FACACLASSIC

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HHS - 949 - National Advisory Council on Migrant Health - Statutory (Congress Created)

GENERAL INFORMATION

Committee Name	National Advisory Council on Migrant Health	Agency Name	Department of Health and Human Services
Fiscal Year	2025	Committee Number	949
Original Establishment Date	7/29/1975	Committee Status	Chartered
Actual Termination Date		Committee URL	https://www.hrsa.gov/advisory-committees/migran...
Actual Merged Date		Presidential Appointments*	No
New Committee This FY	No	Max Number of Members*	15
Terminated This FY	No	Designated Fed Officer Position Title*	Public Health Analyst
Merged This FY	No	Designated Federal Officer Prefix
Current Charter Date	11/29/1993	Designated Federal Officer First Name*	Liz
Date Of Renewal Charter	9/9/2005	Designated Federal Officer Middle Name
Projected Termination Date		Designated Federal Officer Last Name*	Rhee
Exempt From Renewal*	Yes	Designated Federal Officer Suffix
Specific Termination Authority		Designated Federal Officer Phone*	(301) 443-1082
Establishment Authority*	Statutory (Congress Created)	Designated Federal Officer Fax*	(301) 594-4497
Specific Establishment Authority*	42 U.S.C. 218	Designated Federal Officer Email*	lrhee@hrsa.gov
Effective Date Of Authority*	7/29/1975
Exempt From EO 13875 Discretionary Cmte	Not Applicable
Committee Type*	Continuing
Presidential*	No
Committee Function*	National Policy Issue Advisory Board

RECOMMENDATION/JUSTIFICATIONS

Agency Recommendation*	Continue
Legislation to Terminate Required	Not Applicable
Legislation Status	Not Applicable
How does cmte accomplish its purpose?*	The National Advisory Council on Migrant Health (NACMH or Council) meets bi-annually to review information and data on migratory and seasonal agricultural workers (MSAW) health and health care services provided to them and their families. NACMH then makes recommendations to the Secretary of Health and Human Services (HHS). In Fiscal Year (FY) 2025, 1 meeting was held virtually on October 22-23, 2024. The meeting included presentations from the Secretary's Initiative on Protecting Farmworkers from Extreme Heat and Wildfire Smoke, HRSA leadership about the Health Center Program, and the National Center for Farmworker Health on trainings and technical assistance for health centers. Based on these discussions, the Council recommended several strategies to improve the health status and access to care for MSAWs and their families: 1) Quality Awards – HRSA should make quality awards available to health centers that serve a high percentage of MSAW patients, recognizing the added services required to meet the needs of this hard-to-reach population that are not captured in the Uniform Data System (UDS). 2) Supplemental Awards – In line with the Public Health Service Act, HRSA should provide supplemental awards to support “additional health services,” including public health education interventions on environmental and occupational health issues affecting agricultural workers. 3) Funding Formula Adjustments – To reflect the higher cost of care for MSAWs, HRSA should adjust supplemental funding formulas to include increases based on the total number of encounters provided to agricultural workers. 4) Workforce Development – HRSA should expand efforts to strengthen workforce development, recruitment, and retention at health centers to support both new and veteran providers serving MSAW communities. Due to the pause in all FACA activities since January 2025, the second NACMH meeting was not scheduled.
How is membership balanced?*	The Council is composed of governing board members from health centers serving MSAW, former farmworkers, a farmer, health care provider, experts in research, medical sciences, and health program administration. Many members are actively engaged in local and statewide councils and planning committees related to the MSAW population. With a wide range of backgrounds and experiences, the Council also ensures geographic representation to address regional health and welfare concerns of MSAWs.
How frequent & relevant are cmte mtgs?*	The NACMH Charter requires that the Council meet bi-annually at the call of the Chair and with the advance approval of the Designated Federal Official (DFO). The meetings give members of the Council to hear from each other about the varied challenges and best practices in providing care to MSAW and also allow HRSA, national organizations, and other partners to provide data and insight to inform the Council's recommendations. In Fiscal Year (FY) 2025, the Council convened 1 virtual meeting on October 22-23, 2024. The meeting provided the Council members opportunities to discuss many aspects of health care provision to MSAWs and their families, including protection of farmworkers from extreme heat and wildfire smoke, provision of technical assistance to health centers serving MSAWs, and innovations to address the health and wellbeing of MSAWs. Due to the pause in all FACA activities since January 2025, the second council meeting was not scheduled.
Why advice can't be obtained elsewhere?*	There are no other federal programs that specifically address the health needs of migratory and seasonal agricultural workers and their families with representation from governing boards of MSAW-serving health centers. Most other groups have a primary focus in a specific area (e.g., education, agriculture, housing, etc.). The authorizing legislation for the Council defines its make-up and ensures that it consist of a majority of individuals who are directly involved in the governance of MSAW-serving health centers and are patients of these health centers. The Council is charged with advising, consulting with, and making recommendations to the Secretary of HHS and the Administrator of HRSA regarding the organization, operation, selection, and funding of migrant health centers and other entities funded under section 330(g) of the Public Health Service (PHS) Act (42 U.S.C. §254b). The NACMH Charter requires that the Council consist of 15 members including the Chair and Vice-Chair. All members serve 4-year terms. Twelve Council members are required to be governing board members of MSAW health centers and other entities assisted under section 254(b) of the PHS Act, at least nine of which must be patient board members. Three Council members must be individuals qualified by training and experience in the medical sciences or in the administration of health programs for the MSAW population.
Why close or partially close meetings?	N/A
Recommendation Remarks	Member Juan Mota's term end date changed from 4/22/2027 to 6/6/2024 due to their resignation from NACMH. Member Marco Viniegra's term end date changed from 7/3/2025 to 4/26/2024 due to their resignation from NACMH. Viniegra served as NACMH Chair from 7/4/2023 - 4/26/2024. Mary Jo Dudley's term as Chair effective 7/4/2024 - 7/3/2025. Teng Vang's term end date changed from 4/22/2027 to 9/22/2024 due to their resignation from NACMH.

