Federal Register / Vol. 75, No. 195 / Friday, October 8, 2010 / Notices 62395 

43The comment must be accompanied by an 

explicit request for confidential treatment, 

including the factual and legal basis for the request, 

and must identify the specific portions of the 

comment to be withheld from the public record. 

The FTC’s General Counsel will grant or deny the 

request consistent with applicable law and the 

public interest. See FTC Rule 4.9(c), 16 CFR 4.9(c). 

the public record of this proceeding, 

and to the extent practicable, will make 

it available to the public on the FTC 

Web site at http://www.ftc.gov/os/ 

publiccomments.shtm. As a matter of 

discretion, the Commission endeavors 

to remove individuals’ home contact 

information from the comments before 

placing them on its website. Because 

comments will be made public, they 

should not include: (1) Any sensitive 

personal information, such as any 

individual’s Social Security number, 

date of birth, driver’s license number or 

other state identification number or 

foreign country equivalent, passport 

number, financial account number, or 

credit or debit card number; (2) any 

sensitive health information, such as 

medical records or other individually 

identifiable health information; or (3) 

any trade secret or any commercial or 

financial information which is 

privileged or confidential, as provided 

in Section 6(f) of the FTC Act, 15 U.S.C. 

46(f), and FTC Rule 4.10(a)(2), 16 CFR 

4.10(a)(2). Comments containing 

material for which confidential 

treatment is requested must be filed in 

paper form, must be clearly labeled 

‘‘Confidential,’’ and must comply with 

FTC Rule 4.9(c), 16 CFR 4.9(c).43

Because postal mail addressed to the 

FTC is subject to delay due to 

heightened security screening, if 

possible, please submit your comments 

in electronic form or send them by 

courier or overnight service. To ensure 

that the Commission considers an 

electronic comment, you must file it at 

https://ftcpublic.commentworks.com// 

ftc/deceaseddebtcollection by following 

the instructions on the web-based form. 

If this Notice appears at http:// 

www.regulations.gov/search/Regs/ 

home.html#home, you may also file a 

comment through that Web site. The 

Commission will consider all comments 

that regulations.gov forwards to it. You 

may also visit the FTC Web site at 

http://www.ftc.gov to read the Notice 

and the news release describing it. 

A comment filed in paper form 

should include the reference ‘‘Deceased 

Debt Collection Policy Statement’’ in the 

text of the comment and, if applicable, 

on the envelope, and should be mailed 

or delivered to the following address: 

Federal Trade Commission, Office of the 

Secretary, Room H–135 (Annex W), 600 

Pennsylvania Avenue, NW., 

Washington, DC 20580. 

The FTC Act and other laws the 

Commission administers permit the 

collection of public comments to 

consider and use in this proceeding as 

appropriate. The Commission will 

consider all timely and responsive 

comments it receives. More information, 

including routine uses permitted by the 

Privacy Act, may be found in the FTC’s 

privacy policy at http://www.ftc.gov/ftc/ 

privacy.shtm. 

By direction of the Commission. 

Donald S. Clark, 

Secretary. 

[FR Doc. 2010–25346 Filed 10–7–10; 8:45 am] 

BILLING CODE 6750–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Calculation of Annual Federal Medical 

Assistance Percentages for Indian 

Tribes for Use in the Title IV–E Foster 

Care, Adoption Assistance, and 

Kinship Guardianship Assistance 

Programs 

AGENCY: Office of the Secretary, DHHS. 

ACTION: Notice with comment period. 

SUMMARY: The Fostering Connections to 

Success and Increasing Adoptions Act 

of 2008 (Pub. L. 110–351) directed HHS 

to establish assistance payment 

reimbursement rates for Indian Tribes, 

tribal organizations and tribal consortia 

participating in certain child welfare 

programs authorized under title IV–E of 

the Social Security Act. These 

reimbursement rates will be calculated 

in a manner similar to the Federal 

Medical Assistance Percentage (FMAP) 

rates used to reimburse States. This 

notice describes the Department’s 

proposed methodology for calculating 

these rates. 

