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Dated: September 3, 2021. 

Lauren K. Roth, 

Acting Principal Associate Commissioner for 

Policy. 

[FR Doc. 2021–19690 Filed 9–10–21; 8:45 am] 

BILLING CODE 4164–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Opportunity for Comments on 

Proposed Updates to the Bright 

Futures Periodicity Schedule as Part of 

the HRSA-Supported Preventive 

Services Guidelines for Infants, 

Children, and Adolescents 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services. 

ACTION: Notice. 

SUMMARY: This notice seeks public 

comment on several proposed updates 

to The Periodicity Schedule of the 

Bright Futures Recommendations for 

Pediatric Preventive Health Care 

(‘‘Bright Futures Periodicity Schedule’’), 

as part of the HRSA-supported 

preventive service guidelines for 

infants, children, and adolescents. 

Please see https://mchb.hrsa.gov/ 

maternal-child-health-topics/childhealth/bright-futures.html for additional 

information. The Periodicity Schedule 

is maintained in part through a national 

cooperative agreement, the Bright 

Futures Pediatric Implementation 

Program. If accepted by HRSA, a 

proposed update to the Bright Futures 

Periodicity Schedule will provide 

additional clinical guidance to 

providers and, under the Public Health 

Service Act, would require certain 

insurance plans and issuers to provide 

coverage without cost-sharing of such 

updated preventive care and screenings. 

DATES: Members of the public are 

invited to provide written comments no 

later than October 13, 2021. All 

comments received on or before this 

date will be reviewed and considered by 

the Bright Futures Periodicity Schedule 

Workgroup and provided for further 

consideration by HRSA in determining 

the recommended updates that it will 

support. 

ADDRESSES: Members of the public who 

wish to provide comments can do so by 

accessing the public comment web page 

at: https://mchb.hrsa.gov/maternalchild-health-topics/child-health/brightfutures.html. 

FOR FURTHER INFORMATION CONTACT: 

Savannah Kidd, HRSA, Maternal and 

Child Health Bureau, email: SKidd@

hrsa.gov, telephone: (301) 287–2601. 

SUPPLEMENTARY INFORMATION: The 

Periodicity Schedule of the Bright 

Futures Recommendations for Pediatric 

Preventive Health Care (‘‘Bright Futures 

Periodicity Schedule’’), as part of the 

HRSA-supported preventive service 

guidelines for infants, children, and 

adolescents, is maintained in part 

through a national cooperative 

agreement, the Bright Futures Pediatric 

Implementation Program. Under Section 

2713 of the Public Health Service Act, 

non-grandfathered group health plans 

and health insurance issuers must 

include coverage, without cost sharing, 

for certain preventive services for plan 

years (in the individual market, policy 

years) that begin on or after the date that 

is 1-year after the date the 

recommendation or guideline is issued. 

These include preventive health 

services provided for in the Bright 

Futures Periodicity Schedule as part of 

the HRSA-supported preventive services 

guidelines for infants, children, and 

adolescents. A panel of pediatric 

primary care experts convened to 

review the latest evidence has identified 

proposed updates to the Bright Futures 

Periodicity Schedule in several areas in 

response to new evidence impacting 

children. The proposed updates to the 

Bright Futures Periodicity Schedule are: 

(1) A new category for sudden cardiac 

arrest and sudden cardiac death risk 

assessment, (2) a new category for 

hepatitis B virus infection risk 

assessment, (3) add suicide risk as an 

element of universal screening for 

children ages 12–21, and (4) update of 

Psychosocial/Behavioral Assessment to 

Behavioral/Social/Emotional Screening. 

The updated category title will be 

‘‘Behavioral/Social/Emotional 

Screening’’ with no revision to the ages 

in which the screening occurs (newborn 

to 21 years). Finally, two references 

related to dental fluoride varnish and 

fluoride supplementation are proposed 

to be added with no recommended 

changes to clinical practice. 

The American Academy of Pediatrics, 

which has been the HRSA cooperative 

agreement recipient for this program 

since 2007, maintains the Periodicity 

Schedule. Under HRSA’s cooperative 

agreement with the American Academy 

of Pediatrics, the Bright Futures 

Program is required to administer a 

process for developing and regularly 

recommending, as needed, updates to 

the Bright Futures Periodicity Schedule. 

As described in the Notice of Funding 

Opportunity for the Bright Futures 

Program (HRSA–18–078), the 

consideration of potential updates is 

expected to be ‘‘a comprehensive, 

objective, and transparent review of 

available evidence that incorporates 

opportunity for public comment. 

Accordingly, the award recipient will 

review the evidence on an annual basis 

to determine whether updates are 

needed, using a deliberative review 

process by experts qualified to conduct 

such a review; administer the receipt 

and consideration of public comments 

for a minimum of 30 calendar days 

following publication of the Federal 

Register Notice setting forth the 

proposed updates; and provide to HRSA 

a written report that sets forth its 

recommended updates, including a 

summary of the public comments it 

received, a list of general topics that 

were commented on and its responses to 

those comments.’’ 

Authority: 2713(a)(3) of the Public 

Health Service Act, 42 U.S.C. 300gg– 

13(a)(3). 

Diana Espinosa, 

Acting Administrator. 

[FR Doc. 2021–19630 Filed 9–10–21; 8:45 am] 

BILLING CODE 4165–15–P 


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