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Note: An Annual Comprehensive Review, as required by §7 of the Federal Advisory Committee Act, is conducted each year on committee data entered for the previous fiscal year (referred to as the reporting year). The data for the reporting year is not considered verified until this review is complete and the data is moved to history for an agency/department. See the Data From Previous Years section at the bottom of this page for the committee’s historical, verified data.


HHS - 73652 - Negotiated Rulemaking Committee on Designation of Medically Underserved Populations and Health Professional Shortage Areas - Statutory (Congress Created)
Hide Section - GENERAL INFORMATION

GENERAL INFORMATION

Committee NameNegotiated Rulemaking Committee on Designation of Medically Underserved Populations and Health Professional Shortage AreasAgency NameDepartment of Health and Human Services
Fiscal Year2012Committee Number73652
Original Establishment Date Committee StatusTerminated
Actual Termination Date Committee URLhttp://www.hrsa.gov/advisorycommittees/shortage...
New Committee This FYNoPresidential Appointments*No
Terminated This FYYesMax Number of Members*Unlimited
Current Charter Date6/29/2010Designated Fed Officer Position Title*DFO
Date Of Renewal Charter Designated Federal Officer Prefix
Projected Termination Date Designated Federal Officer First Name*Edward
Exempt From Renewal*NoDesignated Federal Officer Middle Name
Specific Termination AuthorityP.L. 111-148Designated Federal Officer Last Name*Salsberg
Establishment Authority*Statutory (Congress Created)Designated Federal Officer Suffix
Specific Establishment Authority*P.L. 111-148Designated Federal Officer Phone*(301) 443-9355
Effective Date Of Authority*3/23/2010Designated Federal Officer Fax*N/A
Exempt From EO 13875 Discretionary Cmte Designated Federal Officer Email*esalsberg@hrsa.gov
Committee Type*Ad hoc
Presidential*No
Committee Function*Regulatory Negotiations Committee
Hide Section - RECOMMENDATION/JUSTIFICATIONS