DATES: Effective Date: The methodology 

described in this applies to Fiscal Years 

2010 and beyond. The FMAP rates 

included in this notice apply to Fiscal 

Years 2010 and 2011. 

Comment Date: To be assured 

consideration, comments must be 

received at the address provided below, 

no later than 5 p.m. on December 7, 

2010. 

ADDRESSES: Comments may be 

submitted via either regular mail or email. If you submit written comments 

via regular mail, please send one 

original and one copy of your comments 

to the following address only: 

Department of Health and Human 

Services, Room 404–E, Attention: Tribal 

FMAP Notice, 200 Independence Ave., 

SW., Washington, DC 20201. 

Comments via e-mail should be sent 

to the following e-mail address: 

tribalFMAP@hhs.gov. 

Submitting Comments: We welcome 

comments from the public on the 

calculation methodology set forth in this 

notice with comment period to assist us 

in fully considering issues and 

developing policies. Please provide a 

reference to the section on which you 

choose to comment. 

A. Background 

The Fostering Connections to Success 

and Increasing Adoptions Act of 2008 

(‘‘Fostering Connections Act’’) [Pub. L. 

110–351], authorizes Indian Tribes, 

tribal organizations and tribal consortia 

to receive funding directly for Foster 

Care, Adoption Assistance, and Kinship 

Guardianship Assistance Programs 

under title IV–E of the Social Security 

Act. Such direct funding may begin in 

FY 2010 for Indian Tribes, tribal 

organizations or tribal consortia with 

approved title IV–E plans, or eligible 

Tribes may submit plans to operate such 

programs at any time in the future. 

Indian Tribes not operating their own 

programs may receive title IV–E funds 

through agreements with the States 

within which they are located, as 

authorized under prior law. To date, 86 

Indian Tribes have submitted letters of 

intent to the Administration for 

Children and Families (ACF) indicating 

an interest in operating title IV–E 

programs. Seven Indian Tribes have 

received title IV–E plan development 

grants intended to assist Indian Tribes 

to develop their programs and prepare 

an approvable title IV–E plan, and one 

Indian Tribe has submitted a title IV–E 

plan that is currently under review 

within ACF. Approximately 90 Indian 

Tribes currently operate programs under 

title IV–E agreements with States. 

The Federal share of assistance 

payments for the Title IV–E Foster Care, 

Adoption Assistance and Kinship 

Guardianship Assistance Programs is 

calculated using the Federal Medical 

Assistance Percentage (FMAP), which is 

the match rate developed originally for 

use in the Medicaid Program. FMAP is 

calculated annually for each State by 

HHS according to a formula specified in 

statute (section 1905(b) of the Social 

Security Act, 42 U.S.C. 1396d(b)). A 

table displaying each State’s FMAP is 

published annually in the Federal 

Register and is used by the Centers for 

Medicare & Medicaid Services (CMS) 

and others, including the 

Administration for Children and 

Families (ACF), in calculating the 

Federal share of State and territorial 


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62396 Federal Register / Vol. 75, No. 195 / Friday, October 8, 2010 / Notices 

expenditures for programs that use the 

FMAP for determining Federal financial 

participation. The FMAP formula 

involves comparing the State’s average 

per capita income over a three year 

period with the average per capita 

income of the U.S. as a whole for the 

same three year period, and results in 

FMAP rates that vary between statutory 

minimum and maximum levels of 50 

and 83 percent. The formula produces 

higher Federal matching rates for 

jurisdictions with lower average per 

capita incomes relative to the U.S. 

average. Indian Tribes previously have 

not been authorized to administer 

Federal programs that use FMAPs and 

therefore tribal FMAPs have not 

previously been calculated. 

