Statement of Organization, Functions and Delegations of Authority

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 (DHHS), Health Resources and Services Administration (60

FR 56605 as amended November 6, 1995; as last amended at 62 FR 27613-16

dated May 20, 1997). This notice reflects the establishment of the HIV/

AIDS Bureau and the Office of Special Programs.

The changes are as follows:

I. Delete the Bureau of Health Resources Development, and the AIDS

Program Office (RAA), Office of the Administrator, in its entirety and

replace with the following:

Section RV-00 Mission

The mission of the HIV/AIDS Bureau is to administer national

policies and programs pertaining to HIV infection and acquired immune

deficiency syndrome (AIDS) activities.

Section RV-10 Organization. The HIV/AIDS Bureau (HAB) is headed by

an Associate Administrator who reports directly to the Administrator,

HRSA. The (HAB) includes the following components:

(A) Associate Administrator for HIV/AIDS (RV)

(B) Office of Communications (RV1)

(C) Office of Program Support (RV2)

(D) Office of Policy and Program Development (RV3)

(E) Office of Science & Epidemiology (RV4)

(F) Division of Service Systems (RV5)

(G) Division of Community Based Programs (RV6)

(H) Division of Training and Technical Assistance (RV7)

Section RV-20 Function

A. Associate Administrator, HIV/AIDS Bureau (RV)

Provides leadership and direction for the Agency's HIV/AIDS

programs and activities and oversees their relationship with other

national health programs. Specifically: (1) Coordinates the formulation

of an overall strategy and policy for HRSA AIDS programs; (2)

coordinates the internal functions of the Bureau and its relationships

with other national health programs; (3) establishes HIV/AIDS program

objectives, alternatives, and policy positions consistent with

legislation and broad Administration guidelines; (4) administers the

Agency's HIV/AIDS grants and contracts programs; (5) reviews HIV/AIDS-

related program activities to assure consistency with established

policies; (6) represents the Agency and the Department at HIV/AIDS

related meetings, conferences and task forces; (7) serves as principal

contact and advisor to the Agency, Department, and other parties

concerned with matters relating to planning and development of health

delivery systems relating to HIV/AIDS; (8) develops and administers

operating policies and procedures for the Bureau; (9) directs and

coordinates the Bureau activities in support of the Department/Agency/

Bureau's Affirmative Action and Equal Employment Opportunity programs

by ensuring that all internal employment practices provide an equal

opportunity to all qualified persons and its employment practices do

not discriminate on the basis of race, color, sex, age, handicapping

conditions, national origin, religious or political affiliation,

marital status, and that all external benefits and service oriented

activities relative to the recipients of Federal funds are likewise

addressed in accordance with applicable laws, Executive Orders, DHHS

regulations and policies; and (10) provides direction to the Bureau's

Civil Rights compliance activities.

B. Office of Communications (RV1)

The Office of Communications serves as the Bureau's clearinghouse

on all HIV/AIDS grant and program data and information, directing,

coordinating and managing the preparation and dissemination of

newsletters, program profiles, and reports on the uses of grant funds

and services provided. Specifically: (1) Collects, compiles, and

distributes various data and information on HIV/AIDS health care issues

and programs related to the activities of the Bureau; (2) develops and

provides information materials to HIV/AIDS health program planners,

providers, and consumers to assist in decisionmaking and in effective,

efficient operations; (3) develops and produces in-house communications

to help ensure the understanding of current AIDS issues and Bureau

program activities; (4) maintains information about primary sources of

data and information on the health industry, disease trends, and public

and private programs; (5) fosters and maintains relationships with and

provides a referral service to Federal agencies, State and local

governmental units, and private health and medical organizations with

which the Bureau has mutual interests; (6) provides technical

assistance to Bureau program managers and project officers in

identifying data and information needs and developing information

products; (7) provides technical assistance to Bureau program managers

in information and communications product packaging, desktop

publishing, and media relations; (8) provides Bureau liaison with

HRSA's Office of Communications with respect to information and

communications policy and management, product development, and media

relations; (9) produces reports, articles, briefings, speeches, and

exhibits on Bureau services and on programs directed at the Bureau

service and provider populations; and, (10) utilizes automated methods

and electronic media in carrying out its

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responsibilities including managing and maintaining content of the

Bureau's electronic web site, and liaison with the HRSA webmaster for

technical support and design; and participation, coordination, and

content development in use of technologies such as satellite

transmission and distance learning.