PERFORMANCE MEASURES

Outcome Improvement To Health Or Safety*	Yes	Action Reorganize Priorities*	Yes
Outcome Trust In Government	Yes	Action Reallocate Resources	No
Outcome Major Policy Changes	Yes	Action Issued New Regulations	No
Outcome Advance In Scientific Research	Yes	Action Proposed Legislation	No
Outcome Effective Grant Making	Yes	Action Approved Grants Or Other Payments	No
Outcome Improved Service Delivery	Yes	Action Other	No
Outcome Increased Customer Satisfaction	Yes	Action Comment	The recommendations from the Council provide the HHS Secretary and the HRSA Administrator valuable information to establish strategic priorities for services provided at MSAW-serving health centers.
Outcome Implement Laws/Reg Requirements	Yes	Grants Review*	No
Outcome Other	No	Number Of Grants Reviewed	0
Outcome Comment	NA	Number Of Grants Recommended	0
Cost Savings*	Unable to Determine	Dollar Value Of Grants Recommended	$0.00
Cost Savings Comment	NA	Grants Review Comment	N/A
Number Of Recommendations*	473	Access Contact Designated Fed. Officer*	Yes
Number Of Recommendations Comment	This Council has made the decision to limit the number of recommendations to those that impact the organization, operation, selection, and funding of migrant health centers as well as other health center programs. The Reports tab contain the list of recommendations and attachments.	Access Agency Website	Yes
% of Recs Fully Implemented*	65.00%	Access Committee Website	Yes
% of Recs Fully Implemented Comment	Some of the recommendations made were beyond the Secretary's authority. Other recommendations were not feasible to implement at that time.	Access GSA FACA Website	Yes
% of Recs Partially Implemented*	35.00%	Access Publications	No
% of Recs Partially Implemented Comment	Some of the recommendations were modified to better align with the goals and strategic plan of HHS.	Access Other	No
Agency Feedback*	Yes	Access Comment	N/A
Agency Feedback Comment*	HHS, HRSA Bureau of Primary Health Care (BPHC) senior leaders, managers and HRSA grantee Training and Technical Assistance partners provide updates to the council members on HHS/HRSA/BPHC policies and programs impacting migratory and seasonal agricultural workers and their families. These updates are provided during meetings and when requested. The Secretary also responds to the NACMH letter of recommendations by official correspondence. The public can obtain information regarding agency responses to committee recommendations by contacting the DFO.	Narrative Description*	The NACMH supports the Agency's mission to improve the nation's health by providing recommendations that assist the HHS Secretary and HRSA Administrator in improving the delivery of quality health care and enabling services to migratory and seasonal agricultural workers and their families.

COSTS

1. Payments to Non-Federal Members*	$3,600.00	1. Est Paymnts to Non-Fed Membrs Nxt FY*	$0.00
2. Payments to Federal Members*	$0.00	2. Est. Payments to Fed Members Next FY*	$0.00
3. Payments to Federal Staff*	$90,966.00	3. Estimated Payments to Federal Staff*	$0.00
4. Payments to Consultants*	$0.00	4. Est. Payments to Consultants Next FY*	$0.00
5. Travel Reimb. For Non-Federal Membrs*	$0.00	5. Est Travel Reimb Non-Fed Membr nxtFY*	$0.00
6. Travel Reimb. For Federal Members*	$0.00	6. Est Travel Reimb For Fed Members*	$0.00
7. Travel Reimb. For Federal Staff*	$0.00	7. Est. Travel Reimb to Fed Staf Nxt FY*	$0.00
8. Travel Reimb. For Consultants*	$0.00	8. Est Travel Reimb to Consltnts Nxt FY*	$0.00
10. Other Costs	$0.00	10. Est. Other Costs Next FY*	$0.00
11. Total Costs	$185,828.00	11. Est. Total Next FY*	$0.00
Date Cost Last Modified	9/4/2025 2:57 PM	Est. Fed Staff Support Next FY*
Federal Staff Support (FTE)*	0.53	Est Cost Remarks
Cost Remarks	FY 25 costs and FTE reflect 1 virtual meeting in October 2024. The second meeting was not scheduled due to pause in all FACA activities

Interest Areas

Category Area Agriculture Agriculture Health Health Care Medical Education Medical Practitioners Nutrition Physical Fitness Public Health Safety Treatment Justice Prevention Labor Labor Occupational Safety and Health Workforce and Occupations Legislation Legislation Regulations Medicine Diseases Health and Health Research Illnesses Medicine and Dentistry

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