Federal Register / Vol. 89, No. 238 / Wednesday, December 11, 2024 / Notices 99885 

business information that is included in 

a comment. 

Background: 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 services 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 

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 is publishing this Notice and 

requesting public comments. 

The Iowa Tribe is located in White 

Cloud, Kansas, and operates their PRC 

program as a Tribal Health Program out 

of the White Cloud Health Center. The 

IHS and the Iowa Tribe estimate that 

approximately 77 Tribal members reside 

in Jackson County, Kansas, and Holt 

County, Missouri, and would become 

PRC eligible through the proposed 

redesignation and expansion of the 

Tribe’s PRCDA. 

If the Iowa Tribe’s PRCDA 

redesignation and expansion is finalized 

as proposed, the Tribe’s expanded 

PRCDA would overlap the PRCDAs of 

three other Tribes: the Sac and Fox 

Nation of Missouri in Kansas and 

Nebraska, the Kickapoo Tribe of Indians 

of the Kickapoo Reservation (Jackson 

County, Kansas), and the Prairie Band of 

Potawatomi Nation (Jackson County, 

Kansas). The Iowa Tribe and the Sac 

and Fox Nation of Missouri in Kansas 

and Nebraska share a PRC program, but 

currently have different PRCDAs; the 

Sac and Fox Nation of Missouri has 

submitted a concurrent request for 

redesignation and expansion of their 

own PRCDA. Both redesignation 

requests were submitted to the IHS 

through the same correspondence from 

the White Cloud Health Center. If the 

Iowa Tribe’s and Sac and Fox Nation of 

Missouri’s PRCDAs are each 

redesignated and expanded as 

requested, the Tribes would have 

identical, overlapping PRCDAs, 

simplifying the administration and 

operation of their local PRC program. 

The IHS has consulted with the 

Kickapoo Tribe of Indians of the 

Kickapoo Reservation and the Prairie 

Band of Potawatomi Nation regarding 

the potential for overlapping PRCDAs in 

Jackson County, Kansas. Neither the 

Kickapoo Tribe of Indians of the 

Kickapoo Reservation nor the Prairie 

Band of Potawatomi Nation expressed 

concerns regarding the proposed 

redesignation and expansion. 

Under 42 CFR 136.23, those otherwise 

eligible Indians who do not reside on a 

reservation, but reside within a PRCDA, 

must be either members of the Tribe or 

other IHS beneficiaries who maintain 

close economic and social ties with the 

Tribe. In this case, applying the 

aforementioned PRCDA redesignation 

criteria required by operative 

regulations codified at 42 CFR part 136, 

subpart C, the following findings are 

made: 

1. By expanding the PRCDA to 

include Jackson County, Kansas, and 

Holt County, Missouri, the Iowa Tribe’s 

PRC eligible population will increase by 

an estimated 77 Tribal members. 

2. The Iowa Tribe communicated its 

governing body’s determination that 

their members residing in the proposed 

expansion counties are socially and 

economically affiliated with the Tribe. 

The IHS therefore finds that the Tribe’s 

members within the proposed, 

expanded PRCDA are socially and 

economically affiliated with the Iowa 

Tribe. 

3. The expanded PRCDA counties 

form a contiguous area with the existing 

PRCDA. Holt County, Missouri, shares a 

common boundary with the Iowa 

Tribe’s reservation lands in Richardson 

County, Nebraska. Jackson County, 

Kansas, is contiguous with Brown 

County, which includes part of the Iowa 

Tribe’s reservation lands and is 

currently included in the Iowa Tribe’s 

PRCDA. Members of the Iowa Tribe 

reside in each of the counties proposed 

for inclusion in the expanded PRCDA. 

For these reasons, the IHS has 

determined the additional counties 

proposed for inclusion herein to be 

geographically proximate, meaning ‘‘on 

or near,’’ to the Tribe’s reservation. 

4. The White Cloud Health Center has 

indicated that the PRC program can 

continue providing the same level of 

care to the PRC eligible population if the 

PRCDA is expanded as proposed, 

without requiring additional funding or 

reduction of the current medical priority 

level. 