C. Office of Program Support (RV2)

Plans, directs, coordinates, and evaluates Bureau-wide

administrative and management support activities. Specifically: (1)

Serves as the Associate Administrator's principal source for management

and administrative advice and assistance; (2) assists in the

development and administration of policies and procedures which govern

the review and final recommendation for funding to the Associate

Administrator; (3) in cooperation with the Division of Financial

Management, Office of Management and Program Support (OMPS), provides

guidance to the Bureau on financial management activities; (4) in

cooperation with the Office of Human Resources and Development, HRSA,

coordinates personnel activities for the Bureau and advises the

Associate Administrator on the allocation of the Bureau's personnel

resources; (5) in cooperation with the Division of Grants and

Procurement Management, OMPS, conducts all business management aspects

of the review, negotiation, award, and administration of Bureau grants

and cooperative agreements, and coordinates the Bureau's contracts

operations; (6) develops and maintains a system that tracks grant funds

by program, State and grantee and by purpose of grant award; (7)

provides support to field staff as appropriate by program; (8) provides

organization and management analysis for the Bureau, develops policies

and procedures for internal Bureau requirements, and interprets and

implements the Administration's management policies and procedures; (9)

coordinates the Bureau's delegations of authority activities; (10)

manages the Bureau's performance appraisal and employee performance

management systems; (11) provides or arranges for the provision of

support services such as supply management, space management, manual

issuances, forms, records, reports, and supports civil rights

compliance activities; (12) provides direction regarding technological

developments in office management activities; and (13) manages the

Bureau's executive secretariat functions.

D. Office of Policy and Program Development (RV3)

Serves as the Bureau's focal point for planning, legislation, and

related coordination activities including the development and

dissemination of program objectives, alternatives, policy statements

and the formulation and interpretation of program related policies.

Specifically: (1) Advises the Associate Administrator and Division

Directors in the development of plans and legislative proposals to

support Administration goals, and serves as the primary staff unit on

special projects for the Associate Administrator; (2) coordinates with

the Office of Planning, Evaluation, and Legislation (OPEL), HRSA, and

other appropriate offices in the preparation of HIV/AIDS-related

program and legislative proposals, including the preparation of

testimony and related information to be presented to the Congress; (3)

monitors and analyzes HIV/AIDS-related policy and legislative

developments, both within and outside the Department, for their

potential impact on HIV/AIDS activities, and advises the Associate

Administrator on alternative courses of action for responding to such

developments; (4) organizes, guides, and coordinates the Bureau's

program planning and development activities, and prepares the Bureau's

strategic planning agenda; (5) provides staff services and coordinates

activities pertaining to legislative policy and position papers,

including the development of legislative proposals and the analysis of

existing and pending Federal and State legislation to assure the

fullest possible consideration of programmatic requirements in meeting

established departmental, and HRSA goals; (6) maintains liaison with

the Agency, Department, and other agencies, and distributes legislative

materials; (7) participates in the development and coordination of

program policies and implementation plans, including the development,

clearance, and dissemination of regulations, criteria, guidelines, and

operating procedures; (8) serves as the point of contact for the

Agency, developing and coordinating working relationships and conducts

specific joint activities among programs to assure optimum interaction

on related HIV/AIDS activities and to minimize duplication and overlap;

(9) conducts special inquiries and studies with emphasis on

coordinating, managing and/or undertaking special projects which cut

across Office or Division lines and responsibilities; (10) coordinates

Bureau and HRSA comments on HIV/AIDS-related reports, position papers,

legislative proposals, and related issues; (11) coordinates responses

to requests for information received from other OPDIVs of the

Department and from outside the Department; (12) provides program

policy interpretation and technical assistance to other governmental

and private organizations and institutions; and (13) develops and

coordinates performance measures.

