

mission of the Bureau; (6) provides 

liaison with public, private, 

professional, and voluntary 

organizations on programs related to 

MCHB planning and legislative issues; 

and (7) performs the Executive 

Secretariat function for the Bureau, 

controlling correspondence and clearing 

policy documents as appropriate. 

Section RM–30, Delegations of Authority 

All delegations of authority and redelegations of authority made to HRSA 

officials that were in effect immediately 

prior to this reorganization, and that are 

consistent with this reorganization, 

shall continue in effect pending further 

re-delegation. 

This reorganization is effective upon 

date of signature. 

Dated: February 24, 2012. 

Mary K. Wakefield, 

Administrator. 

[FR Doc. 2012–5447 Filed 3–6–12; 8:45 am] 

BILLING CODE 4165–15–P 


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