[Federal Register Volume 75, Number 155 (Thursday, August 12, 2010)]
[Notices]
[Pages 48980-48983]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-19863]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Statement of Organization, Functions and Delegations of Authority

    This notice amends Part R of the Statement of Organization, 
Functions and Delegations of Authority of the Department of Health and 
Human Services (HHS), Health Resources and Services Administration 
(HRSA) (60 FR 56605, as amended November 6, 1995; as last amended at 75 
FR 36104-36105 dated June 24, 2010).
    This notice reflects organizational changes in the Health Resources 
and Services Administration. Specifically, this notice updates 
functional statement for the Maternal and Child Health Bureau (RM) by 
adding functions for programs authorized under the Affordable Care Act, 
and renames the Office of Data and Program Development (RM7) to the 
Office of Epidemiology, Policy and Evaluation (RM7).

Chapter RM--Maternal and Child Health Bureau

Section RM-10, Organization

    Delete in its entirety and replace with the following:
    The Office of the Associate Administrator (RM) is headed by the 
Associate Administrator, Maternal and Child Health Bureau (MCHB), who 
reports directly to the Administrator, Health Resources and Services 
Administration. MCHB includes the following components:

(1) Office of the Associate Administrator (RM);
(2) Office of Operation and Management (RM1);
(3) Division of Services for Children with Special Health Needs (RM2);
(4) Division of Child, Adolescent and Family Health (RM3);
(5) Division of Research, Training and Education (RM4);
(6) Division of Healthy Start and Perinatal Services (RM5);
(7) Division of State and Community Health (RM6); and
(8) Office of Epidemiology, Policy and Evaluation (RM7).

Section RM-20, Functions

    (1) Delete the functional statement for the Maternal and Child 
Health Bureau (RM) and replace in its entirety; and (2) rename the 
Office of Data and Program Development (RM7) to the Office of 
Epidemiology, Policy and Evaluation (RM7).
Office of the Associate Administrator (RM)
    Provides national leadership and policy direction for Maternal and 
Child Health Bureau (MCHB) programs. These programs are designed to 
improve the health of women of childbearing age, infants, children, 
adolescents and their families, children with special health needs, and 
persons with hemophilia. Specifically, MCHB: (1) Coordinates the 
planning, development, implementation, and evaluation of the programs 
and activities of the Bureau; (2) facilitates effective, collaborative 
relationships with other health and related programs; (3) establishes a 
program mission, goals, objectives, and policy with broad 
Administration guidelines; (4) serves as the focal point for managing 
the Bureau-wide strategic planning operation as it relates to long and 
short range programmatic goals and objectives for the Bureau; (5) 
arranges and provides technical assistance to assure that the grantees 
meet program expectations; (6) serves as principal contact point to 
HRSA, the Department, Office of Management and Budget (OMB), and the 
White House on matters concerning the health status of America's 
mothers and children; and (7) provides information and reports on the 
Bureau's programs to public, health, education and related professional 
associations, the Congress, other Federal agencies, OMB, and the White 
House.
Office of Operations and Management (RM1)
    The Office of Operations and Management (OOM) plans, directs, 
coordinates, and evaluates Bureau-wide administrative and management 
activities; coordinates and monitors program and administrative policy 
implementation, and maintains close liaison with officials of HRSA and 
the Office of the Secretary on matters relating to these activities. 
Specifically, OOM: (1) Serves as the Associate Administrator's and 
Bureau's principal source for management and administrative advice and 
assistance; (2) provides or serves as liaison for program support 
services; (3) provides leadership on intergovernmental activities of 
the Bureau which requires administrative direction or intergovernmental 
activities of the Bureau, requiring central direction of cross-cutting 
administrative issues affecting program activities; (4) participates in 
the development of strategic plans, regulatory activities, policy 
papers, and legislative proposals relating to MCH programs; (5) plans, 
coordinates and facilitates the Bureau's Agency agreement activities; 
(6) coordinates human resource activities for the Bureau; (7) provides 
guidance to the Bureau on financial management activities; (8) 
determines State allocations of MCH Block Grant funds based on formula 
and current census data; (9) provides organization and management 
analysis, develops policies and procedures for internal operation, and 
interprets and implements the Administration's management policies, 
procedures and systems; (10) coordinates the Bureau's program and 
administrative delegations of authority activities; (11) provides staff 
services in operation planning and program analysis; (12) is 
responsible for paperwork management functions, including the 
development and maintenance of Bureau manual issuances; (13) provides 
direction regarding new developments in office management activities; 
and (14) coordinates Bureau funds and resources for grants, contracts 
and cooperative agreements.
Division of Services for Children With Special Health Needs (RM2)
    The Division of Services for Children with Special Health Needs 
(DSCSHN) provides national leadership in planning, directing, 
coordinating, monitoring, and evaluating national programs focusing on 
the promotion of health and prevention of disease among children with 
special health care needs (CSHCN) and their families, with special 
emphasis on the development and implementation of family-centered, 
comprehensive, care-coordinated, community-based and culturally 
competent systems of care for such populations. Specifically, DSCSHN 
carries out the following activities: (1) Administers a program that 
supports the development of systems of care and services for CSHCN and 
their families; (2) develops policies and guidelines and promulgates 
standards for professional services and effective organization and 
administration of health programs for CSHCN and their families; (3) 
accounts for the administration of funds and other resources for 
grants, contracts and programmatic consultation and