E. Office of Science and Epidemiology (RV4)

Serves as the Associate Administrator's principal source on HIV

epidemiologic surveillance, program data collection and evaluation,

medical and biometric research, and the development of new models of

HIV care. The Office coordinates with all HRSA HIV/AIDS programs on the

development and implementation of science and epidemiology activities,

specifically: (1) Develops and directs long and short range scientific

studies; (2) plans, directs, coordinates with OPEL, and administers the

Bureau's annual program evaluation strategy; (3) designs and implements

special scientific studies of the impact and outcomes of Bureau health

care programs; (4) carries out data collection and analysis activities

that document the clients and services of Bureau programs; (5) collects

and maintains information on the costs and quality associated with the

Bureau's health care programs; (6) directs and manages the

implementation and evaluation of priority models of care through the

Special Programs of National Significance (Title XXVI, Part F of the

PHS Act), including developing Program Application and Guidance

documents and site visit and evaluation program review protocols; (7)

formulates and interprets program-related policies; (8) coordinates the

documentation of all science, evaluation, and new models of care

products with HRSA HIV/AIDS programs; (9) coordinates technical

assistance plans and activities with the Division of Training and

Technical Assistance and manages program specific technical assistance;

(10) plans and develops collaborative efforts in the scientific aspects

of Bureau programs with other HHS components, Federal departments,

universities, and other scientific organizations; (11) organizes,

guides and coordinates the Bureau's scientific planning and development

activities in epidemiology, research, and demonstrations; (12) plans

and coordinates Bureau participation in scientific organizations,

including scientific clearance of presentations and articles for

publication; (13) studies and

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analyzes trends in health care, including availability, access

distribution, organization, and financing to determine if the Bureau

activities address current and emerging issues and problems in an

effective, efficient manner; and (14) coordinates and consults with

State and local health departments, other components of the Department,

other Federal agencies and/or outside groups on the implementation of

Office programs.

F. Division of Service Systems (RV5)

Administers Bureau programs and activities and manages funds and

other resources related to the provision of coordinated comprehensive

HIV health care and support services, including reimbursement for

treatment with life-prolonging drugs, for persons with HIV/AIDS.

Specifically: (1) Directs and manages the implementation of Parts A and

B of Title XXVI of the PHS Act including Emergency Relief Grants (Title

I), HIV CARE Grants (Title II), and State AIDS Drug Assistance

programs; (2) provides program implementation proposals and plans, and

the interpretation of legislation and regulations; (3) monitors HIV

services planning and delivery programs in States and Cities and

provides administrative, strategic, and programmatic direction to

grantees to encourage efficient, coordinated treatment of persons with

HIV infection; (4) prepares site visit program review protocols; (5)

develops Program Application and Guidance documents; (6) develops

requirements, guidance and monitors State and territorial programs for

medical therapies established to ensure that these treatments are

integrated into the system of health care services; (7) promotes the

development of State treatment program formularies that include classes

of drugs necessary for the proper treatment of people with HIV

infection; (8) formulates and interprets program-related policies; (9)

coordinates technical assistance plans and activities with the Division

of Training and Technical Assistance and manages program specific

technical assistance; (10) develops and implements a monitoring plan,

including periodic on-site program reviews and assessments of grantee

compliance with the legislation, including their plans and activities

to assure subcontractor compliance; and (11) coordinates and consults

with State and local health departments, other components of the

Department, other Federal agencies and/or outside groups on the

implementation of Division programs.

G. Division of Community Based Programs (RV6)

Administers Bureau programs and activities related to: the

provision of comprehensive health services to persons infected with HIV

in medically underserved areas; demonstrating strategies and innovative

models for organizing and coordinating community based services linked

to research for children, youth and women; coordinating services for

children, youth and women of child-bearing age with HIV infection, HIV/

AIDS; and, assisting dental schools and other eligible institutions

with respect to oral health care to patients with HIV. Specifically:

(1) directs and manages the implementation of Parts C and D of Title

XXVI of the PHS Act including HIV Early Intervention Services Program

(Title III), Grants for Coordinated Services and Access to Research for

Women, Infants, Children, and Youth Program (Title IV), and Part F

Dental Reimbursement; (2) provides program implementation proposals and

plans, and the interpretation of legislation and regulations; (3)

prepares site visit program review protocols; (4) formulates and

interprets program-related policies; (5) develops Program Application

and Implementation Guidance including application kits; (6) coordinates

and consults with State and local health departments, other components

of the Department, other Federal agencies and/or outside groups on the

implementation of Division programs; (7) coordinates technical

assistance plans and activities with the Division of Training and

Technical Assistance and manages program specific technical assistance;

and (8) develops and implements a monitoring plan, including periodic

on-site program reviews and assessments of grantee compliance with the

legislation, including their plans and activities.

