Notice2021-19630
Opportunity for Comments on Proposed Updates to the Bright Futures Periodicity Schedule as Part of the HRSA-Supported Preventive Services Guidelines for Infants, Children, and Adolescents
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Published
September 13, 2021
Issuing agencies
Health and Human Services DepartmentHealth Resources and Services Administration
Abstract
This notice seeks public comment on several proposed updates to The Periodicity Schedule of the Bright Futures Recommendations for Pediatric Preventive Health Care ("Bright Futures Periodicity Schedule"), as part of the HRSA-supported preventive service guidelines for infants, children, and adolescents. Please see https:// mchb.hrsa.gov/maternal-child-health-topics/child-health/bright- futures.html for additional information. The Periodicity Schedule is maintained in part through a national cooperative agreement, the Bright Futures Pediatric Implementation Program. If accepted by HRSA, a proposed update to the Bright Futures Periodicity Schedule will provide additional clinical guidance to providers and, under the Public Health Service Act, would require certain insurance plans and issuers to provide coverage without cost-sharing of such updated preventive care and screenings.
Full Text
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<title>Federal Register, Volume 86 Issue 174 (Monday, September 13, 2021)</title>
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[Federal Register Volume 86, Number 174 (Monday, September 13, 2021)]
[Notices]
[Page 50894]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-19630]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Opportunity for Comments on Proposed Updates to the Bright
Futures Periodicity Schedule as Part of the HRSA-Supported Preventive
Services Guidelines for Infants, Children, and Adolescents
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice.
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SUMMARY: This notice seeks public comment on several proposed updates
to The Periodicity Schedule of the Bright Futures Recommendations for
Pediatric Preventive Health Care (``Bright Futures Periodicity
Schedule''), as part of the HRSA-supported preventive service
guidelines for infants, children, and adolescents. Please see <a href="https://mchb.hrsa.gov/maternal-child-health-topics/child-health/bright-futures.html">https://mchb.hrsa.gov/maternal-child-health-topics/child-health/bright-futures.html</a> for additional information. The Periodicity Schedule is
maintained in part through a national cooperative agreement, the Bright
Futures Pediatric Implementation Program. If accepted by HRSA, a
proposed update to the Bright Futures Periodicity Schedule will provide
additional clinical guidance to providers and, under the Public Health
Service Act, would require certain insurance plans and issuers to
provide coverage without cost-sharing of such updated preventive care
and screenings.
DATES: Members of the public are invited to provide written comments no
later than October 13, 2021. All comments received on or before this
date will be reviewed and considered by the Bright Futures Periodicity
Schedule Workgroup and provided for further consideration by HRSA in
determining the recommended updates that it will support.
ADDRESSES: Members of the public who wish to provide comments can do so
by accessing the public comment web page at: <a href="https://mchb.hrsa.gov/maternal-child-health-topics/child-health/bright-futures.html">https://mchb.hrsa.gov/maternal-child-health-topics/child-health/bright-futures.html</a>.
FOR FURTHER INFORMATION CONTACT: Savannah Kidd, HRSA, Maternal and
Child Health Bureau, email: <a href="/cdn-cgi/l/email-protection#e5b6ae8c8181a58d979684cb828a93"><span class="__cf_email__" data-cfemail="d4879fbdb0b094bca6a7b5fab3bba2">[email protected]</span></a>, telephone: (301) 287-2601.
SUPPLEMENTARY INFORMATION: The Periodicity Schedule of the Bright
Futures Recommendations for Pediatric Preventive Health Care (``Bright
Futures Periodicity Schedule''), as part of the HRSA-supported
preventive service guidelines for infants, children, and adolescents,
is maintained in part through a national cooperative agreement, the
Bright Futures Pediatric Implementation Program. Under Section 2713 of
the Public Health Service Act, non-grandfathered group health plans and
health insurance issuers must include coverage, without cost sharing,
for certain preventive services for plan years (in the individual
market, policy years) that begin on or after the date that is 1-year
after the date the recommendation or guideline is issued. These include
preventive health services provided for in the Bright Futures
Periodicity Schedule as part of the HRSA-supported preventive services
guidelines for infants, children, and adolescents. A panel of pediatric
primary care experts convened to review the latest evidence has
identified proposed updates to the Bright Futures Periodicity Schedule
in several areas in response to new evidence impacting children. The
proposed updates to the Bright Futures Periodicity Schedule are: (1) A
new category for sudden cardiac arrest and sudden cardiac death risk
assessment, (2) a new category for hepatitis B virus infection risk
assessment, (3) add suicide risk as an element of universal screening
for children ages 12-21, and (4) update of Psychosocial/Behavioral
Assessment to Behavioral/Social/Emotional Screening. The updated
category title will be ``Behavioral/Social/Emotional Screening'' with
no revision to the ages in which the screening occurs (newborn to 21
years). Finally, two references related to dental fluoride varnish and
fluoride supplementation are proposed to be added with no recommended
changes to clinical practice.
The American Academy of Pediatrics, which has been the HRSA
cooperative agreement recipient for this program since 2007, maintains
the Periodicity Schedule. Under HRSA's cooperative agreement with the
American Academy of Pediatrics, the Bright Futures Program is required
to administer a process for developing and regularly recommending, as
needed, updates to the Bright Futures Periodicity Schedule. As
described in the Notice of Funding Opportunity for the Bright Futures
Program (HRSA-18-078), the consideration of potential updates is
expected to be ``a comprehensive, objective, and transparent review of
available evidence that incorporates opportunity for public comment.
Accordingly, the award recipient will review the evidence on an annual
basis to determine whether updates are needed, using a deliberative
review process by experts qualified to conduct such a review;
administer the receipt and consideration of public comments for a
minimum of 30 calendar days following publication of the Federal
Register Notice setting forth the proposed updates; and provide to HRSA
a written report that sets forth its recommended updates, including a
summary of the public comments it received, a list of general topics
that were commented on and its responses to those comments.''
Authority: 2713(a)(3) of the Public Health Service Act, 42 U.S.C.
300gg-13(a)(3).
Diana Espinosa,
Acting Administrator.
[FR Doc. 2021-19630 Filed 9-10-21; 8:45 am]
BILLING CODE 4165-15-P
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