Federal Register / Vol. 81, No. 28 / Thursday, February 11, 2016 / Notices 7345 

Background and Brief Description 

Congenital heart defects (CHDs) are 

the most common type of structural 

birth defects, affecting approximately 1 

in 110 live-born children. According to 

previously published data, prior to the 

1970s, many CHDs were considered 

fatal during infancy or childhood, but 

with tremendous advances in pediatric 

cardiology and cardiac surgery, at least 

85% of patients now survive to 

adulthood. There are approximately 1.5 

million adults with CHD in the United 

States today, and adults with CHD now 

outnumber children. With vast declines 

in mortality from pediatric heart disease 

over the past 30 years, it is vital to 

assess long term outcomes and quality 

of life issues. 

For this one-year project, we will use 

data from U.S. state birth defect 

surveillance systems to identify a 

population-based sample of individuals 

18 to 45 years of age born with CHD. We 

will then use state databases and online 

search engines to find current addresses 

for those individuals and mail surveys 

to them inquiring about their barriers to 

health care, quality of life, social and 

educational outcomes, and transition of 

care from childhood to adulthood. The 

information collected from this 

population-based survey will be used to 

inform current knowledge, allocate 

resources, develop services, and, 

ultimately, improve long-term health of 

adults born with CHD. 

We estimate sending an introductory 

letter and survey to 6,675 individuals 

with CHD in the birth defects 

surveillance systems, and receiving 

completed surveys from 4,672 

individuals (70%). The survey takes 

approximately 20 minutes to complete. 

The Contact Information Form will be 

provided in English and Spanish and 

should take approximately 2 minutes to 

read and complete. It is estimated that 

the total burden hours are 2,254. 

There are no costs to participants 

other than their time. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondents Form name Number of 

respondents 

Number 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Individuals aged 18–45 years who were born 

with a congenital heart defect.

Survey questionnaire ..................................... 6,675 1 20/60 

English-speaking mothers of respondents ..... Contact Information Form—English ............... 757 1 2/60 

Spanish-speaking mothers of respondents .... Contact Information Form—Spanish .............. 133 1 2/60 

Leroy A. Richardson, 

Chief, Information Collection Review Office, 

Office of Scientific Integrity, Office of the 

Associate Director for Science, Office of the 

Director, Centers for Disease Control and 

Prevention. 

[FR Doc. 2016–02765 Filed 2–10–16; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–1660–N] 

Medicare Program: Notice of Seven 

Membership Appointments to the 

Advisory Panel on Hospital Outpatient 

Payment 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), Department 

of Health and Human Services (HHS). 

ACTION: Notice. 

SUMMARY: This notice announces seven 

new membership appointments to the 

Advisory Panel on Hospital Outpatient 

Payment (the Panel). The seven new 

appointments to the Panel will each 

serve a 4-year period. The new members 

have terms that begin in Calendar Year 

(CY) 2016 and end in CY 2020. The 

purpose of the Panel is to advise the 

Secretary of the Department of Health 

and Human Services and the 

Administrator of the Centers for 

Medicare & Medicaid Services 

concerning the clinical integrity of the 

Ambulatory Payment Classification 

groups and their relative payment 

weights. The Panel also addresses and 

makes recommendations regarding 

supervision of hospital outpatient 

therapeutic services. The advice 

provided by the Panel will be 

considered as we prepare the annual 

updates for the hospital outpatient 

prospective payment system. 

The Secretary rechartered the Panel in 

2014 for a 2-year period effective 

through November 6, 2016. 

DATES: March 14, 2016. 

ADDRESSES: Web site: For additional 

information on the Panel meeting dates, 

agenda topics, copy of the charter, and 

updates to the Panel’s activities, we 

refer readers to our Web site at the 

following address: https://

www.cms.gov/Regulations-andGuidance/Guidance/FACA/Advisory

PanelonAmbulatoryPayment

ClassificationGroups.html. 

FOR FURTHER INFORMATION CONTACT: 

Designated Federal Official (DFO): Carol 

Schwartz, DFO, 7500 Security 

Boulevard, Mail Stop: C4–04–25, 

Woodlawn, MD 21244–1850. Phone: 

(410) 786–3985. Email: APCPanel@

cms.hhs.gov. 