Section 301 of the Fostering 

Connections Act added Section 479B to 

the Social Security Act defining Tribal 

title IV–E Programs. Section 479B(d) 

provides for the funding of foster care 

and adoption assistance programs 

operated by Indian Tribes and requires 

HHS to establish FMAP rates for Indian 

Tribes, tribal organizations, or tribal 

consortia. Each Tribe’s annual FMAP 

shall be based on the per capita income 

of the service population of the Indian 

Tribe, tribal organization, or tribal 

consortium. However, no tribal FMAP 

shall be lower than the FMAP of any 

State in which the Indian Tribe, tribal 

organization, or tribal consortium is 

located. That is, for Indian Tribes 

located in multiple States, the Indian 

Tribe’s FMAP (and that to be used with 

respect to claiming through any title IV– 

E agreements between the Indian Tribe 

and a State title IV–E agency) will be at 

least as high as that of whichever of the 

States in which it is located that has the 

highest FMAP. The FMAP described 

here will be used for Indian Tribes’ title 

IV–E Foster Care, Adoption Assistance, 

and Kinship Guardianship Assistance 

programs whether they are administered 

directly by the Indian Tribe or through 

an agreement with a title IV–E State 

agency. The specific statutory language 

reads as follows: 

(d) Determination of Federal Medical 

Assistance Percentage for Foster Care 

Maintenance and Adoption Assistance 

Payments: 

(1) Per Capita Income—For purposes 

of determining the Federal medical 

assistance percentage applicable to an 

Indian Tribe, a tribal organization, or a 

tribal consortium under paragraphs (1), 

(2), and (5) of section 474(a), the 

calculation of the per capita income of 

the Indian Tribe, tribal organization, or 

tribal consortium shall be based upon 

the service population of the Indian 

Tribe, tribal organization, or tribal 

consortium, except that in no case shall 

an Indian Tribe, a tribal organization, or 

a tribal consortium receive less than the 

Federal medical assistance percentage 

for any State in which the Tribe, 

organization, or consortium is located. 

(2) Consideration of Other 

Information—Before making a 

calculation under paragraph (1), the 

Secretary shall consider any information 

submitted by an Indian Tribe, a tribal 

organization, or a tribal consortium that 

the Indian Tribe, tribal organization, or 

tribal consortium considers relevant to 

making the calculation of the per capita 

income of the Indian Tribe, tribal 

organization, or tribal consortium. 

The law also requires the application 

of the tribal FMAP, if higher than the 

State FMAP, for assistance payments 

claimed by a State IV–E agency under 

title IV–E agreements and contracts 

between States and Indian Tribes. (See 

Section 474(a)(1) and (2) of the Social 

Security Act.) 

B. Calculation of FMAP for Indian 

Tribes 

The formula for calculating FMAP for 

States is specified in title XIX of the 

Social Security Act (section 1905(b), 42 

U.S.C. 1396d(b)). FMAP is calculated 

according to the following formula: 

1–0.45 ((State Per Capita Income)2/ 

(U.S. Per Capita Income)2) 

The FMAP for a State cannot be less 

than 50 percent or more than 83 

percent. HHS proposes to use the same 

formula to calculate FMAP for Indian 

Tribes for title IV–E programs, 

substituting the Indian Tribe’s per 

capita income data for that of the State. 

That is: 1–0.45((Indian Tribe’s Per 

Capita Income)2/(U.S. Per Capita 

Income)2). 

As required by statute, the minimum 

rate of 50% and the maximum rate of 

83% will apply to Indian Tribes. The 

FMAP rate for each Indian Tribe will be 

calculated each year in advance of the 

upcoming fiscal year. Rather than use 

decimal places, tribal FMAP rates will 

be rounded up to the next highest whole 

number (up to a maximum of 83 

percent). 

C. Data Sources for Calculation of 

FMAP for Indian Tribes 

When calculating FMAP for States, 

HHS uses data on per capita income 

produced by the Bureau of Economic 

Analysis (BEA) within the Department 

of Commerce, as required by the 

Medicaid statute (Section 1101(a)(8)(B) 

of the Social Security Act, 42 U.S.C. 

1301(a)(8)(B)). However, BEA does not 

have data available regarding per capita 

income for Indian Tribes. Alternative 

data sources must therefore be used to 

calculate FMAP for Indian Tribes. HHS 

has researched available sources of 

income data for Indian Tribes and has 

concluded that up to date annual data 

on per capita income are not currently 

available for most Indian Tribes. 

