Federal Register / Vol. 86, No. 159 / Friday, August 20, 2021 / Notices 46857 

in part, the recommended updates to the 

Guidelines. 

In March 2021, ACOG was awarded a 

subsequent cooperative agreement to 

further review and recommend updates 

to the Guidelines. As the award 

recipient, starting on March 1, 2021, 

ACOG has engaged in a process to 

consider and review new information 

developed by a multidisciplinary group 

of women’s health professional 

organizations. Following 

recommendations by ACOG, HRSA will 

decide whether to support, in whole or 

in part, the recommended updates to the 

guidelines. 

As part of this cooperative agreement, 

ACOG is required to base its 

recommended updates to the Guidelines 

on review and synthesis of existing 

clinical guidelines and new scientific 

evidence. The National Academy of 

Medicine standards for establishing 

foundations for and rating strengths of 

recommendations, articulation of 

recommendations, as well as external 

reviews are to be met in developing 

these guidelines. Additionally, 

processes are to be incorporated to 

assure opportunity for public input and 

transparency, including participation by 

patients and consumers, in the 

development of the updated Guideline 

recommendations. 

This notice solicits comments from 

the public on the draft recommendation 

statements for the Well-Woman 

Preventive Visits, Counseling for 

Sexually Transmitted Infections, and 

Breastfeeding Services and Supplies. 

The updated draft clinical 

recommendation statements are 

provided below: 

Well Woman Preventive Visits 

The MSC has updated the clinical 

recommendation statement to reflect 

that recommended services may be 

completed at a single visit or as part of 

a series of preventive health visits that 

take place over time to obtain the 

necessary services. Well Women Visits 

have also been further defined to 

include pre-pregnancy, prenatal, and 

interpregnancy visits. 

‘‘The WPSI recommends that women 

receive at least one preventive care visit per 

year beginning in adolescence and 

continuing across the lifespan to ensure the 

provision of all recommended preventive 

services. These services may be completed at 

a single visit or as part of a series of visits 

that take place over time to obtain all 

necessary services depending on a woman’s 

age, health status, reproductive health needs, 

pregnancy status, and risk factors. Well 

women visits include pre-pregnancy, 

prenatal, and interpregnancy visits. The 

primary purpose of well-woman visits is the 

delivery and coordination of all 

recommended preventive services as 

determined by age and risk factors.’’ 

Counseling for Sexually Transmitted 

Infections 

The MSC has made minor updates to 

the counseling for sexually transmitted 

infections statement to include a review 

of a women’s sexual history, and 

modified the risk factor list by stating 

that risk factors are ‘‘not limited to’’ the 

areas indicated. 

‘‘The WPSI recommends directed 

behavioral counseling by a health care 

provider or other appropriately trained 

individual for sexually active adolescent and 

adult women at an increased risk for sexually 

transmitted infections (STIs). 

The WPSI recommends that health care 

providers review a woman’s sexual history 

and risk factors to help identify those at an 

increased risk of STIs. Risk factors include 

but are not limited to age younger than 25 

years, a recent history of an STI, a new sex 

partner, multiple partners, a partner with 

concurrent partners, a partner with an STI, 

and a lack of or inconsistent condom use. For 

adolescents and women not identified as 

high risk, counseling to reduce the risk of 

STIs should be considered, as determined by 

clinical judgment.’’ 

Breastfeeding Services and Supplies 

The MSC has updated the clinical 

recommendation to include consultative 

services that will optimize successful 

initiation and maintenance of 

breastfeeding. 

‘‘The WPSI recommends comprehensive 

lactation support services (including 

consultation, counseling, education, and 

breastfeeding equipment and supplies) 

during the antenatal, perinatal, and 

postpartum periods to optimize the 

successful initiation and maintenance of 

breastfeeding.’’ 

Members of the public can view each 

complete updated draft 

recommendation statement by accessing 

the initiative’s web page at https://

www.womenspreventivehealth.org/. 

Diana Espinosa, 

Acting Administrator. 

[FR Doc. 2021–17826 Filed 8–19–21; 8:45 am] 

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DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

National Institute on Aging; Notice of 

Closed Meetings 

Pursuant to section 10(d) of the 

Federal Advisory Committee Act, as 

amended, notice is hereby given of the 

following meetings. 

The meetings 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 Institute on 

Aging Special Emphasis Panel; Aging and 

Metabolic Plasticity of Adipose Tissue. 

Date: October 19, 2021. 

Time: 12:00 p.m. to 5:30 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: National Institute on Aging, 

Gateway Building, 7201 Wisconsin Avenue, 

Bethesda, MD 20892 (Video Meeting). 

Contact Person: Joshua Jin-Hyouk Park, 

Ph.D., Scientific Review Officer, Scientific 

Review Branch, National Institute on Aging, 

National Institutes of Health, Gateway 

Building 2W200, 7201 Wisconsin Avenue, 

Bethesda, MD 20892, (301) 496–6208, 

joshua.park4@nih.gov. 

Name of Committee: National Institute on 

Aging Special Emphasis Panel; MOST4 

Osteoarthritis Study. 

Date: October 27, 2021. 

Time: 12:00 p.m. to 5:30 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: National Institute on Aging, 

Gateway Building, 7201 Wisconsin Avenue, 

Bethesda, MD 20892 (Video Meeting). 

Contact Person: Joshua Jin-Hyouk Park, 

Ph.D., Scientific Review Officer, Scientific 

Review Branch, National Institute on Aging, 

National Institutes of Health, Gateway 

Building 2W200, 7201 Wisconsin Avenue, 

Bethesda, MD 20892, (301) 496–6208, 

joshua.park4@nih.gov. 

Name of Committee: National Institute on 

Aging Special Emphasis Panel; Neurogenesis 

Dynamics in AD and ADRD. 

Date: November 9–10, 2021. 

Time: 11:00 a.m. to 5:30 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: National Institute on Aging, 

Gateway Building, 7201 Wisconsin Avenue, 

Bethesda, MD 20892 (Video Meeting). 

Contact Person: Joshua Jin-Hyouk Park, 

Ph.D., Scientific Review Officer, Scientific 

Review Branch, National Institute on Aging, 

National Institutes of Health, Gateway 

Building 2W200, 7201 Wisconsin Avenue, 

Bethesda, MD 20892, (301) 496–6208, 

joshua.park4@nih.gov. 

(Catalogue of Federal Domestic Assistance 

Program Nos. 93.866, Aging Research, 

National Institutes of Health, HHS) 

Dated: August 17, 2021. 

Miguelina Perez, 

Program Analyst, Office of Federal Advisory 

Committee Policy. 

[FR Doc. 2021–17877 Filed 8–19–21; 8:45 am] 

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