38264 Federal Register / Vol. 84, No. 151 / Tuesday, August 6, 2019 / Notices IHS or pass-through entity all violations (301) 594–0899, Email: Paul.Gettys@ activities in the Epidemiology Program of federal criminal law involving fraud, ihs.gov. for American Indian/Alaska Native (AI/ bribery, or gratuity violations AN) Tribes and Urban Indian VIII. Other Information potentially affecting the federal award. communities. This program is funded Submission is required for all The Public Health Service strongly by the Office of the Assistant Secretary, applicants and recipients, in writing, to encourages all grant, cooperative HHS, is authorized under the statutory the IHS and to the HHS Office of agreement and contract recipients to earmark for minority AIDS prevention Inspector General all information provide a smoke-free workplace and and treatment activities, and is to be related to violations of federal criminal promote the non-use of all tobacco carried out pursuant to Title III of the law involving fraud, bribery, or gratuity products. In addition, Public Law 103– Public Service Act. The funding is being violations potentially affecting the 227, the Pro-Children Act of 1994, made available through an intra- federal award. 45 CFR 75.113. prohibits smoking in certain facilities Departmental Delegation of Authority Disclosures must be sent in writing to: (or in some cases, any portion of the (IDDA) to award specific funding for U.S. Department of Health and Human facility) in which regular or routine fiscal year (FY) 2019. This program is Services, Indian Health Service, education, library, day care, health care, described in the Assistance Listings Division of Grants Management, ATTN: or early childhood development located at https://beta.sam.gov (formerly Mr. Robert Tarwater, Director, 5600 services are provided to children. This known as Catalog of Federal Domestic Fishers Lane, Mail Stop: 09E70, is consistent with the HHS mission to Assistance) under 93.231. protect and advance the physical and Rockville, MD 20857 (Include Background ‘‘Mandatory Grant Disclosures’’ in mental health of the American people. The Tribal Epidemiology Center (TEC) subject line), Office: (301) 443–5204, Dated: July 31, 2019. program was authorized by Congress in Fax: (301) 594–0899, Email: Michael D. Weahkee, 1996 as a way to provide public health [email protected]. Assistant Surgeon General, U.S. Public Health support to multiple Tribes and Urban And, Service, Principal Deputy Director, Indian Indian communities in each of the IHS U.S. Department of Health and Health Service. Areas. Only current TEC grantees are Human Services, Office of Inspector [FR Doc. 2019–16760 Filed 8–5–19; 8:45 am] eligible to apply for the competing General, ATTN: Mandatory Grant BILLING CODE 4165–16–P supplemental funding under this Disclosures, Intake Coordinator, 330 announcement and must demonstrate Independence Avenue SW, Cohen that they have complied with previous Building, Room 5527, Washington, DC DEPARTMENT OF HEALTH AND terms and conditions of the TEC 20201, URL: https://oig.hhs.gov/fraud/ HUMAN SERVICES program. report-fraud/, (Include ‘‘Mandatory The Office of Infectious Disease and Indian Health Service Grant Disclosures’’ in subject line), Fax: HIV/AIDS Policy (OIDP) is located (202) 205–0604 (Include ‘‘Mandatory within the Office of the Assistant Grant Disclosures’’ in subject line) or Division of Epidemiology and Disease Prevention; Epidemiology Program for Secretary for Health HHS. The OIDP has Email: MandatoryGranteeDisclosures@ directed the IHS to make awards to oig.hhs.gov. American Indian/Alaska Native Tribes and Urban Indian Communities Ending conduct projects and activities in Failure to make required disclosures the HIV Epidemic in Indian Country support of the Ending the HIV can result in any of the remedies Epidemic: A Plan for America initiative described in 45 CFR 75.371 Remedies Announcement Type: Competing (EHE). The purpose of MHAF is to for noncompliance, including Supplement. reduce new HIV infections, improve suspension or debarment (See 2 CFR Funding Announcement Number: HIV-related health outcomes, and to parts 180 & 376 and 31 U.S.C. 3321). HHS–2019–IHS–EPI–0002. reduce HIV-related health disparities for Assistance Listing (Catalog of Federal VII. Agency Contacts racial and ethnic minority communities Domestic Assistance or CFDA) Number: by supporting innovation, collaboration, 1. Questions on the programmatic 93.231. and the integration of best practices, issues may be directed to: Ms. Lisa C. Key Dates effective strategies, and promising Neel, Public Health Advisor, Office of emerging models in the response to HIV Public Health Support, Division of Application Deadline Date: among minority communities. Epidemiology & Disease Prevention, September 5, 2019. Current data on the burden of HIV in Indian Health Service, 5600 Fishers Earliest Anticipated Start Date: the United States (U.S.) tells us where Lane, Mailstop: 09E17B, Rockville, MD September 30, 2019. HIV transmission occurs more 20857, Phone: (301) 443–4305, Email: I. Funding Opportunity Description frequently than other jurisdictions. In [email protected]. 