Federal Register/Vol. 64, No. 181/Monday, September 20, 1999

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50874 Federal Register / Vol. 64, No. 181 / Monday, September 20, 1999 / Notices DEPARTMENT OF HEALTH AND residency training program grants individuals. These letters constitute the HUMAN SERVICES administered by HRSA's Bureau of official notice of designation as a HPSA, Health Professions. rejection of recommendations for HPSA Health Resources and Services Several programs administered by the designation, revision of a HPSA Administration Health Care Financing designation, and/or advance notice of Administration also use the HPSA pending withdrawals from the HPSA Lists of Designated Primary Medical designation. Certain qualified providers list. Designations (or revisions of Care, Mental Health, and Dental Health in HPSAs are eligible for increased designations) are effective as of the date Professional Shortage Areas levels of Medicare and Medicaid of the notification letter from BPHC. reimbursement. AGENCY: Health Resources and Services Proposed withdrawals become effective Administration, HHS. 2. Development of the Designation and only after interested parties in the area affected have been afforded the ACTION: Notice. Withdrawal Lists opportunity to submit additional Criteria for designating HPSAs were SUMMARY: This notice provides lists of information to the BPHC in support of published as final regulations (42 CFR all areas, population groups, and its continued or revised designation. If Part 5) in 1980. Criteria were then no new data are submitted or if the facilities designated as primary medical defined for each of seven health care, mental health, and dental health BPHC review confirms the proposed professional types (primary medical withdrawal, it becomes effective upon professional shortage areas (HPSAs) as care, dental, psychiatric, vision care, of July 30, 1999. HPSAs are designated publication in the Federal Register of a podiatric, pharmacy, and veterinary list of HPSAs that does not include the or withdrawn by the Secretary of Health care). The criteria for correctional and Human Services (HHS) under the proposed withdrawals. facility HPSAs were revised at 54 FR This notice contains three lists of authority of section 332 of the Public 8738 in 1989, and the criteria for Health Service (PHS) Act. designated HPSAs. Each list (primary psychiatric HPSAs were expanded to medical care, mental health, and dental) FOR FURTHER INFORMATION CONTACT: mental health HPSAs at 57 FR 2477 in includes all those areas, population Requests for further information on the 1992. The currently-funded PHS groups, and facilities which were HPSA designations listed below and programs which use the HPSA designated HPSAs as of July 30, 1999. requests for additional designations, designations involve only the primary This notice incorporates the most recent withdrawals, or reinstatement of a medical care, mental health, or dental annual review of designated HPSAs and withdrawn designation should be HPSAs. supersedes the HPSA list published in submitted to Jerilyn A. Thornburg, R.N., Individual requests for designation or the Federal Register on May 30, 1997. M.P.H., Director, Division of Shortage withdrawal of a particular area, The lists below include 2,790 primary Designation, Bureau of Primary Health population group, or a facility as a medical care, 653 mental health, and Care, Health Resources and Services HPSA are received and reviewed 1,157 dental HPSAs. Administration, 4350 East-West continuously by the BPHC. The review Highway, Bethesda, Maryland 20814 process includes routine submission of 3. Format of Lists (301±594±0816). such requests to the appropriate State Each list of designated HPSAs SUPPLEMENTARY INFORMATION: Health Planning and Development (primary medical care, mental health, and dental) is arranged by State. Within 1. Background Agency (SHPDA) and/or a unit of the State Health Department, the Governor, each State, the list is first presented by Section 332 of the PHS Act,42 U.S.C. and other interested organizations and county. If only a portion (or portions) of 254e, provides that the Secretary of HHS individuals for their comments and a county is (are) designated, or if the shall designate HPSAs based on criteria recommendations. Requests regarding county is part of a larger designated established by regulation. HPSAs are primary medical care and mental health service area, or if a population group defined in section 332 to include (1) HPSAs are also submitted to the residing in the county or a facility urban and rural geographic areas, (2) appropriate State medical society for located in the county has been population groups, and (3) facilities comment, and dental HPSA requests are designated, the name of the service area, with shortages of health professionals. submitted to