92694 Federal Register / Vol. 89, No. 226 / Friday, November 22, 2024 / Notices 

3https://ecqi.healthit.gov/fhir. 4https://ecqi.healthit.gov/fhir. 

UDS+ Test Submissions for Health 

Centers 

• Beginning with the 2024 UDS, 

health centers will be able to submit deidentified, patient-level data in 

fulfillment of data elements on Tables: 

Æ Table PBZC (Patients by ZIP Code) 

Æ Table 3A (Patients by Age and Sex 

Assigned at Birth) 

Æ Table 3B (Demographic 

Characteristics) 

Æ Table 4 (Selected Characteristics) 

Æ Table 6A (Selected Diagnoses and 

Services Rendered) 

Æ Table 6B (Quality of Care Measures) 

Æ Table 7 (Health Outcomes and 

Disparities 

UDS+ Patient-Level Reporting 

leverages a shift in processes by which 

health centers will submit their annual 

UDS reports while maintaining historic 

UDS measures. Health Centers are 

encouraged to submit data through 

UDS+. 

UDS+ is currently in the testing phase 

and data submission supports system 

capacity building and progress towards 

full implementation. The technical test 

will inform next steps for scaling this 

innovation. High-quality accessible data 

are critical to strategically meeting the 

unique needs of health center patients 

and identifying training and technical 

assistance opportunities for clinical 

process improvement. The growth in 

health information technology coupled 

with the near universal adoption of 

electronic health records across health 

centers has transformed patient care 

delivery and underscored the need for 

secure and rapid exchange of health 

data between disparate systems. Fast 

Healthcare Interoperability Resources®

is a Health Level Seven International®

standard for exchanging health care 

information electronically.3 The health 

care community is adopting this next 

generation exchange framework to 

advance interoperability.4 Leveraging 

Fast Healthcare Interoperability 

Resources® to collect patient-level data 

through the UDS+ system will support 

improved data granularity, allowing for 

the development of robust HRSAsupported patient care programs and 

improved equitable access to HRSAsupported high-quality, cost-effective 

primary care services. This electronic 

reporting mechanism will reduce 

reliance on manual data entry to 

populate the annual UDS report, in turn 

yielding a reduction in reporting effort 

burden, and will greatly increase the 

analytical value of UDS data for 

informing policy and program decisionmaking. 

Likely Respondents: Respondents will 

include Health Center Program award 

recipients and Health Center Program 

look-alikes carrying out programs under 

section 330 of the PHS Act and NEPQR 

and ANE award recipients funded under 

the practice priority areas of section 

831(b) and 811 of the PHS Act. 

Burden Statement: Burden in this 

context means the time expended by 

persons to generate, maintain, retain, 

disclose, or provide the information 

requested. This includes the time 

needed to review instructions; to 

develop, acquire, install, and utilize 

technology and systems for the purpose 

of collecting, validating, and verifying 

information, processing and 

maintaining information, and disclosing 

and providing information; to train 

personnel and to be able to respond to 

a collection of information; to search 

data sources; to complete and review 

the collection of information; and to 

transmit or otherwise disclose the 

information. The total annual burden 

hours estimated for this ICR are 

summarized in the table below. 

Total Estimated Annualized Burden 

Hours: 

Form name 

Estimated 

number of 

respondents 

Estimated 

number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Estimated total 

burden hours 

Universal Report .............................................................................................. * 1,538 1.00 238 366,044 

Grant Report .................................................................................................... ** 420 1.22 22 11,273 

UDS+ Test Submissions .................................................................................. 1,507 1.25 10 18,838 

Total .......................................................................................................... 3,465 ........................ 270 396,155 

* Consists of 1,363 health center program awardees, 133 Health Center Look-alikes, and 42 NEPQR and ANE respondents. 

** Health Centers submitted one or more grant reports in 2023: 339 (1 report), 70 (2 reports), 11 (3 reports). 

HRSA specifically requests comments 

on: (1) the necessity and utility of the 

proposed information collection for the 

proper performance of the agency’s 

functions; (2) the accuracy of the 

estimated burden; (3) ways to enhance 

the quality, utility, and clarity of the 

information to be collected; and (4) the 

use of automated collection techniques 

or other forms of information 

technology to minimize the information 

collection burden. 