SUPPLEMENTARY INFORMATION: 

I. Background 

The Secretary of the Department of 

Health and Human Services (the 

Secretary) is required by section 

1833(t)(9)(A) of the Social Security Act 

(the Act) (42 U.S.C. 1395l(t)(9)(A)) and 

section 222 of the Public Health Service 

Act (PHS Act) (42 U.S.C. 217a) to 

consult with an expert outside advisory 

panel on the clinical integrity of the 

Ambulatory Payment Classification 

groups and relative payment weights, 

which are major elements of the 

Medicare Hospital Outpatient 

Prospective Payment System (OPPS), 

and the appropriate supervision level 

for hospital outpatient therapeutic 

services. The Panel is governed by the 

provisions of the Federal Advisory 

Committee Act (FACA) (Pub. L. 92– 

463), as amended (5 U.S.C. Appendix 2), 

which sets forth standards for the 

formation and use of advisory panels. 

The Panel Charter provides that the 

Panel shall meet up to 3 times annually. 

We consider the technical advice 

provided by the Panel as we prepare the 

proposed and final rules to update the 

OPPS for the following calendar year 

(CY). 

The Panel shall consist of a chair and 

up to 15 members who are full-time 

employees of hospitals, hospital 

systems, or other Medicare providers 

that are subject to the OPPS. The 

Secretary or a designee selects the Panel 

membership based upon either selfnominations or nominations submitted 

by Medicare providers and other 

interested organizations of candidates 

determined to have the required 

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7346 Federal Register / Vol. 81, No. 28 / Thursday, February 11, 2016 / Notices 

expertise. For supervision deliberations, 

the Panel shall also include members 

that represent the interests of Critical 

Access Hospitals (CAHs), who advice 

Centers for Medicare & Medicaid 

Services (CMS) only regarding the level 

of supervision for hospital outpatient 

therapeutic services. 

New appointments are made in a 

manner that ensures a balanced 

membership under the FACA 

guidelines. 

The Panel presently consists of the 

following members and a Chair. 

(Note: The asterisk [*] indicates the 

Panel members whose terms end during 

CY 2016, along with the month that the 

term ends.) 

• E. L. Hambrick, M.D., J.D., Chair, a 

CMS Medical Officer. 

• Karen Borman, M.D., 

F.A.C.S.*(January 2016) 

• Dawn L. Francis, M.D., M.H.S. 

• Ruth Lande 

• Jim Nelson, M.B.A., C.P.A., 

F.H.F.M.A.*(January 2016) 

• Leah Osbahr, M.A., M.P.H.* 

(January 2016) 

• Jacqueline Phillips*(February 2016) 

• Johnathan Pregler, M.D. 

• Traci Rabine*(January 2016) 

• Michael Rabovsky, M.D. 

• Wendy Resnick, F.H.F.M.A. 

• Michael K. Schroyer, R.N. 

• Marianna V. Spanki-Varelas M.D., 

Ph.D., M.B.A.*(February 2016) 

• Norman Thomson, III, M.D. 

• Gale Walker*(January 2016) 

• Kris Zimmer 

II. Provisions of the Notice 

We published a notice in the Federal 

Register on August 28, 2015, entitled 

‘‘Medicare Program; Solicitation of 

Nominations to the Advisory Panel on 

Hospital Outpatient Payment (80 FR 

52294). The notice solicited 

nominations for up to seven new 

members to fill the vacancies on the 

Panel beginning in CY 2016. As a result 

of that notice, we are announcing seven 

new members to the Panel. The Panel 

consists of a Chair and 15 members. The 

seven new Panel member appointments 

are for 4-year terms beginning March 1, 

2016 and will assure that we continue 

to have a Chair and 15 members 

available to attend our scheduled 

meeting. 

New Appointments to the Panel 

New members of the Panel will have 

terms beginning on March 1, 2016 and 

continuing through February 28, 2020 as 

follows: 

• Shelly Dunham, R.N. 

• Kenneth Michael Flowe, M.D., 

M.B.A. 

• Erika Hardy, R.H.I.A. 