the appropriate State population group, or facility involved is Section 332 further requires that the dental society. listed under the county name. Counties Secretary annually publish a list of the Annually, lists of designated HPSAs which have a geographic HPSA designated geographic areas, population are provided to all designation in addition to one or more groups, and facilities. The list of HPSAs SHPDAs and/or State health facility designations within the county is to be reviewed at least annually and departments, State medical and dental are indicated by a (g) following the revised as necessary. The Health societies and others, together with a county name. Resources and Services request to review and update the data Following the county listing, a list of Administration's (HRSA) Bureau of on which the designations are based. any designated service areas is Primary Health Care (BPHC) has the Emphasis is placed on updating those presented, identifying their component responsibility for designating and designations which are more than three parts-counties, towns, townships, updating HPSAs. years old or where significant changes census tracts (CTs), minor civil Public or private nonprofit entities are relevant to the designation criteria have divisions (MCDs), census county eligible to apply for assignment of occurred. divisions (CCDs), block numbering areas National Health Service Corps (NHSC) Recommendations for possible (BNAs), or magisterial districts, as personnel to provide primary health additions, continuations, revisions or defined by the Bureau of the Census. services in or to these HPSAs. NHSC withdrawals from the HPSA list are Those counties (or parts of counties health professionals with a service reviewed by the BPHC, and the review included in service areas) which are obligation may serve only in federally findings are provided by letter to the classified as nonmetropolitan are designated HPSAs. Programs with agency or individual requesting action indicated by an asterisk (*). clinical training sites located in HPSAs or providing data, with copies to other ``Nonmetropolitan'' refers to those are eligible to receive priority for certain interested organizations and counties not included in the definition VerDate 18-JUN-99 10:51 Sep 17, 1999 Jkt 183247 PO 00000 Frm 00002 Fmt 4701 Sfmt 4701 E:\FR\FM\A20SE3.002 pfrm02 PsN: 20SEN2 Federal Register / Vol. 64, No. 181 / Monday, September 20, 1999 / Notices 50875 of metropolitan areas established by the PRIMARY MEDICAL CARE: Alabama PRIMARY MEDICAL CARE: Alabama Office of Management and Budget (OMB County Listing County Listing Bulletin 94±07 dated July 5, 1994). Following the service area listing, a County Name County Name list of designated population groups (if *Bibb *Marshall any) is presented identifying each group Blount Population Group: Med IndÐMarshall Co and the geographic area wherein it Bullock Mobile Service Area: Bullock-Macon Service Area: Bayou La Batre/Grand Bay resides. Following the population group Butler Service Area: North Mobile listing, a list by name and location of Service Area: Butler/South Lowndes Population Group: Low IncÐNw Mobile any separately designated facilities *Chambers Population Group: Low IncÐCentral Mo- (including prisons, correctional Service Area: La Fayette bile/Prichard institutions, health centers, or hospitals) Population Group: Low IncÐValley Population Group: Low IncÐSe Mobile is presented. *Cherokee *Monroe In addition to the specific listings *Chilton Service Area: Atmore/Century (AL/FL) included in this notice, all Indian tribes *Choctaw Population Group: Low IncÐMonroeville which meet the definition of such tribes *Clarke Montgomery Service Area: Coffeeville Population Group: Low IncÐMontgomery/ in the Indian Health Care Improvement Service Area: Grove Hill/Fulton Prattville Act of 1976, 25 U.S.C. 1603(d), are *Cleburne Morgan automatically designated as population *Coffee Population Group: Low IncÐMorgan Co groups with primary medical care and Population Group: Low IncÐCoffee Co *Perry dental health professional shortages. Colbert *Pickens Service Area: Cherokee *Randolph 4. Future Updates of Lists of Designated *Conecuh Russell HPSAs *Coosa Service Area: Cottonton/Hurtsboro The lists of HPSAs below consist of *Covington Shelby all those which were designated as of Service Area: South Covington St Clair Population Group: Low IncÐNorth Cov- *Sumter July 30, 1999. It should be noted that ington *Talladega additional HPSAs may have been *Crenshaw Population Group: Low IncÐTalladega Co designated by letter since July 30. The *Cullman Facility: FCI Talladega appropriate agencies and individuals Population Group: Low IncÐCullman Co *Tallapoosa have been or will be notified of these Dale Service Area: Camp Hill actions by letter. Population
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