Accordingly, the IHS proposes to 

expand the PRCDA of the Iowa Tribe to 

include the counties of Jackson in the 

State of Kansas, and Holt in the State of 

Missouri. 

This Notice does not contain 

reporting or recordkeeping requirements 

subject to prior approval by the Office 

of Management and Budget under the 

Paperwork Reduction Act of 1980. 

Roselyn Tso, 

Director, Indian Health Service. 

[FR Doc. 2024–29101 Filed 12–10–24; 8:45 am] 

BILLING CODE 4166–14–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Notice of Proposed Purchased/ 

Referred Care Delivery Area 

Redesignation for the Sac and Fox 

Nation of Missouri in Kansas and 

Nebraska 

AGENCY: Indian Health Service, HHS. 

ACTION: Notice. 

SUMMARY: This Notice advises the public 

that the Indian Health Service (IHS) 

proposes to expand the geographic 

boundaries of the Purchased/Referred 

Care Delivery Area (PRCDA) for the Sac 

and Fox Nation of Missouri in Kansas 

and Nebraska (Sac and Fox Nation of 

Missouri, or Tribe) to include the 

counties of Doniphan and Jackson in the 


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99886 Federal Register / Vol. 89, No. 238 / Wednesday, December 11, 2024 / Notices 

State of Kansas, and Holt in the State of 

Missouri. The current PRCDA for the 

Sac and Fox Nation of Missouri 

includes Brown County, Kansas, and 

Richardson County, Nebraska. The Sac 

and Fox Nation of Missouri Tribal 

members who reside outside of the 

PRCDA are eligible for direct care 

services; however, they are not eligible 

for Purchased/Referred Care (PRC) 

services. The sole purpose of this 

expansion would be to authorize 

additional Sac and Fox Nation of 

Missouri members and beneficiaries to 

receive PRC services. 

DATES: Comments must be submitted by 

January 10, 2025. 

ADDRESSES: Because of staff and 

resource limitations, we cannot accept 

comments by facsimile (FAX) 

transmission. You may submit 

comments in one of four ways (please 

choose only one of the ways listed): 

1. Electronically. You may submit 

electronic comments on this regulation 

to http://www.regulations.gov. Follow 

the ‘‘Submit a Comment’’ instructions. 

2. By regular mail. You may mail 

written comments to the following 

address ONLY: Carl Mitchell, Director, 

Division of Regulatory and Policy 

Coordination, Indian Health Service, 

5600 Fishers Lane, Mail Stop: 09E70, 

Rockville, Maryland 20857. 

Please allow sufficient time for mailed 

comments to be received before the 

close of the comment period. 

3. By express or overnight mail. You 

may send written comments to the 

above address. 

4. By hand or courier. If you prefer, 

you may deliver (by hand or courier) 

your written comments before the close 

of the comment period to the address 

above. 

If you intend to deliver your 

comments to the Rockville address, 

please call telephone number (301) 443– 

1116 in advance to schedule your 

arrival with a staff member. 

FOR FURTHER INFORMATION CONTACT: 

CAPT John Rael, Director, Office of 

Resource Access and Partnerships, 

Indian Health Service, 5600 Fishers 

Lane, Mail Stop: 10E85C, Rockville, 

Maryland 20857. Telephone (301) 443– 

0969 (This is not a toll-free number). 

SUPPLEMENTARY INFORMATION: 

Inspection of Public Comments: All 

comments received before the close of 

the comment period are available for 

viewing by the public, including any 

personally identifiable or confidential 

business information that is included in 

a comment. 

Background: 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 services 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 

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 is publishing this Notice and 

requesting public comments. 

The Sac and Fox Nation of Missouri 

is located in Reserve, Kansas. The Sac 

and Fox Nation of Missouri’s PRC 

program is operated, as authorized by 

Tribal resolution, by the Iowa Tribe of 

Kansas and Nebraska as a Tribal Health 

Program out of the White Cloud Health 

Center. The IHS and the Sac and Fox 

Nation of Missouri estimate that 

approximately seven Tribal members 

reside in Doniphan and Jackson 

Counties, Kansas, and Holt County, 

Missouri, and would become PRC 

eligible through the proposed 

redesignation and expansion of the 

Tribe’s PRCDA. 