The U.S. Census Bureau produces the 

only consistent national data regarding 

per capita income for each Indian Tribe. 

However, the source of these data is 

currently in transition. Per capita 

income that has in the past been 

collected every 10 years through the 

decennial census ‘‘long form’’ will in the 

future be collected by the Census 

Bureau using the American Community 

Survey (ACS), an ongoing data 

collection mechanism. ACS data will be 

updated more frequently than Decennial 

Census data, leading to more current 

estimates in the future. The ACS 

provides annual (1-year) estimates for 

geographic areas with populations of 

65,000 or more. By pooling responses 

from multiple years of ACS data, 3-year 

estimates are currently produced for 

geographic areas with populations of 

20,000 or more. Few Indian Tribes, 

however, are large enough for either 

annual or 3-year estimates to be 

produced. Of the 86 Tribes and tribal 

organizations that submitted letters of 

intent to ACF indicating an interest in 

operating title IV–E programs, 3-year 

ACS data is available for only eight. 

Beginning late in calendar year 2010 

(during Federal Fiscal Year 2011) 5-year 

estimates will become available from 

the Census Bureau for smaller 

geographic areas, including all Indian 

Tribes and tribal lands for which 

Decennial Census data has previously 

been collected. The 3-year and 5-year 

estimates will be updated annually 

beginning in calendar year 2011. 

HHS plans to use ACS 5-year 

estimates as the data source for FMAP 

calculations applying to the fiscal year 

following the April in which such data 

are available. The Census Bureau 

currently projects that these data will 

become available by the end of calendar 

year 2010. Assuming the data are 

released as expected or no later than 

April 2011, HHS will use ACS 5-year 

estimates for 2012 FMAP calculations 

for Indian Tribes. 

Until ACS data become consistently 

available, the only complete source of 

per capita income data for Indian Tribes 

and tribal communities is that of the 

2000 Decennial Census, which reports 

1999 per capita income data for Indian 

tribal lands. However, these data are 

now ten years old and may not 

represent current tribal income levels. 

While current levels are preferable for 

use in calculating the FMAP, such data 

do not yet exist. In the absence of more 


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Federal Register / Vol. 75, No. 195 / Friday, October 8, 2010 / Notices 62397 

recent data, HHS determined that 

relying on data from the 2000 Decennial 

Census is the most viable option until 

the ACS data becomes available for all 

Indian Tribes. 

We considered whether to use ACS 

estimates for the several Indian Tribes 

for which it is available, but decided 

that it would be more equitable to use 

the same data source for calculating 

FMAP for all participating Indian 

Tribes, tribal organizations and tribal 

consortia. Therefore, for tribal FMAP 

rates applying to Fiscal Years 2010 and 

2011, HHS will rely on per capita 

income data from the 2000 Decennial 

Census, which is the most current data 

source identified that contains 

information about per capita incomes 

for the full range of Indian Tribes. 

The law requires that FMAP be 

calculated on the basis of the Indian 

Tribe’s ‘‘service population’’ for its title 

IV–E program. Census Bureau data 

regarding per capita income (including 

that produced for the Decennial Census 

and the ACS) can be presented (a) For 

the total population (all races) living on 

or near the tribal lands; (b) for the 

population of individuals identifying 

themselves only as American Indian or 

Alaska Native (AI/AN); or (c) for the 

population who identify themselves as 

either AI/AN alone or in combination 

with another race (that is, including 

multiracial individuals who identify 

themselves as part AI/AN). Data for 

populations described in (a) and (b) are 

standard figures available through the 

Census Bureau’s ‘‘American Factfinder’’ 

Web site (www.factfinder.census.gov). 

Data on the ‘‘AI/AN alone or in 

combination’’ population is available 

only through special tabulations which 

may be purchased from the Census 

Bureau. 

