51356 Federal Register / Vol. 70, No. 167 / Tuesday, August 30, 2005 / Notices 

Dated: August 23, 2005. 

Scott Gottlieb, 

Deputy Commissioner for Policy. 

[FR Doc. 05–17181 Filed 8–29–05; 8:45 am] 

BILLING CODE4160–01–S 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Recruitment of Sites for Assignment of 

Corps Personnel 

AGENCY: Health Resources and Services 

Administration (HRSA), HHS. 

ACTION: General notice. 

SUMMARY: The Health Resources and 

Services Administration (HRSA) 

announces that the listing of entities 

and their Health Professional Shortage 

Area (HPSA) scores that will receive 

priority for the assignment of National 

Health Service Corps (NHSC) personnel 

(Corps Personnel, Corps members) for 

the period July 1, 2005 through June 30, 

2006, is posted on the NHSC Web site 

at http://nhsc.bhpr.hrsa.gov/resources/ 

fedreg-hpol/. This list specifies which 

entities are eligible to receive 

assignment of Corps members who are 

participating in the NHSC Scholarship 

Program, the NHSC Loan Repayment 

Program, and Corps members who have 

become Corps members other than 

pursuant to contractual obligations 

under the Scholarship or Loan 

Repayment Programs. Please note that 

not all vacancies associated with sites 

on this list will be for Corps members, 

but could be for individuals serving an 

obligation to the NHSC through the 

Private Practice Option. 

Eligible HPSAs and Entities 

To be eligible to receive assignment of 

Corps personnel, entities must: (1) Have 

a current HPSA designation by the 

Shortage Designation Branch in the 

National Center for Health Workforce 

Analysis, Bureau of Health Professions, 

Health Resources and Services 

Administration; (2) enter into an 

agreement with the State agency that 

administers Medicaid, accept payment 

under Medicare and the State Children’s 

Health Insurance Program, see all 

patients regardless of their ability to 

pay, and use and post a discounted fee 

plan; and (3) be determined by the 

Secretary to have (a) A need and 

demand for health manpower in the 

area; (b) appropriately and efficiently 

used Corps members assigned to the 

entity; (c) general community support 

for the assignment of Corps members; 

(d) made unsuccessful efforts to recruit; 

and (e) a reasonable prospect for sound 

fiscal management by the entity with 

respect to Corps members assigned 

there. Priority in approving applications 

for assignment of Corps members goes 

to sites that (1) Provide primary, mental, 

and/or oral health services to a HPSA of 

greatest shortage; (2) are part of a system 

of care that provides a continuum of 

services, including comprehensive 

primary health care and appropriate 

referrals or arrangements for secondary 

and tertiary care; (3) have a documented 

record of sound fiscal management; and 

(4) will experience a negative impact on 

its capacity to provide primary health 

services if a Corps member is not 

assigned to the entity. 

Entities that receive assignment of 

Corps personnel must assure that (1) 

The position will permit the full scope 

of practice and that the clinician meets 

the credentialing requirements of the 

State and site; and (2) the Corps member 

assigned to the entity is engaged in fulltime clinical practice at the approved 

service location for a minimum of 40 

hours per week with at least 32 hours 

per week in the ambulatory care setting. 

Obstetricians/gynecologists, certified 

nurse midwives (CNMs), and family 

practitioners who practice obstetrics on 

a regular basis, are required to engage in 

a minimum of 21 hours per week of 

outpatient clinical practice. The 

remaining hours, making up the 

minimum 40-hour per week total, 

include delivery and other clinical 

hospital-based duties. For all Corps 

personnel, time spent on-call does not 

count toward the 40 hours per week. In 

addition, sites receiving assignment of 

Corps personnel are expected to (1) 

Report to the NHSC all absences in 

excess of the authorized number of days 

(up to 35 work days or 280 hours per 

contract year); (2) report to the NHSC 

any change in the status of an NHSC 

clinician at the site; (3) provide the time 

and leave records, schedules, and any 

related personnel documents for NHSC 

assignees (including documentation, if 

applicable, of the reason(s) for the 

termination of an NHSC clinician’s 

employment at the site prior to his or 

her obligated service end date); and (4) 

submit a Uniform Data System (UDS) 

report. This system allows the site to 

assess the age, sex, race/ethnicity of, 

and provider encounter records for, its 

user population. The UDS reports are 

site specific. Providers fulfilling NHSC 

commitments are assigned to a specific 

site or, in some cases, more than one 

site. The scope of activity to be reported 

in UDS includes all activity at the site(s) 

to which the Corps member is assigned. 