H. Division of Training and Technical Assistance (RV7)

Coordinates, designs, directs and administers HIV/AIDS-related

planning, training, technical assistance and extramural authorities and

activities within the Agency. Advises the Associate Administrator on

training and educational activities, pertaining to the administration

of HRSA's HIV/AIDS program. Specifically: (1) Directs and manages the

implementation of the AIDS Education and Training Centers (AETC)

program of the CARE Act, Title XXVI, Part F of the PHS Act; (2)

identifies technical assistance needs and develops technical assistance

packages, conducts programs, meetings and activities to meet such

needs; (3) convenes consultation meetings with grantees, providers,

representatives of professional and political organizations, and

advocacy groups; (4) develops Program Application and Guidance

documents for the AETC program; (5) develops and manages mechanisms and

resources to address technical assistance needs and support Division/

Bureau technical assistance plans and programs; (6) provides logistical

support to the objective review process; (7) prepares site visit

program review protocols; (8) formulates and interprets program-related

policies; (9) coordinates and manages the Bureau's HIV-related managed

care activities; (10) serves as the Bureau's focal point for advising

and coordinating with advisory committees and other external

organizations on policies regarding health care delivery and HIV/AIDS

prevention, treatment, education and technical assistance; (11)

develops outreach activities to assure that target populations are

aware of the benefits and availability of HRSA HIV/AIDS programs; (12)

provides program implementation proposals and plans, and the

interpretation of legislation and regulations; (13) coordinates and

consults with State and local health departments, other components of

the Department, other Federal agencies and/or outside groups on the

implementation of Division programs; and (14) develops and implements a

monitoring plan, including periodic on-site program reviews and

assessments of grantee compliance with the legislation, including their

plans and activities.

II. Establish the Office of Special Programs (RR) as follows:

Section RR-00 Mission

Section RR-10 Organization

Section RR-20 Function

Section RR-00 Mission

The Office of Special Programs (OSP) serves as the Agency's

principal focal point for administering Federal policy and programs

pertaining to health care facilities, and activities associated with

organ donations, procurements, and transplantation.

Section RR-10 Organization

The OSP is headed by the Director, who reports directly to the

Administrator, HRSA, and includes the following components:

(A) Director, Office of Special Programs (RR)

(B) Division of Transplantation (RR1)

(C) Division of Facilities Compliance and Recovery (RR2)

(D) Division of Facilities and Loans (RR3)

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Section RR-20 Function

A. Director, Office of Special Programs (RR)

Provides the overall leadership and direction for programs related

to the procurement and transplantation of organs, facilities'

compliance with the reasonable volume of uncompensated care assurance

and the administration of loan, loan guarantee and interest subsidy

programs for health care facilities.

B. Division of Transplantation (RR1)

Plans, directs, coordinates, and monitors a broad range of

activities relating to the field of organ procurement and

transplantation. Specifically: (1) Develops, implements, and maintains

a program of grants to organ procurement organizations (OPO's); (2)

provides technical assistance to OPO's receiving Federal funds; (3)

establishes and maintains an Organ Procurement and Transplantation

Network; (4) establishes and maintains a scientific registry for organ

transplantation recipients; (5) administers and monitors the contracts

governing the National Marrow Donor Program; (6) conducts a program of

public information to inform the public of the need for organ

donations; (7) monitors trends and analyzes data on the efficiency and

effectiveness of organ procurement, bone marrow donation, the

allocation of organs among transplant centers and transplant patients,

and on other aspects of organ transplantation, and prepare reports as

needed; (8) coordinates collection of information with other units of

the Federal Government concerned with organ and bone marrow recovery

and transplantation (e.g., the National Center for Health Services

Research and Health Care Technology Assessment, the Health Care

Financing Administration, the National Institutes of Health, the

Department of the Navy, the Food and Drug Administration, and the

Centers for Disease Control and Prevention); (9) maintains working

relationships with State activities and professional organizations in

the field of organ transplantation; (10) maintains and fosters new

relationships with public and private organizations (e.g., the North

American Transplant Coordination Organization, the American Hospital

Association, the American Society of Transplant Surgeons, and the

American Society of Transplant Physicians) to promote the concepts of

organ and bone marrow donation, to follow trends in organ procurement,

and to maintain working knowledge of clinical status of organ and bone

marrow transplantation; (11) develops and provides information on organ

and bone marrow recovery and transplantation for professional

associations, health providers, consumers, health insurers, medical

societies, State health departments, and the general public; and, (12)

provides program policy interpretation and technical assistance to

other governmental and private organizations and institutions.

