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Federal Register / Vol. 71, No.

15 / Tuesday, January 24, 2006 / Notices 3849

2006 POVERTY GUIDELINES FOR these terms, traceable to the different potential to change prior
HAWAII—Continued laws and regulations that govern the recommendations including inactive
various programs. Therefore, questions ones; and, potential for greatest Task
Poverty about how a particular program applies Force impact (e.g., clinical controversy,
Persons in family unit guideline the poverty guidelines (e.g., Is income practice does not reflect evidence,
before or after taxes? Should a particular inappropriate timing in delivery of
8 ............................................ 38,640 type of income be counted? Should a services). The USPSTF will prioritize
For family units with more than 8 persons, particular person be counted in the topics for which there is a performance
add $3,910 for each additional person. family or household unit?) should be gap and the potential to significantly
Separate poverty guideline figures for directed to the organization that improve clinical practice. Individuals
Alaska and Hawaii reflect Office of administers the program. and organizations may nominate new
Economic Opportunity administrative Dated: January 18, 2006. topics or topics previously reviewed by
practice beginning in the 1966–1970 Michael O. Leavitt, the USPSTF.
period. (Note that the Census Bureau Basic Topic Nomination
Secretary of Health and Human Services.
poverty thresholds—the version of the Requirements: Nominations must be no
[FR Doc. 06–624 Filed 1–20–06; 8:45 am] more than 500 words in length and must
poverty measure used for statistical BILLING CODE 4151–05–P
purposes—have never had separate include the following information.
figures for Alaska and Hawaii). The Nominations may include an appendix
poverty guidelines are not defined for that contains references and supporting
DEPARTMENT OF HEALTH AND
Puerto Rico or other outlying documents (not included in word
HUMAN SERVICES
jurisdictions. In cases in which a count).
Federal program using the poverty Agency for Healthcare Research and 1. Name of topic.
guidelines serves any of those Quality 2. Rationale for consideration by the
jurisdictions, the Federal office that USPSTF, to include:
administers the program is responsible Solicitation for Nominations for New a. Primary or secondary prevention
for deciding whether to use the Primary and Secondary Health Topics topic (screening, counseling or
contiguous-states-and-DC guidelines for To Be Considered for Review by the preventive medication).
United States Preventive Services Task b. Primary care relevance (aplicable
those jurisdictions or to follow some
Force clinical preventive service must be
other procedure.
Due to confusing legislative language initiated in the primary care setting
AGENCY: Agency for Healthcare Research which can be defined as family practice,
dating back to 1972, the poverty and Quality (AHRQ), DHHS.
guidelines have sometimes been internal medicine, pediatrics or
ACTION: Solicit for new topic obstetrics/gynecology and provided by a
mistakenly referred to as the ‘‘OMB’’
nominations. primary care provider).
(Office of Management and Budget)
c. Description of public health
poverty guidelines or poverty line. In SUMMARY: The Agency for Healthcare
importance (burden of disease/suffering,
fact, OMB has never issued the Research and Quality (AHRQ) invites potential of preventive service to reduce
guidelines; the guidelines are issued individuals and organizations to burden, including effective
each year by the Department of Health nominate primary and secondary interventions). Citations and supporting
and Human Services. The poverty prevention topics pertaining to clinical documents are recommended.
guidelines may be formally referenced preventive services that they would like d. Summary of new evidence, if any,
as ‘‘the poverty guidelines updated the United States Preventive Services that has potential to affect the Task
periodically in the Federal Register by Task Force (USPSTF) to consider for Force’s recommendation on a
the U.S. Department of Health and review. A list of topics that have been previously reviewed topic. Please refer
Human Services under the authority of recently reviewed or are currently under to http://preventiveservices.ahrg.gov for
42 U.S.C. 9902(2).’’ review by the USPSTF is listed below in USPSTF recommendations. Citations
Some programs use a percentage the supplementary information section. and supporting documents are
multiple of the guidelines (for example, The USPSTF is an independent panel recommended.
125 percent or 185 percent of the of experts that makes evidence-based e. Description of potential impact of
guidelines), as noted in relevant recommendations regarding the USPSTF’s review of the topic, i.e.,
authorizing legislation or program provision of clinical preventive services. change in clinical practice, research
regulations. Non-Federal organizations Clinical preventive services include focus, etc.
that use the poverty guidelines under screening, counseling and preventive
their own authority in non-Federally- DATES: Topic nominations should be
medications. The USPSTF makes
funded activities can choose to use a recommendations about preventive submitted by February 23, 2006, in
percentage multiple of the guidelines services for asymptomatic people— order to be considered for 2006–2008.
such as 125 percent or 185 percent. people without recognized signs or AHRQ will not reply to submissions in
The poverty guidelines do not make a symptoms of the specific conditions response to the request for nominations,
distinction between farm and non-farm targeted by the preventive service. but will consider all topic nominations
families or between aged and non-aged Topics can be nominated by during the selection process. If a topic
units. (Only the Census Bureau poverty individuals, organizations, evidence- is selected for review by the USPSTF,
thresholds have separate figures for aged based practice centers (EPC) and the nominator will be notified by
and non-aged one-person and two- USPSTF members. The USPSTF will AHRQ.
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person units). consider nominations and prioritize ADDRESSES: Please submit nominations
Note that this notice does not provide topics for review based on the following to: Therese Miller, DrPH, ATTN:
definitions of such terms as ‘‘income’’ or set of criteria: Public health importance USPSTF Topic Nominations, Center for
‘‘family.’’ This is because there is (burden of suffering, potential of Primary Care, Prevention & Clinical
considerable variation in how different preventive service to reduce the Partnerships, Agency for Healthcare
programs that use the guidelines define burden); new evidence that has the Research and Quality, 540 Gaither Road,

