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      • The 2021 final rule realigns the nation’s family planning program with nationally recognized standards of care for family planning and sexual health services delivered at Title X-funded sites. Specifically, the 2021 rule: Clearly defines quality healthcare as safe, effective, client-centered, timely, efficient, and equitable
      opa.hhs.gov/sites/default/files/2021-10/2021-Title-X-Final-Rule-One-Pager-October-2021.pdf
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  3. The 2021 final rule realigns the nation’s family planning program with nationally recognized standards of care for family planning and sexual health services delivered at Title X-funded sites. Specifically, the 2021 rule: Clearly defines quality healthcare as safe, effective, client-centered, timely, efficient, and equitable.

    • 222KB
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    • Table of Contents
    • I. Background
    • II. Public Comment and Departmental Response
    • III. Regulatory Impact Analysis
    • IV. Environmental Impact
    • V. Paperwork Reduction Act

    I. Background II. Public Comment and Departmental Response i. General Comments Related To Revoking 2019 Regulations and Readopting the 2000 Regulations A. Compliance With Section 1008 (42 U.S.C. 300a-6) B. Data on Negative Public Health Consequences of 2019 Rule C. Grantee and Subrecipient Compliance D. Application of Conscience Statutes to Title X...

    As discussed in the NPRM (86 FR 19812, April 15, 2021), in 2019, the Secretary issued a final rule for the Title X program titled Compliance with Statutory Program Integrity Requirements, which substantially revised the longstanding polices and interpretations defining what abortion-related activities were permissible under the program, given Title...

    The Department provided a 30-day public comment period for the proposed rule. That period closed on May 17, 2021. A total of 180,266 public comments were submitted to www.Regulations.govor directly to the Department. With this 2021 final rule, the Department revokes the requirements of the 2019 regulations (84 FR 7714, March 24, 2019) and readopts ...

    A. Introduction

    The Department has examined the impact of the final rule under Executive Order 12866 on Regulatory Planning and Review, Executive Order 13563 on Improving Regulation and Regulatory Review, Executive Order 13132 on Federalism, the Regulatory Flexibility Act (5 U.S.C. 601-612), and the Unfunded Mandates Reform Act of 1995 (Pub. L. 104-4). Executive Orders 12866 and 13563 direct the Department to assess all costs and benefits of available regulatory alternatives and, when regulation is necessary...

    B. Summary of Costs, Benefits and Transfers

    This final rule will revise the regulations that govern the Title X family planning services program by revoking the 2019 rule and readopting the 2000 regulations with several modifications. This approach will allow the Title X program grantees, subrecipients, and service sites to have a greater impact on public health than under the current regulatory approach. We predict that this final rule will increase the number of grantees receiving Title X funds. In turn, the additional service sites...

    C. Comments on the Preliminary Economic Analysis and Our Responses

    On April 15, 2021, the Department issued a proposed rule to revise regulations relating to the Title X program. The Department prepared a preliminary regulatory impact analysis (PRIA) for the proposed rule. Many comments were outside the scope of this rule. The paragraphs below describe and respond to the comments received on the PRIA. Summary of comments addressing the PRIA that were generally opposed to the rulemaking: Several of the comments suggested that the Department used flawed data i...

    The Department has determined under 21 CFR 25.30(k) that this action Start Printed Page 56177is of a type that does not individually or cumulatively have a significant effect on the human environment. Therefore, neither an environmental assessment nor an environmental impact statement is required.

    This final rule contains information collection requirements (ICRs) that are subject to review by the Office of Management and Budget (OMB) under the Paperwork Reduction Act of 1995. No public comments were provided on the proposed information collections for § 59.4, 59.5, and 59.7 proposed in the NPRM. OMB filed comment on this NPRM and assigned O...

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  6. May 8, 2024 · HHS issued a final rule reinterpreting Section 1557, which prohibits discrimination on the basis of race, color, national origin, sex, age or disability.

  7. Added definitions for adolescent-friendly health services; client-centered care; culturally and linguistically appropriate services; health equity; inclusive; quality healthcare; and trauma-informed. Included technical correction to change “grantee” to “recipient” within definition of service site.

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