If the Sac and Fox Nation of 

Missouri’s PRCDA redesignation and 

expansion is finalized as proposed, the 

Tribe’s expanded PRCDA would overlap 

the PRCDAs of three other Tribes: the 

Iowa Tribe of Kansas and Nebraska, the 

Kickapoo Tribe of Indians of the 

Kickapoo Reservation (Jackson County, 

Kansas), and the Prairie Band of 

Potawatomi Nation (Jackson County, 

Kansas). The Sac and Fox Nation of 

Missouri and the Iowa Tribe of Kansas 

and Nebraska share a PRC program, but 

currently have different PRCDAs; the 

Iowa Tribe of Kansas and Nebraska has 

submitted a concurrent request for 

redesignation and expansion of their 

own PRCDA. Both redesignation 

requests were submitted to the IHS 

through the same correspondence from 

the White Cloud Health Center. If the 

Sac and Fox Nation of Missouri’s and 

the Iowa Tribe’s PRCDAs are each 

redesignated and expanded as 

requested, the Tribes would have 

identical, overlapping PRCDAs, 

simplifying the administration and 

operation of their local PRC program. 

The IHS has consulted with the 

Kickapoo Tribe of Indians of the 

Kickapoo Reservation and the Prairie 

Band of Potawatomi Nation regarding 

the potential for overlapping PRCDAs in 

Jackson County, Kansas. Neither the 

Kickapoo Tribe of Indians of the 

Kickapoo Reservation nor the Prairie 

Band of Potawatomi Nation expressed 

concerns regarding the proposed 

redesignation and expansion. 

Under 42 CFR 136.23, those otherwise 

eligible Indians who do not reside on a 

reservation, but reside within a PRCDA, 

must be either members of the Tribe or 

other IHS beneficiaries who maintain 

close economic and social ties with the 

Tribe. In this case, applying the 

aforementioned PRCDA redesignation 

criteria required by operative 

regulations codified at 42 CFR part 136, 

subpart C, the following findings are 

made: 

1. By expanding the PRCDA to 

include Doniphan and Jackson Counties 

in Kansas, and Holt County, Missouri, 

the Sac and Fox Nation of Missouri’s 

PRC eligible population will increase by 

an estimated seven Tribal members. 

2. Through communication with the 

Tribe and information relayed by the 

White Cloud Health Center, the IHS 

understands that the Tribe’s governing 

body has determined that its members 


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Federal Register / Vol. 89, No. 238 / Wednesday, December 11, 2024 / Notices 99887 

residing in the proposed expansion 

counties are socially and economically 

affiliated with the Tribe. The IHS 

therefore finds that the Tribal members 

within the proposed, expanded PRCDA 

are socially and economically affiliated 

with the Sac and Fox Nation of 

Missouri. 

3. The expanded PRCDA counties 

form a contiguous area with the existing 

PRCDA, and members of the Sac and 

Fox Nation of Missouri reside in each of 

the counties proposed for inclusion in 

the expanded PRCDA. Jackson County, 

Kansas and Doniphan County, Kansas 

both share a common boundary with 

Brown County, Kansas, where the Sac 

and Fox Nation of Missouri has 

reservation lands. Holt County, 

Missouri, shares a common boundary 

with Richardson County, Nebraska, 

where the Sac and Fox Nation of 

Missouri has reservation lands. For 

these reasons, the IHS has determined 

the additional counties proposed for 

inclusion herein to be geographically 

proximate, meaning ‘‘on or near,’’ to the 

Tribe’s reservation. 

4. The White Cloud Health Center has 

indicated that the PRC program can 

continue providing the same level of 

care to the PRC eligible population if the 

PRCDA is expanded as proposed, 

without requiring additional funding or 

reduction of the current medical priority 

level. 

Accordingly, the IHS proposes to 

expand the PRCDA of the Sac and Fox 

Nation of Missouri in Kansas and 

Nebraska to include the counties of 

Doniphan and Jackson in the State of 

Kansas, and Holt in the State of 

Missouri. 

This Notice does not contain 

reporting or recordkeeping requirements 

subject to prior approval by the Office 

of Management and Budget under the 

Paperwork Reduction Act of 1980. 

Roselyn Tso, 

Director, Indian Health Service. 

