29218 Federal Register / Vol. 74, No. 117 / Friday, June 19, 2009 / Notices 

Funding opportunity No. Funding opportunity title CFDA No. 

HHS–2009–ACF–OCSE–FD–0093 .............................................. Partnership to Strengthen Families—Child Support Enforcement/Temporary Assistance for Needy Families—University 

Partnership Demonstration Project.

93 .654 

HHS–2009–ACF–OCSE–FD–0095 .............................................. Projects to Address the Sudden and Prolonged Effect of the 

Economic Downturn on the IV–D Caseload and Program 

Operations.

93 .654 

HHS–2009–ACF–OCSE–FD–0098 .............................................. Health Care/Medical Support in Child Support Enforcement: 

Reform Strategy Grants.

93 .654 

Historically, the imposition of a 

matching requirement on awards under 

this program resulted in an increased 

level of commitment to the project and 

its success and sustainability, without 

creating an undue financial burden on 

the grantee. 

Section 1115 funds awarded to each 

project will represent 29 percent (29%) 

of the total project costs. The total 

approved project cost is the sum of the 

ACF grant award under Section 1115, 

regular Federal Financial Participation 

(FFP), and the State share. For the 

purposes of the demonstration projects, 

the total expenditures will be treated as 

State expenditures under Title IV–D that 

will be reimbursed by the regular Title 

IV–D FFP match of 66 percent (66%). 

Applicants must prepare a formal 

budget on the required standard forms, 

as listed in Section IV.2, Content and 

Form of Application Submission of the 

funding opportunity announcements. 

Grantees must provide at least five 

percent (5%) of the total approved 

project cost. This non-Federal, i.e., State 

share, may be met by cash, incentive 

funds (awarded under section 458 of the 

Social Security Act), or in-kind 

contributions. The five percent (5%) 

match may be provided through in-kind 

contributions, as allowed by section 

1115(a)(2)(A) of the Social Security Act. 

For example, if an applicant’s total 

project budget is $150,000, this would 

be made up of three funding sources: 

Section 1115 funds (29% = $43,500), 

cost sharing (5% = $7,500) and regular 

Title IV–D Federal Financial 

Participation/FFP (66% = $99,000). 

Title IV–D applicants that anticipate 

satisfying the matching requirement 

through in-kind contributions, or the 

use of incentive funds awarded under 

section 458 of the Social Security Act, 

must request prior approval as part of 

the required budget justification (see 

Section IV.2. Budget and Budget 

Justification in the published funding 

opportunity announcements) in 

accordance with section 1115(a)(2)(A) of 

the Social Security Act. Costs borne by 

matching contributions are subject to 

the regulations governing allowability 

found under and 45 CFR 92.24. 

Eligible applicants for these Section 

1115 demonstration project grants are 

State (including the District of 

Columbia, Guam, Puerto Rico, and the 

Virgin Islands) Title IV–D agencies or 

the umbrella agencies of the IV–D 

program. 

Planned ACF funding opportunity 

announcements may be found at the 

HHS Grants Forecast Web site at 

http://www.hhs.gov/grantsforecast/. The 

HHS’s Grants Forecast is a database of 

planned funding opportunities 

proposed by its operating divisions, 

including ACF. Each Forecast record 

contains actual or estimated dates and 

funding levels for awards that an 

operating division intends to award 

during the fiscal year. ACF’s publicly 

published funding opportunity 

announcements are available on http:// 

www.Grants.gov, where applicants may 

also apply for funding electronically, 

and on the ACF Grant Opportunities 

Web page at http://www.acf.hhs.gov/ 

grants/. 

FOR FURTHER INFORMATION CONTACT: 

Myles Schlank, Office of Child Support 

Enforcement, 370 L’Enfant Promenade, 

SW., Washington, DC 20047. Telephone: 

202–401–9329, e-mail: 

myles.schlank@acf.hhs.gov. 

Dated: June 15, 2009. 

Robert Cohen, 

Acting Commissioner, Program Office: Child 

Support Enforcement. 

[FR Doc. E9–14363 Filed 6–18–09; 8:45 am] 

BILLING CODE P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Reimbursement of Travel and 

Subsistence Expenses toward Living 

Organ Donation Eligibility Guidelines 

AGENCY: Health Resources and Services 

Administration (HRSA), HHS. 

ACTION: Response to solicitation of 

comments on amendment to program 

follow-up period and publication of 

amended Program Eligibility 

Guidelines. 

SUMMARY: This notice finalizes an 

amendment to the eligibility guidelines 

proposed on March 4, 2009 in the 

Federal Register (74 FR 9407). The 

purpose of this notice was to solicit 

comments on the amendment to the 

Program Eligibility Guidelines proposed 

by HRSA concerning the 

Reimbursement of Travel and 

Subsistence Expenses Program followup period. 