In the absence of information on how 

to characterize Indian Tribes’ intended 

title IV–E service populations, HHS 

proposes to use per capita income data 

for the population of individuals 

identifying themselves only as 

American Indian or Alaska Native. 

These data are readily available without 

special tabulation and does not typically 

differ substantially from the ‘‘AI/AN 

alone or in combination’’ population. It 

is our understanding that figures for the 

total population living on or near tribal 

lands includes many persons who are 

not enrolled members of the Indian 

Tribe and therefore may not accurately 

reflect the incomes of the service 

population. We encourage comments on 

the issue of which conceptualization of 

the population should be used in 

selecting data for FMAP calculations. 

Table 1 shows the FMAP rates 

resulting from various per capita income 

figures in the 2000 Decennial Census. 

To determine an Indian Tribe’s Federal 

Medical Assistance Percentage (FMAP) 

for Fiscal Years 2010 and 2011, the 

Indian Tribe’s per capita income as 

shown in the 2000 Decennial Census 

may be matched to the figures in Table 

1. Figures falling between any two 

percentage rates will be rounded up to 

the next whole number. Per capita 

income figures of $13,054 or less in the 

2000 Decennial Census result in the 

maximum FMAP of 83%. Most Indian 

Tribes have relatively low per capita 

incomes and would therefore qualify for 

the maximum rate. 

Per capita income data for individual 

Indian Tribes may be found on the 

Census Bureau Web site at 

www.factfinder.census.gov. The relevant 

information is in Census 2000 Summary 

File 3. Under ‘‘custom tables,’’ the 

geographic type ‘‘American Indian Area/ 

Alaska Native Area/Hawaiian 

Homelands’’ identifies Indian Tribes. 

The per capita income figure the 

Department intends to use for FMAP 

calculations is found in table P157C. 

D. Calculations for Tribal 

Organizations and Tribal Consortia 

As specified in The Fostering 

Connections Act, tribal IV–E programs 

may be operated by federally-recognized 

Indian Tribes, tribal organizations and 

consortia of Indian Tribes. In the case of 

tribal organizations and consortia, data 

on an individual Indian Tribe will not 

be sufficient for the calculation of the 

appropriate FMAP. In the case of a tribal 

organization or tribal consortium 

composed of two or more Tribes, HHS 

will calculate FMAP by weighting the 

per capita income data according to the 

proportional representation of each 

Tribe’s service population relative to the 

total service population of the 

organization or consortium. For 

instance, if Tribe A with a population of 

6,000 members and Tribe B with a 

population of 4,000 members together 

operate a title IV–E program, the 

applicable FMAP would be calculated 

by weighting the per capita income 

figures for the two, such that Tribe A’s 

per capita income is multiplied by the 

ratio of its population (6,000) to the 

combined population of the consortia 

(10,000), that is 6,000/10,000 or 0.6, and 

Tribe B’s per capita income is 

multiplied by 4,000/10,000 (or 0.4) and 

the two weighted per capita income 

figures would be added to produce the 

per capita income figure for the FMAP 

formula. 

E. Procedures for Producing Annual 

Updates to Federal Medical Assistance 

Percentages for Indian Tribes 

For fiscal years beyond 2011, the 

Department plans to use American 

Community Survey 5-year data for the 

per capita income estimates of Indian 

Tribes as well as for the U.S. per capita 

income information necessary for the 

FMAP formula. At that point, FMAP 

rates will be updated annually based on 

the most recent ACS 5-year estimates 

available. The formula for the 

calculation will remain as described 

above. In the third quarter of each fiscal 

year ACF regional office staff will 

communicate with each Indian Tribe, 

tribal organization, or tribal consortium 

their tribal FMAP rate for the upcoming 

fiscal year. Because most Indian Tribes 

will be receiving the maximum FMAP 

rate and per capita incomes do not tend 

to change rapidly, it is likely that many 

programs will see little, if any, matching 

rate shifts from year to year. A link to 

a table similar to the one at the end of 

this notice will be posted annually on 

ACF’s Web site (http://www.acf.hhs.gov) 

displaying the per capita income 

thresholds for each FMAP rate for the 

fiscal year. 

