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| HHS/HRSA | RIN: 0906-AA44 | Publication ID: Spring 2010 |
| Title: Designation of Medically Underserved Populations and Health Professional Shortage Areas | |
| Abstract: This rule would consolidate the processes for designating health professional shortage areas (HPSAs) and medically underserved areas and populations (MUA/MUPs) that apply in several Department programs, and would improve the criteria for designating MUA/Ps and Primary Care HPSAs. An NPRM was published on September 1, 1998, but due to the extensive comments received, another notice was published on June 3, 1999 announcing a decision to develop and publish a revised NPRM for public comment. The second NPRM was published on February 29, 2008, with the comment period extended twice (first on April 21, 2008, and again on June 2, 2008). Substantial comments were received that must be reviewed and considered. A Federal Register Notice published on July 23, 2008, announced an Agency decision to carefully review these comments, develop a modified proposal, and publish another NPRM at a future date. Options are currently under development and consideration. A variety of Federal and State programs target resources to underserved populations using MUA/Ps and/or HPSAs. Statutory citations referenced above provide the legal foundation for the existing designations. While there is no statutory requirement to update MUA/P designations, there is such a requirement to update HPSAs. As a result, many MUA/Ps have not been updated, in some cases for over 20 years, and therefore may not reflect current conditions in many of these cases. However, to update these designations properly would likely involve revisions to the current methodologies to reflect changes in the prevailing values of the indicators and availability of data on other indicators of underservice. Alternatives are to continue to use the existing methodologies or develop another new approach for one or the other. Processing costs are anticipated to be minimal, in part because the infrastructure is already in place for the designation process, and it would simply involve implementing a different methodology. | |
| Agency: Department of Health and Human Services(HHS) | Priority: Other Significant |
| RIN Status: Previously published in the Unified Agenda | Agenda Stage of Rulemaking: Long-Term Actions |
| Major: No | Unfunded Mandates: No |
| CFR Citation: 42 CFR 5 42 CFR 51c (To search for a specific CFR, visit the Code of Federal Regulations.) | |
| Legal Authority: 42 USC 254b 42 USC 254e | |
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Legal Deadline:
None |
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Timetable:
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| Regulatory Flexibility Analysis Required: No | Government Levels Affected: None |
| Federalism: No | |
| Included in the Regulatory Plan: No | |
| RIN Data Printed in the FR: No | |
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Agency Contact: Andy Jordan Senior Analyst, Office of Shortage Designation, Bureau of Health Professions Department of Health and Human Services Health Resources and Services Administration Room 8C26, 5600 Fishers Lane, Room 9A-18, Parklawn Building, Rockville, MD 20857 Phone:301 594-0197 Fax:301 443-4370 Email: ajordan@hrsa.gov |
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