[FR Doc. 2024–29102 Filed 12–10–24; 8:45 am] 

BILLING CODE 4166–14–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

National Institute on Aging; Notice of 

Meeting 

Pursuant to section 1009 of the 

Federal Advisory Committee Act, as 

amended, notice is hereby given of a 

meeting of the National Advisory 

Council on Aging. 

The meeting will be open to the 

public as indicated below, with 

attendance limited to space available. 

Individuals who plan to attend and 

need special assistance, such as sign 

language interpretation or other 

reasonable accommodations, should 

notify the Contact Person listed below 

in advance of the 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: National Advisory 

Council on Aging. 

Date: May 13–14, 2025. 

Closed: May 13, 2025, 2:00 p.m. to 5:00 

p.m. 

Agenda: To review and evaluate of 

applications. 

Address: National Institutes of Health, 

Natcher Building, 45 Center Drive, Bethesda, 

MD 20892, (In Person Meeting). 

Closed: May 14, 2025, 8:00 a.m. to 9:00 

a.m. 

Agenda: NIA IRP Review. 

Address: National Institutes of Health, 

Natcher Building, 45 Center Drive, Bethesda, 

MD 20892, (In Person Meeting). 

Open: May 14, 2025, 9:00 a.m. to 12:30 

p.m. 

Agenda: Call to Order and Director’s Status 

Report; Council Business; Meeting 

Adjourned. 

Address: National Institutes of Health, 

Natcher Building, 45 Center Drive, Bethesda, 

MD 20892, (In Person Meeting). 

Contact Person: Kenneth Santora, Director, 

Office of Extramural Activities, National 

Institute on Aging, National Institutes of 

Health, Gateway Building, 7201 Wisconsin 

Avenue, Bethesda, MD 20814, (301) 496– 

9322, ksantora@nih.gov. 

Information is also available on the 

Institute’s/Center’s home page: 

www.nia.nih.gov/about/naca, where an 

agenda and any additional information 

for the meeting will be posted when 

available. 

(Catalogue of Federal Domestic Assistance 

Program Nos. 93.866, Aging Research, 

National Institutes of Health, HHS) 

Dated: December 5, 2024. 

Miguelina Perez, 

Program Analyst, Office of Federal Advisory 

Committee Policy. 

[FR Doc. 2024–29077 Filed 12–10–24; 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 

provisions set forth in sections 

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

as amended. The contract proposals and 

the discussions could disclose 

confidential trade secrets or commercial 

property such as patentable material, 

and personal information concerning 

individuals associated with the contract 

proposals, the disclosure of which 

would constitute a clearly unwarranted 

invasion of personal privacy. 

Name of Committee: National Institute of 

Allergy and Infectious Diseases Special 

Emphasis Panel; HHS–NIH–CDC–SBIR PHS 

2025–1 Diagnostics to Detect Host Immunity 

to Coccidioidomycosis (Valley fever) or 

Histoplasmosis (Topic 145). 

Date: January 9, 2025. 

Time: 10:00 a.m. to 1:00 p.m. 

Agenda: To review and evaluate contract 

proposals. 

Place: National Institute of Allergy and 

Infectious Diseases, National Institutes of 

Health, 5601 Fishers Lane, Room 3F52A, 

Rockville, MD 20892 (Video Assisted 

Meeting). 

Contact Person: Shilpakala Ketha, Ph.D., 

Scientific Review Officer, Scientific Review 

Program, Division of Extramural Activities, 

National Institute of Allergy and Infectious 

Diseases, National Institutes of Health, 5601 

Fishers Lane, Room 3F52A, Rockville, MD 

20892, (301) 761–6821, shilpa.ketha@

nih.gov. 

(Catalogue of Federal Domestic Assistance 

Program Nos. 93.855, Allergy, Immunology, 

and Transplantation Research; 93.856, 

Microbiology and Infectious Diseases 

Research, National Institutes of Health, HHS) 

Dated: December 5, 2024. 

Lauren A. Fleck, 

Program Analyst, Office of Federal Advisory 

Committee Policy. 

[FR Doc. 2024–29078 Filed 12–10–24; 8:45 am] 

BILLING CODE 4140–01–P 


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