Maria G. Button, 

Director, Executive Secretariat. 

[FR Doc. 2024–27394 Filed 11–21–24; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Notice of Purchased/Referred Care 

Delivery Area Redesignation for the 

Pokagon Band of Potawatomi Indians 

of Michigan and Indiana 

AGENCY: Indian Health Service, 

Department of Health and Human 

Services. 

ACTION: Notice. 

SUMMARY: Notice is hereby given that 

the Indian Health Service (IHS) has 

decided to expand the geographic 

boundaries of the Purchased/Referred 

Care Delivery Area (PRCDA) for the 

Pokagon Band of Potawatomi Indians of 

Michigan and Indiana (‘‘Pokagon 

Band’’) to include the counties of 

Kalamazoo, Kent, and Ottawa in the 

State of Michigan. The final PRCDA for 

the Pokagon Band now includes the 

Michigan counties of Allegan, Berrien, 

Cass, Kalamazoo, Kent, Ottawa, and Van 

Buren, and the Indiana counties of 

Elkhart, Kosciusko, La Porte, Marshall, 

St. Joseph, and Starke. The sole purpose 

of this expansion is to authorize 

additional Pokagon Band members and 

beneficiaries to receive Purchased/ 

Referred Care (PRC) services. 

DATES: This expansion is effective as of 

the date of publication of this notice. 

ADDRESSES: This notice can be found at 

https://www.federalregister.gov. Written 

requests for information should be 

delivered to: CAPT John Rael, Director, 


ddrumheller on DSK120RN23PROD with NOTICES1
Federal Register / Vol. 89, No. 226 / Friday, November 22, 2024 / Notices 92695 

Office of Resource Access and 

Partnerships, Indian Health Service, 

5600 Fishers Lane, Mail Stop 10E85C, 

Rockville, MD 20857. 

FOR FURTHER INFORMATION CONTACT: 

CAPT John Rael, Director, Office of 

Resource Access and Partnerships by 

email at John.Rael@ihs.gov, or by phone 

at (301) 443–0969 (this is not a toll-free 

number). 

SUPPLEMENTARY INFORMATION: The IHS 

provides services under regulations in 

effect as of September 15, 1987, and 

republished at 42 CFR part 136, 

subparts A–C. Subpart C defines a 

Contract Health Service Delivery Area 

(CHSDA), now referred to as a PRCDA, 

as the geographic area within which 

PRC will be made available by the IHS 

to members of an identified Indian 

community who reside in the PRCDA. 

Residence within a PRCDA by a person 

who is within the scope of the Indian 

health program, as set forth in 42 CFR 

136.12, creates no legal entitlement to 

PRC but only potential eligibility for 

services. Services needed, but not 

available at an IHS/Tribal facility, are 

provided under the PRC program 

depending on the availability of funds, 

the relative medical priority of the 

services to be provided, and the actual 

availability and accessibility of alternate 

resources in accordance with the 

regulations. 

The regulations at 42 CFR part 136, 

subpart C provide that, unless otherwise 

designated, a PRCDA shall consist of a 

county which includes all or part of a 

reservation and any county or counties 

which have a common boundary with 

the reservation. 42 CFR 136.22(a)(6). 

The regulations also provide that after 

Consultation with the Tribal governing 

body or bodies on those reservations 

included within the PRCDA, the 

Secretary may, from time to time, 

redesignate areas within the United 

States for inclusion in or exclusion from 

a PRCDA. 42 CFR 136.22(b). The 

regulations require that certain criteria 

must be considered before any 

redesignation is made. The criteria are 

as follows: 

(1) The number of Indians residing in 

the area proposed to be so included or 

excluded; 

(2) Whether the Tribal governing body 

has determined that Indians residing in 

the area near the reservation are socially 

and economically affiliated with the 

Tribe; 

(3) The geographic proximity to the 

reservation of the area whose inclusion 

or exclusion is being considered; and 

(4) The level of funding which would 

be available for the provision of PRC. 

Additionally, the regulations require 

that any redesignation of a PRCDA be 

made in accordance with the procedures 

of the Administrative Procedure Act 

(5 U.S.C. 553). 42 CFR 136.22(c). In 

compliance with this requirement, the 

IHS published a notice of proposed 

redesignation and requested public 

comments on May 17, 2024 (89 FR 

43415). The IHS did not receive any 

comments in response to the notice of 

proposed redesignation. 