FOR FURTHER INFORMATION CONTACT: 

Richard Durbin, Director, Division of 

Transplantation, Healthcare Systems 

Bureau, Health Resources and Services 

Administration, Parklawn Building, 

Room 12C–06, 5600 Fishers Lane, 

Rockville, Maryland 20857; telephone 

(301) 443–7577; fax (301) 594–6095; or 

E-mail: rdurbin@hrsa.gov. 

SUPPLEMENTARY INFORMATION: In the 

existing Program eligibility guidelines, 

under the Qualifying Expenses Section, 

the first paragraph states: 

‘‘For the purposes of the Reimbursement of 

Travel and Subsistence Expenses toward 

Living Organ Donation Program, qualifying 

expenses presently include only travel, 

lodging, and meals and incidental expenses 

incurred by the donor and/or his/her 

accompanying person(s) as part of: 

(1) Donor evaluation, clinic visit or 

hospitalization, 

(2) Hospitalization for the living donor 

surgical procedure, and/or 

(3) Medical or surgical follow-up clinic 

visit or hospitalization within 90 days 

following the living donation procedure.’’ 

HRSA proposed amending the first 

bullet of this paragraph to read: ‘‘(1) 

Donor evaluation, and/or’’. In addition, 

HRSA proposed amending the third 

bullet of this paragraph to read: ‘‘(3) 

Medical or surgical follow-up clinic 

visit or hospitalization within two 

calendar years or beyond—if 

exceptional circumstances exist— 

following the living donation 

procedure.’’ The purpose of this 

proposed change was to bring the 

NLDAC follow-up period in line with 

the OPTN policies of a 2-year follow-up 

of living organ donors. 

HRSA received six public comments 

on this request. All the respondents 

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Federal Register / Vol. 74, No. 117 / Friday, June 19, 2009 / Notices 29219 

support HRSA’s proposed amendment. 

HRSA wishes to thank everyone who 

reviewed this request even if a formal 

response was not sent to HRSA. 

Through this notice, HRSA approves 

the amendment to the Reimbursement 

of Travel and Subsistence Expenses 

Program Eligibility Guidelines as 

published in the Federal Register. This 

document also corrects a mistake 

included in the previous version of the 

Guidelines concerning the proper 

decision-maker on financial hardship 

determinations. Finally, HRSA notes 

that the grantee has the authority to 

make operational decisions in 

implementing the Program, such as 

setting filing deadlines. 

The amended eligibility criteria are 

included in this document. The 

amended eligibility criteria guidelines 

document is also available at http:// 

www.livingdonorassistance.org. 

National Living Donor Assistance 

Center (NLDAC) Program Eligibility 

Guidelines as Amended 

Section 3 of the Organ Donation and 

Recovery Improvement Act (ODRIA), 42 

U.S.C. 274f, establishes the authority 

and legislative parameters to provide 

reimbursement for travel and 

subsistence expenses incurred towards 

living organ donation. HRSA awarded a 

cooperative agreement to the Regents of 

the University of Michigan (Michigan), 

which partnered with the American 

Society of Transplant Surgeons (ASTS), 

to establish the National Living Donor 

Assistance Center (NLDAC) to operate 

this Program. 

As provided for in the statutory 

authorization, this Program is intended 

to provide reimbursement only in those 

circumstances when payment cannot 

reasonably be covered by other sources 

of reimbursement. The NLDAC, under 

Federal law, cannot provide 

reimbursement to any living organ 

donor for travel and other qualifying 

expenses if the donor can receive 

reimbursement for these expenses from 

any of the following sources: 

(1) any State compensation program, 

an insurance policy, or any Federal or 

State health benefits program; 

(2) an entity that provides health 

services on a prepaid basis; or 

(3) the recipient of the organ. 

In response to public solicitation of 

comments, a threshold of income 

eligibility for the recipient of the organ 

is 300 percent of the Department of 

Health and Human Services (HHS) 

Poverty Guidelines in effect at the time 

of the eligibility determination. The 

Program assumes that recipients whose 

income exceeds this level will have the 

ability to reimburse the living organ 

donor for the travel and subsistence 

expenses and any other qualifying 

expenses that can be authorized by the 

Secretary of HHS. The Program provides 

an exception to this rule for financial 

hardships. A transplant social worker, 

or appropriate transplant center 

representative, based on a complete 

recipient evaluation, can provide an 

official statement, notwithstanding the 

recipient’s income level, that the 

recipient of the organ would face 

significant financial hardship if required 

to pay for the qualifying living organ 

donor expenses. A recipient’s financial 

hardship is defined as circumstances in 

which the recipient’s income exceeds 

300 percent of the HHS Poverty 

Guidelines in effect at the time of the 

eligibility determination, but the 

individual will have difficulty paying 

the donor’s expenses due to other 

significant expenses. Whether or not 

hardship exists in a particular case 

requires a fact-specific analysis; 