[[Page 48981]]

assistance; (4) coordinates with other MCHB Divisions and Offices in 
promoting program objectives and the mission of the Bureau; (5) 
provides consultation and technical assistance to State programs for 
CSHCN and to local communities, consistent with a Bureau-wide technical 
assistance consultation plan and in concert with other agencies and 
organizations; (6) provides liaison with public, private, professional 
and voluntary organizations on programs designed to improve services 
for CSHCN and their families; (7) develops and implements a national 
program for those at risk or living with genetic diseases, including a 
national program for persons with hemophilia, implementing a system of 
demonstration projects related to early identification, referral, 
treatment, education, and counseling information; (8) coordinates 
within this Agency and with other Federal programs (particularly Title 
XIX of the Social Security Act, Supplemental Security Income, 
Individuals with Disabilities Education Act, and others) to extend and 
improve comprehensive, coordinated services and promote integrated 
State-based systems of care for CSHCN, including those with genetic 
disorders, and their families; (9) promotes the dissemination of 
information on preventive health services and advances in the care and 
treatment of CSHCN, including those with genetic disorders, and their 
families; (10) participates in the development of strategic plans, 
regulatory activities, policy papers, legislative proposals, and budget 
submissions relating to health services for CSHCN, including those with 
genetic disorders, and their families; (11) provides a focus for 
international health activities of the Bureau for services for CSHCN 
and their families; (12) participates in the development of interagency 
agreements concerning Federal assignees to State MCHB programs; (13) 
carries out a national program on traumatic brain injury, and (14) 
administers funds and other resources for grants, contracts, and 
cooperative agreements.
Division of Child, Adolescent, and Family Health (RM3)
    The Division of Child, Adolescent, and Family Health provides 
national leadership in planning, directing, coordinating, monitoring, 
and evaluating national programs focusing on the promotion of health 
and prevention of disease and injury among children, adolescents, young 
adults and their families with special emphasis on the development and 
implementation of family-centered, comprehensive, coordinated, 
community-based and culturally competent systems of care for such 
populations. Specifically, the Division: (1) Administers a program 
which supports the development of systems of care and services for 
children, adolescents, young adults and their families; (2) develops 
policies and guidelines and promulgates standards for professional 
services and effective organization and administration of health 
programs for children, adolescents, young adults and their families; 
(3) accounts for the administration of funds and other resources for 
grants, contracts, and programmatic consultation and assistance; (4) 
coordinates with MCHB Divisions and Offices in promoting program 
objectives and the mission of the Bureau; (5) serves as the focal point 
within the Bureau in implementing programmatic statutory requirements 
for State programs for children, adolescents, young adults and their 
families; (6) provides consultation and technical assistance to State 
programs for children, adolescents, young adults and their families and 
to local communities, consistent with a Bureau-wide technical 
assistance consultation plan, working with other agencies and 
organizations; (7) provides liaison with public, private, professional 
and voluntary organizations on programs designed to improve services 
for children, adolescents, young adults and their families; (8) carries 
out a national program supporting Child Death Review systems; (9) 
carries out a national program on school health activities; (10) 
carries out a national program designed to improve the provision of 
emergency medical services for children; (11) carries out a national 
program designed to improve the provision of oral health services for 
children; (12) carries out a national program on injury prevention for 
children and adolescents; (13) coordinates within this Agency and with 
other Federal programs (particularly Title XIX of the Social Security 
Act) to extend and improve comprehensive, coordinated services and 
promote integrated State-based systems of care for children, 
adolescents, young adults and their families; (14) disseminates 
information on preventive health services and advances in the care and 
treatment of children, adolescents, young adults and their families; 
(15) participates in the development of strategic plans, regulatory 
activities, policy papers, legislative proposals, and budget 
submissions relating to health services for children, adolescents, 
young adults and their families; (16) provides a focus for 
international health activities for the Bureau for services for 
children, adolescents, and their families; (17) carries out, in 
collaboration with the Administration for Children and Families, a 
national program of maternal, infant and early childhood home visiting; 
and (18) administers funds and other resources for grants, contracts, 
and cooperative agreements.
Division of Research, Training and Education (RM4)
    The Division of Research, Training and Education provides national 
leadership in planning, directing, coordinating, monitoring, and 
evaluating national programs related to research, professional and 
public education activities, and training, focusing on the promotion of 
health and prevention of disease among women of reproductive age, 
infants, children, adolescents and their families, with special 
emphasis on the development and implementation of family-centered, 
comprehensive, care-coordinated, community-based and culturally 
competent systems of care for such population. Specifically, the 
Division carries out the following activities: (1) Administers a 
program which supports the development of systems of care and services 
for children and their families; (2) develops policies and guidelines 
and promulgates standards through research, professional and public 
education and training activities for the Bureau; (3) accounts for the 
administration of funds and other resources for grants, contracts and 
programmatic consultation and assistance; (4) coordinates with other 
MCHB Divisions and Offices in promoting program objectives and the 
mission of the Bureau; (5) provides liaison with public, private, 
professional and voluntary organizations on programs and activities; 
(6) disseminates information on research, professional and public 
education and training activities to States and localities; (7) 
participates in the development of strategic plans, regulatory 
activities, policy papers, legislative proposals, and budget 
submissions; (8) provides a focus for international health activities 
of the Bureau relating to research, professional and public education 
and training activities for the Bureau; and (9) administers funds and 
other resources for grants, contracts, and cooperative agreements.
Division of Healthy Start and Perinatal Services (RM5)
    The Division of Healthy Start and Perinatal Services provides 
national leadership in planning, directing,