In support of this expansion, the IHS 

makes the following findings: 

1. By expanding the PRCDA to 

include Kalamazoo, Kent, and Ottawa 

Counties in the State of Michigan, the 

Pokagon Band’s PRC-eligible population 

will increase by an estimated 537 Tribal 

citizens. 

2. The Tribal citizens and certain 

other PRC-eligible individuals within 

the expanded PRCDA are socially and 

economically affiliated with the 

Pokagon Band based on a Tribal 

resolution in which the Pokagon Band 

Tribal Council identified its intent to 

expand the PRCDA to include 

Kalamazoo, Kent, and Ottawa Counties 

in Michigan, and stated that the Tribal 

citizens and certain other individuals 

residing in such areas are socially and 

economically affiliated with the 

Pokagon Band. 

3. The expanded PRCDA counties 

form a contiguous area with the existing 

PRCDA, and Pokagon Band citizens 

reside in each of the expansion 

counties. For these reasons, the IHS has 

determined that the expansion counties 

are geographically proximate, meaning 

‘‘on or near’’, to the Pokagon Band’s 

reservation. 

4. The Pokagon Band has indicated 

that its PRC program can continue 

providing the same level of care to the 

expanded PRC-eligible population. No 

additional financial resources will be 

allocated by the IHS to the Pokagon 

Band to provide services to the Pokagon 

Band’s PRC-eligible population as a 

result of this PRCDA expansion. 

An updated listing of the PRCDAs for 

all federally-recognized Tribes may be 

accessed via a link on the IHS PRCDA 

Expansion website (https://

www.ihs.gov/prc/prcda-expansion). 

Public Comments: The IHS did not 

receive any comments in response to the 

notice of proposed expansion. 

Roselyn Tso, 

Director, Indian Health Service. 

[FR Doc. 2024–27457 Filed 11–21–24; 8:45 am] 

BILLING CODE 4166–14–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

Center for Scientific Review; Notice of 

Closed Meeting 

Pursuant to section 1009 of the 

Federal Advisory Committee Act, as 

amended, notice is hereby given of the 

following meeting. 

The meeting will be closed to the 

public in accordance with the 

provisions set forth in sections 

552b(c)(4) and 552b(c)(6), title 5 U.S.C., 

as amended. The grant applications and 

the discussions could disclose 

confidential trade secrets or commercial 

property such as patentable material, 

and personal information concerning 

individuals associated with the grant 

applications, the disclosure of which 

would constitute a clearly unwarranted 

invasion of personal privacy. 

Name of Committee: Center for Scientific 

Review Special Emphasis Panel; 

Fellowships: Oncology. 

Date: December 17, 2024. 

Time: 10:00 a.m. to 8:00 p.m. 

Agenda: To review and evaluate grant 

applications. 

Address: National Institutes of Health, 

Rockledge II, 6701 Rockledge Drive, 

Bethesda, MD 20892. 

Meeting Format: Virtual Meeting. 

Contact Person: Nywana Sizemore, Ph.D., 

Scientific Review Officer, Center for 

Scientific Review, National Institutes of 

Health, 6701 Rockledge Drive, Room 6189, 

MSC 7804, Bethesda, MD 20892, 301–408– 

9916, sizemoren@csr.nih.gov. 

(Catalogue of Federal Domestic Assistance 

Program Nos. 93.306, Comparative Medicine; 

93.333, Clinical Research, 93.306, 93.333, 

93.337, 93.393–93.396, 93.837–93.844, 

93.846–93.878, 93.892, 93.893, National 

Institutes of Health, HHS) 

Dated: November 18, 2024. 

Lauren A. Fleck, 

Program Analyst, Office of Federal Advisory 

Committee Policy. 

[FR Doc. 2024–27364 Filed 11–21–24; 8:45 am] 

BILLING CODE 4140–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

National Institute of Allergy and 

Infectious Diseases; Notice of Closed 

Meeting 

Pursuant to section 1009 of the 

Federal Advisory Committee Act, as 

amended, notice is hereby given of the 

following meeting. 

The meeting will be closed to the 

public in accordance with the 


ddrumheller on DSK120RN23PROD with NOTICES1