F. Consideration of Supplemental Data 

The Fostering Connections Act 

specifies that before the tribal FMAP 

calculations for each fiscal year become 

effective the Secretary shall consider 

relevant data (e.g., ACS 3-year data) the 

Indian Tribe, tribal organization or tribal 

consortium may submit relating to the 

per capita income calculation. 

In the absence of supplemental data, 

HHS will use the data and procedures 

described above to calculate the 

applicable FMAP for the grantee. Indian 

Tribes, tribal organizations and tribal 

consortia may submit additional 

relevant data for the Department’s 

consideration in making the FMAP 

calculation and such data will be 

evaluated by the Division of Mandatory 

Grants in the Office of Grants 

Management at ACF. Such data may be 

submitted to the attention of Joseph 

Lonergan, Director, Division of 

Mandatory Grant, ACF Office of Grants 

Management, at 202–401–6603 (phone); 

202–401–5644 (fax); or e-mail: 

tribalfmap@hhs.gov. Supplemental data 

may relate to matters such as the per 

capita income of the Indian Tribe, tribal 

organization or consortium, the 

numbers and/or geographic locations of 

its service population, and/or defining 

the grantee’s service population to 

include individuals other than those 

who identified themselves as American 

Indian only to be considered for the 


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62398 Federal Register / Vol. 75, No. 195 / Friday, October 8, 2010 / Notices 

purposes of calculating the applicable 

per capita income. 

Data to be considered for a given 

fiscal year’s calculation should be 

submitted no less than 30 days before 

the beginning of the next fiscal year 

(September 1) in order to provide 

sufficient time for the Department to 

evaluate the suitability of the additional 

data. Tribal leadership will be consulted 

prior to a final decision by the 

Department regarding the suitability of 

any supplemental data submitted. The 

Department will also work closely with 

tribal leaders before establishing a final 

FMAP for the upcoming fiscal year. 

G. Application of Temporary Increases 

to Tribal Federal Medical Assistance 

Percentages 

From time to time Congress provides 

for adjustments to FMAP rates in 

response to economic conditions or 

other circumstances. At present and 

continuing through the first quarter of 

Fiscal Year 2011 (that is, December 30, 

2010), States are receiving a temporary 

increase in their FMAP rates, including 

a temporary increase of 6.2 percentage 

points that is applicable to all title IV– 

E programs in which assistance 

payments are claimed. The statutory 

authorization for the temporary increase 

is found in section 5001 of the 

American Recovery and Reinvestment 

Act (ARRA), Public Law 111–5. In 

addition, Public Law 111–226, the 

Education, Jobs and Medicaid 

Assistance Act, provides for rates of 3.2 

percentage points above regular FMAP 

rates for the second quarter of Fiscal 

Year 2011 (January 1, 2011 through 

March 31, 2011) and 1.2 percentage 

points above regular FMAP rates for the 

third quarter of Fiscal Year 2011 (April 

1, 2011 through June 30, 2011). 

Increased rates authorized by Public 

Law 111–226 apply to States only if the 

State’s Chief Executive Officer certifies 

by September 24, 2010 that the State 

will request and use the additional 

funds. 

To the extent permitted by statute, it 

is HHS’s intention to treat Indian Tribes, 

tribal organizations, and tribal consortia 

in the same manner as States. We have 

determined that the temporary FMAP 

increases described above will apply to 

tribal FMAP as they do to States. In the 

table at the end of this announcement, 

both standard and temporarily adjusted 

FMAP applicable through December 30, 

2010 are shown. The temporary 

increases applicable to the second and 

third quarters of Fiscal Year 2011 are 

not shown on the table but may be 

similarly calculated. The applicability 

of any future FMAP adjustments to 

Indian Tribes, tribal organizations, and 

tribal consortia will depend on the 

specific statutory language enacting 

such adjustments. 

