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<REGINFO_RIN_DATA xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" RUN_DATE="2026-04-28-04:00" xsi:noNamespaceSchemaLocation="https://www.reginfo.gov/public/xml/REGINFO_XML_Ver10262011.xsd">
    <RIN_INFO>
        <RIN>0906-AA77</RIN>
        <PUBLICATION>
            <PUBLICATION_ID>200904</PUBLICATION_ID>
            <PUBLICATION_TITLE>Unified Agenda of Federal Regulatory and Deregulatory Actions</PUBLICATION_TITLE>
        </PUBLICATION>
        <AGENCY>
            <CODE>0906</CODE>
            <NAME>Health Resources and Services Administration</NAME>
            <ACRONYM>HRSA</ACRONYM>
        </AGENCY>
        <PARENT_AGENCY>
            <CODE>0900</CODE>
            <NAME>Department of Health and Human Services</NAME>
            <ACRONYM>HHS</ACRONYM>
        </PARENT_AGENCY>
        <RULE_TITLE>Health Center Federal Tort Claims Act (FTCA) Medical Malpractice Program Regulations-Clarification of FTCA Coverage for Services Provided to Non-Health Center Patients</RULE_TITLE>
        <ABSTRACT><![CDATA[The Bureau of Primary Health Care (BPHC) of the Health Resources and Services Administration (HRSA) proposes amending regulations at 42 CFR Part 6 (FTCA Coverage of Certain Grantees and Individuals) to include additional examples of Federal Tort Claims Act (FTCA)-covered activities. Recently, questions have arisen regarding the scope of FTCA regulations as they affect medical malpractice coverage for FTCA-deemed health centers and non-health center patients.  

Section 6.6(e) of the Health Center FTCA Program regulations provides examples of situations within the scope of section 6.6(d) (which authorizes FTCA medical malpractice coverage for non-health center patients). These examples include certain community-wide interventions and hospital-related activities where the health centers health care practitioners will be covered for services provided to non-health center patients.  

To ensure that deemed health center providers are covered by the FTCA for services provided to non-health center patients in individual emergency situations, HRSA proposes adding an additional example of a situation where a health center provider would be covered under the FTCA for services provided to a non-health center patient.  Specifically, the example that we propose be added as 42 CFR 6.6(e)(4) is:

'A health center provider is acting to provide care to a health center patient (and such care is part of the approved scope of project of the center) and the provider is then asked, as the result of a non-health center patients emergency situation, to temporarily treat or assist in treating that non-health center patient at that location.  The health center has documentation (such as employee manual provisions, health center bylaws, or employee contract) that the provision of individual emergency treatment (when the practitioner is already on-site acting to provide care to health center patients) is a condition of employment at the health center.'

In addition, we propose that some additional examples previously provided in a September 25, 1995 Federal Register Notice (Vol. 60, pp. 49417-8) be added to the examples in the regulations.  The examples relate to community-wide interventions, hospital-related activities, and coverage-related activities. 

We plan to provide at least a 60-day comment period.]]></ABSTRACT>
        <PRIORITY_CATEGORY>Other Significant</PRIORITY_CATEGORY>
        <RIN_STATUS>First Time Published in The Unified Agenda</RIN_STATUS>
        <RULE_STAGE>Proposed Rule Stage</RULE_STAGE>
        <MAJOR>No</MAJOR>
        <UNFUNDED_MANDATE_LIST>
            <UNFUNDED_MANDATE>No</UNFUNDED_MANDATE>
        </UNFUNDED_MANDATE_LIST>
        <CFR_LIST>
            <CFR>42 CFR 6</CFR>
        </CFR_LIST>
        <LEGAL_AUTHORITY_LIST>
            <LEGAL_AUTHORITY>42 USC 233</LEGAL_AUTHORITY>
        </LEGAL_AUTHORITY_LIST>
        <LEGAL_DLINE_LIST/>
        <RPLAN_ENTRY>No</RPLAN_ENTRY>
        <TIMETABLE_LIST>
            <TIMETABLE>
                <TTBL_ACTION>NPRM</TTBL_ACTION>
                <TTBL_DATE>11/00/2009</TTBL_DATE>
            </TIMETABLE>
        </TIMETABLE_LIST>
        <RFA_REQUIRED>No</RFA_REQUIRED>
        <SMALL_ENTITY_LIST>
            <SMALL_ENTITY>No</SMALL_ENTITY>
        </SMALL_ENTITY_LIST>
        <GOVT_LEVEL_LIST>
            <GOVT_LEVEL>None</GOVT_LEVEL>
        </GOVT_LEVEL_LIST>
        <FEDERALISM>No</FEDERALISM>
        <ENERGY_AFFECTED>No</ENERGY_AFFECTED>
        <PRINT_PAPER>No</PRINT_PAPER>
        <INTERNATIONAL_INTEREST>No</INTERNATIONAL_INTEREST>
        <AGENCY_CONTACT_LIST>
            <CONTACT>
                <FIRST_NAME>Shannon</FIRST_NAME>
                <LAST_NAME>Dunne-Faltens</LAST_NAME>
                <TITLE>Branch Chief, Bureau of Primay Health Care, Office of Policy and Progam Development</TITLE>
                <AGENCY>
                    <CODE>0906</CODE>
                    <NAME>Health Resources and Services Administration</NAME>
                    <ACRONYM>HRSA</ACRONYM>
                </AGENCY>
                <PHONE>301 594-4300</PHONE>
                <FAX>301 594-4997</FAX>
                <EMAIL>sdunne-faltens@hrsa.gov</EMAIL>
                <MAILING_ADDRESS>
                    <STREET_ADDRESS>Room 17C-10, 5600 Fishers Lane,</STREET_ADDRESS>
                    <CITY>Rockville</CITY>
                    <STATE>MD</STATE>
                    <ZIP>20857</ZIP>
                </MAILING_ADDRESS>
            </CONTACT>
        </AGENCY_CONTACT_LIST>
    </RIN_INFO>
</REGINFO_RIN_DATA>