Evaluation and Selection Process 

In approving applications for the 

assignment of Corps members, the 

Secretary shall give priority to any such 

application that is made regarding the 

provision of primary health services to 

a HPSA with the greatest shortage. For 

the program year July 1, 2005—June 30, 

2006, HPSAs of greatest shortage for 

determination of priority for assignment 

of Corps personnel will be defined as 

follows: (1) Primary care HPSAs with 

scores of 14 and above are authorized 

for the assignment of Corps members 

who are primary care physicians 

participating in the Scholarship 

Program; (2) primary care HPSAs with 

scores of 13 and above are authorized 

for the assignment of Corps members 

who are family nurse practitioners (NPs) 

and physician assistants (PAs) 

participating in the Scholarship 

Program; (3) primary care HPSAs with 

scores of 8 and above are authorized for 

the assignment of Corps members who 

are CNMs participating in the 

Scholarship Program; (4) mental health 

HPSAs with scores of 20 and above are 

authorized for the assignment of Corps 

members who are psychiatrists 

participating in the Scholarship 

Program; (5) dental HPSAs with scores 

of 20 and above are authorized for the 

assignment of Corps members who are 

dentists participating in the Scholarship 

Program; and (6) HPSAs (appropriate to 

each discipline) with scores of 14 and 

above are authorized for the assignment 

of Corps members who are participating 

in the Loan Repayment Program. HPSAs 

with scores below 14 will be eligible to 

receive assignment of Corps personnel 

participating in the Loan Repayment 

Program only after assignments are 

made of those Corps members matching 

to those HPSAs receiving priority for 

placement of Corps members through 

the Loan Repayment Program (i.e., 

HPSAs scoring 14 or above). Placements 

made through the Loan Repayment 

Program in HPSAs with scores 13 or 

below will be made by decreasing HPSA 

score, and only to the extent that 

funding remains available. All sites on 

the list are eligible sites for individuals 

wishing to serve in an underserved area 

but who are not contractually obligated 

under the Scholarship or Loan 

Repayment Program. A listing of HPSAs 

and their scores is posted at http:// 

belize.hrsa.gov/newhpsa/newhpsa.cfm. 

Sites qualifying for automatic primary 

care HPSA designations have been 

scored and may be authorized to receive 

assignment of Corps members if they 

meet the criteria outlined above and 

their HPSA scores are above the stated 

cutoffs. If there are any sites on the list 

Federal Register / Vol. 70, No. 167 / Tuesday, August 30, 2005 / Notices 51357 

with an unscored HPSA designation, 

they are authorized for the assignment 

of Corps personnel participating in the 

Loan Repayment Program only after 

assignments are made of those Corps 

members matching to scored HPSAs and 

only to the extent that funding remains 

available. When these HPSAs receive 

scores, these sites will then be 

authorized to receive assignment of 

Corps members if they meet the criteria 

outlined above and their newly assigned 

scores are above the stated cutoffs. 

The number of new NHSC placements 

through the Scholarship and Loan 

Repayment Programs allowed at any one 

site are limited to the following: 

(1) Primary Health Care 

(a) Loan Repayment Program—no 

more than 2 physicians (MD or DO); and 

no more than a combined total of 2 NPs, 

PAs, or CNMs. 

(b) Scholarship Program—no more 

than 2 physicians (MD or DO); and no 

more than a combined total of 2 NPs, 

PAs, or CNMs. 

(2) Dental 

(a) Loan Repayment Program—no 

more than 2 dentists and 2 dental 

hygienists. 

(b) Scholarship Program—no more 

than 1 dentist. 

(3) Mental Health 

(a) Loan Repayment Program—no 

more than 2 psychiatrists (MD or DO); 

and no more than a combined total of 

2 clinical or counseling psychologists, 

licensed clinical social workers, 

licensed professional counselors, 

marriage and family therapists, or 

psychiatric nurse specialists. 

(b) Scholarship Program—no more 

than 1 psychiatrist. 

Application Requests, Dates and 

Address 

The list of HPSAs and entities that are 

eligible to receive priority for the 

placement of Corps personnel may be 

updated periodically. Entities that no 

longer meet eligibility criteria, including 

HPSA score, will be removed from the 

priority listing. Entities interested in 

being added to the high priority list 

must submit an NHSC Recruitment and 

Retention Assistance Application to: 

National Health Service Corps, 5600 

Fishers Lane, Room 8A–55, Rockville, 

MD 20857, fax 301–594–2721. These 

applications must be submitted on or 

before the deadline date of March 24, 

2006. Applications submitted after this 

deadline date will be considered for 

placement on the priority placement list 

in the following program year. Any 

changes to this deadline will be posted 

on the NHSC Web site at http:// 

nhsc.bhpr.hrsa.gov. 