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3850 Federal Register / Vol. 71, No. 15 / Tuesday, January 24, 2006 / Notices

Rockville, MD 20850, Fax: vision and hearing disorders). Selection Type of


301.427.1597, E-mail: tmiller@ahrg.gov. of suggested topics will be made on the preventive
basis of qualifications of nominations as service
FOR FURTHER INFORMATION CONTACT:
Therese Miller at tmiller@ahrq.gov or outlined above (see basic topic
Low Back Pain ........................ C
Gloria Washington at nomination requirements) and the Lung Cancer ........................... S
gwashing@ahrq.gov. current expertise of the USPSTF. Obesity in Children ................. S
Arrangement For Public Inspection: U.S. Preventive Services Task Force Oral Cancer ............................. S
All nominations will be available for Ovarian Cancer ....................... S
public inspections by appointment at Type of Pancreatic Cancer .................. S
the Center for Primary Care, Prevention preventive Peripheral Arterial/Vascular S
& Clinical Partnerships, 301.427.1500, service Disease.
Physical Activity ...................... C
weekdays between 10 a.m. and 5 p.m. Postmenopausal Hormone PM
Topics Currently Under Review:
(eastern time). Additional Risk Factors for In- S Prophylaxis (HRT).
SUPPLEMENTARY INFORMATION: termediate CHD Risk. Prostate Cancer ...................... S
Aspirin Primary Prevention of PM Rh Incompatibility .................... S
Background CHD. Suicide Risk ............................ S
Under Title IX of the Public Health Aspirin Prophylaxis in Preg- PM Syphilis .................................... S
Service Act, AHRQ is charged with nancy. Testicular Cancer .................... S
Aspirin/NSAIDs to prevent PM Thyroid Disease ...................... S
enhancing the quality, appropriateness
Colorectal Cancer. Visual Impairment in Children S
and effectiveness of health care services Bacterial Vaginosis in Preg- S
and access to such services. AHRQ nancy. Type of Preventive Service: S = Screening;
accomplishes these goals through Breast Cancer ......................... S/PM C = Counseling; PM = Preventive Medications.
scientific research and promotion of Carotid Artery Stenosis ........... S
Dated: January 17, 2006.
improvements in clinical practice, Chlamydial Infection ................ S
including prevention of diseases and Colorectal Cancer ................... S Carolyn M. Clancy,
other health conditions and Depression in Adults ............... S Director.
improvements in the organization, Drug Misuse ............................ S [FR Doc. 06–612 Filed 1–23–06; 8:45 am]
Dyslipidemia in Adults and S
financing and delivery of health care Children.
BILLING CODE 4160–90–M
services (42 U.S.C. 299–299c–7 as Gestational Diabetes Mellitus S
amended by Pub. L. 106–129 (1999)). Hearing Impairment in Elderly S
The United States Preventive Services Hearing Impairment Newborn S DEPARTMENT OF HEALTH AND
Task Force (USPSTF) is an independent Hemochromatosis ................... S HUMAN SERVICES
expert panel, first established in 1984 Hip Dysplasia .......................... S
HIV & Other Sexually Trans- C Agency for Healthcare Research and
under the auspices of the U.S. Public
mitted Diseases. Quality
Health Service. Currently, under
Iron Deficiency Anemia, in- S
AHRQ’s authorizing legislation noted cluding iron prophylaxis. Notice of Meetings
