Federal Register / Vol. 87, No. 129 / Thursday, July 7, 2022 / Notices 40541 

increased levels of Medicare 

reimbursement. 

Content and Format of Lists 

The three lists of designated HPSAs 

are available on the HRSA Data 

Warehouse shortage area topic web page 

and include a snapshot of all geographic 

areas, population groups, and facilities 

that were designated HPSAs as of April 

29, 2022. This notice incorporates the 

most recent annual reviews of 

designated HPSAs and supersedes the 

HPSA lists published in the Federal 

Register on July 7, 2021 (Federal 

Register/Vol. 86, No. 127/Wednesday, 

July 7, 2021/Notices 35808). Note that 

HPSA designations that are currently 

proposed for withdrawal will remain in 

this status until they are re-evaluated in 

preparation for the publication of the 

2023 HPSA Federal Register Notice. 

In addition, all Indian Tribes that 

meet the definition of such Tribes in the 

Indian Health Care Improvement Act of 

1976, 25 U.S.C. 1603, are automatically 

designated as population groups with 

primary medical care and dental health 

professional shortages. Further, the 

Health Care Safety Net Amendments of 

2002 provides eligibility for automatic 

facility HPSA designations for all 

federally qualified health centers 

(FQHCs) and rural health clinics that 

offer services regardless of ability to 

pay. Specifically, these entities include 

FQHCs funded under section 330 of the 

PHS Act, FQHC Look-Alikes, and Tribal 

and urban Indian clinics operating 

under the Indian Self-Determination 

and Education Act of 1975 (25 U.S.C. 

450) or the Indian Health Care 

Improvement Act. Many, but not all, of 

these entities are included on this 

listing. Absence from this list does not 

exclude them from HPSA designation; 

facilities eligible for automatic 

designation are included in the database 

when they are identified. 

Each list of designated HPSAs is 

arranged by state. Within each state, the 

list is presented by county. If only a 

portion (or portions) of a county is (are) 

designated, a county is part of a larger 

designated service area, or a population 

group residing in a county or a facility 

located in the county has been 

designated, the name of the service area, 

population group, or facility involved is 

listed under the county name. A county 

that has a whole county geographic or 

population group HPSA is indicated by 

the phrase ‘‘County’’ following the 

county name. 

Development of the Designation and 

Withdrawal Lists 

Requests for designation or 

withdrawal of a particular geographic 

area, population group, or facility as a 

HPSA are received continuously by 

BHW. Under a Cooperative Agreement 

between HRSA and the 54 state and 

territorial Primary Care Offices (PCOs), 

PCOs conduct needs assessments and 

submit applications to HRSA to 

designate areas as HPSAs. BHW refers 

requests that come from other sources to 

PCOs for review. In addition, interested 

parties, including Governors, State 

Primary Care Associations, and state 

professional associations, are notified of 

requests so that they may submit their 

comments and recommendations. 

BHW reviews each recommendation 

for possible addition, continuation, 

revision, or withdrawal. Following 

review, BHW notifies the appropriate 

agency, individuals, and interested 

organizations of each designation of a 

HPSA, rejection of recommendation for 

HPSA designation, revision of a HPSA 

designation, and/or advance notice of 

pending withdrawals from the HPSA 

list via the Shortage Designation 

Management System. Designations (or 

revisions of designations) are effective 

as of the date on the notification from 

BHW and are updated daily on the 

HRSA Data Warehouse website. While 

this list is a snapshot of HPSAs at a 

point in time, HPSA designations are 

regularly being updated so the best 

source of current designation status is 

the HRSA Data Warehouse website at 

(https://data.hrsa.gov/tools/shortagearea). 

Designations proposed for withdrawal 

will remain in that status and not be 

withdrawn unless they do not meet the 

HPSA designation criteria at the time 

the Fiscal Year 2023 HPSA Federal 

Register Notice is developed and 

published. 

Carole Johnson, 

Administrator. 

[FR Doc. 2022–14501 Filed 7–6–22; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

Eunice Kennedy Shriver National 

Institute of Child Health and Human 

Development; Notice of Proposed 

Reorganization 

AGENCY: National Institutes of Health, 

HHS. 

ACTION: Notice. 

SUMMARY: The Eunice Kennedy Shriver 

National Institute of Child Health and 

Human Development (NICHD) will host 

a meeting to enable public discussion of 

the Institute’s proposal to reorganize its 

Division of Extramural Research. 

DATES: This virtual public meeting will 

take place on August 8 from 10:00– 

11:00 a.m. ET. Members of the public 

are welcome to attend and do not need 

to RSVP. 

ADDRESSES: The meeting will take place 

at via webinar at https://

nih.zoomgov.com/j/1606532813. 

American Sign Language interpreting 

services are available upon request. 

Individuals who need interpreting 

services and/or other reasonable 

accommodations to participate in this 

event, should contact Elizabeth 

Cushman at Elizabeth.cushman@

nih.gov. Requests should be made at 

least five business days in advance in 

order to ensure interpreter availability. 

FOR FURTHER INFORMATION CONTACT: Ms. 

Jessica Wu, Chief of the Management 

Analysis and Workforce Branch, Eunice 

Kennedy Shriver National Institute of 

Child Health and Human Development, 

31 Center Drive, Bethesda, MD 20892, 

telephone: 301–443–3219, email: wuj5@

mail.nih.gov. 

SUPPLEMENTARY INFORMATION: In 

accordance with the NIH Reform Act of 

2006 (42 U.S.C. Sec.281 (d)(4)), NICHD 

will have a public meeting to discuss 

the proposed reorganization plans. 

NICHD proposal would simplify the 

organizational structure of the NICHD, 

create new organizational components 

to reduce ‘siloing’, increase 

administrative efficiencies, facilitate 

transdisciplinary research and idea 

exchange, and benefit the institute’s 

internal and external communities. The 

proposal seeks to capitalize on emerging 

scientific opportunities, while reducing 

barriers to scientific and 

interdisciplinary collaboration. 

Dated: July 1, 2022. 

Alison N. Cernich, 

Deputy Director, Eunice Kennedy Shriver 

National Institute of Child Health and Human 

Development, National Institutes of Health. 

[FR Doc. 2022–14432 Filed 7–6–22; 8:45 am] 

BILLING CODE 4140–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

National Library of Medicine; Notice of 

Meetings 

Pursuant to section 10(d) of the 

Federal Advisory Committee Act, as 

amended, notice is hereby given of a 

meeting of the Board of Regents of the 

National Library of Medicine. 


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