[[Page 48982]]

coordinating, monitoring, and evaluating national programs focusing on 
maternal, infant, family, and women's health to improve and strengthen 
the awareness of, access, delivery, quality, coordination and evidence-
based for services for targeted populations, especially for the 
vulnerable and those at high-risk for poor health and health outcomes. 
The Division strives to eliminate health disparities and provide high 
quality continuous health care, including health promotion and disease 
prevention, throughout the lifespan of women and their families from 
infancy to preconception, prenatal, postpartum, and inter-conception 
through support of local, State, and national innovative, evidenced-
based projects of health promotion and risk reduction. Specifically, 
the Division is responsible for the following activities: (1) 
Administers local, State, and national programs on perinatal and 
women's health with an emphasis on infant mortality reduction and 
eliminating disparities in perinatal infant, maternal and women's 
health outcomes; (2) provides policy direction; technical assistance; 
national resource development and dissemination; professional 
consultation and development to address national trends in maternal, 
infant, family, and women's health status and gaps in the evidence-
based of the healthcare services for these populations as well as 
Division programs; (3) accounts for the administration of funds and 
other resources for grants, contracts and programmatic consultation and 
assistance; (4) coordinates with Bureau, Agency, departmental, and 
Intra-Departmental initiatives in promoting Division programs' 
objectives and the mission of the Bureau; (5) serves as the focal point 
within the Agency and frequently the Department on programmatic infant, 
maternal, and women's health initiatives (6) coordinates the Advisory 
Committee on Infant Mortality, (7) provides liaison with public, 
private, professional and non-governmental organizations for Division 
programs; (8) disseminates information on Division programs to the 
local, State, national and international audiences; (9) participates in 
the development of strategic plans, health services research and 
evaluation, regulatory activities, policy papers, legislative 
proposals, and fiscal strategic planning, administration, and analysis 
relating to Division programs; (10) provides a focus for international 
health activities of the Bureau for Division programs in perinatal, 
infant, maternal and women's health; (11) provides leadership, 
technical assistance and professional consultation to Central and 
Regional Office staff of the Bureau, Agency, Department, other Federal 
agencies, students and allied groups to improve services; and (12) 
administers funds and other resources for grants, contracts, and 
cooperative agreements.
Division of State and Community Health (RM6)
    In collaboration with MCHB Divisions and Offices, the Division of 
State and Community Health (DSCH) serves as the organizational focus 
for the administration of responsibilities related to the Maternal and 
Child Health (MCH) Block Grant to States Program. Specifically, DSCH: 
(1) Works in partnership with States, primarily through the Title V 
Block Grant, communities, and grantees to assure continued improvement 
in the health, safety and well-being of the MCH population; (2) 
provides national leadership, direction, coordination, and 
administrative oversight related to the development and management of 
the State MCH Block Grant applications and the annual reports; (3) 
based on independent and high quality evaluations and reviews, which 
includes the tracking of State progress in meeting performance 
objectives, develops, plans, manages, and monitors a Bureau-wide 
program of technical assistance and consultation in collaboration with 
other Bureau Divisions and related health programs; (4) develops and 
manages an online information system to facilitate in the collection, 
analysis and dissemination of national and State performance, program 
and financial State Title V information and data to various 
constituencies including the public, States, and Congress about the 
Block Grant to States Program; (5) coordinates within this Agency and 
with other Federal programs (particularly Title XIX of the Social 
Security Act) to extend and improve comprehensive, coordinated services 
in the Block Grant to States Program; (6) develops, plans, manages, and 
monitors the State Systems Development Initiative (SSDI) grant to the 
States' program; (7) develops, plans, manages and monitors contracts, 
grants, and cooperative agreements, including the Partnership for State 
Title V MCH Leadership Community, Partnership for Urban MCH Leadership 
Community and State Public Health Coordinating Center for Autism 
Cooperative Agreements; (8) participates in the development of 
strategic plans, regulatory activities, policy papers, legislative 
proposals and budget submissions relating to health services for women 
of childbearing age, infants, children, adolescents, children with 
special health care needs and their families; and (9) develops guidance 
and reporting forms for the State Title V MCH Block Grant Applications/
Annual Reports and Five-Year Needs Assessments and other discretionary 
grants and cooperative agreements.
Office of Epidemiology, Policy and Evaluation (RM7)
    The Office of Epidemiology, Policy and Evaluation provides 
leadership in the following two areas: (1) Identifies and analyzes data 
needs and utilizes and implements a data strategy and program focusing 
on the promotion of health and prevention of disease among women of 
reproductive age, infants, children, adolescents and their families 
with special emphasis on the development and implementation of family 
centered, comprehensive, coordinated care, community-based and 
culturally competent systems of care for such populations; (2) serves 
as the Bureau focal point for the management of the planning, 
evaluation, legislation, and legislative implementation activities, 
including the development, coordination, and dissemination of program 
objectives, policy positions, reports and strategic plans. 
Specifically, the Office carries out the following data functions: (1) 
Develops, coordinates, and maintains a data and information system 
designed to improve implementation of Title V and other Bureau 
programs; (2) develops, coordinates, and implements systematic 
technical assistance and consultation on data and information systems 
and evaluation approaches to State and local agencies and organizations 
or groups concerned with infants, children, adolescents, and CSHCN; (3) 
through grants and contracts, provides support for a broad range of 
data collection, analyses and projects designed to improve the health 
status of infants, children, adolescents, and CSHCN; (4) coordinates 
and provides professional consultation and technical assistance to 
State and local agencies and organizations; (5) develops, coordinates 
and disseminates data; (6) plans, implements and monitors a system of 
placement of Federal employees assigned to State health agencies; (7) 
coordinates and monitors the placement of Centers for Disease Control 
and Prevention sponsored epidemiologists in State agencies; and (8) 
provides for data program coordination at all levels of Bureau program 
operations through analyses of program data, trends and other issues 
concerning scientific and policy matters, the provision of health