above, the Director of AHRQ is Lead Levels in Childhood & S
responsible for convening the USPSTF Pregnancy. In accordance with section 10(d) of
to be composed of individuals with Motor Vehicle Occupant Inju- C the Federal Advisory Committee Act as
appropriate expertise. The mission of ries. amended (5 U.S.C., Appendix 2), the
the Task Force is to rigorously evaluate Obesity in Adults ..................... S/C Agency for Healthcare Research and
the effectiveness of critical preventive Osteoporosis to prevent Frac- S Quality (AHRQ) announces meetings of
services and to formulate tures.
scientific peer review groups. The
Skin Cancer ............................ S/C
recommendations for primary care subcommittees listed below are part of
Speech & Language Delay ..... S
clinicians regarding the appropriate Thyroid Cancer ....................... S the Agency’s Health Services Research
provision of preventive services. The Initial Review Group Committee.
Topics Recently Reviewed:
USPSTF transitioned to a standing Task Abdominal Aortic Aneurysm ... S The subcommittee meetings will be
Force in 2001. Current Task Force Adolescent Idiopathic Scoliosis S closed to the public in accordance with
recommendations and associated Alcohol Misuse ........................ C the Federal Advisory Committee Act,
evidence reviews are available at Bladder Cancer ....................... S section 10(d) of 5 U.S.C., Appendix 2
http://www.preventiveservices.ahrq.gov. BRCA 1 & 2 ............................ S and 5 U.S.C. 552b(c)(6). Grant
Breastfeeding .......................... C
Topic Nomination Solicitation Cervical Cancer ...................... S applications are to be reviewed and
Coronary Heart Disease S discussed at these meetings. These
The purpose of this solicitation for discussions are likely to involve
screening by EKG, ETT,
new topics by AHRQ and the USPSTF information concerning individuals
EBCT.
is to create a balanced portfolio of Dementia ................................. S associated with the applications,
relevant topics for the current Task Dental Caries in Preschool S including assessments of their personal
Force library. The library is based on Children. qualifications to conduct their proposed
populations, types of services Diabetes Mellitus Type 2 ........ S projects. This information is exempt
(screening, counseling, preventive Family Violence ....................... S
from mandatory disclosure under the
medications), and disease types (cancer; Genital Herpes Simplex .......... S
Glaucoma ................................ S above-cited statutes.
heart and vascular disease; injury and
Gonorrhea ............................... S 1. Name of Subcommittee: Health Care
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violence-related disorders; infectious


Hepatitis B Virus Infection ...... S Technology and Decision Sciences.
diseases; mental disorders and Hepatitis C Virus Infection in S
substance abuse; metabolic, nutritional Adults. Date: February 2, 2006 (Open from 8
and endocrine diseases; musculoskeletal Healthy Diet ............................ C a.m. to 8:15 a.m. on February 2 and
conditions; obstetric and gynecological HIV Infection ........................... S closed for remainder of the
conditions; pediatric disorders; and, Hypertension ........................... S meeting).

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