examples of significant expenses 

include circumstances such as paying 

for medical expenses not covered by 

insurance or providing significant 

financial support for a family member 

not living in the household (e.g., elderly 

parent). Waiver requests by the 

transplant center, on behalf of the 

donor, shall be made in writing and 

shall clearly describe the circumstances 

for the waiver request. The NLDAC will 

review waiver requests and make a 

recommendation to HRSA to either 

approve or deny the request. HRSA will 

make the final determination and 

communicate its final determination to 

the NLDAC. The NDLAC will notify the 

transplant center of the final 

determination. HRSA’s determination 

will not be subject to appeal. 

All persons who wish to become 

living organ donors are eligible to 

receive reimbursement for their travel 

and qualified expenses if they cannot 

receive reimbursement from the sources 

outlined above and if all the 

requirements outlined in the Criteria for 

Donor Reimbursement Section are 

satisfied. However, because of the 

limited funds available, prospective 

living donors who are most likely not 

able to cover these expenses will receive 

priority. 

The ability to cover these expenses is 

determined based on an evaluation of 

(1) the donor and recipient’s income, in 

relation to the HHS Poverty Guidelines 

(described in Table 1.1 below), and (2) 

financial hardship. As a general matter, 

income refers to the donor or recipient’s 

total household income. A donor may 

be able to demonstrate financial 

hardship, even if the donor’s income 

exceeds 300 percent of the HHS Poverty 

Guidelines, if the donor will have 

difficulty paying the qualifying 

expenses due to other significant 

expenses. Although all requests will be 

reviewed on a case-by-case basis, 

examples of significant expenses 

include circumstances such as 

providing significant financial support 

for a family member not living in the 

household (e.g., elderly parent), loss of 

income due to donation process. Waiver 

requests by the transplant center, on 

behalf of the donor, shall be made in 

writing and shall clearly describe the 

circumstances for the waiver request. 

The NLDAC will review waiver requests 

and make a recommendation to HRSA 

to either approve or deny the request. 

HRSA will make the final determination 

and communicate its final 

determination to the NLDAC. The 

NDLAC will notify the transplant center 

of the final determination. HRSA’s 

determination will not be subject to 

appeal. 

Donors will be given preference in the 

following order of priority: 

Preference Category 1: The donor’s 

income and the recipient’s income are 

each 300 percent or less of HHS Poverty 

Guidelines in effect at the time of the 

eligibility determination in their 

respective states of primary residence. 

Preference Category 2: Although the 

donor’s income exceeds 300 percent of 

the HHS Poverty Guidelines in effect in 

the State of primary residence at the 

time of the eligibility determination, the 

donor demonstrates financial hardship. 

The recipient’s income is at or below 

300 percent of the HHS Poverty 

Guidelines in effect in the State of 

primary residence at the time of the 

eligibility determination. 

Preference Category 3: Any living 

organ donor, regardless of income or 

financial hardship, if the recipient’s 

income is at or below 300 percent of the 

HHS Poverty Guidelines in effect in the 

recipient’s State of primary residence at 

the time of the eligibility determination. 

Preference Category 4: Any living 

organ donor, regardless of income or 

financial hardship, if the recipient (with 

income above 300 percent of the HHS 

Poverty Guidelines in effect in the State 

of primary residence at the time of the 

eligibility determination) demonstrates 

financial hardship. 

HRSA reserves the right for the 

grantee to prioritize those most in 

financial need (based on income or 

other specified factors) if it receives 

large numbers of applications 

concerning donors meeting preference 

category 1. 

The HHS Poverty Guidelines for 2009 

(Federal Register, Vol. 74, No. 14, 

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29220 Federal Register / Vol. 74, No. 117 / Friday, June 19, 2009 / Notices 

January 23, 2009, pp. 4199–4201) are 

shown in the table below. 

2009 HHS POVERTY GUIDELINES

Persons 

in family or household 

48 Contiguous 

States and DC Alaska Hawaii 

1 ................................................................................................................................................... $10,830 $13,530 $12,460 

2 ................................................................................................................................................... 14,570 18,210 16,760 

3 ................................................................................................................................................... 18,310 22,890 21,060 

4 ................................................................................................................................................... 22,050 27,570 25,360 

5 ................................................................................................................................................... 25,790 32,250 29,660 

6 ................................................................................................................................................... 29,530 36,930 33,960 

7 ................................................................................................................................................... 33,270 41,610 38,260 

8 ................................................................................................................................................... 37,010 46,290 42,560 

For each additional person, add .................................................................................................. 3,740 4,680 4,300 

Source: FEDERAL REGISTER, Vol. 74, No. 14, January 23, 2009, pp. 4199–4201. 