We encourage interested parties to 

provide comments on the methodology 

and data sources for calculating the 

Tribal FMAP rates for title IV–E 

programs. Specifically, we invite 

comment on the definition of service 

population adopted in this notice and 

alternate data sources for per capita 

income of Indian tribes, tribal 

organizations, and tribal consortia. 

FOR FURTHER INFORMATION CONTACT: 

Laura Radel, Office of the Assistant 

Secretary for Planning and Evaluation, 

Room 404–E—Hubert H. Humphrey 

Building, 200 Independence Avenue, 

SW., Washington, DC 20201; 202–690– 

5938; Laura.Radel@hhs.gov. 

(Catalog of Federal Domestic Assistance 

Program Nos. 93.658: Foster Care Title IV–E; 

93.659: Adoption Assistance; 93.090: 

Guardianship Assistance) 

Dated: July 1, 2010. 

Kathleen Sebelius, 

Secretary. 

1999 Tribal per capita income range from 2000 decennial census data 

Resulting FMAP 

(percent) 

FMAP including 6.2 percentage 

point increase authorized by 

ARRA through the first quarter of 

FY 2011 

(percent) 

Income greater than or equal to Income less than or equal to 

Per Capita Income Levels 

Matched to FY 2010/FY 2011 Federal Medical Assistance Percentage 

To determine an Indian Tribe’s Federal Medical Assistance Percentage (FMAP) for Fiscal Years 2010 and 2011, find the Indian Tribe’s per 

capita income from the 2000 Decennial Census (American Indian Alone population) in the list of FMAPs below. 

1999 Per Capita Income from the 2000 Decennial Census Data: U.S. Estimate = $21,587 

FMAP Formula: 1¥0.45 × (Indian Tribe Per Capita Income 2/U.S. Per Capita Income 2) 

$0 $13,652 83 89.2 

13,653 14,027 82 88.2 

14,028 14,391 81 87.2 

14,392 14,746 80 86.2 

14,747 15,093 79 85.2 

15,094 15,433 78 84.2 

15,434 15,765 77 83.2 

15,766 16,090 76 82.2 

16,091 16,408 75 81.2 

16,409 16,721 74 80.2 

16,722 17,028 73 79.2 

17,029 17,329 72 78.2 

17,330 17,625 71 77.2 

17,626 17,917 70 76.2 

17,918 18,203 69 75.2 

18,204 18,486 68 74.2 

18,487 18,764 67 73.2 

18,765 19,038 66 72.2 

19,039 19,308 65 71.2 

19,309 19,574 64 70.2 

19,575 19,837 63 69.2 

19,838 20,096 62 68.2 

20,097 20,352 61 67.2 

20,353 20,605 60 66.2 

20,606 20,855 59 65.2 


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Federal Register / Vol. 75, No. 195 / Friday, October 8, 2010 / Notices 62399 

1999 Tribal per capita income range from 2000 decennial census data 

Resulting FMAP 

(percent) 

FMAP including 6.2 percentage 

point increase authorized by 

ARRA through the first quarter of 

FY 2011 

(percent) 

Income greater than or equal to Income less than or equal to 

20,856 21,102 58 64.2 

21,103 21,346 57 63.2 

21,347 21,587 56 62.2 

21,588 21,825 55 61.2 

21,826 22,061 54 60.2 

22,062 22,295 53 59.2 

22,296 22,526 52 58.2 

22,527 22,754 51 57.2 

22,755 ....................................................... 50 56.2 

[FR Doc. 2010–25344 Filed 10–7–10; 8:45 am] 

BILLING CODE 4150–05–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Office of the National Coordinator for 

Health Information Technology; HIT 

Standards Committee Schedule for the 

Assessment of HIT Policy Committee 

Recommendations 

AGENCY: Office of the National 

Coordinator for Health Information 

Technology, HHS. 

ACTION: Notice. 