RECOMMENDATION/JUSTIFICATIONS

Agency Recommendation*Terminate
Legislation to Terminate RequiredNo
Legislation Status 
How does cmte accomplish its purpose?*The Committee nearly completed its task of providing advice and making recommendations to the Secretary, through the Administrator, Health Resources and Services Administration (HRSA), with respect to developing a new rule containing a revised methodology, criteria and process for HPSA-MUP designations by holding its first meeting. The metings are webinars, along with subcommittee work between meetings, resulted in the development of new proposed methodologies for the designation and underserved areas. Final consensus will be sought at the last meeting in October 2011 and a final report was delivered to the Secretary by 10/31/2011.
How is membership balanced?*The Negotiated Rulemaking Committee on Designation of Medically Underserved Populations and Health Professional Shortage Areas consists of 28 members, including the Federal Representative, who are knowledgeable about the issues related to the development of a comprehensive methodology and criteria for these designations, and related Committee functions. They represent (a) outstanding authorities in the fields of measurement of underservice and methods for combining multiple indicators, (b) State-level participants in the designation process, and (c) representatives of stakeholder interests affected by the designation process, which confers eligibility for various Federal programs and related benefits. In addition, the Committee represents a balance of urban and rural interests, a balance of minority and female representation and an equitable geographic distribution of those Committee members not representing national organizations.
How frequent & relevant are cmte mtgs?*The Committee met nearly every month, either in person or via webex. Notice of all meetings was given to the public, and the minutes and documents reviewed or prepared by the committee were posted on the web site. At each meeting, the Committee discussed key topics relating to HPSA-MUP designations and necessary for accomplishing the Committee's purpose.
Why advice can't be obtained elsewhere?*The establishment and implementation of this Committee by the Secretary was required under P.L. 111-148.The current Health Professional Shortage Area (HPSA) criteria date back to 1978. By statute, an area, population or facility must have a HPSA designation to be eligible to apply for placement of National Health Service Corps (NHSC) personnel. The current Medically Underserved Population (MUP) criteria date back to 1975, when they were issued to implement legislation enacted in 1973 and 1974 establishing grants to support Health Maintenance Organizations (HMOs) and Community Health Centers (CHCs) serving medically underserved populations. Since the time that designations of MUPs and HPSAs were first required by statute in connection with the NHSC and Community Health Center programs, additional programs have also been required by statute to use these designations. These include certification by the Centers for Medicare and Medicaid Services (CMS) of Rural Health Clinics (RHCs) located within rural areas that are HPSAs or MUPs, and the CMS Medicare Incentive Program, which provides higher reimbursement for physician services delivered in HPSAs. CMS also certifies as Federally Qualified Health Centers (FQHCs), organizations that do not receive HRSA grants but serve an MUP and otherwise meet the definition of a Health Center under Section 330 of the PHS Act. Over the years there has been an evolution, both in the types of requests for HPSA or MUP designation received, and in the methods for application of the established criteria. Beyond the relatively simple geographic area requests, such as for whole counties and rural subcounty areas, increasingly more requests have been made for urban neighborhood and population group designations. The availability of census data on poverty, race, and ethnicity at the census tract level has enabled the delineation of urban service areas based on their economic and race/ethnicity characteristics. Areas with concentrations of poor, minority and/or linguistically isolated populations have achieved area or population group HPSA designations based on their limited access to physicians adequately serving other parts of their metropolitan areas. As a result, the conceptual distinction between HPSA and MUP designations has become less apparent. However, while the HPSAs are required by statute to be updated on a regular basis, no such statutory requirement exists for MUPs, with the result that many MUP designations are now significantly outdated. It is important that the list of designated MUPs, which is used by a variety of Federal programs, be reasonably current, and that the criteria used for these designations reflect underservice indicators currently relevant and available (and the currently prevailing range of values of those indicators), rather than being limited to those indicators that were available in the 1970s (and the range of indicator values then prevailing). For these reasons, consideration has been given to the development of a revised, more coordinated MUP and HPSA designation methodology and procedure that would, at a minimum, define consistently the indicators used for both designation types; clarify the distinctions between MUPs and HPSAs; and update both types of designation on a regular, simultaneous basis. Given the extensive numbers of comments received during the previous two attempts to do this using standard rulemaking procedures, the use of negotiated rulemaking by the Committee is necessary.
Why close or partially close meetings?N/A
Recommendation RemarksReport submitted to the Secretary on October 19, 2011. Email for one member not available.
Hide Section - PERFORMANCE MEASURES