C. Division of Facilities Compliance and Recovery (RR2)

The Division substantiates health facilities' compliance with the

reasonable volume of uncompensated care assurance. Specifically: (1)

Establishes, develops, and monitors the implementation of regulations,

policies, procedures, and guidelines for use by regional staff and

health care facilities in ascertaining that assurances are met; (2)

plans and directs the development of regulations and program guidelines

for administering grant support for health care, health professions

education, and nurse training facilities; (3) provides technical

assistance and training, and conducts evaluations to ensure nationwide

consistency in program administration; (4) maintains a system for

receipt, analysis and disposition of audit appeals by obligated

facilities; (5) maintains a system for receiving and responding to

patient complaints and for their analysis, evaluation and disposition;

(6) develops and initiates monitoring activities necessary to ensure

enforcement of provisions regarding the reasonable volume assurance;

(7) coordinates its activities with other components of the Bureau,

HRSA, and other departmental components; and (8) provides program

policy interpretation and technical assistance to other governmental

and private organizations and institutions.

D. Division of Facilities and Loans (RR3)

The Division plans and directs the development of regulations and

program guidelines for administering loan, loan guarantee and interest

subsidy program for health care facilities. Specifically: (1) Develops

regulations, policy and procedures for administering loan and loan

guarantee with interest subsidy programs; (2) administers the HHS

responsibility for facility construction, renovation, and modification

as described in interagency memoranda of agreement; (3) provides

overall consultation and guidance on factors affecting future national

requirements in specific types of facilities, geographic distribution

and facilities utilization; (4) maintains an automated data system for

the issuance of periodic and special reports and for the manipulation

of institution specific data in performing tests for financial

feasibility; (5) assists in the evaluation and analysis of applications

for construction under assigned grant programs; (6) reviews and

recommends action on: (a) proposals for new health facilities or

additions to or modernization of existing facilities under loan

programs assigned to the Division, (b) requests for mortgage relief,

such as forbearance of principal and/or interest payment, suspension of

sinking fund deposits, modifications of loan terms, etc., and (c)

requests for recovery and/or waiver of repayment of Federal loan funds;

(7) provides advice and guidance to regional staff on statutory and

regulatory provisions and policy and procedures for administering

programs assigned to the Division; (8) maintains liaison with and

coordinates its activities and jointly develops pertinent programmatic

materials with other components of the Bureau, HRSA, HHS, other

concerned Federal agencies, and with private lending institutions and

associations; and (9) provides program policy interpretation and

technical assistance to other governmental and private organizations

and institutions.

III. Delete the following functions: A. In the Maternal and Child

Health Bureau, in item #7 of the mission statement, delete the words

``Pediatric AIDS''; this function has been placed in the HIV/AIDS

Bureau. In the functional statement for the Office of the Director, in

item #7, delete the statement ``a demonstration program in Pediatric

AIDS, and a national service demonstration program for the treatment

and prevention of AIDS in persons with hemophilia''; these functions

have been placed in the HIV/AIDS Bureau. Under the Division of Services

for Children with Special Needs, delete item #10, and renumber the

remaining items in sequence;

B. In the Bureau of Health Professions, Division of Medicine,

delete item #12 and place the word ``and'' before the number 11; this

function has been placed in the HIV/AIDS Bureau; and,

C. In the Bureau of Primary Health Care, Division of Programs for

Special Populations, in item #1 of the functional statement, delete the

word ``AIDS''; this function has been placed in the HIV/AIDS Bureau.

Section RV-30 Delegation of Authority

All delegations and redelegations of authority which were in effect

immediately prior to the effective date hereof have been continued in

effect in

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them or their successors pending further redelegations.

This reorganization is effective upon date of signature.

Dated: August 7, 1997.

Claude Earl Fox,

Acting Administrator.

[FR Doc. 97-21290 Filed 8-11-97; 8:45 am]

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