Entities interested in receiving 

application materials may do so by 

calling the HRSA call center at 1–800–

221–9393. They may also get 

information and download application 

materials from: http:// 

nhsc.bhpr.hrsa.gov/applications/ 

rraa.cfm. 

Additional Information 

Entities wishing to provide additional 

data and information in support of their 

inclusion on the proposed list of HPSAs 

and entities that would receive priority 

in assignment of Corps members, must 

do so in writing no later than September 

29, 2005. This information should be 

submitted to: Susan Salter, Chief, Site 

Identification and Application Branch, 

Division of National Health Service 

Corps, 5600 Fishers Lane, Room 8A–08, 

Rockville, MD 20857. This information 

will be considered in preparing the final 

list of HPSAs and entities that are 

receiving priority for the assignment of 

Corps personnel. 

Paperwork Reduction Act: The 

Recruitment and Retention Assistance 

Application has been approved by the 

Office of Management and Budget under 

the Paperwork Reduction Act. The OMB 

clearance number is 0915–0230. 

The program is not subject to the 

provision of Executive Order 12372, 

Intergovernmental Review of Federal 

Programs (as implemented through 45 

CFR part 100). 

Dated: August 23, 2005. 

Elizabeth M. Duke, 

Administrator. 

[FR Doc. 05–17180 Filed 8–29–05; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Office of Refugee Resettlement; Grant 

to Hebrew Immigrant Aid Society 

AGENCY: Office of Refugee Resettlement, 

Administration for Children and 

Families (ACF), Department of Health 

and Human Services (DHHS). 

ACTION: Award Announcement. 

CFDA#: The Catalog of Federal 

Domestic Assistance (CFDA) number for 

this program is 93.576. The title is the 

Refugee Family Enrichment Program. 

Amount of Award: $200,000. 

SUMMARY: Notice is hereby given that a 

noncompetitive single source program 

expansion supplement to an ongoing 

competitive award is being made to the 

Hebrew Immigrant Aid Society (HIAS) 

to provide additional training and 

technical assistance to organizations 

implementing Refugee Marriage 

Enrichment projects. The application is 

not within the scope of any existing or 

expected to be issued program 

announcement for the Fiscal Year 2006. 

This application is expected to address 

issues critical to the development and 

implementation of marriage education 

programs for refugees by providing 

valuable on-site training and technical 

assistance to grantees and sub-grantees 

that offer marital communication 

training to refugee couples. 

In September of 2003, ORR awarded 

HIAS a grant of $200,000 to develop a 

Refugee Family Enrichment program 

which included technical assistance to 

subgrantees. Because of their success in 

the development of their marriage 

enrichment program, in 2004 HIAS was 

awarded a noncompetitive single source 

program expansion supplement to an 

ongoing competitive award to expand 

its Technical Assistance Services 

Program to Refugee Family Enrichment 

project sites specified by ORR. HIAS has 

since provided over 600 hours of 

technical assistance to project sites 

operated by organizations across the 

country. Their technical assistance 

primarily supports the work of small 

Mutual Assistance Associations, and 

without it, these agencies might struggle 

to provide refugee clients with the 

programming they need in order to 

achieve self sufficiency. The proposed 

project period is September 30, 2005—

September 29, 2006. 

Technical assistance to support 

grantees in developing better 

approaches to the delivery of services 

provided to refugees is authorized by 

section 412(c)(1)(A) of the Immigration 

and Nationality Act (8 U.S.C. 

1522(c)(1)). ACF received one nonsubstantive comment from a private 

citizen which did not impact this grant 

project specifically. 

FOR FURTHER INFORMATION CONTACT: 

Administration for Children and 

Families, Office of Refugee 

Resettlement, 370 L’Enfant Promenade, 

SW., Washington, DC 20447, Loren 

Bussert—(202) 401–4732, 

lbussert@acf.hhs.gov. 

Dated: August 24, 2005. 

Nguyen Van Hanh, 

Director, Office of Refugee Resettlement. 

[FR Doc. 05–17239 Filed 8–29–05; 8:45 am] 

BILLING CODE 4184–01–P