• Karen A. Lambert 

• Scott Manaker, M.D., Ph.D. 

• Agatha L. Nolen, Ph.D., D.Ph. 

• Richard Nordahl, M.B.A. 

III. Collection of Information 

Requirements 

This document does not impose 

information collection requirements, 

that is, reporting, recordkeeping or 

third-party disclosure requirements. 

Consequently, there is no need for 

review by the Office of Management and 

Budget under the authority of the 

Paperwork Reduction Act of 1995 (44 

U.S.C. 3501 et seq.). 

Dated: February 2, 2016. 

Andrew M. Slavitt, 

Acting Administrator, Centers for Medicare 

& Medicaid Services. 

[FR Doc. 2016–02798 Filed 2–10–16; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Office of the Assistant Secretary, 

Office of the Deputy Assistant 

Secretary for Early Childhood 

Development, Office of Head Start, 

Office of Child Care; Statement of 

Organization, Functions, and 

Delegations of Authority 

AGENCY: Administration for Children 

and Families, HHS. 

ACTION: Notice. 

SUMMARY: Statement of organization, 

functions, and delegations of authority. 

The Administration for Children and 

Families (ACF) has reorganized the 

Office of the Deputy Assistant Secretary 

for Early Childhood Development 

(ODAS–ECD) within the Office of the 

Assistant Secretary (OAS), the Office of 

Head Start (OHS), and the Office of 

Child Care (OCC). This reorganization 

will transfer reporting authority of OCC 

and OHS in their entirety from OAS to 

the ODAS–ECD. This reorganization 

creates within ODAS–ECD the Division 

of Policy and Budget; the Division of 

Comprehensive Services and Training 

and Technical Assistance; the Division 

of Research, Analysis, and 

Communications; and the Division of 

Interagency and Special Initiatives. 

Additionally, this reorganization will 

realign and combine several functions 

currently separately managed within 

OHS, OCC, and ODAS–ECD. 

The ODAS–ECD reviewed the 

programmatic and administrative 

similarities and differences between 

OHS and OCC and is proposing a new 

organizational structure that will not 

only retain the autonomy of the Head 

Start and Child Care programs and 

retain the best parts of how they provide 

services, but will also demonstrate a 

clear message to the field about the 

alignment of the Head Start and Child 

Care program offices, the unified focus 

of ensuring children receive quality 

services regardless of their program 

option, and a common message about 

the quality and expectations for services 

to children and families. 

Internally, the proposed 

reorganization will generate a more 

integrated alignment of standards 

through Head Start and Child Care 

programs, the development of a unified 

training and technical assistance 

system, consistent access to resources at 

the ACF level for both programs, and a 

shared use of research resources and 

agenda. Additionally, the proposed 

reorganization will result in greater 

collaborative efforts among both offices 

thereby leveraging best practices across 

both offices (monitoring, program 

outreach, content development, etc.). 

Moreover, both staffs will gain a broader 

understanding of the early childhood 

field and the inter-dependencies 

between programs. 

Within OHS, this reorganization 

eliminates the Education and 

Comprehensive Services Division and 

moves some of the functions to the 

newly created Division of 

Comprehensive Services and Training 

and Technical Assistance and the 

Division of Research, Analysis, and 

Communications within ODAS–ECD. It 

eliminates the Policy and Planning 

Division in OHS and moves some of 

those functions to the newly created 

Division of Policy and Budget within 

ODAS–ECD and to a new OHS Division 

of Planning, Oversight, and Policy. It 

eliminates the State Initiatives Division 

in OHS and moves some of those 

functions to each of the newly created 

Division of Interagency and Special 

Initiatives and the Division of 

Comprehensive Services and Training 

and Technical Assistance within 

ODAS–ECD. It also deletes the Grants 

and Contracts Division in OHS and 

moves the functions to two newly 

created and separate Divisions within 

OHS—the Division of Contracts and the 

Division of Grants. It combines the 

previous OHS Quality Assurance 

Division and OHS Policy and Planning 

Division to create the OHS Division of 

Planning, Oversight, and Policy. The 

OHS Program Operations Division 

remains the OHS Division of Program 

Operations. 

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