SUMMARY: Section 3003(b)(3) of the 

American Recovery and Reinvestment 

Act of 2009 mandates that the HIT 

Standards Committee develop a 

schedule for the assessment of policy 

recommendations developed by the HIT 

Policy Committee and publish it in the 

Federal Register. This notice fulfills the 

requirements of Section 3003(b)(3) and 

updates the schedule posted in the 

Federal Register on May 26, 2009. In 

anticipation of receiving 

recommendations originally developed 

by the HIT Policy Committee, the HIT 

Standards Committee has created four 

(4) workgroups or subcommittees to 

analyze the areas of clinical quality, 

clinical operations, implementation, 

and privacy and security. 

HIT Standards Committee Schedule for 

the Assessment of HIT Policy 

Committee Recommendations 

The National Coordinator will 

establish priority areas based in part on 

recommendations received from the HIT 

Policy Committee regarding health 

information technology standards, 

implementation specifications, and/or 

certification criteria. Once the HIT 

Standards Committee is informed of 

those priority areas, it will: 

(A) Direct the appropriate workgroup 

or subcommittee to develop a report for 

the HIT Standards Committee, to the 

extent possible, within 90 days, which 

will include among other items the 

following: 

(1) An assessment of what standards, 

implementation specifications, and 

certification criteria are currently 

available to meet the priority area; 

(2) an assessment of where gaps exist 

(i.e., no standard is available or 

harmonization is required because more 

than one standard exists) and identify 

potential organizations that have the 

capability to address those gaps; and 

(3) a timeline, which may also 

account for NIST testing where 

appropriate, and include dates when the 

HIT Standards Committee is expected to 

issue recommendation(s) to the National 

Coordinator. 

(B) Upon receipt of a subcommittee 

report, the HIT Standards Committee 

will: 

(1) Accept the timeline provided by 

the subcommittee, and if necessary, 

revise it; and 

(2) assign subcommittee(s) to conduct 

research and solicit testimony, where 

appropriate, and issue 

recommendations to the full committee, 

in a timely manner. 

(C) Advise the National Coordinator, 

consistent with the accepted timeline in 

(B)(1) and after NIST testing, where 

appropriate, on standards, 

implementation specifications, and/or 

certification criteria, for the National 

Coordinator’s review and determination 

whether or not to endorse the 

recommendations, and possible 

adoption of the proposed 

recommendations by the Secretary of 

Health and Human Services. 

For a listing of upcoming HIT 

Standards Committee meetings, please 

visit the ONC Web site at http:// 

healthit.hhs.gov. 

Notice of this schedule is given under 

the American Recovery and 

Reinvestment Act of 2009 (Pub. L. 111– 

5), section 3003. 

Erin Poetter, 

Office of Policy and Planning, Office of the 

National Coordinator for Health Information 

Technology. 

[FR Doc. 2010–25345 Filed 10–7–10; 8:45 am] 

BILLING CODE 4150–45–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Office of the Secretary 

Public Meeting To Solicit Input for a 

Strategic Plan for Federal Youth Policy 

AGENCY: Office of the Assistant 

Secretary for Planning and Evaluation, 

DHHS. 

ACTION: Notice of meeting. 

SUMMARY: The U.S. Department of 

Health and Human Services, in its role 

as the Chair of the Interagency Working 

Group on Youth Programs, is 

announcing a meeting to solicit input 

from the public that will inform the 

development of a strategic plan for 

federal youth policy. 

DATES: October 19, 2010, from 9 a.m.– 

1 p.m. 

ADDRESSES: The meeting will take place 

at the Colorado Plaza Towers at 633 

17th Street, Denver, CO 80202. 

FOR FURTHER INFORMATION CONTACT: Visit 

the Web site for the Interagency 

Working Group on Youth Programs at 

http://www.FindYouthInfo.gov for 

information on how to register, or 

contact the Interagency Working Group 

on Youth Programs help desk, by 

telephone at 1–877–231–7843 [Note: 

this is a toll-free telephone number], or 

by e-mail at FindYouthInfo@air.org. 

SUPPLEMENTARY INFORMATION: 

I. Background 

On March 11, 2009, the Congress 

passed the Omnibus Appropriations 

Act, 2009 (Pub. L. 111–8). The House 

Appropriations Committee Print, 


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