[[Page 48983]]

services and data and information related to the promotion of health 
and prevention of disease among infants, children, adolescents, and 
CSHCN.
    In addition, the Office carries out the following program 
development functions:
    (1) Advises and assists the Associate Administrator for Maternal 
and Child Health and other Bureau staff in the development, 
coordination and management of strategic planning and policy documents, 
responses to departmental and HRSA initiatives, and information papers 
to support Bureau and Administration goals; (2) interprets evaluation 
requirements and develops, coordinates, and manages the preparation of 
the annual evaluation plans and activities, and conducts or contracts 
for specific evaluation projects related to the performance of MCHB 
programs; (3) develops, coordinates, and manages Bureau activities 
related to the development, clearance, and dissemination of Federal 
Register notices, guidelines, final grant reports, and periodic and 
annual reports to other Federal and non-Federal agencies; (4) 
participates in the development of budget submissions including the 
Government Performance Review Act annual performance plan and the 
Office of Management and Budget Program Assessment Review Tool; (5) 
coordinates activities closely and continuously with the Office of 
Planning, Analysis and Evaluation and the MCHB Divisions and Offices in 
promoting program objectives and the mission of the Bureau; (6) 
provides liaison with public, private, professional, and voluntary 
organizations on programs related to MCHB planning and legislative 
issues; and (7) participates in international health activities of the 
Bureau.

Section RM-30, Delegations of Authority

    All delegations of authority and re-delegations of authority made 
to HRSA officials that were in effect immediately prior to this 
reorganization, and that are consistent with this reorganization, shall 
continue in effect pending further re-delegation.
    This reorganization is upon date of signature.

    Dated: August 5, 2010.
Mary K. Wakefield,
Administrator.
[FR Doc. 2010-19863 Filed 8-11-10; 8:45 am]
BILLING CODE 4165-15-P