PERFORMANCE MEASURES

Outcome Improvement To Health Or Safety*NoAction Reorganize Priorities*No
Outcome Trust In GovernmentNoAction Reallocate ResourcesNo
Outcome Major Policy ChangesYesAction Issued New RegulationsNo
Outcome Advance In Scientific ResearchNoAction Proposed LegislationNo
Outcome Effective Grant MakingNoAction Approved Grants Or Other PaymentsNo
Outcome Improved Service DeliveryNoAction OtherNo
Outcome Increased Customer SatisfactionNoAction Comment
Outcome Implement Laws/Reg RequirementsYesGrants Review*No
Outcome OtherNoNumber Of Grants Reviewed 
Outcome CommentNumber Of Grants Recommended 
Cost Savings*Unable to DetermineDollar Value Of Grants Recommended 
Cost Savings CommentThis negotiated rulemaking process will eliminate the need for further attempts at revising the HPSA-MUP designations through the regular rulemaking process which can be lengthy and extensive.Grants Review Comment
Number Of Recommendations*1Access Contact Designated Fed. Officer*Yes
Number Of Recommendations CommentThe Committee will make one recommendation to the Agency in the form of a final committee report containing a proposed rule with a revised methodology, criteria and process for HPSA-MUP designations. This report may contain separate recommendations on areas the committee did reach consensus even if they do not reach consensus on the entire report.Access Agency WebsiteYes
% of Recs Fully Implemented*100.00%Access Committee WebsiteYes
% of Recs Fully Implemented CommentIf the Committee reaches consensus on some or all aspects of a proposed revised rule, the Committee will recommend, through the HRSA Administrator, that the Secretary adopt the Committee’s consensus as the basis for an Interim Final rule to be published in the Federal Register. If there is not full consensus, the report will include those items on which there is consensus and other comments and recommmendations, which the Secretary may take into account in developing the regulationsAccess GSA FACA WebsiteNo
% of Recs Partially Implemented*0.00%Access PublicationsYes
% of Recs Partially Implemented CommentAny recommendations from the Committee, if the Committee reaches consensus on some or all aspects of a proposed revised rule, will be fully implemented by the Agency as the basis for an Interim Final rule to be published in the Federal Register. If there is not full consensus, the report will include those items on which there is consensus and other comments and recommmendations, which the Secretary may take into account in developing the regulationsAccess OtherNo
Agency Feedback*YesAccess CommentN/A
Agency Feedback Comment*The Agency provides feedback to the Committee through the Designated Federal Officer and member on the Committee. The DFO attended each Committee meeting, and endeavored to ensure that all procedures are within applicable statutory, regulatory, and HHS General Administration Manual directives. The DFO also reported on areas where the agency had particular concernsNarrative Description*It is the mission of HRSA to improve and achieve health equity through access to quality care and services, a skilled health workforce and innovative programs. The Committee’s purpose of developing a new rule containing a revised methodology, criteria and process for HPSA-MUP designations directly support’s HRSA’s mission. HPSA and MUP designations are used by a number of federal programs including those involving health clinics, community health centers, health professional training and health professional scholarships. By developing a new rule which is current and relevant, the Committee will heavily impact the achievement of health equity.
Hide Section - COSTS

COSTS

Payments to Non-Federal Members*$0.00Est Payments to Non-Fed Members Next FY*$0.00
Payments to Federal Members*$830.00Est. Payments to Fed Members Next FY*$0.00
Payments to Federal Staff*$3,000.00Estimated Payments to Federal Staff*$0.00
Payments to Consultants*$800.00Est. Payments to Consultants Next FY*$0.00
Travel Reimb. For Non-Federal Members*$60,000.00Est Travel Reimb Non-Fed Members nextFY*$0.00
Travel Reimb. For Federal Members*$0.00Est Travel Reimb For Fed Members*$0.00
Travel Reimb. For Federal Staff*$0.00Est. Travel Reimb to Fed Staff Next FY*$0.00
Travel Reimb. For Consultants*$2,000.00Est Travel Reimb to Consultants Next FY*$0.00
Other Costs$0.00Est. Other Costs Next FY*$0.00
Total Costs$66,630.00Est. Total Next FY*$0.00
Federal Staff Support (FTE)*1.00Est. Fed Staff Support Next FY*0.00
Cost RemarksEst Cost Remarks
Hide Section - Interest Areas

Interest Areas

No interest areas selected for this committee.
Hide Section - MEMBERS,MEETINGS AND ADVISORY REPORTS

MEMBERS,MEETINGS AND ADVISORY REPORTS

To View all the members, meetings and advisory reports for this committee please click here
Hide Section - CHARTERS AND RELATED DOCS

CHARTERS AND RELATED DOCS

No Documents Found
Hide Section - DATA FROM PREVIOUS YEARS

DATA FROM PREVIOUS YEARS

Committee

Data from Previous Years

 
ActionCommittee System IDCommittee NameFiscal Year
 COM-008059Negotiated Rulemaking Committee on Designation of Medically Underserved Populations and Health Professional Shortage Areas2011
 COM-009099Negotiated Rulemaking Committee on Designation of Medically Underserved Populations and Health Professional Shortage Areas2010