These guidelines are updated 

periodically. 

Criteria for Donor Reimbursement 

1. Any individual who in good faith 

incurs travel and other qualifying 

expenses toward the intended donation 

of an organ. 

2. Donor and recipient of the organ 

are U.S. citizens or lawfully admitted 

residents of the U.S. 

3. Donor and recipient have primary 

residences in the U.S. or its territories. 

4. Travel is originating from the 

donor’s primary residence. 

5. Donor and recipient certify that 

they understand and are in compliance 

with Section 301 of NOTA (42 U.S.C. 

274e) which states in part ‘‘* * * It 

shall be unlawful for any person to 

knowingly acquire, receive, or otherwise 

transfer any human organ for valuable 

consideration for use in human 

transplantation if the transfer affects 

interstate commerce.’’ 

6. The transplant center where the 

donation procedure occurs certifies to 

its status of good standing with the 

Organ Procurement and Transplantation 

Network (OPTN). 

Qualifying Expenses 

For the purposes of the 

Reimbursement of Travel and 

Subsistence Expenses toward Living 

Organ Donation Program, qualifying 

expenses presently include only travel, 

lodging, and meals and incidental 

expenses incurred by the donor and/or 

his/her accompanying person(s) as part 

of: 

(1) Donor evaluation and/or 

(2) Hospitalization for the living 

donor surgical procedure, and/or 

(3) Medical or surgical follow-up, 

clinic visits, or hospitalization within 2 

calendar years following the living 

donation procedure (or beyond the 2- 

year period if exceptional circumstances 

exist). 

The Program will pay for a total of up 

to five trips; three for the donor and two 

for accompanying persons. However, in 

cases in which the transplant center 

requests the donor to return to the 

transplant center for additional visits as 

a result of donor complications or other 

health related issues, NLDAC may 

provide reimbursement for the 

additional visit(s) for the donor and an 

accompanying person. The 

accompanying persons need not be the 

same in each trip. 

The total Federal reimbursement for 

qualified expenses during the donation 

process for the donor and accompanying 

individuals shall not exceed $6,000.00. 

Reimbursement for qualifying expenses 

shall be provided at the Federal perdiem rate, except for hotel 

accommodation, which shall be 

reimbursed at no more than 150 percent 

of the Federal per diem rate. 

For donor and recipient pairs 

participating in a paired exchange 

program, the applicable eligibility 

criteria for the originally intended 

recipient shall be considered for the 

purpose of reimbursement of qualifying 

donor expenses even though the final 

recipient of the donated organ may not 

be the recipient identified in the 

original donor-recipient pair. 

Maximum Number of Prospective 

Donors per Recipient 

• Kidney: one donor at a time with a 

maximum of three donors 

• Liver: one donor at a time with a 

maximum of five donors 

• Lung: two donors at a time with a 

maximum of six donors 

Special Provisions 

Many factors may prevent the 

intended and willing donor from 

proceeding with the donation. 

Circumstances that would prevent the 

transplant or donation from proceeding 

include: Present health status of the 

intended donor or recipient, perceived 

long-term risks to the intended donor, 

justified circumstances such as acts of 

God (e.g., major storms or hurricanes), 

or a circumstance when an intended 

donor proceeds toward donation in 

good faith, subject to a case-by-case 

evaluation by the NLDAC, but then 

elects not to pursue donation. In such 

cases, the intended donor and 

accompanying persons may receive 

reimbursement for qualified expenses 

incurred as if the donation had been 

completed. Under Program policy, a 

form will be filed with the Internal 

Revenue Service (IRS) reporting funds 

disbursed as income for expenses not 

incurred. 

Dated: June 10, 2009. 

Mary K. Wakefield, 

Administrator. 

[FR Doc. E9–14425 Filed 6–18–09; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HOMELAND 

SECURITY 

Science and Technology Directorate; 

Notice of Public Meeting of the Project 

25 Compliance Assessment Program 

Governing Board 

AGENCY: Science and Technology 

Directorate, Department of Homeland 

Security. 

ACTION: Notice of public meeting. 

SUMMARY: The U.S. Department of 

Homeland Security’s (DHS) Office for 

Interoperability and Compatibility (OIC) 

will hold a public meeting of its Project 

25 (P25) Compliance Assessment 

Program (CAP) Governing Board (GB). 

The P25 CAP GB is composed of public 

sector officials who are involved in the 

procurement of P25 equipment. The 

purpose of the meeting is to collect 

comments from individual P25 CAP GB 

members on the proposed Compliance 

mstockstill on PROD1PC66 with NOTICES