FORHP OMB NonSubstantive Change Request (RHCC) FINAL 07232025

5600 Fishers Lane

Rockville, MD 20857

DATE: July17, 2025

TO: Dan Cline, Office of Management and Budget Desk Officer

FROM: Samantha Miller, Health Resources and Services Administration Information Collection Clearance Officer, Office of Planning, Analysis and Evaluation

______________________________________________________________________________

Request: The Health Resources and Services Administration (HRSA), Federal Office of Rural Health Policy (FORHP) requests approval for changes to the Rural Health Care Coordination Program Performance Measures (OMB 0906-0024) expiration date 08/31/2026).

Purpose: HRSA is requesting a change to revise response options to align with this Administration’s priorities and to comply with Executive Order (E.O.) 14151, “Ending Radical and Wasteful Government DEI Programs and Preferencing.”

This memo explains the changes and supporting rationale.

Changes: This request involves deletion of response/selection options for certain questions within the form.

Changes are outlined in Table A (see below) and in the track changes version of the OMB approved measures (see Attachment).

Time Sensitivity: HRSA requests approval within the standard 10-day period (no later than July 31, 2025) to avoid any delay to data collection under 0906-0024.

Burden: The proposed changes are not expected to have any impact on burden.

PROPOSED CLARIFICATIONS AND NON-SUBSTANTIVE CHANGES:

Table A

Instrument	Type of Change	Question/Item	Page	Change implemented	Rationale
Rural Health Care Coordination Program Performance Measures	Revise response option	Section I- 1 (Access to Care – Type of direct service encounters provided)	5	Remove response option “Social Determinants of Health Screening and Referral;” Revise to “Health-related social need services and/or support screening and referral”	Comply with E.O. 14151
	Revise section title	Section II (Population Demographics and Social Determinants of Health – Social Determinants of Health)	5	Remove Section Title and measure section “Social Determinants of Health;” revise to Health-Related Social Needs”	Comply with E.O. 14151
	Revise section instructions	Section II (Population Demographics and Social Determinants of Health – Social Determinants of Health)	7	Remove table title “Social Determinants of Health” and revise to Health-Related Social Needs. Remove from first sentence of instructions “social determinants of health.” and revise to “health-related social needs.” Remove from second sentence of instructions “determinant of health” and revise to “health-related social service and/or”	Comply with E.O. 14151
	Revise measure	Section III – 15 (Care Coordination and Network Infrastructure – Number of participants screened and referred to social determinants of health-related services and/or support)	9	Remove from measure “social determinants of health-related;” revise to “…health-related social need…”	Comply with E.O. 14151
	Remove response option	Section III – 21 (Care Coordination and Network Infrastructure - Type of Member Organizations in the Consortium/Network)	11	Remove “Migrant Health Center”	Align with this Administration’s priorities.
	Revise definition section title	Definitions – Section II (Population Demographics and Social Determinants of Health)	24	Remove section title “SOCIAL DETERMINANTS OF HEALTH;” revise to “HEALTH-RELATED SOCIAL NEEDS”	Comply with E.O. 14151
	Revise definition name	Definitions – Section II (Population Demographics and Social Determinants of Health – Social Determinants of Health)	24	Remove definition “Social Determinants of Health”; revise to “Health-Related Social Needs”	Comply with E.O. 14151
	Revise definition description	Definitions – Section II (Population Demographics and Social Determinants of Health – Social Determinants of Health)	24	Remove definition description “the conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. Examples of SDOH include safe and affordable housing, access to transportation, racism, discrimination and violence, education, job opportunities, and income, access to nutritious food and physical activity opportunities, polluted air and water, language and literacy skills;” Replace with “Social and economic needs that significantly impact a person's health and access to care and put individuals at risk for worse health outcomes and increased health care use. These include needs, such as housing instability, food insecurity, and lack of transportation.”	Comply with E.O. 14151

Attachments:

1. Attachment 1: Rural Health Care Coordination Program Performance Measures_SOGI edits 7.8.25

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