Voglio sapere a riguardo di…

56180

Federal Register / Vol. 86, No. 192 / Thursday, October 7, 2021 / Rules and Regulations
determines, except that this provision may be waived by the Secretary for good cause shown.
2 Composition. The committee shall include individuals broadly representative of the population or community for which the materials are intended in terms of demographic factors such as race, ethnicity, color, national origin, disability, sex, sexual orientation, gender identity, sex characteristics, age, marital status, income, geography, and including but not limited to individuals who belong to underserved communities, such as Black, Latino, and Indigenous and Native American persons, Asian Americans and Pacific Islanders and other persons of color; members of religious minorities; lesbian, gay, bisexual, transgender, and queer LGBTQ+ persons; persons with disabilities; persons who live in rural areas; and persons otherwise adversely affected by persistent poverty or inequality.
3 Function. In reviewing materials, the Advisory Committee shall:
i Consider the educational, cultural, and diverse backgrounds of individuals to whom the materials are addressed;
ii Consider the standards of the population or community to be served with respect to such materials;
iii Review the content of the material to assure that the information is factually correct, medically accurate, culturally and linguistically appropriate, inclusive, and trauma informed;
iv Determine whether the material is suitable for the population or community to which is to be made available; and v Establish a written record of its determinations.

lotter on DSK11XQN23PROD with RULES3

59.7 What criteria will the Department of Health and Human Services use to decide which family planning services projects to fund and in what amount?

a Within the limits of funds available for these purposes, the Secretary may award grants for the establishment and operation of those projects which will in the Departments judgment best promote the purposes of section 1001 of the Act, taking into account:
1 The number of clients, and, in particular, the number of low-income clients to be served;
2 The extent to which family planning services are needed locally;

VerDate Sep<11>2014

22:06 Oct 06, 2021

Jkt 256001

3 The ability of the applicant to advance health equity;
4 The relative need of the applicant;
5 The capacity of the applicant to make rapid and effective use of the federal assistance;
6 The adequacy of the applicants facilities and staff;
7 The relative availability of nonfederal resources within the community to be served and the degree to which those resources are committed to the project; and 8 The degree to which the project plan adequately provides for the requirements set forth in these regulations.
b The Secretary shall determine the amount of any award on the basis of an estimate of the sum necessary for the performance of the project. No grant may be made for less than 90 percent of the projects costs, as so estimated, unless the grant is to be made for a project which was supported, under section 1001, for less than 90 percent of its costs in fiscal year 1975. In that case, the grant shall not be for less than the percentage of costs covered by the grant in fiscal year 1975.
c No grant may be made for an amount equal to 100 percent for the projects estimated costs.
59.8

How is a grant awarded?

a The notice of grant award specifies how long HHS intends to support the project without requiring the project to recompete for funds. This anticipated period will usually be for three to five years.
b Generally, the grant will initially be for one year and subsequent continuation awards will also be for one year at a time. A recipient must submit a separate application to have the support continued for each subsequent year. Decisions regarding continuation awards and the funding level of such awards will be made after consideration of such factors as the recipients progress and management practices and the availability of funds. In all cases, continuation awards require a determination by HHS that continued funding is in the best interest of the government.
c Neither the approval of any application nor the award of any grant commits or obligates the United States in any way to make any additional, supplemental, continuation, or other award with respect to any approved
PO 00000

Frm 00038

Fmt 4701

Sfmt 9990

application or portion of an approved application.
59.9 For what purpose may grant funds be used?

Any funds granted under this subpart shall be expended solely for the purpose for which the funds were granted in accordance with the approved application and budget, the regulations of this subpart, the terms and conditions of the award, and the applicable cost principles prescribed in 45 CFR part 75.
59.10

Confidentiality.

a All information as to personal facts and circumstances obtained by the project staff about individuals receiving services must be held confidential and must not be disclosed without the individuals documented consent, except as may be necessary to provide services to the patient or as required by law, with appropriate safeguards for confidentiality. Otherwise, information may be disclosed only in summary, statistical, or other form which does not identify particular individuals.
Reasonable efforts to collect charges without jeopardizing client confidentiality must be made. Recipient must inform the client of any potential for disclosure of their confidential health information to policyholders where the policyholder is someone other than the client.
b To the extent practical, Title X
projects shall encourage family participation.3 However, Title X projects may not require consent of parents or guardians for the provision of services to minors, nor can any Title X project staff notify a parent or guardian before or after a minor has requested and/or received Title X family planning services.
59.11

Additional conditions.

The Secretary may, with respect to any grant, impose additional conditions prior to, at the time of, or during any award, when in the Departments judgment these conditions are necessary to assure or protect advancement of the approved program, the interests of public health, or the proper use of grant funds.
FR Doc. 202121542 Filed 10421; 4:15 pm BILLING CODE 415030P
3 42

E:FRFM07OCR3.SGM

U.S.C. 300a.

07OCR3