2016 and 2017, more than 50% of new 2. Questions on grants management Statutory Authority HIV diagnoses occurred in 48 counties and fiscal matters may be directed to: The Indian Health Service (IHS) and the jurisdictions of Washington, Mr. John Hoffman, Senior Grants Office of Public Health Support, District of Columbia (DC) and San Juan, Management Specialist, 5600 Fishers Division of Epidemiology and Disease Puerto Rico. In addition, seven states Lane, Mail Stop: 09E70, Rockville, MD Prevention (DEDP), in partnership with have a substantial rural burden 20857, Phone: (301) 443–2116, Fax: the IHS Office of Clinical and reflecting more than 75 cases and 10% (301) 594–0899, Email: John.Hoffman@ Preventive Services (OCPS) National or more of their diagnoses in rural areas. ihs.gov. Human Immunodeficiency Virus (HIV) Our national investments in HIV for 3. Questions on systems matters may & Viral Hepatitis C (HCV) Program and nearly four decades have shown be directed to: Mr. Paul Gettys, Grant the U.S. Department of Health and remarkable results in preventing new Systems Coordinator, 5600 Fishers Human Services (HHS) Minority HIV/ infections, improving health outcomes, Lane, Mail Stop: 09E70, Rockville, MD AIDS Fund (MHAF) is accepting and reducing deaths in hundreds of 20857, Phone: (301) 443–2114; or the applications for competitive thousands of Americans. Despite this, DGM main line (301) 443–5204, Fax: supplemental funds to enhance progress has plateaued and additional VerDate Sep<11>2014 19:21 Aug 05, 2019 Jkt 247001 PO 00000 Frm 00063 Fmt 4703 Sfmt 4703 E:\FR\FM\06AUN1.SGM 06AUN1 jbell on DSK3GLQ082PROD with NOTICES Federal Register / Vol. 84, No. 151 / Tuesday, August 6, 2019 / Notices 38265 effort is needed to ensure that all jurisdictions. The utilization of the although co-infection prevalence varies affected groups derive benefit equally. MHAF for this funding announcement substantially according to HIV-infected Some groups, like American Indian/ given its mission and goals, is a critical risk group (e.g., men who have sex with Alaska Native, African American and building block in this effort and reflects men (MSM), high-risk heterosexuals, Latino gay and bisexual men, our decision to act now. and persons who inject drugs).567 As transgender individuals, or people HHS recently developed a set of HCV is a bloodborne virus primarily living in the South, have a higher critical health priorities for the nation transmitted through direct contact with burden of HIV and experience health known as ‘‘Leading Health Indicators’’ the blood of an infected person, disparities at each stage of the HIV care (or LHIs) that are a call to action in coinfection with HIV and HCV is continuum. Southern states today critical public health areas. HHS will common (62–80%) among HIV-infected account for an estimated 44% of all use the LHIs to assess the health of the injection-drug users.8910 Although people living with an HIV diagnosis in U.S. population over the next decade, to transmission via injection drug use the U.S.,1 despite having only about facilitate collaboration among diverse remains the most common mode of HCV one-third (37%) of the overall U.S. groups, and to motivate individuals and acquisition in the U.S.,9 sexual population.2 Diagnosis rates for people communities to take action to improve transmission is an important mode of in the South are higher than for their health. The following LHIs also acquisition among certain groups, Americans overall. Eight of the 10 states will be used by policymakers and public including HIV-infected MSM with and all 10 metropolitan statistical areas health professionals to track progress in certain risk factors.11 Data have shown with the highest rates of new HIV local communities as they work toward that HCV disproportionately affects AI/ diagnoses are in the South. In addition meeting these key national health goals: AN people, with HCV-related mortality to the severe burden in the South, (1) Diagnose 95 percent of persons more than double the national rate.12 In nationally there is a high incidence of aged 13 years and older living with HIV a recent IHS survey, almost 50% of the HIV among transgender individuals, who are aware of their HIV infection by AI/AN individuals diagnosed with HCV high-risk heterosexuals, and persons 2025, working from a baseline of 85.8 were born after 1965 and younger than who inject drugs.3 percent in 2016. the targeted birth cohort for HCV As recognized by the President during (2) Treat 95 percent of persons aged screening campaigns (1945–1965, ‘Baby the February 2019 State of the Union 13 years and older via linkage to Boomers’). Untreated HCV can lead to a address, we have an unprecedented appropriate care within one month of myriad of extrahepatic manifestations opportunity to end the HIV epidemic in diagnosis by 2025, working from a and cirrhosis with complications such America.